STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SAINT MICHAEL'S MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SAINT MICHAEL'S MEDICAL CENTER INC (EIN 26-2616046)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201303189349307435
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T17:33:29-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11700 Market Street 25th FloorAddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN262616046EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Saint Michael's Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAINNameControl
Phone9738775000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 Central AvenueAddressLine1
CityNewarkCity
StateNJState
ZIP Code071021909ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRonald J NapiorskiName
TitleVice President-FinanceTitle
Phone9738775000Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWilliam J HomerName
PTINP00994519PTIN
Phone2152462300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDavid A RicciNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1111 Central AvenueAddressLine1
CityNewarkCity
StateNJState
ZIP Code071021909ZIPCode
FieldValueIRS element (for citing)
Gross Receipts191872007GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.smmcnj.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2008YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionEstablished by the Franciscan Sisters of the Poor in 1867, Saint Michael's Medical Center is a 357-bed regional tertiary-care, teaching and research center in the heart of Newark's business and educational district. Combining state-of-the art technology, the latest diagnostic and therapeutic procedures, cutting-edge research and a network of highly qualified physicians, nurses, and allied health professionals, the hospital provides top-quality health-care services delivered with compassionate care to those in need without regard to their ability to pay. Saint Michael's Medical Center is a member of Catholic Health East ("CHE").ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1681TotalNbrEmployees
Total Nbr Volunteers40TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3818187ContributionsGrantsPriorYear
Contributions Grants Current Year4373390ContributionsGrantsCurrentYear
Program Service Revenue Prior Year211806939ProgramServiceRevenuePriorYear
Program Service Revenue CY186107047ProgramServiceRevenueCY
Investment Income Prior Year93356InvestmentIncomePriorYear
Investment Income Current Year56247InvestmentIncomeCurrentYear
Other Revenue Prior Year8118538OtherRevenuePriorYear
Other Revenue Current Year1335323OtherRevenueCurrentYear
Total Revenue Prior Year223837020TotalRevenuePriorYear
Total Revenue Current Year191872007TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year107454625SalariesEtcPriorYear
Salaries Etc Current Year99853889SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year137547777OtherExpensePriorYear
Other Expenses Current Year240071350OtherExpensesCurrentYear
Total Expenses Prior Year245002402TotalExpensesPriorYear
Total Expenses Current Year339925239TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-21165382RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-148053232RevenuesLessExpensesCY
Total Assets BOY313649044TotalAssetsBOY
Total Assets EOY176904013TotalAssetsEOY
Total Liabilities BOY394140492TotalLiabilitiesBOY
Total Liabilities EOY407813694TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-80491448NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-230909681NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionEstablished by the Franciscan Sisters of the Poor in 1867, Saint Michael's Medical Center is a 357-bed regional tertiary-care, teaching and research center in the heart of Newark's business and educational district. Combining state-of-the art technology, the latest diagnostic and therapeutic procedures, cutting-edge research and a network of highly qualified physicians, nurses, and allied health professionals, the hospital provides top-quality health-care services delivered with compassionate care to those in need without regard to their ability to pay. Saint Michael's Medical Center is a member of Catholic Health East ("CHE").MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense298961897Expense
Revenue186107047Revenue
DescriptionBackground:Saint Michael's Medical Center, Inc., continues to grow and succeed grounded by the recognition that a hospital has a moral and social responsibility to improve the quality of life of its community. This statement summarizes accomplishments by Saint Michael's Medical Center, Inc., celebrates its physicians, nurses, and staff, and underscores its commitment to giving communities throughout the area increased access to the highest-quality health-care services. Shining through our achievements is our defined vision and mission of service and, most of all, the core values - love, compassion, justice, and reverence for life - which have been embraced by the Saint Michael's Medical Center community for more than 142 years. As the cornerstone of our ministry to those in need of health care, our Catholic mission defines Saint Michael's and helps make the hospital integral to the community's health-care safety net. Saint Michael's and its affiliated physicians serve as primary sources of health care in their communities. Policy makers at the local, state, and federal level must take this into account when making public policy and reimbursement decisions with other delivery systems in their service area. Saint Michael's is a significant provider of essential services to the residents of Greater Newark.In addition to providing top-quality health care, Saint Michael's Medical Center, Inc., also generates jobs, purchases goods and services from community businesses, serves as a source of health education to the community, and provides many other definable community benefits. Moreover, our services are offered in the context of our Catholic values in the heart of the neighborhoods that need us most. With our 147 staffed beds, 1,600 employees, and 400 affiliated physicians, Saint Michael's Medical Center, Inc., is one of the area's leading providers of health care, with approximately 9,194 inpatient admissions, 34,452 emergency room visits, and more than 48,000 ambulatory care visits annually.Charitable Purposes, Charity Care, and Community Activities:Saint Michael's Medical Center, Inc., is recognized by the IRS as an Internal Revenue Code Section 501(c)(3) tax-exempt organization. Pursuant to its charitable mission, Saint Michael's Medical Center, Inc., provides medically necessary health-care services to all individuals in a non-discriminatory manner, regardless of race, color, creed, sex, national origin, or ability to pay. Saint Michael's operates consistently within the criteria outlined in IRS Revenue Ruling 69-545. Saint Michael's Medical Center, Inc., provides medically necessary health-care services to all individuals regardless of their ability to pay and serves charity care, self-pay, Medicare, and Medicaid patients. Saint Michael's Medical Center, Inc., operates an active emergency room available to all persons, which is open 24 hours per day, 7 days per week, and 365 days per year. It also maintains an open medical staff with privileges available to all qualified physicians. Control of Saint Michael's Medical Center, Inc. rests with its Board of Trustees, whose membership includes independent civic leaders and other prominent members of the community. The operations of Saint Michael's Medical Center, Inc., as outlined above and as well as other information contained herein, clearly demonstrate that the use and control of Saint Michael's Medical Center, Inc., is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. Saint Michael's Medical Center, Inc., is guided by the belief that it is dedicated to the health-care needs of the communities that it serves. It also provides health-care services to patients who meet certain criteria under its charity care policy as defined by the New Jersey Attorney General without charge or at amounts less than established rates. It maintains records to identify and monitor the amount of charity care it provides, including the amount of charges foregone for services and supplies furnished under its charity care policy. In addition, Saint Michael's Medical Center, Inc., sponsors other charitable programs which provide substantial benefit to the broader community. Such programs include services to the needy and the elderly populations that require special support, various clinical outreach programs, and health promotion and education for the general community welfare.Saint Michael's Medical Center, Inc., established and coordinates two Community Advisory Groups (CAGs) - the East Ward CAG and the North Ward CAG - which meet at least four times annually and comprise representatives from the hospital, from the community, from local government, and from the New Jersey Department of Health and Senior Services. Saint Michael's Medical Center, Inc., depends upon the CAGs to provide informed input about community health needs and about how best the hospital can play an effective role in addressing them.Mission Statement:The mission of Saint Michael's Medical Center, a member of Catholic Health East, sponsored by Hope Ministries, rooted in the healing ministry of Jesus, is to provide excellence in health care to the communities we serve, integrating principles of inclusion, educating the next generation of care providers, and focusing on treating all persons in the Franciscan tradition of compassion, dignity, respect, and commitment to poor and marginalized persons.Program Service Accomplishments:Saint Michael's Medical Center, Inc., has continued to excel as one of New Jersey's premier medical centers, offering quality medical care and featuring state-of-the-art technology, cutting-edge research, and a team of highly qualified and compassionate physicians, nurses, and allied health professionals. Serving the needs of the community and training the next generation of doctors has been a priority for more than 142 years. In 2012, 100,000 patients received medical care, and more than 100 residents, fellows, and medical students participated in our medical education programs.The Heart and Vascular Institute at Saint Michael's Medical Center offers the region's most advanced cardiovascular care and boasts one of the region's lowest mortality rates for a cardiac surgery program. The Institute provides comprehensive, innovative cardiovascular services of unsurpassed quality. Encompassing a continuum of care - from advanced diagnostic testing and evaluation to angioplasty, from pacemaker and defibrillator implantations to beating-heart and minimally invasive surgeries - the Institute builds upon six decades of leadership in cardiac care. At the forefront of cardiac innovation since it opened New Jersey's first specialty center for the study and treatment of cardiac disease in 1937, Saint Michael's Medical Center established the state's first cardiac catheterization lab in 1949. Doctors at the hospital performed the state's first open-heart surgery in 1959, the first coronary bypass procedure in 1967, and the first coronary angioplasty in New Jersey in 1981. Today, Saint Michael's Medical Center is New Jersey's only approved CREST site - one of 85 centers throughout North America chosen to participate in the Carotid Revascularization Endarterectomy vs. Stenting Trial - and a participant in the international, multi-institutional FREEDOM Trial investigating coronary artery bypass grafting (CABG) vs. drug-eluting stent procedures in diabetic patients. A collaboration between Cardiology and Vascular Surgery, the carotid stenting program has handled more than 200 cases.Description
