ST JAMES HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ST JAMES HOSPITAL (EIN 16-0743310)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201343189349308279
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T17:33:29-06:00 | 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 | 191033984 | 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 | 160743310 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St James Mercy Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STJA | NameControl |
| Phone | 6073248000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1 |
| City | Hornell | City |
| State | NY | State |
| ZIP Code | 148432104 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jennifer L Sullivan | Name |
| Title | Interim President/CEO | Title |
| Phone | 6073248000 | Phone |
| Date Signed | 2013-11-14 | 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 | Jennifer L Sullivan | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1 |
| City | Hornell | City |
| State | NY | State |
| ZIP Code | 148432104 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 49459708 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.stjamesmercy.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1992 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | See Schedule O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 963 | TotalNbrEmployees |
| Total Nbr Volunteers | 65 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 291041 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 310568 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 56411098 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 48934857 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 332585 | InvestmentIncomePriorYear |
| Investment Income Current Year | 132708 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 162132 | OtherRevenuePriorYear |
| Other Revenue Current Year | 81575 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 57196856 | TotalRevenuePriorYear |
| Total Revenue Current Year | 49459708 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 34404161 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 30455156 | 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 | 26829901 | OtherExpensePriorYear |
| Other Expenses Current Year | 22890318 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 61234062 | TotalExpensesPriorYear |
| Total Expenses Current Year | 53345474 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4037206 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3885766 | RevenuesLessExpensesCY |
| Total Assets BOY | 39269196 | TotalAssetsBOY |
| Total Assets EOY | 35881927 | TotalAssetsEOY |
| Total Liabilities BOY | 27791110 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 28403813 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 11478086 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7478114 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | See Schedule O | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 36127759 | Expense |
| Revenue | 48580434 | Revenue |
| Description | St. James Mercy Hospital is an acute healthcare facility providing routine, Ambulatory and Ancillary services. Major services include Medical, Surgical, X-ray, Laboratory and Maternity. The Aquinas Center Psychiatric Day Care Center provides Behavioral Health Programs for resocialization and recreation of the mentally handicapped. Total Acute discharges for the Hospital were 2,100 in 2012. Outpatient registrations for the Hospital were 174,512 and Behavioral Health (Adult and Adolescent psychiatric care and addiction) days were 11,102. St. James Mercy Hospital operates a 120 bed Long-Term Care skilled nursing facility. The Long-Term Care Facility specializes in skilled nursing, assisted living and rehabilitation services. Total patient days for the Long-Term Facility were 42,500. St. James Mercy Hospital operates several physician practices. Total office visits were 41,950. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 218923 | Expense |
| Revenue | 401482 | Revenue |
| Description | Life Line Service - Revenue generated from rental of Life Line units to the elderly for medical alert. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | 24516 | Revenue |
| Description | Dental Building Rental | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 36346682 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | 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 | 1 | 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 | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | 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 | 106 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 963 | 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 | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | 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 | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Louis A Ensani Jr CPA Controller | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6073248196 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1 |
| City | Hornell | City |
| State | NY | State |
| ZIP Code | 148432104 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Mary LaRowe | |||||||||
| President/CEO | 35.00 | 5.00 | X | X | 0 | 384201 | 21927 | ||
