2011-11-14T09:47:37-06:00 2010-12-31 DELOITTE TAX LLP 1700 MARKET STREET 25TH FLOOR PHILADELPHIA PA 191033984 990 2010-01-01 240711230 Marian Community Hospital MARI 5702811000 100 Lincoln Ave Carbondale PA 184070000 Mary Theresa Vautrinot 5702811000 2011-11-11 1 2152462300 2010 2016-03-07 17:11:31Z Mary Theresa Vautrinot 100 Lincoln Ave Carbondale PA 184070000 29480231 0 X www.Mariancommunityhospital.org X 1926 PA Marian Community Hospital is a member of Maxis Health System, whose mission gives tangible expression to Christ's merciful love by providing compassionate, clinically excellent health care in the spirit of loving service to those in need, with special attention to the poor and vulnerable. Maxis Health System is a member of Catholic Health East ("CHE"). 19 17 336 17 238749 -6505 54021 24585 31766850 28012483 -70563 209569 910556 959795 32660864 29206432 685372 554817 0 0 17969889 14506298 0 0 0 17107072 17548102 35762333 32609217 -3101469 -3402785 16826578 16779522 30649610 35991634 -13823032 -19212112 X Marian Community Hospital is a compassionate community of women and men committed to being a transforming, healing presence by providing quality care to those we serve. Inspired by our mission and guided by our core values, Marian Community Hospital will achieve excellence in all we do and empower individuals in our community to realize an optimal quality of life. In tradition of the healing ministry of the Catholic Church and service to the community, Marian Community Hospital is totally patient focused - concentrating on patient needs and patient satisfaction. 0 0 28224766 554817 28972278 Marian Community Hospital is sponsored by the Sisters, Servants of the Immaculate Heart of Mary. The Board of Directors, Medical Staff, and employees are committed to providing quality health care and programs which contribute to the well being of the people in the communities which are served. Marian Community Hospital is operated as an acute care Hospital, which provides inpatient, outpatient, and emergency care services for residents in the service area. Marian Community Hospital offers a Charity Care Program in which medically necessary services will be made available without charge or at a reduced rate to eligible persons who cannot afford to pay for all or a part of their care. 28224766 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 12 0 336 1 1 1 0 0 0 0 0 0 0 0 0 X 19 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X Noreen Morgan 5702811013 100 Lincoln Ave Carbondale PA 184070000 Jessica Whittington 1.00 X 0 0 0 J Garry Wrobleski DO 1.00 X 0 0 0 Vincent Carilli PhD 1.00 X 0 0 0 Thomas Chesnick 1.00 X 0 0 0 Neil Davis DO 1.00 X 0 0 0 Matthew Haley DO 1.00 X 0 96284 0 Sr Maria Rose KellyIHM 1.00 X 0 0 0 Joseph Marzzacco DPM 1.00 X 0 0 0 Harold McGovern 1.00 X 0 0 0 Scott Miskovsky 1.00 X 0 0 0 Robert Non 1.00 X 0 0 0 John Risboskin 1.00 X 0 0 0 Mary Theresa Vautrinot 1.00 X X 0 425767 38601 Sherry Walsh 1.00 X 0 0 0 Sr Kathreen Lunsmann 1.00 X 0 0 0 Dr Harry Coleman 1.00 X 0 0 0 John Wiedman 1.00 X 0 0 0 Sr Theresa O'Rourke 1.00 X 0 0 0 William Boyle 1.00 X 0 0 0 Doug Tippins 1.00 X 94605 0 5802 Patricia Cornell 1.00 X 103390 0 14377 Jane Domaracki 1.00 X 108160 0 15526 Rich Hager 1.00 X 206894 0 10668 Jennifer Smedley 1.00 X 101371 0 7147 513049 522051 84974 4 0 1 0 NE Anesthesiology Assoc 525 Gladiola Drive Clarks Summit PA 184110000 Anesthesiology Group 783307 PPE Keystone Pc 66 West Gilbert Street Red Bank NJ 077010000 ER Physician Group 705814 Sodexo 4880 Payshpere Chicago IL 606740000 Food Service 683781 Marian Hyperbaric 3 Crossways Park West Woodbury NY 117970000 Hyperbaric/Woundcare Company 523812 Navix Diagnostic PO Box 403837 Atlanta GA 303840000 Vascular Laboratory 247303 9 24585 24585 Net Patient Services R 621110 28012483 28012483 28012483 107232 107232 125416 273799 -148383 -148383 -148383 41729 60608 41729 60608 102337 102337 Other operating revenu 900099 1022888 784139 238749 Net assets released fr 900099 84680 84680 Income from unconsolid 900099 610 610 1108178 29206432 28733529 238749 209569 554817 554817 1023789 1023789 10400992 8012070 2388922 513618 513618 1734147 1734147 833752 833752 90867 90867 25727 25727 3126 3126 59608 59608 86760 46629 40131 1083349 1083349 60330 16112 44218 576717 576717 738155 738155 543932 543932 Professional Fees & Pur 4354116 3646053 708063 Bad Debt Expense 2206435 2206435 Medical Supplies 2077093 2077093 Physician Fees 1515701 1515701 Equipment Rental 913676 913676 3212510 3212510 32609217 28224766 4384451 0 1464 853 3385331 3807926 656253 530027 590427 578792 36462579 30705472 6088871 