Total Program Service Expense298961897TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096316NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1681NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Ronald J NapiorskiBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9736903514TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1111 Central AvenueAddressLine1
CityNewarkCity
StateNJState
ZIP Code071021909ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Roosevelt N Nesmith Esq
Chairman1.000.00X000
Cecil B Cates
Trustee1.000.00X000
Michael Critchley Sr Esq
Trustee1.000.00X000
Michelle DeCillis CPA
Trustee1.000.00X000
William A DiGiacomo MD
Trustee/Physician1.000.00X000
Claudia A Komer DO
Trustee/Physician12.000.00X30278102500
Raymond Ocasio
Trustee1.000.00X000
Rev Msgr Ronald J Rozniak
Secretary1.000.00X000
Brian P Shulman PhD
Trustee1.000.00X000
Derek S Ware
Trustee1.000.00X000
Catherine Cuomo-Cecere
Trustee1.000.00X000
David A Ricci
President & CEO40.001.00X064322311250X
Dennis A Pettigrew
COO & CFO40.001.00371136041439X
Ronald Napiorski
VP-Finance40.001.00314087041900X
Dennis Sparks
VP-Human Resources40.001.00219242027230X
Johanna Magner
Chief Nursing Officer40.000.0001864825408X
Nilesh Patel
Physician40.000.00748256035889X
Fayez Shamoon
Physician40.000.00479901051563X
Saniea Majid
Physician40.000.00312526044813X
Richard Vitali
VP-Cardiovascular Serv40.000.00273345045419X
Stewart Cunningham
Legal40.000.00241563021477X
Robert Evans
Former CEO0.000.0001578460X
Terence French
EVP0.000.002326150808X
Leon Smith
Physician0.000.00286937011493X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3782389TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs987551TotalReportableCompFrmRltdOrgs
Total Other Compensation341189TotalOtherCompensation
Number Individuals GT100 K193NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Sodexo Inc
PO Box 81049WoburnMA18131Food, Service Dept Management5657255
Essex Emergency Group PC
PO Box 731766DallasTX75373Physician1746513
Nightingale Nurses LLC
PO Box 5935TroyMI48007Nursing1630771
Precyse Solutions LLC
1275 Drummer Lane Suite 200WaynePA19087Medical Records1630188
Fresenius Medical Care
PO Box 16343ChicagoIL60693Dialysis1415371
FieldValueIRS element (for citing)
Number Of Contractors GT100 K72NumberOfContractorsGT100K
Related Organizations332245RelatedOrganizations
Government Grants4041145GovernmentGrants
Total Contributions4373390TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Service Re621110182156954182156954
Other Healthcare relat62111039500933950093
FieldValueIRS element (for citing)
Total Program Service Revenue186107047TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column30174TotalRevenueColumn
Exclusion$30,174ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column26073TotalRevenueColumn
Exclusion$26,073ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1124634Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1124634Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1124634TotalRevenueColumn
Exclusion$1,124,634ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionParking GarageDescription
Business Code812930BusinessCode
Total Revenue Column210689TotalRevenueColumn
Exclusion$210,689ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue210689TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column191872007TotalRevenueColumn
Related Or Exempt Function Income186107047RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,391,570ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4339540Total
Program Services2940517ProgramServices
Management And General1399023ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total76586426Total
Program Services70857020ProgramServices
Management And General5729406ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5681180Total
Program Services4667281ProgramServices
Management And General1013899ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7489054Total
Program Services6152186ProgramServices
Management And General1336868ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5757689Total
Program Services4730136ProgramServices
Management And General1027553ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1303195Total
Management And General1303195ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total11538877Total
Program Services11538877ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total699605Total
Program Services640970ProgramServices
Management And General58635ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4098702Total
Management And General4098702ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total287198Total
Program Services253635ProgramServices
Management And General33563ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total7375151Total
Program Services6057835ProgramServices
Management And General1317316ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total7844297Total
Management And General7844297ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12710681Total
Program Services9284234ProgramServices
Management And General3426447ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2463020Total
Program Services2023454ProgramServices
Management And General439566ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Impairment Loss on Long110390816110390816
Purchased Services371456322990136572442670
Medical Supplies311167743111677400
Operating Leases and Re3180040160692915731110

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9917362Total
Program Services6799868ProgramServices
Management And General3117494ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total339925239Total
Program Services298961897ProgramServices
Management And General40963342ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY97900016BOY
EOY42743292EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY30767065BOY
EOY16820327EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6048598BOY
EOY4294361EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2993121BOY
EOY3284140EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis81716820LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8624998LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY168200436BOY
EOY73091822EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2012640BOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1427463BOY
EOY1340325EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4299705BOY
EOY35329746EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY313649044BOY
EOY176904013EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY109913142BOY
EOY144304032EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY241700000BOY
EOY237705000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY21113682BOY
EOY12708610EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY21413668BOY
EOY13096052EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY394140492BOY
EOY407813694EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-80133448BOY
EOY-231321735EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY-358000BOY
EOY412054EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-80491448BOY
EOY-230909681EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY313649044BOY
EOY176904013EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-148053232ReconcilationRevenueExpenses
Reconcilation Other Changes-2365001ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis16900000OtherCostOrOtherBasis
Book Value16900000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22664775OtherCostOrOtherBasis
Book Value22664775BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis17880820OtherCostOrOtherBasis
Depreciation8624998Depreciation
Book Value9255822BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis12492976OtherCostOrOtherBasis
Book Value12492976BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11778249OtherCostOrOtherBasis
Book Value11778249BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings73091822TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Unamortized Bond Discount1041594
State Controlled Debt Service Fund32714152
Insurance Receivables1574000
FieldValueIRS element (for citing)
Total Book Value Other Assets35329746TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Estimated Third Party Payor Settlements$6,466,337
Intercompany Liabilities$6,629,715
FieldValueIRS element (for citing)
Total Of Amounts13096052TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt201327284TotRevenueEtcAuditedFinclStmt
Other Revenues9455277OtherRevenues
Revenue Not Rptd F9909455277RevenueNotRptdF990
Revenue Subtotal191872007RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990191872007TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt238989700TotExpensesEtcAuditedFinclStmt
Other Expenses Included9455277OtherExpensesIncluded
Expenses Not Rptd F9909455277ExpensesNotRptdF990
Expenses Subtotal229534423ExpensesSubtotal
Other Expenses Not Included110390816OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt110390816ExpensesNotRptdOnFinStmt
Total Expenses Per Form990339925239TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 2d - Other Adjustments:Interest Forgiveness 9,455,277.
