SAINT MARY HOME INCORPORATED: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SAINT MARY HOME INCORPORATED (EIN 06-0646843)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201103189349303560
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-14T09:47:37-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11700 Market Street 25th FloorAddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code191033984ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060646843EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Mary Home IncorporatedBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTMANameControl
Phone8605708200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12021 Albany AvenueAddressLine1
CityWest HartfordCity
StateCTState
ZIP Code061170000ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWilliam FiocchettaName
TitlePresidentTitle
Phone8605708310Phone
Date Signed2011-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2152462300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12021 Albany AvenueAddressLine1
CityWest HartfordCity
StateCTState
ZIP Code061170000ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26339664GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitemchct.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1900YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionSt Mary Home Incorporated is a part of Mercy Community Health ("MCH") which is sponsored by the Sisters of Mercy of the Americas, Northeast Community, and is a member of Catholic Health East ("CHE"). Saint Mary Home, Inc is a faith-based care provider with diversified services in response to the changing needs of our community through sub-acute, long term care, hospice, rehabilitation services and Adult Day Care.The facility strives to improve the health, independence and spiritual life of all we serve by creating a caring, safe environment especially for the elderly and poor. We strive to ensure quality of life for those in our care and provide support for end of life issues while promoting holistic care, and remaining respectful of the dignity and uniqueness of each person.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees412TotalNbrEmployees
Total Nbr Volunteers17TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year36350ContributionsGrantsCurrentYear
Program Service Revenue Prior Year26203342ProgramServiceRevenuePriorYear
Program Service Revenue CY26236576ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year52190OtherRevenuePriorYear
Other Revenue Current Year66738OtherRevenueCurrentYear
Total Revenue Prior Year26255532TotalRevenuePriorYear
Total Revenue Current Year26339664TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14979162SalariesEtcPriorYear
Salaries Etc Current Year15389504SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9696562OtherExpensePriorYear
Other Expenses Current Year9874858OtherExpensesCurrentYear
Total Expenses Prior Year24675724TotalExpensesPriorYear
Total Expenses Current Year25264362TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1579808RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1075302RevenuesLessExpensesCY
Total Assets BOY16009739TotalAssetsBOY
Total Assets EOY17236647TotalAssetsEOY
Total Liabilities BOY11392678TotalLiabilitiesBOY
Total Liabilities EOY11412093TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4617061NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5824554NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSt Mary Home Incorporated is a part of Mercy Community Health ("MCH") which is sponsored by the Sisters of Mercy of the Americas, Northeast Community, and is a member of Catholic Health East ("CHE"). Saint Mary Home, Inc is a faith-based care provider with diversified services in response to the changing needs of our community through sub-acute, long term care, hospice, rehabilitation services and Adult Day Care.The facility strives to improve the health, independence and spiritual life of all we serve by creating a caring, safe environment especially for the elderly and poor. We strive to ensure quality of life for those in our care and provide support for end of life issues while promoting holistic care, and remaining respectful of the dignity and uniqueness of each person.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense21792653Expense
Grants36350Grants
Revenue23938879Revenue
DescriptionLong term and residental care in a caring, safe enviorment for the elderly, disabled and poor. Saint Mary Home offers older adults the ability to maintain their independence in a supportive, supervised living environment. Regardless of their medical, physical or spiritual needs, residents and patients of Saint Mary Home are attended to by a skilled, caring staff. Skilled nursing capabilities cover a variety of services, including sub-acute care, hospice and dementia care.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense918994Expense
Revenue2065836Revenue
DescriptionRehabilition Services: Skilled therapists address declines in functional status to help clients maintain the highest quality of life. Individual rehabilitation programs provide treatment for orthopedic, neurological, medical/surgical and cardiac patients. In addition to our well-coordinated inpatient services, we also offer outpatient services to the community. Services include, physical therapy, occupational therapy, speech therapy, modalities (electrical stimulation, ultra sound, diathermy), interdisciplinary approach, short-term/sub-acute rehabilitation, patient/family/staff educational services and individual functional maintenance programs.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense463503Expense
Revenue231861Revenue
DescriptionAdult Day care: The Adult Day Center at Saint Mary Home is a community-based health and social program designed to meet the needs of adults who would benefit from a supportive, understanding and therapeutic environment. Participants enjoy socialization and participation during planned recreational activities with peers during the day while continuing to live in the community in their own home or with family. Certified by Connecticut Association of Adult Day Centers, Saint Mary Home's Adult Day Center operates as a Medical Model Program and includes the following services: nursing services, social services, personal care and bathing services, recreational programs, hot therapeutic meals, door-to-door transportation.Description
FieldValueIRS element (for citing)
Total Program Service Expense23175150TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees412NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Steve Beaulieu CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8605708304TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12021 Albany AvenueAddressLine1
CityWest HartfordCity
StateCTState
ZIP Code061170000ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Elizabeth Anderson CSJ
Director1.00X000
Frederic W Baker II
Director1.00X000
Angelo DeFazio
Director1.00X000
John Gilchrist
Director1.00X000
Thomas J Godar MD
Vice Chair1.00X000
Eugenie Guterch RSM
Director1.00X000
Brian Harris
Director1.00X000
Vincent Jaeger MD
Director1.00X000
Edward Jason
Director1.00X000
Ruth Ellen Kelly RSM
Director1.00X000
Jill Adams
Director1.00X000
Margaret Farley RSM
Director1.00X000
David Harris
Director1.00X000
Ann O'Neill RSM
Director1.00X000
Georgeann Vumbaco RSM
Director1.00X000
