ST JAMES HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ST JAMES HOSPITAL (EIN 16-0743310)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-14
- IRS object ID
- 201433189349304708
- Schema version
- 2013v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-14T12:43:46-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 Market Street 25th Floor | AddressLine1 |
| City | Philadelphia | City |
| State | PA | State |
| ZIP Code | 191033984 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743310 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St James Mercy Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJA | BusinessNameControlTxt |
| Phone | 6073248000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1 |
| City | Hornell | City |
| State | NY | State |
| ZIP Code | 148432104 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jennifer L Sullivan | PersonNm |
| Person Title | President/CEO | PersonTitleTxt |
| Phone | 6073248000 | PhoneNum |
| Signature | 2014-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | William J Homer | PreparerPersonNm |
| PTIN | P00994519 | PTIN |
| Phone | 2152462300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Jennifer L Sullivan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1 |
| City | Hornell | City |
| State | NY | State |
| ZIP Code | 148432104 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $45,810,883 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.stjamesmercy.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | Faithful to our sponsor, the Sisters of Mercy, St. James Mercy Hospital is a part of St. James Mercy Health System,Inc. ("SJMHS") a community of persons committed to being a transforming, healing presence within the rural communities we serve, particularly addressing the needs of the poor, underserved and disadvantaged. St. James Mercy Health System, Inc. is a member of CHE Trinity Health, which was formed as a result of the merger between Catholic Health East ("CHE") and Trinity Health. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 884 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $310,568 | PYContributionsGrantsAmt |
| CY Contributions Grants | $218,306 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $48,934,857 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $45,239,151 | CYProgramServiceRevenueAmt |
| PY Investment Income | $132,708 | PYInvestmentIncomeAmt |
| CY Investment Income | $56,021 | CYInvestmentIncomeAmt |
| PY Other Revenue | $81,575 | PYOtherRevenueAmt |
| CY Other Revenue | $297,405 | CYOtherRevenueAmt |
| PY Total Revenue | $49,459,708 | PYTotalRevenueAmt |
| CY Total Revenue | $45,810,883 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,455,156 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $31,592,892 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $22,890,318 | PYOtherExpensesAmt |
| CY Other Expenses | $21,067,617 | CYOtherExpensesAmt |
| PY Total Expenses | $53,345,474 | PYTotalExpensesAmt |
| CY Total Expenses | $52,660,509 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,885,766 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,849,626 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $35,881,927 | TotalAssetsBOYAmt |
| Total Assets EOY | $29,152,440 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,403,813 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $28,101,537 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,478,114 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,050,903 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Faithful to our sponsor, the Sisters of Mercy, St. James Mercy Health System, a member of CHE Trinity Health, is a community of persons committed to being a transforming, healing presence within the rural communities we serve, particularly addressing the needs of the poor, underserved and disadvantaged. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $37,742,158 | ExpenseAmt |
| Revenue | $45,155,397 | RevenueAmt |
| Desc | St. James Mercy Hospital is an acute healthcare facility providing routine, Ambulatory and Ancillary services. Major services include Medical, Surgical, X-ray, Laboratory and Maternity. Total Acute discharges for the Hospital were 1,726. Outpatient registrations for the Hospital were 122,594 and Behavioral Health (Adult and Adolescent psychiatric care and addiction) days were 8,490. St. James Mercy Hospital operates a 120-bed Long-Term Care skilled nursing facility. The Long-Term Care Facility specializes in skilled nursing, assisted living and rehabilitation services. Total patient days for the Long-Term Facility were 40,947. St. James Mercy Hospital operates several physician practices. Total office visits were 30,858. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $196,636 | ExpenseAmt |
| Revenue | $363,186 | RevenueAmt |
| Desc | Life Line Service - Revenue generated from rental of Life Line units to the elderly for medical alert. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $37,938,794 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 103 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 884 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Louis A Ensani Jr CPA Controller | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6073248196 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1 |
| City | Hornell | City |
| State | NY | State |
| ZIP Code | 148432104 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Mary LaRowe | |||||||||
| President/CEO | 34.00 | 6.00 | Yes (X) | Yes (X) | $0 | $341,324 | $16,024 | ||
| Mary Fran Wegman RSM | |||||||||
| Chair | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| John Weyand DC | |||||||||
| Treasurer | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Rhonda Peterson MD | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Brenda Copeland | |||||||||
| Vice Chair | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Philip Loree | |||||||||
| Secretary | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Pasquale A Picco MD | |||||||||
| Board Member | 40.00 | Yes (X) | $342,158 | $0 | $24,358 | ||||
| Robert Donius | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mary Ann Schimscheiner RSM | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Pat Prinzing RSM | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Susan Gray PhD | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Maninder Virdee | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Eric Weyand | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Peggy Gorman RSM | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jennifer L Sullivan | |||||||||
| President/CEO | 34.00 | 6.00 | Yes (X) | Yes (X) | $202,753 | $0 | $16,067 | ||
| Andrus Rubert MD | |||||||||
| Board Member | 40.00 | Yes (X) | $260,373 | $0 | $23,522 | ||||
| Dr Bradley T Truax | |||||||||
| CMO | 40.00 | Yes (X) | $21,073 | $0 | $1,062 | ||||
| Patricia A Uldrich | |||||||||
| CNO | 40.00 | Yes (X) | $134,477 | $0 | $7,858 | ||||
| Patricia Dagon | |||||||||
| CCO/VP Continuing Care | 40.00 | Yes (X) | $89,334 | $0 | $20,677 | ||||
| Sylvia Bryant | |||||||||
| VP Mission/Exec Dir Foun | 20.00 | 20.00 | Yes (X) | $106,942 | $0 | $7,017 | |||
| Stanley D Konopko | |||||||||
| CFO | 39.40 | 0.60 | Yes (X) | $0 | $0 | $0 | |||
| Raja V Rao MD | |||||||||
| Physician | 40.00 | $370,678 | $0 | $18,656 | Yes (X) | ||||
| M Tariq Randhawa MD | |||||||||
| Physician | 40.00 | $154,100 | $0 | $23,336 | Yes (X) | ||||
| Adrian Ashdown MD | |||||||||
| Physician | 40.00 | $200,485 | $0 | $24,169 | Yes (X) | ||||
| Virginia Shephard MD | |||||||||
| Physician | 40.00 | $170,164 | $0 | $23,438 | Yes (X) | ||||
| Ifran A Rizvi MD | |||||||||
| Physician | 40.00 | $427,159 | $0 | $26,382 | Yes (X) | ||||
| Scott S Lee MD | |||||||||
| Physician | 40.00 | $402,819 | $0 | $22,707 | Yes (X) | ||||
| Robert W Whelpley MD | |||||||||
| Physician | 40.00 | $356,254 | $0 | $22,227 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,238,769 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $341,324 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $277,500 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Exigence Medical of Hornell | |||||
| PO Box 634850 | Cincinnatti | OH | 452634850 | Hospitalists/ER Physicians | $1,623,796 |
| Cardinal Health - Pharmacy | |||||
| 6012 Molly Road | Syracuse | NY | 132114864 | Pharmaceuticals | $1,277,547 |
| Sodexho Inc & Affiliates | |||||
| PO Box 905374 | Charlotte | NC | 282905374 | Food & Related Services | $1,034,258 |
| Cardinal Health | |||||
| Dept L850P | Pittsburg | PA | 15264 | Medical Products | $795,869 |
| Health Facility Assessment Fund | |||||
| PO Box 4757 | Syracuse | NY | 13221 | Cash Assessments | $776,602 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 41 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $74,790 | RelatedOrganizationsAmt |
| Government Grants | $104,773 | GovernmentGrantsAmt |
| All Other Contributions | $38,743 | AllOtherContributionsAmt |
| Total Contributions | $218,306 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 622110 | $44,875,965 | $44,875,965 |
| Life Line Services | 621610 | $363,186 | $363,186 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $45,239,151 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,021 | TotalRevenueColumnAmt |
| Exclusion | $56,021 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,973 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,973 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,973 | TotalRevenueColumnAmt |
| Exclusion | $17,973 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Specialty Clinic | 900099 | $109,754 | $109,754 |
| Drugs Sold to Employees | 900099 | $26,272 | $26,272 |
| Mgt/Billing Service Fee | 900099 | $8,149 | $8,149 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $135,257 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $135,257 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $279,432 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,810,883 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $45,518,583 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $73,994 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,358,215 | TotalAmt |
| Program Services | $2,441,086 | ProgramServicesAmt |
| Management And General | $917,129 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,515,234 | TotalAmt |
| Program Services | $16,366,014 | ProgramServicesAmt |
| Management And General | $6,149,220 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $532,590 | TotalAmt |
| Program Services | $387,133 | ProgramServicesAmt |
| Management And General | $145,457 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,534,352 | TotalAmt |
| Program Services | $2,569,078 | ProgramServicesAmt |
| Management And General | $965,274 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,652,501 | TotalAmt |
| Program Services | $1,201,183 | ProgramServicesAmt |
| Management And General | $451,318 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,356 | TotalAmt |
| Program Services | $47,073 | ProgramServicesAmt |
| Management And General | $21,283 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,422 | TotalAmt |
| Program Services | $104,965 | ProgramServicesAmt |
| Management And General | $47,457 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,717,972 | TotalAmt |
| Program Services | $990,690 | ProgramServicesAmt |
| Management And General | $727,282 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,333 | TotalAmt |
| Program Services | $72,537 | ProgramServicesAmt |
| Management And General | $32,796 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,443 | TotalAmt |
| Program Services | $31,983 | ProgramServicesAmt |
| Management And General | $14,460 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,989 | TotalAmt |
| Program Services | $81,303 | ProgramServicesAmt |
| Management And General | $59,686 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,561,339 | TotalAmt |
| Program Services | $1,477,028 | ProgramServicesAmt |
| Management And General | $1,084,311 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $670,305 | TotalAmt |
| Program Services | $386,540 | ProgramServicesAmt |
| Management And General | $283,765 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Supplies | $6,054,065 | $4,169,112 | $1,884,953 | $0 |
