THE MERCY HOSPITAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- THE MERCY HOSPITAL INC (EIN 04-3398280)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201323199349304212
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T10:45:41-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 Market Street 25th Floor | AddressLine1 |
| City | Philadelphia | City |
| State | PA | State |
| ZIP Code | 191033984 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043398280 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MERC | NameControl |
| Phone | 4135392689 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | c/o SPHS 1221 Main Street No 213 | AddressLine1 |
| City | Holyoke | City |
| State | MA | State |
| ZIP Code | 010405396 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Thomas Robert | Name |
| Title | Senior Vice President/CFO | Title |
| Phone | 4137489000 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | William J Homer | Name |
| PTIN | P00994519 | PTIN |
| Phone | 2152462300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | Daniel P Moen | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 271 Carew Street | AddressLine1 |
| City | Springfield | City |
| State | MA | State |
| ZIP Code | 011042337 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 236226638 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.mercycares.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1898 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | Mercy Hospital, Inc. is a not-for-profit hospital established to meet the health care needs of the community it serves. Mercy Hospital offers a wide range of programs and services in acute care, behavioral health care and rehabilitation care. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2142 | TotalNbrEmployees |
| Total Nbr Volunteers | 153 | TotalNbrVolunteers |
| Total Gross UBI | 1059286 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -24619 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 10335411 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 17209818 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 204817309 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 212541154 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 549849 | InvestmentIncomePriorYear |
| Investment Income Current Year | 454746 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3978073 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6020920 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 219680642 | TotalRevenuePriorYear |
| Total Revenue Current Year | 236226638 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 100591827 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 104869246 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 106704025 | OtherExpensePriorYear |
| Other Expenses Current Year | 106439852 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 207295852 | TotalExpensesPriorYear |
| Total Expenses Current Year | 211309098 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 12384790 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 24917540 | RevenuesLessExpensesCY |
| Total Assets BOY | 167320387 | TotalAssetsBOY |
| Total Assets EOY | 193664026 | TotalAssetsEOY |
| Total Liabilities BOY | 93277278 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 93929706 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 74043109 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 99734320 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Mercy Hospital, a member of the Sisters of Providence Health System, Inc. ("SPHS"), is a community of persons committed to being a transforming, healing presence within the communities that we serve. We believe in the sacredness of human life, in the innate dignity of each person and that it is in relationship with one another that all persons realize their fullest potential. In our service, we are sustained by an unwavering trust in God's Providence. Mercy Hospital, Inc. is a member of Catholic Health East ("CHE"). | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 133074802 | Expense |
| Revenue | 172960641 | Revenue |
| Description | Mercy Hospital offers a wide range of programs and services in acute care. The acute programs and services include cardiac care,maternity services,cancer treatment,emergency care,diagnostic imaging,intensive care,critical care and surgical procedures both inpatient and outpatient. 2012 Total Patient Days 40,613 | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 31812565 | Expense |
| Revenue | 26554441 | Revenue |
| Description | Mercy Hospital's behavorial health programs and services include inpatient and outpatient psychiatric care for people of all ages,short term residential treatment for people with acute psychiatric and or substance abuse problems, and intensive outpatient chemical dependcy programs. 2012 Total Patient Days 36,210 | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 15036550 | Expense |
| Revenue | 15891042 | Revenue |
| Description | Mercy Hospital's rehabilitation programs and services include inpatient, outpatient, day and pediatric rehabilitation services, physical therapy,occupational therapy, speech therapy, audiology and pain management. Total Patient Days 7,773 | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 179923917 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 272 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 2142 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | William Krasin | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4135392689 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | c/o SPHS 1221 Main Street Suite 213 | AddressLine1 |
| City | Holyoke | City |
| State | MA | State |
| ZIP Code | 010405396 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| David M Chadbourne MD | ||||||||||
| Trustee | 0.10 | 0.90 | X | 0 | 0 | 0 | ||||
| William A Collins | ||||||||||
| Trustee | 0.10 | 0.90 | X | 0 | 0 | 0 | ||||
| Rev Msgr C D Connelly | ||||||||||
| Trustee | 0.10 | 0.90 | X | 0 | 0 | 0 | ||||
| Mohamed P Hamdani MD | ||||||||||
| Trustee | 0.10 | 0.90 | X | 0 | 0 | 0 | ||||
| Sr Ann M Horgan SP | ||||||||||
| Trustee | 0.10 | 0.90 | X | 0 | 0 | 0 | ||||
| Paul Mancinone | ||||||||||
| Trustee | 0.10 | 0.90 | X | 0 | 0 | 0 | ||||
| Sr Ruth F McGoldrick SP | ||||||||||
| Trustee | 0.10 | 0.90 | X | 0 | 0 | 0 | ||||
| Leda M McKenry PHD | ||||||||||
| Trustee | 0.10 | 0.90 | X | 0 | 0 | 0 | ||||
| Mark J Mullan MD | ||||||||||
| Trustee | 0.10 | 0.90 | X | 0 | 0 | 0 | ||||
| Sr Joan C Mullen SP | ||||||||||
| Trustee | 0.10 | 0.90 | X | 0 | 0 | 0 | ||||
| Shirin Nash MD | ||||||||||
| Trustee | 0.10 | 0.90 | X | 0 | 0 | 0 | ||||
| Carla W Newton Esq | ||||||||||
| Trustee | 0.10 | 0.90 | X | 0 | 0 | 0 | ||||
| Sr Kathleen M Popko SP | ||||||||||
| Trustee | 0.10 | 0.90 | X | 0 | 0 | 0 | ||||
| John E Sjoberg | ||||||||||
| Trustee | 0.10 | 0.90 | X | 0 | 0 | 0 | ||||
| Dean M Whalen Esq | ||||||||||
| Trustee | 0.10 | 0.90 | X | 0 | 0 | 0 | ||||
| Joanne M Beauregard | ||||||||||
| Chair | 0.10 | 0.90 | X | 0 | 0 | 0 | X | |||
| Kathleen M Kane | ||||||||||
| Vice Chair | 0.10 | 0.90 | X | 0 | 0 | 0 | X | |||
| Robert M Sullivan Jr | ||||||||||
| Secretary | 0.10 | 0.90 | X | 0 | 0 | 0 | X | |||
| Daniel P Moen | ||||||||||
| President & CEO | 25.00 | 25.00 | X | 0 | 767596 | 35199 | X | |||
| Daniel Keenan | ||||||||||
| Ast Secty/SVP Gvnmt Rltn | 40.00 | 10.00 | 0 | 219440 | 32930 | X | ||||
| Thomas Robert | ||||||||||
| Treasurer/ SVP & CFO | 25.00 | 25.00 | 0 | 299502 | 31200 | X | ||||
| Leonard F Pansa | ||||||||||
| Sr. VP HR & Admin Srvcs | 25.00 | 25.00 | 0 | 274014 | 25638 | X | ||||
| Scott Wolf | ||||||||||
| Sr. VP/CMO | 39.00 | 11.00 | 0 | 352447 | 44974 | X | ||||
| Sharon Adams | ||||||||||
| Sr. VP Patient Care Services | 50.00 | 0.00 | 272861 | 0 | 29109 | X | ||||
| Mary Tarail | ||||||||||
| Chief Medical Officer | 40.00 | 0.00 | 217188 | 0 | 6522 | X | ||||
| Harold Jordan | ||||||||||
| Medical Director | 40.00 | 0.00 | 198344 | 0 | 4336 | X | ||||
| Nancy Dufault | ||||||||||
| Staff Nurse | 61.50 | 0.00 | 234531 | 0 | 15784 | X | ||||
| Chhewang Norsang | ||||||||||
| Medical Director | 40.00 | 0.00 | 204178 | 0 | 12871 | X | ||||
| Jaiteerth Avadhani | ||||||||||
| Radiation Physicist | 40.00 | 0.00 | 185619 | 0 | 22198 | X | ||||
| Lawrence Osborn | ||||||||||
| Psychiatrist | 40.00 | 0.00 | 104260 | 0 | 1776 | X | ||||
| Lathleen Kane | ||||||||||
| Staff Nurse | 47.50 | 0.00 | 156210 | 0 | 19392 | X | ||||
| William Bithoney MD | ||||||||||
| Former COO MCC & Former CMO SPHS | 0.00 | 0.00 | 0 | 18009 | 1013 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1573191 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1931008 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 282942 | TotalOtherCompensation |
| Number Individuals GT100 K | 99 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Locumtenens Com LLC | |||||
| PO Box 405547 | Atlanta | GA | 303845547 | Psychiatry | 1442564 |
| Sheridan Morse Healthcare of MA | |||||
| PO Box 452197 | Sunrise | FL | 333232197 | Anesthesiology | 1249172 |
| Western Mass Critical Care PC | |||||
| 300 Stafford Street suite 300 | Springfield | MA | 011040000 | Physician fees | 1169873 |
| Angelica Textile Services | |||||
| PO Box 823283 | Philadelhia | PA | 191823283 | Laundry Services | 1120277 |
| Arrow Security | |||||
| PO Box 1250 | Springfield | MA | 011010000 | Security | 1011229 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 24 | NumberOfContractorsGT100K |
| Government Grants | 16745353 | GovernmentGrants |
