ST MARYS HOSPITAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS HOSPITAL INC (EIN 58-0566223)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201303199349307970
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T14:30:18-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 Market Street 25th Floor | AddressLine1 |
| City | Philadelphia | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580566223 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Health Care System Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STMA | NameControl |
| Phone | 7063893939 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1230 Baxter Street | AddressLine1 |
| City | Athens | City |
| State | GA | State |
| ZIP Code | 306063791 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Donald McKenna | Name |
| Title | President / CEO | Title |
| Phone | 7063893939 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | William J Homer | Name |
| PTIN | P00994519 | PTIN |
| Phone | 2152462300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Donald McKenna | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1230 Baxter Street | AddressLine1 |
| City | Athens | City |
| State | GA | State |
| ZIP Code | 306063791 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 165398074 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0938 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.stmarysathens.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1938 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | As a member of Catholic Health East ("CHE") and sponsored by the Sisters of Mercy, the mission of St. Mary's Health Care System is to be a compassionate healing presence in our community, committed to the sacredness of human life and the dignity of each person we serve. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1488 | TotalNbrEmployees |
| Total Nbr Volunteers | 350 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 53065 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 367681 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 173560861 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 162007624 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1114423 | InvestmentIncomePriorYear |
| Investment Income Current Year | 79697 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2093311 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2355161 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 176821660 | TotalRevenuePriorYear |
| Total Revenue Current Year | 164810163 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 447001 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 637313 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 70440529 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 71880734 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 98956254 | OtherExpensePriorYear |
| Other Expenses Current Year | 83876576 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 169843784 | TotalExpensesPriorYear |
| Total Expenses Current Year | 156394623 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 6977876 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8415540 | RevenuesLessExpensesCY |
| Total Assets BOY | 190653889 | TotalAssetsBOY |
| Total Assets EOY | 189854354 | TotalAssetsEOY |
| Total Liabilities BOY | 79378399 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 74295433 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 111275490 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 115558921 | NetAssetsOrFundBalancesEOY |
| Mission Description | As a member of Catholic Health East ("CHE") and sponsored by the Sisters of Mercy, the mission of St. Mary's Health Care System is to be a compassionate healing presence in our community, committed to the sacredness of human life and the dignity of each person we serve. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 109557306 | Expense |
| Grants | 637313 | Grants |
| Revenue | 162888368 | Revenue |
| Description | St. Mary's Health Care System was established to meet the health care needs of the people of Northeast Georgia. The System operates an acute care hospital, home health care agency, hospice, and leases a long-term care facility. Additionally, the System offers many wellness and educational services to the community at low, or in some cases, at no charge. | Description |
| Total Program Service Expense | 109557306 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 113 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1488 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Marty Hutson | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7063893939 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1230 Baxter Street | AddressLine1 |
| City | Athens | City |
| State | GA | State |
| ZIP Code | 306063791 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Burgess Tim | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Cline Ruth M MD | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Chin Jean MD | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Griffin Dawn | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Hollingworth III Thomas F | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Hooker Robbie P | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Hubrich Leon | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Perno Louis A | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Salamone Father Robert | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Snipes Bobby | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Upchurch Charles L | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Wilbanks Kathy | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Priest Neal MD | ||||||||
| Director & Chief of Staff | 2.00 | 0.00 | X | 12000 | 0 | 0 | ||
| McKenna Don | ||||||||
| President/CEO | 40.00 | 10.00 | X | 0 | 608118 | 40905 | X | |
| Hutson Martin | ||||||||
| Vice President & CFO | 40.00 | 10.00 | X | 253139 | 0 | 25056 | X | |
| Dugger Brenda | ||||||||
| VP Compliance, Qu, & HH | 5.00 | 0.00 | 24283 | 0 | 756 | X | ||
| Evans Nina | ||||||||
| VP Nursing | 50.00 | 0.00 | 244493 | 0 | 10143 | X | ||
| Carter Montez | ||||||||
| VP of Operations | 16.00 | 34.00 | 272292 | 0 | 30805 | X | ||
| English Jeffrey | ||||||||
| VP Human Resourses | 40.00 | 10.00 | 217610 | 0 | 20533 | X | ||
| Schuller Karen | ||||||||
| VP & General Counsel | 40.00 | 10.00 | 237272 | 0 | 10136 | X | ||
| Middendorf Bruce | ||||||||
| Chief Medical Officer | 40.00 | 0.00 | 326082 | 0 | 24515 | X | ||
| Loome Sister Patricia | ||||||||
| VP of Mission Services | 40.00 | 10.00 | 144273 | 0 | 7420 | X | ||
| Vaughn Kerry | ||||||||
| Chief Info. Office | 40.00 | 10.00 | 0 | 144105 | 23579 | X | ||
| Camp Steven | ||||||||
| Pharmacist | 60.00 | 0.00 | 206109 | 0 | 16419 | X | ||
| Dixon-Martin Kelly | ||||||||
| Physician | 40.00 | 0.00 | 181831 | 0 | 9772 | X | ||
| Wright Gary | ||||||||
| Director of Pharmacy | 40.00 | 0.00 | 164406 | 0 | 10416 | X | ||
| Shutt Robert | ||||||||
| RN | 35.00 | 0.00 | 137419 | 0 | 16846 | X | ||
| Griffiths Catherine | ||||||||
| Nursing Supervisor | 60.00 | 0.00 | 137778 | 0 | 8795 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2558987 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 752223 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 256096 | TotalOtherCompensation |
| Number Individuals GT100 K | 60 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Athens Hospitalist Services PC | |||||
| PO Box 7695 | Athens | GA | 30606 | Physicians | 2697118 |
| REHABCARE Group Inc | |||||
| PO Box 502096 | St Louis | MO | 631502096 | IP Management Services | 1667955 |
| Sodexo Inc | |||||
| PO Box 81049 | Woburn | MA | 018131049 | Dietary/Housekeeping | 1594696 |
| Anesthesia Consult of Athens | |||||
| PO Box 7127 | Athens | GA | 30604 | Anesthesiologist | 1559218 |
| Healthcare Fiscal Mgmt Inc | |||||
| 10567 165th St W | Lakeville | MN | 55044 | Patient Financial Services | 1007481 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 22 | NumberOfContractorsGT100K |
| Government Grants | 338795 | GovernmentGrants |
| All Other Contributions | 28886 | AllOtherContributions |
| Total Contributions | 367681 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Hospital Patient Services | Description |
| Business Code | 622110 | BusinessCode |
| Total Revenue Column | 162007624 | TotalRevenueColumn |
| Related Or Exempt Function Income | 162007624 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 162007624 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 543426 | TotalRevenueColumn |
| Exclusion | $543,426 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 436856 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 112532 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 324324 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 324324 | TotalRevenueColumn |
| Exclusion | $324,324 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 11650 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 408472 | Securities |
| Other | 66907 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -408472 | Securities |
| Other | -55257 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -463729 | TotalRevenueColumn |
| Exclusion | -$463,729 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| Fitness Center | 622110 | 560320 | $560,320 | |
| Meaningful Use Payments | 622110 | 455293 | 455293 | |