Part XII, Line 2d - Other Adjustments:Interest forgiveness 9,455,277.
Part XII, Line 4b - Other Adjustments:Impairment Loss on Long-Lived Assets 110,390,816.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense24308202TotalCommunityBenefitExpense
Direct Offsetting Revenue20064404DirectOffsettingRevenue
Net Community Benefit Expense4243798NetCommunityBenefitExpense
Percent Of Total Expense0.01250PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense26726112TotalCommunityBenefitExpense
Direct Offsetting Revenue17580278DirectOffsettingRevenue
Net Community Benefit Expense9145834NetCommunityBenefitExpense
Percent Of Total Expense0.02690PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense51034314TotalCommunityBenefitExpense
Direct Offsetting Revenue37644682DirectOffsettingRevenue
Net Community Benefit Expense13389632NetCommunityBenefitExpense
Percent Of Total Expense0.03940PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense11297481TotalCommunityBenefitExpense
Direct Offsetting Revenue7569800DirectOffsettingRevenue
Net Community Benefit Expense3727681NetCommunityBenefitExpense
Percent Of Total Expense0.01100PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense19901185TotalCommunityBenefitExpense
Direct Offsetting Revenue12887511DirectOffsettingRevenue
Net Community Benefit Expense7013674NetCommunityBenefitExpense
Percent Of Total Expense0.02060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense31198666TotalCommunityBenefitExpense
Direct Offsetting Revenue20457311DirectOffsettingRevenue
Net Community Benefit Expense10741355NetCommunityBenefitExpense
Percent Of Total Expense0.03160PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense82232980TotalCommunityBenefitExpense
Direct Offsetting Revenue58101993DirectOffsettingRevenue
Net Community Benefit Expense24130987NetCommunityBenefitExpense
Percent Of Total Expense0.07100PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$9,508,708BadDebtExpenseAmount
Amount Attributable To9508708AmountAttributableTo
Amount Reimbursed By Medicare63826826AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare67730491CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3903665MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Saint Michael's Medical CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1111 Central AvenueAddressLine1
CityNewarkCity
StateNJState
ZIP Code071021909ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Saint Michael' Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
Part I, Line 6a: The organization prepares its own community benefit report and is also included in the community benefit report prepared by Catholic Health East.
Part I, Line 7: The figures were calculated based on the cost-to-charge ratio. The cost-to-charge ratio was derived by dividing total operating expenses (excluding bad debt expense) by total gross patient charges.
Part I, L7 Col(f): In 2012, bad debt expene is no longer reported on Form 990, Part IX, Line 25. The bad debt expense for 2012 was $9,508,708 and was reported as an offset to revenue.
Part II: We do not conduct community building activities.
Bad Debt Expense Costing Methodology:The figures were calculated based on the cost-to-charge ratio. The cost-to-charge ratio was derived by dividing total operating expenses (excluding bad debt expense) by total gross patient charges. The cost-to-charge retio was applied to total bad debt write-offs to calcuate the costs for line 2.Part III, Line 2
Part III, Line 4: Allowance for Uncollectible Accounts ReceivableThe Medical Center provides an allowance for uncollectible accounts receivable 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 uncollectible accounts receivable when management determines that recovery is unlikely and ceases collection efforts.
Part III, Line 8: The costing methodology used by Saint Michael's Medical Center to determine the Medicare allowable costs reported in the organization's Medicare Cost Report-SSA 25-52 is a step down cost allocation methodology as required by Medicare reimbursement principles. Medicare shortfall should be considered community benefit because the organization remains unreimbursed for the shortfall due to the patient inability to pay.
Part III, Line 9b: If a patient is known to qualify for charity care , they will automatically be transferred to that method of payment. Charity Care patients are not subject to collection efforts.
Part V, Section B, Line 18e: The organization does not take any of the actions listed on Line 17 with respect to patients eligible for assistance under the organization's FAP.Saint Michael' Medical Center
Part VI, Line 2: Saint Michael's Medical Center has formed and maintained two community advisory groups which meet quarterly. They provide input to the Board and our Health Care professionals on the services that the community requires and how to best provide those services to the community.
Part VI, Line 3: The patient or their responsible party is informed of the assistance programs available during the admission/registration process. In addition, if the patient is uninsured, they will receive information from our accounts receivable management services vendor about all assistance programs available including charity care. The vendor will meet with the patient or the responsible party either in the hospital during the care visit or in their home, if more convenient. This vendor will assist the patient or the responsible party in applying for and securing the assistance program for which that they are eligible.
Part VI, Line 4: The organization serves an inner city community, which is surrounded by other inner city communities. The demographics of the community are one-third Caucasion, one-third African American, and one-third Hispanic.
