FURP.ORG / PUBLIC DATA EXPLORER

MERCY HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MERCY HOSPITAL (EIN 01-0211534)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201323189349308237
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T17:33:29-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11700 Market Street 25th FloorAddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code191033984ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010211534EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Mercy HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERCNameControl
Phone2078793000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1144 State StreetAddressLine1
CityPortlandCity
StateMEState
ZIP Code041013795ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael HacheyName
TitleSenior Vice President & CFOTitle
Phone2078793000Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWilliam J HomerName
PTINP00994519PTIN
Phone2152462300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEileen SkinnerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1144 State StreetAddressLine1
CityPortlandCity
StateMEState
ZIP Code041013795ZIPCode
FieldValueIRS element (for citing)
Gross Receipts207556779GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.mercyhospital.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1945YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionMercy Hospital carries out the healing work of Christ by providing clinically excellent, compassionate healthcare for all, with special concern for the poor and disadvantaged.ActivityOrMissionDescription
Nbr Voting Members Governing Body29NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees2070TotalNbrEmployees
Total Nbr Volunteers461TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1608779ContributionsGrantsPriorYear
Contributions Grants Current Year5226026ContributionsGrantsCurrentYear
Program Service Revenue Prior Year199595175ProgramServiceRevenuePriorYear
Program Service Revenue CY200199048ProgramServiceRevenueCY
Investment Income Prior Year558497InvestmentIncomePriorYear
Investment Income Current Year352434InvestmentIncomeCurrentYear
Other Revenue Prior Year1434405OtherRevenuePriorYear
Other Revenue Current Year1276052OtherRevenueCurrentYear
Total Revenue Prior Year203196856TotalRevenuePriorYear
Total Revenue Current Year207053560TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year112207570SalariesEtcPriorYear
Salaries Etc Current Year119455288SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year672460TotalFundrsngExpCurrentYear
Other Expense Prior Year106971762OtherExpensePriorYear
Other Expenses Current Year97722438OtherExpensesCurrentYear
Total Expenses Prior Year219179332TotalExpensesPriorYear
Total Expenses Current Year217177726TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-15982476RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-10124166RevenuesLessExpensesCY
Total Assets BOY197985033TotalAssetsBOY
Total Assets EOY192790632TotalAssetsEOY
Total Liabilities BOY129071451TotalLiabilitiesBOY
Total Liabilities EOY131723078TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY68913582NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY61067554NetAssetsOrFundBalancesEOY
Mission DescriptionMercy Hospital carries out the healing work of Christ by providing clinically excellent, compassionate healthcare for all, with special concern for the poor and disadvantaged.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense180996831Expense
Revenue200199048Revenue
DescriptionProvide access to healthcare for all people through direct patient care at Mercy's various hospital, clinical and physician locations. In providing these services, the organization absorbs significant costs that are not reimbursed through Medicare, Medicaid or other programs. In addition, as part of our mission, we maintain a charity care program with income eligibility thresholds that exceed the State of Maine income eligibility guidelines for free care (the Federal regulations do not mandate a particular eligibility requirement). The Company also provides and sponsors a number of socially responsible activities and events that have a positive impact on the lives of the residents of the Greater Portland Community.Description
Total Program Service Expense180996831TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096161NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2070NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members29NbrVotingGoverningBodyMembers
Number Independent Voting Members25NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Douglas W LibbyBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2078793000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1144 State StreetAddressLine1
CityPortlandCity
StateMEState
ZIP Code041013795ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (42 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Eileen Skinner
President & CEO37.502.50XX060154239905
William Demicco MD
Trustee (Pres Med Staff)37.502.50X258687031209
Thomas W Yoder Jr
Chairman5.005.00XX000
Joseph R Foley
Vice Chairman5.005.00XX000
Karen Hart
Secretary5.005.00XX000
Sr Barbara Brennan RSM
Trustee2.502.50X000
Sr Patricia Flynn RSM PhD
Trustee2.502.50X000
Joseph Gray
Trustee2.502.50X000
Margaret Hourigan
Trustee2.502.50X000
Wendy Bush
Trustee2.502.50X000
Cheryl Libby
Trustee2.502.50X000
Paul Lones
Trustee2.502.50X000
Sr Michele Aronica RSM
Trustee2.502.50X000
Brenda Miley
Trustee2.502.50X000
Lisa Miller
Trustee2.502.50X000
Thimi Mina
Trustee2.502.50X000
Sr Mary Morey RSM
Trustee2.502.50X000
Mary Louise Norton
Trustee2.502.50X000
Paul Bloch MD
Trustee2.502.50X000
Sr Patricia Pora RSM
Trustee2.502.50X000
Jon Jennings
Trustee2.502.50X000
David Small
Trustee2.502.50X000
Sr Kathleen M Smith RSM
Trustee2.502.50X000
Nelson A Toner Esq
Trustee2.502.50XX000
Isabella Thurston MD
Trustee2.502.50X000
Bruce Wagner
Trustee2.502.50X000
William Schirmer MD
Trustee2.502.50X000
Daniel P Sheridan PhD
Trustee2.502.50X000
John Walters
Trustee2.502.50X000
Greg Otterbein
Trustee2.502.50X000
Anthony Marple
Chief Financial Officer37.502.50X027357129751
Michael Hachey
SVP Ambulatory Ser./CFO37.502.50X036995841450
Robert Nutter
VP HR & Support Services37.502.50032418939222X
Scott Rusk
VP Medical Affairs37.502.50036542342117X
James Shrum
VP Patient Care Services37.502.50023569428599X
Gregory Pomeroy
Physician40.00847009037595X
Frederick Poulin Jr
Physician40.00538361025384X
Gregory Adey
Physician40.00504835035530X
Marc Hodroff
Physician40.00508209030419X
Craig Brett
Physician40.00508700029748X
Edward Ted McCarthy
Former Chief of Medical Staff40.000.00144300022331X
Daniel Merson DO
Former Trustee40.000.00156955024842X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3467056TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2170377TotalReportableCompFrmRltdOrgs
Total Other Compensation458102TotalOtherCompensation
Number Individuals GT100 K156NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ACCRETIVEHEALTH INC
401 North Michigan Ave Suite 2700ChicagoIL60611Revenue Cycle Management3576329
SYNERNET INC
110 Free StreetPortlandME04101Transcription; Equip Ser & Maint.1925563
GENERAL ELECTRIC MED SYSTEM
8200 West Tower AveMilwaukeeWI53223Equipment Service & Maint.1835360
SEABREEZE PROPERTY SERVICES
PO Box 617PortlandME04102Grounds Mgmt & Maint.932517
BCA FINANCIAL SERVICES INC
18001 Old Cutler Road Suite 462MiamiFL33157Collections909901
FieldValueIRS element (for citing)
Number Of Contractors GT100 K46NumberOfContractorsGT100K
Fundraising Events144825FundraisingEvents
Government Grants164996GovernmentGrants
All Other Contributions4916205AllOtherContributions
Noncash Contributions27551NoncashContributions
Total Contributions5226026TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Revenu621110196372221196372221
All Other Program Serv62111038268273826827
FieldValueIRS element (for citing)
Total Program Service Revenue200199048TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column219199TotalRevenueColumn
Exclusion$219,199ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real252784Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real252784Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column252784TotalRevenueColumn
Exclusion$252,784ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities279259Securities
Other265152Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other411176Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities279259Securities
Other-146024Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column133235TotalRevenueColumn
Exclusion$133,235ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events187458GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events144825CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses92043FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column95415TotalRevenueColumn
Exclusion$95,415ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCafeteria IncomeDescription
Business Code722210BusinessCode
Total Revenue Column927853TotalRevenueColumn
Exclusion$927,853ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue927853TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column207053560TotalRevenueColumn
Related Or Exempt Function Income200199048RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,628,486ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2859590Total
Program Services2708031ProgramServices
Management And General151559ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total93960400Total
Program Services88347253ProgramServices
Management And General5402853ManagementAndGeneral
Fundraising210294Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3445183Total
Program Services3240631ProgramServices
Management And General193114ManagementAndGeneral
Fundraising11438Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12932078Total
Program Services11104591ProgramServices
Management And General1789157ManagementAndGeneral
Fundraising38330Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6258037Total
Program Services5792765ProgramServices
Management And General450277ManagementAndGeneral
Fundraising14995Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total184264Total
Program Services12913ProgramServices
Management And General171351ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total348038Total
Management And General348038ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total119000Total
Management And General119000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total25340054Total
Program Services14451832ProgramServices
Management And General10626980ManagementAndGeneral
Fundraising261242Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total596451Total
Program Services2883ProgramServices
Management And General582098ManagementAndGeneral
Fundraising11470Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total40028440Total
Program Services37807779ProgramServices
Management And General2109599ManagementAndGeneral
Fundraising111062Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7272332Total
Management And General7272332ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6256439Total
Program Services5903915ProgramServices
Management And General352524ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total248759Total
Program Services213839ProgramServices
Management And General28517ManagementAndGeneral
Fundraising6403Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total10488Total
Program Services9656ProgramServices
Management And General832ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2325581Total
Program Services26260ProgramServices
Management And General2299321ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10545701Total
Program Services8164723ProgramServices
Management And General2376238ManagementAndGeneral
Fundraising4740Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2969193Total
Program Services2636559ProgramServices
Management And General332634ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Dues and Subscriptions12757534031598701082486
