SAINT MARY HOME INCORPORATED: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SAINT MARY HOME INCORPORATED (EIN 06-0646843)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201323199349307252
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T13:45:14-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN060646843EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Mary Home IncorporatedBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTMANameControl
Phone8605708300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12021 Albany AvenueAddressLine1
CityWest HartfordCity
StateCTState
ZIP Code061172796ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWilliam FiocchettaName
TitlePresidentTitle
Phone8605708300Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWilliam J HomerName
PTINP00994519PTIN
Phone2152462300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWilliam FiocchettaNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12021 Albany AvenueAddressLine1
CityWest HartfordCity
StateCTState
ZIP Code061172796ZIPCode
FieldValueIRS element (for citing)
Gross Receipts28798725GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitemchct.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionSt Mary Home Incorporated is a part of Mercy Community Health ("MCH") which is sponsored by the Sisters of Mercy of the Americas, Northeast Community, and is a member of Catholic Health East ("CHE"). MCH is a faith-based organization that promotes wellness, embraces diversity and enhances quality of life. As a health care provider and in partnership with the communities we serve, MCH respects and empowers individuals, restores health, provides comfort and witnesses compassion and healing to all, especially the elderly poor.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees360TotalNbrEmployees
Total Nbr Volunteers95TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year37182ContributionsGrantsPriorYear
Contributions Grants Current Year24493ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27192209ProgramServiceRevenuePriorYear
Program Service Revenue CY28203896ProgramServiceRevenueCY
Investment Income Prior Year11481InvestmentIncomePriorYear
Investment Income Current Year4660InvestmentIncomeCurrentYear
Other Revenue Prior Year34192OtherRevenuePriorYear
Other Revenue Current Year565676OtherRevenueCurrentYear
Total Revenue Prior Year27275064TotalRevenuePriorYear
Total Revenue Current Year28798725TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15503722SalariesEtcPriorYear
Salaries Etc Current Year16421652SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10365131OtherExpensePriorYear
Other Expenses Current Year10177415OtherExpensesCurrentYear
Total Expenses Prior Year25868853TotalExpensesPriorYear
Total Expenses Current Year26599067TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1406211RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2199658RevenuesLessExpensesCY
Total Assets BOY14483172TotalAssetsBOY
Total Assets EOY15353367TotalAssetsEOY
Total Liabilities BOY12290183TotalLiabilitiesBOY
Total Liabilities EOY12229663TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2192989NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3123704NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSt. Mary Home, Incorporated is a part of Mercy Community Health ("MCH") which is sponsored by the Sisters of Mercy of the Americas, Northeast Community, and is a member of Catholic Health East ("CHE"). MCH is a faith-based organization that promotes wellness, embraces diversity and enhances quality of life. As a health care provider and in partnership with the communities we serve, MCH respects and empowers individuals, restores health, provides comfort and witnesses compassion and healing to all, especially the elderly poor.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16140970Expense
Revenue20700363Revenue
DescriptionLong-term and residential care in a caring, safe environment for the elderly, disabled and poor. Saint Mary Home offers older adults the ability to maintain their independence in a supportive, supervised living environment. Regardless of their medical, physical or spiritual needs, residents and patients of Saint Mary Home are attended to by a skilled, caring staff. Skilled nursing capabilities cover a variety of services, including sub-acute care, hospice and dementia care.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7317121Expense
Revenue7317121Revenue
DescriptionRehabilitation Services: Skilled therapists address declines in functional status to help clients maintain the highest quality of life. Individual rehabilitation programs provide treatment for orthopedic, neurological, medical/surgical and cardiac patients. In addition to our well-coordinated inpatient services, we also offer outpatient services to the community. Services include, physical therapy, occupational therapy, speech therapy, modalities (electrical stimulation, ultra sound, diathermy), interdisciplinary approach, short-term/sub-acute rehabilitation, patient/family/staff educational services and individual functional maintenance programs.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense380661Expense
Revenue186412Revenue
DescriptionAdult Day Care: The Adult Day Center at Saint Mary Home is a community-based health and social program designed to meet the needs of adults who would benefit from a supportive, understanding and therapeutic environment. Participants enjoy socialization and participation during planned recreational activities with peers during the day while continuing to live in the community in their own home or with family. Certified by Connecticut Association of Adult Day Centers, Saint Mary Home's Adult Day Center operates as a Medical Model Program and includes the following services: nursing services, social services, personal care and bathing services, recreational programs, hot therapeutic meals, door-to-door transportation.Description
FieldValueIRS element (for citing)
Total Program Service Expense23838752TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees360NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Steven D Beaulieu CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8605708304TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12021 Albany AvenueAddressLine1
CityWest HartfordCity
StateCTState
ZIP Code061172796ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
William J Fiocchetta
President/ CEO11.0029.00XX031699682374
Jill Adams
Director1.00X000
Patricia Cook RSM
Director1.00X000
Frederic W Baker II
Director1.00X000
Angelo DeFazio RPh
Director1.00X000
Margaret Farley RSM
Director1.00X000
Eileen Dooling RSM
Director1.00X000
Dalia Giedrimiene MD
Director1.00X000
Brian Harris
Director1.00X000
David Harris
Director-Vice Chair1.00X000
Patrick J Johnson Jr
Director1.00X000
Susan Keefe RSM
Director1.00X000
Joseph King
Director1.00X000
Jean McGinty RSM
Director1.00X000
Barbara Mullen CSJ
Director1.00X000
Sister Georgeann Vumbaco RSM
Director-Chair1.00X000
Richard ZuWallack MD
Director1.00X000
Sister Maureen Reardon RSM
Vice President0.0040.00X000
Stephen T Surprenant
Secretary11.0029.00X01973250
Steven D Beaulieu
Treasurer11.0029.00X01706690
Aysha Kuhlor
Director of Nursing40.000.0015821000X
Pat Hamill
Administrator40.000.0013303400X
Odette Hoppie-Davis
Nurse40.000.0011643200X
Marcus Edwards
Nurse40.000.0011550200X
Kamal Altows
MDS Coordinator40.000.0011239400X
Cheena McPherson
Assistant Director of Nursing40.000.0010066500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org736237TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs684990TotalReportableCompFrmRltdOrgs
Total Other Compensation82374TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Sodexho Inc & Affiliates
PO BOX 360170PittsburghPA152516170Support Services Management1964016
Alliance Rehab of CT
