2012-11-15T10:16:34-06:00 2011-12-31 861065772 Deloitte Tax LLP 1700 Market Street 25th floor Philadelphia PA 191033984 990 2011-01-01 581492325 Allegany Franciscan Ministries Inc ALLE 7275079668 33920 US Highway 19 North No 269 Palm Harbor FL 346842673 Eileen C Boyle 7275079668 2012-11-15 1 Pamela L Heist CPA P00294236 2152462300 2011 2016-02-24 21:20:13Z Eileen Boyle 33920 US Highway 19 North No 269 Palm Harbor FL 346842673 3950671 0 0928 X WWW.AFMFL.ORG X 1982 FL Allegany Franciscan Ministries' mission is to advance, promote, and support the healthcare ministries and Catholic healthcare mission of the Franciscan Sisters of Allegany. This Catholic organization, guided by this mission and rooted in the tradition and vision of the Franciscan Sisters of Allegany, is a catalyst for systemic change by committing resources and working collaboratively with others to promote physical, mental, spiritual, societal and cultural well-being in the communities served. Allegany Franciscan Ministries is a member of Catholic Health East ("CHE"). 13 13 0 44 0 0 397934 2092 0 0 3465165 3948579 0 0 3863099 3950671 6755992 6501634 0 0 747965 761150 0 0 0 1322337 1328617 8826294 8591401 -4963195 -4640730 130842225 121668734 6503469 6261106 124338756 115407628 X To advance, promote and support the healthcare ministries and Catholic healthcare mission of the Franciscan Sisters of Allegany. This Catholic organization, guided by the mission and rooted in the tradition and vision of the Franciscan Sisters of Allegany, is a catalyst for systemic change by committing resources and working collaboratively with others to promote physical, mental, spiritual, societal and cultural well-being in communities served. 0 0 7077641 6501634 Advance, promote, and support health services and educational programs through grants, with special emphasis on the communities and persons of Miami-Dade, Palm Beach, Martin, St. Lucie, Hillsborough, and Pinellas Counties, Florida. Grants are made to nonprofit organizations to support community-based strategies to increase access to health services and expand wellness education opportunities for underserved populations. 7077641 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 3 0 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X X Eileen C Boyle 7275079668 33920 US Highway 19 N 269 Palm Harbor FL 346842673 Avril Chin Fatt OSF 1.00 X 0 0 0 John F Flanigan 1.00 X X 0 0 0 Kim Greene 1.00 X 0 0 0 Margaret Mary Kimmins OSF 1.00 X 0 0 0 Howard Watts 1.00 X 0 0 0 Carl Lavender 1.00 X 0 0 0 Anne Martin Robonie OSF 1.00 X 0 0 0 Tom Siccone 1.00 X 0 0 0 Donna Eileen Kane OSF 1.00 X 0 0 0 Peter C Wassmer MD 1.00 X 0 0 0 William Tapp 1.00 X 0 0 0 Odette Haddad OSF 1.00 X 0 0 0 Jo Streva OSF 1.00 X X 0 0 0 Eileen C Boyle 40.00 X 168393 0 17957 168393 0 17957 1 0 1 0 0 2092 2092 2375353 2375353 1573226 0 1573226 1573226 1573226 3950671 0 0 3948579 6498784 6498784 2850 2850 186350 93175 93175 411546 345699 65847 163254 137133 26121 2565 2565 41810 41810 12188 12188 12340 12340 752 752 10072 10072 45790 45790 62421 62421 62035 62035 18724 18724 6313 6313 20566 20566 Franciscan Sisters of A 1000000 1000000 Telephone 16429 16429 Dues & Subscriptions 10929 10929 Equipment Rental 5683 5683 8591401 7077641 1513760 0 2174491 3286545 35061 31098 8521 6786 75962 57434 23037 18528 128592850 118319062 8265 6715 130842225 121668734 10969 11960 6492500 6249146 0 6503469 6261106 X 124338756 115407628 0 0 124338756 115407628 130842225 121668734 X -4640730 -4290398 X X 0 0 0 X X X X 0 0 0 CATHOLIC HEALTH EAST 232929748 9 1 1 1 1000000 1 1000000 75962 57434 18528 18528 Investments 73751228 F Investments - Alternative Managed Assets 44567834 F 118319062 1 South America 0 0 Grant making See Part V 2850 0 0 0 0 0 0 2850 0 2850 0 0 0 0 0 0 Procedure for Monitoring Grants Outside the U.S.: Schedule F, Part I, Line 2: Grants outside of the US are awarded to organizations