Carollynne Weidler
Board Chair1.00X000
James Wyne
Director1.00X000
William J Fiochetta
President and CEO1.0004059630X
Maureen M Reardon RSM
Senior VP, Mission1.0001110110X
Stephen T Surprenant
Senior VP, Operations1.00019443422694X
Steven Beaulieu
Treasurer1.0001818532954X
Peter Madden
Administrator40.00126200020104X
Aysha Kuhlor
Director of Nursing40.001301190354X
FieldValueIRS element (for citing)
Total Reportable Comp From Org256319TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs893261TotalReportableCompFrmRltdOrgs
Total Other Compensation46106TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Sodexho
PO Box 81049WoburnMA018131049Food Services1729373
Alliance Rehabilitation
1520 Kensington Road Suite 105Oak BrookIL605230000Physical Rehabilitation767374
Omni Care Pharmacy
525 Knotter DrCheshireCT064100000Pharmacy Products375142
Gulf South Medical Supply
PO Box 841968DallasTX752841968Medical Supplies299717
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions36350AllOtherContributions
Total Contributions36350TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Nursing Home6230002393887923938879
Rehabilitation62140020658362065836
Adult Day care624100231861231861
FieldValueIRS element (for citing)
Total Program Service Revenue26236576TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real55230Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real55230Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column55230TotalRevenueColumn
Exclusion$55,230ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionGift Shop RevenueDescription
Business Code453220BusinessCode
Total Revenue Column11508TotalRevenueColumn
Exclusion$11,508ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue11508TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column26339664TotalRevenueColumn
Related Or Exempt Function Income26236576RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$66,738ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11743860Total
Program Services11743860ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total615060Total
Program Services615060ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2173941Total
Program Services2173941ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total856643Total
Program Services856643ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1821868Total
Management And General1821868ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total212720Total
Management And General212720ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20984Total
Management And General20984ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total33640Total
Management And General33640ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1800044Total
Program Services1800044ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total7283Total
Program Services7283ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total15978Total
Program Services15978ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total7438Total
Program Services7438ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total696927Total
Program Services696927ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total586332Total
Program Services586332ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total104851Total
Program Services104851ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
NURSING AND FOOD SUPPLI17087951708795
NURSING HOME USE FEE917181917181
UTILITIES708620708620
MAINTENANCE & REPAIRS669146669146
BAD DEBT419536419536

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total143515Total
Program Services143515ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25264362Total
Program Services23175150ProgramServices
Management And General2089212ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY702886BOY
EOY1203700EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4960398BOY
EOY5718637EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY144454BOY
EOY148064EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY176958BOY
EOY222929EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19594609LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11242280LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8393864BOY
EOY8352329EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1502774BOY
EOY1401612EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY128405BOY
EOY189376EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16009739BOY
EOY17236647EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1603577BOY
EOY1668999EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY248906BOY
EOY286070EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7382745BOY
EOY7759618EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2157450BOY
EOY1697406EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11392678BOY
EOY11412093EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4501459BOY
EOY5576760EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY-149507BOY
EOY-17315EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY265109BOY
EOY265109EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4617061BOY
EOY5824554EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16009739BOY
EOY17236647EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1075302ReconcilationRevenueExpenses
Reconcilation Other Changes132191ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis254876OtherCostOrOtherBasis
Book Value254876BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15995614OtherCostOrOtherBasis
Depreciation8462150Depreciation
Book Value7533464BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3277274OtherCostOrOtherBasis
Depreciation2750817Depreciation
Book Value526457BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis66845OtherCostOrOtherBasis
Depreciation29313Depreciation
Book Value37532BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8352329TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOther SecuritiesDescription
Book Value1401612BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1401612TotalOfBookValueSecurities

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
William J Fiochetta
028567101500001052920000040596300
Stephen T Surprenant
01549680239250155410870021824021712800
Steven Beaulieu
0141359026297014197082102133018480700

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart IIIReturnReference
ExplanationPart I, Line 3: The organization relied on a related organization that used one or more of the methods described below to establish the top management official's compensation: - Compensation committee - Independent compensation committee - Written employment contract - Compensation survey or study - Approval by the board or compensation committee.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1State of Connecticut Health and Educational FacilitiesBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN060806186IssuerEIN
CUSIP Number20774UW35CUSIPNumber
Date Issued2010-04-07DateIssued
Issue Price19216533IssuePrice
Description Of PurposeRefund previous issueDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired17866AmountRetired
Total Proceeds7629267TotalProceeds
Issuance Costs From Proceeds166919IssuanceCostsFromProceeds
Other Spent Proceeds7462349OtherSpentProceeds
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind0AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6Yes, Mercy Community Health, Inc. is the sole member.