Auxiliary14504214504200
Amortization5690325000319030

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total217177726Total
Program Services180996831ProgramServices
Management And General35508435ManagementAndGeneral
Fundraising672460Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5729864BOY
EOY3117383EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY29729152BOY
EOY29890429EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4672245BOY
EOY4994851EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1094317BOY
EOY1025590EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis194559702LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec93758392LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY104510604BOY
EOY100801310EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY14568913BOY
EOY10583199EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4637769BOY
EOY2775087EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY124167BOY
EOY64167EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY32918002BOY
EOY39538616EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY197985033BOY
EOY192790632EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19399735BOY
EOY19576196EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1890248BOY
EOY972458EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY73170121BOY
EOY70953524EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY298118EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY30530BOY
EOY2384EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY34580817BOY
EOY39920398EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY129071451BOY
EOY131723078EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY66899973BOY
EOY56765101EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY971663BOY
EOY2524411EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1041946BOY
EOY1778042EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY68913582BOY
EOY61067554EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY197985033BOY
EOY192790632EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-10124166ReconcilationRevenueExpenses
Reconciliation Unrealized Invest2145542ReconciliationUnrealizedInvest
Reconcilation Other Changes132596ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$500MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$102,200DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$16,300OtherActivitiesAmount
Total Lobbying Expenditures IIB119000TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationPercentage of dues paid to Maine Hospital Association (MHA) and American Hospital Association (AHA) used by MHA and AHA for lobbying purposes.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1041946BeginningOfYearBalance
Contributions656155Contributions
Investment Earnings Or Losses79941InvestmentEarningsOrLosses
End Of Year Balance1778042EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1052325BeginningOfYearBalance
Contributions1850Contributions
Investment Earnings Or Losses-12229InvestmentEarningsOrLosses
End Of Year Balance1041946EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance983424BeginningOfYearBalance
Contributions4188Contributions
Investment Earnings Or Losses64713InvestmentEarningsOrLosses
End Of Year Balance1052325EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance873360BeginningOfYearBalance
Contributions31500Contributions
Investment Earnings Or Losses78564InvestmentEarningsOrLosses
End Of Year Balance983424EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1086370BeginningOfYearBalance
Contributions1500Contributions
Investment Earnings Or Losses-214510InvestmentEarningsOrLosses
End Of Year Balance873360EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6220656OtherCostOrOtherBasis
Book Value6220656BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis102898808OtherCostOrOtherBasis
Depreciation37768462Depreciation
Book Value65130346BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2886912OtherCostOrOtherBasis
Depreciation1140634Depreciation
Book Value1746278BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis78237161OtherCostOrOtherBasis
Depreciation53943813Depreciation
Book Value24293348BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4316165OtherCostOrOtherBasis
Depreciation905483Depreciation
Book Value3410682BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings100801310TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Due from Third-Party Payors25206827
Other Accounts Receivable4121792
Unamortized Financing645422
Other Assets1479387
Market Value Swap Asset584188
Insurance Recoveries7501000
FieldValueIRS element (for citing)
Total Book Value Other Assets39538616TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescriptionAmountAmount
Market Value Swap Liability$595,416
Workers Compensation Reserve$3,454,000
Accrued Pension Liability$2,285,447
AR Credit Balances$2,169,318
Due to Third Party Payors$5,519,794
Health Claim Reserves$1,680,000
Due to Related Companies$12,579,242
Misc. Reserves$10,509,209
Deferred Compensation$1,127,972
FieldValueIRS element (for citing)
Total Of Amounts39920398TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Intended Use of Endowment Funds:Identifier
Return ReferencePart V, Line 4:ReturnReference
ExplanationEndowment funds restricted uses include funding operations, educational programs, hospice and Alzheimer's screening.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Gary's House GolfNameOfEvent1
Gross Receipts Event1206228GrossReceiptsEvent1
Charitable Contributions Event189825CharitableContributionsEvent1
Gross Revenue Event1116403GrossRevenueEvent1
Non Cash Prizes Event12633NonCashPrizesEvent1
Rent Facility Costs Event11000RentFacilityCostsEvent1
Food And Beverage Event115751FoodAndBeverageEvent1
Entertainment Event1700EntertainmentEvent1
Other Direct Expenses Event134434OtherDirectExpensesEvent1
Name Of Event2Mercy GolfNameOfEvent2
Gross Receipts Event259665GrossReceiptsEvent2
Charitable Contributions Event226000CharitableContributionsEvent2
Gross Revenue Event233665GrossRevenueEvent2
Non Cash Prizes Event21655NonCashPrizesEvent2
Rent Facility Costs Event20RentFacilityCostsEvent2
Food And Beverage Event26381FoodAndBeverageEvent2
Entertainment Event20EntertainmentEvent2
Other Direct Expenses Event216850OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events66390GrossReceiptsOtherEvents
Charitable Contrib Other Events29000CharitableContribOtherEvents
Gross Revenue Other Events37390GrossRevenueOtherEvents
Non Cash Prizes Other Events0NonCashPrizesOtherEvents
Rent Facility Costs Other Events2360RentFacilityCostsOtherEvents
Food And Beverage Other Events4244FoodAndBeverageOtherEvents
Entertainment Other Events900EntertainmentOtherEvents
Other Direct Expenses Other Events5135OtherDirectExpensesOtherEvents
Gross Receipts Total332283GrossReceiptsTotal
Charitable Contributions Total144825CharitableContributionsTotal
Gross Revenue Total Events187458GrossRevenueTotalEvents
Non Cash Prizes Total Events4288NonCashPrizesTotalEvents
Rent Facility Costs Total Events3360RentFacilityCostsTotalEvents
Food And Beverage Total Events26376FoodAndBeverageTotalEvents
Entertainment Total Events1600EntertainmentTotalEvents
Other Direct Expenses Total Events56419OtherDirectExpensesTotalEvents
Direct Expense Summary Events92043DirectExpenseSummaryEvents
Net Income Summary95415NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7108665TotalCommunityBenefitExpense
Net Community Benefit Expense7108665NetCommunityBenefitExpense
Percent Of Total Expense0.03270PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense30744214TotalCommunityBenefitExpense
Direct Offsetting Revenue23457238DirectOffsettingRevenue
Net Community Benefit Expense7286976NetCommunityBenefitExpense
Percent Of Total Expense0.03360PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense37852879TotalCommunityBenefitExpense
Direct Offsetting Revenue23457238DirectOffsettingRevenue
Net Community Benefit Expense14395641NetCommunityBenefitExpense
Percent Of Total Expense0.06630PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense357461TotalCommunityBenefitExpense
Direct Offsetting Revenue77120DirectOffsettingRevenue
Net Community Benefit Expense280341NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense357461TotalCommunityBenefitExpense
Direct Offsetting Revenue77120DirectOffsettingRevenue
Net Community Benefit Expense280341NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense38210340TotalCommunityBenefitExpense
Direct Offsetting Revenue23534358DirectOffsettingRevenue
Net Community Benefit Expense14675982NetCommunityBenefitExpense
Percent Of Total Expense0.06760PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense129802TotalCommunityBuildingExpense
Net Community Building Expense129802NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense129802TotalCommunityBuildingExpense
Net Community Building Expense129802NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$6,896,005BadDebtExpenseAmount
Amount Attributable To224136AmountAttributableTo
Amount Reimbursed By Medicare64671626AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare84824985CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-20153359MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Mercy HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1144 State StreetAddressLine1
CityPortlandCity
StateMEState
ZIP Code04101ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Mercy HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent250.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationIdentifierIdentifier
Part I, Line 6a: The organization's community benefit activities are included in Catholic Health East's Community Benefit Report (EIN:23-2929748).
Part I, Line 7: The method used was a cost-to-charge ratio derived from the most recent Medicare Cost Report data.
Part II: Mercy Hospital contracts with Advanced Patient Advocacy, an organization that works with patients who do not have insurance or have minimal health coverage to determine if they qualify for state, federal, or private assistance programs. Advanced Patient Advocacy staff educate patients and their families about coverage options available to help cover the cost of recent medical care, navigate the enrollment process for patients and connect and enroll patients with the program(s) that best meet the patient's unique healthcare needs.
Part III, Line 4: Mercy Hospital provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness of patients or third-party payors to make payments for services. The allowance is determined by analyzing historical data and trends. Accounts receivable are written off against the allowance for doubtful accounts when managment determines that recovery is unlikely and refers collection efforts to a third-party collector under contract. Recoveries of bad debt write-offs reduce bad debt expense. The costing methodology used for determining Mercy Hospital's bad debt expense at cost is applying a cost-to-charge ratio on the value of the organization's bad debt expense. To determine the estimated amount of bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy, the calculated percentage of total charity care to total gross patient revenue was applied to the total bad debt expense. The resulting amount was multiplied by the Medicare cost-to-charge ratio. Although our charity care policies and procedures make every effort to identify thoses patients who are eligible for charity care before the billing process begins, often it is not possible to make an appropriate determination until after the billing and collection cycle has commenced. The rationale for including bad debt amounts in community benefits would be to account for those patients who were classified as bad debt expense, but would have qualified for charity care if sufficient information had been availiable to make a determination of their eligibility.Discounts on patient accounts are not considered to be bad debts.