5757107 3745581 4020912 1346163 1404877 1012488 679028 16826578 16779522 14452383 20362018 11252126 80184 10420000 4945101 5129432 30649610 35991634 X -14403632 -19839106 580600 626994 -13823032 -19212112 16826578 16779522 X -3402785 -1986295 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 3080 3080 0 Organizations Direct and Indirect Political Campaign Activities: Part I-A, Line 1: We pay dues to American Hospital Association and Hospital Association of PA. These organizations do directly participate in lobbying activities. Explanation of Other Lobbying Activities: Part II-B, Line 1i: Part II-B, Line 1: We pay dues to American Hospital Association and Hospital Association of PA. These organizations do directly participate in lobbying activiities. 128000 128000 19225556 15616366 3609190 422753 237728 185025 14056600 12290513 1766087 2629670 2560865 68805 5757107 Other Securities 1404877 C 1404877 Pension Liability 3835757 Workmen Compensation Liability 908000 SWAP Activity 44675 Insurance Liability 341000 5129432 1 1 1 X 1 X 1 1 1 0 1 1 140118 140118 0.00460 2099107 2099107 0.06900 2239225 2239225 0.07360 24146 24146 0.00080 24146 24146 0.00080 2263371 2263371 0.07440 62478 62478 0.00210 62478 62478 0.00210 1 879264 0 11651004 12671328 -1020324 X 1 1 1 1 Marian Community Hospital

100 Lincoln Ave Carbondale PA 184070000

X X X NOT APPLICABLE 1 Part I, Line 6a: Marian Community Hospital's community benefit report is contained in a report prepared by Catholic Health East. Part I, Line 7: Charity Care and Other Community Benefits are calculated at cost using the cost to charge methodology. This process encompasses all patient segments including inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay. The cost to charge ratio used in the calculation of cost related to charity care, unreimbursed cost of Medicaid and Community Health Improvement services is calculated and derived from the latest filed Medicare Cost Report. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 2206435. Part II: The Carbondale area has a significant elderly population and so Community Programs are designed with particular concern for the needs of those who are elderly and those who care for them: Advance Directive education, Grief and Loss Support Groups, Elder Law Program, various screening programs, etc.Marian Community Hospital stays actively involved in the community through the Ladies Auxiliary and its Volunteer Department.The mission statement adopted by the Marian Community Hospital Auxiliary states the following:"We are an organization of volunteers committed to support the healing mission of Marian Community Hospital. We accomplish this through fund-raising, volunteer services, and by generating a positive connection between the hospital, its employees and the community. Our service is offered in response to our awareness of the gifts we have been given, the kindness we have experienced, and our concern for our community."Hospital VolunteersMarian Community Hospital Volunteers serve the mission in a variety of ways and assist with clerical activities in a number of outpatient and support departments. Patient resource volunteers distribute donated magazines, books, puzzles and newspapers. Patient safety volunteers make rounds on patients to check for potential safety hazards in the patient rooms. Information desk volunteers offer information to patients and their families and also deliver greeting cards. Material management volunteers assist in delivering supplies to all hospital departments and food service volunteers assist cafeteria/kitchen staff in preparing and delivering food. Part III, Line 4: Charity Care is provided to a patient with a demonstrated inability to pay. A patient is eligible for Charity Care consideration based upon meeting certain income eligibility criteria as established by the Federal Poverty Income Guideline Sliding Scale. A patient whose family income is equal to or less than 200% of the most recent Federal Poverty Guidelines is eligible for a full discount off allowable charges. A patient whose family income is greater than 200% and less than 400% of the most recent Federal Poverty Guidelines is eligible for a 50% discount of allowable charges.Charity Care data reporting for services provided is based on cost of patient care services, not charges, with costs being determined by application of the standard cost to charge ratio. Charity Care may include unpaid coinsurance, deductibles and non-covered services if the patient meets the Charity Care eligibility criteria. Bad Debt is payment not received for service rendered for which payment