Form 990, Part VI, Section A, line 7aYes, Mercy Community Health, Inc. approves the appointment of the members of the governing body.
Form 990, Part VI, Section A, line 7bCatholic Health East has limited reserved powers to approve decisions of the governing body.
Form 990, Part VI, Section B, line 11The organization took steps to educate management, members of the board and members of appropriate subcommittees of the board on the compliance requirements mandated by the Form 990. The form was reviewed by management and then submitted to the Finance Committee which reported its findings to the board.
The organization has adopted Catholic Health East's policy 103, which sets forth the organization's conflict of interest policy and processes. Annually, all those serving the organization in a fiduciary capacity, including directors, officers,and key employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the organization's CEO and board's chair. Summary information is reported to the entire board and available to the board throughout the year as business comes before the board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the board or an appropriate committee thereof comprised of dis-interested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request.Form 990, Part VI, Section B, line 12c
The organization has adopted Catholic Health East's process for determining compensation which includes the following: The board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing the organization's roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative 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 B, line 15
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.Form 990, Part VI, Section C, line 19
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.Form 990, Part VII, Section A:
All money paid on behalf of Sister Maureen Reardon goes directly to her religious order on her behalf.Form 990, Part VII, Section A:
Changes in Net Assets or Fund Balances:Net unrealized gains on investments: 132,191.Form 990, Part XI, line 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (113 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Mercy Health System of Maine
144 State StreetPortlandME04101010484074Management & Support ServicesME501(c)(3)Line 11c, III-FICatholic Health East0
Mercy Hospital
144 State StreetPortlandME04101010211534HospitalME501(c)(3)Line 3Mercy Health System of Maine0
Mercy Care for Kids Inc
310 South Manning BlvdAlbanyNY12208141717564Day care centerNY501(c)(3)Line 9St Peter's Health Care Services0
Our Lady of Mercy Life Center
2 Mercycare LaneGuilderlandNY12084141743506Nursing Home FacilityNY501(c)(3)Line 3St Peter's Health Care Services0
St Peter's Auxiliary
315 South Manning BlvdAlbanyNY01228222843206AuxiliaryNY501(c)(3)Line 11a, ISt Peter's Health Care Services0
St Peter's Health Care Services
315 South Manning BlvdAlbanyNY12208222702507Management & Support ServicesNY501(c)(3)Line 9Catholic Health East0
St Peter's Hospital
315 South Manning BlvdAlbanyNY12208141348692HospitalNY501(c)(3)Line 3St Peter's Health Care Services0
St Peter's Hospital Foundation Inc
319 South Manning Blvd Suite 309AlbanyNY12208222262982Fundraising & Public RelationsNY501(c)(3)Line 7St Peter's Health Care Services0
St Peter's Licensed Home Care Agency
159 Wolf RoadAlbanyNY12205141818568Home HealthNY501(c)(3)Line 3St Peter's Health Care Services0
The Community Hospice Foundation Inc
295 Valley View BlvdRensselaerNY12144222692940Fundraising & Public RelationsNY501(c)(3)Line 7St Peter's Health Care Services0
The Community Hospice Inc
295 Valley View BlvdRensselaerNY12144141608921Serving seriously ill people & their familiesNY501(c)(3)Line 3St Peter's Health Care Services0
Villa Mary Immaculate
301 Hackett BlvdAlbanyNY12208141438749Nursing Home & Physical RehabNY501(c)(3)Line 3St Peter's Health Care Services0
Warde Service Corporation Inc
159 Wolf Road 3rd FloorAlbanyNY12205141732097Supporting & strengthing the ministries of rel. sr. mercyNY501(c)(3)Line 9St Peter's Health Care Services0
Brightside Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040042182395Behavioral CareMA501(c)(3)Line 9Sisters of Providence Health System Inc0