| Purchased Services | $3,789,502 | $2,609,628 | $1,179,874 | $0 |
| Physician Fees | $3,328,125 | $3,328,125 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,432,766 | TotalAmt |
| Program Services | $1,675,316 | ProgramServicesAmt |
| Management And General | $757,450 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,660,509 | TotalAmt |
| Program Services | $37,938,794 | ProgramServicesAmt |
| Management And General | $14,721,715 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $777,190 | BOYAmt |
| EOY | $52,063 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,212,806 | BOYAmt |
| EOY | $3,794,580 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,000 | BOYAmt |
| EOY | $8,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,443,598 | BOYAmt |
| EOY | $1,432,987 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $377,966 | BOYAmt |
| EOY | $212,524 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $76,511,983 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $64,044,633 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,262,505 | BOYAmt |
| EOY | $12,467,350 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,799,700 | BOYAmt |
| EOY | $3,375,453 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,000,162 | BOYAmt |
| EOY | $7,809,483 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,881,927 | BOYAmt |
| EOY | $29,152,440 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,266,362 | BOYAmt |
| EOY | $7,488,401 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,281,250 | BOYAmt |
| EOY | $7,206,250 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,856,201 | BOYAmt |
| EOY | $13,406,886 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,403,813 | BOYAmt |
| EOY | $28,101,537 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,252,399 | BOYAmt |
| EOY | $822,323 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,715 | BOYAmt |
| EOY | $228,580 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,478,114 | BOYAmt |
| EOY | $1,050,903 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,881,927 | BOYAmt |
| EOY | $29,152,440 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$6,849,626 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $410,177 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $12,238 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $11,049 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,049 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | As part of our membership fees paid to the Health Care Association of New York State, a portion of the fee is allocated for lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,800,780 | OtherCostOrOtherBasisAmt |
| Book Value | $1,800,780 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,849,785 | OtherCostOrOtherBasisAmt |
| Depreciation | $39,427,746 | DepreciationAmt |
| Book Value | $6,422,039 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,577,628 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,175,990 | DepreciationAmt |
| Book Value | $401,638 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,244,787 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,440,897 | DepreciationAmt |
| Book Value | $3,803,890 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,003 | OtherCostOrOtherBasisAmt |
| Book Value | $39,003 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,467,350 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Est. Third-Party Payors (Net) | $363,919 |
| Due From Related Parties | $504,547 |
| Assets Held For Resale | $45,017 |
| Other Long-term Assets | $6,896,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,809,483 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Est. Third-Party Payors (Net) | $2,657,245 |
| Other Liabilities | $614,182 |
| Insurance Liabilities | $10,135,459 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,406,886 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $11,163,000 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $410,000 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$35,057,883 | OtherRevenueAmt |
| Revenue Not Reported | -$34,647,883 | RevenueNotReportedAmt |
| Revenue Subtotal | $45,810,883 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $45,810,883 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $10,924,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $10,924,000 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $41,736,509 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $41,736,509 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $52,660,509 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d - Other Adjustments: | Realized Gains 156,000. Transfers for Capital 25,000. Discontinued Operations -35,243,000. Rounding 4,117. |
| Part XII, Line 4b - Other Adjustments: | Discontinued Operations 41,735,000. Rounding 1,509. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,567,569 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $460,759 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,106,810 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02100 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,344,480 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,307,857 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,036,623 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03870 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,912,049 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,768,616 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,143,433 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05970 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,135 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,135 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $265,934 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $292,734 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$26,800 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,974,540 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,424,133 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,550,407 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04840 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $64,536 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $64,536 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,320,145 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,716,867 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,603,278 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04990 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,232,194 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,485,483 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,746,711 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10960 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $154 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $154 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,811 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $90,811 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,965 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $90,965 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $944,170 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $56,332 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,589,681 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,867,127 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$277,446 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St James Mercy Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1 |
| City | Hornell | City |
| State | NY | State |
| ZIP Code | 14843 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.stjamesmercy.org | WebsiteAddressTxt |
| State License | 5002001H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St James Mercy Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.stjamesmercy.org/pdf/2012/community-h | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| Residency | Yes (X) | ResidencyInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St. James Mercy Hospital | Part V, Section B, Line 3: The community needs assessment survey was distributed to community stakeholders including SJMH board of directors, local government leaders, and social service agency directors. This input was used to identify health factors and disparities and also to further identify survey participants from across the community. |
| St. James Mercy Hospital | Part V, Section B, Line 4: Ira Davenport/Arnot Health and Corning Hospital |
| St. James Mercy Hospital | Part V, Section B, Line 5d: Results from the CHNA were included in the 2013 annual Report to the Community and distributed by mail to charitable donors, prospects, and key community stakeholders. |
| St. James Mercy Hospital | Part V, Section B, Line 7: While St. James Mercy Hospital (SJMH) has not met every need identified in the 2012 Community Health Needs Assessment (CHNA), through collaboration with other regional healthcare providers and county-wide agencies, SJMH has addressed many of the health indicators and disparities the survey identified. SJMH's focus is on addressing chronic health issues (diabetes, COPD, obesity) and providing both access to care for these conditions and wellness education to improve the health disparities index for western Steuben County. The annual Community Health Improvement Plan (CHIP), posted at www.stjamesmercy.org, describes the health improvement plan and progress. |
| St. James Mercy Hospital | Part V, Section B, Line 20d: A patient whose household income is between 201% and 250% of the most recent Federal Poverty Level qualifies for a Partial Charity Care discount. The patient liability is 40% of the rate of reimbursement SJMH would have received from its "highest volume payor" (Excellus Blue Cross) for like services (Inpatient, Outpatient, ED). The patient is eligible for a charity care discount equal to the difference between charges and 40% of the Excellus Blue Cross rate. A patient whose household income is between 251% and 300% of the most recent Federal Poverty Level qualifies for a Partial Charity Care discount. The patient is responsible for paying the Excellus Blue Cross rate. The Charity Care discount would equal the difference between charges and the Excellus Blue Cross rate. SJMH determined that Excellus Blue Cross is the "highest volume" payor as referenced in the NYS statue 2807-K. Therefore, for uninsured patients with household incomes below 300% of the most recent Federal Poverty Level, the patient responsibility will not exceed the rate of reimbursement SJMH would have received from Excellus Blue Cross. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | A cost-to-charge ratio is used for lines 7a and 7b computed by taking total expenses less bad debt divided by total gross patient revenue. |
| Part II, Community Building Activities: | St. James Mercy Hospital actively recruits physicians and other health professionals to provide services in areas with a medical shortage or are underserved. |
| Part III, Line 4: | The Hospital provides an allowance for uncollectibles for estimated losses resulting from the unwillingness of patients to make payments for services. The allowance is determined by analyzing historical data and trends. Accounts receivable are charged off against the allowance for uncollectibles when management determines that recovery is unlikely and the Hospital ceases collection efforts. The amount reported in Part III, Section A, line 3 is determined by estimating the amount of bad debt expense that would be attributed to patients who would likely qualify for financial assistance but for whom sufficient information was not obtained to make that determination. |
| Part III, Line 8: | To determine Medicare allowable costs reportable in the Medicare cost report, the cost-to-charge ratio is applied to gross patient revenue associated with services performed for patients who are eligible for Medicare. |
