2011-11-11T15:23:35-06:00 2010-12-31 Deloitte Tax LLP 1700 Market Street 25th Floor Philadelphia PA 191033984 990 2010-01-01 010211534 Mercy Hospital MERC 2078793000 144 State Street Portland ME 041013795 Anthony Marple 2078793000 2011-11-11 1 2152462300 2010 2016-03-07 17:11:31Z Eileen Skinner 144 State Street Portland ME 041013795 190456005 0 X www.mercyhospital.com X 1945 ME Mercy Hospital carries out the healing work of Christ by providing clinically excellent, compassionate healthcare for all, with special concern for the poor and disadvantaged. 28 22 1979 477 0 0 929814 1100877 192724923 186573567 -11649 1153624 2003178 1536041 195646266 190364109 0 0 0 0 103398714 102903247 0 0 674883 97241050 104122902 200639764 207026149 -4993498 -16662040 204837431 206185828 102906522 119849704 101930909 86336124 Mercy Hospital carries out the healing work of Christ by providing clinically excellent, compassionate healthcare for all, with special concern for the poor and disadvantaged. 0 0 172793771 186573567 Provide access to healthcare for all people through direct patient care at Mercy's various hospital, clinical and physician locations. In providing these services, the organization absorbs significant costs that are not reimbursed through Medicare, Medicaid or other programs. In addition, as part of our mission, we maintain a charity care program that exceeds the Federal Poverty Guidelines. The Company also provides and sponsors a number of socially responsible activities and events that have a positive impact on the lives of the residents of the Greater Portland Community. 172793771 1 1 0 1 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 0 0 1 158 0 1 1979 1 0 0 0 0 0 1 1 0 0 0 0 X 28 22 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 ME X X Douglas W Libby 2078793000 144 State Street Portland ME 041013795 Edward Ted McCarthy 40.00 X 195223 0 26390 Eileen Skinner 40.00 X X 527379 0 50021 Thomas W Yoder Jr 5.00 X X 0 0 0 Joseph R Foley 5.00 X X 0 0 0 Karen Hart 5.00 X X 0 0 0 Paul Bloch MD 2.50 X 0 0 0 Sr Barbara Brennan RSM 2.50 X 0 0 0 Sr Patricia Flynn RSM PhD 2.50 X 0 0 0 Joseph Gray 2.50 X 0 0 0 Margaret Hourigan 2.50 X 0 0 0 Lois Lengyel 2.50 X 0 0 0 Cheryl Libby 2.50 X 0 0 0 Paul Lones 2.50 X 0 0 0 Daniel Merson DO 2.50 X 0 0 0 Brenda Miley 2.50 X 0 0 0 Lisa Miller 2.50 X 0 0 0 John S Marr Jr 2.50 X 0 0 0 Thimi Mina 2.50 X 0 0 0 Sr Mary Morey RSM 2.50 X 0 0 0 Mary Louise Norton 2.50 X 0 0 0 Gregg Otterbein 2.50 X 0 0 0 Sr Patricia Pora RSM 2.50 X 0 0 0 Jeffrey Rosenblatt MD 2.50 X 0 0 0 David Small 2.50 X 0 0 0 Sr Kathleen M Smith RSM 2.50 X 0 0 0 Nelson A Toner Esq 2.50 X 0 0 0 Isabella Thurston MD 2.50 X 0 0 0 Sr Janice Turner RSM 2.50 X 0 0 0 Bruce Wagner 2.50 X 0 0 0 Wayne Bennett 40.00 X 282825 0 34289 Michael Hachey 40.00 X 326343 0 35073 Robert Nutter 40.00 X 261752 0 37975 Stephen Sears 40.00 X 102056 0 1270 Scott Rusk 40.00 X 157703 0 11314 Gregory Pomeroy 40.00 X 741431 0 35538 Marc Hodroff 40.00 X 470629 0 26527 Gregory Adey 40.00 X 469242 0 31036 Roger Inhorn 40.00 X 369384 0 31399 Peter Ameglio 40.00 X 356463 0 32065 4158374 0 351627 114 0 1 0 Synernet Inc 222 St John Street Ste 329 Portland ME 04102 Transcription services, equipment mainte 1784308 New Albany Healthcare Consultants LLC 68 NHigh Street New Albany OH 43054 Consulting/management 1106973 Quest Diagonostics 5763 Collection Center Drive Chicago IL 60693 Patient test services 1063073 Seabreeze Property Services PO Box 617 Portland ME 04102 Grounds management, maintenance & repair 885076 Burgess Advertising & Associates Inc 1290 Congress Street Portland ME 04102 Advertising development and production a 548021 38 62499 5000 80000 953378 25181 1100877 Patient Service Revenu 621110 185773340 185773340 All Other Program Serv 621110 800227 800227 186573567 463408 463408 466881 466881 466881 466881 396857 293359 396857 293359 690216 690216 221870 62499 91896 129974 129974 Cafeteria Income 722210 939186 939186 939186 190364109 186573567 0 2689665 1745306 1594306 151000 79399349 72279354 6845737 274258 2645495 2409555 222657 13283 13066746 11841194 1161260 64292 6046351 5365441 659298 21612 2418242 2418242 388352 76330 312022 325956 325956 102585 102585 335274 335274 16629208 12933725 3580924 114559 1062774 1054538 8236 40007723 36312254 3526301 169168 4728287 4728287 5262961 4819197 443764 89090 58273 29586 1231 7108 5618 1490 2298632 2298632 10839664 8055697 2776944 7023 3051895 2763029 288866 Bad Debt 13787976 13787976 Dues and Subscriptions 2139132 281142 1856769 1221 Loss on Extingishment o 330016 330016 Auxiliary 168960 168960 149067 41720 107347 207026149 172793771 33557495 674883 12630919 4257240 378048 19365915 25219266 4318784 4283233 641173 2425062 190310534 82988631 113141814 107321903 25297290 27264472 246167 29063488 35168485 204837431 206185828 17218554 19100602 961634 1150377 74110942 73886719 558337 303963 57846 10057055 25350197 102906522 119849704 X 99734665 84203259 1212820 1080540 983424 1052325 101930909 86336124 204837431 206185828 X -16662040 1067255 X X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 500 0 0 1 85250 0 1 16835 102585 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: Percentage of dues paid to Maine Hospital Association (MHA) and American Hospital Association (AMA) used by MHA and AHA for lobbying purposes. 983424 4188 64713 1052325 873360 31500 78564 983424 1086370 1500 -214510 873360 1.00000 0 0 6251723 6251723 102687455 33834099 68853356 3144243 1219168 1925075 71426824 44773106 26653718 6800289 3162258 3638031 107321903 Marketable Equity Securities 15521892 F Marketable Debt Securities 4510876 F Alternative Investments 7231704 F 27264472 Due from Third-Party Payors 30709226 Other Accounts Receivable 2607436 Unamortized Financing 709223 Other Assets 850326 Market Value Swap Asset 292274 35168485 Market Value Swap Liability 322405 Workers Compensation Reserve 2981000 Accrued Pension Liability 1866698 Other Reserves 2949399 Due to Third Party Payors 4123879 Asset Retirement Obligation 412702 Due to Related Companies 12694114 25350197 Description of Intended Use of Endowment Funds: Part V, Line 4: Endowment funds restricted uses include funding operations, educational programs, hospice and alzheimer's screening. Gary's House Golf 147414 33175 114239 4750 1000 15882 25270 Mercy Golf 56356 25692 30664 1400 6083 20364 2 80599 3632 76967 2290 4520 900 9437 284369 62499 221870 6150 3290 26485 900 55071 91896 129974 1 1 1 X 1 X 1 1 1 0 0 5941086 5941086 0.02870 34285979 25830693 8455286 0.04080 40227065 25830693 14396372 0.06950 1296272 615549 680723 0.00330 183517 36934 146583 0.00070 1479789 652483 827306 0.00400 41706854 26483176 15223678 0.07350 8365 8365 0.00000 132976 132976 0.00060 141341 141341 0.00060 1 7716122 232519 60567727 73155859 -12588132 X 1 1 1 1 Mercy Hospital