1520 Kensington Rd Suite 105Oak BrookIL605230000Therapy Services1115976
CE Floyd Company Inc
135 SOUTH ROADBedfordMA017300000Construction Supervision513305
The Nurse Network
653 MAIN STPlantsvilleCT064790000RN/LPN Services218272
St Francis Medical Group
114 Woodland StreetHartfordCT061050000Medical Services119167
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions24493AllOtherContributions
Total Contributions24493TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Nursing Home6230002070036320700363
Rehabilitation62140073171217317121
Adult Day care624100186412186412
FieldValueIRS element (for citing)
Total Program Service Revenue28203896TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4660TotalRevenueColumn
Exclusion$4,660ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1000Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1000TotalRevenueColumn
Exclusion$1,000ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Capital Transfer900099354750$354,750
Gain on Extinguishment of Debt900099169345$169,345
Unrealized Gain/Loss90009933547$33,547

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column7034TotalRevenueColumn
Exclusion$7,034ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue564676TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column28798725TotalRevenueColumn
Related Or Exempt Function Income28203896RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$570,336ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12654656Total
Program Services12654656ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total640075Total
Program Services640075ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2219290Total
Program Services2219290ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total907631Total
Program Services907631ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2657593Total
Management And General2657593ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total55316Total
Management And General55316ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8514Total
Management And General8514ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total38892Total
Management And General38892ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1589008Total
Program Services1589008ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total9155Total
Program Services9155ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total138302Total
Program Services138302ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total237Total
Program Services237ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total22733Total
Program Services22733ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total630603Total
Program Services630603ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total614486Total
Program Services614486ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total119916Total
Program Services119916ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Supplies & Equipment1706423170642300
Provider Tax1294979129497900
Utilities74227674227600
Maintenance & Repairs48486248486200

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total64120Total
Program Services64120ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26599067Total
Program Services23838752ProgramServices
Management And General2760315ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2295171BOY
EOY2972714EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2584286BOY
EOY2998983EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY169353BOY
EOY167137EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY156152BOY
EOY190327EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19636626LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12446503LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7150810BOY
EOY7190123EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1407422BOY
EOY1298113EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY719978BOY
EOY535970EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14483172BOY
EOY15353367EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1642285BOY
EOY1701437EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY341821BOY
EOY81930EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7747157BOY
EOY7569417EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY151234BOY
EOY167907EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY18245EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1675754BOY
EOY1405763EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY731932BOY
EOY1284964EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12290183BOY
EOY12229663EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1690571BOY
EOY2870575EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY237309BOY
EOY-11980EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY265109BOY
EOY265109EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2192989BOY
EOY3123704EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14483172BOY
EOY15353367EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2199658ReconcilationRevenueExpenses
Reconciliation Unrealized Invest39907ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment-1019654ReconcilationPriorAdjustment
Reconcilation Other Changes-289196ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Beginning Balance151234BeginningBalance
Additions During Year4976306AdditionsDuringYear
Distributions During Year4959633DistributionsDuringYear
Ending Balance167907EndingBalance
Included On FS0IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis99968OtherCostOrOtherBasis
Book Value99968BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16062334OtherCostOrOtherBasis
Depreciation9601452Depreciation
Book Value6460882BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3269682OtherCostOrOtherBasis
Depreciation2681541Depreciation
Book Value588141BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis204642OtherCostOrOtherBasis
Depreciation163510Depreciation
Book Value41132BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7190123TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
IBNR - Workers Compensation$313,000
Other Liabilities$971,964
FieldValueIRS element (for citing)
Total Of Amounts1284964TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
William J Fiocchetta
President/ CEO0211681075386029929058064024310039937000
Stephen T Surprenant
Secretary0170799026526000000019732500
Steven D Beaulieu
Treasurer0152015018654000000017066900
Aysha Kuhlor
Director of Nursing158210000000000158210000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 3The organization relied on a related organization that used one or more of the methods described below to establish the top management official's compensation: - Compensation committee - Independent compensation committee - Written employment contract - Compensation survey or study - Approval by the board or compensation committee
Part I, Line 4bSupplemental Executive Retirement Plan is provided to certain key executive employees. Contributions made to the plan on their behalf are vested and reflected in their compensation at the time of the contribution.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1State Of Connecticut Health and Educational FacilitiesBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN060806186IssuerEIN
CUSIP Number20774UW35CUSIPNumber
Date Issued2010-04-07DateIssued
Issue Price7629267IssuePrice
Description Of PurposeRefund Previous IssueDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired105189AmountRetired
Total Proceeds7629267TotalProceeds
Issuance Costs From Proceeds166919IssuanceCostsFromProceeds
Other Spent Proceeds7462349OtherSpentProceeds
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet1RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs1WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6Yes, Mercy Community Health, Inc. is the sole member.