| Part III, Line 9b: | A bad debt results from a patient account balance from which payment was anticipated from the patient, credit extended and the account later deemed to be uncollectible. A bad debt does not meet the criteria for Charity Care, that is, bad debt patients are considered to have the financial capacity and ability to pay, but are unwilling to pay. Collection activities are only pursued with respect to amounts that patients are able to pay as determined by the organization's charity care policy. No collection activities take place with respect to amounts that patients are not expected to pay under this policy. A separate Charity Care Policy is in place and would be exhausted before a patient balance would be deemed self pay. Under the Charity Care policy, Charity Care/Financial Assistance is provided to a patient with a demonstrated inability to pay. A patient is eligible for Charity Care/Financial Assistance consideration based upon meeting certain income eligibility criteria as established by the Federal Poverty Income Guideline Sliding Scale, Per NYS PHL 2807-K, this considers patients whose household income is up to 300% of the most recent Federal Poverty Guidelines.All uninsured, low-income patients within St. James Mercy Hospital's primary service area who can demonstrate an inability to pay charges may apply for Charity Care/Financial Assistance for adjustments to their balances for all medically necessary healthcare services, provided that a member, in good standing, of St. James Mercy Hospital's medical staff determines the need for such medical care treatment. |
| Part III, Lines 2-4: | The Hospital provides an allowance for uncollectibles for estimated losses resulting from the unwillingness of patients to make payments for services. The allowance is determined by analyzing historical data and trends. Accounts receivable are charged off against the allowance for uncollectibles when management determines that recovery is unlikely and the Hospital ceases collection efforts. The amount reported in Part III, Section A, line 3 is determined by estimating the amount of bad debt expense that would be attributed to patients who would likely qualify for financial assistance but for whom sufficient information was not obtained to make that determination. |
| Part VI, Line 2: | St. James Mercy Hospital conducts a community needs assessment every three years in conjunction with Steuben County Public Health. Based on residents' feedback, the county's health care priorities, strategies, and programs are determined. St. James Mercy Hospital creates an annual plan based on this assessment, and the progress of these initiatives is reported annually to NYS Department of Health. Local health care priorities are also identified through surveying participants at St. James Mercy's Community Health Fair and its public health education programs. |
| Part VI, Line 3: | At the time of registration, all self-pay individuals receive an information sheet describing the types of Federal, state and local government programs available, including St. James Mercy Hospital's Charity Care Policy. The eligibility process is coordinated by a Financial Counselor, who contacts the patient or patient family member by phone and/or letter. Patients who qualify for Medicaid are also directed to an in-house facilitated enroller, who coordinates the Medicaid application process on behalf of the patient. |
| Part VI, Line 4: | The primary service area for St. James Mercy Hospital (SJMH) is the 15-mile radius extending from Hornell (Steuben County), New York, and includes the towns of Wayland to the northeast and Troupsburg to the southeast (just outside of the 15-mile radius). The secondary service area is the 30-mile radius extending from Hornell. Per the 2010 Census, the population for the primary service area (Steuben County) remained relatively flat, increasing 0.3% from 2000 to 2010 to 98,990 and is projected to remain flat through 2014. The population aged 65 and over comprises 16% of the primary service area compared to 13% for New York State population. The population is racially and ethnically homogenous with 95.3% White, 1.6% Black, 1.4% Hispanic/Latino, and 1.2% Asian. Persons over the age of 65 represent 15.6% of the county, a two percentage points higher than the state. Median household income is $42,764 compared to $54,554 for the state. Approximately 20% of the county population have a bachelor's degree or higher compared to 32% of state residents. |
| Part VI, Line 5: | St. James Mercy Hospital (SJMH) is the lead agency for the Cancer Services Program (CSP) of Steuben County. A community-based, grant-funded program of New York State Department of Health, the CSP serves uninsured men and women with comprehensive, age-appropriate, no-cost screenings for breast, cervical and colorectal cancer. In adddtion to the Community Health Fair, St. James Mercy Hospital participates in coordinating a similar annual event for children called the Pediatric Health Fair. This event is directed to parents and community youth and is held in conjunction with a longstanding community kids "fun run" to promote exercise and healthy lifestyles. SJMH staff members throughout the organization participate in community initiatives and hold seats on boards including the Steuben Rural Health Network, Catholic Charities, YMCA, United Way of the Southern Tier, Steuben Co. Health Priorities Team, and other non-profit organizations whose primary mission is to assess and address community needs. SJMH has also collaborated in a pilot program in collaboration with the Hornell City School District and is designed to address the issue of students without health insurance in pre-K through grade 6, through educational materials to parents and Medicaid enrollment assistance.St. James Mercy Hospital furthers its exempt status through participation of its senior leadership team on various community boards including Hornell Children's Home; Home and Health, Inc.; United Way; BOCES Nursing Advisory Committee; Faith in Action; Allegany Western Steuben Rural Health Network; and Kinship. In addition, St. James Mercy Hospital recruits community members to serve on its own Board of Directors, Foundation Board, and Properties Board. St. James Mercy Hospital physicians and providers enhance community building through participation in the Hospital's annual Health Fair, and through educational programs such as "Sharing the Health" and "Working with Wegmans." The Hospital furthers its community reach through holiday sponsorships of needy families, and corporate sponsorships such as the local "Relay for Life" event. In addition, St. James Mercy Hospital's Emergency Department is open 24 hours a day and all persons needing care are treated, regardless of ability to pay. |
| Part VI, Line 7, Reports Filed With States | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mary LaRowe | ||||||||||||||
| President/CEO | $0 | $282,915 | $0 | $53,565 | $0 | $4,844 | $0 | $10,402 | $0 | $5,622 | $0 | $357,348 | $0 | $0 |
| Pasquale A Picco MD | ||||||||||||||
| Board Member | $336,246 | $0 | $5,000 | $0 | $912 | $0 | $8,788 | $0 | $15,570 | $0 | $366,516 | $0 | $0 | $0 |
| Jennifer L Sullivan | ||||||||||||||
| President/CEO | $202,364 | $0 | $0 | $0 | $389 | $0 | $4,393 | $0 | $11,674 | $0 | $218,820 | $0 | $0 | $0 |
| Andrus Rubert MD | ||||||||||||||
| Board Member | $251,706 | $0 | $5,000 | $0 | $3,667 | $0 | $6,365 | $0 | $17,157 | $0 | $283,895 | $0 | $0 | $0 |
| Raja V Rao MD | ||||||||||||||
| Physician | $363,134 | $0 | $0 | $0 | $7,544 | $0 | $4,672 | $0 | $13,984 | $0 | $389,334 | $0 | $0 | $0 |
| M Tariq Randhawa MD | ||||||||||||||
| Physician | $150,107 | $0 | $0 | $0 | $3,993 | $0 | $6,474 | $0 | $16,862 | $0 | $177,436 | $0 | $0 | $0 |
| Adrian Ashdown MD | ||||||||||||||
| Physician | $151,103 | $0 | $48,620 | $0 | $762 | $0 | $8,599 | $0 | $15,570 | $0 | $224,654 | $0 | $0 | $0 |
| Virginia Shephard MD | ||||||||||||||
| Physician | $110,991 | $0 | $58,638 | $0 | $535 | $0 | $7,992 | $0 | $15,446 | $0 | $193,602 | $0 | $0 | $0 |
| Ifran A Rizvi MD | ||||||||||||||
| Physician | $421,289 | $0 | $5,000 | $0 | $870 | $0 | $9,415 | $0 | $16,967 | $0 | $453,541 | $0 | $0 | $0 |
| Scott S Lee MD | ||||||||||||||
| Physician | $396,871 | $0 | $0 | $0 | $5,948 | $0 | $7,000 | $0 | $15,707 | $0 | $425,526 | $0 | $0 | $0 |
| Robert W Whelpley MD | ||||||||||||||
| Physician | $355,801 | $0 | $0 | $0 | $453 | $0 | $5,070 | $0 | $17,157 | $0 | $378,481 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | St. James Mercy Health Hospital relied on a related organization (Catholic Health East) that used one or more of the methods described below to establish the compensation for the CEO in place from January 1, 2013 to August 16, 2013: compensation committee, independent compensation consultant, written employment contract, compensation survey or study and approval by the CHE board or compensation committee. The CEO in place from August 16, 2013 to December 31, 2013 compensation was also derived using one or more of the methods described below and approved by the St. James Mercy Hospital board: compensation committee, independent compensation consultant, written employment contract, compensation survery or study. |
| Part I, Line 4b | A Supplemental Executive Retirement Plan is provided to certain key executive employees employeed through Catholic Health East. Contributions made to the plan on their behalf are vested and reflected in their compensation at the time of the contribution. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | William Veazey | PersonNm |
| Relationship With Org | Former Physician | RelationshipWithOrgTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $20,000 | OriginalPrincipalAmt |
| Balance Due | $8,000 | BalanceDueAmt |
| Default | Yes (1) | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $8,000 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Catholic Health East and Trinity Health Corporation | Effective May 1, 2013 CHE Trinity Inc., an Indiana nonprofit corporation, became the sole corporate member of CHE. This change was the result of a consolidation transaction between CHE and Trinity Health Corporation, an Indiana nonprofit corporation and CHE Trinity, Inc. pursuant to a Consolidation Agreement. In this transaction, CHE amended its corporate governance documents to delegate to CHE Trinity Inc., certain reserved governance authorities over CHE. The combined entity is now CHE Trinity Health. |
| Form 990, Part III, line 3 | In 2013, St. James Mercy Hospital ceased conducting following program services: -Inpatient Adult Behavioral Health -Inpatient Adolescent Behavioral Health -Occupational Health, -Social Day Care, -Sleep Lab |
| Form 990, Part VI, Section A, line 3 | Stanley D. Konopko, served as the organization's CFO after August 16, 2013. Mr. Konopko is a partner of Bonadio & Co. LLP, an accounting firm, which was paid $128,000 for Mr. Konopko's services. |
| Form 990, Part VI, Section A, line 6 | Yes, St. James Mercy Health System is the sole member. |
| Form 990, Part VI, Section A, line 7a | Yes, governance decisions are made by the board of St. James Mercy Hospital and then forwarded for final approval to St. James Mercy Health System Board. |
| Form 990, Part VI, Section A, line 7b | Yes, all decisions are made by the Board of St. James Mercy Hosptial and then forwarded for approval by St. James Mercy Health System Board. |
| Form 990, Part VI, Section B, line 11 | A copy of the Form 990 was made available to each board member before it was filed. St. James Mercy Health System Board has designated the Audit and Compliance Committee as the group to be educated and to review each entity return. The Audit and Compliance committee reviewed the 2013 Forms 990's for St. James Heath System, St. James Foundation and St. James Hospital on October 29, 2014. |
| Form 990, Part VI, Section B, line 12c | St. James Mercy Hospital has adopted Catholic Health East's Policy 103 setting forth the organization's conflict-of-interest policy and processes. Annually, all those serving St. James Mercy Hospital in a fiduciary capacity, including directors, officers, Sponsors' Council representatives, and key employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the organization's CEO and Board Chair. Summary information is reported to the entire board and available to the board throughout the year as business comes before the board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the board or an appropriate committee thereof comprised of disinterested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request. |
