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ST MARYS HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST MARYS HOSPITAL INC (EIN 58-0566223)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201203209349302425
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-15T10:24:04-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11700 Market Street 25th FloorAddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN580566223EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Mary's Health Care System IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTMANameControl
Phone7063893939Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11230 Baxter StreetAddressLine1
CityAthensCity
StateGAState
ZIP Code306063791ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDonald McKennaName
TitlePresident / CEOTitle
Phone7063893939Phone
Date Signed2012-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameStephen A AllenName
PTINP00173407PTIN
Phone2152462300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDonald McKennaNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11230 Baxter StAddressLine1
CityAthensCity
StateGAState
ZIP Code306063791ZIPCode
FieldValueIRS element (for citing)
Gross Receipts177064813GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0938GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.stmarysathens.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1938YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionAs a member of Catholic Health East ("CHE") and sponsored by the Sisters of Mercy, the mission of St. Mary's Health Care System is to be a compassionate healing presence in our community, committed to the sacredness of human life and the dignity of each person we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees1526TotalNbrEmployees
Total Nbr Volunteers269TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year53065ContributionsGrantsCurrentYear
Program Service Revenue Prior Year169684100ProgramServiceRevenuePriorYear
Program Service Revenue CY173560861ProgramServiceRevenueCY
Investment Income Prior Year957738InvestmentIncomePriorYear
Investment Income Current Year1114423InvestmentIncomeCurrentYear
Other Revenue Prior Year2204923OtherRevenuePriorYear
Other Revenue Current Year2093311OtherRevenueCurrentYear
Total Revenue Prior Year172846761TotalRevenuePriorYear
Total Revenue Current Year176821660TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year247707GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY447001GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year69913503SalariesEtcPriorYear
Salaries Etc Current Year70440529SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year98315045OtherExpensePriorYear
Other Expenses Current Year98956254OtherExpensesCurrentYear
Total Expenses Prior Year168476255TotalExpensesPriorYear
Total Expenses Current Year169843784TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4370506RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6977876RevenuesLessExpensesCY
Total Assets BOY180201056TotalAssetsBOY
Total Assets EOY190653889TotalAssetsEOY
Total Liabilities BOY67224011TotalLiabilitiesBOY
Total Liabilities EOY79378399TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY112977045NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY111275490NetAssetsOrFundBalancesEOY
Mission DescriptionAs a member of Catholic Health East ("CHE") and sponsored by the Sisters of Mercy, the mission of St. Mary's Health Care System is to be a compassionate healing presence in our community, committed to the sacredness of human life and the dignity of each person we serve.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense122079546Expense
Grants447001Grants
Revenue173560861Revenue
DescriptionSt. Mary's Health Care System was established to meet the health care needs of the people of Northeast Georgia. The System operates an acute care hospital, home health care agency, hospice, and leases a long-term care facility. Additionally, the System offers many wellness and educational services to the community at low, or in some cases at no charge.Description
Total Program Service Expense122079546TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096104NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1526NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Marty HutsonBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7063893939TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11230 Baxter StreetAddressLine1
CityAthensCity
StateGAState
ZIP Code306063791ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Chin Jean MD
Director1.00X000
Salamone Father Robert
Director1.00X000
Bennett Rodney
Director1.00X000
Burgess Tim
Director1.00X000
McKenna Don
President/CEO40.00X057979633621X
Griffin Dawn
Director1.00X000
Hubrich Leon
Director1.00X000
Perno Louis A
Director1.00X000
Upchurch Charles L
Director1.00X000
Snipes Bobby
Director1.00X000
Cline Ruth M MD
Director1.00X000
Wilbanks Kathy
Director1.00X000
Hollingworth III Thomas F
Director1.00X000
Hooker Robbie P
Director1.00X000
Priest Neal MD
Chief of Staff1.00X000
Hutson Martin
Vice President & CFO40.00250759024518X
Dugger Brenda
VP Compliance, Qu, & HH40.00208549013566X
Evans Nina
VP Nursing40.0024054509916X
Carter Montez
VP of Operations40.00187679028001X
English Jeffrey
VP Human Resourses40.00201294016896X
Schuller Karen
VP & General Counsel40.0024508109929X
Middendorf Bruce
Chief Medical Officer40.00110562010003X
Loome Sister Patricia
VP of Mission Services40.0013271407288X
Vaughn Kerry
Chief Info. Office40.00014200231695X
Camp Steven
Pharmacist40.00192157018079X
Wright Gary
Director of Pharmacy40.00167077011954X
Griffiths Catherine
Nursing Supervisor40.00144876011561X
Shutt Robert
RN40.00130993017979X
Dixon-Martin Kelly
Physician40.00184395011429X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2396681TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs721798TotalReportableCompFrmRltdOrgs
Total Other Compensation256435TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Athens Hospitalist Services PC
PO Box7695AthensGA30606Physicians2509235
Sodexo Inc
PO Box 81049WoburnMA018121049Dietary/Housekeeping2083102
Rehabcare Group Inc
PO Box 502096St LouisMO631502096IP Management Services1750684
Anesthesia Consult of Athens
PO Box 7127AthensGA30604Anesthesiologist1317649
Healthcare Fiscal Mgmt Inc
10567 165th St WLakevilleMN55044Patient Financial Service966885
FieldValueIRS element (for citing)
Number Of Contractors GT100 K33NumberOfContractorsGT100K
All Other Contributions53065AllOtherContributions
Total Contributions53065TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHospital Patient ServiDescription
Business Code622110BusinessCode
Total Revenue Column173560861TotalRevenueColumn
Related Or Exempt Function Income173560861RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue173560861TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column722472TotalRevenueColumn
Exclusion$722,472ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real430790Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real182858Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real247932Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column247932TotalRevenueColumn
Exclusion$247,932ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities424002Securities
Other28244Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other60295Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities424002Securities
Other-32051Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column391951TotalRevenueColumn
Exclusion$391,951ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Fitness622110549988$549,988
Parking622110158827$158,827
Gift Shop622110156878$156,878

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column979686TotalRevenueColumn
Exclusion$979,686ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1845379TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column176821660TotalRevenueColumn
Related Or Exempt Function Income173560861RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,207,734ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total447001Total
Program Services447001ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2396681Total
Program Services636773ProgramServices
Management And General1759908ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total54418339Total
Program Services42701724ProgramServices
Management And General11716615ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2750420Total
Program Services2098020ProgramServices
Management And General652400ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6824398Total
Program Services5205651ProgramServices
Management And General1618747ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4050691Total
Program Services3089867ProgramServices
Management And General960824ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total291469Total
Management And General291469ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total17651031Total
Program Services5451670ProgramServices
Management And General12199361ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total914333Total
Program Services206453ProgramServices
Management And General707880ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1126376Total
Program Services410658ProgramServices
Management And General715718ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8098Total
Management And General8098ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3483013Total
Program Services1530296ProgramServices
Management And General1952717ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total572710Total
Program Services376189ProgramServices
Management And General196521ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total600427Total
Management And General600427ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9739051Total
Program Services4979750ProgramServices
Management And General4759301ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1892489Total
Management And General1892489ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Medical & General Suppl325958503258895168990
Bad Debt145557831455578300
Physician Fees504612448777061684180
Maintenance416028131366038466210

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6319219Total
Program Services2609394ProgramServices
