2012-11-15T13:13:10-06:00 2011-12-31 861065772 Deloitte Tax LLP 1700 Market Street 25th Floor Philadelphia PA 191033984 990 2011-01-01 141348692 St Peter's Hospital STPE 5185251550 315 South Manning Blvd Albany NY 12208 Lori Santos 5185251550 2012-11-15 1 WILLIAM J HOMER P00994519 2152462300 2011 2016-02-24 21:20:13Z Dr Ann Errichetti CEO 315 South Manning Blvd Albany NY 12208 454238524 0 0928 X www.sphcs.org X 1871 NY St. Peter's Hospital ("St. Peter's") is an acute care hospital located in Albany, New York. Our mission is acting in the Catholic tradition of the Religious Sisters of Mercy, by remaining a community of persons committed to being a transforming, healing presence within the communities we serve. 41 35 4576 526 4801027 826663 2849062 2413155 421073090 436286562 2018873 2255402 7523796 12594556 433464821 453549675 0 0 0 0 192073760 196866657 0 0 0 221995197 247196344 414068957 444063001 19395864 9486674 541891545 582308902 334711920 349157502 207179625 233151400 X St. Peter's Hospital, acting in the Catholic tradition of the Religious Sisters of Mercy, is a community of persons committed to being a transforming, healing presence within the communities we serve. We treat all persons with dignity, hospitality and compassion, calling forth their best human potential. We provide comprehensive services that support healthy communities, including quality medical care with holistic approaches to healing body, mind and spirit. We care for and strengthen the ministry and all resources entrusted to us. We advocate for accessible health care and quality of life for all, especially those who are poor. We respond with courage and integrity to needs for services in a rapidly changing health care environment. 0 0 78985559 89293914 St. Peters has added four new operating rooms and significantly upgraded the other twenty operating rooms.At St. Peter's, surgeons operate in the area's newest and best surgical suites, featuring the latest diagnostic and surgical technology. It's why more than 15,300 surgeries are performed at St. Peter's each year.In St. Peter's operating rooms, surgeons view patient X-rays on large television monitors rather than traditional X-ray films. These "filmless" operating rooms give doctors a more accurate picture of a patient's condition and history.In hepatobiliary (liver, biliary, pancreas), St. Peter's is the first hospital in the Capital District to use the Spyglass Direct Visualization System - a fiber-optic camera, about the size of a pencil point, that is inserted into the upper digestive tract and threaded through the stomach and into the bile ducts. This life-saving tool allows doctors to quickly and precisely locate and examine tissue - without having to perform laparoscopic surgery.Supported by a nationally-recognized nursing staff and an expert support staff, surgeons at St. Peter's have the tools and the advanced technology to transform and save lives.Minimally invasive procedures, including robotic, computer-assisted and image-guided surgeries, are performed in the areas of cardiac, vascular, gynecologic, neurological, orthopedic, otolaryngologic, thoracic, urologic and general surgery. Types of procedures being performed at St. Peter's Hospital:- Bariatric Surgery - Breast Surgery - Cardiac Surgery - Colorectal Surgery - Dental/Maxillofacial Surgery - General Surgery - Gynecologic Oncology - Gynecological Surgery - Hepatobiliary (Liver, Biliary, Pancreas) - Minimally-invasive Surgery - Neurosurgery - Orthopaedic Surgery - Otolaryngology Surgery - Pediatric Surgery - Plastic and Reconstructive Surgery - Surgical Oncology/Cancer - Thoracic Surgery - Urological Surgery - Vascular Surgery Robotic Surgery: The da Vinci Surgical SystemThe surgeon's surgical capabilities are enhanced by the da Vinci surgical system, a totally "intuitive" laparoscopic surgical robot. The system is so precise, the instruments recheck their position by computer 1,500 times per second. St. Peter's gynecologic oncologists were the first in New York to use the state-of-the-art da Vinci surgical system. This new system integrates robotics and extremely sophisticated computer technology with the skills of the surgeon. It allows the surgeon to perform minimally invasive procedures in a manner never experienced before. Robotic-assisted laparoscopy combines dexterity and precision with advanced 3-D imaging to overcome the surgical limitations of a standard laparoscopy. The new technology gives surgeons precise control and visualization, bringing a whole new dimension and flexibility to surgery. The system's camera gives the surgeon a highly detailed, three-dimensional view of the patient's body. Advanced imaging allows much greater precision, thereby allowing for small incisions, more exact placement of sutures and more exact use of the operating instruments. For most patients, robotic surgery offers several benefits, such as:- Shorter hospital stay- Less pain- Less risk of infection- Less blood loss and transfusions- Less scarring- Faster recovery- Quicker return to normal activitiesIn addition, it is possible to return to regular activities in one to two weeks, instead of the traditional six weeks that may be required for a complete recovery.In orthopaedic surgery, certain patients can now avoid total hip replacement thanks to the Birmingham hip resurfacing procedure that was first introduced to the area here at St. Peter's.In urologic surgery, St. Peter's is also the only facility in the Northeastern United States offering the Holmium Laser Enucleation of the Prostate (HoLEP), a minimally invasive laser system that can shrink an enlarged prostate.Other laser procedures at St. Peter's include the Nd:Yag Laser, which shrinks esophageal, bronchial and bladder tumors and urethral polyps; the Diode Laser, which is used by ophthalmologic.Opthalmologic/Ophthamologic is the area in which surgeons treat retinopathy of infants; and the CO2 Laser, which can remove or vaporize certain types of skin lesions, as well as shrink or remove certain types of throat cancers and lesions. It is also used by gynecology, urology and ENT Surgeons.St. Peter's offers many more advanced surgical procedures, including:- Mammosite(R) breast radiation therapy; - anodyne therapy; - robotic gynecologic and prostate surgery; - breast MRI; - needle localization; - intensity modulated radiation therapy (IMRT); - PET (positron emission tomography); - computed tomography (CT or CAT scanning); - Neurosign 100 Facial Nerve Monitor; - uterine balloon thermotherapy; - video assisted endoscopy; - image guided neurosurgery; - sentinel node gamma guidance system; and, - shock wave lithotripsy. Surgical Services: In 2011, St. Peter's Hospital's operating room serviced 7,318 inpatient surgical cases (Orthopedic - 2,485, General Surgery - 936, Neurological - 1,019 Thoracic - 578, Gyn & Gyn Oncology - 392, Gen Colorectal - 409 and various others). The operating room also serviced 7,979 outpatient cases (General Surgery - 2,629, Ear Nose and Throat - 1,089, Orthopedic - 539, Urology Closed - 656, Gyn & Gyn Oncology - 1,367, Neurological - 538 and other cases). 46007901 88978336 St. Peter's Cardiac and Vascular Center's new cardiovascular surgery facilities are among the nation's most advanced surgical environments for patients with complex heart and vascular disease. Among the innovative technology in the facility is a unique "true Hybrid Operating Room" - the ArtisZeego multi-access system for surgical angiography. Upon its completion, this new operating room system was reported by its manufacturer to be one of only 29 such installations worldwide.St. Peters Cardiac and Vascular Center is a world class facility providing state of the art diagnostic, treatment and rehabilitative services. Led by a premier team of cardiologists, cardiac surgeons and vascular specialists, our integrated team approach helps patients achieve the best possible outcomes.In 2011 we welcomed a new Chief of Cardiac and Vascular Services to our team. In his new position, the Chief oversees a comprehensive process to further enhance and expand the scope of St. Peter's nationally renowned program to prevent and treat cardiac and vascular disease in northeastern New York State. We expanded our surgical program to treat the most critically ill patients suffering from severe heart failure with the implementation of a left ventricular assist device program. This program supports these patients survival during intensive treatment or preparing for coordination of heart transplant.Our catheterization program expanded its services to percutaneous closure of atrial septal defects. Previously done through open heart surgery, some patients are candidates for closure of this heart defect thru less invasive measures. This allows for quicker recovery time and quicker return to activities of daily living.Our emergency response program meets or exceeds the national average in responding to persons suffering a myocardial infarction.By treating the person with emergency angioplasty the damage to the heart muscle is limited.The arrhythmia program continues to be a regional referral center to treat patients suffering from cardiac rhythm disturbances that can be debilitating or life threatening. The cardiac rehabilitation and wellness program expanded to provide therapy and rehabilitative services to patients suffering from chronic pulmonary diseases. Thru exercise, education and lifestyle management persons with lung disease can increase their functional capacity.The St. Peters cardiac Cath lab performed 1,935 cases in 2011. We performed 1,241 diagnostic procedures and approximately 800 PCI's. 13676774 21327453 St. Peter's Cancer Care CenterSince 1985, St. Peter's has been accredited by the American College of Surgeons as a community based, comprehensive cancer care program. As part of that program, we offer a full range of services including:- An expert team of medical oncologists, radiation oncologists, pathologists, radiologists and surgeons- Access to clinical trials- Outpatient infusion services on the St. Peter's Hospital campus.