affiliated with the Franciscan Sisters of Allegany, New York, a congregation of religious women with ministries in Brazil. The organization ensures that the funds are used exclusively for charitable purposes. English copies of organizational documents and a written application for a grant that describes the grantees activities and programs are obtained; a formal written agreement is entered into that documents the grantee's commitments and the use of funds for charitable purposes, and an annual report accounting for the funds is obtained. No more than $5,000 is awarded to a single grantee in a 12-month period. 1 Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square PA 19073 232929748 501(c)(3) 1000000 General Fund BayCare Health System 16255 Bay Vista Drive Clearwater FL 33760 592796965 501(c)(3) 200000 Faith Community Nursing Neighborly Care Network 12425 28th Street North Suite 200 St Petersburg FL 33716 591218100 501(c)(3) 151854 Neighborly Pharmacy Program Rebuilding Together Tampa Bay 2918 West Kennedy Boulevard Tampa FL 33609 593664580 501(c)(3) 150000 Healthy Homes for Tampa Bay The Spring of Tampa Bay PO Box 5147 Tampa FL 33675 591777135 501(c)(3) 150000 Operating Support Hillsborough Kids Healthcare Foundation 18907 Avenue Biarritz Lutz FL 33558 593517416 501(c)(3) 149500 Child Healthcare Access Initiative Suncoast Health Council 9600 Koger Boulevard Suite 221 St Petersburg FL 33702 592267545 501(c)(3) 146000 MedNet (Connections for Health) Human Services Coaltion of Dade County 1900 Biscayne Boulevard Suite 200 Miami FL 33132 650690368 501(c)(3) 135000 Nonprofit Capacity Building Initiative St Petersburg Free Clinic 863 Third Avenue North St Petersburg FL 33701 237208280 501(c)(3) 133000 Patient Centered Model of Care Franciscan Center 3010 Perry Avenue Tampa FL 33603 591356360 501(c)(3) 125000 Hope and Health Renewed Tampa Bay Healthcare Collaborative PO Box 2252 Dunedin FL 34997 542080380 501(c)(3) 120000 Nonprofit Capacity Building and JUMP Creative Clay 1124 Central Avenue St Petersburg FL 33705 593338595 501(c)(3) 119000 Creative Health Judeo Christian Health Clinic 4120 1/2 North MacDill Avenue Tampa FL 33607 591605647 501(c)(3) 110000 Keys to Care Brandon Outreach Clinic 517 North Parsons Avenue Brandon FL 33510 592917499 501(c)(3) 100000 Operating Support Child Abuse Council 3108 West Azelle Street Tampa FL 33609 591807551 501(c)(3) 100000 Kids on the Block Feeding America Tampa Bay 4702 Transport Drive Building 6 Tampa FL 33605 592116576 501(c)(3) 100000 Direct Distribution Healthy Start Coalition of Hillsborough County 2806 N Armenia Avenue Suite 100 Tampa FL 33607 593127943 501(c)(3) 100000 Technological Capacity and Sustainability Homeless Emergency Project 1120 North Betty Lane Clearwater FL 33755 592729694 501(c)(3) 100000 Building the Capacity HEP James B Sanderlin Center 2335 22nd Avenue South St Petersburg FL 33712 593024059 501(c)(3) 100000 Operating Support St Joseph's Hospital Foundation 2700 W Dr Martin Luther King Boulevard Suite 310 Tampa FL 33607 590774199 501(c)(3) 100000 Kidz Bite Back Childhood Obesity Initiative Willa Carson Health Resource Center 1108 N Martin Luther King Avenue Clearwater FL 33755 650743078 501(c)(3) 100000 Nurse Practitioner Program, Healthy Style Outreach Homeless Coalition of Hillsborough County PO Box 360181 Tampa FL 33673 593651378 501(c)(3) 94000 Outreach for Life - Enhanced Tampa Bay Healthcare Collaborative PO Box 2252 Dunedin FL 34997 542080380 501(c)(3) 89500 Journey to Unlock Management Potential (JUMP) The Children's Home 10909 Memorial Highway Tampa FL 33615 590696284 501(c)(3) 88000 Infant, Child, and Family Mental Health Services Catholic Charities Diocese of Palm Beach 9995 N Military Trail PO Box 109650 109650 Palm Beach Gardens FL 33410 592470479 501(c)(3) 85000 Healthier Living Program St Joseph's Hospital Foundation 2700 W Dr Martin Luther King Boulevard Suite 