Management And General3709825ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total169843784Total
Program Services122079546ProgramServices
Management And General47764238ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY33708443BOY
EOY34797751EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19187452BOY
EOY19314696EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY760226BOY
EOY3297226EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3531338BOY
EOY3096831EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1258496BOY
EOY1412581EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis191291582LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec128796671LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY66846816BOY
EOY62494911EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY28595199BOY
EOY28575447EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY347377BOY
EOY319434EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY25965709BOY
EOY37345012EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY180201056BOY
EOY190653889EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24681153BOY
EOY27208066EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY62670BOY
EOY62722EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY19055348BOY
EOY18328324EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1223751BOY
EOY1052353EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY22201089BOY
EOY32726934EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY67224011BOY
EOY79378399EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY113415521BOY
EOY111928053EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY-438476BOY
EOY-652563EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY112977045BOY
EOY111275490EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY180201056BOY
EOY190653889EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6977876ReconcilationRevenueExpenses
Reconcilation Other Changes-8679431ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Beginning Balance0BeginningBalance
Ending Balance0EndingBalance

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1954580OtherCostOrOtherBasis
Book Value1954580BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis68748748OtherCostOrOtherBasis
Depreciation37760553Depreciation
Book Value30988195BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis69429OtherCostOrOtherBasis
Depreciation20233Depreciation
Book Value49196BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis72347329OtherCostOrOtherBasis
Depreciation58820923Depreciation
Book Value13526406BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis48171496OtherCostOrOtherBasis
Depreciation32194962Depreciation
Book Value15976534BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings62494911TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
Total Due From Other Entities25469638
Investment in Unconsolidated6179604
LT-Swap Prgm CHE-Market Valuation5547286
Other LT Assets105438
Due to Related Parties43046
FieldValueIRS element (for citing)
Total Book Value Other Assets37345012TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
3rd Party Payables$2,338,438
Workers Compensation Reserve$944,000
Pension Liability$21,118,015
LT Swap Prgm CHE-Market Valuation$5,789,481
Workers Compensation -Gross Liability$295,000
Other Reserve Liability$2,242,000
FieldValueIRS element (for citing)
Total Of Amounts32726934TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense5281135TotalCommunityBenefitExpense
Net Community Benefit Expense5281135NetCommunityBenefitExpense
Percent Of Total Expense0.03400PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense19532394TotalCommunityBenefitExpense
Direct Offsetting Revenue12451056DirectOffsettingRevenue
Net Community Benefit Expense7081338NetCommunityBenefitExpense
Percent Of Total Expense0.04560PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense24813529TotalCommunityBenefitExpense
Direct Offsetting Revenue12451056DirectOffsettingRevenue
Net Community Benefit Expense12362473NetCommunityBenefitExpense
Percent Of Total Expense0.07960PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served23614PersonsServed
Total Community Benefit Expense146712TotalCommunityBenefitExpense
Net Community Benefit Expense146712NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served558PersonsServed
Total Community Benefit Expense1805025TotalCommunityBenefitExpense
Direct Offsetting Revenue4800DirectOffsettingRevenue
Net Community Benefit Expense1800225NetCommunityBenefitExpense
Percent Of Total Expense0.01160PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense353221TotalCommunityBenefitExpense
Net Community Benefit Expense353221NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served2976PersonsServed
Total Community Benefit Expense133559TotalCommunityBenefitExpense
Net Community Benefit Expense133559NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served27148PersonsServed
Total Community Benefit Expense2438517TotalCommunityBenefitExpense
Direct Offsetting Revenue4800DirectOffsettingRevenue
Net Community Benefit Expense2433717NetCommunityBenefitExpense
Percent Of Total Expense0.01570PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served27148PersonsServed
Total Community Benefit Expense27252046TotalCommunityBenefitExpense
Direct Offsetting Revenue12455856DirectOffsettingRevenue
Net Community Benefit Expense14796190NetCommunityBenefitExpense
Percent Of Total Expense0.09530PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Persons Served30PersonsServed
Total Community Building Expense34252TotalCommunityBuildingExpense
Net Community Building Expense34252NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served30PersonsServed
Total Community Building Expense34252TotalCommunityBuildingExpense
Net Community Building Expense34252NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$4,503,704BadDebtExpenseAmount
Amount Attributable To2430768AmountAttributableTo
Amount Reimbursed By Medicare60632273AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare81378015CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-20745742MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Mary's Health Care System IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11230 Baxter StreetAddressLine1
CityAthensCity
StateGAState
ZIP Code30606ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherHome Health, Hospice, and other OP CentersOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Mary's Health Care System IncBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanationIdentifierIdentifier
Part I, Line 6a: Saint Mary's Health Care System's community benefit report is contained in a report prepared by a related organization, Catholic Health East.
Part I, Line 7: The cost to charge ratio is not computed using worksheet 2 from the instructions: the cost to charge ratio is computed by taking the full amount of expenses from the hospital statement of expenses, subtracting bad debt the dividing by gross revenue.
Part I, Line 7g: St. Mary's Health Care System has a Pediatric Subspecialty Clinic where specialty physicians from outside the local area come and see patients from the local area. The total cost for the Pedicatric Sub-specialty Clinic included in Part I, line 7g is $111,696.
Part I, L7 Col(f): The amount of bad debt expense included on Form 990, Part IX, Line 25, column (a), but subtracted for purposes of calculating the percentages on schedule H, part I, line 7 column (f) is $14,555,783.
Part II: The director of Security attends and participates in emergency planning meetings throughout the year. The planning allows collaboration of state and local agencies and organizations in order to prepare for a local or statewide emergency. The Emergency Department also participates in quarterly meetings to address emergency service coordination in the Athens-Clarke County area. Planning is a vital step in disaster management and will certainly increase community health in the case of an emergency. St. Mary's provided services and supplies to a local non-profit, Free IT Athens. St. Mary's IT staff helped clean old computers that were then donated to the organization which in turn donates them to people in need in the Athens community. One of St. Mary's staff coordinates the collection and recycling of all types of batteries from St. Mary's employees and family. This service keeps harmful chemicals from entering the environment through landfills.Several St. Mary's staff donated their time to a community wide education initiative called Whatever It Takes (WIT). WIT is working to ensure all students graduate from a post-secondary education. They are taking a very comprehensive approach that includes health for mothers, children and families. St. Mary's staff have helped WIT put together comprehensive and effective health improvement plans. Each year St. Mary's hosts a Clergy Conference for the local clergy who visit and minister to patients in the hospital throughout the year. This conference provides valuable education to these clergy and allows them to better address the emotional and spiritual needs of their parishioners and St. Mary's patients. St. Mary's has played a vital role in the establishment of the new Georgia Health Sciences University/University of Georgia Medical Partnership. The Chief Medical Officer has served on a committee to help guide the new medical school and establish working relationship with St. Mary's as well as other health care organizations in the community. St. Mary's hosts many volunteers throughout the year including high school and college students as well as community members of all ages. Volunteers work as part of the Auxiliary and serve more than 2,000 each month. The volunteers not only serve the hospital in vital ways, but also receive experiential training in health care in a hospital setting. Increased education and training correlates with increased health status. Several departments of St. Mary's are involved in mentoring students interested in healthcare careers. St. Mary's also financially supported the Clarke County Mentor Program which matches students with supportive adults. St. Mary's has played an integral role in the creation and work of the Athens Health Network (additional information below).