144 State Street Portland ME 04101

X X X NA 1 0 Part I, Line 6a: The organization's community benefit activities are included in Catholic Health East's Community Benefit Report. Part I, Line 7: The method used was a cost to charge ratio derived from the most recent Medicare Cost Report data. Part I, L7 Col(f): The amount of bad debt expense the organization included on Form 990, Part IX, Line 25 , column (a) but subtracted for purposes of calculating the percentage in Schedule H, Part 1 line 7, column (f) is 13,787,976. Part II: Outreach and Community Building with the City of Portland - Public Health Impact:- The Portland Free Clinic is a collaborative effort between Mercy Hospital and the City of Portland's Public Health Department. Clinic patients are predominantly individuals without insurance, including individuals who are ineligible for Medicaid (MaineCare). In 2010, Mercy provided cash subsidization of approximately $180,000 to the Clinic, not including volunteer hours. During calendar year 2010, Free Clinic statistics were as follow: 558 patients were seen; there were 1910 individual visits. Mercy Hospital is the preferred referral provider for patients of the Portland Free Clinic for hospital admissions, diagnostic testing and laboratory work. There were a total of 95 non-English speaking patient encounters in 2010; with the largest group speaking Spanish.- Mercy is also home to the state's largest behavioral health provider, the Mercy Recovery Center (MRC). MRC is staffed with 65 full time employees, including Physicians, Substance Abuse and Behavioral Health Specialists, Administrators and Program Support personnel. The MRC provides approximately $1,000,000 in free care annually to about 700 patients without insurance.- Mercy is an active participant on the Cumberland District Public Health Council of which Colleen Hilton, Executive Director of Mercy's VNA Home Health & Hospice division, is the Executive Director. - Additional Participation on Community Boards and Committees by Mercy staff includes (but is not limited to): Portland's Community Police Advisory Board; Maine Health Management Coalition; St. Joseph's College, Daniel Hanley Center for Health Leadership, Maine Health and Higher Educational Facilities Authority, Portland Stage Company, Park Danforth, Synernet, Greater Portland Landmarks, community health fairs; and volunteering for community health events such as Legs for Life and others.Addressing the Needs of the Multicultural Community: - Mercy interpreter services for consumers and families who interact with Mercy are being improved through Mercy's participation in a Robert Wood Johnson funded, Aligning Forces for Quality, language improvement collaborative. By providing a trained medical interpreter for all patients with a language barrier, both the quality and safety of multicultural patients' experience with the healthcare system is enhanced.- Mercy Hospital offers free English as a Second Language, ESL classes, to all volunteers, community members and employees.- In 2010, Mercy participated in the City of Portland's 5th Annual Multicultural Exercise for Health and Love, during which Mercy provided screening services and health counseling. Portland Area Residential Services Consortium: Mercy Hospital has convened the Portland Area Residential Services Consortium (PARC) and developed a community-based residential model to serve as an alternative to the traditional, bundled, 28-day residential treatment model for patients that battle substance abuse. The traditional model is not cost effective, and as a result, beds are expensive and of limited availability. The PARC project has two goals: 1) to increase residential treatment capacity in greater Portland and 2) to develop a client-centric, cost-effective and sustainable program using the elements of the collaborative, community-based residential model. Through collaboration among agencies that already offer services that our clients need, we can provide unbundled, individualized treatment services, thereby reducing cost and increasing efficiency.The PARC model is safe, sober housing with outpatient substance abuse treatment services; case management and referral; a web-based shared medical record, and peer support and navigation. Treatment for all clients begins with two key elements: therapy-based intensive outpatient treatment from a substance abuse agency, and safe housing in a supported sober living environment. The homes are staffed 24-hours a day with a knowledgeable Case Manager, called a Care Coordinator . The length of stay at sober houses is flexible, with a goal for every client to discharge to an appropriate transitional, supported, and/or permanent housing situation.Secondly, instead of creating an artificial treatment environment that disappears on discharge day, the clients are provided with resources and life skills for healthier, long-term functionality. Care Coordinators make referrals, help clients navigate community services, assist with transportation, and provide milieu support. During 2010, the program served 35 patients and expects to serve 75 patients in year one of operation. The Advisory Committee is a group of community stakeholders who meet bimonthly to advise the PARC project. Its function is to: 1) serve as a public relations forum; 2) identify unmet needs in the community; 3) engage stakeholders; 4) assist in strategic planning for the next three years; 5) advocate for the initiative; 6) insure sustainability; and 7) network (connect to other organizations, initiatives and funding). Mercy also provides supportive services that lie outside these descriptions, and enhance our non-profit profile. McAuley Residence:McAuley Residence is Mercy Hospital's transitional housing program for women. The residents may have their children live with them at McAuley Residence. It is currently located across the street from the Mercy Hospital State Street Campus, in the heart of Portland. The 24-month program serves needy women and their children primarily from southern Maine, but some may come from other parts of the state. The program's mission is to provide an empowering environment where a woman can gain stability, build life skills, develop goals, and lead a more meaningful, holistic life. At McAuley Residence, the residents have access to clinical staff and a diverse group of providers, to help