- Enterostomal therapy- Symptom management- Palliative care- Genetic Testing and Risk Assessment- Rehabilitation (physical therapy, occupational therapy, speech therapy, audiology, and respiratory and lymphedema management)- Complementary therapies and support therapies including nutritional services, clinical social workers and spiritual care- Community Hospice/bereavement services- Community resource nurse- Support groups for patients, families and caregivers- Cancer screenings- Educational and wellness programsAdvanced Diagnostic ProceduresFrom state-of-the-art MRIs and CT scans to Positron Emission Tomography (PET) scanner technology, St. Peter's Medical Imaging department uses advanced technologies to diagnose cancers and other diseases earlier and more precisely. St. Peter's Breast Center features state-of-the-art technology including digital mammography, breast magnetic resonance imaging (MRI), dedicated breast ultrasound and the ability to perform highly accurate, image-guided minimally invasive biopsy techniques. The Breast Center provides prompt diagnostic testing in a private, caring and supportive environment. Our staff performs more than 160,000 medical imaging procedures each year, including:- digital fluoroscopy- bone densitometry (DEXA)- digital mammography- magnetic resonance imaging (MRI)- computed tomography (CT or CAT Scan)- diagnostic and breast ultrasound- St. Peter's now has an Enterprise-Wide Picture Archive Communications System (PACS) which allows staff to securely store, retrieve and send all medical imaging examinations performed at St. Peter's to physicians anywhere within our organization. Physicians may read or review these studies from their offices, from home or from the hospital. Electronic storage virtually eliminates the chance of studies being lost or misplaced.Radiation OncologySt. Peter's currently offers several advanced external beam radiation, Image Guided RT, Stereotactic Radiosurgery and Brachytherapy. Our physicians collaborate with patients to determine which type of treatment will be most effective.Cancer Care Stats:Radiation Oncology- Consults - 783- Simulations - 1,283- Treatments - 9,499- Follow ups - 2,386Med Oncology / Infusion- Clinic Visits:- New Consults - 681- Follow Ups - 4,602- Oncology - 4,394- Hematology - 886- Bone Marrow -32- Patient Infusions - 3,804Cancer Care- Interdisciplinary Cancer Conferences for discussion, determination and evaluation of plans of care- ANCC Magnet status nursing care- Advanced Medical Imaging and Breast Center services- Comprehensive Inpatient Services 222308303 236686859 Other Program Services: St. Peter's Addiction Recovery Center (SPARC), established in 1972 as the first medical facility in upstate New York to provide addictions treatment; now the region's leading provider of alcoholism and substance abuse treatment. It operates an 18 bed hospital detoxification facility, a 40-bed inpatient rehabilitation program in Guilderland, a men's halfway house and day treatment program in Albany, as well as outpatient programs in Albany, Latham, Cohoes, Rotterdam and Ballston Spa. Other Specialized Programs and Services: Women's and Children's Services, St. Peter's Ambulatory Care Network, St. Peter's Home Care, St. Peter's ALS Regional Center, St. Peter's Bender Laboratory, the Family Life Information Center, St. Peter's Sleep Center, Lifeline service, Physical Therapy and Fitness and Becky's House, (a temporary residence for families of patients at St. Peter's). 222308303 236686859 360978537 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 X 321 0 1 4576 1 1 1 0 0 0 0 0 0 0 0 0 X 41 35 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Manager of Financial Reporting and Systems 5182754200 159 Wolf Road 3rd Floor Albany NY 12205 X Altes Jane PhD 1.00 X 0 0 0 Boyle Steven 36.50 X X 0 869274 15412 Bylancik Robert J 1.00 X 0 50000 0 Cartwright Mark 1.00 X 0 0 0 Cottrell Barbara 1.00 X 0 0 0 Dake Susan 1.00 X 0 0 0 DiSarro Ann 1.00 X 0 0 0 Doyle Rev Kenneth 1.00 X 0 0 0 Filippone John MD 1.00 X 0 0 0 Foley William J PhD 1.00 X 0 0 0 Fortune Robert 1.00 X 0 0 0 Goldberg Alan 1.00 X 0 0 0 Gordon Harold Esq 1.00 X 0 0 0 Graber Sr Katherine 24.00 X 0 0 0 Guzior Ronald L 1.00 X 0 0 0 Hearst George III 1.00 X 0 0 0 Herbert Sr Phyllis 1.00 X 0 0 0 Houlihan Sr Patricia 1.00 X 0 0 0 Johnson Robert W III Esq 1.00 X 0 0 0 Jones Sydney Tucker III 1.00 X 0 0 0 Joyce Eileen MD 1.00 X 0 0 0 Karpiak Beverly 1.00 X 0 0 0 Keegan Michael 1.00 X 0 0 0 Lang John M 1.00 X 0 0 0 Massry Norman 1.00 X 0 0 0 Natwin Sr Kathleen 1.00 X 0 0 0 Nowak Thomas 1.00 X 0 0 0 Opalka Chester 1.00 X 0 0 0 Oster Russell 1.00 X 0 0 0 Philip George 1.00 X 0 0 0 Powell Curtis 1.00 X 0 0 0 Puleo James H MD 1.00 X 0 0 0 Puleo James V MD 1.00 X 0 6250 0 Reed James K MD 1.00 X X 0 815276 37728 Robinson Harry Esq 1.00 X 0 0 0 Rosenberg Stuart MD 1.00 X 0 0 0 Sanders Alan MD 1.00 X 0 0 0 Slavin James MD 1.00 X 0 0 0 Somerville Sr Jane 1.00 X 0 0 0 Tartaglia Anthony P MD 1.00 X 0 0 0 Thorn Lisa MD 1.00 X 0 38625 0 Turley Sr Kathleen 1.00 X 0 0 0 Tyrrell Thomas 1.00 X 0 0 0 Brodbeck Kathleen J 37.50 X 0 325427 91003 Cella Robert J MD 37.50 X 0 404793 128230 Gavin James 37.50 X 0 394647 129780 Gianfagna Charles 37.50 X 0 219174 12265 Goldberg Jonathan 37.50 X 0 244807 30251 Golden Virginia 37.50 X 0 325564 146193 Gray Judith 37.50 X 0 273051 169256 Waring Sr Gail 37.50 X 0 0 0 Whelan Michael F 37.50 X 0 184291 21183 Genovese Frank MD 37.50 X 420662 0 16935 Margono Franz MD 37.50 X 412467 0 26061 McCormack Thomas MD 37.50 X 415552 0 25946 Moores Darroch MD 37.50 X 659160 0 11489 Sunkin Arthur MD 37.50 X 446532 0 28187 2354373 4151179 889919 165 0 1 0 BBL LLC PO Box 12789 Albany NY 122122789 Construction 23118040 Sodexho Inc PO Box 905374 Charlotte NC 282905374 Food Service/Transportation 5705321 Siemens Med Solutions USA Dept 40065 Atlanta GA 311920065 Integrated Service MGT 4642779 Albany Cardiothoracic Surgeons 319 South Manning Blvd Suite 110 albany NY 12208 Cardiothoracic Surgeons 3027056 Nursefinders of Albany PO BOX 901738 DALLAS TX 753910738 Nurses and Nurses Aides 2192325 46 1983264 429891 2413155 Inpatient Services 900099 271221872 271221872 Outpatient Services 621400 165064690 165064690 436286562 1307308 1307308 310737 688849 -378112 -378112 -378112 948094 0 948094 948094 948094 Lab Services & Other S 900099 4801027 4801027 Cafeteria 722210 2318059 2318059 Environmental 900099 797332 797332 5056250 5056250 12972668 453549675 436286562 4801027 10048931 2462991 2462991 162139364 153477048 8662316 9729568 7992506 1737062 11215101 9798503 1416598 11319633 10777226 542407 792450 116750 675700 12611963 12611963 2518834 2518826 8 7084098 4780034 2304064 11234487 125811 11108676 10377188 9028508 1348680 604088 540297 63791 11181771 11181771 26711257 16807497 9903760 4063735 4063735 Medical Supplies 80324134 80324134 Provision For Bad Debt 20400681 2312362 18088319 Drugs 17951211 17951211 Purchased Services 12862234 10716209 2146025 28478213 14572926 13905287 444063001 360978537 83084464 0 98485387 85697760 40741093 43214999 4084105 4770767 9492117 9761284 634474783 310698569 301544111 323776214 53678941 53961699 33865791 61126179 541891545 582308902 56715003 33447806 220704278 255114893 57292639 60594803 334711920 349157502 X 178944057 221161794 21914975 5959384 6320593 6030222 207179625 233151400 541891545 582308902 X 9486674 16485101 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7064097 517751 -185974 687291 48975 6659608 6686626 634617 685351 898719 43778 7064097 5774700 766742 1141314 956904 39226 6686626 7782404 535897 -1676409 824408 42784 5774700 0.87000 0.13000 0 0 14140193 14140193 335533533 109409687 226123846 259067700 199646131 59421569 25733357 1642751 24090606 323776214 Investment (Equities) 8446968 C Board Designated (Equities) 5566488 C Donor Restricted (Equities) 3804525 C Trustee Held Funds 36143718 C 53961699 Interest in Net Assets of the Foundation 31965782 LT SWAP Program CHE-Market Valuation 174588 Deposits and Advances 700273 Due From Affiliates 3760397 Miscellaneous Receivables 404060 Workers Comp-Insurance Receivable 3409000 Medical Malpractice-Insurance Recoverable 19564000 Investment in Ambulatory Surgery Center 1148079 61126179 AR Credit Balances 1680521 Current Portion of Pension Liability 7133618 Estimated Workers Compensation Payable 3409000 Estimated Reserve 5261000 Other Current Liabilities 2590152 Other Long Term Liabilities 20480135 Estimated Payable to Third Party 12075167 Estimated Workers Compensation Reserve 4953977 Other Long Term Liabilities Deferred 3011233 60594803 453549675 444063001 9486674 -1875000 18360101 16485101 25971775 454027241 2732968 2732968 451294273 2255402 2255402 453549675 446795969 2732968 2732968 444063001 0 444063001 Description of Intended Use of Endowment Funds: Part V, Line 4: -Cancer treatment and study; along with equipment and maintenance. -Support ongoing operations for Becky's House patients and families. -Nursing scholarships for employees. Part XI, Line 8 - Other Adjustments: Pension adjustment 13,001,000. Other adjustments 2,410,217. Contributions 531,884. Change in beneficial restricted interest of the Foundation 2,565,000. Net assets released from restrictions for operations -484,000. Realized gains of investments 336,000. Total to Schedule D, Part XI, Line 8: 18,360,101. Part XII, Line 2d - Other Adjustments: Medical Office Building(MOB) Expense offset in Revenue 688,849. Other expense offset in Revenue 2,044,119. Part XII, Line 4b - Other Adjustments: Unrealized (Loss) on Investment 2,255,402. Part XIII, Line 2d - Other Adjustments: Medical Office Building(MOB) Expense offset in Revenue 2,732,968. 1 1 1 X 1 X 1 1 1 0 1 1 4094185 547837 3546348 0.00840 53116110 40425092 12691018 0.03000 57210295 40972929 16237366 0.03840 412681 54132 358549 0.00080 2785564 1605595 1179969 0.00280 1524038 1511255 12783 0.00000 20942 20942 0.00000 4743225 3170982 1572243 0.00360 61953520 44143911 17809609 0.04200 335 335 0.00000 439 439 0.00000 3189 3189 0.00000 3963 3963 1 6837119 4241192 90482152 107024777 -16542625 X 1 1 1 St Peter's Surgery and Endoscopy Center Surgery Center 0.50000 0.00000 0.50000 1 1 StPeter's Hospital