Part III, Line 4: The figures were calculated based on the cost-to-charge ratio. The cost-to-charge ratio was derived by dividing total operating expenses (excluding bad debt expense) by total grosspatient charges. The cost-to-charge ratio was applied to total bad debt write-offs to calculate the costs for line 2.While we make all reasonable efforts to identify patients eligible for charity care prior to billing, such pre-billing identification is not always possible. This problem arises largely with patients treated in our Emergency Department ("ED") on an outpatient basis. Frequently, these patients do not complete an application for financial assistance therefore making a definitive determination difficult. The estimated amount for patients who likely would qualify for financial assistance is calculated for line 3 based on a review of bad debt write-offs to include only bad debt for uninsured patients, and estimating the amount of that cost that could be charity based on a review of applications for financial assistance. A reasonable estimate based on the percentage of patients whose applications do not meet the criteria for financial assistance is used to estimate the amount that could qualify for financial assistance. For financial reporting, an allowance for doubtful accounts is recordedfor estimated losses resulting from the unwillingness of patients to make payments for services. The allowance is determined by analyzing historical data and trends. Accounts receivable are written off against the allowance for doubtful accounts when management determines that recovery is unlikely and collection efforts cease.
Part III, Line 8: The amount here is determined by using the actual patient charges, the Medicare cost-to-charge ratios that we are currently being paid on, and the payment-to-charges from the actual remittances. Based on the calculation this shortfall should be viewed as uncompensated care provided to those patients and thus treated entirely as community benefit.
Part III, Line 9b: Accounts with applications pending for Charity Care or other assistance programs are held until the outcome of the application. A "pending charity approval" is defined as an application that has been fully completed by the patient, submitted and is in the process of being determined for eligiblity. It is acceptable (but not preferable) to take an account though the full collection cycle and later reclassify it as Charity Care as long as a consistent process is followed and a legitimate basis exists that the patient is unable to pay. For example, with self pay accounts written off and sent to bad debt, reclassifying the account to Charity Care may be considered on the basis of all of the following factors:1. No Third party coverage or inadequate coverage exists, 2. No payments are recorded on the account,and 3. The patient/guarantor was billed a minimum of 4 times.All self-pay accounts are automatically transferred to a third party billing agency. The third party billing agency contacts the accountholder to arrange for payment. If the third party billing agency has an account that has not been paid in full within 120 days, the account is then sent back to St. Mary's Health Care System. Upon receipt of an outstanding account, St. Mary's Health Care System transfers the account to a collection agency.
Part V, Section B, Line 19d: The Hospital uses the average managed care write off percentage for self pay patients.St. Mary's Health Care System, Inc.
Part VI, Line 7, The list of states in which CHE's community benefit report is filed are: Alabama, Connecticut, Delaware, Florida, Georgia, Maine, Massachusetts, New Jersey, New York, North Carolina and Pennsylvania.
The partnership St. Mary's has with the Athens Health Network is seen as a very important part of our ministry and commitment to the Athens community. The Athens Health Network was established to address the health care needs of the uninsured and underinsured populations of the Athens community. St. Mary's in partnership with three other institutions, University of Georgia, Athens-Clarke County government, and Athens Regional Medical Center, helped to establish this network and develop it into a 501c3 non-profit. Currently, the Athens Health Network is working to help clinics implement electronic medical records, increase the capacity of the free or reduced cost clinics, and prepare for any changes that will affect our community over the next few years as a result of health care reform. St. Mary's believes that the Athens Health Network is going to greatly impact our community's health and we are eager to be a part of their mission.
Part VI, Line 2: St. Mary's Health Care System completed a community health needs assessment in July of 2010 as described in Section B. In addition to the community health needs assessment, St. Mary's is regularly updated on the health status and health care resources of the Athens community through the Athens Health Network of which St. Mary's is a founding member.
Part VI, Line 3: Information is displayed on the hospital website and at all registration areas about financial assistance policies. All self-pay patients are visited by a financial counselor in the hospital and are screened for eligibility of financial assistance. The screening process includes screening for eligibility for the Charity Care policy as well as government programs.
Part VI, Line 4: St. Mary's Health Care System is located in Athens-Clarke County and serves this community as well as Jackson, Madison, Monroe, Oglethorpe, and Oconee Counties. The estimated population of Athens-Clarke County in 2010 was 116,714 people. The estimated median age is about 27, almost 10 years younger that the Georgia county average. This is due largely to the presence of the University of Georgia which currently enrolls more than 34,000 undergraduate and graduate students in total. Athens-Clarke County is diverse with about 70% of the population being white, 25% African American, and about 10% Latino. Athens-Clarke County is very educated, about 66% of residents have at least some college. However, the high school graduation rate is only 70% which is much lower than the Georgia average of 81%. Athens-Clarke County has a large population living in poverty, including 36% of children, and the median household income is only $34,000, which is $12,000 less than the Georgia average. Finally, 23% of the population under age 65 is without health insurance. The surrounding counties are more rural, slightly less diverse, and have less people living in poverty and without health insurance. However, people in these counties have fewer local resources and may face barriers to receiving care related to distance or transportation.
Part VI, Line 5: Many of St. Mary's senior leadership serve on boards of community organizations. Our president, most vice presidents and many directors donate their time and expertise to organizations that strive to improve community or state health. These organizations include Mercy Health Center, Parish Nurses Resource Center, Athens Health Network, Oncology Nursing Society, Athens Technical College's Surgical Tech program, Homeless & Poverty Coalition, and Learning Ally. St. Mary's is dedicated to serving the community not only within the hospital but also through partnerships in our community. Second, some of the physicians who work for St. Mary's or are associated with our hospital, donate their time and services to the free clinics in Athens, for example Mercy Health Center and Athens Nurses Clinic. The mission of St. Mary's is to serve the community and we encourage all staff to serve the community outside of the hospital. St. Mary's also provides corporate donations and sponsorships to many organizations and community events including the American Red Cross, American Heart Association's Heart Walk, Athens Goes Pink Breast Cancer Awareness, Food Bank of Northeast Georgia, and Athens Maternity & Baby Fair.