| Recognition of Net Assets | 622110 | 425451 | 425451 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 589773 | TotalRevenueColumn |
| Exclusion | $589,773 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2030837 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 164810163 | TotalRevenueColumn |
| Related Or Exempt Function Income | 162888368 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,554,114 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 637313 | Total |
| Program Services | 637313 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2665515 | Total |
| Program Services | 582772 | ProgramServices |
| Management And General | 2082743 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55660726 | Total |
| Program Services | 43493920 | ProgramServices |
| Management And General | 12166806 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2304544 | Total |
| Program Services | 1741526 | ProgramServices |
| Management And General | 563018 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7121503 | Total |
| Program Services | 5381665 | ProgramServices |
| Management And General | 1739838 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4128446 | Total |
| Program Services | 3119835 | ProgramServices |
| Management And General | 1008611 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 550001 | Total |
| Management And General | 550001 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19257217 | Total |
| Program Services | 5705140 | ProgramServices |
| Management And General | 13552077 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 868069 | Total |
| Management And General | 868069 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1162084 | Total |
| Program Services | 420074 | ProgramServices |
| Management And General | 742010 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3433380 | Total |
| Program Services | 1614186 | ProgramServices |
| Management And General | 1819194 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 580678 | Total |
| Program Services | 424389 | ProgramServices |
| Management And General | 156289 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 553313 | Total |
| Management And General | 553313 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8412721 | Total |
| Program Services | 4759995 | ProgramServices |
| Management And General | 3652726 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1582177 | Total |
| Management And General | 1582177 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Medical & General Suppl | 35068476 | 34995625 | 72851 | 0 |
| Physician Fees | 4853116 | 4853116 | 0 | |
| Maintenance | 1355091 | 291991 | 1063100 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6200253 | Total |
| Program Services | 1535759 | ProgramServices |
| Management And General | 4664494 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 156394623 | Total |
| Program Services | 109557306 | ProgramServices |
| Management And General | 46837317 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34797751 | BOY |
| EOY | 28670406 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19314696 | BOY |
| EOY | 20702869 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3297226 | BOY |
| EOY | 3582226 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3096831 | BOY |
| EOY | 2942968 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1412581 | BOY |
| EOY | 1393454 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 200518450 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 136691192 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62494911 | BOY |
| EOY | 63827258 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28575447 | BOY |
| EOY | 31080022 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 319434 | BOY |
| EOY | 291415 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37345012 | BOY |
| EOY | 37363736 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 190653889 | BOY |
| EOY | 189854354 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27208066 | BOY |
| EOY | 27061490 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62722 | BOY |
| EOY | 37334 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18328324 | BOY |
| EOY | 17576300 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1052353 | BOY |
| EOY | 861121 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32726934 | BOY |
| EOY | 28759188 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79378399 | BOY |
| EOY | 74295433 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111928053 | BOY |
| EOY | 116441841 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -652563 | BOY |
| EOY | -882920 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111275490 | BOY |
| EOY | 115558921 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 190653889 | BOY |
| EOY | 189854354 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 8415540 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 2542999 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -6675108 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2010254 | OtherCostOrOtherBasis |
| Book Value | 2010254 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 70284386 | OtherCostOrOtherBasis |
| Depreciation | 40483426 | Depreciation |
| Book Value | 29800960 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 338653 | OtherCostOrOtherBasis |
| Depreciation | 36472 | Depreciation |
| Book Value | 302181 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 78180550 | OtherCostOrOtherBasis |
| Depreciation | 62728411 | Depreciation |
| Book Value | 15452139 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 49704607 | OtherCostOrOtherBasis |
| Depreciation | 33442883 | Depreciation |
| Book Value | 16261724 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 63827258 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Total Due From Other Entities | 30798298 |
| Other LT Assets | 222078 |
| Investments in Unconsolidated | 6181605 |
| LT-swap prgm CHE-Market Valuation | 161756 |
| Rounding | -1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 37363736 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 3rd Party Payables | $3,213,163 |
| Due to Related Parties | $94,366 |
| Workers Compensation Reserve | $940,000 |
| Pension Liability | $21,557,794 |
| LT Swap Prgm CHE-Market Valuation | $164,865 |
| Worker's Compensation-Gross Liabi | $426,000 |
| Other Reserves | $2,363,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 28759188 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6271913 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6271913 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04010 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18851864 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12594503 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6257361 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25123777 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12594503 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12529274 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08010 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 106451 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 106451 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2415637 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2415637 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01540 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 335654 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 335654 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14610 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14610 | NetCommunityBenefitExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 138201 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 138201 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3010553 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3010553 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01910 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 28134330 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12594503 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15539827 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09920 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 103096 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 103096 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 103096 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 103096 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $5,274,818 | BadDebtExpenseAmount |
| Amount Attributable To | 2865157 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 63119601 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 83662584 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -20542983 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Health Care System Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1230 Baxter Street | AddressLine1 |
| City | Athens | City |
| State | GA | State |
| ZIP Code | 30606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | Home Health, Hospice and other OP Centers | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Health Care System Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| Part I, Line 6a: Saint Mary's Health Care System's community benefit report is contained in a report prepared by a related organization, Catholic Health East. | |