Part III, Line 8: The costing methodology to determine Mercy Hospital's Medicare shortfall is calculated by applying a cost-to-charge ratio on the value of gross Medicare revenue to determine an estimate of total revenue received from Medicare and comparing this amount to allowable costs of care.
Part III, Line 9b: Mercy Hospital's written charity care policy clearly states that patients who are known to qualify for charity care or financial assistance are covered under Mercy Hospital's charity care policy. The following is taken from Mercy Hospital's charity care policy and outlines specific parameters for collection practices for charity care patients:"H. Hospital Collection EffortsSelf-pay balances may be transferred to professional collection agencies when the accounts complete a patient statement dunning cycle (e.g., approximately 90 days) with no payment from the patient or proof of eligibility for Financial Assistance or other programs. Accounts with applications pending for Financial Assistance or other assistance programs are held until the outcome of the application. A "pending application" is defined as an application that has been fully completed by the patient, received by Mercy's Financial Assistance area, and is in the process of being determined for eligibility.1. It is acceptable (but not preferable) to take an account through the full collection cycle and later reclassify it as Financial Assistance, as long as a consistent process is followed and a legitimate basis is established for the patient's inability to pay.2. In some cases, a patient eligible for Financial Assistance may not have been identified prior to initiating external collection action. Accordingly, each collection agency engaged is aware of the policy on Financial Assistance. This allows the agency to report amounts that they have determined to be uncollectible due to the inability to pay in accordance with the Financial Assistance eligibility guidelines. If a collection agency identifies special circumstances demonstrating a particular patient as being unable (versus unwilling) to pay their bill, per the eligibility criteria of this policy, their liability may be considered Financial Assistance, even if they were originally classified as a Bad Debt.3. Collection agencies shall not, in dealing with uninsured patients at or below the MHSM Financial Assistance guidelines, use or threaten to use wage garnishments or liens on primary residences as a means of collecting on unpaid hospital bills.4. When a patient's financial picture indicates that he/she has the financial resources to pay, a payment plan may be established at the patient's request; therefore, a financial application is not necessary.5. If the patient/responsible party does not cooperate with MHSM, i.e., return of necessary documentation within 60 days of receipt of denial for missing documents (Appendix E), and every attempt to obtain the best resolution of the account has been made; the account may be processed for placement with a MHSM collection agency.I. Collection AgencyIn some cases, a patient eligible for Financial Assistance may not have been identified prior to initiating external collection action. Accordingly, each collection agency engaged is aware of the MHSM policy on Financial Assistance. This allows the agency to report amounts that they have determined to be uncollectible due to the inability to pay in accordance with the Financial Assistance eligibility guidelines. If a collection agency identifies special circumstances demonstrating a particular patient as being unable (versus unwilling) to pay their bill, their liability may be considered Financial Assistance, even if they were originally classified as a Bad Debt. The patient should be reclassified to Financial Assistance."
Part V, Section B, Line 18e: The organization does not take any of the actions listed on Line 17 with respect to patients eligible for assistance under the organization's FAP.Mercy Hospital
Part V, Section B, Line 20d: The hospital discounts charges to patients eligible for financial assistance based on income levels and other factors. In no case is any patient eligible for financial assistance charged an amount greater than charges that would be charged under Medicare.Mercy Hospital
Part VI, Line 2: IntroductionMercy Hospital was founded in 1918 as the Queen's Hospital in response to a devastating flu epidemic. Mercy strives for the highest standards of care for patients' physical, mental, and spiritual needs and has a mission that is grounded in a special commitment to care for the poor and disadvantaged. Mercy continues its long-held tradition of responding to distinct community needs drawing from the Annual Point in Time Survey; the CDC's Behavioral Risk Factor Surveillance System reports; the 2011 Portland Minority Health Assessment; and the annual report of Portland's Public Health Department. Primary data from Mercy Hospital regarding trends associated with Emergency Department (ED) utilization and services for the uninsured and charity care patients were also reviewed to shape planning. Access to comprehensive healthcare services that integrates substance abuse and mental health treatment, supportive housing, and immunizations for marginalized population were identified as gaps in services.Greater Portland InfrastructureIn March 2009, federal stimulus funds were awarded to the Public Health Division to establish the Portland Community Health Center (PCHC). PCHC is a full-service, primary care medical facility serving the greater Portland area. PCHC accepts all private insurance as well as Medicare and Medicaid. There is a sliding fee scale available for patients without insurance. PCHC's focus is on becoming "a medical home" for those in need of consistent care and services. Interpreter services are available for those whose primary language is not English. The new Federally Qualified Health Center is located in the Parkside neighborhood, which is one of the most socioeconomically diverse and densely populated areas of Portland. In 2012, PCHC served nearly 3100 patients with 48% of patients reporting their preferred language to be a language other than English.The Healthcare for the Homeless Clinic, also a Federally Qualified Health Center in Portland, offers adult and adolescent primary care, mental health and substance abuse treatment, medical respite care, dental services, case management, and outreach to the City's most vulnerable populations. Funding comes from Federal Health Resources and Services Administration, other state, federal, and local grants, and MaineCare and Medicare reimbursement. In Fiscal year 2012, the Clinic provided primary care for over 1,395 patients with in excess of 4,624 visits; oral health services to 1,233 patients; substance abuse treatment to 392 with 2,305 visits; and mental health services to 519 patients with 2,643 visits. The percentage of Primary Care patients with their diabetes under control rose from 51% to 57%. The percentage of Primary Care patients with effectively treated hypertension rose from 52% to 54%. Primary Care increased preventative screenings for cervical cancer in female patients 21 to 64 years old from 33% to 42%. Also, the India Street Public Health Clinic offered a variety of programs in 2012 focused on the testing, treatment, management, and immunization of various infectious diseases. In 2012, the HIV Positive Care Program cared for 211 patients; the Immunization Program served 1,801 patients; the HIV/STD Prevention Clinic served 1,270 patients; the Needle Exchange Program served 449 clients with 108,071 needles exchanged. The Portland Community Free Clinic provided primary care for 497 patients without insurance. In 2012, Mercy Health System provided $ 1,884,162.40 worth of Ancillary Services for Programs associated with the City of Portland's Public Health Division.As a Refugee Resettlement Community, the City of Portland is home to people from all over the world, with sixty languages spoken at the local public schools. The Minority Health Program (MHP) serves as a bridge between service providers and the ethnic communities working to eliminate disparities and ensure access to health care and social services. The MHP uses a network of Community Health Outreach Workers (CHOWS), a portion of which are funded by Mercy Health System, in an effort to link community members to primary care services. Mercy Hospital, in partnership with the City of Portland's Minority Health Program hosts an annual health screening event, Exercise for Health and Love and the Latino Soccer Tournament. The Exercise for Health and Love provided Diabetes Education for 839 participants and conducted post-event follow up to connect community members with primary care physicians. In 2012, Mercy Health System provided $ 25,000 for the CHOW Program and additional in-kind support for associated programs. Community Health Outreach Workers provided outreach and services to 89 new clients and 394 existing clients. Surveys were conducted for 22 ethnic stores in five districts and assisted five stores in becoming WIC authorized (The Special Supplemental Nutrition Program for Women, Infants, and Children-WIC). At farmers' markets, over 200 people were reached through outreach using culturally competent materials. The Annual Health, Love, and Exercise event, a partnership between Mercy Health System and Portland's Minority Health Division includes screenings for Cardiovascular Disease and Diabetes. In 2012, 839 participated. Mercy OverviewMercy Hospital is a 230-bed, $200 million net revenue organization with three acute care campuses: Mercy State Street, Mercy Fore River, and Mercy Westbrook, as well as four urgent care facilities: Mercy Windham, Mercy Gorham Crossing, Mercy Westbrook and Mercy Yarmouth. Mercy Hospital provides a wide array of clinically superior services and programs with a breadth and depth that compliments its status as the fifth largest hospital in the state. Mercy has evolved into a health care provider increasingly dedicated to outpatient services, demonstrated by a revenue base that is nearly 70% outpatient services from approximately 60% just four years ago. Mercy's service area includes hospital locations at State Street, Fore River, and Westbrook; Primary and Specialty Practices in Falmouth, W. Falmouth, Fore River, Gorham, Portland, Standish, Westbrook, Windham, and Yarmouth; Women's Health at the Fore River campus and VNA Home Health & Hospice services. Mercy's extensive network of Specialty Provider services includes: Addiction Medicine, Breast Care, Cardiology, Diabetes, Eating Disorders, Foot & Ankle Orthopaedics, Gastroenterology, General Surgery, Hematology/Oncology, Obstetrics/Gynecology, Otolaryngology (ENT), Pain (Medical & Interventional), Pulmonology, Urology/Urogynecology, Wound Healing, Spine Surgery and Thoracic Surgery.All Mercy Primary Care and Specialty Care Practices are accepting new patients regardless of their ability to pay. Substance Abuse and Mental Health ServicesMaine residents show high patterns of ED utilization for a wide range of mental health issues, including senility and organic mental disorders, major depressive disorders, bipolar disorders, schizophrenia, and anxiety disorders. The primary data reviewed showed a significant prevalence of mental illness and substance abuse among frequent users of Emergency Services with 22.67% of visits attributed to mental illness.Mercy's Recovery Center is the State's largest substance abuse treatment service, with 24 inpatient detox beds, a partial hospitalization program (five hours per day, six days per week), an intensive outpatient program (three hours per day, six days per week), level one group therapy sessions offered days and evenings, a family program offered every Saturday, and Mercy Addiction Medicine, a medical office practice with four addictionologists, physician assistants and nurse practitioners.