Form 990, Part VI, Section A, line 7aYes, Mercy Community Health, Inc. approves the appointment of the members of the governing body.
Form 990, Part VI, Section A, line 7bCatholic Health East, along with Mercy Community Health, Inc., has limited reserved powers to approve decisions of the governing body.
Form 990, Part VI, Section B, line 11The organization took steps to educate management, members of the board and members of appropriate subcommittees of the board on the compliance requirements mandated by Form 990. The form was reviewed by management and then submitted to the Finance Committee which reported its findings to the board.
Form 990, Part VI, Section B, line 12cThe organization has adopted Catholic Health East'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 dis-interested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request.
Form 990, Part VI, Section B, line 15As set forth on Schedule J, Part III, CHE determines the compensation for the organization's top management official. For other employees, the organization has adopted Catholic Health East'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 the organization's roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative program 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 19Organizational Articles of Incorporation, Corporate Bylaws, governance policies believed to be of interest to the public, conflict-of-interest policy and IRS Form 990 are available to the public upon request.
Form 990, Part XI, line 9:Investment Interest Income 7,240. Assets Released from Restriction -282,000. Contributions 11,255. Realized Gain/losses -10,987. Adjustment -14,704.Changes in Net Assets or Fund Balances:
Disclosure Statement Related to Form 5471 Filed by Catholic Health East and Saint Michael's Medical Center Under the constructive ownership rule of Internal Revenue Code Sections 318(a) and 958(b), the organization is required to file Form 5471, Information Return of U.S. Persons With Respect to Certain Foreign Corporations, as a Category 4 and/or Category 5 filer with respect to Stella Maris Insurance Company Limited and Chestnut Risk Services, LTD (collectively, the "foreign corporations"). This filing requirement is, or will be, satisfied through the filing of Forms 5471 with respect to the foreign corporations on the organization's behalf by the U.S. organizations identified below. Foreign Corporation: Stella Maris Insurance Company U.S. Organization: Catholic Health East Address: 3805 West Chester Pike, Suite 100, Newtown Square, Pennsylvania 19073 Identifying Number of U.S. Tax Return with Which Form 5471 was filed: 23-2929748 IRS Service Center Where U.S. Return Was Filed: Ogden, UT Foreign Corporation: Chestnut Risk Services, LTD U.S. Organization: Saint Michael's Medical Center Address: 111 Central Avenue, Newark, New Jersey 07102 Identifying Number of U.S. Tax Return with Which Form 5471 was filed: 26-2616046 IRS Service Center Where U.S. Return Was Filed: Ogden, UT

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (143 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Catholic Health East
3805 West Chester Pike Suite 100Newtown SquarePA19073232929748Management ServicesPA501(c)(3)Line 11c, III-FIN/A1
Continuing Care Management Services Network
3805 West Chester Pike Suite 100Newtown SquarePA19073352336834Management & Support ServicesPA501(c)(3)Line 11b, II1Catholic Health East
VNA Home Health & Hospice
50 Foden RoadSouth PortlandME04106010246804Home Health & HospiceME501(c)(3)Line 11a, I1Mercy Health System of Maine
Mercy Hospital
144 State StreetPortlandMA04101010211534HospitalME501(c)(3)Line 31Mercy Health System of Maine
Mercy Health System of Maine
144 State StreetPortlandMA04101010484074Management & Support ServicesME501(c)(3)Line 11c, III-FI1Catholic Health East
Sunnyview Hospital & Rehabilitation Center Foundation
1270 Belmont AveSchenectadyNY12308222505127Supporting foundationNY501(c)(3)Line 11a, I1Sunnyview Hospital & Rehabilitation Ctr
St Mary's Woodland Village Inc
1300 Massachusetts AvenueTroyNY12180141675183Discontinued OperationsNY501(c)(3)Line 91Seton Health System Inc
Mercy Care for Kids Inc
310 South Manning BlvdAlbanyNY12208141717564Day care centerNY501(c)(3)Line 91St Peter's Health Care Services
Our Lady of Mercy Life Center
2 Mercycare LaneGuilderlandNY12084141743506Nursing Home FacilityNY501(c)(3)Line 31St Peter's Health Care Services
St Peter's Auxiliary