| Part I, Line 7: The cost-to-charge ratio is not computed using Worksheet 2 from the instructions: the cost-to-charge ratio is computed by taking the full amount of expenses from the hospital statement of expenses, subtracting bad debt and then dividing by gross revenue. | |
| Part I, Line 7g: St. Mary's Health Care System has a Pediatric Subspecialty Clinic where specialty physicians from outside the local area come and see patients from the local area. The total cost for the Pedicatric Subspecialty Clinic included in Part I, line 7g is $90,525. | |
| Part I, L7 Col(f): There was no bad debt expenses included in the expenses on Form 990, Part IX, Line 25. The bad debt expense for 2012 was $5,274,818 and was reported as an offset to revenue. | |
| Part II: The director of Security attends and participates in disaster management and emergency preparedness meeting throughout the year. The planning allows collaboration of state and local agencies and organizations in order to prepare for a local or statewide emergency. Planning is a vital step in disaster management and will certainly increase community health in the case of an emergency. St. Mary's provided services and supplies to a local non-profit, Free IT Athens. Free IT Athens is a group of like-minded citizens who realize that computers are a necessary component of everyday life. They believe that everyone deserves access to low-cost computer equipment and computer-related services. The company provides access to information technology resources to Athens-Clarke County residents and organizations. St. Mary's IT staff helped clean old computers that were then donated to the organization which, in turn, donates them to people in need in the community. St Mary's has played a vital role in the establishment of the new Georgia Health Sciences/University of Georgia Medical Partnership. The Chief Medical Officer has served on a committee to help guide the new medical school and establish working relationships with St. Mary's as well as other health care organizations in the community. St. Mary's hosts many volunteers throughout the year including high school and college students as well as community members of all ages. Volunteers work as part of the Auxiliary and serve more than 2,000 each month. The volunteers not only serve the hospital in vital ways, but also receive experiential training in health care in a hospital setting. Increased education and training correlates with increased health status. Several departments within St. Mary's are involved in mentoring students interested in healthcare careers. The Director of Corporate Health Services serves on the Steering Committee/Board of LEAD Athens. LEAD Athens is a leadership development program of Athens-Clarke County leaders to further their understanding of the community. LEAD participants learn about the resources, opportunities and challenges that face our community and come away with insighs on how they can make a difference. The Manager of Physician Relations at St. Mary's serves on the Leadership Oconee Steering Committee. The Leadership Oconee program develops leaders from within Oconee County. The primary purpose is to educate these leaders with a well-rounded approach to all that is available and happening within our county. Members of each class learn about current programs/services available, challenges we still face as a community and how they can contribute to improve as a county. St. Mary's also participates in the Youth Apprenticeship Program (YAP). YAP is a career development program for High School students that helps them to be better equipped for the workplace. St. Mary's is very supportive of our local Chamber of Commerce. The Chief Financial Officer serves on the Athens Area Chamber of Commerce Board of Directors and the Director of Marketing and Public Relations serves on the Oconee County Chamber of Commerce Board of Directors. Additionally, the Vice President of Human Resources serves on the Economic Development Committee of Oconee County Chamber of Commerce. The Manager of Physician Relations serves on the Citizen Advisory Committee of Oconee Parks & Recreation. The Committee of Recreation Affairs in Oconee County, Georgia is determined by the County Board of Commissioners. Members are appointed by the Board of Commissioners for a minimum of 2 years and meet every other month to discuss overall parks and recreation programs and services, both current and long-range planning of those services. St. Mary's continues to play an integral role in the Athens Health Network (additional information below). | |
| Part III, Line 2:The figures were calculated based on a cost-to-charge ratio. The cost-to-charge ratio was derived by dividing total operating expenses by total gross patient charges. The cost-to-charge ratio was applied to total bad debt write-offs to calculate the costs for line 2.Part III, Line 3:While we make all reasonable efforts to identify patients eligible for charity care prior to billing, such pre-billing identification is not always possible. This problem arises largely with patients treated in our Emergency Department ("ED") on an outpatient basis. Frequently, these patients do not complete an application for financial assistance therefore making a definitive determination difficult. The estimated amount for patients who likely would qualify for financial assistance is calculated for line 3 based on a review of bad debt write-offs to include only bad debt for uninsured patients, and estimating the amount of that cost that could be charity based on a review of applications for financial assistance. A reasonable estimate based on the percentage of patients whose applications do not meet the criteria for financial assistance is used to estimate the amount that could qualify for financial assistance.Part III, Line 4:For financial reporting, an allowance for doubtful accounts is recorded 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 written off against the allowance for doubtful accounts when management determines that recovery is unlikely and collection efforts cease. | |
| Part III, Line 8: The amount here is determined by using the actual patient charges, the Medicare cost-to-charge ratios that we are currently being paid on, and the payment-to-charges from the actual remittances. Based on the calculation this shortfall should be viewed as uncompensated care provided to those patients and thus treated entirely as community benefit. | |
| Part III, Line 9b: Accounts with applications pending for Charity Care or other assistance programs are held until the outcome of the application. A "pending charity approval" is defined as an application that has been fully completed by the patient, submitted and is in the process of being determined for eligibility. It is acceptable ( but not preferable) to take an account though the full collection cycle and later reclassify it as Charity Care as long as a consistent process is followed and a legitimate basis exists that the patient is unable to pay. For example, with self-pay accounts written off and sent to bad debt, reclassifying the account to Charity Care may be considered on the basis of all of the following factors:1. No Third party coverage or inadequate coverage exists, 2. No payments are recorded on the account, and 3. The patient/guarantor was billed a minimum of 4 times.All self-pay accounts are automatically transferred to a third-party billing agency. The third-party billing agency contacts the account holder to arrange for payment. If the third-party billing agency has an account that has not been paid in full within 120 days, the account is then sent back to St. Mary's Health Care System. Upon receipt of an outstanding account, St. Mary's Health Care System transfers the account to a collection agency. | |
| Part V, Section B, Line 18e: The Hospital utilizes general signage, brochure and in-room literature to make all patients aware of the facility's FAP. It also retains a contracted vendor that works with patients to qualify for government programs as well as financial assistance under the Policy. Additionally all of the facility's pre-collection and collection agencies are well aware of the FAP and have been instructed to educate and refer patients to back to the facility for financial counseling and possible assistance. | St. Mary's Health Care System, Inc |
| Part V, Section B, Line 20d: The hospital uses the average managed care write-off percentage for self-pay patients. | St. Mary's Health Care System, Inc |
| Part VI, Line 7, The list of states in which CHE's community benefit report is filed are: Alabama, Connecticut, Delaware, Florida, Georgia, Maine, Massachusetts, New Jersey, New York, North Carolina and Pennsylvania. | |
| Part VI, Line 2: In July of 2010, St. Mary's Health Care System completed a community health needs assessment. The assessment focused on Athens-Clarke County, where the hospital is located. The assessment included several steps including planning, collecting data, prioritizing needs with community leaders, and meeting with a hospital committee to establish which needs the hospital will work to address. Demographic, health status, and economic data was collected from various governmental databases and community organizations. Qualitative data was collected through focused interviews with knowledgeable community members who are stakeholders in the health of the Athens community. After data was collected, a group of community members met to discuss priorities of needs, and finally a committee of hospital leadership met to determine which needs the hospital will work to address through community partnerships and possible increased services. | |