them gain a solid foothold in society. Most women who come to the program have been abused at one time, and are recovering from addiction, are homeless, have no savings, no job, have not completed their education, have not had recent medical or dental care, and have little knowledge about available resources. In the past 22 years, McAuley Residence has served over 200 women and children.Gary's House (Hospitality House): Gary's House is a hospitality home for families of patients undergoing medical treatment in Portland area hospitals. Founded by Mercy Hospital in 1998, Gary's House provides a supportive and economical ($15 per night) home away from home at a time of great stress. In 2010, 474 families were served and an elevator was added in 2009 to ensure that guests with mobility concerns can stay comfortably at Gary's House.Global Health Ministry: Global Health Ministry is an independent 501(c)(3) organization sponsored by Hope Ministries and serves as a supportive health corporation of Catholic Health East of which Mercy Health System of Maine is a member. Each year Mercy Hospital encourages clinical and non-clinical employees to participate in a missionary trip to one of Global Health Ministry's sites to provide healthcare services and education. Since 1989, Global Health Ministry has sent teams of healthcare professionals to provincial villages and distressed urban areas in Latin America and the Caribbean to help people with little or no access to professional healthcare. Founded as Global Outreach, today's Global Health Ministry has served thousands of people through the dedicated work of hundreds of volunteers. Mission site development includes: Chulucanas, Peru; Esquipulas, Guatemala; Port au Prince, Haiti, and Kingston, Jamaica. In response to the devastation in Haiti, Mercy Hospital donated medical supplies and equipment that was picked up by the International Medical Equipment Collaborative and transported via container ship to Haiti. Mercy employees also donated funds to the American Red Cross and to Konbit Sante Cap-Haitien Health Partnership, a 501(c)3 not-for-profit corporation organized in the State of Maine. Konbit Sante's mission is to support the development of a sustainable health care system to meet the needs of the Cap-Haitien community with maximum local direction and support. Part III, Line 4: Mercy Hospital provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness of patients or third-party payors to make payments for services. The allowance is determined by analyzing historical data and trends. Accounts receivable are written off against the allowance for doubtful accounts when managment determines that recovery is unlikely and refers collection efforts to a third-party collector under contract. Recoveries of bad debt write-offs reduce bad debt expense. The costing methodology used for determining Mercy Hospital's bad debt expense at cost is applying a cost to charge ratio on the value of the organizations bad debt expense. To determine the estimated amount of bad debt expense (at cost) attributable to patients eligible under the organizations's charity care policy, the calculated percentage of total charity care to total gross patient revenue was applied to the total bad debt expense. The resulting amount was multiplied by the Medicare cost to charge ratio. Although our charity care policies and procedures make every effort to indentify thoses patients who are eligible for charity care before the billing process begins, often it is not possible to make an appropriate determination until after the billing and collection cycle has commenced. The rationale for including bad debt amounts in community benefits would be to account for those patients who were classified as bad debt expense, but would have qualified for charity care if sufficient information had been availiable to make a determination of their eligibility.Discounts on patient accounts are not considered to be bad debts. Part III, Line 8: The costing methodology to determine Mercy Hopsital's Medicare shortfall is calculated by applying a cost-to-charge ratio on the value of gross Medicare revenue to determine an estimate of total revenue received from Medicare and comparing this amount to allowable costs of care. Part III, Line 9b: Mercy Hospital's written debt collection policy clearly states that patients who are known to qualify for charity care or financial assistance are covered under Mercy Hospital's charity care policy. The charity care policy outlines specific parameters for collection practices for charity care patients. Part VI, Line 2: Aligning community services using community identified health indicators:Mercy Hospital works to align our services with the health needs of the community by using the health indicators listed in the Community Health Profile for Cumberland County, annual data provided by Portland's Public Health Division, and a comprehensive asset map and analysis provided by Catholic Health East. These health indicators are as follows: Health Status; Access to Health Care; Physical Activity; Asthma; Tobacco Use; Diabetes; Nutrition; Hypertension; Overweight and Obesity; Mammogram; Medical Care Costs; Pap Smear, Alcohol/Drug Abuse, and Safety/Security/ Domestic Violence. The indicators targeted by Mercy's outreach efforts include: (1) Access to Health Care; (2) Alcohol/Drug Abuse; (3) Health Status; (4) Medical Care Costs.; (5) Nutrition.; and (6) Diabetes.The following are examples of Mercy Hospital community services and the relevant community health indicator: (1) Access to Health Care - Portland Free Clinic, Wellness Clinics, Volunteer Services, School of Radiology, Community Health Outreach Workers (CHOW), Mercy's OB Clinic, and Interpreter's Training Sponsorship; (2) Alcohol/Drug Abuse - HOME Team and Portland's Area Regional Consortium Advisory Board; (3) Health Status - Cancer Support Groups, Pastoral Care-Hospice Visits, McAuley Residence and Hearts to Souls Event; (4) Medical Care Costs - Portland Free Clinic, Advanced Patient Advocacy, McAuley Residence, and Community Health Outreach Worker Training; (5) Nutrition - Nutrition Education and Counseling and "Cooking for One" Class; and (6) Diabetes - Diabetes Self-Management Education Program.HOME Team:Chronically homeless persons in Portland use an inordinate amount of resources without benefit of improved health status or overall quality of life. Many of these homeless individuals end up in hospital emergency departments and the Cumberland County Jail at great cost to the local municipalities and state. In July 2010, the