| All Other Contributions | 464465 | AllOtherContributions |
| Total Contributions | 17209818 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Acute care | 623000 | 170408143 | 170408143 |
| Behavioral health care | 623000 | 26416266 | 26416266 |
| Rehabilitation revenue | 623000 | 15716745 | 15716745 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 212541154 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 454746 | TotalRevenueColumn |
| Exclusion | $454,746 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 630136 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 630136 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 630136 | TotalRevenueColumn |
| Exclusion | $630,136 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| Meaningful Use | 900099 | 1851743 | 1851743 | ||
| Cafeteria Revenue | 722210 | 1270009 | $1,270,009 | ||
| Pharmacy Revenue | 722210 | 912687 | 912687 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1356345 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1013227 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 146599 | UnrelatedBusinessRevenue |
| Exclusion | $196,519 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5390784 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 236226638 | TotalRevenueColumn |
| Related Or Exempt Function Income | 215406124 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1059286 | UnrelatedBusinessRevenue |
| Exclusion | $2,551,410 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 728360 | Total |
| Program Services | 202680 | ProgramServices |
| Management And General | 525680 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86795075 | Total |
| Program Services | 85881515 | ProgramServices |
| Management And General | 913560 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2852333 | Total |
| Program Services | 2832236 | ProgramServices |
| Management And General | 20097 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7695843 | Total |
| Program Services | 7582356 | ProgramServices |
| Management And General | 113487 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6797635 | Total |
| Program Services | 6688437 | ProgramServices |
| Management And General | 109198 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 517431 | Total |
| Management And General | 517431 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25252300 | Total |
| Program Services | 22716485 | ProgramServices |
| Management And General | 2535815 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188367 | Total |
| Program Services | 134856 | ProgramServices |
| Management And General | 53511 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5007670 | Total |
| Program Services | 4202861 | ProgramServices |
| Management And General | 804809 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1152203 | Total |
| Program Services | 1152203 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5620888 | Total |
| Program Services | 5434960 | ProgramServices |
| Management And General | 185928 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 160734 | Total |
| Program Services | 155448 | ProgramServices |
| Management And General | 5286 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183199 | Total |
| Program Services | 170289 | ProgramServices |
| Management And General | 12910 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1579558 | Total |
| Management And General | 1579558 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8570876 | Total |
| Program Services | 7024581 | ProgramServices |
| Management And General | 1546295 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2038417 | Total |
| Program Services | 2038079 | ProgramServices |
| Management And General | 338 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Medical Supplies | 28228249 | 28217245 | 11004 | 0 |
| System Assessment | 21562383 | 0 | 21562383 | 0 |
| Service Contracts | 4513650 | 4049027 | 464623 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1863927 | Total |
| Program Services | 1440659 | ProgramServices |
| Management And General | 423268 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 211309098 | Total |
| Program Services | 179923917 | ProgramServices |
| Management And General | 31385181 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60016763 | BOY |
| EOY | 78712840 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1577984 | BOY |
| EOY | 477032 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24076402 | BOY |
| EOY | 25394994 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9262 | BOY |
| EOY | 7607 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3510441 | BOY |
| EOY | 3483052 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1475130 | BOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 217617767 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 138949861 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70811438 | BOY |
| EOY | 78667906 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3995741 | BOY |
| EOY | 4235637 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1847226 | BOY |
| EOY | 2684958 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 167320387 | BOY |
| EOY | 193664026 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17611124 | BOY |
| EOY | 18385561 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 158440 | BOY |
| EOY | 215741 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48099088 | BOY |
| EOY | 46289518 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27408626 | BOY |
| EOY | 29038886 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93277278 | BOY |
| EOY | 93929706 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71785556 | BOY |
| EOY | 97580161 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1899747 | BOY |
| EOY | 1796353 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 357806 | BOY |
| EOY | 357806 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74043109 | BOY |
| EOY | 99734320 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 167320387 | BOY |
| EOY | 193664026 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 24917540 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 751182 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 22489 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $25,994 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 25994 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | The organization pays membership dues to the Massachusetts Hospital Association which engages in lobbying activities. A portion of these dues are attributable to lobbying activities. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 357806 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 41439 | InvestmentEarningsOrLosses |
| Other Expenditures | 41439 | OtherExpenditures |
| End Of Year Balance | 357806 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 357806 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 996 | InvestmentEarningsOrLosses |
| Other Expenditures | 996 | OtherExpenditures |
| End Of Year Balance | 357806 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 357806 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 35065 | InvestmentEarningsOrLosses |
| Other Expenditures | 35065 | OtherExpenditures |
| End Of Year Balance | 357806 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 357806 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 27185 | InvestmentEarningsOrLosses |
| Other Expenditures | 27185 | OtherExpenditures |
| End Of Year Balance | 357806 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 357806 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -43208 | InvestmentEarningsOrLosses |
| Other Expenditures | -43208 | OtherExpenditures |
| End Of Year Balance | 357806 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2195837 | OtherCostOrOtherBasis |
| Book Value | 2195837 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 80359899 | OtherCostOrOtherBasis |
| Depreciation | 37169493 | Depreciation |
| Book Value | 43190406 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 385938 | OtherCostOrOtherBasis |
| Depreciation | 250598 | Depreciation |
| Book Value | 135340 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 121175620 | OtherCostOrOtherBasis |
| Depreciation | 96591722 | Depreciation |
| Book Value | 24583898 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13500473 | OtherCostOrOtherBasis |
| Depreciation | 4938048 | Depreciation |
| Book Value | 8562425 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 78667906 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (9 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Third Party Payor Settlements | $12,301,906 |
| Pension Liability | $10,793,292 |
| Workers Compensation Reserve | $1,466,834 |
| Other Reserve | $1,165,311 |
| Fixed Assets Retirement Obligation | $1,052,504 |
| Due to Related Parties | $74,775 |
| Other Liabilities | $1,133,842 |
| Health Claims Reserve | $672,262 |
| Long Term Swap Program Market Valuation | $378,160 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 29038886 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Intended Use of Endowment Funds: | Identifier |
| Return Reference | Part V, Line 4: | ReturnReference |