315 South Manning Blvd Albany NY 12208

X X X X St Peter's Hospital 1 1 1 200.000000000000 1 400.000000000000 1 X X X X 1 1 X X X X X 1 0 1 X X 0 0 24 OP Medical Imaging

319 South Manning Blvd Albany NY 12208

Medical Imaging, Breast Center, Labs Cancer Care - Radiation Oncology

317 South Manning Blvd Albany NY 12208

Cancer Treatment and Oncology Home Care

159 Wolf Road Albany NY 12205

Home Care Services SPARC - Guilderland

3 Mercycare Lane Guilderland NY 12084

Inpatient Rehabilitation Service for Addictions Sleep Center

1 Pine West Plaza Wash Ave Ext Albany NY 11208

Education & Sleep Studies St Peter's Surgery and Endoscopy Center

1375 Washington Ave Suite 201 Albany NY 12206

Ambulatory Surgery Center Family Health Center

326 South Pearl St Albany NY 11208

Adult Medicine, Pediatrics, OB/GYN Services Dental - POB

1092 Madison Ave Albany NY 11208

Dental Clinic & Van SPARC 2nd Avenue

64 Second Avenue Albany NY 12202

Addictions OP Services Men's Half Way House SPARC - Ballston SPA

431 Geiser Road Balston SPA NY 12020

Addictions Outpatient Services SPARC - Rotterdam

2925 Hamburg Street Rotterdam NY 12306

Addictions Outpatient Services SPARC - Central

845 Central Ave Albany NY 12205

Addictions Outpatient Services SPARC Latham

636 New Loudon Road Latham NY 12110

Addictions Outpatient Services SPARC Cohoes

50 Remsen St Cohoes NY 12047

Addictions Outpatient Services Slingerlands

1240 New Scotland Rd Slingerlands NY 12208

Rehab, Speech & Audiology Life Line

301 Hackett Blvd Albany NY 12208

Personal Emergency Response monitoring Cardiac Rehab

400 Patroon Creek Albany NY 11208

Cardiac Rehabilitation Rensselaer Health Center

53 Columbia Street Rensselaer NY 12144

Adult/Medicine Peds & Dental Siena Student Center

515 Loudon Road Loudonville NY 12211

College Student Health Services ALS

19 WAREHOUSE RD Albany NY 12208

Outpatient Services for ALS Patients Patient Service Center

1365 Washington Ave Albany NY 12205

Labs Patient Service Center

62 Hackett Blvd Albany NY 12208

Labs St Peter's Breast Center

1365 Washington Ave Albany NY 12206

Diagnostic Center SPH Spine and Neurosurgery

1182 Troy-Schectady Rd Latham NY 12110

Spec In Spine & Neurology Cond Part I, Line 3c: An annual community benefit report is required by New York State. A Comprehensive Community Service Plan (CSP) is due every three years. A CSP Update is due annually. St. Peter's is also required annually to provide a Community Benefit Report to Catholic Health East. Part I, Line 6a: An annual community benefit report is required by New York State. There are 3 links on our website that the Public may refer to for the Community Benefit Report. A Comprehensive Community Service Plan (CSP) is due and submitted every three years. A CSP Update is due and submitted annually. St. Peter's is also required annually to provide a Community Benefit Report to Catholic Health East. Part I, Line 7: Charity care is free or discounted health services provided to persons who cannot afford to pay and who meet the organizations financial assistance policy criteria. Charity care is reported in terms of costs, not charges. Community benefits are programs or activities that provide treatment or promote health and healing as a response to identified community needs and meet at least one of these objectives:-Improve access to health care service-Enhance the health of the community-Advance medical or health care knowledge-Relieve or reduce the burden of government or other community efforts.The costing methodology utilizes general ledger data to develop a ratio-of-cost-to-charge by service department and patient accounting billing data for service utilization, payments and payor identification to approximate a Medicare Cost Reporting costing methodology to the extent reasonable. This ratio of cost to charges (RCC) based methodology produces a revenue and cost estimate by payor and service adjusting for costs reported elsewhere in Schedule H. Part I, Line 7g: Subsidized health services are clinical programs that are provided despite a financial loss so significant that negative margins remain after removing the effects of charity care, bad debt and Medicaid shortfalls. Programs included in subsidized health services ($1,179,969) are part of the St. Peter's Ambulatory Care Network:-St. Peter's Rensselaer Health Center Medical Services-St. Peter's Rensselaer Health Center Dental Services-St. Peter's Family Health Center OB/GYN Services-St. Peter's Family Health Center Pediatric Services-St. Peter's Family Health Center Medical Services-St. Peter's Dental ServicesThe roots of the Ambulatory Care Network are in the St. Peter's Family Health Center. The South End community was unable to access primary/preventive health services and requested St. Peter's to invest in the people who were poor, uninsured and could not find a medical home in the private practice of physicians. There are no health centers in the South End of the City of Albany or in the City of Rensselaer that cares for poor, uninsured populations. The population of the City of Rensselaer, also poor and underserved, has frequented the Rensselaer Health Center since its founding in 1993. In 2007, a new clinic was built on Columbia Turnpike to serve this population with primary/preventive medical care and dental services that are not available in the city from other providers.The Ambulatory Care Network has extensive relationships with community agencies and relationships with referring organizations. These relationships are based in mutual education about health issues and community resources. Outreach to these agencies and organizations helps to enhance the capacity of the community to both refer and access services. St. Peter's Dental Health Services has provided high-quality, cost-effective, comprehensive dental health care to the Capital Region for more than 20 years. St. Peter's Hospital operates two dental clinics, a Ronald McDonald Care Mobile serving inner-city children, and a fully accredited General Practice Dental Residency Program. The programs serve a diverse client population, welcoming all regardless of needs or ability to pay. Our clinics experience a combined volume of more than 17,000 visits annually. Our clients include children, the elderly, and people with physical or mental special needs. Through extended office hours, a mobile dental van, and cooperative relationships with our Emergency Department, our two nursing homes, and the Center for Disability Services, we provide access to our community's most vulnerable residents.While our region continues to be tragically underserved in terms of dental services for patients enrolled in public health insurance programs, the St. Peter's Hospital Dental Program has made great strides in increasing access to care for these individuals. Part I, L7 Col(f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $20,400,681. Part II: Programs listed under Community Building Activities (F) in CBISA:Leadership Development / Training for Community MembersLeadership Development Specialist participates in the American Society of Training and Development annual conference on Workplace Learning and Performance - local chapter committee preparation. The training promoted the health of the communities we serve by providing skill building training on topics that help people be effective with patients, physicians, and co-workers. These effective relationships then enhance the experience and healing of the patients in our health care settings. The topics included communication, team work, leadership skills, dealing with different generations, and conflict resolution. Asthma CoalitionSt. Peter's Staff participates on a steering committee on a monthly basis to coordinate community activities related to Asthma for the Underinsured and Uninsured children of the capital region. HCDI - Healthy Capital District Initiative Board The Healthy Capital District Initiative (HCDI) is a not for profit that has helped over 35,000 needy children and adults in the capital region get health services that they might not have accessed otherwise. Healthy Capital District Initiative (HCDI) represents an ongoing partnership effort to develop a strategic action work plan designed to improve the health of the residents of the Albany, Schenectady and Rensselaer Counties. HCDI was undertaken in the spirit of Communities Working Together For A Healthier New York, an initiative to use community forums to identify high-priority health concerns.Facilitated Enrollment Services - through St. Peter's participation on HCDI - Healthy Capital District InitiativeImprove access to care through enrollment in- Family Health Plus- Child Health Plus A (Medicaid)- Child Health Plus B (HMOs)Number Enrolled - Medicaid 1806- CHP - B 527- Children 1796- Adult 1400Children's Oral Health through St. Peter's participation on HCDI - Healthy Capital District InitiativeReduce oral health disparity in children - Total Children Seen 3190- Total Children Visits 5065- Total Child sealants 1346- 40 Schools & Head Start programs servedLeukemia & Lymphoma Society BoardExecutive Director on Board of Leukemia & Lymphoma Society NY/VT Chapter attended Board meeting 5:30 - 7:30 PM at Krause Center 2212 Burdett Avenue, Troy.It is also important to note the following activities as part of Coalition Building:St. Peter's Addiction Recovery Center & Homelessness ProgramAlbany County Rapid Re-housing Program. St. Peter's Addiction Recovery Center worked collaboratively with Legal Aid Society of Northeastern New York, Albany Housing Coalition, St. Catherine's Center for Children (Marillac Shelter) and Albany County DSS to write a grant to help individuals and families who are in Albany County Homeless Shelters move into units of permanent housing and help supplement the cost of the rent up to 12 months. The grant was awarded and SPARC (along with the Legal Aid Society, St. Catherine's and The Housing Coalition) hired a case manager to work with this population. In 2011, the program maintained a full caseload of 80.The Addiction Recovery Center for Healing (ARCH). St. Catherine's Center for Children (Marillac Shelter), SPARC, Clear View Center and Advocates for Human Potential worked collaboratively and were awarded the ARCH grant. The ARCH program will provide approximately sixty heads of homeless households (with dependent children) annually with substance abuse treatment, mental health/trauma treatment and case management services in Albany County. SPARC will provide a full-time clinician to help provide these services. This grant started January 2010. This program case managed and provided services to 84 homeless families in 2011. Patient Services Coordinating Committee-This county wide committee includes substance abuse providers, mental health agencies, homelessness service providers, hospitals, police officers, ambulance workers and other providers in the community to work with the people who have traditionally been the highest users of services in the area, but least successful. The goal is to help coordinate the care amongst all providers to ensure a strong continuity of services. This committee was developed approximately four years ago and SPARC has been an active participant since it started.In 2011, St. Peter's:- Sheltered 256 Homeless in the St. Peter's Morton Avenue Shelter (11 beds facility)- Discharged 58 Shelter Residents to Permanent Housing- Referred 170 Shelter Residents to employment services- Maintained a 22 bed Men's Residence - Number of clients sheltered 91- Discharged 62 clients of Men's residence to permanent housing- Assisted 80 Men's residence clients to obtain employmentCancer Care St. Peter's currently participates in both the Albany and Rensselaer County Cancer Services Program. The goal of this program is to build and maintain collaborative relationships with health, human service, education and other community organizations to provide and promote utilization of cancer screening services among the priority populations throughout the entire proposed service area. Quarterly meetings held to promote & plan for providing Cancer Services to the Community. Partners include the State, American Cancer Society, To Life, CRAAB, Fidelis, CDPHP, Bellevue Women's, Capital Imaging, Seton Health. St. Peter's Cancer Care, through our Community Outreach Nurse, is also working with The Lung Cancer Alliance's local staff to promote more educational information within the Capital District. In addition to the above, St. Peter's Cancer Care program is pursing a collaborative relationship with both Rensselaer and Albany Counties to inform them of the services available. The Cancer Program Outreach Nurse is a member of the Albany Network of Hispanic Service Providers and has been reaching out to a number of inner city church leaders for ideas on how to gain trust in the community to promote our early detection and education information. Breast Cancer-500 women receive Breast Patient Navigator Program Services-Over 700 uninsured and underinsured women (2011 YTD) received breast screenings through St. Peter's Hospital local administration of the NY State Cancer Services Program.