2011-11-15T13:15:27-06:00 2010-12-31 Deloitte Tax LLP 1700 Market Street 25th Floor Philadelphia PA 191033984 990 2010-01-01 043398280 Mercy Hospital Inc MERC 4135392689 c/o SPHS 1221 Main Street No 108 Holyoke MA 01040 Thomas Robert 4137489000 2011-11-15 1 2152462300 2010 2016-03-07 17:11:31Z Daniel P Moen 271 Carew Street Springfield MA 01104 216994870 0 0928 X www.mercycares.com X 1898 MA Mercy Hospital, Inc. is a not-for-profit hospital established to meet the healthcare needs of the community it serves. Mercy Hospital offers a wide range of programs and services in acute care, behavioral health care and rehabilitation care. 22 17 2195 172 982246 -9979 2466973 2536046 210260703 204879638 378948 557148 12875915 8922098 225982539 216894930 0 0 0 0 104989809 102396756 0 0 0 106297827 106231079 211287636 208627835 14694903 8267095 144883969 153338922 84078438 86301685 60805531 67037237 X Mercy Hospital, a member of the Sisters of Providence Health System, Inc. ("SPHS"), is a community of persons committed to being a transforming, healing presence within the communities that we serve. We believe in the sacredness of human life, in the innate dignity of each person and that it is in relationship with one another that all persons realize their fullest potential. In our service, we are sustained by an unwavering trust in God's Providence. Mercy Hospital, Inc. is a member of Catholic Health East "CHE". 0 0 133242007 0 162679837 Mercy Hospital offers a wide range of programs and services in acute care. The acute programs and services include cardiac care, maternity services, cancer treatment, emergency care, diagnostic imaging, intensive care, critical care and surgical procedures both inpatient and outpatient. 2010 total patient days 42,704. 29190714 0 33504157 Mercy Hospital's behavioral health programs and services include inpatient and outpatient psychiatric care for people of all ages, short term residential treatment for people with acute psychiatric and or substance abuse problems, and intensive outpatient chemical dependency programs. 2010 total patient days 34,998. 14395150 0 14601234 Mercy Hospital's rehabilitation programs and services include inpatient, outpatient, day and pediatric rehabilitation services, physical therapy, occupational therapy, speech therapy, audiology and pain management. 2010 total patient days 7,339. 176827871 1 1 0 1 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 126 0 1 2195 1 1 1 0 0 0 0 0 0 0 0 0 X 22 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MA X William Krasin 4135392689 c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 X William A Collins 1.00 X 0 0 0 Rev Msgr C D Connelly 1.00 X 0 0 0 John E Dowd 1.00 X 0 0 0 Philip F Gaziano MD 1.00 X 0 0 0 John E Griggs MD 1.00 X 0 0 0 Sr Ann M Horgan SP 1.00 X 0 0 0 Kathleen M Kane 1.00 X 0 0 0 Almaneta G Lee GNP-BC MS 1.00 X 0 0 0 Sr Ruth F McGoldrick SP 1.00 X 0 0 0 Leda M McKenry PHD 1.00 X 0 0 0 Sr Joan C Mullen SP 1.00 X 0 0 0 Shirin Nash MD 1.00 X 0 0 0 Carla W Newton ESQ 1.00 X 0 0 0 Sr Kathleen Popko SP 1.00 X 0 0 0 Rev Karen L Rucks 1.00 X 0 0 0 John E Sjoberg 1.00 X 0 0 0 Paul J Valickus 1.00 X 0 0 0 Dean M Whalen ESQ 1.00 X 0 0 0 David M Chadbourne MD 1.00 X X 0 0 0 Joanne M Beauregard 1.00 X X 0 0 0 Robert M Sullivan 1.00 X X 0 0 0 William Bithoney MD 50.00 X X 0 479430 45580 Vincent McCorkle 50.00 X X 0 564863 30351 Michael Hammond 50.00 X 0 176672 14943 Thomas Robert 50.00 X 0 209255 15198 Sr Sullivan See Sch O 50.00 X 0 176303 17481 Leonard Pansa 50.00 X 0 251992 25122 Sharon A Adams 50.00 X 254366 0 28641 Dean McKenzie 40.00 X 227818 0 15513 Nancy Dufault 63.00 X 358116 0 14428 Lawrence Osborn 40.00 X 212572 0 6480 Jaiteerth Avadhani 40.00 X 186361 0 21127 Mary Tarail 40.00 X 188293 0 6635 Kathleen Kane 54.00 X 170731 0 19027 1598257 1858515 260526 91 0 1 0 Sheridan Morse Healthcare of MA PO Box 452285 Sunrise FL 333452285 Anesthesiology 1944294 Western Mass Critical Care 300 Stafford Street Suite 300 Springfield MA 011043581 Physician fees 1169973 Arrow Security PO Box 1250 Sprongfield MA 011011250 Security 1004965 Angelica Textile Services PO Box 823283 Philadelphia PA 191823283 Laundry 871078 Inpatient Pediatric Services 153 Munger Hill Road Westfield MA 010854576 Physician fees 812708 25 11516 1698402 826128 2536046 Acute Care 623000 159359451 159359451 Behavioral Health 623000 31298599 31298599 Rehabilitation Revenue 623000 14221588 14221588 204879638 565122 565122 640882 640882 640882 640882 91966 99940 -7974 -7974 -7974 Essential Community Pr 900099 4800000 4800000 Cafeteria Revenue 722210 1227355 1227355 Pharmacy