315 South Manning BlvdAlbanyNY01228222843206AuxiliaryNY501(c)(3)Line 11a, I1St Peter's Health Care Services
St Peter's Health Care Services
315 South Manning BlvdAlbanyNY12208222702507Management & Support ServicesNY501(c)(3)Line 91St Peter's Health Partners
St Peter's Hospital
315 South Manning BlvdAlbanyNY12208141348692HospitalNY501(c)(3)Line 31St Peter's Health Care Services
St Peter's Hospital Foundation Inc
319 South Manning Blvd Suite 309AlbanyNY12208222262982Fundraising & Public RelationsNY501(c)(3)Line 71St Peter's Health Care Services
Eddy Licensed Home Care Agency
433 River St Suite 3000TroyNY12180141818568Home HealthNY501(c)(3)Line 31LTC(Eddy) Inc
The Community Hospice Foundation Inc
295 Valley View BlvdRensselaerNY12144222692940Fundraising & Public RelationsNY501(c)(3)Line 71The Community Hospice Inc
The Community Hospice Inc
295 Valley View BlvdRensselaerNY12144141608921Serving seriously ill people & their familiesNY501(c)(3)Line 31St Peter's Health Care Services
Villa Mary Immaculate
301 Hackett BlvdAlbanyNY12208141438749Nursing Home & Physical RehabNY501(c)(3)Line 31St Peter's Hospital
Warde Service Corporation Inc
159 Wolf Road 3rd FloorAlbanyNY12205141732097Supporting & strengthing the ministries of rel. sr. mercyNY501(c)(3)Line 91St Peter's Health Care Services
Northeast Health Inc
2212 Burdett AveTroyNY12180042450756Supporting OrganizationNY501(c)(3)Line 11b, II1St Peter's Health Partners
Memorial Hospital Albany NY
600 Northern BlvdAlbanyNY12204141338457General HospitalNY501(c)(3)Line 31Northeast Health Inc
Samaritan Hospital of Troy New York
2215 Burdett AveTroyNY12180141338544General hospitalNY501(c)(3)Line 31Northeast Health Inc
The Northeast Health Foundation Inc
2224 Burdett AveTroyNY12180222743478Supporting foundationNY501(c)(3)Line 71Northeast Health Inc
Samaritan Child Care Center Inc
2213 Burdett AveTroyNY12180141710225Child day careNY501(c)(3)Line 91Northeast Health Inc
Shaker Properties Inc
2212 Burdett AveTroyNY12180223119822Real Estate holdingNY501(c)(2)N/A1Northeast Health Inc
Sunnyview Hospital & Rehabilitation Ctr
1270 Belmont AveSchenectadyNY12308141338386Rehabilitation hospitalNY501(c)(3)Line 31LTC (Eddy) Inc
James A Eddy Memorial Geriatric Center Inc
2256 Burdett AveTroyNY12180222570478Nursing homeNY501(c)(3)Line 91LTC (Eddy) Inc
Capital Region Geriatric Center Inc
421 West Columbia StCohoesNY12047141701597Nursing HomeNY501(c)(3)Line 91LTC (Eddy) Inc
Heritage House Nursing Center Inc
2920 Tibbits AveTroyNY12180141725101Nursing homeNY501(c)(3)Line 91LTC (Eddy) Inc
The Marjorie Doyle Rockwell Center Inc
421 West Columbia StCohoesNY12047141793885Adult Home/AlzheimersNY501(c)(3)Line 91LTC (Eddy) Inc
Beverwyck Inc
40 Autumn DriveSlingerlandsNY12159141717028Independent/Assisted Living Retirement CommunityNY501(c)(3)Line 91LTC (Eddy) Inc
Hawthorne Ridge Inc
30 Community WayEast GreenbushNY12061800102840Independent/Assisted Living Retirement CommunityNY501(c)(3)Line 91LTC (Eddy) Inc
Glen Eddy Inc
One Glen Eddy DriveNiskayunaNY12309141794150Independent/Assisted Living CommunityNY501(c)(3)Line 91LTC (Eddy) Inc
Beechwood Inc
2212 Burdett AveTroyNY12180141651563Real estate holdingNY501(c)(2)N/A1LTC (Eddy) Inc
Senior Care Connection Inc
504 State StSchenectadyNY12305141708754PACE ProgramNY501(c)(3)Line 91LTC (Eddy) Inc
Home Aid Service of Eastern New York Inc
433 River St Suite 3000TroyNY12180141514867Home careNY501(c)(3)Line 91LTC (Eddy) Inc
Seton Health System Inc
1300 Massachusetts AvenueTroyNY12180141776186HospitalNY501(c)(3)Line 31St Peter's Health Partners
Seton Health at Schuyler Ridge Residential Healthcare
1 Abele BlvdClifton ParkNY12065141756230Skilled NursingNY501(c)(3)Line 91Seton Health System Inc
Seton Health Foundation
1300 Massachusetts AvenueTroyNY12180222345416Supporting OrganizationNY501(c)(3)Line 11a, I1Seton Health System Inc
Seton Auxiliary Inc
1300 Massachusetts AvenueTroyNY12180141505031Supporting OrganizationNY501(c)(3)Line 91Seton Health System Inc
Seton Licensed Home Care Inc
1300 Massachusetts AvenueTroyNY12180141809134Licensed Home Health AgencyNY501(c)(3)Line 31Seton Health System Inc
Empire Home Infusion Service Inc
10 Blacksmith DriveMaltaNY12020141795732Home careNY501(c)(3)Line 91Home Aid Service of Eastern New York Inc
LTC (Eddy) Inc
2212 Burdett AveTroyNY12180222564710Elderly health/housing supporting orgNY501(c)(3)Line 11a, I1Northeast Health Inc
St Peter's Health Partners
315 South Manning BlvdAlbanyNY12208453570715Management & Support ServicesNY501(c)(3)Line 11b, II1Catholic Health East