| Form 990, Part VI, Section B, line 15 | As set forth on Schedule J, Part III, Catholic Health East determined the compensation for Mary LaRowe and Jennifer Sullivan, the organization's top management officials. For other employees, St. James Mercy Hospital has adopted Catholic Health East's process for determining compensation that includes the following: The board has an independent committee review and approves 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 program and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes. |
| Form 990, Part VI, Section C, line 19 | Organizational Articles of Incorporation, Corporate By-laws, 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 XI, line 9: | Contribution and Investment Income Allocation 2,865. Grant Funded Capital Additions 92,039. Realized Gains 155,938. Cummulative Effect of Prior Period Adjustment -263,550. Intercompany Transactions 24,946. |
| Disclosure Statement Related to Form 5471 | Disclosure Statement Related to Form 5471 Filed by Catholic Health East, Saint Michael's Medical Center, and Trinity Health - Michigan Under the constructive ownership rules of Internal Revenue Code Sections 318(a) and 958(b), the organization is required to file Form 5471, Information Return of U.S. Persons With Respect to Certain Foreign Corporations, as a Category 4 and/or Category 5 filer with respect to Stella Maris Insurance Company Limited, Chestnut Risk Services, LTD, and Venzke Insurance Company, LTD (collectively, the "foreign corporations"). This filing requirement is, or will be, satisfied through the filing of Forms 5471 with respect to the foreign corporations on the organization's behalf by the U.S. organizations identified below. Foreign Corporation: Stella Maris Insurance Company U.S. Organization: Catholic Health East Address: 3805 West Chester Pike, Suite 100, Newtown Square, Pennsylvania 19073 Identifying Number of U.S. Tax Return with Which Form 5471 was filed: 23-2929748 IRS Service Center Where U.S. Return Was Filed: Ogden, UT Foreign Corporation: Chestnut Risk Services, LTD U.S. Organization: Saint Michael's Medical Center Address: 111 Central Avenue, Newark, New Jersey 07102 Identifying Number of U.S. Tax Return with Which Form 5471 was filed: 26-2616046 IRS Service Center Where U.S. Return Was Filed: Ogden, UT Foreign Corporation: Venzke Insurance Company, LTD U.S. Organization: Trinity Health - Michigan Address: 20555 Victor Parkway, Livonia, MI 48152 Identifying Number of U.S. Tax Return with which Form 5471 was filed: 38-2113393 IRS Service Center Where U.S. Return Was Filed: Ogden, UT |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (242 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Advantage HealthSaint Mary's Medical Group | |||||||||||
| 245 State St SE | Grand Rapids | MI | 49503 | 272491974 | Healthcare Services | MI | 501(C)(3) | Line 9 | Trinity Health-Michigan | Yes (1) | |
| 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 | Yes (1) | |
| Amicare Hospice Services Inc | |||||||||||
| 20555 Victor Parkway | Livonia | MI | 48152 | 382949053 | Provide Hospice Services | MI | 501(C)(3) | Line 9 | Trinity Home Health Services Inc | Yes (1) | |
| Auxiliary Of Holy Rosary Hospital | |||||||||||
| 351 SW 9th Street | Ontario | OR | 97914 | 943059469 | Support Services of Related Hospital | OR | 501(C)(3) | Line 9 | Saint Alphonsus Medical Center-Ontario | Yes (1) | |
| Baum Harmon Mercy Hospital | |||||||||||
| 255 North Welch Avenue | Primghar | IA | 51245 | 421500277 | Acute/Ambulatory healthcare services | IA | 501(C)(3) | Line 3 | Mercy Health Services-Iowa Corp | Yes (1) | |
| Baum Harmon Mercy Hospital & Clinics Foundation | |||||||||||
| 255 North Welch Avenue | Primghar | IA | 51245 | 262973307 | Support the services of related hospital | IA | 501(C)(3) | Line 11a, I | Baum Harmon Mercy Hospital | Yes (1) | |
| Beechwood Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 141651563 | Real estate holding | NY | 501(C)(2) | N/A | LTC (Eddy) Inc | Yes (1) | |
| Beverwyck Inc | |||||||||||
| 40 Autumn Drive | Slingerlands | NY | 12159 | 141717028 | Independent/Assisted Living Retirement Community | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| Brightside Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 042182395 | Behavioral Care | MA | 501(C)(3) | Line 9 | Sisters of Providence Health System Inc | Yes (1) | |
| Capital Region Geriatric Center Inc | |||||||||||
| 421 West Columbia St | Cohoes | NY | 12047 | 141701597 | Nursing Home | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| Catherine McAuley Health Services Corp | |||||||||||
| PO Box 995 | Ann Arbor | MI | 48106 | 382507173 | Further Trinity Health activities, organize and develop medical services | MI | 501(C)(3) | Line 11b, II | Trinity Health-Michigan | Yes (1) | |
| Catholic Health East | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 232929748 | Management Services | PA | 501(C)(3) | Line 11c, III-FI | CHE Trinity Inc | Yes (1) | |
| CHE Trinity Inc | |||||||||||
| 20555 Victor Parkway | Livonia | MI | 48152 | 900931907 | Healthcare system management and support | IN | 501(C)(3) | Line 11b, II | 0 | N/A | |
| CHE Trinity Inc (fka Trinity Health Corporation) | |||||||||||
| 20555 Victor Parkway | Livonia | MI | 48152 | 351443425 | Healthcare system management and support | IN | 501(C)(3) | Line 11b, II | CHE Trinity Inc | Yes (1) | |
| Columbus Acquisition Corp | |||||||||||
| 111 Central Avenue | Newark | NJ | 07102 | 262616342 | Inactive Entity | NJ | 501(C)(3) | Line 9 | Saint Michaels Medical Center | Yes (1) | |
| Community Health Partners of South Bend | |||||||||||
| PO Box 3998 | South Bend | IN | 46619 | 263051440 | Healthcare Services | IN | 501(C)(3) | Line 3 | Saint Joseph Regional Medical Center Inc | Yes (1) | |
| 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 | Yes (1) | |
| Cranbrook Hospice Care | |||||||||||
| 1111 W Long Lake Rd Ste 102 | Troy | MI | 48098 | 383320699 | Provide hospice health services | MI | 501(C)(3) | Line 11a, I | Trinity Home Health Services Inc | Yes (1) | |
| Diley Ridge Medical Center | |||||||||||
| 6150 East Broad Street | Columbus | OH | 43213 | 342032340 | Hospital campus in Fairfield County Ohio | OH | 501(C)(3) | Line 3 | Mount Carmel Health System | Yes (1) | |
| Dubuque Mercy Health Foundation Inc | |||||||||||
| 250 Mercy Drive | Dubuque | IA | 52001 | 262227941 | Support Services of Related Hospital | IA | 501(C)(3) | Line 11a, I | Mercy Health Services-Iowa Corp | Yes (1) | |
| Dyersville Health Foundation Inc | |||||||||||
| 1111 3rd Street SW | Dyersville | IA | 52040 | 205383271 | Support Services of Related Hospital | IA | 501(C)(3) | Line 11a, I | Mercy Health Services-Iowa Corp | Yes (1) | |
| 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 | Yes (1) | |
| Eddy Licensed Home Care Agency | |||||||||||
| 433 River St Suite 3000 | Troy | NY | 12180 | 141818568 | Home Health | NY | 501(C)(3) | Line 3 | LTC(Eddy) Inc | Yes (1) | |
| Empire Home Infusion Services Inc | |||||||||||
| 10 Blacksmith Drive | Malta | NY | 12020 | 141795732 | Home care | NY | 501(C)(3) | Line 9 | Home Aide Service of Eastern New York Inc | Yes (1) | |
| Farren Care Center Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 042501711 | Long Term Care | MA | 501(C)(3) | Line 3 | Sisters of Providence Health System Inc | Yes (1) | |
| Franciscan Eldercare Corporation | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 223008680 | Eldercare | DE | 501(C)(3) | Line 9 | St Francis Hospital | Yes (1) | |
| Glen Eddy Inc | |||||||||||
| One Glen Eddy Drive | Niskayuna | NY | 12309 | 141794150 | Independent/Assisted Living Community | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| 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 | Yes (1) | |
| Good Samaritan Hospital Inc | |||||||||||
| 5401 Lake Oconee Parkway | Greensboro | GA | 30642 | 261720984 | Hospital | GA | 501(C)(3) | Line 3 | Saint Joseph's Health System Inc | Yes (1) | |
| Gottlieb Community Health Services Corporation | |||||||||||
| 701 W North Ave | Melrose Park | IL | 60160 | 363332852 | Support Services of Related Hospital | IL | 501(C)(3) | Line 9 | Gottlieb Memorial Hospital | Yes (1) | |
| Gottlieb Memorial Foundation | |||||||||||
| 701 W North Ave | Melrose Park | IL | 60160 | 743260011 | Support Services of Related Hospital | IL | 501(C)(3) | Line 11c, III-FI | 0 | N/A | |
| Gottlieb Memorial Hospital | |||||||||||
| 701 W North Ave | Melrose Park | IL | 60160 | 362379649 | Healthcare Services | IL | 501(C)(3) | Line 3 | Loyola University Health System | Yes (1) | |
| Hackley Hospital | |||||||||||
| 1700 Clinton St PO Box 3302 | Muskegon | MI | 49443 | 381358196 | Healthcare Services | MI | 501(C)(3) | Line 3 | Mercy Health Partners | Yes (1) | |
| Hackley Hospital Self Insurance Professional Liability Trust | |||||||||||
| PO Box 3302 | Muskegon | MI | 49443 | 382299878 | Self insurance for general and malpractice liability | MI | 501(C)(3) | Line 11c, III-FI | Mercy Health Partners | Yes (1) | |
| Hackley Life Counseling | |||||||||||
| 1352 Terrace St | Muskegon | MI | 49442 | 381386362 | Counseling, education, and support | MI | 501(C)(3) | Line 9 | Mercy Health Partners | Yes (1) | |
| Hawthorne Ridge Inc | |||||||||||
| 30 Community Way | East Greenbush | NY | 12061 | 800102840 | Independent/Assisted Living Retirement Community | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| Heritage House Nursing Center Inc | |||||||||||
| 2920 Tibbits Ave | Troy | NY | 12180 | 141725101 | Nursing home | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| Holy Cross Carenet Inc | |||||||||||
| PO Box 9184 | Farmington Hills | MI | 48333 | 521945054 | Long-term care and rehabilitation for the elderly | MD | 501(C)(3) | Line 9 | Trinity Continuing Care Services | Yes (1) | |
| Holy Cross Health Foundation Inc | |||||||||||
| 11801 Tech Road | Silver Spring | MD | 20904 | 208428450 | Charitable fundraising | MD | 501(C)(3) | Line 11a, I | Holy Cross Health Inc | Yes (1) | |
| Holy Cross Health Inc | |||||||||||
| 1500 Forest Glen Rd | Silver Spring | MD | 20910 | 520738041 | Healthcare Services | MD | 501(C)(3) | Line 3 | CHE Trinity Inc (fka Trinity Health Corp) | Yes (1) | |
| Holy Cross Hospital Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 590791028 | Hospital-Healthcare Provider | FL | 501(C)(3) | Line 3 | Catholic Health East | Yes (1) | |
| Holy Cross Long Term Care Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 650787320 | Medical Services | FL | 501(C)(3) | Line 3 | Holy Cross Hospital Inc | Yes (1) | |
| Holy Cross Medical Center | |||||||||||
| 20555 Victor Parkway | Livonia | MI | 48152 | 951985442 | Healthcare Services (Formerly) | CA | 501(C)(3) | Line 3 | CHE Trinity Inc (fka Trinity Health Corp) | Yes (1) | |
| Holy Cross Medical Properties Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 650666283 | Medical Building Real Estate Management | FL | 501(C)(2) | N/A | Holy Cross Hospital Inc | Yes (1) | |
| Home Aide Service of Eastern New York | |||||||||||
| 433 River St Suite 3000 | Troy | NY | 12180 | 141514867 | Home care | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| Hospice of North Iowa | |||||||||||
| 232 Second Street SE | Mason City | IA | 50401 | 421173708 | Hospice health care services | IA | 501(C)(3) | Line 7 | Mercy Health Services-Iowa Corp | Yes (1) | |
| Hospice of Siouxland | |||||||||||
| 4300 Hamilton Blvd | Sioux City | IA | 51104 | 383320710 | Hospice services | IA | 501(C)(3) | Line 11a, I | 0 | N/A | |
| Hospice of Washtenaw II | |||||||||||
| 806 Airport Blvd | Ann Arbor | MI | 48108 | 383320707 | Hospice health care services | MI | 501(C)(3) | Line 11a, I | Trinity Health-Michigan | Yes (1) | |
| IHA Health Services Corporation | |||||||||||
| 24 Frank Lloyd Wright Dr Lobby J | Ann Arbor | MI | 48106 | 383316559 | Provides office-based medical care | MI | 501(C)(3) | Line 9 | Trinity Health-Michigan | Yes (1) | |
| Intracoastal Health Systems Inc | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 650556413 | Management & Support Services | PA | 501(C)(3) | Line 11a, I | Catholic Health East | Yes (1) | |
| James A Eddy Memorial Geriatric Center Inc | |||||||||||
| 2256 Burdett Ave | Troy | NY | 12180 | 222570478 | Nursing home | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| Lakeshore Community Hospital Inc | |||||||||||
| 72 S State Street | Shelby | MI | 49455 | 382549295 | Acute healthcare services | MI | 501(C)(3) | Line 3 | Mercy Health Partners | Yes (1) | |
| Langhorne MRI Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232519529 | Inactive Entity | PA | 501(C)(3) | Line 9 | St Mary Medical Center | Yes (1) | |