-Multiple Breast Cancer awareness activities completed (Health fairs, Events, Screenings)Lung Cancer-The Butt Stops Here program: Cessation program and support group: >150 attendees YTD-Education and presentations on smoking prevention to >550 elementary to college-age students (Journey through the Body, June tenth Event, SUNY, Siena campuses).-"Ask, Advise and Refer" (in- and outpatient referral program) screens all patients entering SPH system.-Great American Smoke out: November 17thColorectal Cancer-Over 300 uninsured and underinsured men and women received colorectal cancer screening and/or follow-up through NY State Cancer Services Program.-Successful local initiation of "Main Street Goes Blue" project in Albany County during Colorectal Cancer Awareness Month: March 2011Cardiac Care.St. Peter's Health Care Services is a proud supporter of the American Heart Association in its mission to reduce death and disability from heart disease and stroke. We maintain a position on the executive board as well as champion many events and activities. Our partnership involves assisting with fund raising as well as providing education and awareness. Our efforts include top 3 fundraising team for the American Heart Walk and education sponsor for the go Red for Women event. We provide clinical experts for "Lunch and Learn" sessions at local organizations. We provide screenings so participants will "know their numbers" and can make lifestyle changes to reduce their risk of cardiovascular disease.Coronary Heart Disease-More than 80 Screenings completed with 2,427 people served-6 new clients engaged-CDPHP partnership with SPH as preferred provider of screeningsCONGESTIVE HEART FAILURE (CHF)-298 patients active-27/298 (9%) were readmitted-13/298 (4%) readmitted within 30 days-6/298 (2%) were readmitted within 30 days with CHF as primary diagnosis-3/298 (1%) were transitioned to hospice care on readmission-7/298 (2%admitted with another diagnosisDIABETES-Alert Day planned for 3/27/12.-Created information packet to be available for inpatient and ambulatory sites.-RD education focus with obesity, group and individual;-Diabetes Days initiated-AADE program development in progress, English and Spanish-OB Patient screening on 100% with referral to RD-BMI on adults and pediatrics-Family fun day held in October 2011 with Diabetes information given to community--Work with Albany County Health Department Strategic Alliance for Health re: healthy food choices in local markets, produce cart availability Part III, Line 4: "Bad Debt expense was reported by distinguishing between that portion of bad debt that resulted from contracted rates (ex. unpaid coinsurance, co-payments, deductibles) vs. that potion of bad debt estimated to be more representative of billed charges. Bad debt resulted from unpaid liabilities stemming from contractual arrangements was included as the full amount of bad debt recognized. That portion of bad debt estimated to be more representative of billed charges was reduced to an estimated cost based on an RCC by major service line (ex. inpatient, outpatient, home care). Part III, Line 8: "St. Peter's Hospital employs two methodologies for determining Lines 6 and 7. The first methodology utilizes general ledger data to develop and ratio-of-cost-to-charge and patient accounting billing data for service utilization and payments and payor to approximate a Medicare Cost Reporting costing methodology the extent reasonable. This RCC based methodology produces a revenue and cost estimate by payor adjusting for costs reported elsewhere in Schedule H. A second methodology is based on the Medicare Cost Report as originally filed. Costs and revenues are extracted from the applicable schedules to determine the total Medicare costs and revenue as determined by the filed cost report. These amounts are adjusted for Medicare amounts reported as subsidized services as determined by methodology one above and reported in Part I Line 7 of Schedule H.For this 2011 filed of form 990, the second methodology above was used to report Lines 6 and 7. Part III, Line 9b: "In order to preserve the dignity of patients and to facilitate the process of securing necessary information, SPH strongly prefers to perform financial screening upon scheduling, admission or registration (discharge processing in the ED) as part of the overall financial counseling process as described in the CHE Key Performance Indicator System policies.1. SPH refers patients who represent increased financial risk as a result of the amount they are expected to owe "out-of-pocket" to a Financial Counselor for assistance in applying for alternative payment programs, determining Charity Care eligibility, establishing payment plans or other payment arrangements. 2. SPH makes financial counseling services available to all patients. St. Peter's Hospital Part V, Section B, Line 13g: We provide information about availability of the financial assistance program on patient statements. St. Peter's Hospital Part V, Section B, Line 19d: The payment that St. Peter's Hospital accepts from the patient for a service should not exceed the payment the hospital would have received from Medicare. Patients who represent increased financial risk as a result of the amount they are expected to owe "out-of-pocket" may be referred to a Financial Counselor for assistance in applying for alternative payment programs (e.g., Medical Assistance), determining Charity Care eligibility, establishing payment plans or other financing arrangements. Financial Counseling services are made available to all elective, urgent and emergent patients. Part VI, Line 2: St. Peter's participates in collaborative planning through the Healthy Capital District Initiative (HCDI) to assess community health needs. As part of the Healthy Capital District Initiative, St. Peter's collaborated with local public health agencies, community agencies, the business community and other providers to create the 2009 Community Health Profile. HCDI member organizations include Albany County Department of Health, Albany Medical Center, Catholic Charities of the Catholic Diocese of Albany, Capital District Physicians' Health Plan, Ellis Hospital, Fidelis Care, Northeast Health/Samaritan Hospital/Albany Memorial Hospital, Rensselaer County Department of Health, Schenectady County Public Health Services, Senior Whole Health, Seton Health/St. Mary's Hospital, St. Peter's Health Care Services, Whitney M. Young, Jr. Health Services. St Peter's administered a paper and pencil community needs assessment that targeted the five zip code areas that represented communities with the highest Community Need Index scores (12202, 12204, 12206, 12210, 12144). The five zip codes are located in the primary service area of St. Peter's Hospital and are within a five mile radius of the hospital. St. Peter's participates in the Albany County Strategic Alliance for Health initiative intended to combat the concurrent epidemics of cardiovascular disease, diabetes, and obesity. In collaboration with the Healthy Capital District Initiative, St. Peter's participated in the production of a televised Community Health Forum to provide citizen input to the state-mandated Community Health Assessment. The one-hour program featured a studio audience of about 80 public health experts and stakeholders as well as a broad range of consumers from the three counties. Also call-in questions and comments from viewers were broadcast live. Part VI, Line 3: As members of the Catholic healthcare ministry who are deeply committed to caring for those who are poor, St. Peter's Hospital has established respectful and effective procedures for addressing the needs of those persons who are unable to pay for all or most of their care. Patients who represent increased financial risk as a result of the amount they are expected to owe "out-of-pocket" are referred to a Financial Counselor for assistance in determining Charity Care eligibility.As a not-for-profit Catholic Healthcare facility St. Peter's has remained consistent in the administration of our charity care program. St. Peter's prides itself on providing free and reduced health care services to those who are in need that live in our community. Annually, St. Peter's budgets an amount for Community Benefit, which includes our financial aid program. The improvements implemented to the Hospital's existing Charity Care policy are simply advising the patients and their families of the availability of our programs. This information is posted throughout the facility, on our user-friendly web site, on all patient-billing statements, in the Ambulatory Care Network clinics and by word-of-mouth.St. Peter's has a number of programs in place to provide comprehensive financial counseling to our patients. Uninsured patients are screened by a financial counselor at the point of registration to identify which type of program they may be eligible. In 2009, St. Peter's invested in software to enable us to improve the up-front financial counseling process to validate patient information upon registration which enables us to assist patients who need it most in real-time without any delay.We have formed a Charity Care workgroup which meets bi-weekly to review Charity Care cases that assist us to continually improve our systems and processes to best serve the needs of the most vulnerable. The greatest challenges regarding St. Peter's Financial Aid Program has always been to encourage the patients to complete the Charity Care application along with providing any documentation that demonstrates the patients' income levels. Ongoing patient education is required in order for us to make a determination on providing free or reduced cost care. More information about our Charity Care program is available at www.sphcs.org/CharityCare.Public notice of the availability of financial assistance is made through each of the following means:- Notices are posted in a visible manner in locations where there is a high volume of inpatient or outpatient admitting/registration, such as emergency departments, billing offices, admitting offices, and hospital outpatient service settings.