Farren Care Center Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040042501711Long Term CareMA501(c)(3)Line 3Sisters of Providence Health System Inc0
Mercy Hospital Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040043398280Acute CareMA501(c)(3)Line 3Sisters of Providence Health System Inc0
Mercy Specialist Physicians Inc
c/o SPHS 1221 Main Street No 108HolyokeMA01040264033168Neurosurgery Medical ServicesMA501(c)(3)Line 3Sisters of Providence Health System Inc0
Sisters of Providence Care Centers Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040222541103Long Term CareMA501(c)(3)Line 3Sisters of Providence Health System Inc0
Sisters of Providence Health System Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040043398374Management & Support ServicesMA501(c)(3)Line 11a, ICatholic Health East0
McAuley Center Inc
275 Steele RoadWest HartfordCT06117061058086Independent LivingCT501(c)(3)Line 9Mercy Community Health Inc0
Mercy Community Health Inc
2021 Albany AvenueWest HartfordCT06117061492707Management & Support ServicesCT501(c)(3)Line 11a, ICatholic Health East0
Mercy Community HomeCare Services
2021 Albany AvenueWest HartfordCT06117061488137In Home Health CareCT501(c)(3)Line 9Mercy Community Health Inc0
Mercy Services
2021 Albany AvenueWest HartfordCT06117061453323Support ServicesCT501(c)(3)Line 1Mercy Community Health Inc0
Mercyknoll Inc
2021 Albany AvenueWest HartfordCT06117060757380Skilled NursingCT501(c)(3)Line 3Mercy Community Health Inc0
Saint Mary Home II Inc
2021 Albany AvenueWest HartfordCT06117061164104Elderly CareCT501(c)(3)Line 3Mercy Community Health Inc0
Mercy Healthcare Center
114 Wawbeek AvenueTupper LakeNY12986150532211HospitalNY501(c)(3)Line 3Catholic Health East0
Mercy Uihlein Health Corporation
185 Old Military RoadLake PlacidNY12946161535133HospitalNY501(c)(3)Line 11b, IIMercy Healthcare Center0
Uihlein Mercy Center
185 Old Military RoadLake PlacidNY12946150532190HospitalNY501(c)(3)Line 3Mercy Healthcare Center0
St James Mercy Foundation Inc
411 Canisteo StreetHornellNY14843161486437FoundationNY501(c)(3)Line 7St James Mercy Health System Inc0
St James Mercy Health System Inc
411 Canisteo StreetHornellNY14843223127184Management & Support ServicesNY501(c)(3)Line 11b, IICatholic Health East0
St James Mercy Hospital
411 Canisteo StreetHornellNY14843160743310HospitalNY501(c)(3)Line 3St James Mercy Health System Inc0
Marian Community Hospital
100 Lincoln AvenueCarbondalePA18407240711230HospitalPA501(c)(3)Line 3Maxis Health System0
Marian Community Hospital Auxiliary
100 Lincoln AvenueCarbondalePA18407251874733FundraisingPA501(c)(3)Line 11b, IIMaxis Health System0
Maxis Foundation
100 Lincoln AvenueCarbondalePA18407232330090FundraisingPA501(c)(3)Line 11b, IIMaxis Health System0
Maxis Health System
100 Lincoln AvenueCarbondalePA18407911940902Health Care SystemPA501(c)(3)Line 11b, IICatholic Health East0
Maxis Medical Services
100 Lincoln AvenueCarbondalePA18407232577185Physician PracticesPA501(c)(3)Line 3Maxis Health System0
Tri-County Human Services Center Inc
PO Box 517CarbondalePA18407231938528Behavioral Health OrganizationPA501(c)(3)Line 7Maxis Health System0
Columbus Acquisition Corp
1160 Raymond BoulevardNewarkNJ07102262616342Inactive EntityNJ501(c)(3)Line 9Saint Michaels Medical Center0
Saint Michaels Medical Center
111 Central AvenueNewarkNJ07102262616046HospitalNJ501(c)(3)Line 3Catholic Health East0
St James Care Inc
1160 Raymond BoulevardNewarkNJ07102262616230Inactive EntityNJ501(c)(3)Line 9Saint Michaels Medical Center0
St Michaels Medical Center Foundation
1160 Raymond BoulevardNewarkNJ07102223311976FoundationNJ501(c)(3)Line 11a, ISaint Michaels Medical Center0
University Heights Property Company Inc
1160 Raymond BoulevardNewarkNJ07102223100162Medical Property Holding CompanyNJ501(c)(2)Saint Michaels Medical Center0
Life St Francis Corporation
601 Hamilton AvenueTrentonNJ08629222797282Health ServicesNJ501(c)(3)Line 11a, ISt Francis Medical Center Trenton NJ0
St Francis Medical Center Foundation NJ
601 Hamilton AvenueTrentonNJ08629521025476FoundationNJ501(c)(3)Line 11a, ISt Francis Medical Center Trenton NJ0
St Francis Medical Center Trenton NJ
601 Hamilton AvenueTrentonNJ08629223431049HospitalNJ501(c)(3)Line 3Catholic Health East0
Langhorne MRI Inc