| Explanation | Income from Endowment Funds are used to provide patient care. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 400.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4760745 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3664411 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1096334 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00520 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 48257754 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 44719603 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3538151 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01670 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5490003 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3674822 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1815181 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00860 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 58508502 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52058836 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6449666 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03050 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1947196 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10857 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1936339 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00920 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 81288 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 81288 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2028484 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10857 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2017627 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00960 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 60536986 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52069693 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8467293 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $2,704,545 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 73455106 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 56784874 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 16670232 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 Western Massachusetts PETCT imaging Center LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Diagnostic Imaging | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50000 | OrganizationProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Hospital Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 271 Carew St | AddressLine1 |
| City | Springfield | City |
| State | MA | State |
| ZIP Code | 011040000 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Other Factors | X | OtherFactors |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 3c: Discounted care is FPG based on a sliding scale asfollows:FPG range 201% to 250% - discount of 80% off gross chargesFPG range 251% to 300% - discount of 60% off gross chargesFPG range 301% to 350% - discount of 40% off gross chargesFPG range 351% to 400% - discount of 20% off gross charges | ||
| Part I, Line 7: A cost-to-charge ratio was derived from Worksheet 2 to calculate the charity care and means-tested government program section. The cost-to-charge ratio excludes bad debt expenses pursuant to the instructions. | ||
| Part I, L7 Col(f): Bad Debt expense included in Form 990, Part IX, Line 25, Column A is $7,191,618 and has been removed prior to the calculation of Line 7, Column F pursuant to the instructions. | ||
| Part III, Line 4: A cost-to-charge ratio was derived from Worksheet A to calculate Part III, line 2. A study was conducted in which financial assistance applications, that were denied due to incomplete documentation, were assessed and were deemed eligible for financial assistance had the patient provided complete documentation. Allowance for Uncollectibles: The system provides an allowance for uncollectibles for estimated losses. The allowance is determined by analyzing historical data and trends. Accounts receivable are charged off against the allowance for uncollectibles when management determines that recovery is unlikely and the system ceases collection efforts. | ||
| Part III, Line 8: The costing methodology utilized in the Medicare cost report is as follows: Inpatient routine services are allocated on a basis of Medicare days to total days. All other services are allocated on a cost-to-charge ratio. | ||
| Part III, Line 9b: The same collection process is used for uninsured and insured patients, excluding those that are exempt from collection procedures pursuant to state regulations. The collection process is as follows: an initial bill is sent, followed by subsequent billings and various methods of notification including collection letters and telephone calls for a period of 120 days. The EVS system is checked to ensure that the patient is not eligible for financial assistance. A final notice by certified mail is sent for uninsured patients. | ||
| Part V, Section B, Line 12h: The hospital has a uniform mark up policy for all CDM gross charges regardless of whether or not the patient is FAP-eligible for emergency or other medically necessary care. A patient is assessed for FAP eligibility based on FPL guidelines and if the patient qualifies then a discount or free care is applied against the account. | Mercy Hospital, Inc. | |
| Part V, Section B, Line 20d: The hospital has a uniform mark up policy for all CDM gross charges regardless of whether or not the patient is FAP-eligible for emergency or other medically necessary care. A patient is assessed for FAP eligibility based on FPL guidelines and if the patient qualifies then a discount or free care is applied against the account. | Mercy Hospital, Inc. | |
| Part III, Section B Medicare, Line 5: The hospital received four prior year settlements, three of which were due to the hospital and one of which was due from the hospital, in the total net amount of $2,493,001 during fiscal year 2012. | ||
| Part VI, Line 2: Every 3 years, the hospital conducts a community health needs assessment to study the health care needs of the surrounding communities in its primary service area. The hospital's previous community health needs assessent was completed in 2010 in collaboration with Market Street Research, Inc. of Northampton, MA. This needs assessment was conducted to better understand the community health needs in the primary service area and to develop an effective implementation stategy to address priority needs. Additionally, the hospital also has assessed community health needs to respond to community benefit regulatory requirements. The 2010 assessment involved detailed compilations of secondary data on demographic and socioeconomic trends, focus groups with a sample of community leaders and a telephone survey of a random sample of residents living in the primary service area of the hospital. The hospital's Community Benefit Work Group completed its 2013 Community Health Needs Assessment Report. The hospital is a member of the Coalition of Western Massachusetts Hospitals, which also includes Baystate Medical Center, Baystate Franklin Medical Center, Baystate Mary Lane Hospital, Cooley Dickinson Hospital, Holyoke Medical Center, and Wing Memorial Hospital. The Coalition of Western Massachusetts Hospitals collaborated to design the data collection process for their respective hospitals and to prepare their respective Community Health Needs Assessment Reports, engaging Verite Health Care Consulting, LLC and Community Health Advisors, LLC for technical assistance with data collection and analysis. | ||
| Part VI, Line 3: Patients are informed and educated regarding financial assistance in a number of ways. General notices of financial assistance programs are posted throughout the hospital, primarily in the following areas: service delivery areas, patient financial counselor areas, the central admission and registration areas, and business office areas open to patients. Additionally, a general notice of program availability is included with the initial bill. Financial counselors also work to identify available coverage options when scheduling services, while in the hospital, upon discharge, and for a reasonable time following discharge. | ||
| Part VI, Line 4: The Mercy Hospital, Inc. is a Catholic, not-for-profit, acute care hospital located in Springfield, Massachusetts. The service area consists largely of the cities and towns in Hampden County. Hampden County has a population of 464,416, of which 30.5% live below 200% of the Federal Poverty Level. Per capital income is $19,541 and the unemployment rate is 10.4%. The Hampden County population as a whole is diversifying, with 14% of its citizens comprising non-White groups in 2012 and 16% projected non-White groups by 2017. White non-Hispanic persons currently make up 72.6% of the population, Black non-Hispanic persons figure in at 8.1%, Hispanic persons are at 17% and persons of Asian heritage make up 1.7% of the county's population. | ||
| Part VI, Line 5: There are a number of ways in the hospital and its affiliates further tax exempt status by promoting the health of the community. Here are three examples of community benefit programs and services delivered in 2012. The hospital's Healthcare for the Homeless Program provides community health outreach, free clinics, health screenings, primary care, case management, disease management and mental health services at 16 regional homeless shelters, soup kitchens and transitional living centers in Franklin, Hampshire and Hampden Counties. In 2012, the Health Care for the Homeless Program documented 2,586 medical intakes, provided 10,839 medical encounters and enrolled 429 persons in MassHealth (Medicaid). The hospital's Vietnamese Health Project helps Vietnamese families and individuals through interpretive services, educational programs, case management, access to health insurance enrollment services and post-enrollment services. Bilingual/bicultural case managers help caregivers and patients overcome language and cultural barriers and take clients to physician appointments and hospital visits. In 2012, the Vietnamese Health Project provided services to 714 Vietnamese patients, in 3,148 medical encounters, and enrolled 499 individuals in MassHealth (Medicaid). Additionally, a total of 1,270 patients and family members attended a variety of the hospital's free psychosocial support groups, designed to help persons express their feelings, adapt to life-altering medical conditions and achieve their respective highest level of resilience. Persons attending these support groups were directly impacted by diagnoses such as: cancer, stroke, amputations, the death of a family member, aphasia, traumatic brain or spinal cord injuries. | ||