| Mary Fran Wegman RSM | |||||||||
| Chair | 0.30 | 0.30 | X | 0 | 0 | 0 | |||
| John Weyand DC | |||||||||
| Treasurer | 0.30 | 0.30 | X | 0 | 0 | 0 | |||
| Rhonda Peterson MD | |||||||||
| Board Member | 0.30 | 0.30 | X | 0 | 0 | 0 | |||
| Brenda Copeland | |||||||||
| Vice Chair | 0.30 | 0.30 | X | 0 | 0 | 0 | |||
| Philip Loree | |||||||||
| Secretary | 0.30 | 0.30 | X | 0 | 0 | 0 | |||
| Robert Donius | |||||||||
| Board Member | 0.30 | 0.30 | X | 0 | 0 | 0 | |||
| Mary Ann Schimscheiner RSM | |||||||||
| Board Member | 0.30 | 0.30 | X | 0 | 0 | 0 | |||
| Pat Prinzing RSM | |||||||||
| Board Member | 0.30 | 0.30 | X | 0 | 0 | 0 | |||
| Susan Gray PhD | |||||||||
| Board Member | 0.30 | 0.30 | X | 0 | 0 | 0 | |||
| Maninder Virdee | |||||||||
| Board Member | 0.30 | 0.30 | X | 0 | 0 | 0 | |||
| Eric Weyand | |||||||||
| Board Member | 0.30 | 0.30 | X | 0 | 0 | 0 | |||
| Peggy Gorman RSM | |||||||||
| Board Member | 0.30 | 0.30 | X | 0 | 0 | 0 | |||
| Pasquale A Picco MD | |||||||||
| Board Member | 39.70 | 0.30 | X | 468640 | 0 | 23833 | |||
| Robert J Whelpley MD | |||||||||
| Board Member | 39.70 | 0.30 | X | 239374 | 0 | 20625 | |||
| Nancy Hoff RSM | |||||||||
| Board Member | 0.30 | 0.30 | X | 0 | 0 | 0 | |||
| Joyce McGinn RSM | |||||||||
| Board Member | 0.30 | 0.30 | X | 0 | 0 | 0 | |||
| Jennifer Sullivan | |||||||||
| Sr. Vice President/CFO | 40.00 | 0.00 | X | 164002 | 0 | 17640 | |||
| Dr Bradley T Truax | |||||||||
| CMO | 40.00 | 0.00 | X | 151979 | 0 | 1488 | |||
| Patricia A Uldrich | |||||||||
| CNO | 40.00 | 0.00 | X | 129509 | 0 | 6785 | |||
| Patricia Dagon | |||||||||
| CCO/VP Continuing Care | 40.00 | 0.00 | X | 89123 | 0 | 20902 | |||
| Sylvia Bryant | |||||||||
| VP Mission/Exec Dir Foun | 20.00 | 20.00 | X | 112982 | 0 | 6472 | |||
| Raja V Rao MD | |||||||||
| Physician | 40.00 | 0.00 | 298968 | 0 | 12924 | X | |||
| M Tariq Randhawa MD | |||||||||
| Physician | 40.00 | 0.00 | 177182 | 0 | 23543 | X | |||
| Anthony Yacona MD | |||||||||
| Physician | 40.00 | 0.00 | 324159 | 0 | 7480 | X | |||
| Irvin C Oh MD | |||||||||
| Physician | 40.00 | 0.00 | 464719 | 0 | 18112 | X | |||
| Ifran A Rizvi MD | |||||||||
| Physician | 40.00 | 0.00 | 326187 | 0 | 14939 | X | |||
| Scott S Lee MD | |||||||||
| Physician | 40.00 | 0.00 | 402022 | 0 | 16957 | X | |||
| Robert W Whelpley MD | |||||||||
| Physician | 40.00 | 0.00 | 296067 | 0 | 18407 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3644913 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 384201 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 232034 | TotalOtherCompensation |
| Number Individuals GT100 K | 22 | 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 |
|---|---|---|---|---|---|
| The Pike Company | |||||
| One Circle Street | Rochester | NY | 14607 | Construction | 1962907 |
| Cardinal Health - Pharmacy | |||||
| 6012 Molly Road | Syracuse | NY | 132114864 | Pharmaceuticals | 1580586 |
| Exigence Medical of Hornell | |||||
| PO Box 634850 | Cicinnati | OH | 452634850 | Hospitalists/ER Physicians | 1474770 |
| Sodexho Inc & Affiliates | |||||
| PO Box 905374 | Charlotte | NC | 282905374 | Food & Related Services | 1339775 |
| Cardinal Health | |||||
| Dept L850P | Pittsburgh | PA | 15264 | Medical Products | 892007 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 50 | NumberOfContractorsGT100K |
| Related Organizations | 72962 | RelatedOrganizations |
| Government Grants | 36117 | GovernmentGrants |
| All Other Contributions | 201489 | AllOtherContributions |
| Total Contributions | 310568 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Service Revenue | 622110 | 48508859 | 48508859 |
| Life Line Services | 621610 | 401482 | 401482 |
| Dental Building Rental | 621610 | 24516 | 24516 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 48934857 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 132708 | TotalRevenueColumn |
| Exclusion | $132,708 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 10000 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 10000 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10000 | TotalRevenueColumn |
| Exclusion | $10,000 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Drugs Sold to Employees | 900099 | 20501 | 20501 |
| Mgt/Building Service Fee | 900099 | 12578 | 12578 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 38496 | TotalRevenueColumn |
| Related Or Exempt Function Income | 38496 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 71575 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 49459708 | TotalRevenueColumn |
| Related Or Exempt Function Income | 49006432 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $142,708 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4001149 | Total |
| Program Services | 2984057 | ProgramServices |
| Management And General | 1017092 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21293963 | Total |
| Program Services | 15010142 | ProgramServices |
| Management And General | 6283821 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 511781 | Total |
| Program Services | 364066 | ProgramServices |
| Management And General | 147715 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2799582 | Total |
| Program Services | 1991540 | ProgramServices |
