FARREN CARE CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
FARREN CARE CENTER INC (EIN 04-2501711)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201103199349306070
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)
Timestamp2011-11-15T13:15:27-06:00Timestamp
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)
EIN042501711EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Farren Care Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFARRNameControl
Phone4135392689Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1c/o SPHS Finance 1221 Main StreetAddressLine1
Address Line2No 108AddressLine2
CityHolyokeCity
StateMAState
ZIP Code010405396ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameThomas RobertName
TitleSenior Vice President/CFOTitle
Phone4135392917Phone
Date Signed2011-11-15DateSigned
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 PersonChristopher J McLaughlinNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11233 Main StreetAddressLine1
CityHolyokeCity
StateMAState
ZIP Code010405381ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12590496GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.mercycares.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionFarren Care Center, Inc., a member of Sisters of Providence Health System, Inc. ("SPHS") is a specialized skilled nursing facility serving residents with both medical and psychiatric illnesses or behavioral disorders. The Sisters of Providence Health System, Inc. is a member of Catholic Health East ("CHE").ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees256TotalNbrEmployees
Total Nbr Volunteers41TotalNbrVolunteers
Total Gross UBI23355TotalGrossUBI
Net Unrelated Business Txbl Income923NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year15157ContributionsGrantsPriorYear
Contributions Grants Current Year16057ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12273458ProgramServiceRevenuePriorYear
Program Service Revenue CY12181105ProgramServiceRevenueCY
Investment Income Prior Year56177InvestmentIncomePriorYear
Investment Income Current Year57642InvestmentIncomeCurrentYear
Other Revenue Prior Year944984OtherRevenuePriorYear
Other Revenue Current Year335692OtherRevenueCurrentYear
Total Revenue Prior Year13289776TotalRevenuePriorYear
Total Revenue Current Year12590496TotalRevenueCurrentYear
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 Year8066870SalariesEtcPriorYear
Salaries Etc Current Year8126975SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4812081OtherExpensePriorYear
Other Expenses Current Year4595757OtherExpensesCurrentYear
Total Expenses Prior Year12878951TotalExpensesPriorYear
Total Expenses Current Year12722732TotalExpensesCurrentYear
Revenues Less Expenses Prior Year410825RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-132236RevenuesLessExpensesCY
Total Assets BOY4725613TotalAssetsBOY
Total Assets EOY4522157TotalAssetsEOY
Total Liabilities BOY5728613TotalLiabilitiesBOY
Total Liabilities EOY5649554TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1003000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1127397NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionFarren Care Center, Inc., 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 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. Sisters of Providence Health System, Inc. is a member of Catholic Health East ("CHE").MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11020250Expense
Grants0Grants
Revenue12181105Revenue
DescriptionFarren Care Center, Inc. provided 44,291 days of patient care during the year. This skilled nursing facility combines expert medical and mental health care and long-term rehabilitation services which enable residents to thrive in the least restrictive environment possible. Residents participate in one of four specialized programs: a preparation for community re-entry, a comprehensive care program for complex behavioral problems, a therapeutic behavior program offering intensive treatment in a secure unit, and a medical intervention-dementia program for residents with complex medical conditions who require extensive assistance with activities of daily living. Residents' stays will vary from several weeks or months to several years. Residents benefit from a multidisciplinary treatment team, including psychiatric, psychological, behavioral, nursing, social services and pastoral care professionals.Description
Total Program Service Expense11020250TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
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 With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees256NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
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 Members22NbrVotingGoverningBodyMembers
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
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1William KrasinBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4135392689TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1c/o SPHS 1221 Main Street Suite 108AddressLine1
CityHolyokeCity
StateMAState
ZIP Code01040ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
William A Collins
Trustee1.00X000
Rev Msgr C D Connelly
Trustee1.00X000
John E Dowd
Trustee1.00X000
Philip F Gaziano MD
Trustee1.00X000
John E Griggs MD
Trustee1.00X000
Sr Ann M Horgan SP
Trustee1.00X000
Kathleen M Kane
Trustee1.00X000
Almaneta G Lee GNP-BC MS
Trustee1.00X000
Sr Ruth F McGoldrick SP
Trustee1.00X000
Leda M McKenry PHD
Trustee1.00X000
Sr Joan C Mullen SP
Trustee1.00X000
Shirin Nash MD
Trustee1.00X000
Carla W Newton ESQ
Trustee1.00X000
Sr Kathleen M Popko SP
Trustee1.00X000
Rev Karen L Rucks
Trustee1.00X000
John E Sjoberg
Trustee1.00X000
Paul J Valickus
Trustee1.00X000
Dean M Whalen ESQ
Trustee1.00X000
David M Chadbourne MD
Chair1.00X000X
Joanne M Beauregard
Vice Chair1.00X000X
Robert M Sullivan
Secretary1.00X000X
William Bithoney MD
Interim President/CEO50.00X047943045580X
Vincent McCorkle
President/CEO50.00X056486330351X
Michael Hammond
SVP & CFO50.00017667214943X
Thomas Robert
Treasurer/SVP & CFO50.00020925515198X
Sr Sullivan See Sch O
Asst Secty/VP Mission50.00017630317481X
Christopher McLaughlin
COO Senior Care50.00020011033459X
Leonard Pansa
Senior VP, HR50.00025199225122X
James Clifford
Administrator40.00110981016388X
FieldValueIRS element (for citing)
Total Reportable Comp From Org110981TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2058625TotalReportableCompFrmRltdOrgs
Total Other Compensation198522TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Worldwide Staffing
425 Union Street Suite B-1West SpringfieldMA01089Temp Nursing Staff234606
Preferred Therapy Solutions
850 Silas Deane Highway 2nd FloorWethersfieldCT06109Physical Therapy161231
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions16057AllOtherContributions
Total Contributions16057TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSkilled nursing faciliDescription
Business Code623110BusinessCode
Total Revenue Column12181105TotalRevenueColumn
Related Or Exempt Function Income12181105RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12181105TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column57642TotalRevenueColumn
Exclusion$57,642ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real239990Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real239990Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column239990TotalRevenueColumn
Exclusion$239,990ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
Cafeteria revenue72221264104$64,104
Catering7223201495514955
Housekeeping56170084008400