-Information regarding financial aid (Charity Care) is included on all patient liability statements (bills) and statements sent to patients indicating: a) that if the patient meets certain income requirements that the patient may be eligible for a government sponsored program or for financial assistance from the hospital, and b) a hospital contact name and phone number that patients may call in order to gain information on the hospital's Charity Care, reduced payment, and other financial assistance policies.-Availability of assistance, contact names and phone numbers posted on St. Peter's Hospital web site.-Uninsured patients are provided with a copy of the Charity Care Application and Brochure upon registration.-St. Peter's annually makes available to the public on a reasonable basis the costs of charity care provided and the unreimbursed costs of care provided to beneficiaries of government programs that serve the poor.-Posted notices are in the primary language(s) of the service area and in a manner consistent with all applicable federal and state laws and regulations. Part VI, Line 4: "St. Peter's identifies Albany and Rensselaer Counties as its primary services areas and portions of Schenectady, Saratoga and Columbia Greene Counties for its secondary service areas in planning for the Community Service Plan. St. Peter's Hospital defines its Primary Service Area as the zip codes that account for the top 65% of inpatient discharges and its secondary service area as the zip codes that make up the next 15% of inpatient discharges. This method of defining the service area is the standard used by the corporate governing body of St. Peter's Hospital.St. Peter's Hospital is located in Albany, the County Seat and State capital of NY near the states eastern border. Over 40% of St. Peter's 2004 inpatients resided in Albany zip codes. In general, persons in the community served by St. Peter's tend to be better educated and have a higher income than those in the U.S. as a whole and the state of NY. There is a lower rate of unemployment and fewer persons without health insurance than the state or national comparisons. There are 191,936 families in the service area, 16.1% of which are single parent families. (U.S. 15.7%). There are 336,040 housing units in the service area. 57.9% are owner occupied, 34.6% are renter occupied and 7.5% are vacant. (U.S. 59.9%, 30.4%, and 9.7% respectively). 7.0 % of families live below the poverty level, compared to 7.7% of all Albany County families and 11.7% of all families residing in NY. (U.S. 9.0%). 14.6% of area residents aged 25 or older have not graduated from high school, compared to 13.8% of Albany County adults and 21.0% of adults statewide. (U.S. 19.4%). 29.3% of residents aged 25 or older have received Bachelors Degrees, compared to 33.4% of Albany County adults and 27.3% of adults statewide. (U.S. 25.6%). The unemployment rate in the service area is 5.6%, which is lower than the county level of 7.1% and the states level, also 7.1% (U.S. 5.7%). In 2004, 15.0% of NY residents had no health insurance; 8.6% of children had no health insurance. In 2003, 8.3% of Albany County residents had no health insurance. (www.health.state.ny.us/nysdoh/brfss/expanded/2003/docs/rptstlocreg.pdf) In aggregate, 18% of non-elderly adults and 12% of children are uninsured in the United States.Zip Code 12202 is located in the South End of Albany, population 10,000. Includes the Delaware Avenue community immigrant and refuge community. Median household income of $23,648, 55% are minority 34% of population without health insurance.10% unemployed. Industry: Port of Albany, Highway, Street and Bridge construction, waste collection.Zip Code 12204 is located in the North End of Albany, population 7,000. Median household income of $39,840, 39% are minority, 12% of population without health insurance, 6% unemployed. Industry: credit card issuing, Memorial Hospital, corporate officesZip Code 12206 is located in the West End of Albany, population 16,000. Median household income is $23,891, 48% minority, 30% of population without health insurance, 7% unemployed. Industry: home health care services, medical insurance carriers, restaurants, plumbing, heating and air conditioning contractors.Zip Code 12210 is located in Arbor Hill, population 9,000. Median household income of $28,668, 63% minority, 33% of population without health insurance, 7% unemployed. Industry: labor organizations, lawyers, business restaurants and drinking places.Zip Code 12214 is located in the City of Rensselaer and surrounding suburbs. Population 19,000. City of Rensselaer is poorer. Median household income of $47,833, 12% minority, 9% without health insurance, 4% unemployed. Industry: Research and Development in the physical, engineering and life sciences, technology. Part VI, Line 5: In February 2011, St. Peter's Cancer Care Center hosted the Clinical Breast Exam (CBE) Skills Update Training through the University at Albany School of Public Health. This free training was offered to Registered Nurses, Physicians Assistants, Nurse Practitioners and Physicians administering clinical breast exams to women. At the end of this program participants were able to:Describe the epidemiology of breast cancer.-List the breast cancer risk factors.-Identify the goals and guidelines for breast cancer screening.-List the components that the practitioner will perform in the clinical breast exam and demonstrate a comprehensive clinical breast exam.-Define abnormal variations in breast tissue.-Explain to the patient how to do a breast self exam.D-Document a comprehensive history and the findings of a comprehensive clinical breast exam.St. Peter's supports the federal government's initiative Healthy People 2010 - a set of health objectives for the nation to achieve over the first decade of the new century. Healthy People 2010 is a broad-based collaborative effort among government, private, public and non profit organizations with a set of national disease prevention and health promotion objectives. The effort has two overarching goals: to increase the quality and length of healthy life and to eliminate health disparities.As part of the Healthy Capital District Initiative, St. Peter's collaborates with local public health agencies, community agencies, the business community and other providers to improve the health status of Capital Region residents. Patient needs identified as part of the community planning process include Access to Quality Health Care and Chronic Diseases. St. Peter's has incorporated this information in its planning process.In addition to these ongoing community planning processes, St. Peter's developed a ten-year strategic planning process in 2008, focused on the care, services and structure necessary to meet community needs in the next decade. The process included review of a comprehensive community needs assessment, current market and demographic data and numerous focus groups of key stakeholders; the sponsors, Board members, physicians and management staff.In addressing the Prevention Agenda, St. Peter's Health Care Services will address the priorities of Access to Quality Health Care and Chronic Disease with a focus on health coverage, dental care, breast cancer, lung cancer, colorectal cancer, diabetes, coronary heart disease and congestive heart failure through our goal to reach out to those most in need in order to demonstrate an improvement in the health of the vulnerable populations in the communities we serve.In collaboration with our community partners, we are committed to:-Increase the percentage of adult New Yorkers with health coverage-Increase the percentage of adults who see a dentist-Increase the percentage of breast cancer cases diagnosed at an early stage-Reduce the incidence of lung cancer-Reduce the prevalence of adults with diabetes and hospital complications of Diabetes-Reduce mortality rate for colorectal cancer-Reduce coronary heart disease hospitalizations-Reduce CHF hospitalization rate3/29/2012 St. Peter's provided Open Medical Staff Grand Rounds in 2011 on the following topics:-Overview of Hyperbaric Oxygen Therapy-Parathyroid Carcinoma with Hypercalcemia-Vitamin D - What the Clinician Needs to Know-ID Case Presentations: Evidence-Based Concepts and Strategies-Dynamic MR Imaging of Pelvic Floor Laxity in Women-Hey Sugar, What's New-Haiti Experience-A Looming Crisis in our ICU - Can We Meet the Demand-A New Era in Atrial Fibrillation Treatment-Diagnosis, Differential Diagnosis and Treatments for Rheumatoid Arthritis-Melanoma-Family Medicine Case Discussion: Duodenal Diverticulum with Sepsis-Update on Bladder Cancer Treatment Options-Palliative Care Pearls-Encephalopathy in the Hospital: A Closer Look-Culture Block: How Culture, Ethnic and Religious Beliefs and Traditions Affect a Patient's Medical Care and Compliance-Bariatric Surgery, An Overview-The Origins of Health: Exploring the Causes of Causes-Sepsis and Acute Kidney Injury-Treatment of Endometrial Cancer: State of the Art-Multidisciplinary Discussion: Blood Culture Negative Endocarditis-Treatment Decisions in Breast Cancer: The Importance of Stage-Hereditary Colorectal Cancer Syndromes-Endocrine Diseases from Head to Toe (Feet First)-NYS Mandated Infection Control Training Program-Renal Cysts: Work Up and Management-Pseudo tumor Cerebri Associated with Lyme Disease-Ampullary Cancer-Spirituality & Health: Is this a match made in heaven Part VI, Line 6: As a member of Catholic Health East, our Vision, Mission and Core Values compel us to identify unmet community needs to demonstrably improve the health of vulnerable populations. In 2011, Catholic Health East provided over $74,085,000 in community benefit programs and services. But faces speak louder than numbers. Individuals and families whose lives have been touched-and changed through interaction with our ministry's community benefit programs and services - are the guiding force to continue to serve our communities. Remaining faithful to extending the mission of person-centered care, especially for those who poor in a changing economic and political environment, CHE strives to expand its participation in the community benefit process with a partnership in assessing the need, planning, implementing and evaluation of the community benefit provided at each Regional Health Corporation (i.e. St. Peter's)Community benefit is grounded in the belief that those living in poverty have a moral priority for services. Programs designed to increase access to health care and to improve the health and lives of low-income and homeless persons should have top priority. Not-for-profit health care also has a responsibility to work to improve health in communities by focusing on programs addressing underlying causes of health problems and collaborating with others to make the community a healthier place to live and work.Those living in poverty have a moral priority for services. As a not-for-profit organization we have a responsibility to improve the health of all the communities we serve, partner with community organizations and community members to improve the health services to our communities and demonstrate how our work has added value to the communities we serve. Reports Filed With States Part VI, Line 7 NY 0 1 0 0 0 0 0 0 0 Boyle Steven 0 550014 0 267101 0 52159 0 11025 0 4387 0 884686 0 0 Reed James K MD 0 493493 0 289859 0 31924 0 19524 0 18204 0 853004 0 0 Brodbeck Kathleen J 0 261271 0 62848 0 1308 0 76826 0 14177 0 416430 0 0 Cella Robert J MD 0 306033 0 77524 0 21236 0 117826 0 10404 0 533023 0 0 Gavin James 0 290196 0 73799 0 30652 0 113976 0 15804 0 524427 0 0 Gianfagna Charles 0 159799 0 49084 0 10291 0 0 0 12265 0 231439 0 0 Goldberg Jonathan 0 210381 0 29979 0 4447 0 10816 0 19435 0 275058 0 0 Golden Virginia 0 259889 0 62848 0 2827 0 126087 0 20106 0 471757 0 0 Gray Judith 0 210038 0 51826 0 11187 0 146193 0 23063 0 442307 0 0 Waring Sr Gail 0 0 0 0 0 0 0 