| Management And General | 808042 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1848681 | Total |
| Program Services | 1315097 | ProgramServices |
| Management And General | 533584 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 271168 | Total |
| Program Services | 165459 | ProgramServices |
| Management And General | 105709 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140388 | Total |
| Program Services | 85661 | ProgramServices |
| Management And General | 54727 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1687085 | Total |
| Program Services | 1013179 | ProgramServices |
| Management And General | 673906 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79629 | Total |
| Program Services | 48587 | ProgramServices |
| Management And General | 31042 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45330 | Total |
| Program Services | 27659 | ProgramServices |
| Management And General | 17671 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145094 | Total |
| Program Services | 87136 | ProgramServices |
| Management And General | 57958 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2301609 | Total |
| Program Services | 1382231 | ProgramServices |
| Management And General | 919378 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 596277 | Total |
| Program Services | 358094 | ProgramServices |
| Management And General | 238183 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Supplies | 6110834 | 3728664 | 2382170 | 0 |
| Purchased Services | 4574157 | 2791026 | 1783131 | 0 |
| Physician Fees | 3216507 | 3216507 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3722240 | Total |
| Program Services | 1777577 | ProgramServices |
| Management And General | 1944663 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53345474 | Total |
| Program Services | 36346682 | ProgramServices |
| Management And General | 16998792 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4549473 | BOY |
| EOY | 777190 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5799063 | BOY |
| EOY | 5212806 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8000 | BOY |
| EOY | 8000 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1480107 | BOY |
| EOY | 1443598 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 336864 | BOY |
| EOY | 377966 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 76858042 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 62595537 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13616852 | BOY |
| EOY | 14262505 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5297588 | BOY |
| EOY | 5799700 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8181249 | BOY |
| EOY | 8000162 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39269196 | BOY |
| EOY | 35881927 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5860033 | BOY |
| EOY | 6266362 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8106250 | BOY |
| EOY | 8281250 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13824827 | BOY |
| EOY | 13856201 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27791110 | BOY |
| EOY | 28403813 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11250219 | BOY |
| EOY | 7252399 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 227867 | BOY |
| EOY | 225715 | 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 | 11478086 | BOY |
| EOY | 7478114 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39269196 | BOY |
| EOY | 35881927 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -3885766 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 770589 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -884795 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $11,875 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 11875 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | As part of our membership fees paid to The Health Care Association of New York State, a portion of the fee is allocated for lobbying. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1800780 | OtherCostOrOtherBasis |
| Book Value | 1800780 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 45512266 | OtherCostOrOtherBasis |
| Depreciation | 38118530 | Depreciation |
| Book Value | 7393736 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1583675 | OtherCostOrOtherBasis |
| Depreciation | 1091531 | Depreciation |
| Book Value | 492144 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27655781 | OtherCostOrOtherBasis |
| Depreciation | 23385476 | Depreciation |
| Book Value | 4270305 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 305540 | OtherCostOrOtherBasis |
| Book Value | 305540 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 14262505 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Est Third Party Payors, Net | 566048 |
| Due From Related Parties | 743230 |
| Assets Held for Resale | 157884 |
| Other Long-term Assets | 6533000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 8000162 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Est 3rd party Payors, Net | $3,725,119 |
| Other Liabilities | $629,219 |
| Insurance Liabilities | $9,501,863 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 13856201 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 49517548 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 770589 | NetUnrealizedGainsInvestments |