Part VI, Line 6: St. Mary's Health Care System Inc. operates as one organization to promote the health of the community. All Community Benefits are reported together and there is one needs assessment for St. Mary's Health Care System.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
American Heart Association
1720 Epps Bridge Parkway Suite108-383AthensGA30606135613797501(c)(3)200007388FMVVolunteer Staff HoursMedical Reseach for Heart Disease
Mercy Health Center
767 Oglethorpe AveAthensGA30606582603523501(c)(3)25000fMVMedical treatment of the underserved
Athens Health Network
P O Box 48917AthensGA30604275305499501(c)(3)150001476FMVVolunteer Staff HoursMedical treatment of the underserved NOTE: (IRC SECTION NUMBER APPLIED FOR)
United Way of Northeast Ga
1 Huntington Rd Ste 805AthensGA30606586008133501(c)(3)85381328FMVVolunteer Staff HoursFunding for various charities
Action Inc Athens Full Plate
594 Oconee StreetAthensGA30601580961506501(c)(3)6734FMVFoodFood for the Needy
Global Health Ministries
3805 West Chester Pike Suite 100Newton SquarePA19073233068656501(c)(3)6044FMVMedical SuppliesSupplies for Mission Trips
University of Georgia - Golf Course
2600 Riverbend RoadAthensGA30602586001998501(c)(3)5000fMVSponsorship of Station Classic Golf Tournament
St Marys Foundation Inc
1230 Baxter StreetAthensGA30602582544232501(c)(3)288256fMVGeneral Operation Funding
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants7TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: The type of financial assistance provided by the organization can be broken into two categories, national charities and local not-for-profit entities. The organization does not ask organizations such as the American Cancer Society and the United Way for any documentation as to how the donated funds were used. Smaller donations made to local organizations are usually event specific. A comittee reviews the donations requests and assumes the money provided pay for the program subject to the request.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
McKenna Don
03480340157561074201011025022596061341700
Hutson Martin
191496057926013370102410142770275277000
Dugger Brenda
12815106252901786909227043390222115000
Evans Nina
185766054001077808356015600250461000
Carter Montez
187220000459088140191870215680000
English Jeffrey
1537040462880130207124097720218190000
Schuller Karen
189021055199086108337015920255010000
Vaughn Kerry
01256100163920006390025305017369700
Camp Steven
18078400011373055740125050210236000
Wright Gary
14011302404902915000119540179031000
Griffiths Catherine
1337580001111807579039820156437000
Dixon-Martin Kelly
1648490156020394406960044690195824000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Dev Auth - Unified Govt of Athens Series 2009BusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN582613761IssuerEIN
CUSIP Number047059BB5CUSIPNumber
Date Issued2009-03-19DateIssued
Issue Price16036560IssuePrice
Description Of PurposeCurrent Refunding & Swap TerminationDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired315000AmountRetired
Total Proceeds16036560TotalProceeds
Issuance Costs From Proceeds296790IssuanceCostsFromProceeds
Other Spent Proceeds15739770OtherSpentProceeds
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSchedule K Supplental InformationIdentifier
ExplanationSchedule K, Part I, Bond Issues: (a) Issurer Name: Dev Auth - Unified Govt of Athens Series 2009 (f) Description of Purpose: Current Refunding & Swap TerminationExplanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Athens Hospitalist Services PCBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipDr.Middendorf, officer - key employee of Athens Hospitalist ServicesRelationship
Amount Of Transaction2509235AmountOfTransaction
Description Of TransactionPhysician ServicesDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6CHE is the sole member
Form 990, Part VI, Section A, line 7aYes, CHE approves the appointment of all Board members.
Form 990, Part VI, Section A, line 7bCHE has limited reserved powers to approve decisions of the governing body.
Form 990, Part VI, Section B, line 11The organization took steps to educate management, members of the board and members of appropriate subcommittees of the board on the compliance requirements mandated by the Form 990. The form was reviewed by management and then submitted to the board or a subcommittee thereof which reported its findings to the board.
Form 990, Part VI, Section B, line 12cThe organization has adopted CHE's policy 103, which sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving St. Mary's Health Care System in a fiduciary capacity, including directors, officers and key employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the organization's CEO and board's Chair. Summary information is reported to the entire board and available to the board throughout the year as business comes before the board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the board or an appropriated committee thereof comprised of dis-interested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request.
Form 990, Part VI, Section B, line 15The organization has adopted CHE's process for determining compensation which includes the following: The board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market postioning and pay elements. The committee engages with external consultants to provide market data comparing CHE roles to similarly sized health systems utilizing both title and job contenet comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorparated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes.
Form 990, Part VI, Section C, line 19Organizational Articles of Incorporation, Corporate By-laws, governance policies believed to be of interest to the public, conflict-of-interest policy, annual community benefit report and IRS Form 990 are available upon request.
Form 990, Part XI, line 5:Net unrealized losses on investments: -948,362. Release of Net Assets for Depreciation -214,087. Pension Adjustment -7,570,555. Contribution to Foundation 288,256. Change in Fair Value of Interest Rate Swaps -234,683. Total to Form 990, Part XI, Line 5: -8,679,431.Changes in Net Assets or Fund Balances:
Form 990, Part XII, Line 2a & 2b:While the entity does not have individual audited financial statements, an audit for CHE's consolidated financial statements was performedExplanation of financial statements:
Form 990, Part VII, Section A:Individuals compensated by a related organization have responsibilities and perform services for several related organizations including the filing organization. The amount of compensation appearing in Columns(E) and (F) reflect the services performed for this organization and its affiliates.