1201 Langhorne-Newtown RoadLanghornePA19047232519529Inactive EntityPA501(c)(3)Line 9St Mary Medical Center0
Langhorne Physician Services Inc
1201 Langhorne-Newtown RoadLanghornePA19047232571699Physician ServicesPA501(c)(3)Line 9St Mary Medical Center0
LIFE St Mary
1201 Langhorne-Newtown RoadLanghornePA19047262976184Elderly CarePA501(c)(3)Line 9St Mary Medical Center0
St Mary Medical Center
1201 Langhorne-Newtown RoadLanghornePA19047231913910HospitalPA501(c)(3)Line 3Catholic Health East0
St Mary Medical Center Foundation Inc
1201 Langhorne-Newtown RoadLanghornePA19047232567468FoundationPA501(c)(3)Line 7St Mary Medical Center0
East Norriton Physician Services
c/o One West Elm StreetConshohockenPA19428232515999Physician ServicesPA501(c)(3)Line 3Mercy Health System of Southeastern Pennsylvania0
Mercy Catholic Medical Center of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428231352191Acute Care HospitalPA501(c)(3)Line 3Mercy Health System of Southeastern Pennsylvania0
Mercy Family Support
1001 Baltimore Pike Suite 301SpringfieldPA19064232325059Home HealthPA501(c)(3)Line 9Mercy Health System of Southeastern Pennsylvania0
Mercy Health Foundation of Southeastern Pennsylvania
c/o MHS One West Elm StreetConshohockenPA19428232829864FundraisingPA501(c)(3)Line 11b, IIMercy Health System of Southeastern Pennsylvania0
Mercy Health Plan
c/o One West Elm StreetConshohockenPA19428222483605Health PlansPA501(c)(3)Line 11b, IIMercy Health System of Southeastern Pennsylvania0
Mercy Health System of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428232212638Management & Support ServicesPA501(c)(3)Line 11b, IICatholic Health East0
Mercy Home Health
1001 Baltimore Pike Suite 310SpringfieldPA19064231352099Home HealthPA501(c)(3)Line 9Mercy Health System of Southeastern Pennsylvania0
Mercy Home Health Services
1001 Baltimore Pike Suite 301SpringfieldPA19064232325058Home HealthPA501(c)(3)Line 11b, IIMercy Health System of Southeastern Pennsylvania0
Mercy Management of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428232627944Physician PracticesPA501(c)(3)Line 11b, IIMercy Health System of Southeastern Pennsylvania0
Mercy Suburban Hospital
One West Elm StreetConshohockenPA19428231396763Acute Care HospitalPA501(c)(3)Line 3Mercy Health System of Southeastern Pennsylvania0
Nazareth Health Care Foundation
2701 Holme AvenuePhiladelphiaPA19152232300951FundraisingPA501(c)(3)Line 11b, IIMercy Health System of Southeastern Pennsylvania0
Nazareth Hospital
2601 Holme AvenuePhiladelphiaPA19152232794121Acute Care HospitalPA501(c)(3)Line 3Mercy Health System of Southeastern Pennsylvania0
Nazareth Physician Services Inc
2601 Holme AvenuePhiladelphiaPA19152203261266Physician PracticesPA501(c)(3)Line 3Mercy Health System of Southeastern Pennsylvania0
NE Physician Services
2601 Holme AvenuePhiladelphiaPA19152232497355Physician PracticesPA501(c)(3)Line 3Mercy Health System of Southeastern Pennsylvania0
St Agnes Continuing Care Center
1900 S Broad StreetPhiladelphiaPA19145232840137Continuing Care ServicesPA501(c)(3)Line 3Mercy Health System of Southeastern Pennsylvania0
St Agnes Continuing Care Center Foundation
1900 S Broad StreetPhiladelphiaPA19145232415137FundraisingPA501(c)(3)Line 11b, IIMercy Health System of Southeastern Pennsylvania0
Life at Lourdes Inc
1600 Haddon AvenueCamdenNJ08108261854750Elderly CareNJ501(c)(3)Line 3Our Lady of Lourdes Health Care Services0
Lourdes Ancillary Services
1600 Haddon AvenueCamdenNJ08103222568525Supporting OrganizationNJ501(c)(3)Line 11b, IIOur Lady of Lourdes Health Care Services0
Lourdes Dialysis at Innova Inc
1600 Haddon AvenueCamdenNJ08108263237625HospitalNJ501(c)(3)Line 3Our Lady of Lourdes Health Care Services0
Lourdes Medical Center Burlington County
218 Sunset RoadWillingboroNJ08046223612265HospitalNJ501(c)(3)Line 3Our Lady of Lourdes Health Care Services0
Our Lady of Lourdes Health Care Services
1600 Haddon AvenueCamdenNJ08103222568528Management & Support ServicesNJ501(c)(3)Line 11b, IICatholic Health East0
Our Lady of Lourdes Health Foundation Inc
1600 Haddon AvenueCamdenNJ08103222351960FoundationNJ501(c)(3)Line 7Our Lady of Lourdes Health Care Services0
Our Lady of Lourdes Medical Center
1600 Haddon AvenueCamdenNJ08103210635001HospitalNJ501(c)(3)Line 3Our Lady of Lourdes Health Care Services0