| Other Revenues | -712749 | OtherRevenues |
| Revenue Not Rptd F990 | 57840 | RevenueNotRptdF990 |
| Revenue Subtotal | 49459708 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 49459708 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 53345474 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 53345474 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 53345474 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part XI, Line 2d - Other Adjustments: | Identifier |
| Explanation | Intercompany Transfers 39,772. Discontinued Operations -907,234. Grant Funded Captial Operations 154,713. | Explanation |
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 |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| 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 | 1885303 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 447835 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1437468 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02690 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20964605 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16653395 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4311210 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08080 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22849908 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17101230 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5748678 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10770 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9571 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9571 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 164145 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 241074 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -76929 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7671002 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5086523 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2584479 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04840 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 66192 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 66192 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7910910 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5327597 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2583313 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04980 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30760818 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22428827 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8331991 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.15750 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 831 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 831 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 95009 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 95009 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 95840 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 95840 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $945,085 | BadDebtExpenseAmount |
| Amount Attributable To | 104125 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 12552416 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 11150544 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1401872 | 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 James Mercy Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1 |
| City | Hornell | City |
| State | NY | State |
| ZIP Code | 148432104 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St James Mercy Hospital | 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 | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| 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 |
| 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 (14 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 7: A cost-to-charge ratio is used for lines 7a and 7b computed by taking total expenses less bad debt divided by total gross patient revenue. | ||
| Part I, Line 7g: Subsidized health care costs include the costs attributable to two outpatient clinics:1. Dental clinic - $799,6602. Rural health clinic - $124,468 | ||
| Part I, L7 Col(f): In 2012, bad debt expense is no longer reported on Form 990, Part IX, Line 25. The bad debt expense for 2012 was $945,085 and was reported as an offset to revenue. | ||
| Part II: St. James Mercy Hospital actively recruits physicians and other health professionals to provide services in areas with a medical shortage or are underserved. | ||
| Part III, Line 4: The Hospital provides an allowance for uncollectibles for estimated losses resulting from the unwillingness of patients to make payments for services. The allowance is determined by analyzing historical data and trends. Accounts receivable are charged off against the allowance for uncollectibles when management determines that recovery is unlikely and the Hospital ceases collection efforts. The amount reported in Part III, Section A, line 3 is determined by estimating the amount of bad debt expense that would be attributed to patients who would likely qualify for financial assistance but for whom sufficient information was not obtained to make that determination. | ||