was anticipated and credit extended. Bad Debt patients do not meet the criteria for Charity Care, that is, they are considered able to pay but unwilling to satisfy their outstanding obligations.Marian Community Hospital attempts to perform financial screening upon scheduling, admission or registration (discharge processing in the ED) as part of the overall Financial Counseling process. Patients who represent increased financial risk as a result of the amount they are expected to owe "out-of-pocket" should be referred to a Financial Counselor for assistance in applying for alternative payment programs (e.g., Medical Assistance), determining Charity Care eligibility, establishing payment plans or other financing arrangements. Financial Counseling services are to be made available to all elective, urgent and emergent patients. However, some patients could be missed if they do not agree to share their financial information with the Financial Counselor and this amount of charity care would be undetermined. Part III, Line 8: The amount here is determined by using the actual patient charges, the Medicare cost-to-charge ratios that we are currently being paid on, and the payment-to-charges from the actual remittances. Based on the calculation this shortfall should be viewed as uncompensated care provided to those patients and thus treated entirely as community benefit. Part III, Line 9b: The Charity Care patients are not included in debt collection efforts since it was determined that they qualify for charity care. Part VI, Line 7, The list of states in which CHE's community benefit report is filed are: Alabama, Connecticut, Delaware, Florida, Georgia, Maine, Massachusetts, New Jersey, New York, North Carolina and Pennsylvania. Part VI, Line 2: Marian Community Hospital participates in community events that keeps the Hospital informed on community needs. These events include the following:February 13th Blood Pressure Screening20th Blood Pressure Screening27th Blood Pressure ScreeningMarch5th American Red Cross Blood Mobile27th American Cancer society Daffodil Days CampaignMay 13th Attny Gigliotti Elder Law Program14th Health Insurance ForumJune3rd Vascular Screening Program10th Vascular Screening Program13th Lackawanna Medical Society Health Fair17th Vascular Screening Program24th Vascular Screening ProgramJuly 1st Vascular Screening Program8th Vascular Screening Program11th Carbondale Area Prosper Team Fundraiser15th Vascular Screening Program22nd Vascular Screening Program29th Vascular Screening ProgramAugust5th Vascular Screening Program12th Vascular Screening Program14th State Representative Wanczacs Senior Health Fair19th Vascular Screening Program26th Vascular Screening ProgramOctober29th Ladore Lodge Senior ExpoNovember23rd Project Hope DistributionThese events contribute to the assessment of community needs by providing feedback on the community's needed services. Marian Community Hospital also conducts a demographic analysis of the area which includes the population statistics. This analysis provides the necessary information to analyze the appropriate services needed for the community. Part VI, Line 3: Marian Community Hospital meets with and assists evey patient who does not have any health insurance coverage to help them obtain health insurance or set up a self-pay account. Marian Community Hospital posts its charity care policy in the Emergency Room and in the Admissions area. A financial counselor reviews a copy of this Charity Care policy and other government programs the patient may qualify for with eligible patients. Part VI, Line 4: Marian Community Hospital is located in Northeastern Pennsylvania and serves Carbondale and the surrounding communities. The community has experienced a decrease in population over the past 10 years and consists of a high concentration of elderly patients. Part VI, Line 6: Marian Community Hospital's governing body is comprised of persons who reside in the organization's primary service area who are neither employees nor contractors of the organization, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in its community for some or all of its departments. Part VI, Line 7: Marian Community Hospital is affiliated with Catholic Health East (CHE). 1 Maxis Medical Services 100 Lincoln Ave Carbondale PA 184070000 232577185 501(c)(3) 554817 N/A N/A Payments for Physician Operations 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Grant funds are reconciled monthly. Copies of the invoices of the grant funds are maintained in a separate filing system and the amount of the invoice is deducted from the balance of the funds each month. When the balance of the funds are spent, reporting requirements are completed. 