AL,CT,DE,FL,GA,ME,MA,NJ,NY,NC,PAPart VI, Line 7Reports Filed With States
See description of program services detailed in Form 990, Part III, 4a.Part VI, Line 5

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Claudia A Komer DO
Trustee/Physician302781000002500000305281000
David A Ricci
President & CEO044495401982690001125000065447300
Dennis A Pettigrew
COO & CFO306136065000000260000154390412575000
Ronald Napiorski
VP-Finance262737051350000178370240630355987000
Dennis Sparks
VP-Human Resources17654204270000019447077830246472000
Johanna Magner
Chief Nursing Officer018648200000005408019189000
Nilesh Patel
Physician74825600000118260240630784145000
Fayez Shamoon
Physician47990100000275000240630531464000
Saniea Majid
Physician31252600000207500240630357339000
Richard Vitali
VP-Cardiovascular Serv233345040000000213560240630318764000
Stewart Cunningham
Legal20156304000000020400010770263040000
Robert Evans
Former CEO015784600000000015784600
Terence French
EVP23261500000008080233423000
Leon Smith
Physician2869370000000114930298430000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 3The organization relied on a related organization (Catholic Health East) that used one or more of the methods described below to establish the top management official's compensation: - Compensation committee - Written employment contract - Independent compensation consultant - Compensation survey or study - Approval by the board or compensation committee
Part IIIPart I, Line 4a: Robert Evans - Severance payment of $157,846 Terence French - Severance payment of $233,423 Leon Smith - Severance payment of $298,430 Part I, Line 4b: Supplemental Executive Retirement Plan is provided to certain key executive employees. Contributions made to the plan on their behalf are vested and reflected in their compensation at the time of the contribution.Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1New Jersey Healthcare Financing AuthoriyBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN221987084IssuerEIN
CUSIP Number64580AAN1CUSIPNumber
Date Issued2008-07-31DateIssued
Issue Price251324377IssuePrice
Description Of PurposeHospital Asset Transformation ProgramDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired14840000AmountRetired
Total Proceeds251324377TotalProceeds
Issuance Costs From Proceeds1635070IssuanceCostsFromProceeds
Capital Expenditures158962307CapitalExpenditures
Other Spent Proceeds90727000OtherSpentProceeds
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts1EngageBondCounselContracts
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet1RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSchedule K Supplental InformationIdentifier
ExplanationPart III Line 3a: The organization has entered into various management and service contracts. Collectively, these contracts do not constitute an amount of private business use that exceeds the prescribed percentage.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6Catholic Health East is the sole member.
Form 990, Part VI, Section A, line 7aYes, Catholic Health East approves the appointment of the members of the governing body.
Form 990, Part VI, Section A, line 7bYes, Catholic Health East can approve the decisions of the members of the governing body.
Form 990, Part VI, Section B, line 11The organization took steps to educate management, members of the board, and members of appropriate subcommittees of the board on the compliance requirements mandated by the Form 990. The form was reviewed by management. The return is submitted to the board or a subcommittee thereof which reports its findings to the board.
Form 990, Part VI, Section B, line 12cThe organization has adopted Catholic Health East's policy 103, which sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving the organization in a fiduciary capacity, including directors, officers, and key employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the organization's CEO and Board Chair. Summary information is reported to the entire board and available to the board throughout the year as business comes before the board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the board or an appropriate committee thereof comprised of dis-interested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request.
Form 990, Part VI, Section B, line 15As set forth on Schedule J, Part III, CHE determines compensation for the organization's top management official. For all other employees,the organization has adopted CHE's policy process for determining compensation which includes the following: The board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing the organization's roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes.
Form 990, Part VI, Section C, line 19Organizational Articles of Incorporation, Corporate By-laws, governance policies believed to be of interest to the public, conflict-of-interest policy and IRS Form 990 are available to the public upon request.
Form 990, Part XI, line 9:Debt forgiveness -2,239,952. Transfer to parent -895,103. Change in donor restriction 770,054.Changes in Net Assets or Fund Balances:
Schedule D, Parts XII & XIII, lines 2d:Pursuant to an agreement, the State of New Jersey pays the organization's interest costs on its bond obligation for a limited period of time. The organization does not record interest expense on its books and records during this period. Financial accounting rules require the organization to recognize both interest expense and related revenue for the state subsidy.
Disclosure Statement Related to Form 5471 Filed by Catholic Health East and Saint Michael's Medical Center Under the constructive ownership rule 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 and Chestnut Risk Services, 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

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Seton Real Estate HoldingsBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11300 Massachusetts AvenueAddressLine1
CityTroyCity
StateNYState
ZIP Code12180ZIPCode
FieldValueIRS element (for citing)
EIN320393870EIN
Primary ActivitiesManagement Real EstatePrimaryActivities
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Seton Health System IncBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (143 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Catholic Health East
3805 West Chester Pike Suite 100Newtown SquarePA19073232929748Management ServicesPA501(c)(3)Line 11c, III-FIN/A1