| Langhorne Physician Services Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232571699 | Physician Services | PA | 501(C)(3) | Line 9 | St Mary Medical Center | Yes (1) | |
| 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 | Yes (1) | |
| LIFE at St Francis Healthcare Inc | |||||||||||
| 7th Clayton Streets | Wilmington | DE | 19805 | 452569214 | Elderly Care | DE | 501(C)(3) | Line 9 | St Francis Hospital | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| LIFE St Mary | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 262976184 | Elderly Care | PA | 501(C)(3) | Line 9 | St Mary Medical Center | Yes (1) | |
| 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 | Yes (1) | |
| Lourdes Cardiology Services PC | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 274357794 | Cardiology Services | NJ | 501(C)(3) | Line 3 | Our Lady of Lourdes Health Care Services | Yes (1) | |
| 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 | Yes (1) | |
| Lourdes Medical Center of Burlington County | |||||||||||
| 218 Sunset Road | Willingboro | NJ | 08046 | 223612265 | Hospital | NJ | 501(C)(3) | Line 3 | Our Lady of Lourdes Health Care Services | Yes (1) | |
| Loyola University Health System | |||||||||||
| 2160 South First Avenue | Maywood | IL | 60153 | 363342448 | Healthcare system management and support | IL | 501(C)(3) | Line 11b, II | CHE Trinity Inc (fka Trinity Health Corp) | Yes (1) | |
| Loyola University Medical Center | |||||||||||
| 2160 South First Avenue | Maywood | IL | 60153 | 364015560 | Healthcare Services | IL | 501(C)(3) | Line 3 | Loyola University Health System | Yes (1) | |
| LTC (Eddy) Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 222564710 | Elderly health/housing supporting org | NY | 501(C)(3) | Line 11a, I | Northeast Health Inc | Yes (1) | |
| Marian Community Hospital | |||||||||||
| 3805 West Chester Pike No 100 | Newtown Square | PA | 19073 | 240711230 | Hospital | PA | 501(C)(3) | Line 3 | Maxis Health System | Yes (1) | |
| Marian Community Hospital Auxiliary | |||||||||||
| 3805 West Chester Pike No 100 | Newtown Square | PA | 19073 | 251874733 | Fundraising | PA | 501(C)(3) | Line 11b, II | Maxis Health System | Yes (1) | |
| Marian Home Healthcare | |||||||||||
| 801 5th Street | Sioux City | IA | 51101 | 383320705 | Provide home health care services | IA | 501(C)(3) | Line 11a, I | Mercy Health Services-Iowa Corp | Yes (1) | |
| Marycrest Heights | |||||||||||
| PO Box 9184 | Farmington Hills | MI | 48333 | 270291722 | Provides housing for elderly individuals | MI | 501(C)(3) | Line 11a, I | Trinity Continuing Care Services | Yes (1) | |
| Mary's Meadow at Providence Place Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 262043754 | Long-term care | MA | 501(C)(3) | Line 3 | Sisters of Providence Health System Inc | Yes (1) | |
| Maxis Foundation | |||||||||||
| 3805 West Chester Pike No 100 | Newtown Square | PA | 19073 | 232330090 | Fundraising | PA | 501(C)(3) | Line 11b, II | Maxis Health System | Yes (1) | |
| Maxis Health System | |||||||||||
| 3805 West Chester Pike No 100 | Newtown Square | PA | 19073 | 911940902 | Health Care System | PA | 501(C)(3) | Line 11b, II | Catholic Health East | Yes (1) | |
| Maxis Medical Services | |||||||||||
| 3805 West Chester Pike No 100 | Newtown Square | PA | 19073 | 232577185 | Physician Practices | PA | 501(C)(3) | Line 3 | Maxis Health System | Yes (1) | |
| McAuley Center Inc | |||||||||||
| 275 Steele Road | West Hartford | CT | 06117 | 061058086 | Independent Living | CT | 501(C)(3) | Line 9 | Mercy Community Health Inc | Yes (1) | |
| McAuley Clinic Corporation | |||||||||||
| PO Box 992 | Ann Arbor | MI | 48106 | 382561013 | Healthcare Services (Formerly) | MI | 501(C)(3) | Line 3 | Catherine McAuley Health Services Corp | Yes (1) | |
| McAuley Ministries | |||||||||||
| 3333 Fifth Avenue | Pittsburgh | PA | 15213 | 943436142 | Management & Support Services | PA | 501(C)(3) | Line 11a, I | Pittsburgh Mercy Health System | Yes (1) | |
| Memorial Hospital Albany NY | |||||||||||
| 600 Northern Blvd | Albany | NY | 12204 | 141338457 | General Hospital | NY | 501(C)(3) | Line 3 | Northeast Health Inc | Yes (1) | |
| Mercy Amicare Home Healthcare Oakland | |||||||||||
| 1111 W Long Lake Rd Ste 102 | Troy | MI | 48098 | 383320698 | Provide home health care services | MI | 501(C)(3) | Line 11a, I | Trinity Home Health Services Inc | Yes (1) | |
| Mercy Amicare Home Healthcare Port Huron | |||||||||||
| 505 Huron Avenue | Port Huron | MI | 48060 | 383320701 | Provide home health care services | MI | 501(C)(3) | Line 11a, I | Trinity Home Health Services Inc | Yes (1) | |
| Mercy Cares 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 | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| Mercy Family Support | |||||||||||
| 1001 Baltimore Pike Suite 310 | Springfield | PA | 19064 | 232325059 | Home Health | PA | 501(C)(3) | Line 9 | Mercy Health System of Southeastern Pennsylvania | Yes (1) | |
| Mercy Foundation Inc | |||||||||||
| 2525 South Michigan Avenue | Chicago | IL | 60616 | 363227350 | Supports the services of related health care system | IL | 501(C)(3) | Line 11a, I | Mercy Health System of Chicago | Yes (1) | |
| Mercy General Health Partners Amicare Homecare | |||||||||||
| 684 Harvey Street | Muskegon | MI | 49442 | 383321856 | Provide home health care services | MI | 501(C)(3) | Line 11a, I | Trinity Home Health Services Inc | Yes (1) | |
| Mercy Health Foundation of Southeastern Pennsylvania | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 232829864 | Fundraising | PA | 501(C)(3) | Line 11b, II | Mercy Health System of Southeastern Pennsylvania | Yes (1) | |
| Mercy Health Network | |||||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421478417 | Healthcare Management | DE | 501(C)(3) | Line 11a, I | 0 | N/A | |
| Mercy Health Partners | |||||||||||
| 1415 Leahy Street | Muskegon | MI | 49442 | 382589966 | Healthcare system support | MI | 501(C)(3) | Line 3 | Trinity Health-Michigan | Yes (1) | |
| 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 | Yes (1) | |
| Mercy Health Services - Iowa Corp | |||||||||||
| 1000 4th Street SW | Mason City | IA | 50401 | 311373080 | Healthcare Services | DE | 501(C)(3) | Line 3 | Trinity Health-Michigan | Yes (1) | |
| Mercy Health System of Chicago | |||||||||||
| 2525 South Michigan Avenue | Chicago | IL | 60616 | 363163327 | Healthcare system management and support | IL | 501(C)(3) | Line 11a, I | CHE Trinity Inc (fka Trinity Health Corp) | Yes (1) | |
| Mercy Health System of Chicago Liability Self Insurance Trust | |||||||||||
| Bk of America 231 S Lasalle | Chicago | IL | 60697 | 912092113 | Self insurance for professional and comprehensive liability | IL | 501(C)(3) | Line 11c, III-FI | Mercy Health System of Chicago | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| Mercy Healthcare Center | |||||||||||
| 114 Wawbeek Avenue | Tupper Lake | NY | 12986 | 150532211 | In Dissolution | NY | 501(C)(3) | Line 3 | Catholic Health East | Yes (1) | |
| Mercy Healthcare Foundation-Clinton | |||||||||||
| 1410 North 4th St | Clinton | IA | 52732 | 421316126 | Fundraising and financial assistance for hospital charitable services | IA | 501(C)(3) | Line 11c, III-FI | 0 | N/A | |
| 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 | Yes (1) | |
| Mercy Home Health Services | |||||||||||
| 1001 Baltimore Pike Suite 310 | Springfield | PA | 19064 | 232325058 | Home Health | PA | 501(C)(3) | Line 11b, II | Mercy Health System of Southeastern Pennsylvania | Yes (1) | |
| Mercy Hospital | |||||||||||
| 144 State Street | Portland | ME | 04101 | 010211534 | Hospital | ME | 501(C)(3) | Line 3 | Mercy Health System of Maine | Yes (1) | |
| Mercy Hospital and Medical Center | |||||||||||
| 2525 South Michigan Avenue | Chicago | IL | 60616 | 362170152 | Healthcare services | IL | 501(C)(3) | Line 3 | Mercy Health System of Chicago | Yes (1) | |
| Mercy Hospital Cadillac Foundation | |||||||||||
| 400 Hobart | Cadillac | MI | 49601 | 203357131 | Support the services of related hospital | MI | 501(C)(3) | Line 11a, I | Trinity Health-Michigan | Yes (1) | |
| Mercy Hospital Gift Shop | |||||||||||
| 2601 Electric Ave | Port Huron | MI | 48060 | 381630480 | Volunteer Service Auxiliary | MI | 501(C)(3) | Line 11a, I | Trinity Health-Michigan | Yes (1) | |
| Mercy Hospital Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 043398280 | Acute Care | MA | 501(C)(3) | Line 3 | Sisters of Providence Health System Inc | Yes (1) | |
| Mercy Hospital Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 590791034 | Hospital | FL | 501(C)(3) | Line 3 | Catholic Health East | Yes (1) | |
| Mercy Jeannette Hospital | |||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 251310602 | Inactive Entity | PA | 501(C)(3) | Line 9 | Pittsburgh Mercy Health System | Yes (1) | |
| Mercy Life Center Corporation | |||||||||||
| 1200 Reedsdale Street | Pittsburgh | PA | 15233 | 251604115 | Community Treatment | PA | 501(C)(3) | Line 9 | Pittsburgh Mercy Health System | Yes (1) | |
| Mercy LIFE of Alabama | |||||||||||
| PO Box 1090 101 Villa Drive | Daphne | AL | 36526 | 273163002 | Hospital | AL | 501(C)(3) | Line 3 | Mercy Medical Corporation | Yes (1) | |
| Mercy LIFE Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 453086711 | Acute Care | MA | 501(C)(3) | Line 3 | Sisters of Providence Health System Inc | Yes (1) | |
| 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 | Yes (1) | |
| Mercy Medical Center - Clinton Inc | |||||||||||
| 1410 North 4th St | Clinton | IA | 52732 | 421336618 | Provide quality health care | DE | 501(C)(3) | Line 3 | Mercy Health Services-Iowa Corp | Yes (1) | |
| Mercy Medical Center - Sioux City Foundation | |||||||||||
| 801 5th Street | Sioux City | IA | 51102 | 141880022 | Support the services of related hospital | IA | 501(C)(3) | Line 7 | Mercy Health Services-Iowa Corp | Yes (1) | |
| Mercy Medical Center Foundation - North Iowa | |||||||||||
| 1000 4th Street SW | Mason City | IA | 50401 | 421229151 | Support the services of related hospital | IA | 501(C)(3) | Line 11c, III-FI | 0 | N/A | |
| Mercy Medical Corporation | |||||||||||
| PO Box 1090 101 Villa Drive | Daphne | AL | 36526 | 636002215 | Hospital | AL | 501(C)(3) | Line 3 | Catholic Health East | Yes (1) | |
| Mercy Medical Development Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 592789194 | Outpatient Services | FL | 501(C)(3) | Line 9 | Mercy Hospital Inc | Yes (1) | |
| Mercy Mission Services Inc | |||||||||||
| 3661 South Miami Avenue | Miami | FL | 33133 | 650435764 | Health Care | FL | 501(C)(3) | Line 11a, I | Mercy Hospital Inc | Yes (1) | |
| Mercy North Homecare and Hospice | |||||||||||
| 7985 Mackinaw Trail | Cadillac | MI | 49601 | 383313897 | Home health and hospice services | MI | 501(C)(3) | Line 11a, I | Trinity Home Health Services Inc | Yes (1) | |
| Mercy Oncology Services Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 454884805 | Oncology Medical Services | MA | 501(C)(3) | Line 3 | Sisters of Providence Health System Inc | Yes (1) | |
| Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 510461511 | Hospital | FL | 501(C)(3) | Line 3 | Mercy Hospital Inc | Yes (1) | |
| Mercy Physician Group Inc | |||||||||||
| 1512 12th Avenue Road | Nampa | ID | 83686 | 208192593 | Provide quality health care | ID | 501(C)(3) | Line 9 | Saint Alphonsus Medical Center-Nampa | Yes (1) | |
| Mercy Senior Care Inc | |||||||||||
| 300 Chatillon Road PO Box 866 | Rome | GA | 30162 | 581366508 | Community Outreach | GA | 501(C)(3) | Line 7 | Saint Joseph's Health System Inc | Yes (1) | |
| Mercy Services Corporation | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061453323 | Support Services | CT | 501(C)(3) | Line 1 | Mercy Community Health Inc | Yes (1) | |
| Mercy Services Downtown Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 272046353 | Real Estate Holding Company | GA | 501(C)(3) | Line 11b, II | Saint Joseph's Health System Inc | Yes (1) | |
| Mercy Services for Aging Non-profit Housing Corporation | |||||||||||
| PO Box 9184 | Farmington Hills | MI | 48333 | 382719605 | Provides long-term care for the elderly | MI | 501(C)(3) | Line 11b, II | Trinity Continuing Care Services | Yes (1) | |
| Mercy Specialist Physicians Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 264033168 | Neurosurgery Medical Services | MA | 501(C)(3) | Line 3 | Sisters of Providence Health System Inc | Yes (1) | |