| Part VI, Line 6: The Mercy Hospital, Inc. (d/b/a: Mercy Medical Center, Providence Behavioral Health Center, Weldon Rehabilitation Hospital) is affiliated with the Sisters of Providence Health System (SPHS). The 19th century ministry of the Sisters of Providence is a profound legacy of compassion. The Mission of SPHS is to be a transforming, healing presence in the communities we serve. The primary function of the hospital is to serve as an acute care, Safety-Net Hospital and a Disproportionate Share Provider in Massachusetts. The hospital is a 182-bed facility, offering inpatient and outpatient surgery, emergency care, intensive care, critical care, cardiac care, maternity services, cancer treatment, breast care, diagnostic imaging and community health. Since 1873, SPHS has been the leading, mission-driven, faith-based, health system in Western Massachusetts, renowned for its unwavering passion and perseverance to provide high quality and affordable healthcare and social services, especially for persons who are most in need. Today, SPHS employs nearly 3,200 people and provides for the community a patient-centered health care network, across a full continuum of care. | ||
| MA,AL,CT,DE,FL,GA,ME,NJ,NY,NC,PA | Reports Filed With States | Part VI, Line 7 |
| The organization files its seperate community benefit report with the Commonwealth of Massachusetts. Its community benefit activities are also included in CHE's consolidated report which is filed in Alabama, Connecticut, Delaware, Georgia, Maine, Massachusetts, New Jersey, New York, North Carolina and Pennsylvania. | List of States Receiving Community Benefit Report: | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Daniel P Moen | ||||||||||||||
| President & CEO | 0 | 437756 | 0 | 173872 | 0 | 155968 | 0 | 11250 | 0 | 23949 | 0 | 802795 | 0 | 0 |
| Daniel Keenan | ||||||||||||||
| Ast Secty/SVP Gvnmt Rltn | 0 | 176092 | 0 | 42534 | 0 | 814 | 0 | 17419 | 0 | 15511 | 0 | 252370 | 0 | 0 |
| Thomas Robert | ||||||||||||||
| Treasurer/ SVP & CFO | 0 | 241180 | 0 | 57546 | 0 | 776 | 0 | 26936 | 0 | 4264 | 0 | 330702 | 0 | 0 |
| Leonard F Pansa | ||||||||||||||
| Sr. VP HR & Admin Srvcs | 0 | 218646 | 0 | 53362 | 0 | 2006 | 0 | 21485 | 0 | 4153 | 0 | 299652 | 0 | 0 |
| Scott Wolf | ||||||||||||||
| Sr. VP/CMO | 0 | 281439 | 0 | 70056 | 0 | 952 | 0 | 24500 | 0 | 20474 | 0 | 397421 | 0 | 0 |
| Sharon Adams | ||||||||||||||
| Sr. VP Patient Care Services | 217147 | 0 | 55004 | 0 | 710 | 0 | 20080 | 0 | 9029 | 0 | 301970 | 0 | 0 | 0 |
| Mary Tarail | ||||||||||||||
| Chief Medical Officer | 215893 | 0 | 0 | 0 | 1295 | 0 | 5705 | 0 | 817 | 0 | 223710 | 0 | 0 | 0 |
| Harold Jordan | ||||||||||||||
| Medical Director | 137040 | 0 | 61000 | 0 | 304 | 0 | 3971 | 0 | 365 | 0 | 202680 | 0 | 0 | 0 |
| Nancy Dufault | ||||||||||||||
| Staff Nurse | 234352 | 0 | 0 | 0 | 179 | 0 | 3572 | 0 | 12212 | 0 | 250315 | 0 | 0 | 0 |
| Chhewang Norsang | ||||||||||||||
| Medical Director | 193771 | 0 | 10000 | 0 | 407 | 0 | 0 | 0 | 12871 | 0 | 217049 | 0 | 0 | 0 |
| Jaiteerth Avadhani | ||||||||||||||
| Radiation Physicist | 185228 | 0 | 0 | 0 | 391 | 0 | 5745 | 0 | 16453 | 0 | 207817 | 0 | 0 | 0 |
| Lathleen Kane | ||||||||||||||
| Staff Nurse | 156088 | 0 | 0 | 0 | 122 | 0 | 7193 | 0 | 12199 | 0 | 175602 | 0 | 0 | 0 |
| William Bithoney MD | ||||||||||||||
| Former COO MCC & Former CMO SPHS | 0 | 0 | 0 | 0 | 0 | 18009 | 0 | 0 | 0 | 1013 | 0 | 19022 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 1a | Monthly dues for SPHS's CEO were paid to the Colony Club. | |
| Part I, Line 3 | Mercy Hospital, Inc. relied on a related organization (Catholic Health East) that used one or more of the methods described below to establish the compensation for the President & CEO: - Compensation committee - Written employment contract - Independent compensation consultant - Compensation survey or study - Approval by the board or compensation committee | |
| Part III | Part I, Line 4a: William Bithoney M.D. $19,022 Severance Part I, Line 4b: Leonard Pansa, $12,797; Sharon Adams, $13,190; Thomas Robert, $13,800; Daniel Keenan, $10,200; Scott Wolf, $16,500 Part I, Line 6: The organization has an incentive pay program of which one criteria is based on the organization's operating results as compared to budget as well as other criteria which includes quality and patient satisfaction. | Supplemental Information |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| Mass HEFA 2007C | ||||||||
| A | 042456011 | 57586CXY6 | 2007-04-19 | 43650800 | Advance Refunding | 0 | 0 | 0 |
| Mass HEFA 2009 | ||||||||
| B | 042456011 | 57586EGR6 | 2009-03-19 | 25524666 | Current Refunding and Swap Transaction | 0 | 0 | 0 |
| Mass HEFA 2010 | ||||||||
| C | 042456011 | 57586ESB8 | 1975-04-02 | 14311512 | Advance Refunding | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Working Capital ExpendituresWorkingCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 275600 | 32872719 | 43650800 | 1081201 | 394769 | 42176476 | 2007 | 0 | 1 | 1 | 1 | |
| B | 436720 | 25524666 | 457023 | 20236055 | 2009 | 1 | 0 | 1 | 1 | 4831588 | ||
| C | 4034704 | 14311512 | 207225 | 14104287 | 2010 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | B | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 1 | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | 1 | EngageBondCounselContracts |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 1 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Business Name Line2NameOfHedgeProvider/BusinessNameLine2 | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Merrill Lynch | |||||||||||||
| A | 0 | 0 | 0 | 1 | 0 | 1 | Capital | 21.600000000000 | 0 | 0 | 0 | 0 | 1 |
| (no name) | |||||||||||||
| B | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||||
| (no name) | |||||||||||||
| C | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||||
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Schedule K Part IV, Arbitrage, Line 2c | Date Rebate Computation Performed | Issuer Name: Mass HEFA 2007C Date the Rebate Computation was Performed: 09/25/2012 |
| Schedule K Supplental Information | Schedule K, Supplemental Information: Schedule K, Part I, Bond Issues:(a) Issuer Name: Mass HEFA 2009 (f) Description of Purpose: Current refunding and swap termination. Schedule K, Part III, Column B, line3a:The organization has entered into various management and service contracts. Collectively, these contracts do not constitute an amount of private business use that exceeds the prescribed percentage. Schedule K, Part IV,Column A, Line 6:Proceeds are held in a yield restricted refunding escrow. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| New England Business Machines | |||
| John Sjoberg, Trustee is President & CEO of New England Business Machines | 206850 | copier leases and related supplies | 0 |
| Catuogno Court Reporting | |||
| Dean M. Whalen, Esq, Trustee is key employee of Catuogno Court Reporting | 341349 | medical records transcription services | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | Yes, Sisters of Providence Health System, Inc. is the sole member. | |
| Form 990, Part VI, Section A, line 7a | Yes, Sisters of Providence Health System, Inc. approves the appointment of the members of the governing body. | |
| Form 990, Part VI, Section A, line 7b | CHE along with Sisters of Providence Health System, Inc. have limited reserved powers to approve decisions of the governing body. | |
| Form 990, Part VI, Section B, line 11 | The organization took steps to educate management, members of the board and members of appropriate subcommittees of the board on the compliance requirements mandated by the Form 990. The form was prepared by Deloitte Tax LLP, reviewed by management and then presented to the Finance Committee, who reviewed the Form 990 at their meeting on November 5, 2013. | |
| Form 990, Part VI, Section B, line 12c | The organization has adopted CHE's Policy 103, which sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving the organization in a fiduciary capacity, including directors, officers and key employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the organization's CEO and board's chair. Summary information is reported to the entire board and available to the board throughout the year as business comes before the board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the board or an appropriate committee thereof comprised of disinterested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request. | |
| Form 990, Part VI, Section B, line 15 | As indicated on Schedule J, Part III, the compensation for the organization's President & CEO is determined by CHE. For other employees, the organization has adopted CHE's process for determining compensation which 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, Inc.'s roles to similarly sized foundations utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes. | |