| Part VI, Line 3: Information is displayed on the hospital website and at all registration areas about financial assistance policies. All self-pay patients are visited by a financial counselor in the hospital and are screened for eligibility of financial assistance. The screening process includes screening for eligibility for the Charity Care policy as well as government programs. | |
| Part VI, Line 4: St. Mary's Health Care System is located in Athens-Clarke County and serves this community as well as Jackson, Madison, Monroe, Oglethorpe, and Oconee Counties. The estimated population of Athens-Clarke County in 2008 was 114,737 people. The 2008 estimated median age was 26.8 years, almost 10 years younger that the Georgia county average. This is due largely to the presence of the University of Georgia which currently enrolls more than 34,000 undergraduate and graduate students in total. Athens-Clarke County is diverse with about 68% of the population being white, 19% African American, and about 8% Latino and 5% other. Athens-Clarke County is very educated, about 40% of residents have a Bachelor's degree or higher, but also a large proportion, 20%, have not completed high school. Athens-Clarke County has a large population living in poverty, about 30%, and more than 32% of the population is without health insurance. The surrounding counties are more rural, slightly less diverse, and have less people living in poverty and without health insurance. However, people in these counties have fewer local resources and may face barriers to receiving care related to distance or transportation. | |
| Part VI, Line 5: Many of St. Mary's senior leadership serve on boards of community organizations. Our President, most Vice Presidents and many Directors donate their time and expertise to organizations that strive to improve community or state health. These organizations include Mercy Health Center, Parish Nurses Resource Center, Athens Health Network, Oncology Nursing Society, American Red Cross and Athens Nurses Clinic. St. Mary's is dedicated to serving the community not only within the hospital but also through partnerships in our community.Second, many of the physicians who work for St. Mary's or are associated with our hospital, donate their time and services to the free clinics in Athens, for example Mercy Health Center and Athens Nurses Clinic. The mission of St. Mary's is to serve the community and we encourage all staff to serve the community outside of the hospital.In addition, we maintain a 24-hour emergency room, an open medical staff and board comprised largely of independent members of the community. | |
| Part VI, Line 6: St. Mary's Health Care System Inc. operates as one organization to promote the health of the community. All Community Benefits are reported together and there is one needs assessment for St. Mary's Health Care System. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Purpose Of GrantPurposeOfGrant | Address Line2AddressUS/AddressLine2 | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St Marys Foundation Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 582544232 | 501(c)(3) | 274013 | FMV | General Operation Funding | |||
| St Joseph Catholic School | |||||||||||
| 134 Prince Ave | Athens | GA | 30601 | 580864659 | 501(c)(3) | 200000 | FMV | School Construction | |||
| Mercy Health Center | |||||||||||
| 767 Oglethorpe Ave | Athens | GA | 30606 | 582603523 | 501(c)(3) | 27450 | Book | Medical Treatment of the underserved | |||
| American Heart Assosciation | |||||||||||
| 1720 Epps Bridge Parkway Suite | Athens | GA | 30606 | 135613797 | 501(c)(3) | 20000 | FMV | Medical Reseach for Heart Disease | 108-383 | ||
| Action Inc Athens Full Plate | |||||||||||
| 594 Oconee Street | Athens | GA | 30601 | 580961506 | 501(c)(3) | FMV | Food for the Needy | 13756 | Food | ||
| Food Bank of Northeast Georgia | |||||||||||
| PO Box 48857 | Athens | GA | 30604 | 581938066 | 501(c)(3) | FMV | Food for the Needy | 12904 | Food | ||
| United Way of Northeast Georgia | |||||||||||
| 1 Huntington Rd Ste 805 | Athens | GA | 30606 | 586008133 | 501(c)(3) | 15500 | FMV | Funding for Various Charities | |||
| University of Georgia - Golf Course | |||||||||||
| 2600 Riverbend Road | Athens | GA | 30602 | 586001998 | 501(c)(3) | 6000 | FMV | Sponsorship of Station Classic Golf Tournament | |||
| UGA Catholic Center | |||||||||||
| 1344 South Lumpkin | Athens | GA | 30605 | 580903505 | 501(c)(3) | 5625 | FMV | Sponsorship of 5K run and Golf Tournament | |||
| Community Connection | |||||||||||
| 1695 Old West Broad St | Athens | GA | 30606 | 581564825 | 501(c)(3) | 5000 | FMV | Sponsor of Taste of Athens event | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 10 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule I, Part I, Line 2: | Identifier |
| Explanation | The type of financial assistance provided by the organization can be broken into two categories, national charities and local not-for-profit entities. The organization does not ask organizations such as the American Cancer Society and the United Way for any documentation as to how the donated funds were used. Smaller donations made to local organizations are usually event specific. A comittee reviews the donations requests and assumes the money provided paid for the program subject to the request. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| McKenna Don | ||||||||||||||
| President/CEO | 0 | 360506 | 0 | 159250 | 0 | 88362 | 0 | 11250 | 0 | 29655 | 0 | 649023 | 0 | 0 |
| Hutson Martin | ||||||||||||||
| Vice President & CFO | 201387 | 0 | 49717 | 0 | 2035 | 0 | 10511 | 0 | 14545 | 0 | 278195 | 0 | 0 | 0 |
| Evans Nina | ||||||||||||||
| VP Nursing | 197121 | 0 | 46577 | 0 | 795 | 0 | 8545 | 0 | 1598 | 0 | 254636 | 0 | 0 | 0 |
| Carter Montez | ||||||||||||||
| VP of Operations | 215699 | 0 | 48509 | 0 | 8084 | 0 | 11250 | 0 | 19555 | 0 | 303097 | 0 | 0 | 0 |
| English Jeffrey | ||||||||||||||
| VP Human Resourses | 176555 | 0 | 39733 | 0 | 1322 | 0 | 7326 | 0 | 13207 | 0 | 238143 | 0 | 0 | 0 |
| Schuller Karen | ||||||||||||||
| VP & General Counsel | 189010 | 0 | 47377 | 0 | 885 | 0 | 8511 | 0 | 1625 | 0 | 247408 | 0 | 0 | 0 |
| Middendorf Bruce | ||||||||||||||
| Chief Medical Officer | 293970 | 0 | 30208 | 0 | 1904 | 0 | 11250 | 0 | 13265 | 0 | 350597 | 0 | 0 | 0 |
| Loome Sister Patricia | ||||||||||||||
| VP of Mission Services | 117307 | 0 | 26328 | 0 | 638 | 0 | 0 | 0 | 7420 | 0 | 151693 | 0 | 0 | 0 |
| Vaughn Kerry | ||||||||||||||
| Chief Info. Office | 0 | 134653 | 0 | 11116 | 0 | -1664 | 0 | 5826 | 0 | 17753 | 0 | 167684 | 0 | 0 |
| Camp Steven | ||||||||||||||
| Pharmacist | 191348 | 0 | 0 | 0 | 14761 | 0 | 5535 | 0 | 10884 | 0 | 222528 | 0 | 0 | 0 |
| Dixon-Martin Kelly | ||||||||||||||
| Physician | 177622 | 0 | 0 | 0 | 4209 | 0 | 6866 | 0 | 2906 | 0 | 191603 | 0 | 0 | 0 |
| Wright Gary | ||||||||||||||
| Director of Pharmacy | 142684 | 0 | 12445 | 0 | 9277 | 0 | 0 | 0 | 10416 | 0 | 174822 | 0 | 0 | 0 |
| Shutt Robert | ||||||||||||||
| RN | 129940 | 0 | 0 | 0 | 7479 | 0 | 6414 | 0 | 10432 | 0 | 154265 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 3 | The organization relied on a related 501(c)(3) organization (Catholic Health East) that used one or more of the methods described below to establish the compensation for the President/CEO: - Compensation committee - Independent compensation consultant - Written employment contract - Compensation survey or study - Approval by the board or compensation committee |
| Part I, Line 4b | 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 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dev Auth - Unified Govt of Athens Series 2009 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 582613761 | IssuerEIN |
| CUSIP Number | 047059BB5 | CUSIPNumber |
| Date Issued | 2009-03-19 | DateIssued |
| Issue Price | 16036560 | IssuePrice |
| Description Of Purpose | Current Refunding & Swap Termination | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 480000 | AmountRetired |
| Total Proceeds | 16036560 | TotalProceeds |
| Issuance Costs From Proceeds | 296790 | IssuanceCostsFromProceeds |
| Other Spent Proceeds | 15739770 | OtherSpentProceeds |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 1 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 1 | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule K Supplental Information | Identifier |
| Explanation | Schedule K, Part I, Bond Issue: (a) Issurer Name: Dev Auth - Unified Govt of Athens Series 2009 (f) Description of Purpose: Current Refunding & Swap Termaination. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Dr Middendorf Officer | |||
| President of Athens Hospitalist Services | 2697118 | Dr. Middendorf is the CMO of St Marys Health Care System, and President of Athens Hospitalist Services PC, however he does not receive any compensation from Athens Hospitalist Services, PC. | 0 |
| Neal Priest MD - Medical Staff President & Board Member | |||