0 0 0 0 0 Whelan Michael F 0 178406 0 4275 0 1610 0 2788 0 18395 0 205474 0 0 Genovese Frank MD 418438 0 0 0 2224 0 1838 0 15097 0 437597 0 0 0 Margono Franz MD 393180 0 0 0 19287 0 6738 0 19323 0 438528 0 0 0 McCormack Thomas MD 411434 0 0 0 4118 0 1838 0 24108 0 441498 0 0 0 Moores Darroch MD 636570 0 0 0 22590 0 0 0 11489 0 670649 0 0 0 Sunkin Arthur MD 425636 0 0 0 20896 0 7840 0 20347 0 474719 0 0 0 Part I, Line 3 The organization's Top Management Officials - Steven Boyle, CEO, James Reed, President, and Jonathan Goldberg, CIO are compensated by a related organization. The organization relies on a related organization, CHE, which uses the following methods to establish its compensation: - Compensation committee - Independent compensation consultant - Written employment contract - Compensation survey - Approval by the board or compensation committee On an annual basis, the organization uses an independent compensation consultant to review the salaries for its executive staff and ensure they are paid within market. In addition, a compensation committee reviews this information annually and it is then approved by the board or compensation committee. Finally, executives receive a written letter outlining the specifics of their compensation. Part I, Line 4b Supplemental Executive Retirement Plan will provide benefits to certain key executive employees of SPHCS. The Trustee is Charles Schwab Trust Company. The plan type is a 457(f) plan funded through a Rabbi Trust. See Part V 522015750 012440LC5 2008-01-30 173524283 See Part V SERIES 2008A 0 0 0 See Part V 522015750 012440KF9 2008-01-30 4375800 See Part V SERIES 2008B 0 0 0 See Part V 522015750 012440JW4 2008-01-30 16503970 See Part V SERIES 2008C 0 0 0 See Part V 522015750 012440KQ5 2008-01-30 15708521 See Part V SERIES 2008D 0 0 0 8450000 173524283 13307063 18149210 5592535 132399858 2538746 1536871 2011 1 0 0 1 385000 4375800 329290 211744 130519 3513696 190551 2011 0 0 0 1 5090000 16503970 1636500 279366 14588104 2008 1 0 0 1 1305000 15708521 1169185 2427606 427954 11655809 27967 2011 0 0 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 1 MBIA 3.300000000000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Schedule K, Part I, Columns (a) & (f): CUSIP #: 012440LC5 Issuer name: City of Albany Industrial Development Agency. Description of purpose: To finance renovations, construction, improvements and equipping of certain areas of the Institution's facilites. Schedule K, Part I, Columns (a) & (f): CUSIP #: 012440KF9 Issuer name: City of Albany Industrial Development Agency. Description of purpose: To renovate, refurbish and equip certain clinical areas of the Institution's main hospital campus and acquire and install certain medical equipment. Schedule K, Part I, Columns (a) & (f): CUSIP #: 012440JW4 Issuer name: City of Albany Industrial Development Agency. Description of purpose: Refund the outstanding bonds, St. Peter's Hospital Project. Schedule K, Part I, Columns (a) & (f): CUSIP #: 012440KQ5 Issuer name: City of Albany Industrial Development Agency. Description of purpose: Construct and equip certain clinical portions of a new, approximately 273,000 square foot patient pavilion on the Institution's main hospital campus and to acquire and install certain medical equipment. Schedule K, Part I, Columns (a) & (f): CUSIP #: 012440LT8 Issuer name: City of Albany Industrial Development Agency. Description of purpose: Construct and equip certain clinical portions of a new, approximately 273,000 square foot patient pavilion on the Institution's main hospital campus and to acquire and install certain medical equipment. Schedule K, Part I, Columns (a) & (f): CUSIP #:012432AK6 Issuer name: City of Albany Industrial Development Agency. Description of purpose: Construction, renovations, improvements, and equipping of certain of the institution's clinical areas; including various capital projects at the hospital facilities. Schedule K, Part III, Lines 3a and 3b: The organization has entered into various management and service contracts as well as research agreements. Collectively, these contracts and agreements do not constitute an amount of private business use that exceeds the prescribed percentage. Schedule K, Part IV, Lines 4 a, b, c, d: Series A included an investment in a GIC for $71,496,200 with MBIA. As part of the Trust Indenture if a down grade occurred the agreement with MBIA and the investment in GIC would be terminated. A down grade occurred on 6/20/08 and the GIC investment was sold on 7/2/08 and the investment proceeds were invested in a US Government Money Market and remain in this investment vehicle at year end 12/31/11. See Part V 522015750 012440LT8 2008-01-30 20250744 See Part V SERIES 2008E 0 0 0 See Part V 522015750 012432AK6 2011-02-28 33491899 See Part V SERIES 2011 0 0 0 525000 20250744 1557706 3011425 648964 14565409 467240 2011 0 0 0 1 33491899 2750175 669838 22417893 7329695 2013 0 0 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 Times Union George Hearst, Board Member/Trustee 1020316 Publisher 0 Capital Region Urologist Stuart Rosenberg,Board Member/Physician 275000 Physician Surgeon 0 Form 990, Part VI, Line 16b: We follow CHE policy 213 and a specific policy for St. Peter's Hospital was adopted in 2009. The hospital has an interest in a joint venture. The Vice President of Operations and the CFO/Treasurer of the hospital particpate regularly in monthly meetings of the joint venture to evaluate the hospital's particpation in the venture. Form 990, Part VI, Section A, line 2 Directors James H. Puleo, M.D. and James V. Puleo, M.D. have a family relationship. Form 990, Part VI, Section A, line 4 The organization did make changes to its governing documents since the prior form 990 was filed. Effective October 1, 2011, the health systems of St. Peter's Health Care Services ("SPHCS"), Northeast Health ("NEH"), and Seton Health System, Inc. ("Seton") were merged by establishing St. Peter's Health Partners as the sole member of each. Catholic Health East ("CHE") is the sole member of St. Peter's Health Partners. As part of this merger, the organization's certificate of incorporation and bylaws were amended to reserve powers to St. Peter's Health Partners, CHE and the sponsoring organization. Form 990, Part VI, Section A, line 6 St. Peter's Health Care Services is the sole member. Form 990, Part VI, Section A, line 7a Yes. St. Peter's Health Partners has the power to elect the members of the governing body. Form 990, Part VI, Section A, line 7b St. Peter's Health Partners, Catholic Health East, and St. Peter's Health Care Services' sponsoring organization have limited reserved powers to approve certain decisions of the governing body. Form 990, Part VI, Section B, line 11 Form 990 was made available on the board website for all board members to review. Form 990, Part VI, Section B, line 12c Pursuant to 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 Governance Committee of the Board of Trustees. Summary information is reported to the entire Board and available to the Board throughout the year as business comes before the Board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the Board or an appropriate committee thereof comprised of dis-interested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the Board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request. Form 990, Part VI, Section B, line 15 The organization relies on CHE to determine compensation for the CEO, President and CIO of the organization. The CHE board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing the organization's roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes. The compensation of other officers and key employees of the organization are reviewed by an independent compensation consultant who reviews the salaries to ensure they are within market and market competitive. This is done on an annual basis, reviewed by either the organization's or a related organization's compensation committee and communicated to the other officers and key employees. Form 990, Part VI, Section C, line 19 Organizational Articles of Incorporation, Corporate Bylaws, governance policies believed to be of interest to the public, conflict-of-interest policy and IRS Form 990 are available upon request. FORM 990, PART VII,SECTION A: Individuals compensated by a related organization have responsibilities and perform services for several organizations within the health system. The amount of compensation appearing in Columns (E) and (F) reflect the services performed for the entire health system as a whole and not merely a single organization within the health system. FORM 990, PART VII,SECTION A: Sisters Gail Waring & Kay Graber - All money paid on behalf of the Sisters goes directly to their religious order on their behalf. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -1,875,000. Pension adjustment 13,001,000. Other adjustments 2,410,217. Contributions 531,884. Change in beneficial restricted interest of the Foundation 2,565,000. Net assets released from restrictions for operations -484,000. Realized gains of investments 336,000. Total to Form 990, Part XI, Line 5: 16,485,101. 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 Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square PA 19073 232929748 Management Services PA 501(c)(3) Line 11a, I 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 Catholic Health East 1 Mercy Health System of Maine 144 State Street Portland MA 04101 010484074 Management & Support Services ME 501(c)(3) Line 11c, III-FI Catholic Health East 1 Mercy Hospital 144 State Street Portland MA 04101 010211534 Hospital ME 501(c)(3) Line 3 Mercy Health System of Maine 1 St Peter's Health Partners 315 South Manning Blvd Albany NY 12208 453570715 Management & Support Services NY 501(c)(3) Line 11b, II Catholic Health East 1 St Peter's Health Care Services 315 South Manning Blvd Albany NY 12208 222702507 Management & Support Services NY 501(c)(3) Line 9 St Peter's Health Partners 1 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 St Peter's Health Care Services 1 Eddy Licensed Home Care Agency 433 River St Suite 3000 Troy NY 12180 141818568 Home Health NY 501(c)(3) Line 3 LTC(Eddy) Inc 1 The Community Hospice Foundation Inc 295 Valley View Blvd Rensselaer NY 12144 222692940 Fundraising & Public Relations NY 501(c)(3) Line 7 The Community Hospice Inc 1 The Community Hospice Inc 295 Valley View Blvd Rensselaer NY 12144 141608921 Serving seriously ill people & their families NY 501(c)(3) Line 3 St Peter's Health Care Services 1 Villa Mary Immaculate 301 Hackett Blvd Albany NY 12208 141438749 Nursing Home & Physical Rehab NY 501(c)(3) Line 3 St Peter's Hospital 1 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 St Peter's Health Care Services 1 Mercy Care for Kids Inc 310 South Manning Blvd Albany NY 12208 141717564 Day care center NY 501(c)(3) Line 9 St Peter's Health Care Services 1 Our Lady of Mercy Life Center 2 Mercycare Lane Guilderland NY 12084 141743506 Nursing Home Facility NY 501(c)(3) Line 3 St Peter's Health Care Services 1 St Peter's Auxiliary 315 South Manning Blvd Albany NY 01228 222843206 Auxiliary NY 501(c)(3) Line 11a, I St Peter's Health Care Services 1 Memorial Hospital Albany NY 600 Northern Blvd Albany NY 12204 141338457 General Hospital NY 501(c)(3) Line 3 Northeast Health Inc 1 Beechwood Inc 2212 Burdett Ave Troy NY 12180 141651563 Real estate holding NY 501(c)(2) N/A LTC (Eddy) Inc 1 Beverwyck Inc 40 Autumn Drive Slingerlands NY 12159 141717028 Independent/Assisted Living Retirement Community NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Capital Region Geriatric Center Inc 421 West Columbia St Cohoes NY 12047 141701597 Nursing Home NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Senior Care Connection Inc 504 State St Schenectady NY 12305 141708754 PACE Program NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Glen Eddy Inc One Glen Eddy Drive Niskayuna NY 12309 141794150 Independent/Assisted Living Community NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Hawthorne Ridge Inc 30 Community Way East Greenbush NY 12061 800102840 Independent/Assisted Living Retirement Community NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Heritage House Nursing Center Inc 2920 Tibbits Ave Troy NY 12180 141725101 Nursing home NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 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 LTC (Eddy) Inc 1 James A Eddy Memorial Geriatric Center Inc 2256 Burdett Ave Troy NY 12180 222570478 Nursing home NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 LTC (Eddy) Inc 2212 Burdett Ave Troy NY 12180 222564710 Elderly health/housing supporting org NY 501(c)(3) Line 11a, I Northeast Health Inc 1 The Marjorie Doyle Rockwell Center Inc 421 West Columbia St Cohoes NY 12047 141793885 Adult Home/Alzheimers NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Samaritan Hospital of Troy New York 2215 Burdett Ave Troy NY 12180 141338544 General hospital NY 501(c)(3) Line 3 Northeast Health Inc 1 Shaker Properties Inc 2212 Burdett Ave Troy NY 12180 223119822 Real Estate holding NY 501(c)(2) N/A Northeast Health Inc 1 Sunnyview Hospital & Rehabilitation Ctr 1270 Belmont Ave Schenectady NY 12308 141338386 Rehabilitation hospital NY 501(c)(3) Line 3 LTC (Eddy) Inc 1 Empire Home Infusion Service Inc 10 Blacksmith Drive Malta NY 12020 141795732 Home care NY 501(c)(3) Line 9 Home Aid Service of Eastern New York Inc 1 Samaritan Child Care Center Inc 2213 Burdett Ave Troy NY 12180 141710225 Child day care NY 501(c)(3) Line 9 Northeast Health Inc 1 The Northeast Health Foundation Inc 2224 Burdett Ave Troy NY 12180 222743478 Supporting foundation NY 501(c)(3) Line 7 Northeast Health Inc 1 Northeast Health Inc 2212 Burdett Ave Troy NY 12180 042450756 Supporting Organization NY 501(c)(3) Line 11b, II St Peter's Health Partners 1 Seton Health System Inc 1300 Massachusetts Avenue Troy NY 12180 141776186 Hospital NY 501(c)(3) Line 3 St Peter's Health Partners 1 Seton Auxiliary Inc 1300 Massachusetts Avenue Troy NY 12180 141505031 Supporting Organization NY 501(c)(3) Line 9 Seton Health System Inc 1 Seton Health at Schuyler Ridge Residential Healthcare 1 Abele Blvd Clifton Park NY 12065 141756230 Skilled Nursing NY 501(c)(3) Line 9 Seton Health System Inc 1 Seton Health Foundation 1300 Massachusetts Avenue Troy NY 12180 222345416 Supporting Organization NY 501(c)(3) Line 11a, I Seton Health System Inc 1 Seton Licensed Home Care Inc 1300 Massachusetts Avenue Troy NY 12180 141809134 Licensed Home Health Agency NY 501(c)(3) Line 3 Seton Health System Inc 1 Vincentian Health Services 1300 Massachusetts Avenue Troy NY 12180 141685163 Discontinued Operations NY 501(c)(3) Line 11a, I Seton Health System Inc 1 St Mary's Woodland Village Inc 1300 Massachusetts Avenue Troy NY 12180 141675183 Discontinued Operations NY 501(c)(3) Line 9 Seton Health System Inc 1 Brightside Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 042182395 Behavioral Care MA 501(c)(3) Line 9 Sisters of Providence Health System Inc 1 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 Sisters of Providence Health System Inc 1 Mercy Hospital Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 043398280 Acute Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 1 Mercy Specialist Physicians Inc c/o SPHS 1221 Main Street No 108 Holyoke MA 01040 264033168 Neurosurgery Medical Services MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 1 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 Sisters of Providence Health System Inc 1 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 Catholic Health East 1 McAuley Center Inc 275 Steele Road West Hartford CT 06117 061058086 Independent Living CT 501(c)(3) Line 9 Mercy Community Health Inc 1 Mercy Community Health Inc 2021 Albany Avenue West Hartford CT 06117 061492707 Management & Support Services CT 501(c)(3) Line 11a, I Catholic Health East 1 Mercy Community HomeCare Services 2021 Albany Avenue West Hartford CT 06117 061488137 In Home Health Care CT 501(c)(3) Line 9 Mercy Community Health Inc 1 Mercy Services 2021 Albany Avenue West Hartford CT 06117 061453323 Support Services CT 501(c)(3) Line 1 Mercy Community Health Inc 1 Mercyknoll Inc 2021 Albany Avenue West Hartford CT 06117 060757380 Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc 1 Saint Mary Home II Inc 2021 Albany Avenue West Hartford CT 06117 061164104 Elderly Care CT 501(c)(3) Line 3 Mercy Community Health Inc 1 St Mary Home Incorporated 2021 Albany Avenue West Hartford CT 06117 060646843 Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc 1 Mercy Healthcare Center 114 Wawbeek Avenue Tupper Lake NY 12986 150532211 Hospital NY 501(c)(3) Line 3 Catholic Health East 1 Mercy Uihlein Health Corporation 185 Old Military Road Lake Placid NY 12946 161535133 Hospital NY 501(c)(3) Line 11b, II Mercy Healthcare Center 1 Uihlein Mercy Center 185 Old Military Road Lake Placid NY 12946 150532190 Hospital NY 501(c)(3) Line 3 Mercy Healthcare Center 1 St James Mercy Foundation Inc 411 Canisteo Street Hornell NY 14843 161486437 Foundation NY 501(c)(3) Line 7 St James Mercy Health System Inc 1 St James Mercy Health System Inc 411 Canisteo Street Hornell NY 14843 223127184 Management & Support Services NY 501(c)(3) Line 11b, II Catholic Health East 1 St James Mercy Hospital 411 Canisteo Street Hornell NY 14843 160743310 Hospital NY 501(c)(3) Line 3 St James Mercy Health System Inc 1 Marian Community Hospital 100 Lincoln Avenue Carbondale PA 18407 240711230 Hospital PA 501(c)(3) Line 3 Maxis Health System 1 Marian Community Hospital Auxiliary 100 Lincoln Avenue Carbondale PA 18407 251874733 Fundraising PA 501(c)(3) Line 11b, II Maxis Health System 1 Maxis Foundation 100 Lincoln Avenue Carbondale PA 18407 232330090 Fundraising PA 501(c)(3) Line 11b, II Maxis Health System 1 Maxis Health System 100 Lincoln Avenue Carbondale PA 18407 911940902 Health Care System PA 501(c)(3) Line 11b, II Catholic Health East 1 Maxis Medical Services 100 Lincoln Avenue Carbondale PA 18407 232577185 Physician Practices PA 501(c)(3) Line 3 Maxis Health System 1 Tri-County Human Services Center Inc PO Box 517 Carbondale PA 18407 231938528 Behavioral Health Organization PA 501(c)(3) Line 7 Maxis Health System 1 Columbus Acquisition Corp 1160 Raymond Boulevard Newark NJ 07102 262616342 Inactive Entity NJ 501(c)(3) Line 9 Saint Michaels Medical Center 1 Saint Michaels Medical Center 111 Central Avenue Newark NJ 07102 262616046 Hospital NJ 501(c)(3) Line 3 Catholic Health East 1 St James Care Inc 1160 Raymond Boulevard Newark NJ 07102 262616230 Inactive Entity NJ 501(c)(3) Line 9 Saint Michaels Medical Center 1 St Michaels Medical Center Foundation 1160 Raymond Boulevard Newark NJ 07102 223311976 Foundation NJ 501(c)(3) Line 11a, I Saint Michaels Medical Center 1 University Heights Property Company Inc 1160 Raymond Boulevard Newark NJ 07102 223100162 Medical Property Holding Company NJ 501(c)(2) N/A Saint Michaels Medical Center 1 Life St Francis Corporation 601 Hamilton Avenue Trenton NJ 08629 222797282 Health Services NJ 501(c)(3) Line 11a, I St Francis Medical Center Trenton NJ 1 St Francis Medical Center Foundation NJ 601 Hamilton Avenue Trenton NJ 08629 521025476 Foundation NJ 501(c)(3) Line 11a, I St Francis Medical Center Trenton NJ 1 St Francis Medical Center Trenton NJ 601 Hamilton Avenue Trenton NJ 08629 223431049 Hospital NJ 501(c)(3) Line 3 Catholic Health East 1 Langhorne MRI Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232519529 Inactive Entity PA 501(c)(3) Line 9 St Mary Medical Center 1 Langhorne Physician Services Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232571699 Physician Services PA 501(c)(3) Line 9 St Mary Medical Center 1 LIFE St Mary 1201 Langhorne-Newtown Road Langhorne PA 19047 262976184 Elderly Care PA 501(c)(3) Line 9 St Mary Medical Center 1 St Mary Medical Center 1201 Langhorne-Newtown Road Langhorne PA 19047 231913910 Hospital PA 501(c)(3) Line 3 Catholic Health East 1 St Mary Medical Center Foundation Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232567468 Foundation PA 501(c)(3) Line 7 St Mary Medical Center 1 East Norriton Physician Services c/o One West Elm Street Conshohocken PA 19428 232515999 Physician Services PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 Mercy Catholic Medical Center of Southeastern Pennsylvania One West Elm Street Conshohocken PA 19428 231352191 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 Mercy Family Support 1001 Baltimore Pike Suite 301 Springfield PA 19064 232325059 Home Health PA 501(c)(3) Line 9 Mercy Health System of Southeastern Pennsylvania 1 Mercy Health Foundation of Southeastern Pennsylvania c/o MHS One West Elm Street Conshohocken PA 19428 232829864 Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Mercy Health Plan c/o One West Elm Street Conshohocken PA 19428 222483605 Health Plans PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Mercy Health System of Southeastern Pennsylvania One West Elm Street Conshohocken PA 19428 232212638 Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East 1 Mercy Home Health 1001 Baltimore Pike Suite 310 Springfield PA 19064 231352099 Home Health PA 501(c)(3) Line 9 Mercy Health System of Southeastern Pennsylvania 1 Mercy Home Health Services 1001 Baltimore Pike Suite 301 Springfield PA 19064 232325058 Home Health PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Mercy Management of Southeastern Pennsylvania One West Elm Street Conshohocken PA 19428 232627944 Physician Practices PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Mercy Suburban Hospital One West Elm Street Conshohocken PA 19428 231396763 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 Nazareth Health Care Foundation 2701 Holme Avenue Philadelphia PA 19152 232300951 Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Nazareth Hospital 2601 Holme Avenue Philadelphia PA 19152 232794121 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 Nazareth Physician Services Inc 2601 Holme Avenue Philadelphia PA 19152 203261266 Physician Practices PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 NE Physician Services 2601 Holme Avenue Philadelphia PA 19152 232497355 Physician Practices PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 St Agnes Continuing Care Center 1900 S Broad Street Philadelphia PA 19145 232840137 Continuing Care Services PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 St Agnes Continuing Care Center Foundation 1900 S Broad Street Philadelphia PA 19145 232415137 Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Life at Lourdes Inc 1600 Haddon Avenue Camden NJ 08108 261854750 Elderly Care NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 1 Lourdes Ancillary Services 1600 Haddon Avenue Camden NJ 08103 222568525 Supporting Organization NJ 501(c)(3) Line 11b, II Our Lady of Lourdes Health Care Services 1 Lourdes Dialysis at Innova Inc 1600 Haddon Avenue Camden NJ 08108 263237625 Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 1 Lourdes Medical Center Burlington County 218 Sunset Road Willingboro NJ 08046 223612265 Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 1 Our Lady of Lourdes Health Care Services 1600 Haddon Avenue Camden NJ 08103 222568528 Management & Support Services NJ 501(c)(3) Line 11b, II Catholic Health East 1 Our Lady of Lourdes Health Foundation Inc 1600 Haddon Avenue Camden NJ 08103 222351960 Foundation NJ 501(c)(3) Line 7 Our Lady of Lourdes Health Care Services 1 Our Lady of