| Form 990, Part VI, Section C, line 19 | Organizational Articles of Incorporation, Corporate By-laws, governance policies believed to be of interest to the public, conflict-of-interest policy, annual community benefit report and IRS Form 990 are available to the public upon request. | |
| Form 990, Part IX, line 11g | Lab fees: Program service expenses 9,640,014. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,640,014. Purchased Services: Program service expenses 8,056,562. Management and general expenses 169,997. Fundraising expenses 0. Total expenses 8,226,559. Temporary Help Agency: Program service expenses 2,489,240. Management and general expenses 457,510. Fundraising expenses 0. Total expenses 2,946,750. Other expenses: Program service expenses 2,530,669. Management and general expenses 1,908,308. Fundraising expenses 0. Total expenses 4,438,977. | Other Fees |
| Form 990, Part XI, line 9: | Transfers for capital expenditures 500,756. Pension adjustment 47,886. Released from restriction -554,716. Other 28,563. | Changes in Net Assets or Fund Balances: |
| Form 990, Part XII, Line 2b & 2c: | While the entity does not have individual audited financial statements, an audit of Sisters of Providence Health System, Inc.'s consolidated financial statement was performed, limited in scope, and included in CHE's consolidated financial statements. | Explanation of financial statements: |
| Disclosure Statement Related to Form 5471 Filed by Catholic Health East and Saint Michael's Medical Center Under the constructive ownership rule of Internal Revenue Code Sections 318(a) and 958(b), the organization is required to file Form 5471, Information Return of U.S. Persons With Respect to Certain Foreign Corporations, as a Category 4 and/or Category 5 filer with respect to Stella Maris Insurance Company Limited and Chestnut Risk Services, LTD (collectively, the "foreign corporations"). This filing requirement is, or will be, satisfied through the filing of Forms 5471 with respect to the foreign corporations on the organization's behalf by the U.S. organizations identified below. Foreign Corporation: Stella Maris Insurance Company U.S. Organization: Catholic Health East Address: 3805 West Chester Pike, Suite 100, Newtown Square, Pennsylvania 19073 Identifying Number of U.S. Tax Return with Which Form 5471 was filed: 23-2929748 IRS Service Center Where U.S. Return Was Filed: Ogden, UT Foreign Corporation: Chestnut Risk Services, LTD U.S. Organization: Saint Michael's Medical Center Address: 111 Central Avenue, Newark, New Jersey 07102 Identifying Number of U.S. Tax Return with Which Form 5471 was filed: 26-2616046 IRS Service Center Where U.S. Return Was Filed: Ogden, UT |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Seton Real Estate Holdings | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 Massachusetts Avenue | AddressLine1 |
| City | Troy | City |
| State | NY | State |
| ZIP Code | 12180 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320393870 | EIN |
| Primary Activities | Management Real Estate | PrimaryActivities |
| Legal Domicile State | NY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Seton Health System Inc | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (143 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Catholic Health East | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 232929748 | Management Services | PA | 501(c)(3) | Line 11c, III-FI | N/A | 1 | |
| Continuing Care Management Services Network | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 352336834 | Management & Support Services | PA | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| VNA Home Health & Hospice | |||||||||||
| 50 Foden Road | South Portland | ME | 04106 | 010246804 | Home Health & Hospice | ME | 501(c)(3) | Line 11a, I | 1 | Mercy Health System of Maine | |
| Mercy Hospital | |||||||||||
| 144 State Street | Portland | MA | 04101 | 010211534 | Hospital | ME | 501(c)(3) | Line 3 | 1 | Mercy Health System of Maine | |
| Mercy Health System of Maine | |||||||||||
| 144 State Street | Portland | MA | 04101 | 010484074 | Management & Support Services | ME | 501(c)(3) | Line 11c, III-FI | 1 | Catholic Health East | |
| Sunnyview Hospital & Rehabilitation Center Foundation | |||||||||||
| 1270 Belmont Ave | Schenectady | NY | 12308 | 222505127 | Supporting foundation | NY | 501(c)(3) | Line 11a, I | 1 | Sunnyview Hospital & Rehabilitation Ctr | |
| St Mary's Woodland Village Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141675183 | Discontinued Operations | NY | 501(c)(3) | Line 9 | 1 | Seton Health System Inc | |
| Mercy Care for Kids Inc | |||||||||||
| 310 South Manning Blvd | Albany | NY | 12208 | 141717564 | Day care center | NY | 501(c)(3) | Line 9 | 1 | St Peter's Health Care Services | |
| Our Lady of Mercy Life Center | |||||||||||
| 2 Mercycare Lane | Guilderland | NY | 12084 | 141743506 | Nursing Home Facility | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Care Services | |
| St Peter's Auxiliary | |||||||||||
| 315 South Manning Blvd | Albany | NY | 01228 | 222843206 | Auxiliary | NY | 501(c)(3) | Line 11a, I | 1 | St Peter's Health Care Services | |
| St Peter's Health Care Services | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 222702507 | Management & Support Services | NY | 501(c)(3) | Line 9 | 1 | St Peter's Health Partners | |
| St Peter's Hospital | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 141348692 | Hospital | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Care Services | |
| St Peter's Hospital Foundation Inc | |||||||||||
| 319 South Manning Blvd Suite 309 | Albany | NY | 12208 | 222262982 | Fundraising & Public Relations | NY | 501(c)(3) | Line 7 | 1 | St Peter's Health Care Services | |
| Eddy Licensed Home Care Agency | |||||||||||
| 433 River St Suite 3000 | Troy | NY | 12180 | 141818568 | Home Health | NY | 501(c)(3) | Line 3 | 1 | LTC(Eddy) Inc | |
| The Community Hospice Foundation Inc | |||||||||||
| 295 Valley View Blvd | Rensselaer | NY | 12144 | 222692940 | Fundraising & Public Relations | NY | 501(c)(3) | Line 7 | 1 | The Community Hospice Inc | |
| The Community Hospice Inc | |||||||||||
| 295 Valley View Blvd | Rensselaer | NY | 12144 | 141608921 | Serving seriously ill people & their families | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Care Services | |
| Villa Mary Immaculate | |||||||||||
| 301 Hackett Blvd | Albany | NY | 12208 | 141438749 | Nursing Home & Physical Rehab | NY | 501(c)(3) | Line 3 | 1 | St Peter's Hospital | |
| Warde Service Corporation Inc | |||||||||||
| 159 Wolf Road 3rd Floor | Albany | NY | 12205 | 141732097 | Supporting & strengthing the ministries of rel. sr. mercy | NY | 501(c)(3) | Line 9 | 1 | St Peter's Health Care Services | |
| Northeast Health Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 042450756 | Supporting Organization | NY | 501(c)(3) | Line 11b, II | 1 | St Peter's Health Partners | |
| Memorial Hospital Albany NY | |||||||||||
| 600 Northern Blvd | Albany | NY | 12204 | 141338457 | General Hospital | NY | 501(c)(3) | Line 3 | 1 | Northeast Health Inc | |
| Samaritan Hospital of Troy New York | |||||||||||
| 2215 Burdett Ave | Troy | NY | 12180 | 141338544 | General hospital | NY | 501(c)(3) | Line 3 | 1 | Northeast Health Inc | |
| The Northeast Health Foundation Inc | |||||||||||
| 2224 Burdett Ave | Troy | NY | 12180 | 222743478 | Supporting foundation | NY | 501(c)(3) | Line 7 | 1 | Northeast Health Inc | |
| Samaritan Child Care Center Inc | |||||||||||
| 2213 Burdett Ave | Troy | NY | 12180 | 141710225 | Child day care | NY | 501(c)(3) | Line 9 | 1 | Northeast Health Inc | |
| Shaker Properties Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 223119822 | Real Estate holding | NY | 501(c)(2) | N/A | 1 | Northeast Health Inc | |
| Sunnyview Hospital & Rehabilitation Ctr | |||||||||||
| 1270 Belmont Ave | Schenectady | NY | 12308 | 141338386 | Rehabilitation hospital | NY | 501(c)(3) | Line 3 | 1 | LTC (Eddy) Inc | |
| James A Eddy Memorial Geriatric Center Inc | |||||||||||
| 2256 Burdett Ave | Troy | NY | 12180 | 222570478 | Nursing home | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Capital Region Geriatric Center Inc | |||||||||||
| 421 West Columbia St | Cohoes | NY | 12047 | 141701597 | Nursing Home | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Heritage House Nursing Center Inc | |||||||||||
| 2920 Tibbits Ave | Troy | NY | 12180 | 141725101 | Nursing home | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| The Marjorie Doyle Rockwell Center Inc | |||||||||||
| 421 West Columbia St | Cohoes | NY | 12047 | 141793885 | Adult Home/Alzheimers | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Beverwyck Inc | |||||||||||
| 40 Autumn Drive | Slingerlands | NY | 12159 | 141717028 | Independent/Assisted Living Retirement Community | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Hawthorne Ridge Inc | |||||||||||
| 30 Community Way | East Greenbush | NY | 12061 | 800102840 | Independent/Assisted Living Retirement Community | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Glen Eddy Inc | |||||||||||
| One Glen Eddy Drive | Niskayuna | NY | 12309 | 141794150 | Independent/Assisted Living Community | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Beechwood Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 141651563 | Real estate holding | NY | 501(c)(2) | N/A | 1 | LTC (Eddy) Inc | |