HOME Team - Mobile Van Unit with Street Intervention Workers - was launched to engage chronically homeless individuals in services that will get them off the streets and into safe, stabilized situations. By going to the streets and reaching out directly to this group, the HOME Team has formed relationships, identified unmet social service needs, and made appropriate referrals to community programs. Through active assessment, intervention and referral services, the team has guided these individuals to the appropriate services by accessing the current service delivery system and has markedly reduced the number of contacts with Portland Police and Fire and Rescue. An analysis from July 2010 through December 2010 showed that the HOME Team had 5192 contacts during the six months of operation or roughly 200 contacts per week. The team achieved a 10% reduction in Emergency Department visits at Mercy Hospital and a 30% reduction at Maine Medical Center for this target population. The data also suggests a significant drop in the number of police responses to high frequency users who were passed out on the street. It should be noted that police policy changed in May of 2010 as to when they would respond to calls for service involving layouts. Given the resources of the HOME Team, police no longer respond to initial calls, they do respond if they receive a second call. Even when controlling for this change in police policy, the data suggests an 82 percent drop in police responses to calls for individuals who were passed out on the street.Community Health Outreach Workers:Through a partnership with the City of Portland, Mercy employs two Community Health Outreach Workers (CHOW) to assist with community outreach and care navigation for patients with diverse backgrounds. The Latino CHOW works primarily at the Portland Community Free Clinic coordinating care and assisting patients with access to follow up care with a Mercy provider or specialist. The Somali CHOW works in Mercy's Fore River Family Practice and manages a case load of patients, ensuring that patients with chronic disease or behavioral health concerns successfully navigate the system of care. Both of the CHOWs provide necessary translation of documents or flyers.Mattina R. Proctor Diabetes Center:The Diabetes Self-Management Education Program (DSME) at Mercy Hospital assists persons with diabetes in acquiring the knowledge, skills, and attitudes necessary to achieve and maintain good diabetes control. DSME is offered in group or individual sessions that include general DSME, insulin initiation/adjustment, self blood glucose management, gestational diabetes counseling, and insulin pump therapy. The target audience is newly diagnosed or previously diagnosed adults with diabetes, which includes Type 1, Type 2, and gestational diabetes and their significant others. Both the nurse and dietician conduct an individual needs assessment with each client and clients attending group classes have a post-assessment interview within one month of completing the classes. A follow-up group is offered monthly continuing for up to one year. Education services for patients are scheduled at intervals based on individual needs and assessment of health status, knowledge, skills, and attitudes, behavioral goal achievement, and post-partum clinical outcomes. Education materials are offered in various languages and literacy levels. A detailed follow up plan for each patient is communicated to the referring provider. Our professional staff includes an Endocrinologist Medical Director, Nurse Manager, RN Clinical Dietician, and RN Diabetes Educator.Mercy's OB Clinic:In 2010, the Mercy Hospital OB Clinic provided low risk prenatal care for 927 patients; many of whom have diverse backgrounds and limited English proficiency. The clinic is open two days per week and staffed with Nurse Midwives and Professional Nurses. Staff administers a psycho-social assessment to include a risk assessment for domestic violence, nutritional screens, prenatal lab work, adolescent screens for young women under 18 years of age and add appropriate supports to foster safe and healthy delivery. Referrals occur from the community and primary care physicians. Mercy's School of Radiology:In partnership with Southern Maine Community College, Mercy Hospital offers a two-year associates degree program in radiologic technology with didactic and clinical training. Clinical sites include all of Mercy Hospital locations that offer x-ray services and Maine Medical Center for specific training in certain aspects of clinical competency. The program graduates eight to ten students annually that are well prepared for the radiologic technology examination boards. This program supports the need for skilled technicians in new urgent care sites, expanded Emergency Departments, cardiac catheterization and vascular intervention labs and expanding mammography sites throughout the State of Maine.Mercy's Volunteer Program:In 2010, over 477 volunteers gave of their skills, time and energy to our healthcare system. Their contribution was as varied as the individuals providing the support services to patients and clerical assistance to staff. Volunteers provided support in most hospital departments and at primary and specialty care sites throughout the year - in filing records, escorting patients, knitting for The Birthplace, registering patients for Mercy's flu and vascular clinics, greeting visitors, staffing the Gift Shop, and assisting with childcare in our transitional housing program. Portland is one of nine designated Refugee Resettlement Communities in the United States and welcomes primary and secondary immigrants as well as those seeking political asylum from around the world. The Manager of Mission Services works closely with the Department of Health and Human Services to develop meaningful roles for mothers involved in Maine's welfare to work program called ASPIRE (Additional Support for People in Retraining and Employment) and new immigrants to assist them to become accustomed to the workplace environment. In 2010, Mercy offered English as a second language classes for volunteers and staff in partnership with Portland's Adult Education. Mercy's Employee Health office provided TB tests, flu shots, and inoculations for measles, mumps, rubella, and varicella for 83 senior and 76 junior volunteers. Thirteen volunteers required additional lab work and chest xrays as a result of positive TB tests. Part VI, Line 3: The following is taken from our charity care policy and describes how the organization informs and educates patients on charity care: Public Notice of the availibility of assistance through this policy is made through each of the following means: 1. Posting notices in a visible manner in locations where there is a high volume of inpatient or outpatient admitting/registration, such as emergency departments, billing offices, admitting offices, and hospital outpatient service settings. 