310 Tampa FL 33607 590774199 501(c)(3) 77000 Pediatric Pallative Care Team BayCare Health System 16255 Bay Vista Drive Clearwater FL 33760 592796965 501(c)(3) 75000 Clinic for Children with Chronic and Complex Needs HANDS PO Box 12788 Port St Lucie FL 34979 263945016 501(c)(3) 75000 Health Access Network Delivery Systems Palm Beach County Medical Society Services 3540 Forest Hill Boulevard Suite 101 West Palm Beach FL 33406 651048299 501(c)(3) 75000 Project Access True Fast Outreach Ministries 638 Sixth Street West Palm Beach FL 33401 300194610 501(c)(3) 75000 Basic Needs Program and Operating Support BayCare Health System 16255 Bay Vista Drive Clearwater FL 33760 592796965 501(c)(3) 73000 Respite Services for Homeless Patients All 'Bout Children 931 Village Boulevard 905-370 West Palm Beach FL 33409 650932032 501(c)(3) 63000 Childcare Community Wellness Program Meals on Wheels of Tampa 556 W Hillsborough Avenue Tampa FL 33603 591679915 501(c)(3) 62000 Expansion to Under-Served Neighborhoods BayCare Health System 16255 Bay Vista Drive Clearwater FL 33760 592796965 501(c)(3) 60000 End of Life Education Project Daystar Life Center 226 Sixth Street South St Petersburg FL 33701 650523539 501(c)(3) 60000 Compassionate Services Connection Martin County Healthy Start Coalition 2026 SE Ocean Boulevard Stuart FL 34996 650359999 501(c)(3) 55000 Involving Dads in Maternal and Prenatal Care Community Health Centers of Pinellas 1344 22nd Street South St Petersburg FL 33712 592097521 501(c)(3) 50000 Women's Health Initiative Comprehensive Community Care Network 2330 South Congress Avenue Palm Springs FL 33406 542083748 501(c)(3) 50000 Health Care Access and Navigation El Sol Jupiter's Neighborhood Resource Center 106 Military Trail Jupiter FL 33458 010870672 501(c)(3) 50000 El Sol Shines a Light on Health Kristi House 1265 NW 12 Avenue Miami FL 33136 650576650 501(c)(3) 50000 Operating Support Martin County Healthy Start Coalition 2026 SE Ocean Boulevard Stuart FL 34996 650359999 501(c)(3) 50000 Prenatal Outreach Center Mercy Hospital Foundation 3663 S Miami Avenue Miami FL 33133 591709438 501(c)(3) 50000 St. John Bosco Clinic Reach-Up 2902 North Armenia Avenue Suite 100 100 Tampa FL 33607 208437749 501(c)(3) 50000 Closing the Gap in Infant Mortality Society of St V de Paul Council of S Pinellas 384 15th Street North St Petersburg FL 33705 592237848 501(c)(3) 50000 Quality Healthcare for the Homeless Tampa Bay Partnership Regional Research and Education Foundation 4300 W Cypress Street Suite 250 Tampa FL 33607 593414776 501(c)(3) 50000 One Bay: Healthy Communities Barry University 11300 Northeast Second Avenue Miami Shores FL 33161 233248825 501(c)(3) 48000 Non-Profit Technical Assistance Community Health Center of WPB 2823 North Australian Avenue West Palm Beach FL 33407 263611337 501(c)(3) 44500 Free Health Care Capacity Building Initiative Nonprofit Leadership Center of Tampa Bay 1401 North Westshore Bouelvard 101 Tampa FL 33607 593671047 501(c)(3) 40000 Operating Support Mustard Seed Ministries of Fort Pierce 3130 S US Highway 1 Fort Pierce FL 34982 650017366 501(c)(3) 38000 General Operating Support BayCare Health System 16255 Bay Vista Drive Clearwater FL 33760 592796965 501(c)(3) 35000 Pastoral Education Program Florida Resource Center for Women & Children 1923 Broadway Riviera Beach FL 33404 650942198 501(c)(3) 35000 Health and Education Center The Whole Child Connection 2026 SE Ocean Boulevard Stuart FL 34996 510647845 501(c)(3) 31000 General Operating Support Alzheimer's Community Care 800 North Point Parkway Suite 101 B B West Palm Beach FL 33407 311481653 501(c)(3) 30000 Community-Based Services - Western PBC BayCare Health System 16255 Bay Vista Drive Clearwater FL 33760 592796965 501(c)(3) 30000 Comprehensive Clinical Ethics Program Epilepsy Foundation of Florida 1200 NW 78 Avenue Suite 400 Miami FL 33126 592164525 501(c)(3) 30000 Project Access