| Senior Care Connection Inc | |||||||||||
| 504 State St | Schenectady | NY | 12305 | 141708754 | PACE Program | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Home Aid Service of Eastern New York Inc | |||||||||||
| 433 River St Suite 3000 | Troy | NY | 12180 | 141514867 | Home care | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Seton Health System Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141776186 | Hospital | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Partners | |
| Seton Health at Schuyler Ridge Residential Healthcare | |||||||||||
| 1 Abele Blvd | Clifton Park | NY | 12065 | 141756230 | Skilled Nursing | NY | 501(c)(3) | Line 9 | 1 | Seton Health System Inc | |
| Seton Health Foundation | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 222345416 | Supporting Organization | NY | 501(c)(3) | Line 11a, I | 1 | Seton Health System Inc | |
| Seton Auxiliary Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141505031 | Supporting Organization | NY | 501(c)(3) | Line 9 | 1 | Seton Health System Inc | |
| Seton Licensed Home Care Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141809134 | Licensed Home Health Agency | NY | 501(c)(3) | Line 3 | 1 | Seton Health System Inc | |
| Empire Home Infusion Service Inc | |||||||||||
| 10 Blacksmith Drive | Malta | NY | 12020 | 141795732 | Home care | NY | 501(c)(3) | Line 9 | 1 | Home Aid Service of Eastern New York Inc | |
| LTC (Eddy) Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 222564710 | Elderly health/housing supporting org | NY | 501(c)(3) | Line 11a, I | 1 | Northeast Health Inc | |
| St Peter's Health Partners | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 453570715 | Management & Support Services | NY | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| St Peter's Health Partners Medical Associates PC | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 461177336 | Physicians Practice | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Partners | |
| Providence Place Inc | |||||||||||
| 5 Gamelin Street | Holyoke | MA | 01040 | 043404084 | Retirement Community | MA | 501(c)(3) | Line 9 | 1 | Sisters of Providence Health System Inc | |
| Brightside Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 042182395 | Behavioral Care | MA | 501(c)(3) | Line 9 | 1 | Sisters of Providence Health System Inc | |
| Farren Care Center Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 042501711 | Long Term Care | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Mercy Specialist Physicians Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 264033168 | Neurosurgery Medical Services | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Sisters of Providence Care Centers Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 222541103 | Long Term Care | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Sisters of Providence Health System Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 043398374 | Management & Support Services | MA | 501(c)(3) | Line 11a, I | 1 | Catholic Health East | |
| Mercy LIFE Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 453086711 | Acute Care | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Pioneer Valley Cardiology Associates Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 454208896 | Cardiology Services | MA | 501(c)(3) | Line 4 | 1 | Sisters of Providence Health System Inc | |
| Mercy Oncology Services Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 454884805 | Oncology Medical Services | MA | 501(c)(3) | N/A | 1 | Sisters of Providence Health System Inc | |
| McAuley Center Inc | |||||||||||
| 275 Steele Road | West Hartford | CT | 06117 | 061058086 | Independent Living | CT | 501(c)(3) | Line 9 | 1 | Mercy Community Health Inc | |
| Mercy Community Health Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061492707 | Management & Support Services | CT | 501(c)(3) | Line 11a, I | 1 | Catholic Health East | |
| Mercy Community HomeCare Services | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061488137 | In Home Health Care | CT | 501(c)(3) | Line 9 | 1 | Mercy Community Health Inc | |
| Mercy Services | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061453323 | Support Services | CT | 501(c)(3) | Line 1 | 1 | Mercy Community Health Inc | |
| Mercyknoll Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 060757380 | Skilled Nursing | CT | 501(c)(3) | Line 3 | 1 | Mercy Community Health Inc | |
| Saint Mary Home II Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061164104 | Elderly Care | CT | 501(c)(3) | Line 3 | 1 | Mercy Community Health Inc | |
| St Mary Home Incorporated | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 060646843 | Skilled Nursing | CT | 501(c)(3) | Line 3 | 1 | Mercy Community Health Inc | |
| Mercy Healthcare Center | |||||||||||
| 114 Wawbeek Avenue | Tupper Lake | NY | 12986 | 150532211 | In Dissolution | NY | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Mercy Uihlein Health Corporation | |||||||||||
| 185 Old Military Road | Lake Placid | NY | 12946 | 161535133 | Mgt. & Support Services | NY | 501(c)(3) | Line 11b, II | 1 | Mercy Healthcare Center | |
| Uihlein Mercy Center | |||||||||||
| 185 Old Military Road | Tupper Lake | NY | 12986 | 150532190 | In Dissolution | NY | 501(c)(3) | Line 3 | 1 | Mercy Healthcare Center | |
| St James Mercy Foundation Inc | |||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 161486437 | Foundation | NY | 501(c)(3) | Line 7 | 1 | St James Mercy Health System Inc | |
| St James Mercy Health System Inc | |||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 223127184 | Management & Support Services | NY | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| St James Mercy Hospital | |||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 160743310 | Hospital | NY | 501(c)(3) | Line 3 | 1 | St James Mercy Health System Inc | |
| Maxis Medical Services | |||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232577185 | Physician Practices | PA | 501(c)(3) | Line 3 | 1 | Maxis Health System | |
| Marian Community Hospital | |||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 240711230 | Hospital | PA | 501(c)(3) | Line 3 | 1 | Maxis Health System | |
| Marian Community Hospital Auxiliary | |||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 251874733 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Maxis Health System | |
| Maxis Foundation | |||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232330090 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Maxis Health System | |
| Maxis Health System | |||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 911940902 | Health Care System | PA | 501(c)(3) | Line 11b, II | 1 | Maxis Health System | |
| Tri-County Human Services Center Inc | |||||||||||
| PO BOX 517 | Carbondale | PA | 18407 | 231938528 | Behavioral Health Organization | PA | 501(c)(3) | Line 7 | 1 | Maxis Health System | |
| Columbus Acquisition Corp | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 262616342 | Inactive Entity | NJ | 501(c)(3) | Line 9 | 1 | Saint Michaels Medical Center | |
| Saint Michaels Medical Center | |||||||||||
| 111 Central Avenue | Newark | NJ | 07102 | 262616046 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| St James Care Inc | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 262616230 | Inactive Entity | NJ | 501(c)(3) | Line 9 | 1 | Saint Michaels Medical Center | |
| St Michael's Foundation Inc | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 223311976 | Foundation | NJ | 501(c)(3) | Line 11a, I | 1 | Saint Michaels Medical Center | |
| University Heights Property Company Inc | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 223100162 | Medical Property Holding Company | NJ | 501(c)(2) | N/A | 1 | Saint Michaels Medical Center | |
| Life St Francis Corporation | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 222797282 | Health Services | NJ | 501(c)(3) | Line 11a, I | 1 | St Francis Medical Center Trenton NJ | |
| St Francis Medical Center Foundation NJ | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 521025476 | Foundation | NJ | 501(c)(3) | Line 11a, I | 1 | St Francis Medical Center Trenton NJ | |
| St Francis Medical Center Trenton NJ | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 223431049 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Langhorne MRI Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232519529 | Inactive Entity | PA | 501(c)(3) | Line 9 | 1 | St Mary Medical Center | |
| Langhorne Physician Services Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232571699 | Physician Services | PA | 501(c)(3) | Line 9: 509(a)(2) | 1 | St Mary Medical Center | |
| LIFE St Mary | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 262976184 | Elderly Care | PA | 501(c)(3) | Line 9 | 1 | St Mary Medical Center | |
| St Mary Medical Center | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 231913910 | Hospital | PA | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| St Mary Medical Center Foundation Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232567468 | Foundation | PA | 501(c)(3) | Line 7 | 1 | St Mary Medical Center | |
| East Norriton Physician Services | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 232515999 | Physician Services | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Catholic Medical Center of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 231352191 | Acute Care Hospital | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Family Support | |||||||||||