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 II Form990ScheduleRPartII (139 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Catholic Health East
3805 West Chester Pike Suite 100Newtown SquarePA19073232929748Management ServicesPA501(c)(3)Line 11a, IN/A1
Continuing Care Management Services Network
3805 West Chester Pike Suite 100Newtown SquarePA19073352336834Management & Support ServicesPA501(c)(3)Line 11b, II1Catholic Health East
Mercy Health System of Maine
144 State StreetPortlandMA04101010484074Management & Support ServicesME501(c)(3)Line 11c, III-FI1Catholic Health East
Mercy Hospital
144 State StreetPortlandMA04101010211534HospitalME501(c)(3)Line 31Mercy Health System of Maine
St Peter's Health Partners
315 South Manning BlvdAlbanyNY12208453570715Management & Support ServicesNY501(c)(3)Line 11b, II1Catholic Health East
St Peter's Health Care Services
315 South Manning BlvdAlbanyNY12208222702507Management & Support ServicesNY501(c)(3)Line 91St Peter's Health Partners
St Peter's Hospital
315 South Manning BlvdAlbanyNY12208141348692HospitalNY501(c)(3)Line 31St Peter's Health Care Services
St Peter's Hospital Foundation Inc
319 South Manning Blvd Suite 309AlbanyNY12208222262982Fundraising & Public RelationsNY501(c)(3)Line 71St Peter's Health Care Services
Eddy Licensed Home Care Agency
433 River St Suite 3000TroyNY12180141818568Home HealthNY501(c)(3)Line 31LTC(Eddy) Inc
The Community Hospice Foundation Inc
295 Valley View BlvdRensselaerNY12144222692940Fundraising & Public RelationsNY501(c)(3)Line 71The Community Hospice Inc
The Community Hospice Inc
295 Valley View BlvdRensselaerNY12144141608921Serving seriously ill people & their familiesNY501(c)(3)Line 31St Peter's Health Care Services
Villa Mary Immaculate
301 Hackett BlvdAlbanyNY12208141438749Nursing Home & Physical RehabNY501(c)(3)Line 31St Peter's Hospital
Warde Service Corporation Inc
159 Wolf Road 3rd FloorAlbanyNY12205141732097Supporting & strengthing the ministries of rel. sr. mercyNY501(c)(3)Line 91St Peter's Health Care Services
Mercy Care for Kids Inc
310 South Manning BlvdAlbanyNY12208141717564Day care centerNY501(c)(3)Line 91St Peter's Health Care Services
Our Lady of Mercy Life Center
2 Mercycare LaneGuilderlandNY12084141743506Nursing Home FacilityNY501(c)(3)Line 31St Peter's Health Care Services
St Peter's Auxiliary
315 South Manning BlvdAlbanyNY01228222843206AuxiliaryNY501(c)(3)Line 11a, I1St Peter's Health Care Services
Memorial Hospital Albany NY
600 Northern BlvdAlbanyNY12204141338457General HospitalNY501(c)(3)Line 31Northeast Health Inc
Beechwood Inc
2212 Burdett AveTroyNY12180141651563Real estate holdingNY501(c)(2)N/A1LTC (Eddy) Inc
Beverwyck Inc
40 Autumn DriveSlingerlandsNY12159141717028Independent/Assisted Living Retirement CommunityNY501(c)(3)Line 91LTC (Eddy) Inc
Capital Region Geriatric Center Inc
421 West Columbia StCohoesNY12047141701597Nursing HomeNY501(c)(3)Line 91LTC (Eddy) Inc
Senior Care Connection Inc
504 State StSchenectadyNY12305141708754PACE ProgramNY501(c)(3)Line 91LTC (Eddy) Inc
Glen Eddy Inc
One Glen Eddy DriveNiskayunaNY12309141794150Independent/Assisted Living CommunityNY501(c)(3)Line 91LTC (Eddy) Inc
Hawthorne Ridge Inc
30 Community WayEast GreenbushNY12061800102840Independent/Assisted Living Retirement CommunityNY501(c)(3)Line 91LTC (Eddy) Inc
Heritage House Nursing Center Inc
2920 Tibbits AveTroyNY12180141725101Nursing homeNY501(c)(3)Line 91LTC (Eddy) Inc
Home Aid Service of Eastern New York Inc
433 River St Suite 3000TroyNY12180141514867Home careNY501(c)(3)Line 91LTC (Eddy) Inc
James A Eddy Memorial Geriatric Center Inc
2256 Burdett AveTroyNY12180222570478Nursing homeNY501(c)(3)Line 91LTC (Eddy) Inc
LTC (Eddy) Inc
2212 Burdett AveTroyNY12180222564710Elderly health/housing supporting orgNY501(c)(3)Line 11a, I1Northeast Health Inc
The Marjorie Doyle Rockwell Center Inc
421 West Columbia StCohoesNY12047141793885Adult Home/AlzheimersNY501(c)(3)Line 91LTC (Eddy) Inc
Samaritan Hospital of Troy New York
2215 Burdett AveTroyNY12180141338544General hospitalNY501(c)(3)Line 31Northeast Health Inc
Shaker Properties Inc
2212 Burdett AveTroyNY12180223119822Real Estate holdingNY501(c)(2)N/A1Northeast Health Inc
Sunnyview Hospital & Rehabilitation Ctr
1270 Belmont AveSchenectadyNY12308141338386Rehabilitation hospitalNY501(c)(3)Line 31LTC (Eddy) Inc
Empire Home Infusion Service Inc
10 Blacksmith DriveMaltaNY12020141795732Home careNY501(c)(3)Line 91Home Aid Service of Eastern New York Inc
Samaritan Child Care Center Inc
2213 Burdett AveTroyNY12180141710225Child day careNY501(c)(3)Line 91Northeast Health Inc
The Northeast Health Foundation Inc
2224 Burdett AveTroyNY12180222743478Supporting foundationNY501(c)(3)Line 71Northeast Health Inc
Northeast Health Inc
2212 Burdett AveTroyNY12180042450756Supporting OrganizationNY501(c)(3)Line 11b, II1St Peter's Health Partners
Seton Health System Inc
1300 Massachusetts AvenueTroyNY12180141776186HospitalNY501(c)(3)Line 31St Peter's Health Partners
Seton Auxiliary Inc
1300 Massachusetts AvenueTroyNY12180141505031Supporting OrganizationNY501(c)(3)Line 91Seton Health System Inc
Seton Health at Schuyler Ridge Residential Healthcare
1 Abele BlvdClifton ParkNY12065141756230Skilled NursingNY501(c)(3)Line 91Seton Health System Inc
Seton Health Foundation
1300 Massachusetts AvenueTroyNY12180222345416Supporting OrganizationNY501(c)(3)Line 11a, I1Seton Health System Inc
Seton Licensed Home Care Inc
1300 Massachusetts AvenueTroyNY12180141809134Licensed Home Health AgencyNY501(c)(3)Line 31Seton Health System Inc
Vincentian Health Services
1300 Massachusetts AvenueTroyNY12180141685163Discontinued OperationsNY501(c)(3)Line 11a, I1Seton Health System Inc
St Mary's Woodland Village Inc
1300 Massachusetts AvenueTroyNY12180141675183Discontinued OperationsNY501(c)(3)Line 91Seton Health System Inc
Brightside Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040042182395Behavioral CareMA501(c)(3)Line 91Sisters of Providence Health System Inc
Farren Care Center Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040042501711Long Term CareMA501(c)(3)Line 31Sisters of Providence Health System Inc
Mercy Hospital Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040043398280Acute CareMA501(c)(3)Line 31Sisters of Providence Health System Inc
Mercy Specialist Physicians Inc
c/o SPHS 1221 Main Street No 108HolyokeMA01040264033168Neurosurgery Medical ServicesMA501(c)(3)Line 31Sisters of Providence Health System Inc
