2012-11-15T11:36:38-06:00 2011-12-31 861065772 DELOITTE TAX LLP 1700 MARKET STREET 25TH FLOOR PHILADELPHIA PA 191033984 990 2011-01-01 231396763 Mercy Suburban Hospital MERC 6105676000 One West Elm Street No 100 Conshohocken PA 194284108 Joseph H Bradley 6105676000 2012-11-15 1 WILLIAM HOMER P00994519 2152462300 2011 2016-02-24 21:20:13Z David D Clark One West Elm Street No 100 Conshohocken PA 194284108 122244241 0 0928 X www.mercyhealth.org X 1944 PA Mercy Suburban Hospital is a member of Mercy Health System of Southeastern PA ("SEPA"). Our mission is to be a partner in the healing ministry of the Catholic Church in the spirit of the Sisters of Mercy and Hope Ministries.To fulfill that mission, we strives to create an environment that is caring and compassionate within our health system and in our service to the community. We are dedicated to being a transforming, healing presence that supports healthy communities, addresses the diverse health needs of our neighbors at every stage of life, and is accessible to all, including the often forgotten poor and disadvantaged. Through innovative medicine and compassionate care, our hospitals work together to nurture our patients and their families through the healing process with superior services and spiritual support. SEPA is a member of Catholic Health East ("CHE"). 14 12 961 74 0 0 403797 407956 116939580 121411749 429921 110714 628967 298863 118402265 122229282 9575 28723 0 0 50366607 50685598 0 0 0 69177546 70573124 119553728 121287445 -1151463 941837 80336559 90472306 66773620 82309919 13562939 8162387 X Mercy Suburban Hospital is part of Mercy Health System of Southeastern PA ("SEPA"). Our mission is to be a partner in the healing ministry of the Catholic Church in the spirit of the Sisters of Mercy and Hope Ministries.To fulfill that mission, we strive to create an environment that is caring and compassionate within our health system and in our service to the community. We are dedicated to being a transforming, healing presence that supports healthy communities, addresses the diverse health needs of our neighbors at every stage of life, and is accessible to all, including the often forgotten poor and disadvantaged. Through innovative medicine and compassionate care, our health system works together to nurture our patients and their families through the healing process with superior services and spiritual support. SEPA is a member of Catholic Health East ("CHE"). 0 0 105499330 28723 121660324 See Schedule O 105499330 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 138 0 961 1 0 0 0 0 0 0 0 0 X 14 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Anthony D Fanelli Jr 6105676000 1 West Elm Street Suite 100 Conshohocken PA 194284108 X Sister Kathleen Boyce RSM 1.00 X 0 0 0 Reverend Byron L Craig 1.00 X 0 0 0 Margaret M Dolan 1.00 X 0 0 0 George J Falconero CPA 1.00 X 0 0 0 Sister Maureen B McCann RSM 1.00 X 0 0 0 Michael J Giambrone 1.00 X 0 0 0 Robert J Pearlstein DO 1.00 X 0 0 0 Joseph J Pizonka Esquire 1.00 X 0 0 0 Sister Cathe Shoulberg RSM 1.00 X 0 0 0 James L Sayre 1.00 X 0 0 0 Jeffrey E Snyder 40.00 X X 320624 0 26320 Edward R Solvibile 1.00 X 0 0 0 Joseph P Valerio Jr 1.00 X 0 0 0 Scott Yarmark DO 1.00 X 0 0 0 H Ray Welch Jr 40.00 X X 0 1207640 35023 Vincent P Haley Esquire 1.00 X 0 0 0 Joseph H Bradley 40.00 X 0 489214 35501 Mark Bullock 40.00 X 0 455561 31247 Peter B Kenniff 40.00 X 222323 0 11518 Wayne Miller 40.00 X 277737 0 29975 Carol Fluegge 40.00 X 239970 0 19918 Leslie Tupchong 40.00 X 266855 0 36915 Mary Ellen Rauner 40.00 X 127147 0 15043 Gretchen Pendleton 40.00 X 117940 0 25622 Ngoc Tran 40.00 X 113317 0 24374 Ann M Godleski 40.00 X 114518 0 22364 1800431 2152415 313820 36 0 1 0 SODEXO INC PO BOX 81049 WOBURN MA 18131 FOOD SERVICES 1091798 CANDESCENT HEALING LLC 32 ELM PLACE SUITE 1 SOUTH RYE NY 10580 WOUND CARE SERVICES 1027382 NOBLE AMERICAS GAS & POWER COR 401 WEST A STREET SUITE 500 SAN DIEGO CA 92101 UTILITIES PROVIDER 612419 INTENSIVIST GROUP THE 830 WEST ROUTE 22 SUITE 50 LAKE ZURICH IL 60047 CONTRACTED PHYSICIAN SERVICES 378667 NEUROPSYCHIATRIC GROUP 104 EGYPT RD JEFFERSONVILLE PA 19403 BEHAVIORAL HEALTH SERVICES 292800 16 32969 38240 336747 270464 407956 Net