Continuing Care Management Services Network
3805 West Chester Pike Suite 100Newtown SquarePA19073352336834Management & Support ServicesPA501(c)(3)Line 11b, II1Catholic Health East
VNA Home Health & Hospice
50 Foden RoadSouth PortlandME04106010246804Home Health & HospiceME501(c)(3)Line 11a, I1Mercy Health System of Maine
Mercy Hospital
144 State StreetPortlandMA04101010211534HospitalME501(c)(3)Line 31Mercy Health System of Maine
Mercy Health System of Maine
144 State StreetPortlandMA04101010484074Management & Support ServicesME501(c)(3)Line 11c, III-FI1Catholic Health East
Sunnyview Hospital & Rehabilitation Center Foundation
1270 Belmont AveSchenectadyNY12308222505127Supporting foundationNY501(c)(3)Line 11a, I1Sunnyview Hospital & Rehabilitation Ctr
St Mary's Woodland Village Inc
1300 Massachusetts AvenueTroyNY12180141675183Discontinued OperationsNY501(c)(3)Line 91Seton Health System Inc
Mercy Care for Kids Inc
310 South Manning BlvdAlbanyNY12208141717564Day care centerNY501(c)(3)Line 91St Peter's Health Care Services
Our Lady of Mercy Life Center
2 Mercycare LaneGuilderlandNY12084141743506Nursing Home FacilityNY501(c)(3)Line 31St Peter's Health Care Services
St Peter's Auxiliary
315 South Manning BlvdAlbanyNY01228222843206AuxiliaryNY501(c)(3)Line 11a, I1St Peter's Health Care Services
St Peter's Health Care Services
315 South Manning BlvdAlbanyNY12208222702507Management & Support ServicesNY501(c)(3)Line 91St Peter's Health Partners
St Peter's Hospital
315 South Manning BlvdAlbanyNY12208141348692HospitalNY501(c)(3)Line 31St Peter's Health Care Services
St Peter's Hospital Foundation Inc
319 South Manning Blvd Suite 309AlbanyNY12208222262982Fundraising & Public RelationsNY501(c)(3)Line 71St Peter's Health Care Services
Eddy Licensed Home Care Agency
433 River St Suite 3000TroyNY12180141818568Home HealthNY501(c)(3)Line 31LTC(Eddy) Inc
The Community Hospice Foundation Inc
295 Valley View BlvdRensselaerNY12144222692940Fundraising & Public RelationsNY501(c)(3)Line 71The Community Hospice Inc
The Community Hospice Inc
295 Valley View BlvdRensselaerNY12144141608921Serving seriously ill people & their familiesNY501(c)(3)Line 31St Peter's Health Care Services
Villa Mary Immaculate
301 Hackett BlvdAlbanyNY12208141438749Nursing Home & Physical RehabNY501(c)(3)Line 31St Peter's Hospital
Warde Service Corporation Inc
159 Wolf Road 3rd FloorAlbanyNY12205141732097Supporting & strengthing the ministries of rel. sr. mercyNY501(c)(3)Line 91St Peter's Health Care Services
Northeast Health Inc
2212 Burdett AveTroyNY12180042450756Supporting OrganizationNY501(c)(3)Line 11b, II1St Peter's Health Partners
Memorial Hospital Albany NY
600 Northern BlvdAlbanyNY12204141338457General HospitalNY501(c)(3)Line 31Northeast Health Inc
Samaritan Hospital of Troy New York
2215 Burdett AveTroyNY12180141338544General hospitalNY501(c)(3)Line 31Northeast Health Inc
The Northeast Health Foundation Inc
2224 Burdett AveTroyNY12180222743478Supporting foundationNY501(c)(3)Line 71Northeast Health Inc
Samaritan Child Care Center Inc
2213 Burdett AveTroyNY12180141710225Child day careNY501(c)(3)Line 91Northeast Health Inc
Shaker Properties Inc
2212 Burdett AveTroyNY12180223119822Real Estate holdingNY501(c)(2)N/A1Northeast Health Inc
Sunnyview Hospital & Rehabilitation Ctr
1270 Belmont AveSchenectadyNY12308141338386Rehabilitation hospitalNY501(c)(3)Line 31LTC (Eddy) Inc
James A Eddy Memorial Geriatric Center Inc
2256 Burdett AveTroyNY12180222570478Nursing homeNY501(c)(3)Line 91LTC (Eddy) Inc
Capital Region Geriatric Center Inc
421 West Columbia StCohoesNY12047141701597Nursing HomeNY501(c)(3)Line 91LTC (Eddy) Inc
Heritage House Nursing Center Inc
2920 Tibbits AveTroyNY12180141725101Nursing homeNY501(c)(3)Line 91LTC (Eddy) Inc
The Marjorie Doyle Rockwell Center Inc
421 West Columbia StCohoesNY12047141793885Adult Home/AlzheimersNY501(c)(3)Line 91LTC (Eddy) Inc
Beverwyck Inc
40 Autumn DriveSlingerlandsNY12159141717028Independent/Assisted Living Retirement CommunityNY501(c)(3)Line 91LTC (Eddy) Inc
Hawthorne Ridge Inc
30 Community WayEast GreenbushNY12061800102840Independent/Assisted Living Retirement CommunityNY501(c)(3)Line 91LTC (Eddy) Inc
Glen Eddy Inc
One Glen Eddy DriveNiskayunaNY12309141794150Independent/Assisted Living CommunityNY501(c)(3)Line 91LTC (Eddy) Inc
Beechwood Inc
2212 Burdett AveTroyNY12180141651563Real estate holdingNY501(c)(2)N/A1LTC (Eddy) Inc
Senior Care Connection Inc
504 State StSchenectadyNY12305141708754PACE ProgramNY501(c)(3)Line 91LTC (Eddy) Inc
Home Aid Service of Eastern New York Inc
433 River St Suite 3000TroyNY12180141514867Home careNY501(c)(3)Line 91LTC (Eddy) Inc
Seton Health System Inc
1300 Massachusetts AvenueTroyNY12180141776186HospitalNY501(c)(3)Line 31St Peter's Health Partners
Seton Health at Schuyler Ridge Residential Healthcare
1 Abele BlvdClifton ParkNY12065141756230Skilled NursingNY501(c)(3)Line 91Seton Health System Inc
Seton Health Foundation
1300 Massachusetts AvenueTroyNY12180222345416Supporting OrganizationNY501(c)(3)Line 11a, I1Seton Health System Inc
Seton Auxiliary Inc
1300 Massachusetts AvenueTroyNY12180141505031Supporting OrganizationNY501(c)(3)Line 91Seton Health System Inc
Seton Licensed Home Care Inc
1300 Massachusetts AvenueTroyNY12180141809134Licensed Home Health AgencyNY501(c)(3)Line 31Seton Health System Inc
Empire Home Infusion Service Inc
10 Blacksmith DriveMaltaNY12020141795732Home careNY501(c)(3)Line 91Home Aid Service of Eastern New York Inc
LTC (Eddy) Inc
2212 Burdett AveTroyNY12180222564710Elderly health/housing supporting orgNY501(c)(3)Line 11a, I1Northeast Health Inc
St Peter's Health Partners
315 South Manning BlvdAlbanyNY12208453570715Management & Support ServicesNY501(c)(3)Line 11b, II1Catholic Health East
St Peter's Health Partners Medical Associates PC
315 South Manning BlvdAlbanyNY12208461177336Physicians PracticeNY501(c)(3)Line 31St Peter's Health Partners
Providence Place Inc
5 Gamelin StreetHolyokeMA01040043404084Retirement CommunityMA501(c)(3)Line 91Sisters of Providence Health System Inc
Brightside Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040042182395Behavioral CareMA501(c)(3)Line 91Sisters of Providence Health System Inc
Farren Care Center Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040042501711Long Term CareMA501(c)(3)Line 31Sisters of Providence Health System Inc
Mercy Hospital Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040043398280Acute CareMA501(c)(3)Line 31Sisters of Providence Health System Inc