Revenue 900099 839639 5320 834319 1414222 1100270 147927 166025 8281216 216894930 210785228 982246 2591410 526338 526338 85588662 84620700 967962 2375868 2356337 19531 7161306 7066481 94825 6744582 6630458 114124 489432 2421 487011 20521321 19282781 1238540 183838 128944 54894 31002530 30459254 543276 5934131 5725303 208828 147391 136070 11321 87841 77492 10349 1845781 1845781 7463488 6153776 1309712 1687603 1687276 327 System Assessment 21792302 21792302 Bad Debt 7327149 7327149 Service Contracts 4017609 3892236 125373 Restructuring Costs 1276731 1276731 Program Payments UCC Po 942260 942260 1511672 338933 1172739 208627835 176827871 31799964 0 47847038 50414058 2589285 1634636 20175593 18221795 121410 15215 2989415 4040445 1473044 1495134 199982053 134322754 64538980 65659299 3537807 3709630 97513 98103 1513884 8050607 144883969 153338922 14507731 16480685 161579 158552 51264439 49857814 18144689 19804634 84078438 86301685 X 57866147 64723340 2581578 1956091 357806 357806 60805531 67037237 144883969 153338922 X 8267095 -2035389 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 30596 30596 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: The organization pays membership dues to the Massachusetts Hospital Association which engages in lobbying activities. A portion of these dues are attributable to lobbying activities. 357806 35065 35065 357806 357806 27185 27185 357806 357806 -43208 -43208 357806 1.00000 0 0 2195837 2195837 71807934 31646756 40161178 343239 180012 163227 117142921 97973230 19169691 8492122 4522756 3969366 65659299 Due from related parties 1534389 Other Assets 6516218 8050607 Third party payor settlements 4870980 Pension liabilty 8087703 Workers compensation reserve 1704452 Other reserve 954459 Fixed assets retirement obligation 979284 Other 3207756 19804634 Description of Intended Use of Endowment Funds: Part V, Line 4: Income from endowment funds is used to provide patient care. 1 1 1 X 1 X 1 1 1 0 1 1 4377919 4148903 229016 0.00110 45701633 43735554 1966079 0.00980 5393728 4176627 1217101 0.00600 55473280 52061084 3412196 0.01690 1898994 11732 1887262 0.00940 24138 24138 0.00010 1923132 11732 1911400 0.00950 57396412 52072816 5323596 0.02640 0 2778966 30672 61120679 53365583 7755096 X 1 1 1 Western Massachuset Diagnostic Imaging 0.50000 2 1 Mercy Hospital Inc

271 Carew St Springfield MA 01104

X 2 Mercy Hospital Inc dba

Behavioral Health Hospital 1233 Main St Holyoke MA 01040

X Behavioral Health Services NA 1 Part I, Line 7: A cost to charge ratio was derived from Worksheet 2 to calculate the charity care and means-tested government program section Part I, line 7. The cost to charge ratio excludes bad debt expenses pursuant to the instructions. Part I, L7 Col(f): Bad debt expense included in Form 990, Part IX, line 25, column A is $7,327,149 and has been removed prior to the calculation of line 7 column f pursuant to the instructions. Part III, Line 4: A cost to charge ratio was derived from Worksheet A to calculate Part III, lines 2 and 3. A study was conducted in which financial assistance applications, that were denied due to incomplete documentation, were assessed and were deemed eligible for financial assistance had the patient provided complete documentation. Allowance for Uncollectibles: The system provides an allowance for uncollectibles for estimated losses. The allowance is determined by analyzing historical data and trends. Accounts receivable are charged off against the allowance for uncollectibles when management determines that recovery is unlikely and the system ceases collection efforts. Part III, Line 8: The costing methodology utilized in the Medicare cost report is as follows: Inpatient routine services are allocated on a basis of Medicare days to total days. All other services are allocated on a cost to charge ratio. Part III, Line 9b: The same collection process is used for uninsured and insured patients, excluding those that are exempt from collection procedures pursuant to state regulations. The collection process is as follows: an initial bill is sent, followed by subsequect billings and various methods of notification including collection letters and telephone calls for a period of 120 days. The EVS system is checked to ensure that the patient is not a low income patient. A final notice by certified mail is sent for uninsured patients. Part III, Line 5: The hospital received two prior year settlements in the total amount of $1,952,024 during fiscal year 2010. Part VI, Line 2: Every three years a study is performed to assess the health care needs of the surrounding