Patient Service Re 622110 121411749 121411749 121411749 110714 110714 50497 0 50497 50497 50497 14750 32969 14959 -209 -209 Outside Clinical Reven 900099 137888 137888 Miscelleneous Income 621500 56584 56584 Service Income 621111 39442 39442 14661 14661 248575 122229282 121660324 0 161002 28723 28723 1060654 1060654 39164184 33286579 5877605 1720298 1423569 296729 5711763 4726559 985204 3028699 2506288 522411 445317 368506 76811 10644 10644 15451 15451 24969436 20675321 4294115 187799 155406 32393 415429 343773 71656 108385 89690 18695 3139491 2597970 541521 16297 13486 2811 92361 76430 15931 1018168 842547 175621 4548880 3764258 784622 2267103 1876057 391046 Patient Supplies 14484505 14484505 0 0 Provision for Bad Debts 12431439 12431439 0 0 Medicare Assessment Exp 2897886 2897886 0 0 Affiliate Subsidized Ph 2239974 1853608 386366 0 1284559 1056730 227829 121287445 105499330 15788115 0 18251933 16297532 0 11727905 11157190 0 0 0 2290784 2280780 420736 537759 84990332 45238416 39265103 39751916 262167 255133 1558964 1556838 325233 602709 0 6233734 18032449 80336559 90472306 7340143 8999604 0 0 32096880 30974229 0 0 1000000 900000 0 26336597 41436086 66773620 82309919 X 13416915 7966072 146024 196315 0 13562939 8162387 80336559 90472306 X 941837 -6342389 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 15451 0 0 15451 0 Explanation of Lobbying Activities: Part II-B, Line 1: The organization, either directly or through its member organization, is a participant in representative trade group(s) that promote the interests of health care and health care providers generally, including but not limited to, with federal, state and local elected officials and governmental agencies. This advocacy may include issues related to legislation. The organization, either directly or through its member organization, pays dues to the representative trade groups consistent with the participation requirements of such trade groups. Additionally, the organization has either directly or through its member organization contacts with registered lobbying firms that advocate on its behalf with federal, state and local elected officials and governmental agencies. This advocacy may include issues related to legislation. The organization, either directly or through its member organization, maintains contracts with the lobbying firms and compensation is paid through an annual retainer or other agreed upon fee structure set in advance. Compensation to such lobbying firms is not contingent upon the outcome of any engagement. Organization employees engage in advocacy efforts on issues related to health care and health care providers. Such activities consist of written and verbal communications with federal, state and local elected officials and governmental agencies on health care and health care providers generally. Where appropriate, certain organization employees are registered as lobbyists. 0 0 3950000 3950000 45646214 19459800 26186414 125000 37500 87500 32868953 25555458 7313495 2400165 185658 2214507 39751916 Other Reserves 11836560 Intercompany Receivable 5726554 Unamortized Financing Cost 252310 Other Receivables 217025 18032449 Pension Liabilities 21214190 Other Reserves 11879020 Estimated Third Party Settlement 6356132 Other Current Liabilities 1986744 41436086 Golf Outing 47719 32969 14750 3951 9420 1588 47719 32969 14750 3951 9420 1588 14959 -209 1 1 1 X 1 X 1 1 0 1 1 156486 9410 147076 0.00140 18826093 16987589 1838504 0.01690 18982579 16996999 1985580 0.01830 46722 46722 0.00040 2446082 2446082 0.02250 172639 172639 0.00160 2665443 2665443 0.02450 21648022 16996999 4651023 0.04280 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 1 2413029 1406470 27624299 31762741 -4138442 X 1 0 1 East Norriton Medical Associates Medical Office Building 0.12560 0.00000 0.23920 1 1 Mercy Suburban Hospital

2701 DeKalb Pike East Norriton PA 194011820