Part VI, Line 2: Integrated Behavioral Health Services Mercy's Patient Centered Medical Home (PCMH) initiative is grounded in highly developed pathways of care and high quality standards of care, our expertise and seamless access between primary, secondary, and tertiary care offerings. At entry, Mercy provides patients with a Health History Assessment. Self-Care Plans for patients may include HbA1C tests for diabetes, Chronic Obstructive Pulmonary Disease (COPD) exacerbation, asthma relief, weight loss, smoking cessation, and appointment maintenance and progress. Our goal in providing PCMH is to implement a person-centric model of care management clearly and consistently. At Mercy, we integrate behavioral health services and techniques in all areas of patient care and develop individual service plans that address substance abuse, basic needs, physical health, mental health, spiritual health, social connectedness, meaningful work, and recreation. An integral goal with PCMH is to implement a person-centric model of case management clearly and consistently. Our goal is to maintain the continuity of the individual/family care coordinator relationship throughout the continuum of services with the support of an interdisciplinary team with a broad array of subject matter expertise. The objectives of care coordination include:Coordinating the mix of services chosen by the individualIdentifying providers preferred by the individualProviding services in the most integrated, least restrictive, and most cost-effective settingMaximizing the likelihood of results desired by the individualMaximizing safety and minimizing riskEliminating barriers to effectiveness in the real worldEngaging and empowering patients/families in improving their health and their health careIn 2012, four Mercy Primary Care Centers will achieve Patient Centered Medical Home designation, which will allow for case management and person-centric care for patients with mental illness and substance abuse concerns regardless of their ability to pay.Supportive Housing - McAuley Residence ExpansionMcAuley Residence is Mercy Hospital's comprehensive program for at-risk women in early recovery, with or without children. The 24-month program serves at-risk women and their children primarily from southern Maine, but some may come from other parts of the state. The program's mission is to provide an empowering environment where a woman can gain stability, build life skills, develop goals, and lead a more meaningful, holistic life. At McAuley Residence, women have access to clinical staff and a diverse group of providers, to help them gain a stable foothold in society. Women who come to the program have been abused at one time, are recovering from addiction, are homeless, have no savings, no job, have not completed their education, have no rental subsidy, have not had recent medical or dental care, and have little knowledge about available resources. In the past 24 years, McAuley Residence has served over 225 women and children. Staff at McAuley Residence serves on the Emergency Shelter Assistance Committee (ESAC) in Portland and the Region One Homeless Committee for the State of Maine, in an effort to leverage resources and participate in the collaborative planning approach to address homelessness. Each year, McAuley Residence turns away hundreds of appropriate referrals due to limited capacity. Responding to an increased need for supportive housing in Southern Maine, Mercy Hospital formed a partnership with Community Housing of Maine, Inc. (CHOM) to expand McAuley Residence, moving from our current location into a larger facility with fifteen apartments dedicated to women in early recovery, who are enrolled in the McAuley Residence program. There are an additional twenty-eight apartments in the new facility for affordable permanent housing for families. CHOM provides the property management and owns the facility, instead of Mercy Health System of Maine. Mercy offers two years of intensive case management, substance abuse counseling, primary care, and safe sober housing for previously homeless women with children. In January of 2013, McAuley Residence moved and expanded from six apartments to fifteen, with many of the new families coming from the local homeless shelters.Increased Immunization Rate for Vulnerable PopulationsThe Cumberland District Public Health Council emerged from the efforts of the statewide Public Health Work Group that divided the state into eight public health districts based on county and/or multi-county lines. The Council was convened in December 2006 following the Public Health Work Group's decision to require district-wide coordinating councils. The Council's mission is to promote the health of all our communities by providing information, coordination, collaboration, and advocacy. The primary focus of the Council thus far has been to ensure that public health services are provided to all towns in the Cumberland Public Health District. On September 17, 2010, the Council adopted Flu/Pneumococcal Vaccine as its "population health priority." This does not mean that other areas are not also being pursued actively by many groups, including the Council, but rather that the Council will map its activities related to this area to determine how -- by working together in a coordinated manner -- the various health related organizations and groups can achieve better outcomes. In particular, the Council is hoping to improve indicators in the capacity to educate, mobilize partnerships, and link people to personal health services. The Cumberland District Public Health Council meets bi-monthly and reviews the reports from their subcommittees, such as the Health Data Committee, Communications, and Healthy Cumberland Committee.Mercy is an active participant on the Cumberland District Public Health Council (CDPHC). Colleen Hilton, CEO of Mercy's VNA Home Health & Hospice, a division of Mercy Health System, has served as chair of CDPHC. VNA is very active in public health in both the Cumberland and York counties and public health districts. The organization annually delivers an array of home health and hospice care services to over 3,000 predominantly elderly clients in their homes, in nursing homes and in assisted living facilities. Through its Health Promotion Department, VNA has an extensive history of providing wellness education across southern Maine. In addition to home health and hospice services, in 2012, VNA conducted over 7200 preventive health screenings for residents in senior housing locations, at senior meal sites and across the community at health fairs, school-based events, and special event.Through local collaboration, formal and informal partnerships, and advocacy, Mercy Hospital/Mercy Health System of Maine will be well positioned to meet the identified needs and improve the overall health and wellbeing of the communities that we serve. Through rational health planning and budgeting, we routinely collaborate with partners to reevaluate current programs, to address identified public health needs, and build a sustainable infrastructure.
Part VI, Line 3: The following is taken from our charity care policy and describes how the organization informs and educates patients on charity care: Public Notice of the availability of assistance through this policy is made through each of the following means:1. Posting notices in a visible manner in locations where there is a high volume of inpatient or outpatient admitting/registration, such as emergency departments, billing offices, admitting offices, and hospital outpatient service settings.2. Posting notice of availability of assistance and contact numbers and location on the organization's website.3. Providing uninsured patients the Financial Assistance application upon registration to the hospital. Upon request, a full text copy of the Charity Care policy should be made available. 4. Making available to the public on a reasonable basis: the annual charity care provided; the unreimbursed costs of care provided to the beneficiaries of government programs that serve the poor (being defined as shortfalls between costs and off-setting reimbursement/revenue that the organization experiences in providing care under the Medicaid and local/county indigent programs for care provided to Medicare beneficiaries who are dually eligible for Medicaid). Posted notices (as listed above) shall be in the primary languages(s) of the service area and in a manner consistent with all applicable federal and state laws and regulations. Should any provision of this Policy conflict with the State of Maine requirements surrounding Charity Care, State law shall supersede the conflicting policy provision and the facility shall act in conformance with applicable State law.Mercy Hospital contracts with Advanced Patient Advocacy, an organization that works with patients who do not have insurance or have minimal health coverage to determine if they qualify for state, federal, or private assistance programs. Advanced Patient Advocacy staff educates patients and their families about coverage options available to help cover the cost of recent medical care, navigate the enrollment process for patients, and connect and enroll patients with the program(s) that best meet the patient's unique healthcare needs.
Part VI, Line 4: The geographic area served by Mercy Hospital programs is primarily Cumberland and York counties, in south coastal Maine. Two distinct geographic exceptions are the Mercy Recovery Center, Maine's largest addiction treatment facility, which serves patients statewide, and the Northern New England Eating Disorders Program, the only such program located north of Massachusetts. The "community" can be defined as the City of Portland or the larger geographical service area (primarily the two counties, but with a widening catchment area). Portland - Mercy's acute care campuses at Fore River and State Street are located in Portland (Cumberland County), the state's most populous city (pop. 66,214). While population density for the state as a whole is 43 people per square mile, Portland itself is 3,107 people per square mile. Median income is lower in Portland compared to the state of Maine, ($45,153 vs. $47,898). As a designated Refugee Resettlement city, Portland has a more culturally and ethnically diverse population than Maine (16.4% vs. 5.6% non-white, non-Hispanic) and a larger percentage of residents are foreign born (10.7% vs. 3.3%). Portland is home to the largest population of Somali / Sudanese / Rwandan and other pan-African populations in Maine, as well as large populations of Hispanics, Asians, Russians and other ethnic groups. In summary, Portland is more densely populated, poorer and more culturally diverse than the rest of Maine. Portland is also home to a significant population of homeless individuals, drawn to the city by the network of homeless-serving social service agencies, including a dedicated FQHC operated by the City of Portland Public Health Division, located less than a mile from Mercy's State Street campus. This FQHC is strictly for homeless individuals, though Portland Public Health and Mercy Hospital collaborate to provide clinic based services to the poor who are Medicaid (MaineCare) ineligible by subsidizing the Portland Free Clinic with funding and volunteers. A second FQHC, the Portland Community Health Center for MaineCare eligible individuals and children opened in 2009 Mercy Hospital provides the necessary ancillary services and referrals for inpatient admissions from the FQHCs.Mercy's involvement in a wide range of community benefit initiatives to improve the health and lives of individuals and families in the City of Portland is discussed elsewhere in this narrative. Overall Service Area - While the Portland community is a major focus of Mercy healthcare and community involvement, the organization's catchment area (Cumberland and York counties, and wider) also includes more rural areas such as Gorham, Standish and Buxton (designated as "very rural" or "rural"). To facilitate access to primary care - the basic building block of healthcare reform - in these outlying rural areas, Mercy has established primary care practice (PCP) sites in several of them: Windham; Gorham; Standish; Falmouth; Yarmouth; and West Falmouth. These are in addition to PCP sites in Portland and Westbrook."