Mercy Specialist Physicians Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040264033168Neurosurgery Medical ServicesMA501(c)(3)Line 31Sisters of Providence Health System Inc
Sisters of Providence Care Centers Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040222541103Long Term CareMA501(c)(3)Line 31Sisters of Providence Health System Inc
Sisters of Providence Health System Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040043398374Management & Support ServicesMA501(c)(3)Line 11a, I1Catholic Health East
Mercy LIFE Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040453086711Acute CareMA501(c)(3)Line 31Sisters of Providence Health System Inc
Pioneer Valley Cardiology Associates Inc
c/o SPHS 1221 Main Street Suite 213HolyokeMA01040454208896Cardiology ServicesMA501(c)(3)Line 41Sisters of Providence Health System Inc
Mercy Oncology Services Inc
c/o SPHS 1221 Main Street Suite 213HolyokeMA01040454884805Oncology Medical ServicesMA501(c)(3)N/A1Sisters of Providence Health System Inc
McAuley Center Inc
275 Steele RoadWest HartfordCT06117061058086Independent LivingCT501(c)(3)Line 91Mercy Community Health Inc
Mercy Community Health Inc
2021 Albany AvenueWest HartfordCT06117061492707Management & Support ServicesCT501(c)(3)Line 11a, I1Catholic Health East
Mercy Community HomeCare Services
2021 Albany AvenueWest HartfordCT06117061488137In Home Health CareCT501(c)(3)Line 91Mercy Community Health Inc
Mercy Services
2021 Albany AvenueWest HartfordCT06117061453323Support ServicesCT501(c)(3)Line 11Mercy Community Health Inc
Mercyknoll Inc
2021 Albany AvenueWest HartfordCT06117060757380Skilled NursingCT501(c)(3)Line 31Mercy Community Health Inc
Saint Mary Home II Inc
2021 Albany AvenueWest HartfordCT06117061164104Elderly CareCT501(c)(3)Line 31Mercy Community Health Inc
St Mary Home Incorporated
2021 Albany AvenueWest HartfordCT06117060646843Skilled NursingCT501(c)(3)Line 31Mercy Community Health Inc
Mercy Healthcare Center
114 Wawbeek AvenueTupper LakeNY12986150532211In DissolutionNY501(c)(3)Line 31Catholic Health East
Mercy Uihlein Health Corporation
185 Old Military RoadLake PlacidNY12946161535133Mgt. & Support ServicesNY501(c)(3)Line 11b, II1Mercy Healthcare Center
Uihlein Mercy Center
185 Old Military RoadTupper LakeNY12986150532190In DissolutionNY501(c)(3)Line 31Mercy Healthcare Center
St James Mercy Foundation Inc
411 Canisteo StreetHornellNY14843161486437FoundationNY501(c)(3)Line 71St James Mercy Health System Inc
St James Mercy Health System Inc
411 Canisteo StreetHornellNY14843223127184Management & Support ServicesNY501(c)(3)Line 11b, II1Catholic Health East
St James Mercy Hospital
411 Canisteo StreetHornellNY14843160743310HospitalNY501(c)(3)Line 31St James Mercy Health System Inc
Maxis Medical Services
100 Lincoln AveCarbondalePA18407232577185Physician PracticesPA501(c)(3)Line 31Maxis Health System
Marian Community Hospital
100 Lincoln AveCarbondalePA18407240711230HospitalPA501(c)(3)Line 31Maxis Health System
Marian Community Hospital Auxiliary
100 Lincoln AveCarbondalePA18407251874733FundraisingPA501(c)(3)Line 11b, II1Maxis Health System
Maxis Foundation
100 Lincoln AveCarbondalePA18407232330090FundraisingPA501(c)(3)Line 11b, II1Maxis Health System
Maxis Health System
100 Lincoln AveCarbondalePA18407911940902Health Care SystemPA501(c)(3)Line 11b, II1Maxis Health System
Tri-County Human Services Center Inc
PO BOX 517CarbondalePA18407231938528Behavioral Health OrganizationPA501(c)(3)Line 71Maxis Health System
Columbus Acquisition Corp
1160 Raymond BoulevardNewarkNJ07102262616342Inactive EntityNJ501(c)(3)Line 91Saint Michaels Medical Center
St James Care Inc
1160 Raymond BoulevardNewarkNJ07102262616230Inactive EntityNJ501(c)(3)Line 91Saint Michaels Medical Center
St Michael's Foundation Inc
1160 Raymond BoulevardNewarkNJ07102223311976FoundationNJ501(c)(3)Line 11a, I1Saint Michaels Medical Center
University Heights Property Company Inc
1160 Raymond BoulevardNewarkNJ07102223100162Medical Property Holding CompanyNJ501(c)(2)N/A1Saint Michaels Medical Center
Life St Francis Corporation
601 Hamilton AvenueTrentonNJ08629222797282Health ServicesNJ501(c)(3)Line 11a, I1St Francis Medical Center Trenton NJ
St Francis Medical Center Foundation NJ
601 Hamilton AvenueTrentonNJ08629521025476FoundationNJ501(c)(3)Line 11a, I1St Francis Medical Center Trenton NJ
St Francis Medical Center Trenton NJ
601 Hamilton AvenueTrentonNJ08629223431049HospitalNJ501(c)(3)Line 31Catholic Health East
Langhorne MRI Inc
1201 Langhorne-Newtown RoadLanghornePA19047232519529Inactive EntityPA501(c)(3)Line 91St Mary Medical Center
Langhorne Physician Services Inc
1201 Langhorne-Newtown RoadLanghornePA19047232571699Physician ServicesPA501(c)(3)Line 9: 509(a)(2)1St Mary Medical Center
LIFE St Mary
1201 Langhorne-Newtown RoadLanghornePA19047262976184Elderly CarePA501(c)(3)Line 91St Mary Medical Center
St Mary Medical Center
1201 Langhorne-Newtown RoadLanghornePA19047231913910HospitalPA501(c)(3)Line 31Catholic Health East
St Mary Medical Center Foundation Inc
1201 Langhorne-Newtown RoadLanghornePA19047232567468FoundationPA501(c)(3)Line 71St Mary Medical Center
East Norriton Physician Services
c/o One West Elm StreetConshohockenPA19428232515999Physician ServicesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Mercy Catholic Medical Center of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428231352191Acute Care HospitalPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Mercy Family Support
1001 Baltimore Pike Suite 301SpringfieldPA19064232325059Home HealthPA501(c)(3)Line 91Mercy Health System of Southeastern Pennsylvania
Mercy Health Foundation of Southeastern Pennsylvania
c/o One West Elm StreetConshohockenPA19428232829864FundraisingPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Health Plan
c/o One West Elm StreetConshohockenPA19428222483605Health PlansPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Health System of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428232212638Management & Support ServicesPA501(c)(3)Line 11b, II1Catholic Health East
Mercy Home Health
1001 Baltimore Pike Suite 310SpringfieldPA19064231352099Home HealthPA501(c)(3)Line 91Mercy Health System of Southeastern Pennsylvania
Mercy Home Health Services