Lourdes Medical Center 1600 Haddon Avenue Camden NJ 08103 210635001 Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 1 Franciscan Eldercare Corporation PO Box 2500 Wilmington DE 19805 223008680 Eldercare DE 501(c)(3) Line 9 St Francis Hospital 1 St Francis Foundation PO Box 2500 Wilmington DE 19805 510374158 Foundation DE 501(c)(3) Line 11b, II St Francis Hospital 1 St Francis Hospital PO Box 2500 Wilmington DE 19805 510064326 Hospital DE 501(c)(3) Line 3 Catholic Health East 1 LIFE at St Francis Healthcare Inc 7th Clayton Streets Wilmington DE 19805 452569214 Elderly Care DE 501(c)(3) Line 3 St Francis Hospital 1 McAuley Ministries McAuley Hall 3333 Fifth Avenue Pittsburgh PA 15213 943436142 Management & Support Services PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 1 Mercy Jeannette Hospital 3805 West Chester Pike Newtown Square PA 19073 251310602 Inactive Entity PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 1 Mercy Life Center Corporation 1200 Reedsdale Street Pittsburgh PA 15233 251604115 Community Treatment PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 1 Pittsburgh Mercy Health System 3333 5th Avenue Pittsburgh PA 15213 251464211 Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East 1 St Joseph's of the Pines Inc 100 Gossman Drive Suite B Southern Pines NC 28387 560694200 Hospital NC 501(c)(3) Line 3 Catholic Health East 1 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 St Joseph's of the Pines Inc 1 Mercy Senior Care Inc 212 West Third Street PO Box 866 Rome GA 30162 581366508 Community Outreach GA 501(c)(3) Line 7 Saint Joseph's Health System Inc 1 Good Samaritan HospitalInc 1201 Siloam Road Greensboro GA 30462 261720984 Hospital GA 501(c)(3) Line 3 Saint Joseph's Health System Inc 1 Saint Joseph's Health System Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 581744848 Management & Support Services GA 501(c)(3) Line 11b, II Catholic Health East 1 Saint Joseph's Mercy Care Services Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 581752700 Community Outreach GA 501(c)(3) Line 7 Saint Joseph's Health System Inc 1 Saint Joseph's Mercy Foundation Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 581448522 Fundraising GA 501(c)(3) Line 11b, II Saint Joseph's Health System Inc 1 Mercy Services Downtown Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 272046353 Real Estate Holding Company GA 501(c)(3) Line 11b, II Saint Joseph's Health System Inc 1 St Mary's Health Care System Inc 1230 Baxter Street Athens GA 30606 580566223 Hospital GA 501(c)(3) Line 3 Catholic Health East 1 St Mary's Foundation Inc 1230 Baxter Street Athens GA 30606 582544232 Fundraising GA 501(c)(3) Line 11b, II St Mary's Health Care System Inc 1 St Mary's Highland Hills Inc 1230 Baxter Street Athens GA 30606 020576648 Assisted Living & Retirement Community GA 501(c)(3) Line 3 St Mary's Health Care System Inc 1 St Mary's Medical Group Inc 1230 Baxter Street Athens GA 30606 261858563 Hospital / Physician Services GA 501(c)(3) Line 3 St Mary's Health Care System Inc 1 Mercy Medical Corporation PO Box 1090 101 Villa Drive Daphne AL 36526 636002215 Hospital AL 501(c)(3) Line 3 Catholic Health East 1 Mercy LIFE of Alabama PO Box 1090 101 Villa Drive Daphne AL 36526 273163002 Hospital AL 501(c)(3) Line 3 Mercy Medical Corporation 1 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 Catholic Health East 1 St Francis Hospital Inc 33920 US Highway 19 North Suite 269 Palm Harbor FL 34684 590624442 Hospital FL 501(c)(3) Line 11a, I Allegany Franciscan Ministries Inc 1 Holy Cross Hospital Inc 4725 North Federal Highway Ft Lauderdale FL 33308 590791028 Hospital FL 501(c)(3) Line 3 Catholic Health East 1 Holy Cross Long-Term Inc 4725 North Federal Highway Ft Lauderdale FL 33308 650787320 Medical Services FL 501(c)(3) Line 3 Holy Cross Hospital Inc 1 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 Holy Cross Hospital Inc 1 Mercy Hospital Foundation Inc 3663 South Miami Avenue Miami FL 33133 591709438 Fundraising FL 501(c)(3) Line 7 Mercy Hospital Inc 1 Mercy Hospital Inc 3663 South Miami Avenue Miami FL 33133 590791034 Hospital FL 501(c)(3) Line 3 Catholic Health East 1 Mercy Medical Development Inc 3663 South Miami Avenue Miami FL 33133 592789194 Outpatient Services FL 501(c)(3) Line 9 Mercy Hospital Inc 1 Mercy Mission Services Inc 3663 South Miami Avenue Miami FL 33133 650435764 Health Care FL 501(c)(3) Line 11a, I Mercy Hospital Inc 1 Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital 3663 South Miami Avenue Miami FL 33133 510461511 Hospital FL 501(c)(3) Line 3 Mercy Hospital Inc 1 Global Health Ministry 3805 West Chester Pike Suite 100 Newtown Square PA 19073 233068656 Health Care PA 501(c)(3) Line 7 Catholic Health East 1 VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Home Health & Hospice ME 501(c)(3) Line 11a, I Mercy Health System of Maine 1 Providence Place Inc 5 Gamelin Street Holyoke MA 01040 043404084 Retirement Community MA 501(c)(3) Line 9 Sisters of Providence Health System Inc 1 Intercoastal Health Systems 3805 West Chester Pike Suite 100 Newtown Square PA 19073 650556413 Management & Support Services PA 501(c)(3) Line 11a, I Catholic Health East 1 Sunnyview Hospital & Rehabilitation Center Foundation 1270 Belmont Ave Schenectady NY 12308 222505127 Supporting foundation NY 501(c)(3) Line 11a, I Sunnyview Hospital & Rehabilitation Ctr 1 St Peter's Ambulatory Surgery Center LLC 1375 Washington Avenue Ste 201 Albany NY 12206 460463892 Surgery NY St Peter's Hospital Investment 1289165 83435 0 1 0.36360 Catherine Horan Building Limited Partnership 1221 Main Street Room 108 Holyoke MA 010400000 042723429 Property Management MA N/A Western Massachusetts PETCT Imaging Center LLC 100 Bayview Circle Ste 400 Newport Beach CA 92660 204744663 Outpatient Medical Services DE N/A Central New Jersey Heart Services LLC 10720 Sikes Places Ste 300 Charlotte NC 28277 208525458 Cardiac Program NJ N/A Langhorne MOB Partners LP 1201 Langhorne-Newtown Road Langhorne PA 19047 232622772 Investment and operation of a medical building PA 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-Newton Road Langhorne PA 19047 232871206 Outpatient Surgery PA N/A AmeriHealth Mercy Health Plan 200 Stevens Drive Suite 350 Philadelphia PA 19113 232859523 Medicaid Managed Care Organization PA N/A Amerihealth Mercy of Indiana LLC 200 STEVENS DRIVE Suite 350 Philadelphia PA 19113 204948091 PREPAID HEALTH CARE SERVICES IN 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 Keystone Mercy Health Plan 100 Stevens Drive Philadelphia PA 19113 232842344 Medicaid 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 1900 S Broad Street Philadelphia PA 19145 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 St Agnes Long Term Intensive Care LLP 1900 S Broad Street Philadelphia PA 19145 200984882 Long Term Intensive Care 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 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 Samaritan Medical Office Building Inc 2212 Burdett Avenue Troy NY 12180 141607244 Real Estate NY N/A C Affiliated Management Services Corporation Inc 1300 Massachusetts Avenue Troy NY 12180 141668024 Real Estate NY N/A C Catherine Horan Building Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 042938180 Building Management MA N/A C Diversified Community Services Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 043128890 Medical Services MA N/A C Mercy Inpatient Medical Associates Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 043029829 Medical Services MA N/A C Providence Home Care Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 043317426 Health Care Services MA N/A C System Coordinated Services Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 042938181 Lab Services MA N/A C Physicians Medical Office Building Condominium Trust 1221 Main Street Room 108 Holyoke MA 010400000 046608649 Property Management MA N/A C SJM Properties Inc 411 Canisteo Street Hornell NY 148482104 161294991 Property Holdings NY N/A C Carbondale Area Physicians' Association PC 100 Lincoln Ave Carbondale PA 18407 232801677 Medical Insurance Contracting PA N/A C Carbondale Area Physicians' PHO Inc 100 Lincoln Ave Carbondale PA 18407 232801676 Inactive PA N/A C Carbondale Physicians' Services Inc 100 Lincoln Ave Carbondale PA 18407 232365077 Pharmacy PA N/A C Chestnut Risk Services Ltd 11 Victoria Street Hamilton BD Insurance BD N/A C LifeCare Physicians PC 601 Hamilton Avenue trenton NJ 086291986 261649038 Health Care Services NJ N/A C Multicare Plus Inc 601 Hamilton Avenue Trenton NJ 086291986 223435844 Inactive NJ N/A C Langhorne Services II Inc 1201 Langhorne-Newtown Road Langhorne PA 190470000 253795549 General Partner of LMOB Partners, II PA N/A C Langhorne Services Inc 1201 Langhorne-Newtown Road Langhorne PA 190470000 232625981 General Partner of LMOB Partners PA N/A C AMHP Holdings Corp 200 Stevens Drive Philadelphia PA 19113 261144363 Behavorial Health PA N/A C Select Health of South Carolina Inc 4390 Belle Oaks Drive Suite 400 Charleston SC 29405 571032456 Health Maintenance Organization SC N/A C Gateway Health Plan Inc 600 Grant Street Pittsburgh PA 15219 251505506 Health Care PA N/A C Gateway Health Plan Inc of Ohio 600 Grant Street Pittsburgh PA 15219 300282076 Health Care PA N/A C MCMC Eastwick Inc c/o MHS One West Elm Street Conshohocken PA 19428 232184261 Medical Office Buildings PA N/A C Community Behavorial Healthcare Network of PA Inc 8040 Carlson Road Harrisburg PA 17112 251765391 Behavorial Health PA N/A C Health Management Services Org Inc 500 Grove Street Suite 100 Haddon Heights NJ 08035 223366580 Health Care Billing NJ N/A C Jeannette Medical Providers 3805 West Chester Pike Newtown Square PA 19073 251787334 Holding Company PA N/A C Jeannette OBGYN Group 1 Inc 3805 West Chester Pike Newtown Square PA 19073 232890748 Holding Company PA N/A C Jeannette Primary Care Group 1 Inc 3805 West Chester Pike Newtown Square PA 19073 232890743 Holding Company PA N/A C Georgia Health Enterprises LLC 11440 Commerce Park Drive Reston VA 20191 541806329 Healthcare VA N/A C St Mary's Highland Hills Village Inc 1660 Jennings Mill Pkly Bogart GA 30622 582276801 Assisted Living GA N/A C GHE Physicians PC 3500 Piedmont Road Atlanta GA 30305 582277939 Practice Management GA N/A C Nursing Network Inc 4725 North Federal Highway Fort Lauderdale Highwa FL 333080000 591145192 Medical Services FL N/A C Mercy Physician Group Inc 3663 South Miami Avenue Miami FL 33133 202970015 Health Care FL N/A C Stella Maris Insurance Company Limited PO Box 69 Grand Cayman Cayman Islands CJ KY1-1102 980078266 Insurance CJ N/A C Catholic Health East Senior Services 3805 West Chester Pike Suite 100 Newtown Square PA 19073 371572595 Senior Services PA N/A C 0 1 1 0 0 0 0 0 1 0 1 1 0 1 1 1 1 0 Villa Mary Immaculate dba St Peter's Nursing & Rehab Center P 300346 FMV Our Lady of Mercy Life Center P 306188 FMV St Peter's Health Care Services O 10599524 FMV St Peter's Health Care Services I 121452 FMV St Peter's Health Care Services P 85846 FMV The Community Hospice Inc P 1895719 FMV The Community Hospice Inc I 173448 FMV Mercy Cares For Kids I 180720 FMV Mercy Cares For Kids B 80880 FMV Mercy Cares For Kids Q 150048 FMV Catholic Health East O 5899933 FMV St Peter's Hospital Foundation C 1942766 FMV St Peter's Hospital Foundation L 486680 FMV St Peter's Hospital Foundation K 114861 FMV Seton Health System Inc N 100400 FMV Home Aide Service of Eastern New York N 61529 FMV The organization timely filed a request for an additional three month extension to November 15, 2012, but the IRS approval letter for the "Application for Extension of Time to File an Exempt Organization Return" had the extended due date to file as August 15, 2012. The August 15, 2012, date appears to be an IRS error.