X X X X Mercy Suburban Hospital 1 1 1 200.000000000000 1 400.000000000000 1 X 1 1 X X X X 1 0 1 X 1 0 Part I, Line 6a: The annual community benefit report for Catholic Health East (CHE) includes Mercy Suburban Hospital. Part I, Line 7: The figures were calculated based on the cost-to-charge ratio. The cost-to-charge ratio was derived by dividing total operating expenses (excluding bad debt expense) by total gross patient charges. Part I, L7 Col(f): The amount of bad debt the organization included on Form 990, part IX, line 25, column (a), but subtracted for purposes of calculating the percentage in schedule H, Part 1, line 7, column (f) $12,431,439. Medicaid part I, line 7b: The unpaid costs of Medicaid were reduced by $1,623,620 due to a change in operations. Prior to 2011 the organization subsidized the net losses of an affiliated physician entity, East Norriton Physician Services (ENPS). ENPS operates physician practices which support the patients of Mercy Suburban Hospital. Due to the fact that Mercy Suburban Hospital no longer subsidizes the net losses the unpaid costs of Medicaid are now incurred by ENPS. Part III, Line 4: The figures were calculated based on the cost-to-charge ratio. The cost-to-charge ratio was derived by dividing total operating expenses (excluding bad debt expense) by total gross patient charges. The cost-to-charge ratio was applied to total bad debt write-offs to calculate the costs for line 2. Part III, Line 8: Mercy Suburban Hospital has reported a shortfall on providing Medicare services of $4,138,442 on Part III, Line 7 of Schedule H. This shortfall agrees to the amount disclosed in the 2011 Cost Report. Mercy Suburban Hospital also incurred an additional surpluses from Medicare programs of $124,070 during 2011. The additional surplus relates to the following: 1) The cost and reimbursement for fee-schedule reimbursed services are not considered in the Medicare cost report. 2) The cost-to-charge ratio methodology used in the cost report differs from the methodology that Mercy Suburban Hospital uses to calculate the unpaid cost of Medicare services 3) The cost report does not include unpaid costs or surplus from Medicare Advantage plans. 4) The cost report numbers do not include revenues and costs of graduate direct medical education. Medicare services are provided to eligible patients regardless of their ability to pay, and therefore any shortfall is considered to be a community benefit provided by the Hospital. When considering the total unpaid cost of Medicare for the Hospital for all services, including the surplus not reported on the 2011 cost report, the total unpaid cost of Medicare services for Mercy Suburban Hospital is $4,014,372. Part III, Line 9b: Self-Pay balances are transferred to professional collection agencies when the accounts complete a patient statement billing cycle (e.g., 120 days) with no payment from the patient or proof of eligibility for Charity Care or other programs. Accounts with applications pending for Charity Care or other assistance programs are held until a decision is made. A pending application is defined as an application that has been fully completed by the patient, submitted and is in the process of being determined for eligibility. Mercy Suburban Hospital Part V, Section B, Line 19d: The maximum amount that can be charged to FAP-eligible individuals is 50% of Self Pay Charges. Eligible individuals also have the ability to pay lesser amounts. Mercy Suburban Hospital Part V, Section B, Line 20: The organization initially may invoice patients who are eligible for charity care under its financial assistance policy amounts in excess of what it would receive from third-party payors. Final amounts due the organizations from such patients typically are settled at levels significantly below what would be received from such payers for the services rendered. Part VI, line 7, The list of states in which CHE's community benefit report is filed are: Alabama, Connecticut, Delaware, Florida, Georgia, Massachusetts, Maine, New Jersey, North Carolina and Pennsylvania. Part VI, Line 2: The organization conducts a Community Health Needs Assessment at the acute care operating unit level. This is to be conducted every three years with an annual update. The assessment includes an Annual Improvement Plan for the identified community health needs priorities. The needs are assessed by conducting and analyzing primary and secondary research. Primary research includes surveying key community organizations in each service area with the