1001 Baltimore Pike Suite 301SpringfieldPA19064232325058Home HealthPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Management of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428232627944Physician PracticesPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Suburban Hospital
One West Elm StreetConshohockenPA19428231396763Acute Care HospitalPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Nazareth Health Care Foundation
2701 Holme AvenuePhiladelphiaPA19152232300951FundraisingPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Nazareth Hospital
2601 Holme AvenuePhiladelphiaPA19152232794121Acute Care HospitalPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Nazareth Physician Services Inc
2601 Holme AvenuePhiladelphiaPA19152203261266Physician PracticesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
NE Physician Services
2601 Holme AvenuePhiladelphiaPA19152232497355Physician PracticesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
St Agnes Continuing Care Center
1900 S Broad StreetPhiladelphiaPA19145232840137Continuing Care ServicesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
St Agnes Continuing Care Center Foundation
1900 S Broad StreetPhiladelphiaPA19145232415137FundraisingPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Life at Lourdes Inc
1600 Haddon AvenueCamdenNJ08108261854750Elderly CareNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Lourdes Ancillary Services
1600 Haddon AvenueCamdenNJ08103222568525Supporting OrganizationNJ501(c)(3)Line 11b, II1Our Lady of Lourdes Health Care Services
Lourdes Dialysis at Innova Inc
1600 Haddon AvenueCamdenNJ08108263237625HospitalNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Lourdes Medical Center Burlington County
218 Sunset RoadWillingboroNJ08046223612265HospitalNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Our Lady of Lourdes Health Care Services
1600 Haddon AvenueCamdenNJ08103222568528Management & Support ServicesNJ501(c)(3)Line 11b, II1Catholic Health East
Our Lady of Lourdes Health Foundation Inc
1600 Haddon AvenueCamdenNJ08103222351960FoundationNJ501(c)(3)Line 71Our Lady of Lourdes Health Care Services
Our Lady of Lourdes Medical Center
1600 Haddon AvenueCamdenNJ08103210635001HospitalNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Lourdes Cardiology Services PC
1600 Haddon AvenueCamdenNJ08108274357794Cardiology ServicesNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Franciscan Eldercare Corporation
PO Box 2500WilmingtonDE19805223008680EldercareDE501(c)(3)Line 91St Francis Hospital
St Francis Foundation
PO Box 2500WilmingtonDE19805510374158FoundationDE501(c)(3)Line 11b, II1St Francis Hospital
St Francis Hospital
PO Box 2500WilmingtonDE19805510064326HospitalDE501(c)(3)Line 31Catholic Health East
LIFE at St Francis Healthcare Inc
7th Clayton StreetsWilmingtonDE19805452569214Elderly CareDE501(c)(3)Line 31St Francis Hospital
McAuley Ministries
McAuley Hall 3333 Fifth AvenuePittsburghPA15213943436142Management & Support ServicesPA501(c)(3)Line 91Pittsburgh Mercy Health System
Mercy Jeannette Hospital
3805 West Chester PikeNewtown SquarePA19073251310602Inactive EntityPA501(c)(3)Line 91Pittsburgh Mercy Health System
Mercy Life Center Corporation
1200 Reedsdale StreetPittsburghPA15233251604115Community TreatmentPA501(c)(3)Line 91Pittsburgh Mercy Health System
Pittsburgh Mercy Health System
3333 5th AvenuePittsburghPA15213251464211Management & Support ServicesPA501(c)(3)Line 11b, II1Catholic Health East
St Joseph's of the Pines Inc
100 Gossman Drive Suite BSouthern PinesNC28387560694200HospitalNC501(c)(3)Line 31Catholic Health East
Life St Joseph of the Pines Inc
100 Gossman Drive Suite BSouthern PinesNC28387272159847Healthcare ServicesNC501(c)(3)Line 31St Joseph's of the Pines Inc
Mercy Senior Care Inc
300 Chatillon Road PO Box 866RomeGA30162581366508Community OutreachGA501(c)(3)Line 71Saint Joseph's Health System Inc
Saint Joseph's Health System Inc
424 Decatur StreetAtlantaGA30312581744848Management & Support ServicesGA501(c)(3)Line 11b, II1Catholic Health East
Saint Joseph's Mercy Care Services Inc
424 Decatur StreetAtlantaGA30312581752700Community OutreachGA501(c)(3)Line 71Saint Joseph's Health System Inc
Saint Joseph's Mercy Foundation Inc
424 Decatur StreetAtlantaGA30312581448522FundraisingGA501(c)(3)Line 11b, II1Saint Joseph's Health System Inc
Mercy Services Downtown Inc
424 Decatur StreetAtlantaGA30312272046353Real Estate Holding CompanyGA501(c)(3)Line 11b, II1Saint Joseph's Health System Inc
St Mary's Health Care System Inc
1230 Baxter StreetAthensGA30606580566223HospitalGA501(c)(3)Line 31Catholic Health East
St Mary's Foundation Inc
1230 Baxter StreetAthensGA30606582544232FundraisingGA501(c)(3)Line 11b, II1St Mary's Health Care System Inc
St Mary's Highland Hills Inc
1230 Baxter StreetAthensGA30606020576648Assisted Living & Retirement CommunityGA501(c)(3)Line 31St Mary's Health Care System Inc
St Mary's Medical Group Inc
1230 Baxter StreetAthensGA30606261858563Hospital / Physician ServicesGA501(c)(3)Line 31St Mary's Health Care System Inc
Good Samaritan Hospital Inc
1201 Siloam RoadGreensboroGA30462261720984HospitalGA501(c)(3)Line 31Saint Joseph's Health System Inc
Mercy Medical Corporation
PO Box 1090 101 Villa DriveDaphneAL36526636002215HospitalAL501(c)(3)Line 31Catholic Health East
Mercy LIFE of Alabama
PO Box 1090 101 Villa DriveDaphneAL36526273163002HospitalAL501(c)(3)Line 31Mercy Medical Corporation
Allegany Franciscan Ministries Inc
33920 US Highway 19 North Suite 269Palm HarborFL34684581492325Management & Support ServicesFL501(c)(3)Line 11b, II1Catholic Health East
St Francis Hospital Inc
33920 US Highway 19 North Suite 269Palm HarborFL34684590624442Grant-making OrganizationFL501(c)(3)Line 11a, I1Allegany Franciscan Ministries Inc
Holy Cross Hospital Inc
4725 North Federal HighwayFt LauderdaleFL33308590791028Hospital-Healthcare ProviderFL501(c)(3)Line 31Catholic Health East
Holy Cross Long-Term Inc
4725 North Federal HighwayFt LauderdaleFL33308650787320Medical ServicesFL501(c)(3)Line 31Holy Cross Hospital Inc
Holy Cross Medical Properties Inc
4725 North Federal HighwayFt LauderdaleFL33308650666283Medical Building Real Estate ManagementFL501(c)(2)N/A1Holy Cross Hospital Inc
SSJ Health Foundation Inc
3663 South Miami AvenueMiamiFL33133591709438FundraisingFL501(c)(3)Line 71Mercy Hospital Inc
Mercy Hospital Inc
3663 South Miami AvenueMiamiFL33133590791034HospitalFL501(c)(3)Line 31Catholic Health East
Mercy Medical Development Inc
3663 South Miami AvenueMiamiFL33133592789194Outpatient ServicesFL501(c)(3)Line 91Mercy Hospital Inc