St Peter's Health Partners Medical Associates PC
315 South Manning BlvdAlbanyNY12208461177336Physicians PracticeNY501(c)(3)Line 31St Peter's Health Partners
Providence Place Inc
5 Gamelin StreetHolyokeMA01040043404084Retirement CommunityMA501(c)(3)Line 91Sisters of Providence Health System Inc
Brightside Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040042182395Behavioral CareMA501(c)(3)Line 91Sisters of Providence Health System Inc
Farren Care Center Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040042501711Long Term CareMA501(c)(3)Line 31Sisters of Providence Health System Inc
Mercy Hospital Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040043398280Acute CareMA501(c)(3)Line 31Sisters of Providence Health System Inc
Mercy Specialist Physicians Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040264033168Neurosurgery Medical ServicesMA501(c)(3)Line 31Sisters of Providence Health System Inc
Sisters of Providence Care Centers Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040222541103Long Term CareMA501(c)(3)Line 31Sisters of Providence Health System Inc
Sisters of Providence Health System Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040043398374Management & Support ServicesMA501(c)(3)Line 11a, I1Catholic Health East
Mercy LIFE Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040453086711Acute CareMA501(c)(3)Line 31Sisters of Providence Health System Inc
Pioneer Valley Cardiology Associates Inc
c/o SPHS 1221 Main Street Suite 213HolyokeMA01040454208896Cardiology ServicesMA501(c)(3)Line 41Sisters of Providence Health System Inc
Mercy Oncology Services Inc
c/o SPHS 1221 Main Street Suite 213HolyokeMA01040454884805Oncology Medical ServicesMA501(c)(3)N/A1Sisters of Providence Health System Inc
McAuley Center Inc
275 Steele RoadWest HartfordCT06117061058086Independent LivingCT501(c)(3)Line 91Mercy Community Health Inc
Mercy Community Health Inc
2021 Albany AvenueWest HartfordCT06117061492707Management & Support ServicesCT501(c)(3)Line 11a, I1Catholic Health East
Mercy Community HomeCare Services
2021 Albany AvenueWest HartfordCT06117061488137In Home Health CareCT501(c)(3)Line 91Mercy Community Health Inc
Mercy Services
2021 Albany AvenueWest HartfordCT06117061453323Support ServicesCT501(c)(3)Line 11Mercy Community Health Inc
Mercyknoll Inc
2021 Albany AvenueWest HartfordCT06117060757380Skilled NursingCT501(c)(3)Line 31Mercy Community Health Inc
Saint Mary Home II Inc
2021 Albany AvenueWest HartfordCT06117061164104Elderly CareCT501(c)(3)Line 31Mercy Community Health Inc
Mercy Healthcare Center
114 Wawbeek AvenueTupper LakeNY12986150532211In DissolutionNY501(c)(3)Line 31Catholic Health East
Mercy Uihlein Health Corporation
185 Old Military RoadLake PlacidNY12946161535133Mgt. & Support ServicesNY501(c)(3)Line 11b, II1Mercy Healthcare Center
Uihlein Mercy Center
185 Old Military RoadTupper LakeNY12986150532190In DissolutionNY501(c)(3)Line 31Mercy Healthcare Center
St James Mercy Foundation Inc
411 Canisteo StreetHornellNY14843161486437FoundationNY501(c)(3)Line 71St James Mercy Health System Inc
St James Mercy Health System Inc
411 Canisteo StreetHornellNY14843223127184Management & Support ServicesNY501(c)(3)Line 11b, II1Catholic Health East
St James Mercy Hospital
411 Canisteo StreetHornellNY14843160743310HospitalNY501(c)(3)Line 31St James Mercy Health System Inc
Maxis Medical Services
100 Lincoln AveCarbondalePA18407232577185Physician PracticesPA501(c)(3)Line 31Maxis Health System
Marian Community Hospital
100 Lincoln AveCarbondalePA18407240711230HospitalPA501(c)(3)Line 31Maxis Health System
Marian Community Hospital Auxiliary
100 Lincoln AveCarbondalePA18407251874733FundraisingPA501(c)(3)Line 11b, II1Maxis Health System
Maxis Foundation
100 Lincoln AveCarbondalePA18407232330090FundraisingPA501(c)(3)Line 11b, II1Maxis Health System
Maxis Health System
100 Lincoln AveCarbondalePA18407911940902Health Care SystemPA501(c)(3)Line 11b, II1Maxis Health System
Tri-County Human Services Center Inc
PO BOX 517CarbondalePA18407231938528Behavioral Health OrganizationPA501(c)(3)Line 71Maxis Health System
Columbus Acquisition Corp
1160 Raymond BoulevardNewarkNJ07102262616342Inactive EntityNJ501(c)(3)Line 91Saint Michaels Medical Center
Saint Michaels Medical Center
111 Central AvenueNewarkNJ07102262616046HospitalNJ501(c)(3)Line 31Catholic Health East
St James Care Inc
1160 Raymond BoulevardNewarkNJ07102262616230Inactive EntityNJ501(c)(3)Line 91Saint Michaels Medical Center
St Michael's Foundation Inc