purpose of identifying key health care needs and issues faced by the community. Secondary research is publicly reported information including demographic data, socio-economic data, and vital health statistics. Part VI, Line 3: The organization is deeply committed to caring for the health care needs of persons who are poor or are who experiencing extreme financial burdens. As a general matter, our charity care policy is predominately displayed in our ED and Business office. More specifically, the organization 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. In order to preserve the dignity of these persons and to facilitate the process of securing necessary information, the organization will 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 Key Performance Indicator System Policies. Patients who represent increased financial risk as a result of the amount they are expected to owe out-of-pocket will 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 will be made available to all elective, urgent and emergent patients. Patients with insurance other than that afforded low income individuals will not have their patient liability unpaid balance, coinsurance, deductible or non-covered services written-off to Charity Care unless financial hardship can be proven. Part VI, Line 4: Mercy Suburban Hospital (MSH) is located in MO West (19403), Montgomery County. Its primary and secondary service area comprises 9 zip codes across central Montgomery County. This is primarily an affluent community with the exception of Norristown (19401) which is a diverse community that has been designated by the state and federal government as a medically underserved population (MUP). The total service area population is projected to increase by 1.9% while the female population of child bearing age (15-44) is projected to decrease by 2.9% between 2011 and 2016. The minority population represents approximately one-fourth of the total population and is projected to increase by 13.1%. The overall service area is affluent with an average household income of $91,116 and unemployment at 3.9%. Part VI, Line 5: Our community benefit activities include going directly into underserved communities/populations and providing health screenings, immunizations and health care education. Our community benefit programs also ensure establishing primary care physician offices in medically underserved areas. In addition, we maintain a 24-hour emergency room, an open medical staff and a board comprised largely of independendt members of the community. Part VI, Line 6: The organization is a member of the Mercy Health System of Southeastern Pennsylvania. The System operates four hospital facilities -- Mercy Fitzgerald, Mercy Philadelphia, Mercy Suburban, and Nazareth that are dedicated to addressing the specific medical needs of the community served. In addition, the System sponsors two programs that are designed to improve the quality of life for senior citizens. These programs are operated by Mercy Home Health and Mercy LIFE. Finally, the System offers comprehensive managed care programs for Medicaid enrollees through three partnerships. All of the services provided by the System attempt to serve the needs of the community at-large with a special emphasis on the poor and disadvantaged. 0 AMERICAN HEART ASSOCIATION 1101 NORTHCHASE PARKWAY SUITE 1 MARIETTA GA 30067 135613797 501(c ) 3 7500 Book Event Sponsorship 0 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Mercy Health System of SEPA, and its subsidiaries, grant money to established organizations that support ministries that are consistent with Mercy Health System's own mission. 