Part VI, Line 5: In addition to the activities listed in Part VI, Line 2, the Hospital maintains an open medical staff and is governed by a board consisting largely of independent members.
Part VI, line 7: List of states receiving Catholic Health East's community benefit report: AL, CT, DE, FL, GA, ME, MA, NJ, NY, NC, PA

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Eileen Skinner
President & CEO03675970968360137109011250028655064144700
William Demicco MD
Trustee (Pres Med Staff)238000016080190790118690193400289896000
Anthony Marple
Chief Financial Officer0210596025551037424010234019517030332200
Michael Hachey
SVP Ambulatory Ser./CFO0239006080232050720012339029111041140800
Robert Nutter
VP HR & Support Services0223606070600029983010580028642036341100
Scott Rusk
VP Medical Affairs0295006031164039253013128028989040754000
James Shrum
VP Patient Care Services087692023598012440408800019799026429300
Gregory Pomeroy
Physician50000003537640-67550104750271200884604000
Frederick Poulin Jr
Physician44480809166701886000253840563745000
Gregory Adey
Physician37684601085750194140131660223640540365000
Marc Hodroff
Physician37530801115000214010122650181540538628000
Craig Brett
Physician46276904368602245054350243130538448000
Edward Ted McCarthy
Former Chief of Medical Staff1345170140008383087000136310166631000
Daniel Merson DO
Former Trustee1477790138250-4649011640236780181797000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aAs part of the compensation plan, executives receive a discretionary spending account for certain eligible expenses incurred. Payments of these expenses are made on a grossed-up basis. A related organization, Mercy Health System of Maine, provides local housing for one executive.
Part I, Line 3The organization relied on a related organization that used one or more of the methods described below to establish the top management official's compensation: - Compensation committee - Independent compensation consultants - Written employment contract - Compensation survey or study - Approval by the board or compensation committee.
Part I, Lines 4a-bPart I, Lines 4a-b: Line 4a: James Shrum received a severance payment in the amount of $102,308. 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.
Part I, Line 6An individual listed on Form 990 Part VII Section A received incentive compensation related to the contribution margin associated with office-based services. Under this arrangement, the individual was paid (a) up to 17.5% of the excess of the current year's actual contribution margin over the prior year's contribution margin and (b) up to 17.5% of the excess of the current year's actual contribution margin over the budgeted contribution margin with a combined payment cap not to exceed $120,000.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Maine Health and Higher Educational
A010314384560425G612006-12-2068400000Construction of Fore River Hospital000
Maine Health and Higher Educational
B010314384560427JA52010-06-2411275000Refinancing 1998A Bonds000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindOther Spent ProceedsOtherSpentProceeds
A14750006840000047105024962401950806299817520080011
B14550001127500010977441123932010101110064863

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts1EngageBondCounselContracts
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDue
Pallas Capital Corp
A11012.500000000000101
(no name)
B000001100

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSchedule K Supplental InformationIdentifier
ExplanationPart III, Line 3a: The Company 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.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
William Demicco MD
William Demicco, MD, Board Member263763Dr. Demicco is a Mercy Hospital employed Pulmonologist and is paid for his work as a physician.0
UNUM
Joseph R Foley, Board Member112524Mercy Hospital purchases employee LTC insurance from UNUM, where Mr. Foley is an executive and an officer.0
Yvonne Bonney Mina
Thimi Mina, Board Member158004Mr. Thimi Mina, a Board Member of Mercy Hospital, is married to Ms. Yvonne Bonney Mina, an employee of Mercy Hospital who was paid a salary for her work as a CRNA in 2012.0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions9NumberOfContributions
Noncash Contribs Rptd F99027551NoncashContribsRptdF990
Method Of Determining RevenuesCost/Selling PriceMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMethod for Determining Number of Contributors:Identifier
Return ReferencePart I, Column (b):ReturnReference
ExplanationNine Contributions.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6Mercy Health System of Maine (MHSM) is the sole member of Mercy Hospital.
Form 990, Part VI, Section A, line 7aMHSM is the sole member of Mercy Hospital. MHSM approves all members of the Board of Trustees of Mercy Hospital.
Form 990, Part VI, Section A, line 7bMHSM has reserved powers in the following areas: - changes in articles of incorporation; - in all Bylaws Provisions, appoint and remove Trustees; - approve philosophy and mission, strategic plan, operating plan and budget; - significant financial transactions, significant budget variances and - establishment or dissolution of organizational relationships.
Form 990, Part VI, Section B, line 11The Executive Committee of the Board of Directors/Trustees received education about the Form 990 during the October Executive Committee meeting. The Executive Committee discussed significant issues included in the draft Form 990 for MHSM and for Mercy Hospital during this meeting. The Executive Committee endorsed the Finance and Audit Committee's approval of the review process of the Form 990 for MHSM and Mercy Hospital during the October meeting. The Finance and Audit Committee of MHSM received education about the Form 990 at the September Committee meeting and reviewed the Form 990 for MHSM and Mercy Hospital at the September Committee meeting. The Finance Committee approved the review process of the Form 990 for MHSM and Mercy Hospital during the September Finance Committee meeting.
Form 990, Part VI, Section B, line 12cMercy Hospital Attachment A to the Bylaws sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving Mercy Hospital in a fiduciary capacity, including directors, trustees, officers, non-board committee members 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 Chairman of the Board and Compliance Officer. Summary information is reported to the Governance Committee and entire board. This is 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 15Mercy Hospital's process for determining compensation includes the following: The 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 Mercy Hospital 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 and employed physician populations, considers both reasonableness and effectiveness of all remunerative programs and establishes the performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes.
Form 990, Part VI, Section C, line 19Organizational Articles of Incorporation, Corporate Bylaws, governance policies, conflict-of-interest policy and audited financial statements are available upon request. IRS Form 990 is posted on the Mercy Hospital website.
Form 990, Part IX, line 11gService contracts: Program service expenses 3,477,389. Management and general expenses 703,935. Fundraising expenses 0. Total expenses 4,181,324. Temp/contract labor: Program service expenses 3,391,641. Management and general expenses 313,240. Fundraising expenses 0. Total expenses 3,704,881. Other: Program service expenses 7,582,802. Management and general expenses 9,609,805. Fundraising expenses 261,242. Total expenses 17,453,849.Other Fees
Form 990, Part XI, line 9:Transfers to/from Affliliates 132,596.Changes in Net Assets or Fund Balances:
Form 990, Part XII, line 2a:Financial statements were audited on a consolidated basis.