2. Posting notice of availiablity of assistance and contact names and phone numbers on the organization's website. 3. Providing unisured patients a matrix outlining the types of financial assistance available. Upon request, a full text copy of the Charity Care policy should be made available. 4. Making available to the public on a reasonable basis: the annual charity care provided; the unreimbursed costs of care provided to the benificiaries of government programs that serve the poor (being defined as shorfalls between costs and off-setting reimbursement/revenue that the organization experiences in providing care under the Medicaid and local/county indigent programs for care provided to Medicare beneficiaries who are dually eligible for Medicaid). Posted notices (as listed above) shall be in the primary languages(s) of the service area and in a manner consistent with all applicable federal and state laws and regulations. Should any provision of this Policy conflict with the State of Maine requirements surrounding Charity Care, State law shall supersede the conflicting policy provision and the facility shall act in conformance with applicable State law. Part VI, Line 4: The geographic area served by Mercy Hospital programs is primarily Cumberland and York counties in south coastal Maine. Two distinct geographic exceptions are the Mercy Recovery Center, Maine's largest addiction treatment facility, which serves patients statewide, and the Northern New England Eating Disorders Program, the only such program located north of Massachusetts. The "community" can be defined in micro fashion, i.e. the city and discreet neighborhood in which Mercy is located, and in macro fashion, i.e. the larger geographical service area (primarily the two counties, but with a widening catchment area). Portland and the West End - Mercy's acute care campuses at Fore River and State Street are located in the West End neighborhood of Portland (Cumberland County), the state's most populous city (pop. 63,591). While population density for the state as a whole is 37 people per square mile, and for Portland itself is 3,029 people per square mile, in the West End (the state's most densely populated neighborhood) the density measure is 10,568 people per square mile. While median income is lower in Portland than in the rest of the state, median income in the West End is lower than Portland's by $7,800 ($35,770 vs. $43,603). In addition, while as a designated Refugee Resettlement City, Portland has a more culturally and ethnically diverse population than Maine (9.4% vs. 3.6% non-white), a larger percentage of residents are foreign born (8.1% vs. 7.6%) in the West End than in the rest of Portland. Portland is home to the largest population of Somali, Sudanese, Rwandan and other pan-African populations in Maine, as well as large populations of Hispanics, Asians, Russians and other ethnic groups. In summary, Portland is more densely populated, poorer and more culturally diverse than the rest of Maine, and our immediate neighborhood, the West End, is even more so in all three categories. Portland is also home to a significant population of homeless individuals, drawn to the city by the network of homeless-serving social service agencies, including a dedicated FQHC (Federally Qualified Health Center) operated by the City of Portland Public Health Division, located less than a mile from Mercy's State Street Campus. This FQHC is strictly for homeless individuals, though Portland Public Health and Mercy Hospital collaborate to provide clinic based services to the poor who are Medicaid (MaineCare) ineligible by subsidizing the Portland Free Clinic with funding and volunteers. A second FQHC, the Portland Community Health Center for MaineCare eligible individuals and children opened in 2009. Mercy Hospital provides the necessary ancillary services and referrals for inpatient admissions from the FQHCs.Mercy's involvement in a wide range of community benefit initiatives to improve the health and lives of individuals and families in the City of Portland is discussed elsewhere in this narrative. Overall Service Area - While the Portland community is a major focus of Mercy healthcare and community involvement, the organization's catchment area (Cumberland and York counties, and wider) also includes more rural areas such as Gorham ("very rural" designation, with a pop. of 4,302) , Standish ("rural" pop. 9,895) , and Buxton ("rural" pop. 8,072) . To facilitate access to primary care - the basic building block of healthcare reform - in these outlying rural areas, Mercy has established primary care practice (PCP) sites in several of them: Windham; Gorham; Standish; and West Falmouth. These are in addition to PCP sites in Portland and Westbrook. Both the micro and macro communities share some common demographic themes, and in fact share them with the rest of Maine - populations that are more socioeconomically challenged, older, and have higher rates of chronic illness than much of the US. Poverty is a known determinant of poor health, and the percentage of people living below the poverty level is higher in the City of Portland (14.1%) than in Maine (12.6%) and nationally (13.2%). US Census figures for 2008 also reveal that the city of Portland, Cumberland County, York County, and the State of Maine all have higher percentages of residents over age 65 than the US as a whole (13.9%, 13.9%, 14.6%, 15.1% vs. the US average of 12.8%). The elderly have higher rates of chronic illness such as heart disease, stroke, diabetes, cancer and osteoporosis, and present a special challenge to Mercy (addressed by our VNA Home Health & Hospice division). While Portland has one of the few city-based public health departments in the state (Portland Public Health, with whom Mercy collaborates to provide care to the poor and disadvantaged), Maine is in the process of developing a statewide public health system with eight distinct districts, to address community health needs, including (but not limited to) reducing disparities and lowering the rate of chronic illness, Emergency Department utilization, etc. Mercy's service area is included within two of these districts: the Cumberland District and the York District. Our involvement with community and public health initiatives is discussed elsewhere in this narrative. Part VI, Line 6: Part VI, Line 6: In addition to the activities listed in Part VI, Line 2, the Hospital maintains an open medical staff and is governed by a board consisting largely of independent members.Part VI, Line 7:CHE's Community Benefit report is filed in AL, CT, DE, FL, GA, ME, MA, NJ, NY, NC an PA.Part VI, Line 2 - Continued:Advanced Patient AdvocacyMercy Hospital utilizes the services of Advanced Patient Advocacy to assist patients who do not have insurance or have minimal health coverage in covering medical costs. Advanced Patient Advocacy educates patients about their coverage options, helps patients navigate the complex federal, state and community program application process, and connects and enrolls patients with coverage that best meets the patient's needs and provides the best reimbursement for the healthcare services. 