0 0 0 0 0 0 0 0 0 Jeffrey E Snyder 250016 0 69590 0 1018 0 7559 0 18761 0 346944 0 0 0 H Ray Welch Jr 0 600000 0 244125 0 363515 0 11025 0 23998 0 1242663 0 0 Joseph H Bradley 0 365402 0 113492 0 10320 0 12495 0 23006 0 524715 0 0 Mark Bullock 0 355313 0 96092 0 4156 0 11436 0 19811 0 486808 0 0 Peter B Kenniff 193344 0 28829 0 150 0 9483 0 2035 0 233841 0 0 0 Wayne Miller 247007 0 32729 0 -1999 0 9002 0 20973 0 307712 0 0 0 Carol Fluegge 213961 0 27477 0 -1468 0 10585 0 9333 0 259888 0 0 0 Leslie Tupchong 270418 0 0 0 -3563 0 10634 0 26281 0 303770 0 0 0 Part I, Line 3 The organization relied on a related Section 501(c)(3) organization that used one or more of the methods described below to establish the top management official's compensation: - Compensation committee - Independent compensation committee - Written employment contract - Compensation survey or study - Approval by the board or compensation committee. Montgomery County Higher Education & Health Authority 232447147 613603PV5 2004-12-14 18533876 Finance certain capital projects 1 0 0 Montgomery County Higher Education & Health Authority 232447147 613603SA8 2007-04-19 17135000 Refinance existing debt and capital projects 1 0 0 Montgomery County Higher Education & Health Authority 232447147 613603SH3 2009-03-19 5396661 Refinance existing debt and capital projects 0 0 0 Saint Mary Hospital Authority 231913910 85230MCN2 2010-04-07 6611717 Refinance existing debt 0 0 0 17150000 18533876 1697620 261396 16574859 2005 0 0 1 1 100000 7115000 17135000 16971337 163662 2007 0 1 1 1 60000 5396661 107496 5289165 2009 1 0 1 1 929247 6611717 6542879 68839 2010 1 0 1 1 0 0 1 1 0 1 0 0 1 1 0 1 0 0 1 1 0 1 0 0 0 1 AIG Matched Funding Corp 1.800000000000 1 1 0 0 0 1 Merrill Lynch Capital Services 21.600000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE K, PART II, COLUMN C, LINE 11: This amount includes $1,334,790 of proceeds which were used to terminate an integrated swap. SCHEDULE K, PART III, LINE 3A: The organization has entered into various management and service contracts. Collectively, these contracts do not constitute an amount of private business use that exceeds the prescribed percentage. SCHEDULE K, PART IV, COL A, LINE 5: Proceeds maintained in refunding escrow were invested in yield-restricted investments. X 2 270464 Independent Appraisal 0 0 0 Method for Determining Number of Contributors: Part I, Column (b): On February 28, 2011, the organization received from 2 contributors the following contributions: 1. A 3.5832% partnership interest in East Norriton Medical Associates Partnership 2. A 4.9589% partnership interest in East Norriton Medical Associates Partnership Program Service Statement Form 990, Part III, Line 4a Mercy Suburban Hospital provides free care, subsidizes the care of Medicare and Medicaid patients where the government reimbursement is below costs, and sponsors health programs and activities for the community. These programs include wellness programs, community education programs, special programs for the elderly, handicapped, medically underserved and a variety of broad community support activities. Mercy Suburban Hospital serviced 5,690 discharges providing 27,550 patient days of which: Patients covered under the Medicare program were 2,654 discharges and 14,823 patient days. Patients covered under the Medicaid program were 713 discharges and 4,248 patient days. Mercy Suburban Hospital provides care to persons covered by governmental programs at below cost. Recognizing its mission to the community, services are provided to both Medicare and Medicaid patients. To the extent that reimbursement from Medicaid is below cost, Mercy Suburban Hospital recognizes these amounts as charity care in meeting its mission to the community. The unreimbursed value of providing care to these patients was $1,838,503 for the twelve month period ended December 31, 2011. Charity care is also provided through many reduced price services and free programs offered throughout the year based upon the activities and services which Mercy Suburban Hospital believes will serve a bona fide community health need. These include: (1)Benefits for the Broader Community: (a) Care of the Poor Programs-$2,606. (b)Community Benefit Programs- $174,196. (c) Donations from Revenue - $19,879. (d) Partially Reimbursed Programs - $2,446,082. (e)Volunteer Services Programs-$22,680. Total Benefits for the Broader Community - $2,665,443. These also include (2)Benefits to the Poor: (a)Traditional Charity Care Costs-$147,076. (b)Unpaid Costs of Medicaid- $1,838,503. Total Benefit to the Poor - $1,985,579. The total expense incurred to Mercy Suburban Hospital for program services for the twelve month period ending December 31, 2011 was $105,499,330 (74,559 Patients). Form 