Form 990, Part VII, Section A:Individuals compensated by a related organization have responsibilities and perform services for Mercy Hospital and Mercy Health System. The amount of compensation appearing in Columns (E) and (F) reflect the services performed for the entire health system as a whole and not merely a single organization within the health system.Average hours devoted to related organization(s):
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

FieldValueIRS element (for citing)
Business Name Line1Seton Real Estate HoldingsBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11300 Massachusetts AvenueAddressLine1
CityTroyCity
StateNYState
ZIP Code12180ZIPCode
FieldValueIRS element (for citing)
EIN320393870EIN
Primary ActivitiesManagement Real EstatePrimaryActivities
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Seton Health System IncBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (143 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Catholic Health East
3805 West Chester Pike Suite 100Newtown SquarePA19073232929748Management ServicesPA501(c)(3)Line 11c, III-FIN/A1
Continuing Care Management Services Network
3805 West Chester Pike Suite 100Newtown SquarePA19073352336834Management & Support ServicesPA501(c)(3)Line 11b, II1Catholic Health East
VNA Home Health & Hospice
50 Foden RoadSouth PortlandME04106010246804Home Health & HospiceME501(c)(3)Line 11a, I1Mercy Health System of Maine
Mercy Health System of Maine
144 State StreetPortlandMA04101010484074Management & Support ServicesME501(c)(3)Line 11c, III-FI1Catholic Health East
Sunnyview Hospital & Rehabilitation Center Foundation
1270 Belmont AveSchenectadyNY12308222505127Supporting foundationNY501(c)(3)Line 11a, I1Sunnyview Hospital & Rehabilitation Ctr
St Mary's Woodland Village Inc
1300 Massachusetts AvenueTroyNY12180141675183Discontinued OperationsNY501(c)(3)Line 91Seton Health System Inc
Mercy Care for Kids Inc
310 South Manning BlvdAlbanyNY12208141717564Day care centerNY501(c)(3)Line 91St Peter's Health Care Services
Our Lady of Mercy Life Center
2 Mercycare LaneGuilderlandNY12084141743506Nursing Home FacilityNY501(c)(3)Line 31St Peter's Health Care Services
St Peter's Auxiliary
315 South Manning BlvdAlbanyNY01228222843206AuxiliaryNY501(c)(3)Line 11a, I1St Peter's Health Care Services
St Peter's Health Care Services
315 South Manning BlvdAlbanyNY12208222702507Management & Support ServicesNY501(c)(3)Line 91St Peter's Health Partners
St Peter's Hospital
315 South Manning BlvdAlbanyNY12208141348692HospitalNY501(c)(3)Line 31St Peter's Health Care Services
St Peter's Hospital Foundation Inc
319 South Manning Blvd Suite 309AlbanyNY12208222262982Fundraising & Public RelationsNY501(c)(3)Line 71St Peter's Health Care Services
Eddy Licensed Home Care Agency
433 River St Suite 3000TroyNY12180141818568Home HealthNY501(c)(3)Line 31LTC(Eddy) Inc
The Community Hospice Foundation Inc
295 Valley View BlvdRensselaerNY12144222692940Fundraising & Public RelationsNY501(c)(3)Line 71The Community Hospice Inc
The Community Hospice Inc
295 Valley View BlvdRensselaerNY12144141608921Serving seriously ill people & their familiesNY501(c)(3)Line 31St Peter's Health Care Services
Villa Mary Immaculate
301 Hackett BlvdAlbanyNY12208141438749Nursing Home & Physical RehabNY501(c)(3)Line 31St Peter's Hospital
Warde Service Corporation Inc
159 Wolf Road 3rd FloorAlbanyNY12205141732097Supporting & strengthing the ministries of rel. sr. mercyNY501(c)(3)Line 91St Peter's Health Care Services
Northeast Health Inc
2212 Burdett AveTroyNY12180042450756Supporting OrganizationNY501(c)(3)Line 11b, II1St Peter's Health Partners
Memorial Hospital Albany NY
600 Northern BlvdAlbanyNY12204141338457General HospitalNY501(c)(3)Line 31Northeast Health Inc
Samaritan Hospital of Troy New York
2215 Burdett AveTroyNY12180141338544General hospitalNY501(c)(3)Line 31Northeast Health Inc
The Northeast Health Foundation Inc
2224 Burdett AveTroyNY12180222743478Supporting foundationNY501(c)(3)Line 71Northeast Health Inc
Samaritan Child Care Center Inc
2213 Burdett AveTroyNY12180141710225Child day careNY501(c)(3)Line 91Northeast Health Inc
Shaker Properties Inc
2212 Burdett AveTroyNY12180223119822Real Estate holdingNY501(c)(2)N/A1Northeast Health Inc
Sunnyview Hospital & Rehabilitation Ctr
1270 Belmont AveSchenectadyNY12308141338386Rehabilitation hospitalNY501(c)(3)Line 31LTC (Eddy) Inc
James A Eddy Memorial Geriatric Center Inc
2256 Burdett AveTroyNY12180222570478Nursing homeNY501(c)(3)Line 91LTC (Eddy) Inc
Capital Region Geriatric Center Inc
421 West Columbia StCohoesNY12047141701597Nursing HomeNY501(c)(3)Line 91LTC (Eddy) Inc
Heritage House Nursing Center Inc
2920 Tibbits AveTroyNY12180141725101Nursing homeNY501(c)(3)Line 91LTC (Eddy) Inc
The Marjorie Doyle Rockwell Center Inc
421 West Columbia StCohoesNY12047141793885Adult Home/AlzheimersNY501(c)(3)Line 91LTC (Eddy) Inc
Beverwyck Inc
40 Autumn DriveSlingerlandsNY12159141717028Independent/Assisted Living Retirement CommunityNY501(c)(3)Line 91LTC (Eddy) Inc
Hawthorne Ridge Inc
30 Community WayEast GreenbushNY12061800102840Independent/Assisted Living Retirement CommunityNY501(c)(3)Line 91LTC (Eddy) Inc
Glen Eddy Inc
One Glen Eddy DriveNiskayunaNY12309141794150Independent/Assisted Living CommunityNY501(c)(3)Line 91LTC (Eddy) Inc
Beechwood Inc
2212 Burdett AveTroyNY12180141651563Real estate holdingNY501(c)(2)N/A1LTC (Eddy) Inc
Senior Care Connection Inc
504 State StSchenectadyNY12305141708754PACE ProgramNY501(c)(3)Line 91LTC (Eddy) Inc
Home Aid Service of Eastern New York Inc
433 River St Suite 3000TroyNY12180141514867Home careNY501(c)(3)Line 91LTC (Eddy) Inc
Seton Health System Inc
1300 Massachusetts AvenueTroyNY12180141776186HospitalNY501(c)(3)Line 31St Peter's Health Partners
Seton Health at Schuyler Ridge Residential Healthcare
1 Abele BlvdClifton ParkNY12065141756230Skilled NursingNY501(c)(3)Line 91Seton Health System Inc
Seton Health Foundation
1300 Massachusetts AvenueTroyNY12180222345416Supporting OrganizationNY501(c)(3)Line 11a, I1Seton Health System Inc
Seton Auxiliary Inc
1300 Massachusetts AvenueTroyNY12180141505031Supporting OrganizationNY501(c)(3)Line 91Seton Health System Inc
Seton Licensed Home Care Inc
1300 Massachusetts AvenueTroyNY12180141809134Licensed Home Health AgencyNY501(c)(3)Line 31Seton Health System Inc
Empire Home Infusion Service Inc
10 Blacksmith DriveMaltaNY12020141795732Home careNY501(c)(3)Line 91Home Aid Service of Eastern New York Inc
LTC (Eddy) Inc
2212 Burdett AveTroyNY12180222564710Elderly health/housing supporting orgNY501(c)(3)Line 11a, I1Northeast Health Inc
St Peter's Health Partners
315 South Manning BlvdAlbanyNY12208453570715Management & Support ServicesNY501(c)(3)Line 11b, II1Catholic Health East
St Peter's Health Partners Medical Associates PC
315 South Manning BlvdAlbanyNY12208461177336Physicians PracticeNY501(c)(3)Line 31St Peter's Health Partners
Providence Place Inc
5 Gamelin StreetHolyokeMA01040043404084Retirement CommunityMA501(c)(3)Line 91Sisters of Providence Health System Inc
Brightside Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040042182395Behavioral CareMA501(c)(3)Line 91Sisters of Providence Health System Inc
Farren Care Center Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040042501711Long Term CareMA501(c)(3)Line 31Sisters of Providence Health System Inc
Mercy Hospital Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040043398280Acute CareMA501(c)(3)Line 31Sisters of Providence Health System Inc
Mercy Specialist Physicians Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040264033168Neurosurgery Medical ServicesMA501(c)(3)Line 31Sisters of Providence Health System Inc
Sisters of Providence Care Centers Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040222541103Long Term CareMA501(c)(3)Line 31Sisters of Providence Health System Inc
Sisters of Providence Health System Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040043398374Management & Support ServicesMA501(c)(3)Line 11a, I1Catholic Health East
Mercy LIFE Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040453086711Acute CareMA501(c)(3)Line 31Sisters of Providence Health System Inc
Pioneer Valley Cardiology Associates Inc
c/o SPHS 1221 Main Street Suite 213HolyokeMA01040454208896Cardiology ServicesMA501(c)(3)Line 41Sisters of Providence Health System Inc
Mercy Oncology Services Inc
c/o SPHS 1221 Main Street Suite 213HolyokeMA01040454884805Oncology Medical ServicesMA501(c)(3)N/A1Sisters of Providence Health System Inc
McAuley Center Inc
275 Steele RoadWest HartfordCT06117061058086Independent LivingCT501(c)(3)Line 91Mercy Community Health Inc
Mercy Community Health Inc
2021 Albany AvenueWest HartfordCT06117061492707Management & Support ServicesCT501(c)(3)Line 11a, I1Catholic Health East
Mercy Community HomeCare Services
2021 Albany AvenueWest HartfordCT06117061488137In Home Health CareCT501(c)(3)Line 91Mercy Community Health Inc
Mercy Services