Franciscan Eldercare Corporation
PO Box 2500WilmingtonDE19805223008680EldercareDE501(c)(3)Line 9St Francis Hospital0
St Francis Foundation
PO Box 2500WilmingtonDE19805510374158FoundationDE501(c)(3)Line 11b, IISt Francis Hospital0
St Francis Hospital
PO Box 2500WilmingtonDE19805510064326HospitalDE501(c)(3)Line 3Catholic Health East0
McAuley Ministries
McAuley Hall 3333 Fifth AvenuePittsburghPA15213943436142Management & Support ServicesPA501(c)(3)Line 9Pittsburgh Mercy Health System0
Mercy Jeannette Hospital
3805 West Chester PikeNewtown SquarePA19073251310602Inactive EntityPA501(c)(3)Line 9Pittsburgh Mercy Health System0
Mercy Life Center Corporation
1200 Reedsdale StreetPittsburghPA15233251604115Community TreatmentPA501(c)(3)Line 9Pittsburgh Mercy Health System0
Pittsburgh Mercy Foundation
1200 Reedsdale StreetPittsburghPA15233251479026FoundationPA501(c)(3)Line 11b, IIPittsburgh Mercy Health System0
Pittsburgh Mercy Health System
3333 5th AvenuePittsburghPA15213251464211Management & Support ServicesPA501(c)(3)Line 11b, IICatholic Health East0
St Joseph's of the Pines Inc
100 Gossman Drive Suite BSouthern PinesNC28387560694200HospitalNC501(c)(3)Line 3Catholic Health East0
Life St Joseph of the Pines Inc
100 Gossman Drive Suite BSouthern PinesNC28387272159847Healthcare ServicesNC501(c)(3)Line 3St Joseph's of the Pines Inc0
Mercy Senior Care Inc
212 West Third Street PO Box 866RomeGA30162581366508Community OutreachGA501(c)(3)Line 7Saint Joseph's Health System Inc0
Saint Joseph's at East Georgia Inc
1201 Siloam RoadGreensboroGA30462261720984HospitalGA501(c)(3)Line 3Saint Joseph's Health System Inc0
Saint Joseph's Health System Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342581744848Management & Support ServicesGA501(c)(3)Line 11b, IICatholic Health East0
Saint Joseph's Hospital of Atlanta Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342580566257HospitalGA501(c)(3)Line 3Saint Joseph's Health System Inc0
Saint Joseph's Mercy Care Services Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342581752700Community OutreachGA501(c)(3)Line 7Saint Joseph's Health System Inc0
Saint Joseph's Mercy Foundation Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342581448522FundraisingGA501(c)(3)Line 11b, IISaint Joseph's Health System Inc0
Saint Joseph's Translational Research Institute Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342800079841ResearchGA501(c)(3)Line 4Saint Joseph's Health System Inc0
Mercy Services Downtown Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342272046353Real Estate Holding CompanyGA501(c)(3)Line 11b, IISaint Joseph's Health System Inc0
St Mary's Health Care System Inc
1230 Baxter StreetAthensGA30606580566223HospitalGA501(c)(3)Line 3Catholic Health East0
St Mary's Foundation Inc
1230 Baxter StreetAthensGA30606582544232FundraisingGA501(c)(3)Line 11b, IISt Mary's Health Care System Inc0
St Mary's Highland Hills Inc
1230 Baxter StreetAthensGA30606020576648Assisted Living & Retirement CommunityGA501(c)(3)Line 3St Mary's Health Care System Inc0
St Mary's Medical Group Inc
1230 Baxter StreetAthensGA30606261858563Hospital / Physician ServicesGA501(c)(3)Line 3St Mary's Health Care System Inc0
Mercy Medical Corporation
PO Box 1090 101 Villa DriveDaphneAL36526636002215HospitalAL501(c)(3)Line 3Catholic Health East0
Allegany Franciscan Ministries Inc
33920 US Highway 19 North Suite 269Palm HarborFL34684581492325Management & Support ServicesFL501(c)(3)Line 11b, IICatholic Health East0
St Francis Hospital Inc
33920 US Highway 19 North Suite 269Palm HarborFL34684590624442HospitalFL501(c)(3)Line 11a, IAllegany Franciscan Ministries Inc0
Holy Cross Hospital Inc
4725 North Federal HighwayFt LauderdaleFL33308590791028HospitalFL501(c)(3)Line 3Catholic Health East0
Holy Cross Long-Term Inc
4725 North Federal HighwayFt LauderdaleFL33308650787320Medical ServicesFL501(c)(3)Line 3Holy Cross Hospital Inc0
Holy Cross Medical Properties Inc
4725 North Federal HighwayFt LauderdaleFL33308650666283Medical Building Real Estate ManagementFL501(c)(2)Holy Cross Hospital Inc0
Mercy Hospital Foundation Inc
3663 South Miami AvenueMiamiFL33133591709438FundraisingFL501(c)(3)Line 7Mercy Hospital Inc0
Mercy Hospital Inc