Sisters of Providence Care Centers Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040222541103Long Term CareMA501(c)(3)Line 31Sisters of Providence Health System Inc
Sisters of Providence Health System Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040043398374Management & Support ServicesMA501(c)(3)Line 11a, I1Catholic Health East
McAuley Center Inc
275 Steele RoadWest HartfordCT06117061058086Independent LivingCT501(c)(3)Line 91Mercy Community Health Inc
Mercy Community Health Inc
2021 Albany AvenueWest HartfordCT06117061492707Management & Support ServicesCT501(c)(3)Line 11a, I1Catholic Health East
Mercy Community HomeCare Services
2021 Albany AvenueWest HartfordCT06117061488137In Home Health CareCT501(c)(3)Line 91Mercy Community Health Inc
Mercy Services
2021 Albany AvenueWest HartfordCT06117061453323Support ServicesCT501(c)(3)Line 11Mercy Community Health Inc
Mercyknoll Inc
2021 Albany AvenueWest HartfordCT06117060757380Skilled NursingCT501(c)(3)Line 31Mercy Community Health Inc
Saint Mary Home II Inc
2021 Albany AvenueWest HartfordCT06117061164104Elderly CareCT501(c)(3)Line 31Mercy Community Health Inc
St Mary Home Incorporated
2021 Albany AvenueWest HartfordCT06117060646843Skilled NursingCT501(c)(3)Line 31Mercy Community Health Inc
Mercy Healthcare Center
114 Wawbeek AvenueTupper LakeNY12986150532211HospitalNY501(c)(3)Line 31Catholic Health East
Mercy Uihlein Health Corporation
185 Old Military RoadLake PlacidNY12946161535133HospitalNY501(c)(3)Line 11b, II1Mercy Healthcare Center
Uihlein Mercy Center
185 Old Military RoadLake PlacidNY12946150532190HospitalNY501(c)(3)Line 31Mercy Healthcare Center
St James Mercy Foundation Inc
411 Canisteo StreetHornellNY14843161486437FoundationNY501(c)(3)Line 71St James Mercy Health System Inc
St James Mercy Health System Inc
411 Canisteo StreetHornellNY14843223127184Management & Support ServicesNY501(c)(3)Line 11b, II1Catholic Health East
St James Mercy Hospital
411 Canisteo StreetHornellNY14843160743310HospitalNY501(c)(3)Line 31St James Mercy Health System Inc
Marian Community Hospital
100 Lincoln AvenueCarbondalePA18407240711230HospitalPA501(c)(3)Line 31Maxis Health System
Marian Community Hospital Auxiliary
100 Lincoln AvenueCarbondalePA18407251874733FundraisingPA501(c)(3)Line 11b, II1Maxis Health System
Maxis Foundation
100 Lincoln AvenueCarbondalePA18407232330090FundraisingPA501(c)(3)Line 11b, II1Maxis Health System
Maxis Health System
100 Lincoln AvenueCarbondalePA18407911940902Health Care SystemPA501(c)(3)Line 11b, II1Catholic Health East
Maxis Medical Services
100 Lincoln AvenueCarbondalePA18407232577185Physician PracticesPA501(c)(3)Line 31Maxis Health System
Tri-County Human Services Center Inc
PO Box 517CarbondalePA18407231938528Behavioral Health OrganizationPA501(c)(3)Line 71Maxis Health System
Columbus Acquisition Corp
1160 Raymond BoulevardNewarkNJ07102262616342Inactive EntityNJ501(c)(3)Line 91Saint Michaels Medical Center
Saint Michaels Medical Center
111 Central AvenueNewarkNJ07102262616046HospitalNJ501(c)(3)Line 31Catholic Health East
St James Care Inc
1160 Raymond BoulevardNewarkNJ07102262616230Inactive EntityNJ501(c)(3)Line 91Saint Michaels Medical Center
St Michaels Medical Center Foundation
1160 Raymond BoulevardNewarkNJ07102223311976FoundationNJ501(c)(3)Line 11a, I1Saint Michaels Medical Center
University Heights Property Company Inc
1160 Raymond BoulevardNewarkNJ07102223100162Medical Property Holding CompanyNJ501(c)(2)N/A1Saint Michaels Medical Center
Life St Francis Corporation
601 Hamilton AvenueTrentonNJ08629222797282Health ServicesNJ501(c)(3)Line 11a, I1St Francis Medical Center Trenton NJ
St Francis Medical Center Foundation NJ
601 Hamilton AvenueTrentonNJ08629521025476FoundationNJ501(c)(3)Line 11a, I1St Francis Medical Center Trenton NJ
St Francis Medical Center Trenton NJ
601 Hamilton AvenueTrentonNJ08629223431049HospitalNJ501(c)(3)Line 31Catholic Health East
Langhorne MRI Inc
1201 Langhorne-Newtown RoadLanghornePA19047232519529Inactive EntityPA501(c)(3)Line 91St Mary Medical Center
Langhorne Physician Services Inc
1201 Langhorne-Newtown RoadLanghornePA19047232571699Physician ServicesPA501(c)(3)Line 91St Mary Medical Center
LIFE St Mary
1201 Langhorne-Newtown RoadLanghornePA19047262976184Elderly CarePA501(c)(3)Line 91St Mary Medical Center
St Mary Medical Center
1201 Langhorne-Newtown RoadLanghornePA19047231913910HospitalPA501(c)(3)Line 31Catholic Health East
St Mary Medical Center Foundation Inc
1201 Langhorne-Newtown RoadLanghornePA19047232567468FoundationPA501(c)(3)Line 71St Mary Medical Center
East Norriton Physician Services
c/o One West Elm StreetConshohockenPA19428232515999Physician ServicesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Mercy Catholic Medical Center of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428231352191Acute Care HospitalPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Mercy Family Support
1001 Baltimore Pike Suite 301SpringfieldPA19064232325059Home HealthPA501(c)(3)Line 91Mercy Health System of Southeastern Pennsylvania
Mercy Health Foundation of Southeastern Pennsylvania
c/o MHS One West Elm StreetConshohockenPA19428232829864FundraisingPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Health Plan
c/o One West Elm StreetConshohockenPA19428222483605Health PlansPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Health System of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428232212638Management & Support ServicesPA501(c)(3)Line 11b, II1Catholic Health East
Mercy Home Health
1001 Baltimore Pike Suite 310SpringfieldPA19064231352099Home HealthPA501(c)(3)Line 91Mercy Health System of Southeastern Pennsylvania
Mercy Home Health Services
1001 Baltimore Pike Suite 301SpringfieldPA19064232325058Home HealthPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Management of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428232627944Physician PracticesPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Mercy Suburban Hospital
One West Elm StreetConshohockenPA19428231396763Acute Care HospitalPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Nazareth Health Care Foundation
2701 Holme AvenuePhiladelphiaPA19152232300951FundraisingPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Nazareth Hospital
2601 Holme AvenuePhiladelphiaPA19152232794121Acute Care HospitalPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
Nazareth Physician Services Inc
2601 Holme AvenuePhiladelphiaPA19152203261266Physician PracticesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
NE Physician Services
2601 Holme AvenuePhiladelphiaPA19152232497355Physician PracticesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
St Agnes Continuing Care Center