2021 Albany AvenueWest HartfordCT06117061453323Support ServicesCT501(c)(3)Line 11Mercy Community Health Inc
Mercyknoll Inc
2021 Albany AvenueWest HartfordCT06117060757380Skilled NursingCT501(c)(3)Line 31Mercy Community Health Inc
Saint Mary Home II Inc
2021 Albany AvenueWest HartfordCT06117061164104Elderly CareCT501(c)(3)Line 31Mercy Community Health Inc
St Mary Home Incorporated
2021 Albany AvenueWest HartfordCT06117060646843Skilled NursingCT501(c)(3)Line 31Mercy Community Health Inc
Mercy Healthcare Center
114 Wawbeek AvenueTupper LakeNY12986150532211In DissolutionNY501(c)(3)Line 31Catholic Health East
Mercy Uihlein Health Corporation
185 Old Military RoadLake PlacidNY12946161535133Mgt. & Support ServicesNY501(c)(3)Line 11b, II1Mercy Healthcare Center
Uihlein Mercy Center
185 Old Military RoadTupper LakeNY12986150532190In DissolutionNY501(c)(3)Line 31Mercy Healthcare Center
St James Mercy Foundation Inc
411 Canisteo StreetHornellNY14843161486437FoundationNY501(c)(3)Line 71St James Mercy Health System Inc
St James Mercy Health System Inc
411 Canisteo StreetHornellNY14843223127184Management & Support ServicesNY501(c)(3)Line 11b, II1Catholic Health East
St James Mercy Hospital
411 Canisteo StreetHornellNY14843160743310HospitalNY501(c)(3)Line 31St James Mercy Health System Inc
Maxis Medical Services
100 Lincoln AveCarbondalePA18407232577185Physician PracticesPA501(c)(3)Line 31Maxis Health System
Marian Community Hospital
100 Lincoln AveCarbondalePA18407240711230HospitalPA501(c)(3)Line 31Maxis Health System
Marian Community Hospital Auxiliary
100 Lincoln AveCarbondalePA18407251874733FundraisingPA501(c)(3)Line 11b, II1Maxis Health System
Maxis Foundation
100 Lincoln AveCarbondalePA18407232330090FundraisingPA501(c)(3)Line 11b, II1Maxis Health System
Maxis Health System
100 Lincoln AveCarbondalePA18407911940902Health Care SystemPA501(c)(3)Line 11b, II1Maxis Health System
Tri-County Human Services Center Inc
PO BOX 517CarbondalePA18407231938528Behavioral Health OrganizationPA501(c)(3)Line 71Maxis Health System
Columbus Acquisition Corp
1160 Raymond BoulevardNewarkNJ07102262616342Inactive EntityNJ501(c)(3)Line 91Saint Michaels Medical Center
Saint Michaels Medical Center
111 Central AvenueNewarkNJ07102262616046HospitalNJ501(c)(3)Line 31Catholic Health East
St James Care Inc
1160 Raymond BoulevardNewarkNJ07102262616230Inactive EntityNJ501(c)(3)Line 91Saint Michaels Medical Center
St Michael's Foundation Inc
1160 Raymond BoulevardNewarkNJ07102223311976FoundationNJ501(c)(3)Line 11a, I1Saint Michaels Medical Center
University Heights Property Company Inc
1160 Raymond BoulevardNewarkNJ07102223100162Medical Property Holding CompanyNJ501(c)(2)N/A1Saint Michaels Medical Center
Life St Francis Corporation
601 Hamilton AvenueTrentonNJ08629222797282Health ServicesNJ501(c)(3)Line 11a, I1St Francis Medical Center Trenton NJ
St Francis Medical Center Foundation NJ
601 Hamilton AvenueTrentonNJ08629521025476FoundationNJ501(c)(3)Line 11a, I1St Francis Medical Center Trenton NJ
St Francis Medical Center Trenton NJ
601 Hamilton AvenueTrentonNJ08629223431049HospitalNJ501(c)(3)Line 31Catholic Health East
Langhorne MRI Inc
1201 Langhorne-Newtown RoadLanghornePA19047232519529Inactive EntityPA501(c)(3)Line 91St Mary Medical Center
Langhorne Physician Services Inc
1201 Langhorne-Newtown RoadLanghornePA19047232571699Physician ServicesPA501(c)(3)Line 9: 509(a)(2)1St Mary Medical Center
LIFE St Mary
1201 Langhorne-Newtown RoadLanghornePA19047262976184Elderly CarePA501(c)(3)Line 91St Mary Medical Center
St Mary Medical Center
1201 Langhorne-Newtown RoadLanghornePA19047231913910HospitalPA501(c)(3)Line 31Catholic Health East
St Mary Medical Center Foundation Inc
1201 Langhorne-Newtown RoadLanghornePA19047232567468FoundationPA501(c)(3)Line 71St Mary Medical Center
East Norriton Physician Services
c/o One West Elm StreetConshohockenPA19428232515999Physician ServicesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Mercy Catholic Medical Center of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428231352191Acute Care HospitalPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Mercy Family Support
1001 Baltimore Pike Suite 301SpringfieldPA19064232325059Home HealthPA501(c)(3)Line 91Mercy Health System of Southeastern Pennsylvania
Mercy Health Foundation of Southeastern Pennsylvania
c/o One West Elm StreetConshohockenPA19428232829864FundraisingPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Health Plan
c/o One West Elm StreetConshohockenPA19428222483605Health PlansPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Health System of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428232212638Management & Support ServicesPA501(c)(3)Line 11b, II1Catholic Health East
Mercy Home Health
1001 Baltimore Pike Suite 310SpringfieldPA19064231352099Home HealthPA501(c)(3)Line 91Mercy Health System of Southeastern Pennsylvania
Mercy Home Health Services
1001 Baltimore Pike Suite 301SpringfieldPA19064232325058Home HealthPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Management of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428232627944Physician PracticesPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Suburban Hospital
One West Elm StreetConshohockenPA19428231396763Acute Care HospitalPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Nazareth Health Care Foundation
2701 Holme AvenuePhiladelphiaPA19152232300951FundraisingPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Nazareth Hospital
2601 Holme AvenuePhiladelphiaPA19152232794121Acute Care HospitalPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Nazareth Physician Services Inc
2601 Holme AvenuePhiladelphiaPA19152203261266Physician PracticesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
NE Physician Services
2601 Holme AvenuePhiladelphiaPA19152232497355Physician PracticesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
St Agnes Continuing Care Center
1900 S Broad StreetPhiladelphiaPA19145232840137Continuing Care ServicesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
St Agnes Continuing Care Center Foundation
1900 S Broad StreetPhiladelphiaPA19145232415137FundraisingPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Life at Lourdes Inc
1600 Haddon AvenueCamdenNJ08108261854750Elderly CareNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Lourdes Ancillary Services
1600 Haddon AvenueCamdenNJ08103222568525Supporting OrganizationNJ501(c)(3)Line 11b, II1Our Lady of Lourdes Health Care Services
Lourdes Dialysis at Innova Inc
1600 Haddon AvenueCamdenNJ08108263237625HospitalNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Lourdes Medical Center Burlington County
218 Sunset RoadWillingboroNJ08046223612265HospitalNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Our Lady of Lourdes Health Care Services
1600 Haddon AvenueCamdenNJ08103222568528Management & Support ServicesNJ501(c)(3)Line 11b, II1Catholic Health East
Our Lady of Lourdes Health Foundation Inc
1600 Haddon AvenueCamdenNJ08103222351960FoundationNJ501(c)(3)Line 71Our Lady of Lourdes Health Care Services
Our Lady of Lourdes Medical Center
1600 Haddon AvenueCamdenNJ08103210635001HospitalNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Lourdes Cardiology Services PC
1600 Haddon AvenueCamdenNJ08108274357794Cardiology ServicesNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Franciscan Eldercare Corporation
PO Box 2500WilmingtonDE19805223008680EldercareDE501(c)(3)Line 91St Francis Hospital
St Francis Foundation
PO Box 2500WilmingtonDE19805510374158FoundationDE501(c)(3)Line 11b, II1St Francis Hospital
St Francis Hospital
PO Box 2500WilmingtonDE19805510064326HospitalDE501(c)(3)Line 31Catholic Health East
LIFE at St Francis Healthcare Inc
7th Clayton StreetsWilmingtonDE19805452569214Elderly CareDE501(c)(3)Line 31St Francis Hospital
McAuley Ministries
McAuley Hall 3333 Fifth AvenuePittsburghPA15213943436142Management & Support ServicesPA501(c)(3)Line 91Pittsburgh Mercy Health System
Mercy Jeannette Hospital
3805 West Chester PikeNewtown SquarePA19073251310602Inactive EntityPA501(c)(3)Line 91Pittsburgh Mercy Health System
Mercy Life Center Corporation
1200 Reedsdale StreetPittsburghPA15233251604115Community TreatmentPA501(c)(3)Line 91Pittsburgh Mercy Health System
Pittsburgh Mercy Health System
3333 5th AvenuePittsburghPA15213251464211Management & Support ServicesPA501(c)(3)Line 11b, II1Catholic Health East
St Joseph's of the Pines Inc
100 Gossman Drive Suite BSouthern PinesNC28387560694200HospitalNC501(c)(3)Line 31Catholic Health East
Life St Joseph of the Pines Inc
100 Gossman Drive Suite BSouthern PinesNC28387272159847Healthcare ServicesNC501(c)(3)Line 31St Joseph's of the Pines Inc
Mercy Senior Care Inc
300 Chatillon Road PO Box 866RomeGA30162581366508Community OutreachGA501(c)(3)Line 71Saint Joseph's Health System Inc
Saint Joseph's Health System Inc
424 Decatur StreetAtlantaGA30312581744848Management & Support ServicesGA501(c)(3)Line 11b, II1Catholic Health East