| Medical Partner with Athens-Clarke Emergency Specialists PC | 226500 | Dr. Priest is Medical Staff President and a Board Member of St. Mary's Health Care System and a Medical Partner with Athens-Clarke Emergency Specialists, PC. As a Medical Partner with Athens-Clarke Emergency Specialists, PC Dr. Priest provides physician coverage in the St. Mary's Emergency Department and is compensated for his work by ACES. | 1 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | CHE is the sole member. | |
| Form 990, Part VI, Section A, line 7a | Yes, CHE approves the appointment of all Board members. | |
| Form 990, Part VI, Section A, line 7b | CHE has limited reserved powers to approve decisions of the governing body. | |
| Form 990, Part VI, Section B, line 11 | The organization took steps to educate management, members of the board and members of appropriate subcommittees of the board on the compliance requirements mandated by the Form 990. The form was reviewed by management and then submitted to the board or a subcommittee thereof which reported its findings to the board. | |
| Form 990, Part VI, Section B, line 12c | The organization has adopted CHE's policy 103, which sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving St. Mary's Health Care System in a fiduciary capacity, including directors, officers and key employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the organization's CEO and board's Chair. Summary information is reported to the entire board and available to the board throughout the year as business comes before the board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the board or an appropriated committee thereof comprised of dis-interested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request. | |
| Form 990, Part VI, Section B, line 15 | As indicated on Schedule J, Part III, the compensation for the organization's President/CEO is determined by CHE. For other employees, the organization has adopted CHE's process for determining compensation which includes the following: The board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing Saint Mary's Health Care System, Inc.'s roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes. | |
| Form 990, Part VI, Section C, line 19 | Organizational Articles of Incorporation, Corporate By-laws, governance policies believed to be of interest to the public, conflict-of-interest policy, annual community benefit report and IRS Form 990 are available upon request. | |
| Form 990, Part IX, line 11g | CHE Allocations: Program service expenses 0. Management and general expenses 5,724,561. Fundraising expenses 0. Total expenses 5,724,561. Purchased Service/Service Contracts: Program service expenses 5,545,732. Management and general expenses 6,140,822. Fundraising expenses 0. Total expenses 11,686,554. Other: Program service expenses 159,408. Management and general expenses 1,686,694. Fundraising expenses 0. Total expenses 1,846,102. | Other Fees |
| Form 990, Part XI, line 9: | Change in FV of Interest Rate Swaps 239,086. Transfer to CHE (Heritage Fund) -71,275. Tranfer to CHE YE True-up -568,162. Transfer for Good Samaritan Acquisitiion -3,500,000. Release of Net Assets for Depreciation -230,358. Pension Adjustment -2,544,399. | Changes in Net Assets or Fund Balances: |
| Form 990, Part XII, Line 2a & 2b: | While the entity does not have individual audited financial statements, an audit for CHE's consolidated financial statements was performed. | Explanation of financial statements: |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Seton Real Estate Holdings | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 Massachusetts Avenue | AddressLine1 |
| City | Troy | City |
| State | NY | State |
| ZIP Code | 12180 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320393870 | EIN |
| Primary Activities | Management Real Estate | PrimaryActivities |
| Legal Domicile State | NY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Seton Health System Inc | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (143 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Catholic Health East | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 232929748 | Management Services | PA | 501(c)(3) | Line 11c, III-FI | N/A | 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 | 1 | Catholic Health East | |
| VNA Home Health & Hospice | |||||||||||
| 50 Foden Road | South Portland | ME | 04106 | 010246804 | Home Health & Hospice | ME | 501(c)(3) | Line 11a, I | 1 | Mercy Health System of Maine | |
| Mercy Hospital | |||||||||||
| 144 State Street | Portland | MA | 04101 | 010211534 | Hospital | ME | 501(c)(3) | Line 3 | 1 | Mercy Health System of Maine | |
| Mercy Health System of Maine | |||||||||||
| 144 State Street | Portland | MA | 04101 | 010484074 | Management & Support Services | ME | 501(c)(3) | Line 11c, III-FI | 1 | Catholic Health East | |
| Sunnyview Hospital & Rehabilitation Center Foundation | |||||||||||
| 1270 Belmont Ave | Schenectady | NY | 12308 | 222505127 | Supporting foundation | NY | 501(c)(3) | Line 11a, I | 1 | Sunnyview Hospital & Rehabilitation Ctr | |
| St Mary's Woodland Village Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141675183 | Discontinued Operations | NY | 501(c)(3) | Line 9 | 1 | Seton Health System Inc | |
| Mercy Care for Kids Inc | |||||||||||
| 310 South Manning Blvd | Albany | NY | 12208 | 141717564 | Day care center | NY | 501(c)(3) | Line 9 | 1 | St Peter's Health Care Services | |
| Our Lady of Mercy Life Center | |||||||||||
| 2 Mercycare Lane | Guilderland | NY | 12084 | 141743506 | Nursing Home Facility | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Care Services | |
| St Peter's Auxiliary | |||||||||||
| 315 South Manning Blvd | Albany | NY | 01228 | 222843206 | Auxiliary | NY | 501(c)(3) | Line 11a, I | 1 | St Peter's Health Care Services | |
| St Peter's Health Care Services | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 222702507 | Management & Support Services | NY | 501(c)(3) | Line 9 | 1 | St Peter's Health Partners | |
| St Peter's Hospital | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 141348692 | Hospital | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Care Services | |
| St Peter's Hospital Foundation Inc | |||||||||||
| 319 South Manning Blvd Suite 309 | Albany | NY | 12208 | 222262982 | Fundraising & Public Relations | NY | 501(c)(3) | Line 7 | 1 | St Peter's Health Care Services | |
| Eddy Licensed Home Care Agency | |||||||||||
| 433 River St Suite 3000 | Troy | NY | 12180 | 141818568 | Home Health | NY | 501(c)(3) | Line 3 | 1 | LTC(Eddy) Inc | |
| The Community Hospice Foundation Inc | |||||||||||
| 295 Valley View Blvd | Rensselaer | NY | 12144 | 222692940 | Fundraising & Public Relations | NY | 501(c)(3) | Line 7 | 1 | The Community Hospice Inc | |
| The Community Hospice Inc | |||||||||||
| 295 Valley View Blvd | Rensselaer | NY | 12144 | 141608921 | Serving seriously ill people & their families | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Care Services | |
| Villa Mary Immaculate | |||||||||||
| 301 Hackett Blvd | Albany | NY | 12208 | 141438749 | Nursing Home & Physical Rehab | NY | 501(c)(3) | Line 3 | 1 | St Peter's Hospital | |
| Warde Service Corporation Inc | |||||||||||
| 159 Wolf Road 3rd Floor | Albany | NY | 12205 | 141732097 | Supporting & strengthing the ministries of rel. sr. mercy | NY | 501(c)(3) | Line 9 | 1 | St Peter's Health Care Services | |
| Northeast Health Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 042450756 | Supporting Organization | NY | 501(c)(3) | Line 11b, II | 1 | St Peter's Health Partners | |
| Memorial Hospital Albany NY | |||||||||||
| 600 Northern Blvd | Albany | NY | 12204 | 141338457 | General Hospital | NY | 501(c)(3) | Line 3 | 1 | Northeast Health Inc | |
| Samaritan Hospital of Troy New York | |||||||||||
| 2215 Burdett Ave | Troy | NY | 12180 | 141338544 | General hospital | NY | 501(c)(3) | Line 3 | 1 | Northeast Health Inc | |
| The Northeast Health Foundation Inc | |||||||||||
| 2224 Burdett Ave | Troy | NY | 12180 | 222743478 | Supporting foundation | NY | 501(c)(3) | Line 7 | 1 | Northeast Health Inc | |
| Samaritan Child Care Center Inc | |||||||||||
| 2213 Burdett Ave | Troy | NY | 12180 | 141710225 | Child day care | NY | 501(c)(3) | Line 9 | 1 | Northeast Health Inc | |
| Shaker Properties Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 223119822 | Real Estate holding | NY | 501(c)(2) | N/A | 1 | Northeast Health Inc | |
| Sunnyview Hospital & Rehabilitation Ctr | |||||||||||
| 1270 Belmont Ave | Schenectady | NY | 12308 | 141338386 | Rehabilitation hospital | NY | 501(c)(3) | Line 3 | 1 | LTC (Eddy) Inc | |
| James A Eddy Memorial Geriatric Center Inc | |||||||||||
| 2256 Burdett Ave | Troy | NY | 12180 | 222570478 | Nursing home | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Capital Region Geriatric Center Inc | |||||||||||
| 421 West Columbia St | Cohoes | NY | 12047 | 141701597 | Nursing Home | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Heritage House Nursing Center Inc | |||||||||||
| 2920 Tibbits Ave | Troy | NY | 12180 | 141725101 | Nursing home | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| The Marjorie Doyle Rockwell Center Inc | |||||||||||
| 421 West Columbia St | Cohoes | NY | 12047 | 141793885 | Adult Home/Alzheimers | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Beverwyck Inc | |||||||||||
| 40 Autumn Drive | Slingerlands | NY | 12159 | 141717028 | Independent/Assisted Living Retirement Community | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Hawthorne Ridge Inc | |||||||||||