Florida Community Health Action Info Network 16887 96th Terrace North Jupiter FL 33478 113799890 501(c)(3) 30000 Getting Florida Covered: the Affordable Care Act Public Education & Advocacy Campaign Guardianship Program of Dade County 8300 NW 3rd Street Suite 402 Miami FL 33166 592124958 501(c)(3) 30000 Entitlement and Health Services Project Response PO Box 277 Fort Pierce FL 34954 593036563 501(c)(3) 30000 HIV Navigators Program Tarpon Springs Shepherd's Center PO Box 1766 Tarpon Springs FL 34688 593070882 501(c)(3) 30000 Strategic Development and Faith Initiative The Children's Campaign 487-1 East Tennessee Street Tallahassee FL 32301 311811747 501(c)(3) 30000 Children's Health Awareness and Healthy Start Prj Camillus House 336 NW Fifth Street Miami FL 33128 650032862 501(c)(3) 25000 Courtyard Healthcare Services Florida Catholic Conference 201 West Park Avenue Tallahassee FL 32301 591232887 501(c)(3) 25000 Health Desk Activities and Advocacy Florida Community Health Centers 4450 South Tiffany Drive West Palm Beach FL 33407 591671640 501(c)(3) 25000 Electronic Health Records Implementation Guardian Ad Litem Foundation of Tampa Bay 14250 49th Street North Suite 4000 Clearwater FL 33762 592961546 501(c)(3) 25000 Partnership to Support Vulnerable Children Human Services Coaltion of Dade County 1900 Biscayne Boulevard Suite 200 Miami FL 33132 650690368 501(c)(3) 25000 Public Allies Miami - St. Mary's Cathedral School Miami Bridge Youth and Family Services 2810 NW South River Drive Miami FL 33125 592569847 501(c)(3) 25000 Project Tomorrow Restaurant Opportunities Center of New York 350 7th Avenue Suite 1504 New York NY 10001 030522321 501(c)(3) 25000 Healthy Workes, Healthy Workplaces St John Missionary Baptist Church 900 North Seacrest Boulevard Boynton Beach FL 33435 650220124 501(c)(3) 25000 Capacity Building Sundari Foundation 445 Grand Bay Drive PH1B Key Biscayne FL 33149 810652266 501(c)(3) 25000 Lotus House Women's Shelter The Economic Development Institute 4420 Beacon Circle West Palm Beach FL 33407 200080989 501(c)(3) 25000 Palm Beach County Counts The Education Fund 900 NE 125th Street Suite 10 North Miami FL 33161 592468114 501(c)(3) 25000 Collaborative Nutrition Initiative Voices for Children of Hillsborough County 655 N Franklin Street Suite 1303 Tampa FL 33602 592737702 501(c)(3) 25000 Partnership to Support Vulnerable Children United Way of Martin County PO Box 362 Stuart FL 34995 237273540 501(c)(3) 22000 Martin County Health Improvement Academy Prep of St Petersburg 2301 22nd Avenue South St Petersburg FL 33712 593622978 501(c)(3) 20000 Fit Families for Life Florida Prosperity Partnership 180 Pinehurst Pointe Drive St Augustine FL 32092 270905144 501(c)(3) 20000 Florida Prosperity Campaign Florida Public Health Institute 1622 N Federal Highway Suit B Lake Worth FL 33460 300051514 501(c)(3) 20000 Promoting Improvements in Oral Health in PBC Health Council of South Florida 8095 NW 12th Street Suite 300 Miami FL 33126 592268478 501(c)(3) 20000 Florida Association of Free Clinics Health Council of South Florida 8095 NW 12th Street Suite 300 Miami FL 33126 592268478 501(c)(3) 20000 Miami Matters Operating Support Health Council of South Florida 8095 NW 12th Street Suite 300 Miami FL 33126 592268478 501(c)(3) 20000 FL Assoc. of Free Clinics - General Operating Support Catholic Volunteers in Florida PO Box 536476 Orlando FL 32853 593087902 501(c)(3) 15000 Formation/Retreat Program Advocates For ShelterAction Policy 423 11th Avenue South St Petersburg FL 33701 650132187 501(c)(3) 10000 Helping the Homeless Build Careers AntiochCarol City Commty Development Corp 21311 NW 34 Avenue Miami Gardens FL 33056 311552361 501(c)(3) 10000 Faith Based Leadership and Healthy Aging Boca Helping Hands 1500 NW 1st Court Boca Raton FL 33432 311713631 501(c)(3) 10000 Pantry Program Expansion CBY 25 Initiative 405 East Palm Avenue Tampa FL 33602 743239498 