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column8243TotalRevenueColumn
Exclusion$8,243ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue95702TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12590496TotalRevenueColumn
Related Or Exempt Function Income12181105RelatedOrExemptFunctionIncome
Unrelated Business Revenue23355UnrelatedBusinessRevenue
Exclusion$369,979ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6629811Total
Program Services6290327ProgramServices
Management And General339484ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total60867Total
Program Services57750ProgramServices
Management And General3117ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total921085Total
Program Services873920ProgramServices
Management And General47165ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total515212Total
Program Services488830ProgramServices
Management And General26382ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3195Total
Management And General3195ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total822052Total
Program Services816094ProgramServices
Management And General5958ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total7916Total
Management And General7916ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total767038Total
Program Services673306ProgramServices
Management And General93732ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total670440Total
Program Services588512ProgramServices
Management And General81928ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total13334Total
Program Services11705ProgramServices
Management And General1629ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11940Total
Program Services10481ProgramServices
Management And General1459ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total141831Total
Management And General141831ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total301178Total
Program Services264374ProgramServices
Management And General36804ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total40426Total
Program Services35486ProgramServices
Management And General4940ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
System Assessment853548853548
State User Fee817724817724
Loss on Extinguishment4353443534
Bad Debt2090620906
Restricted Fund Expense77467746

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total72949Total
Program Services63089ProgramServices
Management And General9860ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12722732Total
Program Services11020250ProgramServices
Management And General1702482ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY656413BOY
EOY557496EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY871542BOY
EOY860550EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY17289BOY
EOY14838EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY114034BOY
EOY58221EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9611149LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8462976LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1421403BOY
EOY1148173EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1544103BOY
EOY1679206EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY100829BOY
EOY203673EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4725613BOY
EOY4522157EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY828899BOY
EOY905513EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4481490BOY
EOY4321268EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY104107BOY
EOY89351EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY314117BOY
EOY333422EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5728613BOY
EOY5649554EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-2547103BOY
EOY-2806603EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY56814BOY
EOY65090EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1487289BOY
EOY1614116EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1003000BOY
EOY-1127397EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4725613BOY
EOY4522157EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-132236ReconcilationRevenueExpenses
Reconcilation Other Changes7839ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1487289BeginningOfYearBalance
Investment Earnings Or Losses193607InvestmentEarningsOrLosses
Other Expenditures57594OtherExpenditures
Administrative Expenses9186AdministrativeExpenses
End Of Year Balance1614116EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1248401BeginningOfYearBalance
Investment Earnings Or Losses310081InvestmentEarningsOrLosses
Other Expenditures63312OtherExpenditures
Administrative Expenses7881AdministrativeExpenses
End Of Year Balance1487289EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1834530BeginningOfYearBalance
Investment Earnings Or Losses-504132InvestmentEarningsOrLosses
Other Expenditures67249OtherExpenditures
Administrative Expenses14748AdministrativeExpenses
End Of Year Balance1248401EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis446450OtherCostOrOtherBasis
Book Value446450BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5789901OtherCostOrOtherBasis
Depreciation5479237Depreciation