| 30 Community Way | East Greenbush | NY | 12061 | 800102840 | Independent/Assisted Living Retirement Community | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Glen Eddy Inc | |||||||||||
| One Glen Eddy Drive | Niskayuna | NY | 12309 | 141794150 | Independent/Assisted Living Community | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Beechwood Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 141651563 | Real estate holding | NY | 501(c)(2) | N/A | 1 | LTC (Eddy) Inc | |
| Senior Care Connection Inc | |||||||||||
| 504 State St | Schenectady | NY | 12305 | 141708754 | PACE Program | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Home Aid Service of Eastern New York Inc | |||||||||||
| 433 River St Suite 3000 | Troy | NY | 12180 | 141514867 | Home care | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Seton Health System Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141776186 | Hospital | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Partners | |
| Seton Health at Schuyler Ridge Residential Healthcare | |||||||||||
| 1 Abele Blvd | Clifton Park | NY | 12065 | 141756230 | Skilled Nursing | NY | 501(c)(3) | Line 9 | 1 | Seton Health System Inc | |
| Seton Health Foundation | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 222345416 | Supporting Organization | NY | 501(c)(3) | Line 11a, I | 1 | Seton Health System Inc | |
| Seton Auxiliary Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141505031 | Supporting Organization | NY | 501(c)(3) | Line 9 | 1 | Seton Health System Inc | |
| Seton Licensed Home Care Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141809134 | Licensed Home Health Agency | NY | 501(c)(3) | Line 3 | 1 | Seton Health System Inc | |
| Empire Home Infusion Service Inc | |||||||||||
| 10 Blacksmith Drive | Malta | NY | 12020 | 141795732 | Home care | NY | 501(c)(3) | Line 9 | 1 | Home Aid Service of Eastern New York Inc | |
| LTC (Eddy) Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 222564710 | Elderly health/housing supporting org | NY | 501(c)(3) | Line 11a, I | 1 | Northeast Health Inc | |
| St Peter's Health Partners | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 453570715 | Management & Support Services | NY | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| St Peter's Health Partners Medical Associates PC | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 461177336 | Physicians Practice | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Partners | |
| Providence Place Inc | |||||||||||
| 5 Gamelin Street | Holyoke | MA | 01040 | 043404084 | Retirement Community | MA | 501(c)(3) | Line 9 | 1 | Sisters of Providence Health System Inc | |
| Brightside Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 042182395 | Behavioral Care | MA | 501(c)(3) | Line 9 | 1 | Sisters of Providence Health System Inc | |
| Farren Care Center Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 042501711 | Long Term Care | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Mercy Hospital Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 043398280 | Acute Care | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Mercy Specialist Physicians Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 264033168 | Neurosurgery Medical Services | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Sisters of Providence Care Centers Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 222541103 | Long Term Care | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Sisters of Providence Health System Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 043398374 | Management & Support Services | MA | 501(c)(3) | Line 11a, I | 1 | Catholic Health East | |
| Mercy LIFE Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 453086711 | Acute Care | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Pioneer Valley Cardiology Associates Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 454208896 | Cardiology Services | MA | 501(c)(3) | Line 4 | 1 | Sisters of Providence Health System Inc | |
| Mercy Oncology Services Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 454884805 | Oncology Medical Services | MA | 501(c)(3) | N/A | 1 | Sisters of Providence Health System Inc | |
| McAuley Center Inc | |||||||||||
| 275 Steele Road | West Hartford | CT | 06117 | 061058086 | Independent Living | CT | 501(c)(3) | Line 9 | 1 | Mercy Community Health Inc | |
| Mercy Community Health Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061492707 | Management & Support Services | CT | 501(c)(3) | Line 11a, I | 1 | Catholic Health East | |
| Mercy Community HomeCare Services | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061488137 | In Home Health Care | CT | 501(c)(3) | Line 9 | 1 | Mercy Community Health Inc | |
| Mercy Services | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061453323 | Support Services | CT | 501(c)(3) | Line 1 | 1 | Mercy Community Health Inc | |
| Mercyknoll Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 060757380 | Skilled Nursing | CT | 501(c)(3) | Line 3 | 1 | Mercy Community Health Inc | |
| Saint Mary Home II Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061164104 | Elderly Care | CT | 501(c)(3) | Line 3 | 1 | Mercy Community Health Inc | |
| St Mary Home Incorporated | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 060646843 | Skilled Nursing | CT | 501(c)(3) | Line 3 | 1 | Mercy Community Health Inc | |
| Mercy Healthcare Center | |||||||||||
| 114 Wawbeek Avenue | Tupper Lake | NY | 12986 | 150532211 | In Dissolution | NY | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Mercy Uihlein Health Corporation | |||||||||||
| 185 Old Military Road | Lake Placid | NY | 12946 | 161535133 | Mgt. & Support Services | NY | 501(c)(3) | Line 11b, II | 1 | Mercy Healthcare Center | |
| Uihlein Mercy Center | |||||||||||
| 185 Old Military Road | Tupper Lake | NY | 12986 | 150532190 | In Dissolution | NY | 501(c)(3) | Line 3 | 1 | Mercy Healthcare Center | |
| St James Mercy Foundation Inc | |||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 161486437 | Foundation | NY | 501(c)(3) | Line 7 | 1 | St James Mercy Health System Inc | |
| St James Mercy Health System Inc | |||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 223127184 | Management & Support Services | NY | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| St James Mercy Hospital | |||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 160743310 | Hospital | NY | 501(c)(3) | Line 3 | 1 | St James Mercy Health System Inc | |
| Maxis Medical Services | |||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232577185 | Physician Practices | PA | 501(c)(3) | Line 3 | 1 | Maxis Health System | |
| Marian Community Hospital | |||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 240711230 | Hospital | PA | 501(c)(3) | Line 3 | 1 | Maxis Health System | |
| Marian Community Hospital Auxiliary | |||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 251874733 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Maxis Health System | |
| Maxis Foundation | |||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232330090 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Maxis Health System | |
| Maxis Health System | |||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 911940902 | Health Care System | PA | 501(c)(3) | Line 11b, II | 1 | Maxis Health System | |
| Tri-County Human Services Center Inc | |||||||||||
| PO BOX 517 | Carbondale | PA | 18407 | 231938528 | Behavioral Health Organization | PA | 501(c)(3) | Line 7 | 1 | Maxis Health System | |
| Columbus Acquisition Corp | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 262616342 | Inactive Entity | NJ | 501(c)(3) | Line 9 | 1 | Saint Michaels Medical Center | |
| Saint Michaels Medical Center | |||||||||||
| 111 Central Avenue | Newark | NJ | 07102 | 262616046 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| St James Care Inc | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 262616230 | Inactive Entity | NJ | 501(c)(3) | Line 9 | 1 | Saint Michaels Medical Center | |
| St Michael's Foundation Inc | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 223311976 | Foundation | NJ | 501(c)(3) | Line 11a, I | 1 | Saint Michaels Medical Center | |
| University Heights Property Company Inc | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 223100162 | Medical Property Holding Company | NJ | 501(c)(2) | N/A | 1 | Saint Michaels Medical Center | |
| Life St Francis Corporation | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 222797282 | Health Services | NJ | 501(c)(3) | Line 11a, I | 1 | St Francis Medical Center Trenton NJ | |
| St Francis Medical Center Foundation NJ | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 521025476 | Foundation | NJ | 501(c)(3) | Line 11a, I | 1 | St Francis Medical Center Trenton NJ | |
| St Francis Medical Center Trenton NJ | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 223431049 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Langhorne MRI Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232519529 | Inactive Entity | PA | 501(c)(3) | Line 9 | 1 | St Mary Medical Center | |
| Langhorne Physician Services Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232571699 | Physician Services | PA | 501(c)(3) | Line 9: 509(a)(2) | 1 | St Mary Medical Center | |
| LIFE St Mary | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 262976184 | Elderly Care | PA | 501(c)(3) | Line 9 | 1 | St Mary Medical Center | |