501(c)(3) 10000 Connected by 25 Ctr for Strategic Philanthropy & Civic Engagmnt 7015 Beracasa Way Suite 105 Boca Raton FL 33433 274582196 501(c)(3) 10000 Regional Leadership Summit on Human Trafficing Christians Reaching Out to Society 301 First Avenue South Lake Worth FL 33460 591802917 501(c)(3) 10000 Comprehensive Food Initiative Church of the Harvest 3127 Bacom Point Road Pahokee FL 33476 651079385 501(c)(3) 10000 Glades Area Pantries Coptic Orthodox Charities 4765 Stoneview Circle Oldsmar FL 34677 550790330 501(c)(3) 10000 Health Education Program Faith and Action for Strength Together PO Box 10421 St Petersburg FL 33713 202058779 501(c)(3) 10000 Reducing Recidivism through Rehabilitation First United Methodist Church 260 SW Prima Vista Boulevard Port St Lucie FL 34983 590954425 501(c)(3) 10000 Sarah's Kitchen Florida Community Health Action Info Network 16887 96th Terrace North Jupiter FL 33478 113799890 501(c)(3) 10000 Getting Florida Covered: the Affordable Care Act Public Education & Advocacy Campaign Florida Consumer Action Network Foundation 3006 W Kennedy Boulevard Suite B Tampa FL 33609 592475079 501(c)(3) 10000 Affordable Care Act Implementation Florida Philanthropic Network 1211 N Westshore Boulevard Suite 314 Tampa FL 33607 201328734 501(c)(3) 10000 General Operating Support Frameworks 5509 West Grat Street Suite 100 Tampa FL 33609 208776228 501(c)(3) 10000 Partnership collaboration at the Collaborative Labs Front Porch Florida Community Develpmt Assn 1523 16th Street South St Petersburg FL 33705 593606615 501(c)(3) 10000 Health Workers Outreach Project Gang Alternative 311 NE 75th Street Miami FL 33138 202630595 501(c)(3) 10000 The World of Technology Welcomes Gang Alternative Global Health Ministry 3805 West Chester Pike Suite 100 Newtown Square PA 19073 233068656 501(c)(3) 10000 Nursing Staff at Alma Mater Hospital in Haiti Health Foundation of South Florida One Biscayne Tower 2 South Biscayne Boulevard Suite 1710 Miami FL 33131 650005384 501(c)(3) 10000 Florida Convergence Partnership Healthy Together Tampa Bay 110 E Oak Avenue Tampa FL 33602 261980408 501(c)(3) 10000 Prime Time Sister Circles High Point Neighborhood Family Center 6399 142nd Avenue N Suite 116 Clearwater FL 33761 593529732 501(c)(3) 10000 Seeds 2 Soup Hillsborough Organiztn for Progress & Equality 5103 N Central Avenue Tampa FL 33603 592914463 501(c)(3) 10000 HOPE for Justice Hispanic Services Council 1502 W Busch Boulevard Suite J Tampa FL 33612 593198934 501(c)(3) 10000 Capacity Building Homeless Coalition of Hillsborough County PO Box 360181 Tampa FL 33673 593651378 501(c)(3) 10000 Places for People Homeless Helping Homeless 106 East Floribraska Avenue Tampa FL 33603 300558165 501(c)(3) 10000 Capacity Building Homes for Independence 2735 Whitney Road Clearwater FL 33760 593342379 501(c)(3) 10000 Clean, Green and Healthy! In the Image of Christ PO Box 12379 Fort Pierce FL 34979 651104332 501(c)(3) 10000 Food Pantry Lighthouse of Pinellas 6925 1112th Circle North Largo FL 33773 237042938 501(c)(3) 10000 Diabetes Self Management for the Visually Impaired Mary's Shelter of the Treasure Coast 1033 SE 14th Street Stuart FL 34996 263714519 501(c)(3) 10000 Saving Lives Two at a Time Meals on Wheels of the Palm Beaches PO Box 247 West Palm Beach FL 33402 272891297 501(c)(3) 10000 Food for Those in Need Mission Tampa 801 East Hillsborough Tampa FL 33604 200836960 501(c)(3) 10000 Mission Smiles Dental Clinic Mujeres Unidas Justicia Educacion y Reforma 27112 S Dixie Highway Naranja FL 33032 650534683 501(c)(3) 10000 Project Connect Mustard Seed Ministries of Fort Pierce 3130 S US Highway 1 Fort Pierce FL 34982 650017366 501(c)(3) 10000 Phone System Upgrade Nat'l Coal'n of 100 Black Women WPB Chptr PO Box 15292 West Palm Beach FL 33406 264598647 501(c)(3) 10000 Black Women's Breast Health Project Physicians for Social Responsibilty PO Box 13091 Tampa FL 33681 