1160 Raymond BoulevardNewarkNJ07102223311976FoundationNJ501(c)(3)Line 11a, I1Saint Michaels Medical Center
University Heights Property Company Inc
1160 Raymond BoulevardNewarkNJ07102223100162Medical Property Holding CompanyNJ501(c)(2)N/A1Saint Michaels Medical Center
Life St Francis Corporation
601 Hamilton AvenueTrentonNJ08629222797282Health ServicesNJ501(c)(3)Line 11a, I1St Francis Medical Center Trenton NJ
St Francis Medical Center Foundation NJ
601 Hamilton AvenueTrentonNJ08629521025476FoundationNJ501(c)(3)Line 11a, I1St Francis Medical Center Trenton NJ
St Francis Medical Center Trenton NJ
601 Hamilton AvenueTrentonNJ08629223431049HospitalNJ501(c)(3)Line 31Catholic Health East
Langhorne MRI Inc
1201 Langhorne-Newtown RoadLanghornePA19047232519529Inactive EntityPA501(c)(3)Line 91St Mary Medical Center
Langhorne Physician Services Inc
1201 Langhorne-Newtown RoadLanghornePA19047232571699Physician ServicesPA501(c)(3)Line 9: 509(a)(2)1St Mary Medical Center
LIFE St Mary
1201 Langhorne-Newtown RoadLanghornePA19047262976184Elderly CarePA501(c)(3)Line 91St Mary Medical Center
St Mary Medical Center
1201 Langhorne-Newtown RoadLanghornePA19047231913910HospitalPA501(c)(3)Line 31Catholic Health East
St Mary Medical Center Foundation Inc
1201 Langhorne-Newtown RoadLanghornePA19047232567468FoundationPA501(c)(3)Line 71St Mary Medical Center
East Norriton Physician Services
c/o One West Elm StreetConshohockenPA19428232515999Physician ServicesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Mercy Catholic Medical Center of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428231352191Acute Care HospitalPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Mercy Family Support
1001 Baltimore Pike Suite 301SpringfieldPA19064232325059Home HealthPA501(c)(3)Line 91Mercy Health System of Southeastern Pennsylvania
Mercy Health Foundation of Southeastern Pennsylvania
c/o One West Elm StreetConshohockenPA19428232829864FundraisingPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Health Plan
c/o One West Elm StreetConshohockenPA19428222483605Health PlansPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Health System of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428232212638Management & Support ServicesPA501(c)(3)Line 11b, II1Catholic Health East
Mercy Home Health
1001 Baltimore Pike Suite 310SpringfieldPA19064231352099Home HealthPA501(c)(3)Line 91Mercy Health System of Southeastern Pennsylvania
Mercy Home Health Services
1001 Baltimore Pike Suite 301SpringfieldPA19064232325058Home HealthPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Management of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428232627944Physician PracticesPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Suburban Hospital
One West Elm StreetConshohockenPA19428231396763Acute Care HospitalPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Nazareth Health Care Foundation
2701 Holme AvenuePhiladelphiaPA19152232300951FundraisingPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Nazareth Hospital
2601 Holme AvenuePhiladelphiaPA19152232794121Acute Care HospitalPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Nazareth Physician Services Inc
2601 Holme AvenuePhiladelphiaPA19152203261266Physician PracticesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
NE Physician Services
2601 Holme AvenuePhiladelphiaPA19152232497355Physician PracticesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
St Agnes Continuing Care Center
1900 S Broad StreetPhiladelphiaPA19145232840137Continuing Care ServicesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
St Agnes Continuing Care Center Foundation
1900 S Broad StreetPhiladelphiaPA19145232415137FundraisingPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Life at Lourdes Inc
1600 Haddon AvenueCamdenNJ08108261854750Elderly CareNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Lourdes Ancillary Services
1600 Haddon AvenueCamdenNJ08103222568525Supporting OrganizationNJ501(c)(3)Line 11b, II1Our Lady of Lourdes Health Care Services
Lourdes Dialysis at Innova Inc
1600 Haddon AvenueCamdenNJ08108263237625HospitalNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Lourdes Medical Center Burlington County
218 Sunset RoadWillingboroNJ08046223612265HospitalNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Our Lady of Lourdes Health Care Services
1600 Haddon AvenueCamdenNJ08103222568528Management & Support ServicesNJ501(c)(3)Line 11b, II1Catholic Health East
Our Lady of Lourdes Health Foundation Inc