0 0 0 0 0 0 0 0 0 Mary Theresa Vautrinot 0 247817 0 82939 0 95011 0 14057 0 24544 0 464368 0 0 Rich Hager 206894 0 0 0 0 0 0 0 10668 0 217562 0 0 0 Supplemental Information Part III Part 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 Saint Mary Hospital Authority 231913910 85230MAR5 2004-08-12 13848094 Health System Revenue Bonds 0 0 0 13848094 1254863 262033 12331192 2004 0 0 1 1 0 0 1 0 1 1 0 0 0 1 Citigroup Financial Products Inc 12.400000000000 0 0 0 Form 990, Part VI, Section A, line 6 Maxis Health System is the sole member. Form 990, Part VI, Section A, line 7a Yes, Maxis Health System approves the appointment of the members of the governing body. Form 990, Part VI, Section A, line 7b CHE and Maxis Health System have limited reserved powers to approve decisions of the governing body. Form 990, Part VI, Section B, line 11 The organization took steps to educate management, members of the board and members of appropriate subcommittees of the board on the compliance requirements mandated by Form 990. The form was reviewed by management and then submitted to the board or a subcommittee thereof which reported its findings to the board. Form 990, Part VI, Section B, line 12c The Organization has adopted Maxis Health System's policy, which sets forth the organization's conflict of interest policy and processes. Annually, all those serving Maxis Health System 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 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 15 The Organization has adopted Maxis Health System'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 Maxis Health System 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. DESCRIPTION OF ALL OTHER FUNCTIONAL EXPENSES FORM 990, PART IX, LINE 24: Equipment Rental- $913,676; Maint & Repairs - Software-$499,467; Utilites - Electric- $467,870; Maintenance and Repairs- $269,611; CHE Dues- $232,743; Utilties - Gas- $227,293; Laundry and Linen- $102,559; Hauling Refuse- $80,756; Utilities - Water & Sewer- $63,109; Maint & Repairs - Hardware- $63,085; CHE Program Fees- $59,434; Telephone- $52,781; Telephone - HospitaL- $47,137; Licenses and Fees- $43,141; Dues- $32,680; Postage- $25,677; Grounds Supplies- $21,797; Books, etc.- $18,919; Emergency Preparedness- $18,060; Minor Equipment- $17,704; Maint & Repairs - Telephone- $15,906; Vehicle Maintenance- $13,711; Miscellaneous-$9,922; Chemicals/Solutions- $6,653; Maintenance Supplies- $6,605; Donations- $6,266; Paper Supplies- $4,899; Spec Events-Community- $4,349; Drinking Water- $4,031; Occupational Therapy- $3,533; Utilities - Convent- $2,740; Med Staff Verifications- $2,217; Chapel- $2,187; Food Supplies- $2,044; Electric Supplies-$1,830; Speech Therapy- $1,750; Sales Tax Expense- $1,468 Spec Events - Hospital- $1,115; Plumbing Supplies- $857; Computer Supplies- $834; Packaging-$629; Photos and Film- $442; Ventilator Rental-$400 Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 185,334. Transfer to Affiliate -1,311,867. Pension Adjustment -871,453. Change in Fair Value of Interest Rate Swaps -133,359. Loss from Discontinued Service Line 98,656. Recording the Temporarily Restricted - from Foundation 46,394. Total to Form 990, Part XI, Line 5: -1,986,295. Mercy Health System of Maine 144 State Street Portland ME 04101 010484074 Management & Support Services ME 501(c)(3) Line 11c, III-FI Catholic Health East 0 Mercy Hospital 144 State Street Portland ME 04101 010211534 Hospital ME 501(c)(3) Line 3 Mercy Health System of Maine 0 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 0 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 0 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 0 St Peter's Health Care Services 315 South Manning Blvd Albany NY 12208 222702507 Management & Support Services NY 501(c)(3) Line 9 Catholic Health East 0 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 0 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 0 St Peter's Licensed Home Care Agency 159 Wolf Road Albany NY 12205 141818568 Home Health NY 501(c)(3) Line 3 St Peter's Health Care Services 0 The Community Hospice Foundation Inc 295 Valley View Blvd Rensselaer NY 12144 222692940 Fundraising & Public Relations NY 501(c)(3) Line 7 St Peter's Health Care Services 0 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 0 Villa Mary Immaculate 301 Hackett Blvd Albany NY 12208 141438749 Nursing Home & Physical Rehab NY 501(c)(3) Line 3 St Peter's Health Care Services 0 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 0 