261760654 501(c)(3) 10000 Safe and Healthy Children Initiative Pink Rose Foundation PO Box 1713 Fort Pierce FL 34954 870798463 501(c)(3) 10000 Back to School Expo Project LIFT PO Box 1152 Stuart FL 34995 273949112 501(c)(3) 10000 Project L.I.F.T Quantum House 901 45th Street West Palm Beach FL 33407 650898326 501(c)(3) 10000 Helping Hands Family Care Program Rapha Family Services 14039 NW 17th Avenue Miami FL 33167 260608235 501(c)(3) 10000 Capacity Building Project Rural Social Services Partnership 9270 Bay Plaza Boulevard Tampa FL 33619 205093568 501(c)(3) 10000 Healthy Habits St Mary's Ethopian Church 2424 86th Street Tampa FL 33619 593132666 501(c)(3) 10000 Tampa Bay Gardens St Peter Claver Catholic School 1401 Governor Street Tampa FL 33602 593087902 501(c)(3) 10000 Setting an Agenda for Excellence, Part II Street Beat PO Box 972 South Bay FL 33433 650646408 501(c)(3) 10000 Dance for Health Suncoast Haven of Rest Rescue Mission 5625 Park Boulevard Pinellas Park FL 33781 650058805 501(c)(3) 10000 Homeless Outreach Project The Village Baptist Church 8306 155th Place North Palm Beach Gardens FL 33418 590766989 501(c)(3) 10000 Community Food Truck The Village Baptist Church 8306 155th Place North Palm Beach Gardens FL 33418 590766989 501(c)(3) 10000 Feed the Hungry Food Pantry Trinity Caf 100 Madison Street Suite 300 Tampa FL 33602 593733387 501(c)(3) 10000 Project Produce United Way of St Lucie County 4800 South US 1 Fort Pierce FL 34982 596212157 501(c)(3) 10000 2012 Community wide Assessment Women's Circle 912 SE 4th Street Boynton Beach FL 33435 651068376 501(c)(3) 10000 I Need a Job! Zion's Daughter of Distinction Ministries 800 Virginia Avenue Suite E F Fort Pierce FL 34982 113832052 501(c)(3) 10000 SWAN Program (Sisters with a Need) Clothes To Kids 1059 N Hercules Avenue Clearwater FL 33765 141849798 501(c)(3) 9000 Wardrobe Basics Payne Chapel Development 801 9th Street West Palm Beach FL 33401 263685255 501(c)(3) 9000 Easy Living Ministry for Senior Citizens Coalition of Florida Farmworker Organization PO Box 344010 Florida City FL 33034 592149950 501(c)(3) 8000 Children & Sustainable Agriculture St Pete Pregnancy & Family Resource Centr 1210 22nd Avenue South St Petersburg FL 33712 593173118 501(c)(3) 7000 Baby Love Pregnancy Care Project Florida Philanthropic Network 1211 N Westshore Boulevard Suite 314 Tampa FL 33607 201328734 501(c)(3) 6000 EngAGEment Initiative Girls on the Run 341 Malverne Road West Palm Beach FL 33405 562201835 501(c)(3) 6000 Girls on the Run Palm Beach Life Enrichment Center 9704 North Boulevard Tampa FL 33612 592108128 501(c)(3) 6000 Life Enrichment Center 136 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Once grants are approved by the organization's board of trustees, the organization enters into an agreement with the grantee. The agreement specifies the purpose of grant, allowable budget line items, and expected activities and outcomes. It also describes the payment plan and reporting requirements. During the course of the grant, written reports documenting the programmatic and financial progress are required periodiocally; these are reviewed by the organization's grant manager, regional vice president and CEO. After the grant period, a final report is required documenting the budgetary and programmatic results of the grant. The final report is also reviewed by the grant manager, regional vice president and CEO. In certain cases, site visits are conducted to review and monitor the grant. The organization may also review additional documentation and records, and require additional reports at any time. Schedule I, part II Total of grants on the statement of functional expenses line 1 and on Schedule I part II does not match the total of grants in the list provided because functional expenses are on accrual basis and the list of grants paid is on cash basis. X 1 1 X X X 0 0 0 0 0 0 0 0 0 Eileen C Boyle 147810 