| Part III, Line 8: To determine Medicare allowable costs reportable in the Medicare cost report, the cost-to-charge ratio is applied to gross patient revenue associated with services performed for patients who are eligible for Medicare. Although a shortfall is not reported on Part I, Line 7, Community Benefit, it evidences the fact that the organization has a surplus when treating Medicare patients. | ||
| Part III, Line 9b: A bad debt results from a patient account balance from which payment was anticipated from the patient, credit extended and the account later deemed to be uncollectible. A bad debt does not meet the criteria for Charity Care, that is, bad debt patients are considered to have the financial capacity and ability to pay, but are unwilling to pay. Collection activities are only pursued with respect to amounts that patients are able to pay as determined by the organization's charity care policy. No collection activities take place with respect to amounts that patients are not expected to pay under this policy. A separate Charity Care Policy is in place and would be exhausted before a patient balance would be deemed self pay. Under the Charity Care policy, Charity Care/Financial Assistance is provided to a patient with a demonstrated inability to pay. A patient is eligible for Charity Care/Financial Assistance consideration based upon meeting certain income eligibility criteria as established by the Federal Poverty Income Guideline Sliding Scale, Per NYS PHL 2807-K, this considers patients whose household income is up to 300% of the most recent Federal Poverty Guidelines.All uninsured, low-income patients within St. James Mercy Hospital's primary service area who can demonstrate an inability to pay charges may apply for Charity Care/Financial Assistance for adjustments to their balances for all medically necessary healthcare services, provided that a member, in good standing, of St. James Mercy Hospital's medical staff determines the need for such medical care treatment. | ||
| Part V, Section B, Line 20d: A patient whose household income is between 201% and 250% of the most recent Federal Poverty Level qualifies for a Partial Charity Care discount. The patient liability is 40% of the rate of reimbursement SJMH would have received from its "highest volume payor" (Excellus Blue Cross) for like services (Inpatient, Outpatient, ED). The patient is eligible for a charity care discount equal to the difference between charges and 40% of the Excellus Blue Cross rate. A patient whose household income is between 251% and 300% of the most recent Federal Poverty Level qualifies for a Partial Charity Care discount. The patient is responsible for paying the Excellus Blue Cross rate. The Charity Care discount would equal the difference between charges and the Excellus Blue Cross rate. SJMH determined that Excellus Blue Cross is the "highest volume" payor as referenced in the NYS statue 2807-K. Therefore, for uninsured patients with household incomes below 300% of the most recent Federal Poverty Level, the patient responsibility will not exceed the rate of reimbursement SJMH would have received from Excellus Blue Cross. | St. James Mercy Hospital | |
| Part VI, Line 2: St. James Mercy Hospital conducts a community needs assessment every three years in conjunction with Steuben County Public Health. Based on residents' feedback, the county's health care priorities, strategies, and programs are determined. St. James Mercy Hospital creates an annual plan based on this assessment, and the progress of these initiatives is reported annually to NYS Department of Health. Local health care priorities are also identified through surveying participants at St. James Mercy's Community Health Fair and its public health education programs. | ||
| Part VI, Line 3: At the time of registration, all self-pay individuals receive an information sheet describing the types of Federal, state and local government programs available, including St. James Mercy Hospital's Charity Care Policy. The eligibility process is coordinated by a Financial Counselor, who contacts the patient or patient family member by phone and/or letter. Patients who qualify for Medicaid are also directed to an in-house facilitated enroller, who coordinates the Medicaid application process on behalf of the patient. | ||
| Part VI, Line 4: The primary service area for St. James Mercy Hospital (SJMH) is the 15-mile radius extending from Hornell (Steuben County), New York, and includes the towns of Wayland to the northeast and Troupsburg to the southeast (just outside of the 15-mile radius). The secondary service area is the 30-mile radius extending from Hornell. Per the 2010 Census, the population for the primary service area (Steuben County) remained relatively flat, increasing 0.3% from 2000 to 2010 to 98,990 and is projected to remain flat through 2014. The population aged 65 and over comprises 16% of the primary service area compared to 13% for New York State population. The population is racially and ethnically homogenous with 95.3% White, 1.6% Black, 1.4% Hispanic/Latino, and 1.2% Asian. Persons over the age of 65 represent 15.6% of the county, a two percentage points higher than the state. Median household income is $42,764 compared to $54,554 for the state. Approximately 20% of the county population have a bachelor's degree or higher compared to 32% of state residents. | ||