3663 South Miami AvenueMiamiFL33133590791034HospitalFL501(c)(3)Line 3Catholic Health East0
Mercy Medical Development Inc
3663 South Miami AvenueMiamiFL33133592789194Outpatient ServicesFL501(c)(3)Line 9Mercy Hospital Inc0
Mercy Mission Services Inc
3663 South Miami AvenueMiamiFL33133650435764Health CareFL501(c)(3)Line 11a, IMercy Hospital Inc0
Catholic Health East
3805 West Chester Pike Suite 100Newtown SquarePA19073232929748Management ServicesPA501(c)(3)Line 11a, I0N/A
Continuing Care Management Services Network
3805 West Chester Pike Suite 100Newtown SquarePA19073352336834Management & Support ServicesPA501(c)(3)Line 11b, IICatholic Health East0
Global Health Ministry
3805 West Chester Pike Suite 100Newtown SquarePA19073233068656Health CarePA501(c)(3)Line 7Catholic Health East0
Mercy Jeanette Hospital Foundation
600 Jefferson AvenueJeannettePA15644251462863FoundationPA501(c)(3)Line 7Pittsburgh Mercy Health System0
VNA Home Health & Hospice
50 Foden RoadSouth PortlandME04106010246804Home Health & HospiceME501(c)(3)Line 11a, IMercy Health System of Maine0
Providence Place Inc
5 Gamelin StreetHolyokeMA01040043404084Retirement CommunityMA501(c)(3)Line 9Sisters of Providence Health System Inc0
Intercoastal Health Systems
3805 West Chester Pike Suite 100Newtown SquarePA19073650556413Management & Support ServicesPA501(c)(3)Line 11a, ICatholic Health East0
Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital
3663 South Miami AvenueMiamiFL33133510461511HospitalFL501(c)(3)Line 3Mercy Hospital Inc0

Form990 Schedule R Part III Form990ScheduleRPartIII (22 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPercentage OwnershipPercentageOwnership
Catherine Horan Building Limited Partnership
1221 Main Street Room 108HolyokeMA010400000042723429Property ManagementMAN/A
AmeriHealth Mercy Health Plan
200 Stevens Drive Suite 350PhiladelphiaPA19113232859523Medicaid Managed Care OrganizationPAN/A0.50000
Amerihealth Mercy of Indiana LLC
200 STEVENS DRIVE Suite 350PhiladelphiaPA19113204948091PREPAID HEALTH CARE SERVICESINN/A0.50000
East Norriton Medical Associates
2701 Dekalb PikeNorristownPA19401232319531Medical Office BuildingPAN/A0.12560
East Norriton Medical Associates
2701 Dekalb PikeNorristownPA19401232319531Medical Office BuildingPAN/A0.40930
Gateway Health Plan
300 Grant StreetPittsburghPA15219251691945Medicaid & Medicare/Special Needs Managed Care OrganizationPAN/A0.50000
Keystone Mercy Health Plan
100 Stevens DrivePhiladelphiaPA19113232842344Medicaid Managed Care OrganizationPAN/A0.50000
Langhorne MOB Partners LP
1201 Langhorne-Newtown RoadLanghornePA19047232622772Investment and operation of a medical buildingPAN/A0.28956
SMMC MOB II LP
1201 Langhorne-Newtown RoadLanghornePA19047364559869Investment and operation of a medical buildingPAN/A0.74520
MercyManor Partnership
PO Box 10086ToledoOH436990086521931012Nursing HomePAN/A0.50000
Nazareth Medical Office Building Associates LP
c/o Nazareth Hospital 2601 Holme AvPhiladelphiaPA19152232388040Medical Office BuildingPAN/A0.01000
Nazareth Medical Office Building Associates LP
c/o Nazareth Hospital 2601 Holme AvPhiladelphiaPA19152232388040Medical Office BuildingPAN/A0.47460
St Agnes Long Term Intensive Care LLP
1900 S Broad StreetPhiladelphiaPA19145200984882Long Term Intensive CarePAN/A0.60000
St Agnes Long Term Intensive Care LLP
1900 S Broad StreetPhiladelphiaPA19145200984882Long Term Intensive CarePAN/A0.40000
St Peter's Ambulatory Surgery Center LLC
1375 Washington Avenue Ste 201AlbanyNY12206460463892SurgeryNYN/A0.34750
Outpatient Surgical Management LLC
5673 Peachtree Dunwoody Rd Ste 550AtlantaGA30342208004929Outpatient Medical ServicesGAN/A0.51000
CV Partners LLC
5665 Peachtree Dunwoody RoadAtlantaGA303421764263881202Outpatient Medical ServicesGAN/A0.50000
Gwinnett Cardiovascular Servies LLC
1000 Medical Center BoulevardLawrencevilleGA30045263870307CardiologyGAN/A0.50000
Central New Jersey Heart Services LLC
10720 Sikes Places Ste 300CharlotteNC28277208525458Cardiac ProgramNJN/A0.63905
Physicians Outpatient Surgery Center LLC
1000 NE 56thOakland ParkFL33334352325646Ambulatory Surgery CenterFLN/A0.73000
Center for Surgery & Digestive Orders
3641 South Miami AvenueMiamiFL33133510438152Outpatient Medical ServicesFLN/A0.50000
SJV Management LLC