Book Value310664BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3248693OtherCostOrOtherBasis
Depreciation2922194Depreciation
Book Value326499BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis126105OtherCostOrOtherBasis
Depreciation61545Depreciation
Book Value64560BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1148173TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Current Workers Comp. and Health Reserves$154,545
Long-Term Workers Comp. Reserve$163,501
Other Liabilities$15,376
FieldValueIRS element (for citing)
Total Of Amounts333422TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part IV, Line 2b:Resident personal needs accounts are administered by the business office of this facility.
Part V, Line 4:Income only of the trust funds shall be used by Farren Care Center, Inc. for its general purposes.Description of Intended Use of Endowment Funds:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 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 Bithoney MD
037718609657005674023850021730052501000
Vincent McCorkle
022290901409160201038013752016599059521400
Michael Hammond
0130718044805011490543509508019161500
Thomas Robert
0193720015053048201196403234022445300
Sr Sullivan See Sch O
0150653025650000911008371019378400
Christopher McLaughlin
01686070309750528015365018094023356900
Leonard Pansa
02129330371550190402038004742027711400

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aMonthly dues for SPHS's CEO were paid to the Colony Club.
Part IIIPart I, Line 3: Farren Care Center, 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; Christopher McLaughlin-$10,376 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.Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Mass HEFA 2007C
04245601157586CXY62007-04-193309843Advance refunding000
Mass HEFA 2009
04245601157586EGR62009-03-191935420Current refunding and swap termination000
Mass HEFA 2010
04245601157586ESB82010-04-071821349Current refunding000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
230395033098438198329937319792320070111
10030193542034654190076620091011
123120182134926371179497820101011

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsBusiness Name Line2NameOfHedgeProvider/BusinessNameLine2Term Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
Merrill Lynch
001Capital Services21.60000000000000010
(no name)
000001
(no name)
000000

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

IdentifierIdentifierExplanationExplanation
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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6Yes, Sisters of Providence Health System, Inc. is the sole member.
Form 990, Part VI, Section A, line 7aYes, Sisters of Providence Health System, Inc. approves the appointment of the governing body.
Form 990, Part VI, Section A, line 7bCHE 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 prepared by Deloitte Tax LLP, reveiwed by management and then was presented to the Finance Committee, who reviewed the 990 at their meeting on November 1, 2011.
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 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 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 B, line 15
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.Form 990, Part VI, Section C, line 19
Avg hours devoted to related organizations when related comp is reported: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, Inc. 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, Inc.Form 990, Part VII, Section A:
All money paid on behalf of Sr. Sullivan 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: 95,959. Pension adjustment -18,309. Transfer for capital 3,496. Unrealized loss on interest rate swaps -98,119. Restricted investment income 93,648. Released from restriction -68,836. Total to Form 990, Part XI, Line 5: 7,839.Form 990, Part XI, line 5:
Explanation of financial statements:While the entity does not have individual audited financial statements, an audit of SPHS's consolidated financial statements was performed.Form 990, Part XII, Line 2a & 2b:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (114 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
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
St Mary Home Incorporated
2021 Albany AvenueWest HartfordCT06117060646843Skilled NursingCT501(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
Mary's Meadow at Providence Place Inc
12 Gamelin StreetHolyokeMA01040262043754Long Term Care ReligiousMA501(c)(3)Line 3Sisters of Providence Health System 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 DrivePhiladelphiaPA19113261144363Behavorial 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 Behavorial Healthcare Network of PA Inc
8040 Carlson RoadHarrisburgPA17112251765391Behavorial 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 PklyBogartGA30622582276801Assisted 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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Sisters of Providence Health System IncBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeOTransactionType
Amount Involved853548AmountInvolved
Method Of Amt DeterminationFair Market ValueMethodOfAmtDetermination

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