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 0 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 0 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 0 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 0 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 0 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 0 McAuley Center Inc 275 Steele Road West Hartford CT 06117 061058086 Independent Living CT 501(c)(3) Line 9 Mercy Community Health Inc 0 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 0 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 0 Mercy Services 2021 Albany Avenue West Hartford CT 06117 061453323 Support Services CT 501(c)(3) Line 1 Mercy Community Health Inc 0 Mercyknoll Inc 2021 Albany Avenue West Hartford CT 06117 060757380 Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc 0 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 0 St Mary Home Incorporated 2021 Albany Avenue West Hartford CT 06117 060646843 Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc 0 Mercy Healthcare Center 114 Wawbeek Avenue Tupper Lake NY 12986 150532211 Hospital NY 501(c)(3) Line 3 Catholic Health East 0 Mercy Uihlein Health Corporation 185 Old Military Road Lake Placid NY 12946 161535133 Hospital NY 501(c)(3) Line 11b, II Mercy Healthcare Center 0 Uihlein Mercy Center 185 Old Military Road Lake Placid NY 12946 150532190 Hospital NY 501(c)(3) Line 3 Mercy Healthcare Center 0 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 0 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 0 St James Mercy Hospital 411 Canisteo Street Hornell NY 14843 160743310 Hospital NY 501(c)(3) Line 3 St James Mercy Health System Inc 0 Marian Community Hospital Auxiliary 100 Lincoln Avenue Carbondale PA 18407 251874733 Fundraising PA 501(c)(3) Line 11b, II Maxis Health System 0 Maxis Foundation 100 Lincoln Avenue Carbondale PA 18407 232330090 Fundraising PA 501(c)(3) Line 11b, II Maxis Health System 0 Maxis Health System 100 Lincoln Avenue Carbondale PA 18407 911940902 Health Care System PA 501(c)(3) Line 11b, II Catholic Health East 0 Maxis Medical Services 100 Lincoln Avenue Carbondale PA 18407 232577185 Physician Practices PA 501(c)(3) Line 3 Maxis Health System 0 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 0 Columbus Acquisition Corp 1160 Raymond Boulevard Newark NJ 07102 262616342 Inactive Entity NJ 501(c)(3) Line 9 Saint Michaels Medical Center 0 Saint Michaels Medical Center 111 Central Avenue Newark NJ 07102 262616046 Hospital NJ 501(c)(3) Line 3 Catholic Health East 0 St James Care Inc 1160 Raymond Boulevard Newark NJ 07102 262616230 Inactive Entity NJ 501(c)(3) Line 9 Saint Michaels Medical Center 0 St Michaels Medical Center Foundation 1160 Raymond Boulevard Newark NJ 07102 223311976 Foundation NJ 501(c)(3) Line 11a, I Saint Michaels Medical Center 0 University Heights Property Company Inc 1160 Raymond Boulevard Newark NJ 07102 223100162 Medical Property Holding Company NJ 501(c)(2) Saint Michaels Medical Center 0 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 0 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 0 St Francis Medical Center Trenton NJ 601 Hamilton Avenue Trenton NJ 08629 223431049 Hospital NJ 501(c)(3) Line 3 Catholic Health East 0 Langhorne MRI Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232519529 Inactive Entity PA 501(c)(3) Line 9 St Mary Medical Center 0 Langhorne Physician Services Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232571699 Physician Services PA 501(c)(3) Line 9 St Mary Medical Center 0 LIFE St Mary 1201 Langhorne-Newtown Road Langhorne PA 19047 262976184 Elderly Care PA 501(c)(3) Line 9 St Mary Medical Center 0 St Mary Medical Center 1201 Langhorne-Newtown Road Langhorne PA 19047 231913910 Hospital PA 501(c)(3) Line 3 Catholic Health East 0 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 0 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 0 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 0 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 0 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 0 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 0 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 0 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 0 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 0 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 0 Mercy Suburban Hospital One West Elm Street Conshohocken PA 19428 231396763 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 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 0 Nazareth Hospital 2601 Holme Avenue Philadelphia PA 19152 232794121 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 