1900 S Broad StreetPhiladelphiaPA19145232840137Continuing Care ServicesPA501(c)(3)Line 31Mercy Health System of Southeastern Pennsylvania
St Agnes Continuing Care Center Foundation
1900 S Broad StreetPhiladelphiaPA19145232415137FundraisingPA501(c)(3)Line 11b, II1Mercy Health System of Southeastern Pennsylvania
Life at Lourdes Inc
1600 Haddon AvenueCamdenNJ08108261854750Elderly CareNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Lourdes Ancillary Services
1600 Haddon AvenueCamdenNJ08103222568525Supporting OrganizationNJ501(c)(3)Line 11b, II1Our Lady of Lourdes Health Care Services
Lourdes Dialysis at Innova Inc
1600 Haddon AvenueCamdenNJ08108263237625HospitalNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Lourdes Medical Center Burlington County
218 Sunset RoadWillingboroNJ08046223612265HospitalNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Our Lady of Lourdes Health Care Services
1600 Haddon AvenueCamdenNJ08103222568528Management & Support ServicesNJ501(c)(3)Line 11b, II1Catholic Health East
Our Lady of Lourdes Health Foundation Inc
1600 Haddon AvenueCamdenNJ08103222351960FoundationNJ501(c)(3)Line 71Our Lady of Lourdes Health Care Services
Our Lady of Lourdes Medical Center
1600 Haddon AvenueCamdenNJ08103210635001HospitalNJ501(c)(3)Line 31Our Lady of Lourdes Health Care Services
Franciscan Eldercare Corporation
PO Box 2500WilmingtonDE19805223008680EldercareDE501(c)(3)Line 91St Francis Hospital
St Francis Foundation
PO Box 2500WilmingtonDE19805510374158FoundationDE501(c)(3)Line 11b, II1St Francis Hospital
St Francis Hospital
PO Box 2500WilmingtonDE19805510064326HospitalDE501(c)(3)Line 31Catholic Health East
LIFE at St Francis Healthcare Inc
7th Clayton StreetsWilmingtonDE19805452569214Elderly CareDE501(c)(3)Line 31St Francis Hospital
McAuley Ministries
McAuley Hall 3333 Fifth AvenuePittsburghPA15213943436142Management & Support ServicesPA501(c)(3)Line 91Pittsburgh Mercy Health System
Mercy Jeannette Hospital
3805 West Chester PikeNewtown SquarePA19073251310602Inactive EntityPA501(c)(3)Line 91Pittsburgh Mercy Health System
Mercy Life Center Corporation
1200 Reedsdale StreetPittsburghPA15233251604115Community TreatmentPA501(c)(3)Line 91Pittsburgh Mercy Health System
Pittsburgh Mercy Health System
3333 5th AvenuePittsburghPA15213251464211Management & Support ServicesPA501(c)(3)Line 11b, II1Catholic Health East
St Joseph's of the Pines Inc
100 Gossman Drive Suite BSouthern PinesNC28387560694200HospitalNC501(c)(3)Line 31Catholic Health East
Life St Joseph of the Pines Inc
100 Gossman Drive Suite BSouthern PinesNC28387272159847Healthcare ServicesNC501(c)(3)Line 31St Joseph's of the Pines Inc
Mercy Senior Care Inc
212 West Third Street PO Box 866RomeGA30162581366508Community OutreachGA501(c)(3)Line 71Saint Joseph's Health System Inc
Good Samaritan HospitalInc
1201 Siloam RoadGreensboroGA30462261720984HospitalGA501(c)(3)Line 31Saint Joseph's Health System Inc
Saint Joseph's Health System Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342581744848Management & Support ServicesGA501(c)(3)Line 11b, II1Catholic Health East
Saint Joseph's Mercy Care Services Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342581752700Community OutreachGA501(c)(3)Line 71Saint Joseph's Health System Inc
Saint Joseph's Mercy Foundation Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342581448522FundraisingGA501(c)(3)Line 11b, II1Saint Joseph's Health System Inc
Mercy Services Downtown Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342272046353Real Estate Holding CompanyGA501(c)(3)Line 11b, II1Saint Joseph's Health System Inc
St Mary's Foundation Inc
1230 Baxter StreetAthensGA30606582544232FundraisingGA501(c)(3)Line 11b, II1St Mary's Health Care System Inc
St Mary's Highland Hills Inc
1230 Baxter StreetAthensGA30606020576648Assisted Living & Retirement CommunityGA501(c)(3)Line 31St Mary's Health Care System Inc
St Mary's Medical Group Inc
1230 Baxter StreetAthensGA30606261858563Hospital / Physician ServicesGA501(c)(3)Line 31St Mary's Health Care System Inc
Mercy Medical Corporation
PO Box 1090 101 Villa DriveDaphneAL36526636002215HospitalAL501(c)(3)Line 31Catholic Health East
Mercy LIFE of Alabama
PO Box 1090 101 Villa DriveDaphneAL36526273163002HospitalAL501(c)(3)Line 31Mercy Medical Corporation
Allegany Franciscan Ministries Inc
33920 US Highway 19 North Suite 269Palm HarborFL34684581492325Management & Support ServicesFL501(c)(3)Line 11b, II1Catholic Health East
St Francis Hospital Inc
33920 US Highway 19 North Suite 269Palm HarborFL34684590624442HospitalFL501(c)(3)Line 11a, I1Allegany Franciscan Ministries Inc
Holy Cross Hospital Inc
4725 North Federal HighwayFt LauderdaleFL33308590791028HospitalFL501(c)(3)Line 31Catholic Health East
Holy Cross Long-Term Inc
4725 North Federal HighwayFt LauderdaleFL33308650787320Medical ServicesFL501(c)(3)Line 31Holy Cross Hospital Inc
Holy Cross Medical Properties Inc
4725 North Federal HighwayFt LauderdaleFL33308650666283Medical Building Real Estate ManagementFL501(c)(2)N/A1Holy Cross Hospital Inc
Mercy Hospital Foundation Inc
3663 South Miami AvenueMiamiFL33133591709438FundraisingFL501(c)(3)Line 71Mercy Hospital Inc
Mercy Hospital Inc
3663 South Miami AvenueMiamiFL33133590791034HospitalFL501(c)(3)Line 31Catholic Health East
Mercy Medical Development Inc
3663 South Miami AvenueMiamiFL33133592789194Outpatient ServicesFL501(c)(3)Line 91Mercy Hospital Inc
Mercy Mission Services Inc
3663 South Miami AvenueMiamiFL33133650435764Health CareFL501(c)(3)Line 11a, I1Mercy Hospital Inc
Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital
3663 South Miami AvenueMiamiFL33133510461511HospitalFL501(c)(3)Line 31Mercy Hospital Inc
Global Health Ministry
3805 West Chester Pike Suite 100Newtown SquarePA19073233068656Health CarePA501(c)(3)Line 71Catholic Health East
VNA Home Health & Hospice
50 Foden RoadSouth PortlandME04106010246804Home Health & HospiceME501(c)(3)Line 11a, I1Mercy Health System of Maine
Providence Place Inc
5 Gamelin StreetHolyokeMA01040043404084Retirement CommunityMA501(c)(3)Line 91Sisters of Providence Health System Inc
Intercoastal Health Systems
3805 West Chester Pike Suite 100Newtown SquarePA19073650556413Management & Support ServicesPA501(c)(3)Line 11a, I1Catholic Health East
Sunnyview Hospital & Rehabilitation Center Foundation
1270 Belmont AveSchenectadyNY12308222505127Supporting foundationNY501(c)(3)Line 11a, I0Sunnyview Hospital & Rehabilitation Ctr

Form990 Schedule R Part III Form990ScheduleRPartIII (21 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
St Peter's Ambulatory Surgery Center LLC
1375 Washington Avenue Ste 201AlbanyNY12206460463892SurgeryNYN/A