| 1001 Baltimore Pike Suite 301 | Springfield | PA | 19064 | 232325059 | Home Health | PA | 501(c)(3) | Line 9 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Health Foundation of Southeastern Pennsylvania | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 232829864 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Health Plan | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 222483605 | Health Plans | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Health System of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232212638 | Management & Support Services | PA | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| Mercy Home Health | |||||||||||
| 1001 Baltimore Pike Suite 310 | Springfield | PA | 19064 | 231352099 | Home Health | PA | 501(c)(3) | Line 9 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Home Health Services | |||||||||||
| 1001 Baltimore Pike Suite 301 | Springfield | PA | 19064 | 232325058 | Home Health | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Management of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232627944 | Physician Practices | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Suburban Hospital | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 231396763 | Acute Care Hospital | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Nazareth Health Care Foundation | |||||||||||
| 2701 Holme Avenue | Philadelphia | PA | 19152 | 232300951 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Nazareth Hospital | |||||||||||
| 2601 Holme Avenue | Philadelphia | PA | 19152 | 232794121 | Acute Care Hospital | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Nazareth Physician Services Inc | |||||||||||
| 2601 Holme Avenue | Philadelphia | PA | 19152 | 203261266 | Physician Practices | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| NE Physician Services | |||||||||||
| 2601 Holme Avenue | Philadelphia | PA | 19152 | 232497355 | Physician Practices | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| St Agnes Continuing Care Center | |||||||||||
| 1900 S Broad Street | Philadelphia | PA | 19145 | 232840137 | Continuing Care Services | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| St Agnes Continuing Care Center Foundation | |||||||||||
| 1900 S Broad Street | Philadelphia | PA | 19145 | 232415137 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Life at Lourdes Inc | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08108 | 261854750 | Elderly Care | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Lourdes Ancillary Services | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 222568525 | Supporting Organization | NJ | 501(c)(3) | Line 11b, II | 1 | Our Lady of Lourdes Health Care Services | |
| Lourdes Dialysis at Innova Inc | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08108 | 263237625 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Lourdes Medical Center Burlington County | |||||||||||
| 218 Sunset Road | Willingboro | NJ | 08046 | 223612265 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Our Lady of Lourdes Health Care Services | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 222568528 | Management & Support Services | NJ | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| Our Lady of Lourdes Health Foundation Inc | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 222351960 | Foundation | NJ | 501(c)(3) | Line 7 | 1 | Our Lady of Lourdes Health Care Services | |
| Our Lady of Lourdes Medical Center | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 210635001 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Lourdes Cardiology Services PC | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08108 | 274357794 | Cardiology Services | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Franciscan Eldercare Corporation | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 223008680 | Eldercare | DE | 501(c)(3) | Line 9 | 1 | St Francis Hospital | |
| St Francis Foundation | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 510374158 | Foundation | DE | 501(c)(3) | Line 11b, II | 1 | St Francis Hospital | |
| St Francis Hospital | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 510064326 | Hospital | DE | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| LIFE at St Francis Healthcare Inc | |||||||||||
| 7th Clayton Streets | Wilmington | DE | 19805 | 452569214 | Elderly Care | DE | 501(c)(3) | Line 3 | 1 | St Francis Hospital | |
| McAuley Ministries | |||||||||||
| McAuley Hall 3333 Fifth Avenue | Pittsburgh | PA | 15213 | 943436142 | Management & Support Services | PA | 501(c)(3) | Line 9 | 1 | Pittsburgh Mercy Health System | |
| Mercy Jeannette Hospital | |||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 251310602 | Inactive Entity | PA | 501(c)(3) | Line 9 | 1 | Pittsburgh Mercy Health System | |
| Mercy Life Center Corporation | |||||||||||
| 1200 Reedsdale Street | Pittsburgh | PA | 15233 | 251604115 | Community Treatment | PA | 501(c)(3) | Line 9 | 1 | Pittsburgh Mercy Health System | |
| Pittsburgh Mercy Health System | |||||||||||
| 3333 5th Avenue | Pittsburgh | PA | 15213 | 251464211 | Management & Support Services | PA | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| St Joseph's of the Pines Inc | |||||||||||
| 100 Gossman Drive Suite B | Southern Pines | NC | 28387 | 560694200 | Hospital | NC | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Life St Joseph of the Pines Inc | |||||||||||
| 100 Gossman Drive Suite B | Southern Pines | NC | 28387 | 272159847 | Healthcare Services | NC | 501(c)(3) | Line 3 | 1 | St Joseph's of the Pines Inc | |
| Mercy Senior Care Inc | |||||||||||
| 300 Chatillon Road PO Box 866 | Rome | GA | 30162 | 581366508 | Community Outreach | GA | 501(c)(3) | Line 7 | 1 | Saint Joseph's Health System Inc | |
| Saint Joseph's Health System Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581744848 | Management & Support Services | GA | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| Saint Joseph's Mercy Care Services Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581752700 | Community Outreach | GA | 501(c)(3) | Line 7 | 1 | Saint Joseph's Health System Inc | |
| Saint Joseph's Mercy Foundation Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581448522 | Fundraising | GA | 501(c)(3) | Line 11b, II | 1 | Saint Joseph's Health System Inc | |
| Mercy Services Downtown Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 272046353 | Real Estate Holding Company | GA | 501(c)(3) | Line 11b, II | 1 | Saint Joseph's Health System Inc | |
| St Mary's Health Care System Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 580566223 | Hospital | GA | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| St Mary's Foundation Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 582544232 | Fundraising | GA | 501(c)(3) | Line 11b, II | 1 | St Mary's Health Care System Inc | |
| St Mary's Highland Hills Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 020576648 | Assisted Living & Retirement Community | GA | 501(c)(3) | Line 3 | 1 | St Mary's Health Care System Inc | |
| St Mary's Medical Group Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 261858563 | Hospital / Physician Services | GA | 501(c)(3) | Line 3 | 1 | St Mary's Health Care System Inc | |
| Good Samaritan Hospital Inc | |||||||||||
| 1201 Siloam Road | Greensboro | GA | 30462 | 261720984 | Hospital | GA | 501(c)(3) | Line 3 | 1 | Saint Joseph's Health System Inc | |
| Mercy Medical Corporation | |||||||||||
| PO Box 1090 101 Villa Drive | Daphne | AL | 36526 | 636002215 | Hospital | AL | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Mercy LIFE of Alabama | |||||||||||
| PO Box 1090 101 Villa Drive | Daphne | AL | 36526 | 273163002 | Hospital | AL | 501(c)(3) | Line 3 | 1 | Mercy Medical Corporation | |
| Allegany Franciscan Ministries Inc | |||||||||||
| 33920 US Highway 19 North Suite 269 | Palm Harbor | FL | 34684 | 581492325 | Management & Support Services | FL | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| St Francis Hospital Inc | |||||||||||
| 33920 US Highway 19 North Suite 269 | Palm Harbor | FL | 34684 | 590624442 | Grant-making Organization | FL | 501(c)(3) | Line 11a, I | 1 | Allegany Franciscan Ministries Inc | |
| Holy Cross Hospital Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 590791028 | Hospital-Healthcare Provider | FL | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Holy Cross Long-Term Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 650787320 | Medical Services | FL | 501(c)(3) | Line 3 | 1 | Holy Cross Hospital Inc | |
| Holy Cross Medical Properties Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 650666283 | Medical Building Real Estate Management | FL | 501(c)(2) | N/A | 1 | Holy Cross Hospital Inc | |
| SSJ Health Foundation Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 591709438 | Fundraising | FL | 501(c)(3) | Line 7 | 1 | Mercy Hospital Inc | |
| Mercy Hospital Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 590791034 | Hospital | FL | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Mercy Medical Development Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 592789194 | Outpatient Services | FL | 501(c)(3) | Line 9 | 1 | Mercy Hospital Inc | |
| Mercy Mission Services Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 650435764 | Health Care | FL | 501(c)(3) | Line 11a, I | 1 | Mercy Hospital Inc | |
| Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 510461511 | Hospital | FL | 501(c)(3) | Line 3 | 1 | Mercy Hospital Inc | |
| Global Health Ministry | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 233068656 | Health Care | PA | 501(c)(3) | Line 7 | 1 | Catholic Health East | |