| 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 | Yes (1) | |
| Mercy Uihlein Health Corporation | |||||||||||
| 185 Old Military Road | Lake Placid | NY | 12946 | 161535133 | Mgt. & Support Services | NY | 501(C)(3) | Line 11b, II | Mercy Healthcare Center | Yes (1) | |
| Mercyknoll Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 060757380 | Skilled Nursing | CT | 501(C)(3) | Line 3 | Mercy Community Health Inc | Yes (1) | |
| Midwest Medflight | |||||||||||
| 1300 Victors Way | Ann Arbor | MI | 48108 | 382684671 | Aeromedical transport | MI | 501(C)(3) | Line 9 | Trinity Health-Michigan | Yes (1) | |
| Mission Health Corporation | |||||||||||
| 37595 Seven Mile Road | Livonia | MI | 48152 | 383181557 | Facility used for ambulatory care | DE | 501(C)(3) | Line 11a, I | 0 | N/A | |
| Mount Carmel College of Nursing | |||||||||||
| 6150 East Broad Street | Columbus | OH | 43213 | 311308555 | College of nursing | OH | 501(C)(3) | Line 2 | Mount Carmel Health System | Yes (1) | |
| Mount Carmel Health Insurance Company | |||||||||||
| 6150 East Broad Street | Columbus | OH | 43213 | 251912781 | Health Insurance | OH | 501(C)(4) | N/A | Mount Carmel Health System | Yes (1) | |
| Mount Carmel Health Plan Inc | |||||||||||
| 6150 East Broad Street | Columbus | OH | 43213 | 311471229 | Medicare HMO for seniors | OH | 501(C)(4) | N/A | Mount Carmel Health System | Yes (1) | |
| Mount Carmel Health System | |||||||||||
| 6150 East Broad Street | Columbus | OH | 43213 | 311439334 | Healthcare system management and support | OH | 501(C)(3) | Line 3 | CHE Trinity Inc (fka Trinity Health Corp) | Yes (1) | |
| Mount Carmel Health System Foundation | |||||||||||
| 6150 East Broad Street | Columbus | OH | 43213 | 311113966 | Support Services of Related Hospital | OH | 501(C)(3) | Line 11a, I | Mount Carmel Health System | Yes (1) | |
| Mount Carmel Home Care LLC | |||||||||||
| 1144 Dublin Road Suite B | Columbus | OH | 43215 | 262729300 | Provide home health care services | OH | 501(C)(3) | Line 9 | Trinity Home Health Services Inc | Yes (1) | |
| MRI Mobile Services of West Michigan | |||||||||||
| 1820 - 44th Street | Kentwood | MI | 49508 | 383073745 | Operate Magnetic Imaging Resonance (Formerly) | MI | 501(C)(3) | Line 9 | Trinity Health-Michigan | Yes (1) | |
| Muskegon Community Health Project | |||||||||||
| 565 W Western Ave | Muskegon | MI | 49440 | 911932918 | Facilitate and Coordinate Healthcare and Related Services | MI | 501(C)(3) | Line 7 | Mercy Health Partners | Yes (1) | |
| 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 | Yes (1) | |
| Nazareth Hospital | |||||||||||
| 2601 Holme Avenue | Philadelphia | PA | 19152 | 232794121 | Acute Care Hospital | PA | 501(C)(3) | Line 3 | Mercy Health System of Southeastern Pennsylvania | Yes (1) | |
| Nazareth Physician Services Inc | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 203261266 | Physician Practices | PA | 501(C)(3) | Line 3 | Mercy Health System of Southeastern Pennsylvania | Yes (1) | |
| NE Physician Services | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232497355 | Physician Practices | PA | 501(C)(3) | Line 3 | Mercy Health System of Southeastern Pennsylvania | Yes (1) | |
| Northeast Health Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 042450756 | Supporting Organization | NY | 501(C)(3) | Line 11b, II | St Peter's Health Partners | Yes (1) | |
| Oakland Mercy Hospital | |||||||||||
| 601 East 2nd Street | Oakland | NE | 68045 | 208072234 | Healthcare services | NE | 501(C)(3) | Line 3 | Mercy Health Services-Iowa Corp | Yes (1) | |
| Oakland Mercy Hospital Foundation | |||||||||||
| 601 East 2nd Street | Oakland | NE | 68045 | 311678345 | Support Services of Related Hospital | NE | 501(C)(3) | Line 11c, III-FI | 0 | N/A | |
| OSUMount Carmel Health Alliance | |||||||||||
| 793 West State Street | Columbus | OH | 43222 | 311654603 | Cooperative health care delivery system | OH | 501(C)(3) | Line 11a, I | 0 | N/A | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| Pioneer Valley Cardiology Associates Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 454208896 | Cardiology Services | MA | 501(C)(3) | Line 3 | Sisters of Providence Health System Inc | Yes (1) | |
| Pittsburgh Mercy Health System | |||||||||||
| 3333 5th Avenue | Pittsburgh | PA | 15213 | 251464211 | Management & Support Services | PA | 501(C)(3) | Line 11b, II | Catholic Health East | Yes (1) | |
| Port Huron Mercy Family Care Inc | |||||||||||
| 2601 Electric Ave | Port Huron | MI | 48060 | 201855647 | Healthcare services | MI | 501(C)(3) | Line 11a, I | Trinity Health-Michigan | Yes (1) | |
| Professional Med Team | |||||||||||
| 965 Fork Street | Muskegon | MI | 49442 | 382638284 | Medical care, transportation and education | MI | 501(C)(3) | Line 9 | Trinity Health-Michigan | Yes (1) | |
| Professional Office Corporation | |||||||||||
| 1303 East Herndon Ave | Fresno | CA | 93720 | 942839324 | Healthcare services | CA | 501(C)(3) | Line 11a, I | Saint Agnes Medical Center | Yes (1) | |
| Providence Place Inc | |||||||||||
| 5 Gamelin Street | Holyoke | MA | 01040 | 043404084 | Retirement Community | MA | 501(C)(3) | Line 9 | Sisters of Providence Health System Inc | Yes (1) | |
| Saint Agnes Medical Center | |||||||||||
| 1303 East Herndon Ave | Fresno | CA | 93720 | 941437713 | Healthcare services | CA | 501(C)(3) | Line 3 | CHE Trinity Inc (fka Trinity Health Corp) | Yes (1) | |
| Saint Alphonsus Building Company Inc | |||||||||||
| 1055 North Curtis Rd | Boise | ID | 83706 | 820401011 | Support Services of Related Hospital | ID | 501(C)(3) | Line 11a, I | Saint Alphonsus Regional Medical Center Inc | Yes (1) | |
| Saint Alphonsus Diversified Care Inc | |||||||||||
| 1055 North Curtis Rd | Boise | ID | 83706 | 943028978 | Support Services of Related Hospital | ID | 501(C)(3) | Line 11a, I | Saint Alphonsus Regional Medical Center Inc | Yes (1) | |
| Saint Alphonsus Foundation-Baker City Inc | |||||||||||
| 3325 Pocahontas Road | Baker City | OR | 97814 | 943164869 | Support Services of Related Hospital | OR | 501(C)(3) | Line 7 | Saint Alphonsus Medical Center - Baker City | Yes (1) | |
| Saint Alphonsus Foundation-Ontario Inc | |||||||||||
| 351 SW 9th Street | Ontario | OR | 97914 | 202683560 | Support Services of Related Hospital | OR | 501(C)(3) | Line 11a, I | Saint Alphonsus Medical Center-Ontario | Yes (1) | |
| Saint Alphonsus Health System Inc | |||||||||||
| 1055 N Curtis Road | Boise | ID | 83706 | 271929502 | Healthcare system management and support | ID | 501(C)(3) | Line 11a, I | CHE Trinity Inc (fka Trinity Health Corp) | Yes (1) | |
| Saint Alphonsus Medical Center-Baker City Inc | |||||||||||
| 3325 Pocahontas Road | Baker City | OR | 97814 | 271790052 | Provide quality health care | OR | 501(C)(3) | Line 3 | Saint Alphonsus Health System Inc | Yes (1) | |
| Saint Alphonsus Medical Center-Nampa Health Foundation Inc | |||||||||||
| 1512 12th Avenue Road | Nampa | ID | 83686 | 261737256 | Support Services of Related Hospital | ID | 501(C)(3) | Line 7 | Saint Alphonsus Medical Center-Nampa | Yes (1) | |
| Saint Alphonsus Medical Center-Nampa Inc | |||||||||||
| 1512 12th Avenue Road | Nampa | ID | 83686 | 820200896 | Provide quality health care | ID | 501(C)(3) | Line 3 | Saint Alphonsus Health System Inc | Yes (1) | |
| Saint Alphonsus Medical Center-Ontario Inc | |||||||||||
| 351 SW 9th Street | Ontario | OR | 97914 | 271789847 | Provide quality health care | OR | 501(C)(3) | Line 3 | Saint Alphonsus Health System Inc | Yes (1) | |
| Saint Alphonsus Regional Medical Center | |||||||||||
| 1055 North Curtis Rd | Boise | ID | 83706 | 820200895 | Healthcare services | ID | 501(C)(3) | Line 3 | Saint Alphonsus Health System Inc | Yes (1) | |
| Saint James Care Inc | |||||||||||
| 111 Central Avenue | Newark | NJ | 07102 | 262616230 | Inactive Entity | NJ | 501(C)(3) | Line 9 | Saint Michaels Medical Center | Yes (1) | |
| Saint Joseph Regional Medical Center - Plymouth Campus Inc | |||||||||||
| 1915 Lake Avenue PO Box 670 | Plymouth | IN | 46563 | 351142669 | Healthcare services | IN | 501(C)(3) | Line 3 | Saint Joseph Regional Medical Center Inc | Yes (1) | |
| Saint Joseph Regional Medical Center - South Bend Campus Inc | |||||||||||
| PO Box 1935 | South Bend | IN | 46634 | 350868157 | Healthcare services | IN | 501(C)(3) | Line 3 | Saint Joseph Regional Medical Center Inc | Yes (1) | |
| Saint Joseph Regional Medical Center Mishawaka Auxiliary Inc | |||||||||||
| 5215 Holy Cross Parkway | Mishawaka | IN | 46545 | 356033285 | Hospital Service Auxiliary | IN | 501(C)(4) | N/A | Saint Joseph Regional Medical Center-S Bend | Yes (1) | |
| Saint Joseph Regional Medical Center Plymouth Auxiliary Inc | |||||||||||
| 1915 Lake Avenue | Plymouth | IN | 46563 | 356043563 | Hospital Service Auxiliary | IN | 501(C)(3) | Line 11b, II | Saint Joseph Regional Medical Center-Plymouth | Yes (1) | |
| Saint Joseph Regional Medical Center Inc | |||||||||||
| 801 East Lasalle Ave | South Bend | IN | 46617 | 351568821 | Healthcare system management and support | IN | 501(C)(3) | Line 11a, I | CHE Trinity Inc (fka Trinity Health Corp) | Yes (1) | |
| Saint Joseph's Health System Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581744848 | Management & Support Services | GA | 501(C)(3) | Line 11b, II | Catholic Health East | Yes (1) | |
| Saint Joseph's Mercy Care Services Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581752700 | Community Outreach | GA | 501(C)(3) | Line 7 | Saint Joseph's Health System Inc | Yes (1) | |
| Saint Joseph's Mercy Foundation Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581448522 | Fundraising | GA | 501(C)(3) | Line 11b, II | Saint Joseph's Health System Inc | Yes (1) | |
| Saint Joseph's Tower Inc | |||||||||||
| PO Box 9184 | Farmington Hills | MI | 48333 | 311040468 | Provides housing for low income elderly individuals | IN | 501(C)(3) | Line 9 | Trinity Continuing Care Services-Indiana | Yes (1) | |
| 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 | Yes (1) | |
| Saint Mary's Amicare Home Healthcare | |||||||||||
| 1430 Monroe NW | Grand Rapids | MI | 49505 | 383320700 | Provide home health care services | MI | 501(C)(3) | Line 11a, I | Trinity Home Health Services Inc | Yes (1) | |
| Saint Mary's Foundation | |||||||||||
| 200 Jefferson St SE | Grand Rapids | MI | 49503 | 381779602 | Support Services of Related Hospital | MI | 501(C)(3) | Line 7 | Trinity Health-Michigan | Yes (1) | |
| Saint Michaels Medical Center | |||||||||||
| 111 Central Avenue | Newark | NJ | 07102 | 262616046 | Hospital | NJ | 501(C)(3) | Line 3 | Catholic Health East | Yes (1) | |
| Samaritan Child Care Center Inc | |||||||||||
| 2213 Burdett Ave | Troy | NY | 12180 | 141710225 | Child day care | NY | 501(C)(3) | Line 9 | Northeast Health Inc | Yes (1) | |
| Samaritan Hospital of Troy New York | |||||||||||
| 2215 Burdett Ave | Troy | NY | 12180 | 141338544 | General hospital | NY | 501(C)(3) | Line 3 | Northeast Health Inc | Yes (1) | |
| Senior Care Connection Inc | |||||||||||
| 504 State St | Schenectady | NY | 12305 | 141708754 | PACE Program | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| Seton Auxiliary Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141505031 | Supporting Organization | NY | 501(C)(3) | Line 9 | Seton Health System Inc | Yes (1) | |
| Seton Health at Schuyler Ridge Residential Healthcare | |||||||||||
| 1 Abele Blvd | Clifton Park | NY | 12065 | 141756230 | Skilled Nursing | NY | 501(C)(3) | Line 9 | Seton Health System Inc | Yes (1) | |
| Seton Health Foundation Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 222345416 | Supporting Organization | NY | 501(C)(3) | Line 11a, I | Seton Health System Inc | Yes (1) | |
| Seton Health System Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141776186 | Hospital | NY | 501(C)(3) | Line 3 | St Peter's Health Partners | Yes (1) | |
| Seton Licensed Home Care Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141809134 | Licensed Home Health Agency | NY | 501(C)(3) | Line 3 | Seton Health System Inc | Yes (1) | |
| Shaker Properties Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 223119822 | Real Estate holding | NY | 501(C)(2) | N/A | Northeast Health Inc | Yes (1) | |