990, Part VI, Section A, line 6 Catholic Health East is the sole corporate member of Mercy Health System of Southeastern PA ("SEPA"). SEPA is the sole corporate member of Mercy Suburban Hospital. Form 990, Part VI, Section A, line 7a The Board of Directors for SEPA has the authority to appoint members of the governing body. Form 990, Part VI, Section A, line 7b The governing body can make recommendations for certain types of actions that require approval by the Board of Directors of SEPA. Some examples include appointing or removing members of the governing body, amending articles of incorporation and amending by-laws. Form 990, Part VI, Section B, line 11 The organization took steps to educate management, members of the Board and members of appropriate subcommittees of the Board on the compliance requirements mandated by the Form 990. The Form 990 will be reviewed by management and the SEPA Audit & Compliance Committee, which is a subcommittee of the Mercy Health System Board of Trustees. The full Board is appraised of the committee's findings from their review. Form 990, Part VI, Section B, line 12c The organization has adopted SEPA's Policy 96-04-09 which sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving the organization and affiliates in a position to affect business decisions, including directors, officers, members of a Board designated committee, and key employees and physicians, 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 SEPA's Board or senior management as defined in the policy. The determination of whether a disclosure constitutes a conflict of interest is made by SEPA's Board or an appropriate committee thereof comprised of disinterested persons and without the participation of the affected individual except to respond to questions about the disclosure. 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, a related Section 501(c)(3) organization, and on CHE's procedures to determine the compensation of the CEO. For other employees the organization has adopted SEPA's process for determining compensation which includes the following: SEPA's Board has an independent committee to review and approve all elements of remuneration. SEPA's Board and the independent committee have established a compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing 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. 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 to the public upon request. Avg hours devoted to related org(s) when related comp is reported: Form 990, Part VII: Individuals compensated by a related organization have responsibilities and perform services for several related organizations including the filing organization. The amount of compensation appearing in Columns (E) and (F) reflect the services performed for this organization and its affiliates. The hours scheduled for these individuals represent the minimum weekly hours spent on this organization and affiliated Section 501(c)(3) organizations. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 563,212. Transfers for Capital Expenditures 17,289. Transfers from Affiliates 4,165. Pension Adjustment -7,011,338. Temporarily Restricted Contributions 108,419. Net Assets Released from Restriction -24,136. Total to Form 990, Part XI, Line 5: -6,342,389. 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 315 South Manning Blvd Albany NY 12208 141348692 Hospital NY 501(c)(3) Line 3 St Peter's Health Care Services 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 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 N/A Catherine Horan Building Limited Partnership 1221 Main Street Room 108 Holyoke MA 010400000 042723429 Property Management MA N/A Western Massachusetts PETCT Imaging Center LLC 100 Bayview Circle Ste 400 Newport Beach CA 92660 204744663 Outpatient Medical Services DE N/A Central New Jersey Heart Services LLC 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 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 East Norriton Medical Associates J 327095 Mercy Health System of Southeastern PA O 12442249 Mercy Management of Southeastern PA Q 64953 East Norriton Physician Services Q 1991006 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.