communities. The most recent study was in 2010 by Market Street Research, Inc. in which a needs assessment of the organization's primary service area was performed. Part VI, Line 3: Patients are informed and educated regarding financial assistance in a number of ways. General notices of financial assistance programs are posted throughout the hospital, primarily in the following areas: service delivery areas, patient financial counselor areas, the central admission and registration areas, and business office areas open to patients. Additionally, a general notice of program availability is included with the initial bill. Financial counselors also work to identify available coverage options when scheduling services, while in the hospital, upon discharge, and for a reasonable time following discharge. Part VI, Line 4: The Mercy Hospital, Inc. is a Catholic, not for profit hospital located in Western Massachusetts. The primary geographic service areas are Springfield, Chciopee, Holyoke, Ludlow, East Longmeadow, Longmeadow, Wilbraham, Agawam, Westfield and West Springfield. The population of Hispanic, African-American and Asian heritage is expected to increase throughout the next decade. Based on the most recent needs assessment, the population residing in the surrounding service areas is approximately 406,376 individuals and the overall unemployment rate for these areas is approximately 10.9%. Approximately 83% of the service areas have an average income below the state median of $64,684 and of these areas, 16% have an average income below the federal poverty guideline of $22,050. There are eight other local hospitals, in addition to The Mercy Hospital, Inc., serving these communities. Part VI, Line 6: The Healthcare for the Homeless Program performed primary care, disease management, health screenings and mental health services to individuals and families at 46 regional shelters, soup kitchens, and transitional living centers in Franklin, Hampshire and Hampden Counties. In 2010, 350 homeless persons were enrolled in MassHealth insurnace and 2,566 individuals were served with a total of 12,911 medical encounters. The Vietnamese Health Project served 629 Vietnamese patients through interpretive services, educational programs, case management, access to health insurance enrollment services and post-enrollment services. The hospital served 1,389 patients and family members through various free support groups for expectant parents, patients, and family members who are challenged with a diagnosis of cancer and/or various physical and mental challenges such as amputations,aphasia, brain injury,stroke and spinal cord injury.The Teen Parent Health Outreach and Support Program served 131 teen parents through a continuam of community health services and programs, such as prenatal care, psychosocial assessments, social support groups, health literacy, child birth classes, and breast feeding classes at Providence Prenatal Clinic and Mercy Care at Forest Park. Reports Filed With States Part VI, Line 7 MA,AL,CT,DE,FL,GA,ME,NJ,NY,NC,PA X 1 1 0 1 0 0 0 1 1 0 0 William Bithoney MD 0 377186 0 96570 0 5674 0 23850 0 21730 0 525010 0 0 Vincent McCorkle 0 222909 0 140916 0 201038 0 13752 0 16599 0 595214 0 0 Michael Hammond 0 130718 0 44805 0 1149 0 5435 0 9508 0 191615 0 0 Thomas Robert 0 193720 0 15053 0 482 0 11964 0 3234 0 224453 0 0 Sr Sullivan See Sch O 0 150653 0 25650 0 0 0 9110 0 8371 0 193784 0 0 Leonard Pansa 0 212933 0 37155 0 1904 0 20380 0 4742 0 277114 0 0 Sharon A Adams 212179 0 41512 0 675 0 19458 0 9183 0 283007 0 0 0 Dean McKenzie 219534 0 8000 0 284 0 0 0 15513 0 243331 0 0 0 Nancy Dufault 211052 0 450 0 146614 0 3226 0 11202 0 372544 0 0 0 Lawrence Osborn 211528 0 0 0 1044 0 5532 0 948 0 219052 0 0 0 Jaiteerth Avadhani 185980 0 0 0 381 0 5759 0 15368 0 207488 0 0 0 Mary Tarail 187200 0 0 0 1093 0 5569 0 1066 0 194928 0 0 0 Kathleen Kane 170522 0 150 0 59 0 7839 0 11188 0 189758 0 0 0 Part I, Line 1a Monthly dues for SPHS's CEO were paid to the Colony Club. Supplemental Information Part III Part I, Line 3: Mercy Hospital, Inc. relied on a related organization (Sisters of Providence Health System, Inc.) that used one or more of the methods described below to establish the top management official's compensation: - Compensation committee - Written employment contract - Independent compensation consultant - Compensation survey or study - Approval by the board or compensation committee Part I, Line 4b: The following individuals received payments from a supplemental nonqualified retirement plan: Leonard Pansa - $12,797; Sr. Kathleen Sullivan - $9,110; William Bithoney - $16,500; Thomas Robert - $7,455; Sharon Adams - $13,190 Part I, Line 6 - The organization has an incentive pay program of which one criteria is based on the organization's operating results as compared to budget as well as other criteria which includes quality and patient satisfaction. Mass HEFA 2007C 042456011 57586CXY6 2007-04-19 43650800 Advance Refunding 0 0 0 Mass HEFA 2009 042456011 57586EGR6 2009-03-19 25524666 Current Refunding and swap termination 0 0 0 Mass HEFA 2010 042456011 57586ESB8 2010-04-07 14311512 Current Refunding 0 0 0 33192500 43650800 1081200 394820 42174780 2007 0 1 1 1 144500 25524666 457023 25067643 2009 1 0 1 1 1291999 14311512 207225 14104287 2010 1 0 1 1 0 0 1 0 1 1 0 0 1 Merrill Lynch Capital Services 21.600000000000 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 Schedule K, Part III, Column B, Line 3a: The organization has entered into various management and service contracts. Collectively, these contracts do not constitute an amount of private business use that exceeds the prescribed percentage. Schedule K, Part IV, Column A, Line 5: Proceeds are held in a yield restricted refunding escrow. Form 990, Part VI, Section A, line 6 Yes, Sisters of Providence Health System, Inc. is the sole member. Form 990, Part VI, Section A, line 7a Yes, Sisters of Providence Health System, Inc. approves the appointment of the members of the governing body. Form 990, Part VI, Section A, line 7b CHE has 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 the Form 990. The form was prepared by Deloitte Tax LLP, reviewed by management and then presented to the Finance Committee, who reviewed the 990 at their meeting on November 1, 2011. Form 990, Part VI, Section B, line 12c The organization has adopted CHE'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 disinterested 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 CHE'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 C, line 19 Organizational Articles of Incorporation, Corporate Bylaws, governance policies believed to be of interest to the public, conflict of interest policy, audited financial statements; annual community benefit report and IRS Form 990 are available to the public upon request. Avg hours devoted to related organization(s) when related comp is reported: Form 990, Part VII, Section A: Individuals receiving compensation from related organizations have system-wide responsibilities requiring services to be performed for this organization as well as other organizations in the Sisters of Providence Health System. The hours listed for individuals in Part VII reflect the time the individual spends on this organization and related organizations. Accordingly, compensation listed in this part represents the individual's total compensation for work performed for all organizations comprising the Sisters of Providence Health System. Form 990, Part VII, Section A: All money paid on behalf of Sr. Sullivan goes directly to her religious order on her behalf. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -587,838. Transfers for capital expenditures 1,056,118. Pension adjustment -1,363,093. Released from restriction -1,172,755. Other 32,179. Total to Form 990, Part XI, Line 5: -2,035,389. Explanation of financial statements: Form 990, Part XII, Line 2a & 2b: While the entity does not have individual audited financial statements, an audit of SPHS's consolidated financial statements was performed. 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 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 100 Lincoln Avenue Carbondale PA 18407 240711230 Hospital PA 501(c)(3) Line 3 Maxis Health System 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 Mary's Meadow at Providence Plance Inc 12 Gamelin Street Holyoke MA 01040 262043754 Long Term Care Religious MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 0 Catherine Horan Building Limited Partnership 1221 Main Street Room 108 Holyoke MA 010400000 042723429 Property Management MA Catherine Horan Building Corporation Rental 1127 2318537 0 0 0.01000 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 Services LLC 1000 Medical Center Boulevard 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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 1 0 0 0 0 0 0 0 1 1 0 1 0 0 1 1 0 0 Sisters of Providence Health SystemInc I 107434 Fair Market Value Brightside Inc I 57024 Fair Market Value Mercy Inpatient Medical Associates Inc I 51400 Fair Market Value Sisters of Providence Health System Inc O 21972302 Fair 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