0 1 0 0 0 1 0 1 0 Edward Ted McCarthy 172624 0 4900 0 17699 0 8180 0 18210 0 221613 0 0 0 Eileen Skinner 356495 0 63063 0 107821 0 15386 0 34635 0 577400 0 0 0 Wayne Bennett 205392 0 24887 0 52546 0 9851 0 24438 0 317114 0 0 0 Michael Hachey 233315 0 34325 0 58703 0 10413 0 24660 0 361416 0 0 0 Robert Nutter 196449 0 32274 0 33029 0 13233 0 24742 0 299727 0 0 0 Scott Rusk 150874 0 0 0 6829 0 0 0 11314 0 169017 0 0 0 Gregory Pomeroy 488987 0 250000 0 2444 0 10413 0 25125 0 776969 0 0 0 Marc Hodroff 371016 0 75000 0 24613 0 10413 0 16114 0 497156 0 0 0 Gregory Adey 369671 0 75000 0 24571 0 10413 0 20623 0 500278 0 0 0 Roger Inhorn 349122 0 0 0 20262 0 10413 0 20986 0 400783 0 0 0 Peter Ameglio 327484 0 5000 0 23979 0 9946 0 22119 0 388528 0 0 0 Part I, Line 4b The following individuals received taxable SERP payments: Wayne Bennett - $22,804; Michael Hachey - $25,602; Robert Nutter - $24,740; Colleen Hilton - $14,420; Eileen Skinner - $96,262. Part I, Line 6 An individual listed on Form 990 Part VII Section A received incentive compensation related to the contribution margin associated with office-based services. Under this arrangement, the individual was paid (a) up to 17.5% of the excess of the current year's actual contribution margin over the prior year's contribution margin and (b) up to 17.5% of the excess of the current year's actual contribution margin over the budgeted contribution margin with a combined payment cap not to exceed $120,000. Part I, Line 7 Company compensation programs include various incentive/bonus programs where fixed payments measured in terms of a percentage of base salary may be made in relation to performance or goal achievements. Supplemental Information Part III Part I, Line 3: The organization relied on a related organization that used one or more of the methods described below to establish the top management official's compensation: - Compensation committee - Independent compensation committee - Written employment contract - Compensation survey or study - Approval by the board or compensation committee. Maine Health and Higher Educational Facilities Authority 010314384 560425G61 2006-12-20 68400000 Construction of Fore River Hosp. 0 0 0 Maine Health and Higher Educational Facilities Authority 010314384 560427JA5 2010-06-24 11275000 Refinancing 1998A Bonds 0 0 0 68400000 4710502 496240 195080 62998175 2008 0 0 1 1 11275000 1097744 112393 10064863 2010 1 0 1 1 0 0 1 0 1 1 0 1 0 1 Pallas Capital Corporation 2.500000000000 1 0 0 0 0 0 0 0 1 Part III, Line 3a: The organization has entered into various management and service contracts. Collectively, these contracts do not constitute an amount of private business use that exceeds the prescribed percentage. UNUM Joseph R. Foley, Board Member 102968 Mercy Hospital purchases employee LTC insurance from UNUM, where Mr. Foley is an executive and an officer. 0 Yvonne Bonney Mina Spouse of Mr. Thimi Mina, Board Member 152939 Mr. Thimi Mina, a Board Member of Mercy Hospital, is married to Yvonne Bonney Mina, an employee of Mercy Hospital who was paid a salary for her work as a CRNA in 2010. 0 Sysco North New England Gregory Otterbein, Board Member 744118 Mercy Hospital purchases food services from Sysco North New England, where Mr. Otterbein is President. 0 Maine Cardiology Associates Jeffrey Rosenblatt, MD, Board Member 247623 Payment for physician services related to cardiology to Maine Cardiology Associates, where Dr. Jeffrey Rosenblatt is a partner. 0 Maine Surgical Care Group Paul Bloch, MD, Board Member 97810 Payment for physician services related to vascular services to Maine Surgical Care Group, where Dr. Paul Bloch is a partner. 0 X 8 25181 Cost or selling price Other: 0 1 0 Form 990, Part VI, Section A, line 6 Yes. Mercy Health System of Maine (MHSM) is the sole Member of Mercy Hospital. Form 990, Part VI, Section A, line 7a Yes. Mercy Health System of Maine (MHSM) is the sole Member of Mercy Hospital. Mercy Health System of Maine approves all members of the Board of Trustees of Mercy Hospital. Form 990, Part VI, Section A, line 7b Yes. Mercy Health System of Maine has reserved powers in the following areas: changes in articles of incorporation; in key and non-key by-laws provisions, appoint and remove Trustees; approve philosophy and mission, strategic plan, operating plan and budget, significant financial transactions, significant budget variances and establishment or dissolution of organizational relationships. Form 990, Part VI, Section B, line 11 Yes. The Board of Directors/Trustees received education about the revised Form 990 during the October Board meeting. The Board discussed significant issues included in the draft Form 990 for Mercy Health System of Maine and for Mercy Hospital during this meeting. The Finance and Audit Committee of Mercy Health System of Maine received education about the revised Form 990 at the September Committee meeting and reviewed the Form 990 for Mercy Health System of Maine and Mercy Hospital at the October Committee meeting. The Finance Committee approved Form 990 for Mercy Health System of Maine and Mercy Hospital for submission to the IRS during the October Finance Committee meeting. Form 990, Part VI, Section B, line 12c Mercy Hospital Attachment A to the Bylaws sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving Mercy Hospital in a fiduciary capacity, including directors, trustees, officers, non-Board committee members 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 Chairman of the Board and Compliance Officer. Summary information is reported to the Governance Committee and entire Board. This is available to the Board throughout the year as business comes before the Board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the Board or an appropriate committee thereof comprised of dis- interested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the Board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request. Form 990, Part VI, Section B, line 15 Mercy Hospital's process for determining compensation 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 Mercy Hospital 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 and employed physician populations, considers both reasonableness and effectiveness of all remunerative programs and establishes the 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, conflict of interest policy and audited financial statements are available upon request. IRS Form 990 is posted on the Mercy Hospital website. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 1,047,783. Change in Present Value of Pledges -4,449. Transfers to/from Affliliates 86,420. Charitable Contributions Adjustment -62,499. Total to Form 990, Part XI, Line 5: 1,067,255. Explanation of financial statements: Form 990, Part XII, Line 2a & 2b: Financial statements were audited on a consolidated basis. Form 990, Part VII, Section A: Individuals compensated by a related organization have responsibilities and perform services for Mercy Hospital and Mercy Health System. The amount of compensation appearing in Columns (E) and (F) reflect the services performed for the entire health system as a whole and not merely a single organization within the health system. 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 Care for Kids Inc 310 South Manning Blvd Albany NY 12208 141717564 Day care center NY 501(c)(3) Line 9 St Peter's Health Care Services 0 Our Lady of Mercy Life Center 2 Mercycare Lane Guilderland NY 12084 141743506 Nursing Home Facility NY 501(c)(3) Line 3 St Peter's Health Care Services 0 St Peter's Auxiliary 315 South Manning Blvd Albany NY 01228 222843206 Auxiliary NY 501(c)(3) Line 11a, I St Peter's Health Care Services 0 St Peter's Health Care Services 315 South Manning Blvd Albany NY 12208 222702507 Management & Support Services NY 501(c)(3) Line 9 Catholic Health East 0 St Peter's Hospital 315 South Manning Blvd Albany NY 12208 141348692 Hospital NY 501(c)(3) Line 3 St Peter's Health Care Services 0 St Peter's Hospital Foundation Inc 319 South Manning Blvd Suite 309 Albany NY 12208 222262982 Fundraising & Public Relations NY 501(c)(3) Line 7 St Peter's Health Care Services 0 St Peter's Licensed Home Care Agency 159 Wolf Road Albany NY 12205 141818568 Home Health NY 501(c)(3) Line 3 St Peter's Health Care Services 0 The Community Hospice Foundation Inc 295 Valley View Blvd Rensselaer NY 12144 222692940 Fundraising & Public Relations NY 501(c)(3) Line 7 St Peter's Health Care Services 0 The Community Hospice Inc 295 Valley View Blvd Rensselaer NY 12144 141608921 Serving seriously ill people & their families NY 501(c)(3) Line 3 St Peter's Health Care Services 0 Villa Mary Immaculate 301 Hackett Blvd Albany NY 12208 141438749 Nursing Home & Physical Rehab NY 501(c)(3) Line 3 St Peter's Health Care Services 0 Warde Service Corporation Inc 159 Wolf Road 3rd Floor Albany NY 12205 141732097 Supporting & strengthing the ministries of rel. sr. mercy NY 501(c)(3) Line 9 St Peter's Health Care Services 0 Brightside Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 042182395 Behavioral Care MA 501(c)(3) Line 9 Sisters of Providence Health System Inc 0 Farren Care Center Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 042501711 Long Term Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 0 Mercy Hospital Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 043398280 Acute Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 0 Mercy Specialist Physicians Inc c/o SPHS 1221 Main Street No 108 Holyoke MA 01040 264033168 Neurosurgery Medical Services MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 0 Sisters of Providence Care Centers Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 222541103 Long Term Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 0 Sisters of Providence Health System Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 043398374 Management & Support Services MA 501(c)(3) Line 11a, I Catholic Health East 0 McAuley Center Inc 275 Steele Road West Hartford CT 06117 061058086 Independent Living CT 501(c)(3) Line 9 Mercy Community Health Inc 0 Mercy Community Health Inc 2021 Albany Avenue West Hartford CT 06117 061492707 Management & Support Services CT 501(c)(3) Line 11a, I Catholic Health East 0 Mercy Community HomeCare Services 2021 Albany Avenue West Hartford CT 06117 061488137 In Home Health Care CT 501(c)(3) Line 9 Mercy Community Health Inc 0 Mercy Services 2021 Albany Avenue West Hartford CT 06117 061453323 Support Services CT 501(c)(3) Line 1 Mercy Community Health Inc 0 Mercyknoll Inc 2021 Albany Avenue West Hartford CT 06117 060757380 Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc 0 Saint Mary Home II Inc 2021 Albany Avenue West Hartford CT 06117 061164104 Elderly Care CT 501(c)(3) Line 3 Mercy Community Health Inc 0 St Mary Home Incorporated 2021 Albany Avenue West Hartford CT 06117 060646843 Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc 0 Mercy Healthcare Center 114 Wawbeek Avenue Tupper Lake NY 12986 150532211 Hospital NY 501(c)(3) Line 3 Catholic Health East 0 Mercy Uihlein Health Corporation 185 Old Military Road Lake Placid NY 12946 161535133 Hospital NY 501(c)(3) Line 11b, II Mercy Healthcare Center 0 Uihlein Mercy Center 185 Old Military Road Lake Placid NY 12946 150532190 Hospital NY 501(c)(3) Line 3 Mercy Healthcare Center 0 St James Mercy Foundation Inc 411 Canisteo Street Hornell NY 14843 161486437 Foundation NY 501(c)(3) Line 7 St James Mercy Health System Inc 0 St James Mercy Health System Inc 411 Canisteo Street Hornell NY 14843 223127184 Management & Support Services NY 501(c)(3) Line 11b, II Catholic Health East 0 St James Mercy Hospital 411 Canisteo Street Hornell NY 14843 160743310 Hospital NY 501(c)(3) Line 3 St James Mercy Health System Inc 0 Marian Community Hospital 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 Catherine Horan Building Limited Partnership 1221 Main Street Room 108 Holyoke MA 010400000 042723429 Property Management MA N/A AmeriHealth Mercy Health Plan 200 Stevens Drive Suite 350 Philadelphia PA 19113 232859523 Medicaid Managed Care Organization PA N/A 0.50000 Amerihealth Mercy of Indiana LLC 200 STEVENS DRIVE Suite 350 Philadelphia PA 19113 204948091 PREPAID HEALTH CARE SERVICES IN N/A 0.50000 East Norriton