Mercy Mission Services Inc
3663 South Miami AvenueMiamiFL33133650435764Health CareFL501(c)(3)Line 11a, I1Mercy Hospital Inc
Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital
3663 South Miami AvenueMiamiFL33133510461511HospitalFL501(c)(3)Line 31Mercy Hospital Inc
Global Health Ministry
3805 West Chester Pike Suite 100Newtown SquarePA19073233068656Health CarePA501(c)(3)Line 71Catholic Health East
Intracoastal Health Systems
3805 West Chester Pike Suite 100Newtown SquarePA19073650556413Management & Support ServicesPA501(c)(3)Line 11a, I1Catholic Health East

Form990 Schedule R Part III Form990ScheduleRPartIII (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
St Peter's Ambulatory Surgery Center LLC
1375 Washington Avenue Ste 201AlbanyNY12206460463892Outpatient SurgeryNYN/A
Catherine Horan Building Limited Partnership
1221 Main Street Room 108HolyokeMA010400000042723429Property ManagementMAN/A
Western Massachusetts PETCT Imaging Center LLC
100 Bayview Circle Ste 400Newport BeachCA92660204744663Outpatient Medical ServicesDEN/A
Central New Jersey Heart Services LLC
29 E 29th Street 2nd FloorBayonneNJ07002208525458Cardiac ProgramNJN/A
SMMC MOB II LP
1201 Langhorne-Newtown RoadLanghornePA19047364559869Investment and operation of a medical buildingPAN/A
The Ambulatory Surgery Center at St Mary LLC
1203 Langhorne-Newtown RoadLanghornePA19047232871206Outpatient SurgeryPAN/A
East Norriton Medical Associates
One West Elm StreetConshohockenPA19428232319531Medical Office BuildingPAN/A
East Norriton Medical Associates
One West Elm StreetConshohockenPA19428232319531Medical Office BuildingPAN/A
Gateway Health Plan
300 Grant StreetPittsburghPA15219251691945Medicaid & Medicare/Special Needs Managed Care OrganizationPAN/A
MercyManor Partnership
PO Box 10086ToledoOH436990086521931012Nursing HomePAN/A
St Agnes Long Term Intensive Care LLP
c/o Mercy Health System One West ElConshohockenPA19428200984882Long Term Intensive CarePAN/A
St Agnes Long Term Intensive Care LLP
c/o Mercy Health System One West ElConshohockenPA19428200984882Long Term Intensive CarePAN/A
Nazareth Medical Office Building Associates LP
c/o Nazareth Hospital 2601 Holme AvPhiladelphiaPA19152232388040Medical Office BuildingPAN/A
Nazareth Medical Office Building Associates LP
c/o Nazareth Hospital 2601 Holme AvPhiladelphiaPA19152232388040Medical Office BuildingPAN/A
SJV Management LLC
200 Century Pkwy Ste 200EMount LaurelNJ08054202273476RadiologyNJN/A
Physicians Outpatient Surgery Center LLC
1000 NE 56th StreetOakland ParkFL33334352325646Ambulatory Surgery CenterFLN/A
Center for Surgery & Digestive Orders
3641 South Miami AvenueMiamiFL33133510438152Outpatient Medical ServicesFLN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Percentage OwnershipPercentageOwnershipProvince Or StateAddressForeign/ProvinceOrStatePostal CodeAddressForeign/PostalCode
Samaritan Medical Office Building Inc
2212 Burdett AvenueTroyNY12180141607244Real EstateNYN/AC1
Affiliated Management Services Corporation Inc
1300 Massachusetts AvenueTroyNY12180141668024Real EstateNYN/AC1
Catherine Horan Building Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000042938160Building ManagementMAN/AC1
Diversified Community Services Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043128890Medical ServicesMAN/AC1
Mercy Inpatient Medical Associates Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043029929Medical ServicesMAN/AC1
Providence Home Care Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043317426Health Care ServicesMAN/AC1
System Coordinated Services Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000042938181Lab ServicesMAN/AC1
Physicians Medical Office Building Condominium Trust
1221 Main Street Room 108HolyokeMA010400000046608649Property ManagementMAN/AC1
SJM Properties Inc
411 Canisteo StreetHornellNY148482101161294991Property HoldingsNYN/AC1
Carbondale Area Physicians' Association PC
100 Lincoln AveCarbondalePA18407232801677Medical Insurance ContractingPAN/AC1
Carbondale Area Physicians' PHO Inc
100 Lincoln AveCarbondalePA18407232801676InactivePAN/AC1
Carbondale Physicians' Services Inc
100 Lincoln AveCarbondalePA18407232365077PharmacyPAN/AC1
Chestnut Risk Services Ltd
InsuranceC111 Victoria StreetHamiltonBDBDSaint Michael's Medical Center Inc1.00000
LifeCare Physicians PC
601 Hamilton AvenueTrentonNJ086291986261649038Health Care ServicesNJN/AC1
Multicare Plus Inc
601 Hamilton AvenueTrentonNJ086291986223435844InactiveNJN/AC1
Langhorne Services II Inc
1201 Langhorne-Newtown RoadLanghornePA19047253795549General Partner of LMOB Partners, IIPAN/AC1
Langhorne Services Inc
1201 Langhorne-Newtown RoadLanghornePA19047232625981General Partner of LMOB Partners,PAN/AC1
Gateway Health Plan Inc
600 Grant StreetPittsburghPA15219251505506Health CarePAN/AC1
Gateway Health Plan Inc of Ohio
600 Grant StreetPittsburghPA15219300282076Health CarePAN/AC1
MCMC Eastwick Inc
c/o MHS One West Elm StreetConshohockenPA19428232184261Medical Office BuildingsPAN/AC1
Health Management Services Org Inc
500 Grove Street Suite 100Haddon HeightsNJ08035223366580Health Care BillingNJN/AC1
Lourdes Medeical Associates PA
500 Grove Street Suite 100Haddon HeightsNJ08035223361862Medical ServicesNJN/AC1
Jeannette Medical Providers
3805 West Chester PikeNewtown SquarePA19073251787334Holding CompanyPAN/AC1
Jeannette OBGYN Group 1 Inc
3805 West Chester PikeNewtown SquarePA19073232890748Holding CompanyPAN/AC1
Jeannette Primary Care Group 1 Inc
3805 West Chester PikeNewtown SquarePA19073232890743Holding CompanyPAN/AC1
Georgia Health Enterprises LLC
1230 Baxter StreetAthensGA30606541806329HealthcareGAN/AC1
St Mary's Highland Hills Village Inc
1660 Jennings Mill PklyBogartGA30622582276801Assisted LivingGAN/AC1
GHE Physicians PC
3500 Piedmont RoadAtlantaGA30305582277939Practice ManagementGAN/AC1
Nursing Network Inc
4725 North Federal HighwayFort Lauderdale HighwaFL333080000591145192Medical ServicesFLN/AC1
Mercy Physician Group Inc
3663 South Miami AvenueMiamiFL33133202970015Health CareFLN/AC1
Stella Maris Insurance Company Limited
980078266InsuranceN/AC1PO Box 69Grand CaymanCJCJCayman IslandsKY1-1102
Catholic Health East Senior Services
3805 West Chester Pike Suite 100Newtown SquarePA19073371572595Senior ServicesPAN/AC1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
St Michael's Foundation Inc
C332245FMV
University Heights Property Company Inc
K1260000FMV
University Heights Property Company Inc
Q2239952FMV