| Sisters of Providence Care Centers Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 222541103 | Long Term Care | MA | 501(C)(3) | Line 3 | Sisters of Providence Health System Inc | Yes (1) | |
| Sisters of Providence Health System Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 043398374 | Management & Support Services | MA | 501(C)(3) | Line 11a, I | Catholic Health East | Yes (1) | |
| SSJ Health Foundation Inc | |||||||||||
| 3661 South Miami Avenue | Miami | FL | 33133 | 591709438 | Fundraising | FL | 501(C)(3) | Line 7 | Mercy Hospital Inc | Yes (1) | |
| St Joseph Mercy Oakland Foundation | |||||||||||
| 44405 Woodward Ave | Pontiac | MI | 48341 | 352356789 | Support Services of Related Hospital | MI | 501(C)(3) | Line 11a, I | Trinity Health-Michigan | Yes (1) | |
| St Agnes Continuing Care Center | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232840137 | Continuing Care Services | PA | 501(C)(3) | Line 3 | Mercy Health System of Southeastern Pennsylvania | Yes (1) | |
| St Agnes Continuing Care Center Foundation | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232415137 | Fundraising | PA | 501(C)(3) | Line 11b, II | Mercy Health System of Southeastern Pennsylvania | Yes (1) | |
| St Francis Foundation | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 510374158 | Foundation | DE | 501(C)(3) | Line 11b, II | St Francis Hospital | Yes (1) | |
| St Francis Hospital | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 510064326 | Hospital | DE | 501(C)(3) | Line 3 | Catholic Health East | Yes (1) | |
| St Francis Hospital Inc | |||||||||||
| 33920 US Highway 19 North Suite 269 | Palm Harbor | FL | 34684 | 590624442 | Grant-making Organization | FL | 501(C)(3) | Line 11a, I | Allegany Franciscan Ministries Inc | Yes (1) | |
| St Francis Medical Center Foundation Inc | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 521025476 | Foundation | NJ | 501(C)(3) | Line 11a, I | St Francis Medical Center Trenton NJ | Yes (1) | |
| St Francis Medical Center Trenton NJ | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 223431049 | Hospital | NJ | 501(C)(3) | Line 3 | Catholic Health East | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| St Joseph of the Pines Inc | |||||||||||
| 100 Gossman Drive Suite B | Southern Pines | NC | 28387 | 560694200 | Hospital | NC | 501(C)(3) | Line 3 | Catholic Health East | Yes (1) | |
| St Mary Building and Development Company | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 461827502 | Building Development Company | PA | 501(C)(2) | N/A | St Mary Medical Center | Yes (1) | |
| St Mary Home Incorporated | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 060646843 | Skilled Nursing | CT | 501(C)(3) | Line 3 | Mercy Community Health Inc | Yes (1) | |
| St Mary Medical Center | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 231913910 | Hospital | PA | 501(C)(3) | Line 3 | Catholic Health East | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| St Mary's Health Care System Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 580566223 | Hospital | GA | 501(C)(3) | Line 3 | Catholic Health East | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| St Michael's Foundation Inc | |||||||||||
| 111 Central Avenue | Newark | NJ | 07102 | 223311976 | Foundation | NJ | 501(C)(3) | Line 11a, I | Saint Michaels Medical Center | Yes (1) | |
| St Peter's Auxiliary | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 222843206 | Auxiliary | NY | 501(C)(3) | Line 11a, I | St Peter's Health Care Services | Yes (1) | |
| St Peter's Health Care Services | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 222702507 | Management & Support Services | NY | 501(C)(3) | Line 9 | St Peter's Health Partners | Yes (1) | |
| St Peter's Health Partners | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 453570715 | Management & Support Services | NY | 501(C)(3) | Line 11b, II | Catholic Health East | Yes (1) | |
| St Peter's Health Partners Medical Associates PC | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 461177336 | Physicians Practice | NY | 501(C)(3) | Line 3 | St Peter's Health Partners | Yes (1) | |
| 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 | Yes (1) | |
| St Peter's Hospital Foundation Inc | |||||||||||
| 319 South Manning Blvd Suite 114 | Albany | NY | 12208 | 222262982 | Fundraising & Public Relations | NY | 501(C)(3) | Line 7 | St Peter's Health Care Services | Yes (1) | |
| Sunnyview Hospital & Rehabilitation Center Foundation | |||||||||||
| 1270 Belmont Ave | Schenectady | NY | 12308 | 222505127 | Supporting foundation | NY | 501(C)(3) | Line 11a, I | Sunnyview Hospital & Rehabilitation Ctr | Yes (1) | |
| Sunnyview Hospital & Rehabilitation Ctr | |||||||||||
| 1270 Belmont Ave | Schenectady | NY | 12308 | 141338386 | Rehabilitation hospital | NY | 501(C)(3) | Line 3 | Northeast Health Inc | Yes (1) | |
| The Community Hospice Foundation Inc | |||||||||||
| 295 Valley View Blvd | Rensselaer | NY | 12144 | 222692940 | Fundraising & Public Relations | NY | 501(C)(3) | Line 7 | The Community Hospice Inc | Yes (1) | |
| 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 | Yes (1) | |
| The Foundation of Saint Joseph Regional Medical Center | |||||||||||
| 4215 Edison Lakes Parkway | Mishawaka | IN | 46545 | 351654543 | Support Services of Related Hospital | IN | 501(C)(3) | Line 11a, I | Saint Joseph Regional Medical Center Inc | Yes (1) | |
| The Marjorie Doyle Rockwell Center Inc | |||||||||||
| 421 West Columbia St | Cohoes | NY | 12047 | 141793885 | Adult Home/Alzheimer's | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| The Northeast Health Foundation Inc | |||||||||||
| 2224 Burdett Ave | Troy | NY | 12180 | 222743478 | Supporting foundation | NY | 501(C)(3) | Line 7 | Northeast Health Inc | Yes (1) | |
| Tri-County Human Services Center Inc | |||||||||||
| 3805 West Chester Pike No 100 | Newtown Square | PA | 19073 | 231938528 | Behavioral Health Organization | PA | 501(C)(3) | Line 7 | Maxis Health System | Yes (1) | |
| Tri-Hospital Emergency Medical Services | |||||||||||
| 309 Grand River | Port Huron | MI | 48060 | 382485700 | Provide emergency ambulance services | MI | 501(C)(3) | Line 11d, III-O | 0 | N/A | |
| Tri-Hospital MRI Center | |||||||||||
| 4190 24th Avenue | Fort Gratiot | MI | 48054 | 382884297 | MRI Services | MI | 501(C)(3) | Line 3 | Trinity Health-Michigan | Yes (1) | |
| Trinity Continuing Care Services | |||||||||||
| PO Box 9184 | Farmington Hills | MI | 48333 | 382559656 | Management services for Long term care and senior living facilities | MI | 501(C)(3) | Line 11a, I | CHE Trinity Inc (fka Trinity Health Corp) | Yes (1) | |
| Trinity Continuing Care Services - Indiana Inc | |||||||||||
| PO Box 9184 | Farmington Hills | MI | 48333 | 930907047 | Provides long-term care and residential housing | IN | 501(C)(3) | Line 9 | Trinity Continuing Care Services | Yes (1) | |
| Trinity Health - Michigan | |||||||||||
| 20555 Victor Parkway | Livonia | MI | 48152 | 382113393 | Healthcare services | MI | 501(C)(3) | Line 3 | CHE Trinity Inc (fka Trinity Health Corp) | Yes (1) | |
| Trinity Health International | |||||||||||
| 20555 Victor Parkway | Livonia | MI | 48152 | 421253527 | Healthcare training and support services | MI | 501(C)(3) | Line 11a, I | CHE Trinity Inc (fka Trinity Health Corp) | Yes (1) | |
| Trinity Health Welfare Benefit Trust | |||||||||||
| 20555 Victor Parkway | Livonia | MI | 48152 | 208151733 | Retiree medical and retiree life insurance coverage | MI | 501(C)(9) | N/A | CHE Trinity Inc (fka Trinity Health Corp) | Yes (1) | |
| Trinity Home Health Services Inc | |||||||||||
| 17410 College Parkway | Livonia | MI | 48152 | 382621935 | Home health care system management services | MI | 501(C)(3) | Line 11a, I | CHE Trinity Inc (fka Trinity Health Corp) | Yes (1) | |
| Uihlein Mercy Center | |||||||||||
| 185 Old Military Road | Tupper Lake | NY | 12986 | 150532190 | In Dissolution | NY | 501(C)(3) | Line 3 | Mercy Healthcare Center | Yes (1) | |
| University Heights Property Company Inc | |||||||||||
| 111 Central Avenue | Newark | NJ | 07102 | 223100162 | Medical Property Holding Company | NJ | 501(C)(2) | N/A | Saint Michaels Medical Center | Yes (1) | |
| Villa Mary Immaculate | |||||||||||
| 301 Hackett Blvd | Albany | NY | 12208 | 141438749 | Nursing Home & Physical Rehab | NY | 501(C)(3) | Line 3 | St Peter's Hospital | Yes (1) | |
| 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 | Yes (1) | |
| Warde Service Corporation Inc | |||||||||||
| 159 Wolf Road 3rd Floor | Albany | NY | 12205 | 141732097 | Supporting & strengthening the ministries of rel. sr. mercy | NY | 501(C)(3) | Line 9 | St Peter's Health Care Services | Yes (1) | |
| Westshore Health Network | |||||||||||
| 1820 44th Street | Kentwood | MI | 49508 | 383280200 | Support Services | MI | 501(C)(4) | N/A | Mercy Health Partners | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (42 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Advent Rehabilitation LLC | |||||||
| 607 Dewey Avenue Suite 300 | Grand Rapids | MI | 49504 | 383306673 | Rehabilitation Therapy Services | MI | N/A |
| Big Run Medical Office Building Limited Partnership | |||||||
| 793 W State Street | Columbus | OH | 43222 | 311608125 | Medical Office Building Rental | OH | N/A |
| Catherine Horan Building Limited Partnership | |||||||
| 1221 Main Street Room 108 | Holyoke | MA | 01040 | 042723429 | Property Management | MA | N/A |
| Centennial Surgical Center | |||||||
| 502 Centennial Blvd Suite 1 | Voorhees | NJ | 08043 | 223580847 | Healthcare Services | NJ | N/A |
| Center for Digestive Care LLC | |||||||
| 5300 Elliott Drive | Ypsilanti | MI | 48197 | 030447062 | Provide Gastrointestinal Services | MI | N/A |
| Central New Jersey Heart Services LLC | |||||||
| 29 E 29th Street 2nd Floor | Bayonne | NJ | 07002 | 208525458 | Cardiac Program | NJ | N/A |
| Central Ohio Sleep Medicine Ltd | |||||||
| 6150 East Broad Street | Columbus | OH | 43213 | 311701029 | Sleep Medicine Services | OH | N/A |
| Clinton Imaging Services LLC | |||||||
| 615 Valley View Dr Ste 202 | Moline | IL | 61265 | 412044739 | MRI Diagnostic Services | IA | N/A |
| East Norriton Medical Associates | |||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232319531 | Medical Office Building | PA | N/A |
| Forest Park Imaging LLC | |||||||
| 1000 4th Street SW | Mason City | IA | 50401 | 134365966 | X-ray and Mammography Services | IA | N/A |
| Frances Warde Medical Laboratory | |||||||
| 300 West Textile Road | Ann Arbor | MI | 48104 | 382648446 | Laboratory | MI | N/A |
| Fresno Imaging Center | |||||||
| 1303 E Herndon Ave | Fresno | CA | 93720 | 770363563 | Diagnostic Imaging | CA | N/A |
| Gateway Health Plan | |||||||
| 300 Grant Street | Pittsburgh | PA | 15219 | 251691945 | Medicaid & Medicare/Special Needs Managed Care Organization | PA | N/A |
| Hawarden Regional Health Clinics LLC | |||||||
| 1122 Avenue L | Hawarden | IA | 51023 | 201444339 | Medical Clinic | IA | N/A |
| Idaho GynOncology Services LLC | |||||||
| 1055 N Curtis Rd | Boise | ID | 83706 | 202975807 | Provide Gyn Oncology Services | ID | N/A |
| Intermountain Medical Imaging LLC | |||||||
| 877 West Main St Ste 603 | Boise | ID | 83702 | 820514422 | Provide Imaging Services | ID | N/A |
| Loyola Ambulatory Surgery Center | |||||||
| 3000 Riverchase Galleria Ste 500 | Birmingham | AL | 35244 | 364119522 | Surgical Services | IL | N/A |
| Magnetic Resonance Services Partnership | |||||||
| 1416 Sixth Street SW | Mason City | IA | 50401 | 421328388 | MRI Services | IA | N/A |
| Mason City Ambulatory Surgery Center LLC | |||||||
| 990 4th Street SW | Mason City | IA | 50401 | 201960348 | Surgery-Same Day | IA | N/A |
| MCE MOB IV Limited Partnership | |||||||
| 793 W State Street | Columbus | OH | 43222 | 421544707 | Medical Office Building Rental | OH | N/A |
| Medilucent MOB I | |||||||
| 793 W State Street | Columbus | OH | 43222 | 204911370 | Medical Office Building Rental | OH | N/A |
| Mercy Advanced MRI LLC | |||||||
| 2525 South Michigan Ave | Chicago | IL | 60616 | 262116721 | Sublease MRI Equipment | IL | N/A |
| Mercy Heart Ctr OP Services LLC | |||||||
| 1000 4th Street SW | Mason City | IA | 50401 | 134237594 | Cardiovascular Services | IA | N/A |
| MercyManor Partnership | |||||||
| PO Box 10086 | Toledo | OH | 43699 | 521931012 | Nursing Home | PA | N/A |
| Michiana Health Information Network LLC | |||||||