Saint Joseph's Mercy Care Services Inc
424 Decatur StreetAtlantaGA30312581752700Community OutreachGA501(c)(3)Line 71Saint Joseph's Health System Inc
Saint Joseph's Mercy Foundation Inc
424 Decatur StreetAtlantaGA30312581448522FundraisingGA501(c)(3)Line 11b, II1Saint Joseph's Health System Inc
Mercy Services Downtown Inc
424 Decatur StreetAtlantaGA30312272046353Real Estate Holding CompanyGA501(c)(3)Line 11b, II1Saint Joseph's Health System Inc
St Mary's Health Care System Inc
1230 Baxter StreetAthensGA30606580566223HospitalGA501(c)(3)Line 31Catholic Health East
St Mary's Foundation Inc
1230 Baxter StreetAthensGA30606582544232FundraisingGA501(c)(3)Line 11b, II1St Mary's Health Care System Inc
St Mary's Highland Hills Inc
1230 Baxter StreetAthensGA30606020576648Assisted Living & Retirement CommunityGA501(c)(3)Line 31St Mary's Health Care System Inc
St Mary's Medical Group Inc
1230 Baxter StreetAthensGA30606261858563Hospital / Physician ServicesGA501(c)(3)Line 31St Mary's Health Care System Inc
Good Samaritan Hospital Inc
1201 Siloam RoadGreensboroGA30462261720984HospitalGA501(c)(3)Line 31Saint Joseph's Health System Inc
Mercy Medical Corporation
PO Box 1090 101 Villa DriveDaphneAL36526636002215HospitalAL501(c)(3)Line 31Catholic Health East
Mercy LIFE of Alabama
PO Box 1090 101 Villa DriveDaphneAL36526273163002HospitalAL501(c)(3)Line 31Mercy Medical Corporation
Allegany Franciscan Ministries Inc
33920 US Highway 19 North Suite 269Palm HarborFL34684581492325Management & Support ServicesFL501(c)(3)Line 11b, II1Catholic Health East
St Francis Hospital Inc
33920 US Highway 19 North Suite 269Palm HarborFL34684590624442Grant-making OrganizationFL501(c)(3)Line 11a, I1Allegany Franciscan Ministries Inc
Holy Cross Hospital Inc
4725 North Federal HighwayFt LauderdaleFL33308590791028Hospital-Healthcare ProviderFL501(c)(3)Line 31Catholic Health East
Holy Cross Long-Term Inc
4725 North Federal HighwayFt LauderdaleFL33308650787320Medical ServicesFL501(c)(3)Line 31Holy Cross Hospital Inc
Holy Cross Medical Properties Inc
4725 North Federal HighwayFt LauderdaleFL33308650666283Medical Building Real Estate ManagementFL501(c)(2)N/A1Holy Cross Hospital Inc
SSJ Health Foundation Inc
3663 South Miami AvenueMiamiFL33133591709438FundraisingFL501(c)(3)Line 71Mercy Hospital Inc
Mercy Hospital Inc
3663 South Miami AvenueMiamiFL33133590791034HospitalFL501(c)(3)Line 31Catholic Health East
Mercy Medical Development Inc
3663 South Miami AvenueMiamiFL33133592789194Outpatient ServicesFL501(c)(3)Line 91Mercy Hospital Inc
Mercy Mission Services Inc
3663 South Miami AvenueMiamiFL33133650435764Health CareFL501(c)(3)Line 11a, I1Mercy Hospital Inc
Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital
3663 South Miami AvenueMiamiFL33133510461511HospitalFL501(c)(3)Line 31Mercy Hospital Inc
Global Health Ministry
3805 West Chester Pike Suite 100Newtown SquarePA19073233068656Health CarePA501(c)(3)Line 71Catholic Health East
Intracoastal Health Systems
3805 West Chester Pike Suite 100Newtown SquarePA19073650556413Management & Support ServicesPA501(c)(3)Line 11a, I1Catholic Health East

Form990 Schedule R Part III Form990ScheduleRPartIII (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
St Peter's Ambulatory Surgery Center LLC
1375 Washington Avenue Ste 201AlbanyNY12206460463892Outpatient SurgeryNYN/A
Catherine Horan Building Limited Partnership
1221 Main Street Room 108HolyokeMA010400000042723429Property ManagementMAN/A
Western Massachusetts PETCT Imaging Center LLC
100 Bayview Circle Ste 400Newport BeachCA92660204744663Outpatient Medical ServicesDEN/A
Central New Jersey Heart Services LLC
29 E 29th Street 2nd FloorBayonneNJ07002208525458Cardiac ProgramNJN/A
SMMC MOB II LP
1201 Langhorne-Newtown RoadLanghornePA19047364559869Investment and operation of a medical buildingPAN/A
The Ambulatory Surgery Center at St Mary LLC
1203 Langhorne-Newtown RoadLanghornePA19047232871206Outpatient SurgeryPAN/A
East Norriton Medical Associates
One West Elm StreetConshohockenPA19428232319531Medical Office BuildingPAN/A
East Norriton Medical Associates
One West Elm StreetConshohockenPA19428232319531Medical Office BuildingPAN/A
Gateway Health Plan
300 Grant StreetPittsburghPA15219251691945Medicaid & Medicare/Special Needs Managed Care OrganizationPAN/A
MercyManor Partnership
PO Box 10086ToledoOH436990086521931012Nursing HomePAN/A
St Agnes Long Term Intensive Care LLP
c/o Mercy Health System One West ElConshohockenPA19428200984882Long Term Intensive CarePAN/A
St Agnes Long Term Intensive Care LLP
c/o Mercy Health System One West ElConshohockenPA19428200984882Long Term Intensive CarePAN/A
Nazareth Medical Office Building Associates LP
c/o Nazareth Hospital 2601 Holme AvPhiladelphiaPA19152232388040Medical Office BuildingPAN/A
Nazareth Medical Office Building Associates LP
c/o Nazareth Hospital 2601 Holme AvPhiladelphiaPA19152232388040Medical Office BuildingPAN/A
SJV Management LLC
200 Century Pkwy Ste 200EMount LaurelNJ08054202273476RadiologyNJN/A
Physicians Outpatient Surgery Center LLC
1000 NE 56th StreetOakland ParkFL33334352325646Ambulatory Surgery CenterFLN/A
Center for Surgery & Digestive Orders
3641 South Miami AvenueMiamiFL33133510438152Outpatient Medical ServicesFLN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryProvince Or StateAddressForeign/ProvinceOrStatePostal CodeAddressForeign/PostalCode
Samaritan Medical Office Building Inc
2212 Burdett AvenueTroyNY12180141607244Real EstateNYN/AC1
Affiliated Management Services Corporation Inc
1300 Massachusetts AvenueTroyNY12180141668024Real EstateNYN/AC1
Catherine Horan Building Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000042938160Building ManagementMAN/AC1
Diversified Community Services Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043128890Medical ServicesMAN/AC1
Mercy Inpatient Medical Associates Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043029929Medical ServicesMAN/AC1
Providence Home Care Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043317426Health Care ServicesMAN/AC1
System Coordinated Services Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000042938181Lab ServicesMAN/AC1
Physicians Medical Office Building Condominium Trust
1221 Main Street Room 108HolyokeMA010400000046608649Property ManagementMAN/AC1
SJM Properties Inc
411 Canisteo StreetHornellNY148482101161294991Property HoldingsNYN/AC1
Carbondale Area Physicians' Association PC
100 Lincoln AveCarbondalePA18407232801677Medical Insurance ContractingPAN/AC1
Carbondale Area Physicians' PHO Inc
100 Lincoln AveCarbondalePA18407232801676InactivePAN/AC1
Carbondale Physicians' Services Inc
100 Lincoln AveCarbondalePA18407232365077PharmacyPAN/AC1
Chestnut Risk Services Ltd
InsuranceN/AC111 Victoria StreetHamiltonBDBD
LifeCare Physicians PC
601 Hamilton AvenueTrentonNJ086291986261649038Health Care ServicesNJN/AC1
Multicare Plus Inc
601 Hamilton AvenueTrentonNJ086291986223435844InactiveNJN/AC1
Langhorne Services II Inc
1201 Langhorne-Newtown RoadLanghornePA19047253795549General Partner of LMOB Partners, IIPAN/AC1
Langhorne Services Inc
1201 Langhorne-Newtown RoadLanghornePA19047232625981General Partner of LMOB Partners,PAN/AC1
Gateway Health Plan Inc
600 Grant StreetPittsburghPA15219251505506Health CarePAN/AC1
Gateway Health Plan Inc of Ohio
600 Grant StreetPittsburghPA15219300282076Health CarePAN/AC1
MCMC Eastwick Inc
c/o MHS One West Elm StreetConshohockenPA19428232184261Medical Office BuildingsPAN/AC1
Health Management Services Org Inc
500 Grove Street Suite 100Haddon HeightsNJ08035223366580Health Care BillingNJN/AC1
Lourdes Medeical Associates PA
500 Grove Street Suite 100Haddon HeightsNJ08035223361862Medical ServicesNJN/AC1
Jeannette Medical Providers
3805 West Chester PikeNewtown SquarePA19073251787334Holding CompanyPAN/AC1
Jeannette OBGYN Group 1 Inc
3805 West Chester PikeNewtown SquarePA19073232890748Holding CompanyPAN/AC1
Jeannette Primary Care Group 1 Inc
3805 West Chester PikeNewtown SquarePA19073232890743Holding CompanyPAN/AC1
Georgia Health Enterprises LLC
1230 Baxter StreetAthensGA30606541806329HealthcareGAN/AC1
St Mary's Highland Hills Village Inc
1660 Jennings Mill PklyBogartGA30622582276801Assisted LivingGAN/AC1
GHE Physicians PC
3500 Piedmont RoadAtlantaGA30305582277939Practice ManagementGAN/AC1
Nursing Network Inc
4725 North Federal HighwayFort Lauderdale HighwaFL333080000591145192Medical ServicesFLN/AC1
Mercy Physician Group Inc
3663 South Miami AvenueMiamiFL33133202970015Health CareFLN/AC1
Stella Maris Insurance Company Limited
980078266InsuranceN/AC1PO Box 69Grand CaymanCJCJCayman IslandsKY1-1102
Catholic Health East Senior Services
3805 West Chester Pike Suite 100Newtown SquarePA19073371572595Senior ServicesPAN/AC1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Mercy Health System of Maine
P3214468Direct costs
Catholic Health East
P6621054Direct costs
Visiting Nurse and Hospice Association
Q119594Direct costs