1600 Haddon AvenueCamdenNJ08103222351960FoundationNJ501(c)(3)Line 71Our Lady of Lourdes Health Care Services
Our Lady of Lourdes Medical Center
1600 Haddon AvenueCamdenNJ08103210635001HospitalNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Lourdes Cardiology Services PC
1600 Haddon AvenueCamdenNJ08108274357794Cardiology ServicesNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Franciscan Eldercare Corporation
PO Box 2500WilmingtonDE19805223008680EldercareDE501(c)(3)Line 91St Francis Hospital
St Francis Foundation
PO Box 2500WilmingtonDE19805510374158FoundationDE501(c)(3)Line 11b, II1St Francis Hospital
St Francis Hospital
PO Box 2500WilmingtonDE19805510064326HospitalDE501(c)(3)Line 31Catholic Health East
LIFE at St Francis Healthcare Inc
7th Clayton StreetsWilmingtonDE19805452569214Elderly CareDE501(c)(3)Line 31St Francis Hospital
McAuley Ministries
McAuley Hall 3333 Fifth AvenuePittsburghPA15213943436142Management & Support ServicesPA501(c)(3)Line 91Pittsburgh Mercy Health System
Mercy Jeannette Hospital
3805 West Chester PikeNewtown SquarePA19073251310602Inactive EntityPA501(c)(3)Line 91Pittsburgh Mercy Health System
Mercy Life Center Corporation
1200 Reedsdale StreetPittsburghPA15233251604115Community TreatmentPA501(c)(3)Line 91Pittsburgh Mercy Health System
Pittsburgh Mercy Health System
3333 5th AvenuePittsburghPA15213251464211Management & Support ServicesPA501(c)(3)Line 11b, II1Catholic Health East
St Joseph's of the Pines Inc
100 Gossman Drive Suite BSouthern PinesNC28387560694200HospitalNC501(c)(3)Line 31Catholic Health East
Life St Joseph of the Pines Inc
100 Gossman Drive Suite BSouthern PinesNC28387272159847Healthcare ServicesNC501(c)(3)Line 31St Joseph's of the Pines Inc
Mercy Senior Care Inc
300 Chatillon Road PO Box 866RomeGA30162581366508Community OutreachGA501(c)(3)Line 71Saint Joseph's Health System Inc
Saint Joseph's Health System Inc
424 Decatur StreetAtlantaGA30312581744848Management & Support ServicesGA501(c)(3)Line 11b, II1Catholic Health East
Saint Joseph's Mercy Care Services Inc
424 Decatur StreetAtlantaGA30312581752700Community OutreachGA501(c)(3)Line 71Saint Joseph's Health System Inc
Saint Joseph's Mercy Foundation Inc
424 Decatur StreetAtlantaGA30312581448522FundraisingGA501(c)(3)Line 11b, II1Saint Joseph's Health System Inc
Mercy Services Downtown Inc
424 Decatur StreetAtlantaGA30312272046353Real Estate Holding CompanyGA501(c)(3)Line 11b, II1Saint Joseph's Health System Inc
St Mary's Health Care System Inc
1230 Baxter StreetAthensGA30606580566223HospitalGA501(c)(3)Line 31Catholic Health East
St Mary's Foundation Inc
1230 Baxter StreetAthensGA30606582544232FundraisingGA501(c)(3)Line 11b, II1St Mary's Health Care System Inc
St Mary's Highland Hills Inc
1230 Baxter StreetAthensGA30606020576648Assisted Living & Retirement CommunityGA501(c)(3)Line 31St Mary's Health Care System Inc
St Mary's Medical Group Inc
1230 Baxter StreetAthensGA30606261858563Hospital / Physician ServicesGA501(c)(3)Line 31St Mary's Health Care System Inc
Good Samaritan Hospital Inc
1201 Siloam RoadGreensboroGA30462261720984HospitalGA501(c)(3)Line 31Saint Joseph's Health System Inc
Mercy Medical Corporation
PO Box 1090 101 Villa DriveDaphneAL36526636002215HospitalAL501(c)(3)Line 31Catholic Health East
Mercy LIFE of Alabama
PO Box 1090 101 Villa DriveDaphneAL36526273163002HospitalAL501(c)(3)Line 31Mercy Medical Corporation
Allegany Franciscan Ministries Inc
33920 US Highway 19 North Suite 269Palm HarborFL34684581492325Management & Support ServicesFL501(c)(3)Line 11b, II1Catholic Health East
St Francis Hospital Inc
33920 US Highway 19 North Suite 269Palm HarborFL34684590624442Grant-making OrganizationFL501(c)(3)Line 11a, I1Allegany Franciscan Ministries Inc
Holy Cross Hospital Inc
4725 North Federal HighwayFt LauderdaleFL33308590791028Hospital-Healthcare ProviderFL501(c)(3)Line 31Catholic Health East
Holy Cross Long-Term Inc
4725 North Federal HighwayFt LauderdaleFL33308650787320Medical ServicesFL501(c)(3)Line 31Holy Cross Hospital Inc
Holy Cross Medical Properties Inc
4725 North Federal HighwayFt LauderdaleFL33308650666283Medical Building Real Estate ManagementFL501(c)(2)N/A1Holy Cross Hospital Inc
SSJ Health Foundation Inc
3663 South Miami AvenueMiamiFL33133591709438FundraisingFL501(c)(3)Line 71Mercy Hospital Inc
Mercy Hospital Inc
3663 South Miami AvenueMiamiFL33133590791034HospitalFL501(c)(3)Line 31Catholic Health East
Mercy Medical Development Inc
3663 South Miami AvenueMiamiFL33133592789194Outpatient ServicesFL501(c)(3)Line 91Mercy Hospital Inc