| Part VI, Line 5: St. James Mercy Hospital (SJMH) is the lead agency for the Cancer Services Program (CSP) of Steuben County. A community-based, grant-funded program of New York State Department of Health, the CSP serves uninsured men and women with comprehensive, age-appropriate, no-cost screenings for breast, cervical and colorectal cancer. In adddtion to the Community Health Fair, St. James Mercy Hospital participates in coordinating a similar annual event for children called the Pediatric Health Fair. This event is directed to parents and community youth and is held in conjunction with a longstanding community kids "fun run" to promote exercise and healthy lifestyles. SJMH staff members throughout the organization participate in community initiatives and hold seats on boards including the Steuben Rural Health Network, Catholic Charities, YMCA, United Way of the Southern Tier, Steuben Co. Health Priorities Team, and other non-profit organizations whose primary mission is to assess and address community needs. SJMH has also collaborated in a pilot program in collaboration with the Hornell City School District and is designed to address the issue of students without health insurance in pre-K through grade 6, through educational materials to parents and Medicaid enrollment assistance. | ||
| Part VI, Line 6: St. James Mercy Hospital furthers its exempt status through participation of its senior leadership team on various community boards including Hornell Children's Home; Home and Health, Inc.; United Way; BOCES Nursing Advisory Committee; Faith in Action; Allegany Western Steuben Rural Health Network; and Kinship. In addition, St. James Mercy Hospital recruits community members to serve on its own Board of Directors, Foundation Board, and Properties Board. St. James Mercy Hospital physicians and providers enhance community building through participation in the Hospital's annual Health Fair, and through educational programs such as "Sharing the Health" and "Working with Wegmans". The Hospital furthers its community reach through holiday sponsorships of needy families, and corporate sponsorships such as the local "Relay for Life" event. In addition, St. James Mercy Hospital's Emergency Department is open 24 hours a day and all persons needing care are treated, regardless of ability to pay. | ||
| NY | Reports Filed With States | Part VI, Line 7 |
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 | 1 | 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 (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mary LaRowe | ||||||||||||||
| President/CEO | 0 | 266593 | 0 | 40666 | 0 | 76942 | 0 | 10135 | 0 | 11792 | 0 | 406128 | 0 | 0 |
| Pasquale A Picco MD | ||||||||||||||
| Board Member | 450936 | 0 | 16503 | 0 | 1201 | 0 | 9850 | 0 | 13983 | 0 | 492473 | 0 | 0 | 0 |
| Robert J Whelpley MD | ||||||||||||||
| Board Member | 210854 | 0 | 22967 | 0 | 5553 | 0 | 8052 | 0 | 12573 | 0 | 259999 | 0 | 0 | 0 |
| Jennifer Sullivan | ||||||||||||||
| Sr. Vice President/CFO | 163661 | 0 | 0 | 0 | 341 | 0 | 5966 | 0 | 11674 | 0 | 181642 | 0 | 0 | 0 |
| Dr Bradley T Truax | ||||||||||||||
| CMO | 149999 | 0 | 0 | 0 | 1980 | 0 | 1488 | 0 | 0 | 0 | 153467 | 0 | 0 | 0 |
| Raja V Rao MD | ||||||||||||||
| Physician | 293097 | 0 | 0 | 0 | 5871 | 0 | 1250 | 0 | 11674 | 0 | 311892 | 0 | 0 | 0 |
| M Tariq Randhawa MD | ||||||||||||||
| Physician | 172462 | 0 | 0 | 0 | 4720 | 0 | 6681 | 0 | 16862 | 0 | 200725 | 0 | 0 | 0 |
| Anthony Yacona MD | ||||||||||||||
| Physician | 316219 | 0 | 0 | 0 | 7940 | 0 | 1700 | 0 | 5780 | 0 | 331639 | 0 | 0 | 0 |
| Irvin C Oh MD | ||||||||||||||
| Physician | 458784 | 0 | 5000 | 0 | 935 | 0 | 1250 | 0 | 16862 | 0 | 482831 | 0 | 0 | 0 |
| Ifran A Rizvi MD | ||||||||||||||
| Physician | 325685 | 0 | 0 | 0 | 502 | 0 | 1250 | 0 | 13689 | 0 | 341126 | 0 | 0 | 0 |
| Scott S Lee MD | ||||||||||||||
| Physician | 396871 | 0 | 0 | 0 | 5151 | 0 | 1250 | 0 | 15707 | 0 | 418979 | 0 | 0 | 0 |
| Robert W Whelpley MD | ||||||||||||||
| Physician | 294366 | 0 | 1250 | 0 | 451 | 0 | 1250 | 0 | 17157 | 0 | 314474 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 3 | St. James Mercy Health System, Inc. relied on a related organization (Catholic Health East) that used one or more of the methods described below to establish the top management official's compensation: - Compensation committee - Independent compensation consultant - Written employment contract - Compensation survey or study - Approval by the CHE's board or compensation committee |
| 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. |
| Part I, Line 5 | Subject to incentive compensation limitations, primary care incentive compensation is based on the amount by which the number of Relative Value Units (RVU's) performed by Physician during any full calendar year exceeds targeted RVU's. Subject to incentive compensation limitations, specialist incentive compensation is based on a percentage of the amount by which adjusted gross revenues of the practice exceed expenses for the practice. Executive performance-based variable compensation is based on performance indicators established annually by the Administrative Team and approved by the Executive Compensation Committee. |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | William Veazy | NamePerson |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $20,000 | OriginalPrincipalAmount |