| Intracoastal Health Systems | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 650556413 | Management & Support Services | PA | 501(c)(3) | Line 11a, I | 1 | Catholic Health East | |
Form990 Schedule R Part III Form990ScheduleRPartIII (17 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| St Peter's Ambulatory Surgery Center LLC | ||||||||||||||
| 1375 Washington Avenue Ste 201 | Albany | NY | 12206 | 460463892 | Outpatient Surgery | NY | N/A | |||||||
| Catherine Horan Building Limited Partnership | ||||||||||||||
| 1221 Main Street Room 108 | Holyoke | MA | 010400000 | 042723429 | Property Management | MA | Catherine Horan Building Corporation | Rental | 1440 | 2619142 | 0 | 1 | 0.01000 | |
| Western Massachusetts PETCT Imaging Center LLC | ||||||||||||||
| 100 Bayview Circle Ste 400 | Newport Beach | CA | 92660 | 204744663 | Outpatient Medical Services | DE | Mercy Hospital Inc | Related | 266741 | 380421 | 0 | 1 | 0.50000 | |
| Central New Jersey Heart Services LLC | ||||||||||||||
| 29 E 29th Street 2nd Floor | Bayonne | NJ | 07002 | 208525458 | Cardiac Program | NJ | N/A | |||||||
| SMMC MOB II LP | ||||||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 364559869 | Investment and operation of a medical building | PA | N/A | |||||||
| The Ambulatory Surgery Center at St Mary LLC | ||||||||||||||
| 1203 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232871206 | Outpatient Surgery | PA | N/A | |||||||
| East Norriton Medical Associates | ||||||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232319531 | Medical Office Building | PA | N/A | |||||||
| East Norriton Medical Associates | ||||||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232319531 | Medical Office Building | PA | N/A | |||||||
| Gateway Health Plan | ||||||||||||||
| 300 Grant Street | Pittsburgh | PA | 15219 | 251691945 | Medicaid & Medicare/Special Needs Managed Care Organization | PA | N/A | |||||||
| MercyManor Partnership | ||||||||||||||
| PO Box 10086 | Toledo | OH | 436990086 | 521931012 | Nursing Home | PA | N/A | |||||||
| St Agnes Long Term Intensive Care LLP | ||||||||||||||
| c/o Mercy Health System One West El | Conshohocken | PA | 19428 | 200984882 | Long Term Intensive Care | PA | N/A | |||||||
| St Agnes Long Term Intensive Care LLP | ||||||||||||||
| c/o Mercy Health System One West El | Conshohocken | PA | 19428 | 200984882 | Long Term Intensive Care | PA | N/A | |||||||
| Nazareth Medical Office Building Associates LP | ||||||||||||||
| c/o Nazareth Hospital 2601 Holme Av | Philadelphia | PA | 19152 | 232388040 | Medical Office Building | PA | N/A | |||||||
| Nazareth Medical Office Building Associates LP | ||||||||||||||
| c/o Nazareth Hospital 2601 Holme Av | Philadelphia | PA | 19152 | 232388040 | Medical Office Building | PA | N/A | |||||||
| SJV Management LLC | ||||||||||||||
| 200 Century Pkwy Ste 200E | Mount Laurel | NJ | 08054 | 202273476 | Radiology | NJ | N/A | |||||||
| Physicians Outpatient Surgery Center LLC | ||||||||||||||
| 1000 NE 56th Street | Oakland Park | FL | 33334 | 352325646 | Ambulatory Surgery Center | FL | N/A | |||||||
| Center for Surgery & Digestive Orders | ||||||||||||||
| 3641 South Miami Avenue | Miami | FL | 33133 | 510438152 | Outpatient Medical Services | FL | N/A | |||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (32 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Province Or StateAddressForeign/ProvinceOrState | Postal CodeAddressForeign/PostalCode |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Samaritan Medical Office Building Inc | |||||||||||||||||||
| 2212 Burdett Avenue | Troy | NY | 12180 | 141607244 | Real Estate | NY | N/A | C | 1 | ||||||||||
| Affiliated Management Services Corporation Inc | |||||||||||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141668024 | Real Estate | NY | N/A | C | 1 | ||||||||||
| Catherine Horan Building Inc | |||||||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 010400000 | 042938160 | Building Management | MA | C | 1 | Mercy Hospital Inc | 111207 | 175044 | 1.00000 | |||||||
| Diversified Community Services Inc | |||||||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 010400000 | 043128890 | Medical Services | MA | C | 1 | Mercy Hospital | 1.00000 | |||||||||
| Mercy Inpatient Medical Associates Inc | |||||||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 010400000 | 043029929 | Medical Services | MA | C | 1 | Mercy Hospital | -6327852 | 1323087 | 1.00000 | |||||||
| Providence Home Care Inc | |||||||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 010400000 | 043317426 | Health Care Services | MA | C | 1 | Mercy Hospital | 1357323 | 15920171 | 1.00000 | |||||||
| System Coordinated Services Inc | |||||||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 010400000 | 042938181 | Lab Services | MA | C | 1 | Mercy Hospital | 1425584 | 18126426 | 1.00000 | |||||||
| Physicians Medical Office Building Condominium Trust | |||||||||||||||||||
| 1221 Main Street Room 108 | Holyoke | MA | 010400000 | 046608649 | Property Management | MA | N/A | C | 1 | ||||||||||
| SJM Properties Inc | |||||||||||||||||||
| 411 Canisteo Street | Hornell | NY | 148482101 | 161294991 | Property Holdings | NY | N/A | C | 1 | ||||||||||
| Carbondale Area Physicians' Association PC | |||||||||||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232801677 | Medical Insurance Contracting | PA | N/A | C | 1 | ||||||||||
| Carbondale Area Physicians' PHO Inc | |||||||||||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232801676 | Inactive | PA | N/A | C | 1 | ||||||||||
| Carbondale Physicians' Services Inc | |||||||||||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232365077 | Pharmacy | PA | N/A | C | 1 | ||||||||||
| Chestnut Risk Services Ltd | |||||||||||||||||||
| Insurance | N/A | C | 1 | 11 Victoria Street | Hamilton | BD | BD | ||||||||||||
| LifeCare Physicians PC | |||||||||||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 086291986 | 261649038 | Health Care Services | NJ | N/A | C | 1 | ||||||||||
| Multicare Plus Inc | |||||||||||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 086291986 | 223435844 | Inactive | NJ | N/A | C | 1 | ||||||||||
| Langhorne Services II Inc | |||||||||||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 253795549 | General Partner of LMOB Partners, II | PA | N/A | C | 1 | ||||||||||
| Langhorne Services Inc | |||||||||||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232625981 | General Partner of LMOB Partners, | PA | N/A | C | 1 | ||||||||||
| Gateway Health Plan Inc | |||||||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251505506 | Health Care | PA | N/A | C | 1 | ||||||||||
| Gateway Health Plan Inc of Ohio | |||||||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 300282076 | Health Care | PA | N/A | C | 1 | ||||||||||
| MCMC Eastwick Inc | |||||||||||||||||||
| c/o MHS One West Elm Street | Conshohocken | PA | 19428 | 232184261 | Medical Office Buildings | PA | N/A | C | 1 | ||||||||||
| Health Management Services Org Inc | |||||||||||||||||||
| 500 Grove Street Suite 100 | Haddon Heights | NJ | 08035 | 223366580 | Health Care Billing | NJ | N/A | C | 1 | ||||||||||
| Lourdes Medeical Associates PA | |||||||||||||||||||
| 500 Grove Street Suite 100 | Haddon Heights | NJ | 08035 | 223361862 | Medical Services | NJ | N/A | C | 1 | ||||||||||
| Jeannette Medical Providers | |||||||||||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 251787334 | Holding Company | PA | N/A | C | 1 | ||||||||||
| Jeannette OBGYN Group 1 Inc | |||||||||||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 232890748 | Holding Company | PA | N/A | C | 1 | ||||||||||
| Jeannette Primary Care Group 1 Inc | |||||||||||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 232890743 | Holding Company | PA | N/A | C | 1 | ||||||||||
| Georgia Health Enterprises LLC | |||||||||||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 541806329 | Healthcare | GA | N/A | C | 1 | ||||||||||
| St Mary's Highland Hills Village Inc | |||||||||||||||||||
| 1660 Jennings Mill Pkly | Bogart | GA | 30622 | 582276801 | Assisted Living | GA | N/A | C | 1 | ||||||||||
| GHE Physicians PC | |||||||||||||||||||
| 3500 Piedmont Road | Atlanta | GA | 30305 | 582277939 | Practice Management | GA | N/A | C | 1 | ||||||||||
| Nursing Network Inc | |||||||||||||||||||
| 4725 North Federal Highway | Fort Lauderdale Highwa | FL | 333080000 | 591145192 | Medical Services | FL | N/A | C | 1 | ||||||||||
| Mercy Physician Group Inc | |||||||||||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 202970015 | Health Care | FL | N/A | C | 1 | ||||||||||
| Stella Maris Insurance Company Limited | |||||||||||||||||||
| 980078266 | Insurance | N/A | C | 1 | PO Box 69 | Grand Cayman | CJ | CJ | Cayman Islands | KY1-1102 | |||||||||
| Catholic Health East Senior Services | |||||||||||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 371572595 | Senior Services | PA | N/A | C | 1 | ||||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Sisters of Providence Health System Inc | ||
| A | 38162 | Fair Market Value |
| System Coordinated Services Inc | ||
| J | 113976 | Fair Market Value |
| Brightside Inc | ||
| J | 83935 | Fair Market Value |
| Mercy Inpatient Medical Associates Inc | ||
| J | 53205 | Fair Market Value |
| System Coordinated Services Inc | ||
| K | 144091 | Fair Market Value |
| System Coordinated Services Inc | ||
| M | 9639006 | Fair Market Value |
| Sisters of Providence Health System Inc | ||
| P | 21562382 | Fair Market Value |
| Sisters of Providence Health System Inc | ||
| Q | 72120 | Fair Market Value |