| St Mary Medical Center | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 231913910 | Hospital | PA | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| St Mary Medical Center Foundation Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232567468 | Foundation | PA | 501(c)(3) | Line 7 | 1 | St Mary Medical Center | |
| East Norriton Physician Services | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 232515999 | Physician Services | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Catholic Medical Center of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 231352191 | Acute Care Hospital | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Family Support | |||||||||||
| 1001 Baltimore Pike Suite 301 | Springfield | PA | 19064 | 232325059 | Home Health | PA | 501(c)(3) | Line 9 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Health Foundation of Southeastern Pennsylvania | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 232829864 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Health Plan | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 222483605 | Health Plans | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Health System of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232212638 | Management & Support Services | PA | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| Mercy Home Health | |||||||||||
| 1001 Baltimore Pike Suite 310 | Springfield | PA | 19064 | 231352099 | Home Health | PA | 501(c)(3) | Line 9 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Home Health Services | |||||||||||
| 1001 Baltimore Pike Suite 301 | Springfield | PA | 19064 | 232325058 | Home Health | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Management of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232627944 | Physician Practices | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Suburban Hospital | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 231396763 | Acute Care Hospital | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Nazareth Health Care Foundation | |||||||||||
| 2701 Holme Avenue | Philadelphia | PA | 19152 | 232300951 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Nazareth Hospital | |||||||||||
| 2601 Holme Avenue | Philadelphia | PA | 19152 | 232794121 | Acute Care Hospital | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Nazareth Physician Services Inc | |||||||||||
| 2601 Holme Avenue | Philadelphia | PA | 19152 | 203261266 | Physician Practices | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| NE Physician Services | |||||||||||
| 2601 Holme Avenue | Philadelphia | PA | 19152 | 232497355 | Physician Practices | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| St Agnes Continuing Care Center | |||||||||||
| 1900 S Broad Street | Philadelphia | PA | 19145 | 232840137 | Continuing Care Services | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| St Agnes Continuing Care Center Foundation | |||||||||||
| 1900 S Broad Street | Philadelphia | PA | 19145 | 232415137 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Life at Lourdes Inc | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08108 | 261854750 | Elderly Care | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Lourdes Ancillary Services | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 222568525 | Supporting Organization | NJ | 501(c)(3) | Line 11b, II | 1 | Our Lady of Lourdes Health Care Services | |
| Lourdes Dialysis at Innova Inc | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08108 | 263237625 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Lourdes Medical Center Burlington County | |||||||||||
| 218 Sunset Road | Willingboro | NJ | 08046 | 223612265 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Our Lady of Lourdes Health Care Services | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 222568528 | Management & Support Services | NJ | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| Our Lady of Lourdes Health Foundation Inc | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 222351960 | Foundation | NJ | 501(c)(3) | Line 7 | 1 | Our Lady of Lourdes Health Care Services | |
| Our Lady of Lourdes Medical Center | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 210635001 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Lourdes Cardiology Services PC | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08108 | 274357794 | Cardiology Services | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Franciscan Eldercare Corporation | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 223008680 | Eldercare | DE | 501(c)(3) | Line 9 | 1 | St Francis Hospital | |
| St Francis Foundation | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 510374158 | Foundation | DE | 501(c)(3) | Line 11b, II | 1 | St Francis Hospital | |
| St Francis Hospital | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 510064326 | Hospital | DE | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| LIFE at St Francis Healthcare Inc | |||||||||||
| 7th Clayton Streets | Wilmington | DE | 19805 | 452569214 | Elderly Care | DE | 501(c)(3) | Line 3 | 1 | St Francis Hospital | |
| McAuley Ministries | |||||||||||
| McAuley Hall 3333 Fifth Avenue | Pittsburgh | PA | 15213 | 943436142 | Management & Support Services | PA | 501(c)(3) | Line 9 | 1 | Pittsburgh Mercy Health System | |
| Mercy Jeannette Hospital | |||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 251310602 | Inactive Entity | PA | 501(c)(3) | Line 9 | 1 | Pittsburgh Mercy Health System | |
| Mercy Life Center Corporation | |||||||||||
| 1200 Reedsdale Street | Pittsburgh | PA | 15233 | 251604115 | Community Treatment | PA | 501(c)(3) | Line 9 | 1 | Pittsburgh Mercy Health System | |
| Pittsburgh Mercy Health System | |||||||||||
| 3333 5th Avenue | Pittsburgh | PA | 15213 | 251464211 | Management & Support Services | PA | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| St Joseph's of the Pines Inc | |||||||||||
| 100 Gossman Drive Suite B | Southern Pines | NC | 28387 | 560694200 | Hospital | NC | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| 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 | 1 | St Joseph's of the Pines Inc | |
| Mercy Senior Care Inc | |||||||||||
| 300 Chatillon Road PO Box 866 | Rome | GA | 30162 | 581366508 | Community Outreach | GA | 501(c)(3) | Line 7 | 1 | Saint Joseph's Health System Inc | |
| Saint Joseph's Health System Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581744848 | Management & Support Services | GA | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| Saint Joseph's Mercy Care Services Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581752700 | Community Outreach | GA | 501(c)(3) | Line 7 | 1 | Saint Joseph's Health System Inc | |
| Saint Joseph's Mercy Foundation Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581448522 | Fundraising | GA | 501(c)(3) | Line 11b, II | 1 | Saint Joseph's Health System Inc | |
| Mercy Services Downtown Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 272046353 | Real Estate Holding Company | GA | 501(c)(3) | Line 11b, II | 1 | Saint Joseph's Health System Inc | |
| St Mary's Foundation Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 582544232 | Fundraising | GA | 501(c)(3) | Line 11b, II | 1 | St Mary's Health Care System Inc | |
| St Mary's Highland Hills Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 020576648 | Assisted Living & Retirement Community | GA | 501(c)(3) | Line 3 | 1 | St Mary's Health Care System Inc | |
| St Mary's Medical Group Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 261858563 | Hospital / Physician Services | GA | 501(c)(3) | Line 3 | 1 | St Mary's Health Care System Inc | |
| Good Samaritan Hospital Inc | |||||||||||
| 1201 Siloam Road | Greensboro | GA | 30462 | 261720984 | Hospital | GA | 501(c)(3) | Line 3 | 1 | Saint Joseph's Health System Inc | |
| Mercy Medical Corporation | |||||||||||
| PO Box 1090 101 Villa Drive | Daphne | AL | 36526 | 636002215 | Hospital | AL | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Mercy LIFE of Alabama | |||||||||||
| PO Box 1090 101 Villa Drive | Daphne | AL | 36526 | 273163002 | Hospital | AL | 501(c)(3) | Line 3 | 1 | Mercy Medical Corporation | |
| 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 | 1 | Catholic Health East | |
| 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 | 1 | Allegany Franciscan Ministries Inc | |
| Holy Cross Hospital Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 590791028 | Hospital-Healthcare Provider | FL | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Holy Cross Long-Term Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 650787320 | Medical Services | FL | 501(c)(3) | Line 3 | 1 | Holy Cross Hospital Inc | |
| 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 | 1 | Holy Cross Hospital Inc | |
| SSJ Health Foundation Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 591709438 | Fundraising | FL | 501(c)(3) | Line 7 | 1 | Mercy Hospital Inc | |
| Mercy Hospital Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 590791034 | Hospital | FL | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Mercy Medical Development Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 592789194 | Outpatient Services | FL | 501(c)(3) | Line 9 | 1 | Mercy Hospital Inc | |
| Mercy Mission Services Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 650435764 | Health Care | FL | 501(c)(3) | Line 11a, I | 1 | Mercy Hospital Inc | |
| Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 510461511 | Hospital | FL | 501(c)(3) | Line 3 | 1 | Mercy Hospital Inc | |
| Global Health Ministry | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 233068656 | Health Care | PA | 501(c)(3) | Line 7 | 1 | Catholic Health East | |
| Intracoastal Health Systems | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 650556413 | Management & Support Services | PA | 501(c)(3) | Line 11a, I | 1 | Catholic Health East | |
Form990 Schedule R Part III Form990ScheduleRPartIII (17 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| St Peter's Ambulatory Surgery Center LLC | |||||||
| 1375 Washington Avenue Ste 201 | Albany | NY | 12206 | 460463892 | Outpatient Surgery | NY | N/A |
| Catherine Horan Building Limited Partnership | |||||||
| 1221 Main Street Room 108 | Holyoke | MA | 010400000 | 042723429 | Property Management | MA | N/A |
| Western Massachusetts PETCT Imaging Center LLC | |||||||
| 100 Bayview Circle Ste 400 | Newport Beach | CA | 92660 | 204744663 | Outpatient Medical Services | DE | N/A |
| Central New Jersey Heart Services LLC | |||||||
| 29 E 29th Street 2nd Floor | Bayonne | NJ | 07002 | 208525458 | Cardiac Program | 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 |
| The Ambulatory Surgery Center at St Mary LLC | |||||||
| 1203 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232871206 | Outpatient Surgery | PA | N/A |
| East Norriton Medical Associates | |||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232319531 | Medical Office Building | PA | N/A |
| East Norriton Medical Associates | |||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232319531 | Medical Office Building | PA | N/A |
| Gateway Health Plan | |||||||
| 300 Grant Street | Pittsburgh | PA | 15219 | 251691945 | Medicaid & Medicare/Special Needs Managed Care Organization | PA | N/A |
| MercyManor Partnership | |||||||
| PO Box 10086 | Toledo | OH | 436990086 | 521931012 | Nursing Home | PA | N/A |
| St Agnes Long Term Intensive Care LLP | |||||||
| c/o Mercy Health System One West El | Conshohocken | PA | 19428 | 200984882 | Long Term Intensive Care | PA | N/A |
| St Agnes Long Term Intensive Care LLP | |||||||
| c/o Mercy Health System One West El | Conshohocken | PA | 19428 | 200984882 | Long Term Intensive Care | PA | N/A |
| Nazareth Medical Office Building Associates LP | |||||||
| c/o Nazareth Hospital 2601 Holme Av | Philadelphia | PA | 19152 | 232388040 | Medical Office Building | PA | N/A |
| Nazareth Medical Office Building Associates LP | |||||||
| c/o Nazareth Hospital 2601 Holme Av | Philadelphia | PA | 19152 | 232388040 | Medical Office Building | PA | N/A |
| SJV Management LLC | |||||||
| 200 Century Pkwy Ste 200E | Mount Laurel | NJ | 08054 | 202273476 | Radiology | NJ | N/A |
| Physicians Outpatient Surgery Center LLC | |||||||
| 1000 NE 56th Street | Oakland Park | FL | 33334 | 352325646 | Ambulatory Surgery Center | FL | N/A |
| Center for Surgery & Digestive Orders | |||||||
| 3641 South Miami Avenue | Miami | FL | 33133 | 510438152 | Outpatient Medical Services | FL | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (32 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Percentage OwnershipPercentageOwnership | Share Of EOY AssetsShareOfEOYAssets | Province Or StateAddressForeign/ProvinceOrState | Postal CodeAddressForeign/PostalCode |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Samaritan Medical Office Building Inc | ||||||||||||||||||
| 2212 Burdett Avenue | Troy | NY | 12180 | 141607244 | Real Estate | NY | N/A | C | 1 | |||||||||
| Affiliated Management Services Corporation Inc | ||||||||||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141668024 | Real Estate | NY | N/A | C | 1 | |||||||||
| Catherine Horan Building Inc | ||||||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 010400000 | 042938160 | Building Management | MA | N/A | C | 1 | |||||||||
| Diversified Community Services Inc | ||||||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 010400000 | 043128890 | Medical Services | MA | N/A | C | 1 | |||||||||
| Mercy Inpatient Medical Associates Inc | ||||||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 010400000 | 043029929 | Medical Services | MA | N/A | C | 1 | |||||||||
| Providence Home Care Inc | ||||||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 010400000 | 043317426 | Health Care Services | MA | N/A | C | 1 | |||||||||
| System Coordinated Services Inc | ||||||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 010400000 | 042938181 | Lab Services | MA | N/A | C | 1 | |||||||||
| Physicians Medical Office Building Condominium Trust | ||||||||||||||||||
| 1221 Main Street Room 108 | Holyoke | MA | 010400000 | 046608649 | Property Management | MA | N/A | C | 1 | |||||||||
| SJM Properties Inc | ||||||||||||||||||
| 411 Canisteo Street | Hornell | NY | 148482101 | 161294991 | Property Holdings | NY | N/A | C | 1 | |||||||||
| Carbondale Area Physicians' Association PC | ||||||||||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232801677 | Medical Insurance Contracting | PA | N/A | C | 1 | |||||||||
| Carbondale Area Physicians' PHO Inc | ||||||||||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232801676 | Inactive | PA | N/A | C | 1 | |||||||||
| Carbondale Physicians' Services Inc | ||||||||||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232365077 | Pharmacy | PA | N/A | C | 1 | |||||||||
| Chestnut Risk Services Ltd | ||||||||||||||||||
| Insurance | N/A | C | 1 | 11 Victoria Street | Hamilton | BD | BD | |||||||||||
| LifeCare Physicians PC | ||||||||||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 086291986 | 261649038 | Health Care Services | NJ | N/A | C | 1 | |||||||||
| Multicare Plus Inc | ||||||||||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 086291986 | 223435844 | Inactive | NJ | N/A | C | 1 | |||||||||
| Langhorne Services II Inc | ||||||||||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 253795549 | General Partner of LMOB Partners, II | PA | N/A | C | 1 | |||||||||
| Langhorne Services Inc | ||||||||||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232625981 | General Partner of LMOB Partners, | PA | N/A | C | 1 | |||||||||
| Gateway Health Plan Inc | ||||||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251505506 | Health Care | PA | N/A | C | 1 | |||||||||
| Gateway Health Plan Inc of Ohio | ||||||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 300282076 | Health Care | PA | N/A | C | 1 | |||||||||
| MCMC Eastwick Inc | ||||||||||||||||||
| c/o MHS One West Elm Street | Conshohocken | PA | 19428 | 232184261 | Medical Office Buildings | PA | N/A | C | 1 | |||||||||
| Health Management Services Org Inc | ||||||||||||||||||
| 500 Grove Street Suite 100 | Haddon Heights | NJ | 08035 | 223366580 | Health Care Billing | NJ | N/A | C | 1 | |||||||||
| Lourdes Medeical Associates PA | ||||||||||||||||||
| 500 Grove Street Suite 100 | Haddon Heights | NJ | 08035 | 223361862 | Medical Services | NJ | N/A | C | 1 | |||||||||
| Jeannette Medical Providers | ||||||||||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 251787334 | Holding Company | PA | N/A | C | 1 | |||||||||
| Jeannette OBGYN Group 1 Inc | ||||||||||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 232890748 | Holding Company | PA | N/A | C | 1 | |||||||||
| Jeannette Primary Care Group 1 Inc | ||||||||||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 232890743 | Holding Company | PA | N/A | C | 1 | |||||||||
| Georgia Health Enterprises LLC | ||||||||||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 541806329 | Healthcare | GA | C | 1 | St Mary's Health Care System Inc | 1.00000 | ||||||||
| St Mary's Highland Hills Village Inc | ||||||||||||||||||
| 1660 Jennings Mill Pkly | Bogart | GA | 30622 | 582276801 | Assisted Living | GA | C | 1 | St Mary's Health Care System Inc | 1.00000 | 6197854 | |||||||
| GHE Physicians PC | ||||||||||||||||||
| 3500 Piedmont Road | Atlanta | GA | 30305 | 582277939 | Practice Management | GA | N/A | C | 1 | |||||||||
| Nursing Network Inc | ||||||||||||||||||
| 4725 North Federal Highway | Fort Lauderdale Highwa | FL | 333080000 | 591145192 | Medical Services | FL | N/A | C | 1 | |||||||||
| Mercy Physician Group Inc | ||||||||||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 202970015 | Health Care | FL | N/A | C | 1 | |||||||||
| Stella Maris Insurance Company Limited | ||||||||||||||||||
| 980078266 | Insurance | N/A | C | 1 | PO Box 69 | Grand Cayman | CJ | CJ | Cayman Islands | KY1-1102 | ||||||||
| Catholic Health East Senior Services | ||||||||||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 371572595 | Senior Services | PA | N/A | C | 1 | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| St Mary's Highland Hills Inc | ||
| S | 3346000 | Fair Market Value |
| St Mary's Highland Hills Inc | ||
| R | 2566279 | Fair Market Value |
| St Mary's Medical Group Inc | ||
| S | 7654010 | Fair Market Value |
| St Mary's Medical Group Inc | ||
| R | 11791194 | Fair Market Value |
| Catholic Health East | ||
| P | 6419016 | Fair Market Value |
| St Mary's Foundation Inc | ||
| S | 155823 | Fair Market Value |
| St Mary's Foundation Inc | ||
| R | 429836 | Fair Market Value |
| Good Samaritan Hospital Inc | ||
| R | 17207333 | Fair Market Value |
| Good Samaritan Hospital Inc | ||
| S | 14435310 | Fair Market Value |
| St Mary's Foundation Inc | ||
| C | 28886 | Fair Market Value |