Catherine Horan Building Limited Partnership
1221 Main Street Room 108HolyokeMA010400000042723429Property ManagementMAN/A
Western Massachusetts PETCT Imaging Center LLC
100 Bayview Circle Ste 400Newport BeachCA92660204744663Outpatient Medical ServicesDEN/A
Central New Jersey Heart Services LLC
10720 Sikes Places Ste 300CharlotteNC28277208525458Cardiac ProgramNJN/A
Langhorne MOB Partners LP
1201 Langhorne-Newtown RoadLanghornePA19047232622772Investment and operation of a medical buildingPAN/A
SMMC MOB II LP
1201 Langhorne-Newtown RoadLanghornePA19047364559869Investment and operation of a medical buildingPAN/A
The Ambulatory Surgery Center at St Mary LLC
1203 Langhorne-Newton RoadLanghornePA19047232871206Outpatient SurgeryPAN/A
AmeriHealth Mercy Health Plan
200 Stevens Drive Suite 350PhiladelphiaPA19113232859523Medicaid Managed Care OrganizationPAN/A
Amerihealth Mercy of Indiana LLC
200 STEVENS DRIVE Suite 350PhiladelphiaPA19113204948091PREPAID HEALTH CARE SERVICESINN/A
East Norriton Medical Associates
One West Elm StreetConshohockenPA19428232319531Medical Office BuildingPAN/A
East Norriton Medical Associates
One West Elm StreetConshohockenPA19428232319531Medical Office BuildingPAN/A
Gateway Health Plan
300 Grant StreetPittsburghPA15219251691945Medicaid & Medicare/Special Needs Managed Care OrganizationPAN/A
Keystone Mercy Health Plan
100 Stevens DrivePhiladelphiaPA19113232842344Medicaid Managed Care OrganizationPAN/A
MercyManor Partnership
PO Box 10086ToledoOH436990086521931012Nursing HomePAN/A
St Agnes Long Term Intensive Care LLP
1900 S Broad StreetPhiladelphiaPA19145200984882Long Term Intensive CarePAN/A
Nazareth Medical Office Building Associates LP
c/o Nazareth Hospital 2601 Holme AvPhiladelphiaPA19152232388040Medical Office BuildingPAN/A
Nazareth Medical Office Building Associates LP
c/o Nazareth Hospital 2601 Holme AvPhiladelphiaPA19152232388040Medical Office BuildingPAN/A
St Agnes Long Term Intensive Care LLP
1900 S Broad StreetPhiladelphiaPA19145200984882Long Term Intensive CarePAN/A
SJV Management LLC
200 Century Pkwy Ste 200EMount LaurelNJ08054202273476RadiologyNJN/A
Physicians Outpatient Surgery Center LLC
1000 NE 56thOakland ParkFL33334352325646Ambulatory Surgery CenterFLN/A
Center for Surgery & Digestive Orders
3641 South Miami AvenueMiamiFL33133510438152Outpatient Medical ServicesFLN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (34 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Percentage OwnershipPercentageOwnershipShare Of EOY AssetsShareOfEOYAssetsProvince Or StateAddressForeign/ProvinceOrStatePostal CodeAddressForeign/PostalCode
Samaritan Medical Office Building Inc
2212 Burdett AvenueTroyNY12180141607244Real EstateNYN/AC
Affiliated Management Services Corporation Inc
1300 Massachusetts AvenueTroyNY12180141668024Real EstateNYN/AC
Catherine Horan Building Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000042938180Building ManagementMAN/AC
Diversified Community Services Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043128890Medical ServicesMAN/AC
Mercy Inpatient Medical Associates Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043029829Medical ServicesMAN/AC
Providence Home Care Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043317426Health Care ServicesMAN/AC
System Coordinated Services Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000042938181Lab ServicesMAN/AC
Physicians Medical Office Building Condominium Trust
1221 Main Street Room 108HolyokeMA010400000046608649Property ManagementMAN/AC
SJM Properties Inc
411 Canisteo StreetHornellNY148482104161294991Property HoldingsNYN/AC
Carbondale Area Physicians' Association PC
100 Lincoln AveCarbondalePA18407232801677Medical Insurance ContractingPAN/AC
Carbondale Area Physicians' PHO Inc
100 Lincoln AveCarbondalePA18407232801676InactivePAN/AC
Carbondale Physicians' Services Inc
100 Lincoln AveCarbondalePA18407232365077PharmacyPAN/AC
Chestnut Risk Services Ltd
InsuranceN/AC11 Victoria StreetHamiltonBDBD
LifeCare Physicians PC
601 Hamilton AvenuetrentonNJ086291986261649038Health Care ServicesNJN/AC
Multicare Plus Inc
601 Hamilton AvenueTrentonNJ086291986223435844InactiveNJN/AC
Langhorne Services II Inc
1201 Langhorne-Newtown RoadLanghornePA190470000253795549General Partner of LMOB Partners, IIPAN/AC
Langhorne Services Inc
1201 Langhorne-Newtown RoadLanghornePA190470000232625981General Partner of LMOB PartnersPAN/AC
AMHP Holdings Corp
200 Stevens DrivePhiladelphiaPA19113261144363Behavorial HealthPAN/AC
Select Health of South Carolina Inc
4390 Belle Oaks Drive Suite 400CharlestonSC29405571032456Health Maintenance OrganizationSCN/AC
Gateway Health Plan Inc
600 Grant StreetPittsburghPA15219251505506Health CarePAN/AC
Gateway Health Plan Inc of Ohio
600 Grant StreetPittsburghPA15219300282076Health CarePAN/AC
MCMC Eastwick Inc
c/o MHS One West Elm StreetConshohockenPA19428232184261Medical Office BuildingsPAN/AC
Community Behavorial Healthcare Network of PA Inc
8040 Carlson RoadHarrisburgPA17112251765391Behavorial HealthPAN/AC
Health Management Services Org Inc
500 Grove Street Suite 100Haddon HeightsNJ08035223366580Health Care BillingNJN/AC
Jeannette Medical Providers
3805 West Chester PikeNewtown SquarePA19073251787334Holding CompanyPAN/AC
Jeannette OBGYN Group 1 Inc
3805 West Chester PikeNewtown SquarePA19073232890748Holding CompanyPAN/AC
Jeannette Primary Care Group 1 Inc
3805 West Chester PikeNewtown SquarePA19073232890743Holding CompanyPAN/AC
Georgia Health Enterprises LLC
11440 Commerce Park DriveRestonVA20191541806329HealthcareVACSt Mary's Health Care System Inc1.00000
St Mary's Highland Hills Village Inc
1660 Jennings Mill PklyBogartGA30622582276801Assisted LivingGACSt Mary's Health Care System Inc1.000006197076
GHE Physicians PC
3500 Piedmont RoadAtlantaGA30305582277939Practice ManagementGAN/AC
Nursing Network Inc
4725 North Federal HighwayFort Lauderdale HighwaFL333080000591145192Medical ServicesFLN/AC
Mercy Physician Group Inc
3663 South Miami AvenueMiamiFL33133202970015Health CareFLN/AC
Stella Maris Insurance Company Limited
980078266InsuranceN/ACPO Box 69Grand CaymanCJCJCayman IslandsKY1-1102
Catholic Health East Senior Services
3805 West Chester Pike Suite 100Newtown SquarePA19073371572595Senior ServicesPAN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
St Marys Highland Hills Inc
R3235000Fair Market Value
St Marys Highland Hills Inc
Q3935398Fair Market Value
St Marys Medical Group Inc
R5966585Fair Market Value
St Marys Medical Group Inc
Q11786106Fair Market Value
Catholic Health East
O5870881Fair Market Value
St Marys Foundation Inc
Q402768Fair Market Value
St Marys Foundation Inc
C53065Fair Market Value