| 215 West Madison Street | South Bend | IN | 46601 | 352050128 | Community Based Clinical Info Sys & Data Depository | IN | N/A |
| Mount Carmel East POB III Limited Partnership | |||||||
| 793 W State Street | Columbus | OH | 43222 | 311369473 | Medical Office Building Rental | OH | N/A |
| Nazareth Medical Office Building Associates LP | |||||||
| c/o Nazareth Hosp 2601 Holme Ave | Philadelphia | PA | 19152 | 232388040 | Medical Office Building | PA | N/A |
| Newco Ambulatory Surgery Ctr LLP | |||||||
| 4190 24th Avenue | Fort Gratiot | MI | 48059 | 300136708 | Outpatient Surgery Center | MI | N/A |
| Physicians Outpatient Surgery Center LLC | |||||||
| 1000 NE 56th Street | Oakland Park | FL | 33334 | 352325646 | Ambulatory Surgery Center | FL | N/A |
| SARMED Outpatient Pharmacy LLC | |||||||
| 999 N Curtis Rd Ste 102 | Boise | ID | 83706 | 510483218 | Pharmacy | ID | N/A |
| Sixty Fourth Street LLC | |||||||
| 2373 64th St Ste 2200 | Byron Center | MI | 49315 | 202443646 | Provide Outpatient Surgical Care | MI | N/A |
| SJV Management LLC | |||||||
| 200 Century Pkwy Ste 200E | Mount Laurel | NJ | 08054 | 202273476 | Radiology | NJ | N/A |
| SMMC MOB II LP | |||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 364559869 | Investment and operation of a medical building | PA | N/A |
| St Agnes Long-Term Intensive Care LLP | |||||||
| c/o MHS One West Elm St Ste 100 | Conshohocken | PA | 19428 | 200984882 | Long Term Intensive Care | PA | N/A |
| St Alphonsus Caldwell Cancer Ctr LLC | |||||||
| 3123 Medical Dr | Caldwell | ID | 83605 | 820526861 | Radiation Oncology | ID | N/A |
| St Ann's Medical Office Bldg II Limited Partnership | |||||||
| 793 W State Street | Columbus | OH | 43222 | 311603660 | Medical Office Building Rental | OH | N/A |
| St Mary Rehabilitation Hospital LLP | |||||||
| 113 Seaboard Lane Suite B201 | Franklin | TN | 37067 | 273938747 | Medical Services | DE | N/A |
| St Peter's Ambulatory Surgery Center LLC | |||||||
| 1375 Washington Avenue Ste 201 | Albany | NY | 12206 | 460463892 | Outpatient Surgery | NY | N/A |
| Tamarack Medical Clinic LLC | |||||||
| 402 Old State Hwy | Cascade | ID | 83611 | 201637921 | Outpatient Medical Services | ID | N/A |
| The Ambulatory Surgery Center at St Mary LLC | |||||||
| 1203 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232871206 | Outpatient Surgery | PA | N/A |
| Western Massachusetts PETCT Imaging Center LLC | |||||||
| 100 Bayview Circle Ste 400 | Newport Beach | CA | 92660 | 204744663 | Outpatient Medical Services | DE | N/A |
| Woodland Imaging Center LLC | |||||||
| 5301 E Huron River Dr | Ann Arbor | MI | 48106 | 760820959 | Radiology/Imaging | MI | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (58 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Province Or StateForeignAddress/ProvinceOrState | Postal CodeForeignAddress/PostalCode |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Affiliated Management Services Corporation Inc | |||||||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141668024 | Real Estate | NY | N/A | C | Yes (1) | ||||||
| Carbondale Area Physicians' Association PC | |||||||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232801677 | Medical Insurance Contracting | PA | N/A | C | Yes (1) | ||||||
| Carbondale Area Physicians' PHO Inc | |||||||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232801676 | Inactive | PA | N/A | C | Yes (1) | ||||||
| Carbondale Physicians' Services Inc | |||||||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232365077 | Pharmacy | PA | N/A | C | Yes (1) | ||||||
| Catherine Horan Building Inc | |||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 042938160 | Building Management | MA | N/A | C | Yes (1) | ||||||
| Catholic Health East Senior Services | |||||||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 371572595 | Senior Services | PA | N/A | C | Yes (1) | ||||||
| Chestnut Risk Services Ltd | |||||||||||||||
| Insurance | N/A | C | Yes (1) | 11 Victoria Street | Hamilton | BD | BD | ||||||||
| Community Health Ventures Inc | |||||||||||||||
| 565 W Western Ave | Muskegon | MI | 49440 | 383522260 | Software Marketing | MI | N/A | C | Yes (1) | ||||||
| Diversified Community Services Inc | |||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 043128890 | Medical Services | MA | N/A | C | Yes (1) | ||||||
| Gateway Health Plan Inc | |||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251505506 | Health Care | PA | N/A | C | Yes (1) | ||||||
| Gateway Health Plan Inc of Ohio | |||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 300282076 | Health Care | PA | N/A | C | Yes (1) | ||||||
| Georgia Health Enterprises LLC | |||||||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 541806329 | Healthcare | GA | N/A | C | Yes (1) | ||||||
| GHE Physicians PC | |||||||||||||||
| 3500 Piedmont Road | Atlanta | GA | 30305 | 582277939 | Practice Management | GA | N/A | C | Yes (1) | ||||||
| Gottlieb Management Services Inc | |||||||||||||||
| 701 W North Ave | Melrose Park | IL | 60160 | 363330529 | Management Services | IL | N/A | C | Yes (1) | ||||||
| Hackley Health Management Center | |||||||||||||||
| 1415 Leahy St | Muskegon | MI | 49442 | 382961814 | Weight Management | MI | N/A | C | Yes (1) | ||||||
| Hackley Health Ventures Inc | |||||||||||||||
| 1415 Leahy St | Muskegon | MI | 49442 | 382589959 | Other Medical Services | MI | N/A | C | Yes (1) | ||||||
| Hackley Healthcare Equipment | |||||||||||||||
| 1415 Leahy St | Muskegon | MI | 49442 | 382578569 | Home Medical Equipment | MI | N/A | C | Yes (1) | ||||||
| Hackley Professional Center | |||||||||||||||
| 1415 Leahy St | Muskegon | MI | 49442 | 383024797 | Real Estate Rental | MI | N/A | C | Yes (1) | ||||||
| Hackley Professional Pharmacy | |||||||||||||||
| 1415 Leahy St | Muskegon | MI | 49442 | 382447870 | Pharmacy | MI | N/A | C | Yes (1) | ||||||
| Health Management Services Org Inc | |||||||||||||||
| 500 Grove Street Suite 100 | Haddon Heights | NJ | 08035 | 223366580 | Health Care Billing | NJ | N/A | C | Yes (1) | ||||||
| HEF Inc | |||||||||||||||
| 1415 Leahy St | Muskegon | MI | 49442 | 383086401 | Office Staffing | MI | N/A | C | Yes (1) | ||||||
| Holy Cross Private Home Services Corp | |||||||||||||||
| 11801 Tech Road | Silver Spring | MD | 20904 | 521986562 | Home Care Services | MD | N/A | C | Yes (1) | ||||||
| HPC Co-Owners Association | |||||||||||||||
| 1700 Clinton | Muskegon | MI | 49442 | 270734448 | Condominium Association | MI | N/A | C | Yes (1) | ||||||
| Huron Arbor Corporation | |||||||||||||||
| 5301 East Huron River Dr PO Box 992 | Ann Arbor | MI | 48106 | 382475644 | Provides Office Rental Space | MI | N/A | C | Yes (1) | ||||||
| IHA Affiliation Corporation | |||||||||||||||
| 24 Frank Lloyd Wright Dr Lobby J | Ann Arbor | MI | 48106 | 383188895 | Medical Management | MI | N/A | C | Yes (1) | ||||||
| Jeannette Medical Providers | |||||||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 251787334 | Holding Company | PA | N/A | C | Yes (1) | ||||||
| Jeannette OBGYN Group 1 Inc | |||||||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 232890748 | Holding Company | PA | N/A | C | Yes (1) | ||||||
| Jeannette Primary Care Group 1 Inc | |||||||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 232890743 | Holding Company | PA | N/A | C | Yes (1) | ||||||
| Langhorne Services II Inc | |||||||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 253795549 | General Partner of LMOB Partners, II | PA | N/A | C | Yes (1) | ||||||
| Langhorne Services Inc | |||||||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232625981 | General Partner of LMOB Partners, | PA | N/A | C | Yes (1) | ||||||
| LifeCare Physicians PC | |||||||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 261649038 | Health Care Services | NJ | N/A | C | Yes (1) | ||||||
| Lourdes Medical Associates PA | |||||||||||||||
| 500 Grove Street Suite 100 | Haddon Heights | NJ | 08035 | 223361862 | Medical Services | NJ | N/A | C | Yes (1) | ||||||
| Maryland Care Group Inc | |||||||||||||||
| 11801 Tech Road | Silver Spring | MD | 20904 | 521815313 | Healthcare Holding | MD | N/A | C | Yes (1) | ||||||
| MCMC Eastwick Inc | |||||||||||||||
| c/o MHS One West Elm Street Ste 100 | Conshohocken | PA | 19428 | 232184261 | Medical Office Buildings | PA | N/A | C | Yes (1) | ||||||
| MedNow Inc | |||||||||||||||
| 1512 12th Avenue Road | Nampa | ID | 83686 | 820389927 | Outpatient Pharmacy | ID | N/A | C | Yes (1) | ||||||
| Mercy Inpatient Medical Associates Inc | |||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 043029929 | Medical Services | MA | N/A | C | Yes (1) | ||||||
| Mercy Medical Services | |||||||||||||||
| 801 5th Street | Sioux City | IA | 51101 | 421283849 | Primary Care Physicians | IA | N/A | C | Yes (1) | ||||||
| Mercy Services Corporation | |||||||||||||||
| 2525 South Michigan Avenue | Chicago | IL | 60616 | 363227348 | Dormant | IL | N/A | C | Yes (1) | ||||||
| Michigan Athletic Club | |||||||||||||||
| 2500 Burton | Grand Rapids | MI | 49546 | 382647304 | Athletic Club | MI | N/A | C | Yes (1) | ||||||
| Mount Carmel Health Providers Inc | |||||||||||||||
| 6150 East Broad Street | Columbus | OH | 43213 | 311382442 | Medical Services | OH | N/A | C | Yes (1) | ||||||
| North Iowa Mercy Medical Services Inc | |||||||||||||||
| 1000 4th St SW | Mason City | IA | 50401 | 421382308 | Medical Services | IA | N/A | C | Yes (1) | ||||||
| Nursing Network Inc | |||||||||||||||
| 4725 North Federal Highway | Fort Lauderdale | FL | 33308 | 591145192 | Medical Services | FL | N/A | C | Yes (1) | ||||||
| Physicians Medical Office Building Condominium Trust | |||||||||||||||
| 1221 Main Street Room 108 | Holyoke | MA | 01040 | 046608649 | Property Management | MA | N/A | C | Yes (1) | ||||||
| Priority Plus of California | |||||||||||||||
| PO Box 27230 | Fresno | CA | 93729 | 770395267 | Formerly Hlth Mgmt Now Discontinued Operations | CA | N/A | C | Yes (1) | ||||||
| Providence Home Care Inc | |||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 043317426 | Health Care Services | MA | N/A | C | Yes (1) | ||||||
| Saint Alphonsus Physicians PA | |||||||||||||||
| 1055 North Curtis Road | Boise | ID | 83706 | 331078261 | Physicians | ID | N/A | C | Yes (1) | ||||||
| Saint Mary's Health Management Company | |||||||||||||||
| 1640 East Paris SE | Grand Rapids | MI | 49546 | 383450733 | Athletic Club | MI | N/A | C | Yes (1) | ||||||
| Samaritan Medical Office Building Inc | |||||||||||||||
| 2212 Burdett Avenue | Troy | NY | 12180 | 141607244 | Real Estate | NY | N/A | C | Yes (1) | ||||||
| SJM Properties Inc | |||||||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 161294991 | Property Holdings | NY | N/A | C | Yes (1) | ||||||
| St Mary's Highland Hills Village Inc | |||||||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 582276801 | Assisted Living | GA | N/A | C | Yes (1) | ||||||
| Stella Maris Insurance Company Limited | |||||||||||||||
| 980632008 | Insurance | N/A | C | Yes (1) | PO Box 69 | Grand Cayman | CJ | CJ | Cayman Islands | KY1-1102 | |||||
| Surgery Center Financing Corporation | |||||||||||||||
| 6150 East Broad Street | Columbus | OH | 43213 | 311531102 | Finance, Insurance and Real Estate | OH | N/A | C | Yes (1) | ||||||
| System Coordinated Services Inc | |||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 042938181 | Lab Services | MA | N/A | C | Yes (1) | ||||||
| THRE Services LLC | |||||||||||||||
| 20555 Victor Parkway | Livonia | MI | 48152 | 452603654 | Real Estate Brokerage Services | MI | N/A | C | Yes (1) | ||||||
| Trinity Health Employee Benefit Trust | |||||||||||||||
| 20555 Victor Parkway | Livonia | MI | 48152 | 383410377 | Grantor Trust | MI | N/A | T | Yes (1) | ||||||
| Venzke Insurance Company Ltd | |||||||||||||||
| 980453602 | Provision of Insurance Coverage | N/A | C | Yes (1) | PO Box 1051 Grand Cayman | Grand Cayman | CJ | CJ | |||||||
| West Shore Professional Building Condominium | |||||||||||||||
| 1820 44th Street SE | Kentwood | MI | 49508 | 382700166 | Condominium Association | MI | N/A | C | Yes (1) | ||||||
| Workplace Health of Grand Haven | |||||||||||||||
| 1415 Leahy St | Muskegon | MI | 49442 | 383112035 | Occupational Health | MI | N/A | C | Yes (1) | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Catholic Health East | ||
| C | $74,790 | FMV |
| Catholic Health East | ||
| P | $352,604 | FMV |