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 0 NE Physician Services 2601 Holme Avenue Philadelphia PA 19152 232497355 Physician Practices PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 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 0 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 0 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 0 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 0 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 0 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 0 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 0 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 0 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 0 Franciscan Eldercare Corporation PO Box 2500 Wilmington DE 19805 223008680 Eldercare DE 501(c)(3) Line 9 St Francis Hospital 0 St Francis Foundation PO Box 2500 Wilmington DE 19805 510374158 Foundation DE 501(c)(3) Line 11b, II St Francis Hospital 0 St Francis Hospital PO Box 2500 Wilmington DE 19805 510064326 Hospital DE 501(c)(3) Line 3 Catholic Health East 0 McAuley Ministries McAuley Hall 3333 Fifth Avenue Pittsburgh PA 15213 943436142 Management & Support Services PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 0 Mercy Jeannette Hospital 3805 West Chester Pike Newtown Square PA 19073 251310602 Inactive Entity PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 0 Mercy Life Center Corporation 1200 Reedsdale Street Pittsburgh PA 15233 251604115 Community Treatment PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 0 Pittsburgh Mercy Foundation 1200 Reedsdale Street Pittsburgh PA 15233 251479026 Foundation PA 501(c)(3) Line 11b, II Pittsburgh Mercy Health System 0 Pittsburgh Mercy Health System 3333 5th Avenue Pittsburgh PA 15213 251464211 Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East 0 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 0 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 0 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 0 Saint Joseph's at East Georgia Inc 1201 Siloam Road Greensboro GA 30462 261720984 Hospital GA 501(c)(3) Line 3 Saint Joseph's Health System Inc 0 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 0 Saint Joseph's Hospital of Atlanta Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 580566257 Hospital GA 501(c)(3) Line 3 Saint Joseph's Health System Inc 0 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 0 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 0 Saint Joseph's Translational Research Institute Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 800079841 Research GA 501(c)(3) Line 4 Saint Joseph's Health System Inc 0 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 0 St Mary's Health Care System Inc 1230 Baxter Street Athens GA 30606 580566223 Hospital GA 501(c)(3) Line 3 Catholic Health East 0 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 0 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 0 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 0 Mercy Medical Corporation PO Box 1090 101 Villa Drive Daphne AL 36526 636002215 Hospital AL 501(c)(3) Line 3 Catholic Health East 0 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 0 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 0 Holy Cross Hospital Inc 4725 North Federal Highway Ft Lauderdale FL 33308 590791028 Hospital FL 501(c)(3) Line 3 Catholic Health East 0 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 0 Holy Cross Medical Properties Inc 4725 North Federal Highway Ft Lauderdale FL 33308 650666283 Medical Building Real Estate Management FL 501(c)(2) Holy Cross Hospital Inc 0 Mercy Hospital Foundation Inc 3663 South Miami Avenue Miami FL 33133 591709438 Fundraising FL 501(c)(3) Line 7 Mercy Hospital Inc 0 Mercy Hospital Inc 3663 South Miami Avenue Miami FL 33133 590791034 Hospital FL 501(c)(3) Line 3 Catholic Health East 0 Mercy Medical Development Inc 3663 South Miami Avenue Miami FL 33133 592789194 Outpatient Services FL 501(c)(3) Line 9 Mercy Hospital Inc 0 Mercy Mission Services Inc 3663 South Miami Avenue Miami FL 33133 650435764 Health Care FL 501(c)(3) Line 11a, I Mercy Hospital Inc 0 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 0 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 0 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 0 Mercy Jeanette Hospital Foundation 600 Jefferson Avenue Jeannette PA 15644 251462863 Foundation PA 501(c)(3) Line 7 Pittsburgh Mercy Health System 0 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 0 Providence Place Inc 5 Gamelin Street Holyoke MA 01040 043404084 Retirement Community MA 501(c)(3) Line 9 Sisters