200 Century Pkwy Ste 200EMount LaurelNJ08054202273476Medical ServicesNJN/A0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (36 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryProvince Or StateAddressForeign/ProvinceOrStatePostal CodeAddressForeign/PostalCode
Catherine Horan Building Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000042938180Building ManagementMAN/AC
Diversified Community Services Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043128890Medical ServicesMAN/AC
Mercy Inpatient Medical Associates Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043029829Medical ServicesMAN/AC
Providence Home Care Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043317426Health Care ServicesMAN/AC
System Coordinated Services Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000042938181Lab ServicesMAN/AC
Physicians Medical Office Building Condominium Trust
1221 Main Street Room 108HolyokeMA010400000046608649Property ManagementMAN/AC
SJM Properties
411 Canisteo StreetHornellNY148482104161294991Property HoldingsNYN/AC
Carbondale Area Physicians' Association PC
100 Lincoln AveCarbondalePA18407232801677Medical Insurance ContractingPAN/AC
Carbondale Area Physicians' PHO Inc
100 Lincoln AveCarbondalePA18407232801676InactivePAN/AC
Carbondale Physicians' Services Inc
100 Lincoln AveCarbondalePA18407232365077PharmacyPAN/AC
Chestnut Risk Services Ltd
InsuranceN/AC11 Victoria StreetHamiltonBDBD
LifeCare Physicians PC
601 Hamilton AvenueTrentonNJ086291986261649038Health Care ServicesNJN/AC
Multicare Plus Inc
601 Hamilton AvenueTrentonNJ086291986223435844InactiveNJN/AC
Langhorne Services II Inc
1201 Langhorne-Newtown RoadLanghornePA190470000253795549General Partner of LMOB Partners, IIPAN/AC
Langhorne Services Inc
1201 Langhorne-Newtown RoadLanghornePA190470000232625981General Partner of LMOB PartnersPAN/AC
AMHP Holdings Corp
200 Stevens DrivePhiladelphiaPA19113261144363Behavioral HealthPAN/AC
Select Health of South Carolina Inc
4390 Belle Oaks Drive Suite 400CharlestonSC29405571032456Health Maintenance OrganizationSCN/AC
Gateway Health Plan Inc
600 Grant StreetPittsburghPA15219251505506Health CarePAN/AC
Gateway Health Plan Inc of Ohio
600 Grant StreetPittsburghPA15219300282076Health CarePAN/AC
MCMC Eastwick Inc
c/o MHS One West Elm StreetConshohockenPA19428232184261Medical Office BuildingsPAN/AC
Community Behavioral Healthcare Network of PA Inc
8040 Carlson RoadHarrisburgPA17112251765391Behavioral HealthPAN/AC
Health Management Services Org Inc
500 Grove Street Suite 100Haddon HeightsNJ08035223366580Health Care BillingNJN/AC
Jeannette Medical Providers
3805 West Chester PikeNewtown SquarePA19073251787334Holding CompanyPAN/AC
Jeannette OBGYN Group 1 Inc
3805 West Chester PikeNewtown SquarePA19073232890748Holding CompanyPAN/AC
Jeannette Primary Care Group 1 Inc
3805 West Chester PikeNewtown SquarePA19073232890743Holding CompanyPAN/AC
Saint Joseph's Service Corporation Inc
5673 Peachtree Dunwoody RoadAtlantaGA303421769581750815Service ProviderGAN/AC
Saint Joseph's Real Estate Management Corp
5673 Peachtree Dunwoody RoadAtlantaGA303421769581657768Investment CompanyGAN/AC
Magnetic Resonance Imaging Inc
5673 Peachtree Dunwoody RoadAtlantaGA303421769581609308Holding CompanyGAN/AC
ACTx
5673 Peachtree Dunwoody RoadAtlantaGA303421769830345672ResearchGAN/AC
Georgia Health Enterprises LLC
11440 Commerce Park DriveRestonVA20191541806329HealthcareVAN/AC
St Mary's Highland Hills Village Inc
1660 Jennings Mill RoadBogartGA30622582276801Assisted LivingGAN/AC
GHE Physicians PC
3500 Piedmont RoadAtlantaGA30305582277939Practice ManagementGAN/AC
Nursing Network Inc
4725 North Federal HighwayFort Lauderdale HighwaFL333080000591145192Medical ServicesFLN/AC
Mercy Physician Group Inc
3663 South Miami AvenueMiamiFL33133202970015Health CareFLN/AC
Stella Maris Insurance Company Limited
980078266InsuranceN/ACPO Box 69Grand CaymanCJCJCayman IslandsKY1-1102
Catholic Health East Senior Services
3805 West Chester Pike Suite 100Newtown SquarePA19073371572595Senior ServicesPAN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Mercy Community Health Inc
O1692920Fair Market Value
McAuley Center Inc
O1661932Fair Market Value

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