Medical Associates 2701 Dekalb Pike Norristown PA 19401 232319531 Medical Office Building PA N/A 0.12560 East Norriton Medical Associates 2701 Dekalb Pike Norristown PA 19401 232319531 Medical Office Building PA N/A 0.40930 Gateway Health Plan 300 Grant Street Pittsburgh PA 15219 251691945 Medicaid & Medicare/Special Needs Managed Care Organization PA N/A 0.50000 Keystone Mercy Health Plan 100 Stevens Drive Philadelphia PA 19113 232842344 Medicaid Managed Care Organization PA N/A 0.50000 Langhorne MOB Partners LP 1201 Langhorne-Newtown Road Langhorne PA 19047 232622772 Investment and operation of a medical building PA N/A 0.28956 SMMC MOB II LP 1201 Langhorne-Newtown Road Langhorne PA 19047 364559869 Investment and operation of a medical building PA N/A 0.74520 MercyManor Partnership PO Box 10086 Toledo OH 436990086 521931012 Nursing Home PA N/A 0.50000 Nazareth Medical Office Building Associates LP c/o Nazareth Hospital 2601 Holme Av Philadelphia PA 19152 232388040 Medical Office Building PA N/A 0.01000 Nazareth Medical Office Building Associates LP c/o Nazareth Hospital 2601 Holme Av Philadelphia PA 19152 232388040 Medical Office Building PA N/A 0.47460 St Agnes Long Term Intensive Care LLP 1900 S Broad Street Philadelphia PA 19145 200984882 Long Term Intensive Care PA N/A 0.60000 St Agnes Long Term Intensive Care LLP 1900 S Broad Street Philadelphia PA 19145 200984882 Long Term Intensive Care PA N/A 0.40000 St Peter's Ambulatory Surgery Center LLC 1375 Washington Avenue Ste 201 Albany NY 12206 460463892 Surgery NY N/A 0.34750 Outpatient Surgical Management LLC 5673 Peachtree Dunwoody Rd Ste 550 Atlanta GA 30342 208004929 Outpatient Medical Services GA N/A 0.51000 CV Partners LLC 5665 Peachtree Dunwoody Road Atlanta GA 303421764 263881202 Outpatient Medical Services GA N/A 0.50000 Gwinnett Cardiovascular Servies LLC 1000 Medical Center Boulevard Lawrenceville GA 30045 263870307 Cardiology GA N/A 0.50000 Central New Jersey Heart Services LLC 10720 Sikes Places Ste 300 Charlotte NC 28277 208525458 Cardiac Program NJ N/A 0.63905 Physicians Outpatient Surgery Center LLC 1000 NE 56th Oakland Park FL 33334 352325646 Ambulatory Surgery Center FL N/A 0.73000 Center for Surgery & Digestive Orders 3641 South Miami Avenue Miami FL 33133 510438152 Outpatient Medical Services FL N/A 0.50000 SJV Management LLC 200 Century Pkwy Ste 200E Mount Laurel NJ 08054 202273476 Medical Services NJ N/A 0.50000 Catherine Horan Building Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 042938180 Building Management MA N/A C Diversified Community Services Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 043128890 Medical Services MA N/A C Mercy Inpatient Medical Associates Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 043029829 Medical Services MA N/A C Providence Home Care Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 043317426 Health Care Services MA N/A C System Coordinated Services Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 042938181 Lab Services MA N/A C Physicians Medical Office Building Condominium Trust 1221 Main Street Room 108 Holyoke MA 010400000 046608649 Property Management MA N/A C SJM Properties 411 Canisteo Street Hornell NY 148482104 161294991 Property Holdings NY N/A C Carbondale Area Physicians' Association PC 100 Lincoln Ave Carbondale PA 18407 232801677 Medical Insurance Contracting PA N/A C Carbondale Area Physicians' PHO Inc 100 Lincoln Ave Carbondale PA 18407 232801676 Inactive PA N/A C Carbondale Physicians' Services Inc 100 Lincoln Ave Carbondale PA 18407 232365077 Pharmacy PA N/A C Chestnut Risk Services Ltd 11 Victoria Street Hamilton BD Insurance BD N/A C LifeCare Physicians PC 601 Hamilton Avenue Trenton NJ 086291986 261649038 Health Care Services NJ N/A C Multicare Plus Inc 601 Hamilton Avenue Trenton NJ 086291986 223435844 Inactive NJ N/A C Langhorne Services II Inc 1201 Langhorne-Newtown Road Langhorne PA 190470000 253795549 General Partner of LMOB Partners, II PA N/A C Langhorne Services Inc 1201 Langhorne-Newtown Road Langhorne PA 190470000 232625981 General Partner of LMOB Partners PA N/A C AMHP Holdings Corp 200 Stevens Drive Philadelphia PA 19113 261144363 Behavioral Health PA N/A C Select Health of South Carolina Inc 4390 Belle Oaks Drive Suite 400 Charleston SC 29405 571032456 Health Maintenance Organization SC N/A C Gateway Health Plan Inc 600 Grant Street Pittsburgh PA 15219 251505506 Health Care PA N/A C Gateway Health Plan Inc of Ohio 600 Grant Street Pittsburgh PA 15219 300282076 Health Care PA N/A C MCMC Eastwick Inc c/o MHS One West Elm Street Conshohocken PA 19428 232184261 Medical Office Buildings PA N/A C Community Behavioral Healthcare Network of PA Inc 8040 Carlson Road Harrisburg PA 17112 251765391 Behavioral Health PA N/A C Health Management Services Org Inc 500 Grove Street Suite 100 Haddon Heights NJ 08035 223366580 Health Care Billing NJ N/A C Jeannette Medical Providers 3805 West Chester Pike Newtown Square PA 19073 251787334 Holding Company PA N/A C Jeannette OBGYN Group 1 Inc 3805 West Chester Pike Newtown Square PA 19073 232890748 Holding Company PA N/A C Jeannette Primary Care Group 1 Inc 3805 West Chester Pike Newtown Square PA 19073 232890743 Holding Company PA N/A C Saint Joseph's Service Corporation Inc 5673 Peachtree Dunwoody Road Atlanta GA 303421769 581750815 Service Provider GA N/A C Saint Joseph's Real Estate Management Corp 5673 Peachtree Dunwoody Road Atlanta GA 303421769 581657768 Investment Company GA N/A C Magnetic Resonance Imaging Inc 5673 Peachtree Dunwoody Road Atlanta GA 303421769 581609308 Holding Company GA N/A C ACTx 5673 Peachtree Dunwoody Road Atlanta GA 303421769 830345672 Research GA N/A C Georgia Health Enterprises LLC 11440 Commerce Park Drive Reston VA 20191 541806329 Healthcare VA N/A C St Mary's Highland Hills Village Inc 1660 Jennings Mill Road Bogart GA 30622 582276801 Assisted Living GA N/A C GHE Physicians PC 3500 Piedmont Road Atlanta GA 30305 582277939 Practice Management GA N/A C Nursing Network Inc 4725 North Federal Highway Fort Lauderdale Highwa FL 333080000 591145192 Medical Services FL N/A C Mercy Physician Group Inc 3663 South Miami Avenue Miami FL 33133 202970015 Health Care FL N/A C Stella Maris Insurance Company Limited PO Box 69 Grand Cayman Cayman Islands CJ KY1-1102 980078266 Insurance CJ N/A C Catholic Health East Senior Services 3805 West Chester Pike Suite 100 Newtown Square PA 19073 371572595 Senior Services PA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 Mercy Health System of Maine O 2418242 Visiting Nurse and Hospice Association P 96000 Catholic Health East O 4926042