of Providence Health System Inc 0 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 0 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 0 Catherine Horan Building Limited Partnership 1221 Main Street Room 108 Holyoke MA 010400000 042723429 Property Management MA N/A AmeriHealth Mercy Health Plan 200 Stevens Drive Suite 350 Philadelphia PA 19113 232859523 Medicaid Managed Care Organization PA N/A 0.50000 Amerihealth Mercy of Indiana LLC 200 STEVENS DRIVE Suite 350 Philadelphia PA 19113 204948091 PREPAID HEALTH CARE SERVICES IN N/A 0.50000 East Norriton Medical Associates 2701 Dekalb Pike Norristown PA 19401 232319531 Medical Office Building PA N/A 0.12560 East Norriton Medical Associates 2701 Dekalb Pike Norristown PA 19401 232319531 Medical Office Building PA N/A 0.40930 Gateway Health Plan 300 Grant Street Pittsburgh PA 15219 251691945 Medicaid & Medicare/Special Needs Managed Care Organization PA N/A 0.50000 Keystone Mercy Health Plan 100 Stevens Drive Philadelphia PA 19113 232842344 Medicaid Managed Care Organization PA N/A 0.50000 Langhorne MOB Partners LP 1201 Langhorne-Newtown Road Langhorne PA 19047 232622772 Investment and operation of a medical building PA N/A 0.28956 SMMC MOB II LP 1201 Langhorne-Newtown Road Langhorne PA 19047 364559869 Investment and operation of a medical building PA N/A 0.74520 MercyManor Partnership PO Box 10086 Toledo OH 436990086 521931012 Nursing Home PA N/A 0.50000 Nazareth Medical Office Building Associates LP c/o Nazareth Hospital 2601 Holme Av Philadelphia PA 19152 232388040 Medical Office Building PA N/A 0.01000 Nazareth Medical Office Building Associates LP c/o Nazareth Hospital 2601 Holme Av Philadelphia PA 19152 232388040 Medical Office Building PA N/A 0.47460 St Agnes Long Term Intensive Care LLP 1900 S Broad Street Philadelphia PA 19145 200984882 Long Term Intensive Care PA N/A 0.60000 St Agnes Long Term Intensive Care LLP 1900 S Broad Street Philadelphia PA 19145 200984882 Long Term Intensive Care PA N/A 0.40000 St Peter's Ambulatory Surgery Center LLC 1375 Washington Avenue Ste 201 Albany NY 12206 460463892 Surgery NY N/A 0.34750 Outpatient Surgical Management LLC 5673 Peachtree Dunwoody Rd Ste 550 Atlanta GA 30342 208004929 Outpatient Medical Services GA N/A 0.51000 CV Partners LLC 5665 Peachtree Dunwoody Road Atlanta GA 303421764 263881202 Outpatient Medical Services GA N/A 0.50000 Gwinnett Cardiovascular Servies LLC 1000 Medical Center Boulevard Lawrenceville GA 30045 263870307 Cardiology GA N/A 0.50000 Central New Jersey Heart Services LLC 10720 Sikes Places Ste 300 Charlotte NC 28277 208525458 Cardiac Program NJ N/A 0.63905 Physicians Outpatient Surgery Center LLC 1000 NE 56th Oakland Park FL 33334 352325646 Ambulatory Surgery Center FL N/A 0.73000 Center for Surgery & Digestive Orders 3641 South Miami Avenue Miami FL 33133 510438152 Outpatient Medical Services FL N/A 0.50000 SJV Management LLC 200 Century Pkwy Ste 200E Mount Laurel NJ 08054 202273476 Medical Services NJ N/A 0.50000 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 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 Behavioral 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 Behavioral Healthcare Network of PA Inc 8040 Carlson Road Harrisburg PA 17112 251765391 Behavioral 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 Saint Joseph's Service Corporation Inc 5673 Peachtree Dunwoody Road Atlanta GA 303421769 581750815 Service Provider GA N/A C Saint Joseph's Real Estate Management Corp 5673 Peachtree Dunwoody Road Atlanta GA 303421769 581657768 Investment Company GA N/A C Magnetic Resonance Imaging Inc 5673 Peachtree Dunwoody Road Atlanta GA 303421769 581609308 Holding Company GA N/A C ACTx 5673 Peachtree Dunwoody Road Atlanta GA 303421769 830345672 Research GA 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 Road Bogart GA 30622 582276801 Assisted Living GA N/A C GHE Physicians PC 3500 Piedmont Road Atlanta GA 30305 582277939 Practice Management GA N/A C Nursing Network Inc 4725 North Federal Highway Fort Lauderdale Highwa FL 333080000 591145192 Medical Services FL N/A C Mercy Physician Group Inc 3663 South Miami Avenue Miami FL 33133 202970015 Health Care FL N/A C Stella Maris Insurance Company Limited PO Box 69 Grand Cayman Cayman Islands CJ KY1-1102 980078266 Insurance CJ N/A C Catholic Health East Senior Services 3805 West Chester Pike Suite 100 Newtown Square PA 19073 371572595 Senior Services PA N/A C 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Maxis Medical Services B 554817 FMV Catholic Health East E 10420000 FMV Tri-County Human Services Q 74086 FMV Tri-County Human Services R 1320524 FMV