Mercy Mission Services Inc
3663 South Miami AvenueMiamiFL33133650435764Health CareFL501(c)(3)Line 11a, I1Mercy Hospital Inc
Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital
3663 South Miami AvenueMiamiFL33133510461511HospitalFL501(c)(3)Line 31Mercy Hospital Inc
Global Health Ministry
3805 West Chester Pike Suite 100Newtown SquarePA19073233068656Health CarePA501(c)(3)Line 71Catholic Health East
Intracoastal Health Systems
3805 West Chester Pike Suite 100Newtown SquarePA19073650556413Management & Support ServicesPA501(c)(3)Line 11a, I1Catholic Health East

Form990 Schedule R Part III Form990ScheduleRPartIII (17 entries)

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

Form990 Schedule R Part IV Form990ScheduleRPartIV (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryProvince Or StateAddressForeign/ProvinceOrStatePostal CodeAddressForeign/PostalCode
Samaritan Medical Office Building Inc
2212 Burdett AvenueTroyNY12180141607244Real EstateNYN/AC1
Affiliated Management Services Corporation Inc
1300 Massachusetts AvenueTroyNY12180141668024Real EstateNYN/AC1
Catherine Horan Building Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000042938160Building ManagementMAN/AC1
Diversified Community Services Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043128890Medical ServicesMAN/AC1
Mercy Inpatient Medical Associates Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043029929Medical ServicesMAN/AC1
Providence Home Care Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043317426Health Care ServicesMAN/AC1
System Coordinated Services Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000042938181Lab ServicesMAN/AC1
Physicians Medical Office Building Condominium Trust
1221 Main Street Room 108HolyokeMA010400000046608649Property ManagementMAN/AC1
SJM Properties Inc
411 Canisteo StreetHornellNY148482101161294991Property HoldingsNYN/AC1
Carbondale Area Physicians' Association PC
100 Lincoln AveCarbondalePA18407232801677Medical Insurance ContractingPAN/AC1
Carbondale Area Physicians' PHO Inc
100 Lincoln AveCarbondalePA18407232801676InactivePAN/AC1
Carbondale Physicians' Services Inc
100 Lincoln AveCarbondalePA18407232365077PharmacyPAN/AC1
Chestnut Risk Services Ltd
InsuranceN/AC111 Victoria StreetHamiltonBDBD
LifeCare Physicians PC
601 Hamilton AvenueTrentonNJ086291986261649038Health Care ServicesNJN/AC1
Multicare Plus Inc
601 Hamilton AvenueTrentonNJ086291986223435844InactiveNJN/AC1
Langhorne Services II Inc
1201 Langhorne-Newtown RoadLanghornePA19047253795549General Partner of LMOB Partners, IIPAN/AC1
Langhorne Services Inc
1201 Langhorne-Newtown RoadLanghornePA19047232625981General Partner of LMOB Partners,PAN/AC1
Gateway Health Plan Inc
600 Grant StreetPittsburghPA15219251505506Health CarePAN/AC1
Gateway Health Plan Inc of Ohio
600 Grant StreetPittsburghPA15219300282076Health CarePAN/AC1
MCMC Eastwick Inc
c/o MHS One West Elm StreetConshohockenPA19428232184261Medical Office BuildingsPAN/AC1
Health Management Services Org Inc
500 Grove Street Suite 100Haddon HeightsNJ08035223366580Health Care BillingNJN/AC1
Lourdes Medeical Associates PA
500 Grove Street Suite 100Haddon HeightsNJ08035223361862Medical ServicesNJN/AC1
Jeannette Medical Providers
3805 West Chester PikeNewtown SquarePA19073251787334Holding CompanyPAN/AC1
Jeannette OBGYN Group 1 Inc
3805 West Chester PikeNewtown SquarePA19073232890748Holding CompanyPAN/AC1
Jeannette Primary Care Group 1 Inc
3805 West Chester PikeNewtown SquarePA19073232890743Holding CompanyPAN/AC1
Georgia Health Enterprises LLC
1230 Baxter StreetAthensGA30606541806329HealthcareGAN/AC1
St Mary's Highland Hills Village Inc
1660 Jennings Mill PklyBogartGA30622582276801Assisted LivingGAN/AC1
GHE Physicians PC
3500 Piedmont RoadAtlantaGA30305582277939Practice ManagementGAN/AC1
Nursing Network Inc
4725 North Federal HighwayFort Lauderdale HighwaFL333080000591145192Medical ServicesFLN/AC1
Mercy Physician Group Inc
3663 South Miami AvenueMiamiFL33133202970015Health CareFLN/AC1
Stella Maris Insurance Company Limited
980078266InsuranceN/AC1PO Box 69Grand CaymanCJCJCayman IslandsKY1-1102
Catholic Health East Senior Services
3805 West Chester Pike Suite 100Newtown SquarePA19073371572595Senior ServicesPAN/AC1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Mercy Community Health Inc
P2657593FMV
The McAuley Center Inc
Q2000267FMV
Saint Mary Home Inc
D2969801FMV
Saint Mary Home Inc
N536115FMV
Saint Mary Home Inc
O2673292FMV

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