| Balance Due | 8000 | BalanceDue |
| Default | 1 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 8000 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Organization Mission Statement | Form 990, Part I, Line 1, Description of Organization Mission: | Faithful to our sponsor, the Sisters of Mercy, St. James Mercy Hospital is a part of St. James Mercy Health System,Inc. ("SJMHS") a community of persons committed to being a transforming, healing presence within the rural communities we serve, particularly addressing the needs of the poor, underserved and disadvantaged. St. James Mercy Health System, Inc. is a member of Catholic Health East ("CHE"). |
| Organization Mission Statement | Form 990, Part III, Line 1, Description of Organization Mission: | Faithful to our sponsor, the Sisters of Mercy, St. James Mercy Hospital is a part of St. James Mercy Health System,Inc. ("SJMHS") a community of persons committed to being a transforming, healing presence within the rural communities we serve, particularly addressing the needs of the poor, underserved and disadvantaged. St. James Mercy Health System, Inc. is a member of Catholic Health East ("CHE"). |
| Form 990, Part VI, Section A, line 2 | Patricia Dagon, CCO/VP of Continuing Care is the mother-in-law of Pasquale A. Picco, MD who is an employed physician of St. James Mercy Hospital and a Board Member. | |
| Form 990, Part VI, Section A, line 6 | Yes, St. James Mercy Health System is the sole member. | |
| Form 990, Part VI, Section A, line 7a | Yes, governance decisions are made by the board of St. James Mercy Hospital and then forwarded for final approval to St. James Mercy Health System Board. | |
| Form 990, Part VI, Section A, line 7b | Yes, all decisions are made by the Board of St. James Mercy Hosptial and then forwarded for approval by St. James Mercy Health System Board. | |
| Form 990, Part VI, Section B, line 11 | A copy of the Form 990 was made available to each board member before it was filed. St. James Mercy Health System Board has designated the Audit and Compliance Committee as the group to be educated and to review each entity return. The Audit and Compliance committee reviewed the 2012 Forms 990's for St. James Heath System, St. James Foundation and St. James Hospital on September 24, 2013. | |
| Form 990, Part VI, Section B, line 12c | St. James Mercy Hospital has adopted CHE's Policy 103 setting forth the organization's conflict-of-interest policy and processes. Annually, all those serving St. James Mercy Hospital in a fiduciary capacity, including directors, officers, and key employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the organization's CEO and Board Chair. Summary information is reported to the entire board and available to the board throughout the year as business comes before the board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the board or an appropriate committee thereof comprised of disinterested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request. | |
| Form 990, Part VI, Section B, line 15 | As set forth on Schedule J, Part III, CHE determines compensation for top management official. For all other employees, the organization has adopted CHE's process for determining compensation which includes the following: The Executive Committee of the Board reviews and approves all elements of remuneration for all disqualified parties, as well as other key management. The Executive Committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing the organization's roles to similarly sized health systems utilizing both title and job content comparisons. The Executive Committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative program and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes. | |
| Form 990, Part VI, Section C, line 19 | Organizational Articles of Incorporation, Corporate Bylaws, governance policies believed to be of interest to the public, conflict-of-interest policy, audited financial statements; annual community benefit report and IRS Form 990 are available to the public upon request. | |
| Changes in Net Assets or Fund Balances: | Form 990, Part XI, line 9: | Intercompany Transactions 39,772. Grant Funded Capital Additions 154,713. Contribution and Investment Income Allocation -2,152. Discontinued Operations -907,234. Realized Gains/(Losses) -169,894. |
| 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 LLC | 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 | |
| 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 Health Care System Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 580566223 | Hospital | GA | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| 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 | 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 | N/A | C | 1 | ||||||
| St Mary's Highland Hills Village Inc | |||||||||||||||
| 1660 Jennings Mill Pkly | Bogart | GA | 30622 | 582276801 | Assisted Living | GA | N/A | C | 1 | ||||||
| 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 | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Catholic Health East | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |
| Amount Involved | 72962 | AmountInvolved |
| Method Of Amt Determination | FMV | MethodOfAmtDetermination |