0 15000 0 5583 0 7428 0 10529 0 186350 0 0 0 Part I, Line 1a The President/CEO received reimbursement of annual health club (YMCA) membership expense, as an eligible member of the Catholic Health East executive perquisite program. This benefit was treated as taxable compensation. Part I, Line 3 The organization relied on a related organization that used one or more of the methods described below to establish the top management official's compensation: - Compensation committee - Independent compensation committee Form 990, Part VI, Section A, line 1 The president serves as a non-voting ex-officio member of the board of trustees. All other members of the governing body have the same voting rights. No committee has broad authority to act on behalf of the full board. Form 990, Part VI, Section A, line 6 Catholic Health East, a Pennsylvania nonprofit corporation, (CHE) is the sole member of the Corporation. Form 990, Part VI, Section A, line 7a Catholic Health East has the reserved right to approve the appointment and removal of Trustees of the Corporation. The Trustees nominate and recommend new Trustees, subject to Catholic Health East approval. Form 990, Part VI, Section A, line 7b Catholic Health East, the sole member of the Corporation, has certain reserved rights and authorities, in addition to approving the appointment and removal of governing board members of Allegany Franciscan Ministries, Inc. Catholic Health East has the authority to approve amendments to the Allegany Franciscan Ministries,Inc articles of incorporation, approve amendments to key provisions of the Allegany Franciscan Ministries,Inc by-laws, approve changes to the philosophy and mission statement for Allegany Franciscan Ministries,Inc. and approve the dissolution, merger, consolidation/purchase of entity, entry into a joint operating agreement or joint venture by Allegany Franciscan Ministries, Inc. In all cases, Catholic Health East receives recommendations from the Allegany Franciscan Ministries, Inc. governing body. Form 990, Part VI, Section B, line 11 The Stewardship Committee is responsible for review of the Form 990 before it is filed. This Committee receives training on responsibilities related to the Form 990 and receives a copy for review and discussion at a regularly scheduled meeting. Prior to filing, a copy is also sent electronically to all members of the Board of Trustees for review. Form 990, Part VI, Section B, line 12c The organization has adopted Catholic Health East's policy 103, which sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving the organization in a fiduciary capacity, including directors, officers, committee members, and all 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. Specifically as it relates to grants, information is presented in writing to the entire Board regarding any actual or apparent conflict each time grants are presented to the Board for action. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the Board or an appropriate committee thereof comprised of dis-interested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the Board's 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 or directly from Catholic Heath East's website and the Glass Pockets Project website. Form 990, Part VI, Section B, line 15 The organization has adopted Catholic Health East's process for determining compensation which includes the following: The Board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing Catholic Health East roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative program and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes. Form 990, Part VI, Section C, line 19 IRS Form 990 and annual financial statements are posted on the organization's website and also on the Foundation Center's Glass Pockets project website. Organizational articles of incorporation, corporate by-laws, governance policies, conflict-of-interest policy are available to the public upon written or e-mailed request. A statement is provided on the organization's web site that these documents are available. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Unrealized loss on investments -4,290,398. Total to Form 990, Part XI, Line 5: -4,290,398. Explanation of financial statements: Form 990, Part XII, Line 2a & 2b: The organization's financial statements are compiled, reviewed and audited on a consolidated basis with the Catholic Health East audit. In addition, unaudited year-end financial statements are prepared by a CPA, and certain agreed upon procedures are carried out by an independent audit firm. 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 Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square PA 19073 232929748 Management Services PA 501(c)(3) Line 11a, I 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 Catholic Health East 1 Mercy Health System of Maine 144 State Street Portland MA 04101 010484074 Management & Support Services ME 501(c)(3) Line 11c, III-FI Catholic Health East 1 Mercy Hospital 144 State Street Portland MA 04101 010211534 Hospital ME 501(c)(3) Line 3 Mercy Health System of Maine 1 St Peter's Health Partners 315 South Manning Blvd Albany NY 12208 453570715 Management & Support Services NY 501(c)(3) Line 11b, II Catholic Health East 1 St Peter's Health Care Services 315 South Manning Blvd Albany NY 12208 222702507 Management & Support Services NY 501(c)(3) Line 9 St Peter's Health Partners 1 St Peter's Hospital 315 South Manning Blvd Albany NY 12208 141348692 Hospital NY 501(c)(3) Line 3 St Peter's Health Care Services 1 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 St Peter's Health Care Services 1 Eddy Licensed Home Care Agency 433 River St Suite 3000 Troy NY 12180 141818568 Home Health NY 501(c)(3) Line 3 LTC(Eddy) Inc 1 The Community Hospice Foundation Inc 295 Valley View Blvd Rensselaer NY 12144 222692940 Fundraising & Public Relations NY 501(c)(3) Line 7 The Community Hospice Inc 1 The Community Hospice Inc 295 Valley View Blvd Rensselaer NY 12144 141608921 Serving seriously ill people & their families NY 501(c)(3) Line 3 St Peter's Health Care Services 1 Villa Mary Immaculate 301 Hackett Blvd Albany NY 12208 141438749 Nursing Home & Physical Rehab NY 501(c)(3) Line 3 St Peter's Hospital 1 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 St Peter's Health Care Services 1 Mercy Care for Kids Inc 310 South Manning Blvd Albany NY 12208 141717564 Day care center NY 501(c)(3) Line 9 St Peter's Health Care Services 1 Our Lady of Mercy Life Center 2 Mercycare Lane Guilderland NY 12084 141743506 Nursing Home Facility NY 501(c)(3) Line 3 St Peter's Health Care Services 1 St Peter's Auxiliary 315 South Manning Blvd Albany NY 01228 222843206 Auxiliary NY 501(c)(3) Line 11a, I St Peter's Health Care Services 1 Memorial Hospital Albany NY 600 Northern Blvd Albany NY 12204 141338457 General Hospital NY 501(c)(3) Line 3 Northeast Health Inc 1 Beechwood Inc 2212 Burdett Ave Troy NY 12180 141651563 Real estate holding NY 501(c)(2) N/A LTC (Eddy) Inc 1 Beverwyck Inc 40 Autumn Drive Slingerlands NY 12159 141717028 Independent/Assisted Living Retirement Community NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Capital Region Geriatric Center Inc 421 West Columbia St Cohoes NY 12047 141701597 Nursing Home NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Senior Care Connection Inc 504 State St Schenectady NY 12305 141708754 PACE Program NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Glen Eddy Inc One Glen Eddy Drive Niskayuna NY 12309 141794150 Independent/Assisted Living Community NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Hawthorne Ridge Inc 30 Community Way East Greenbush NY 12061 800102840 Independent/Assisted Living Retirement Community NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Heritage House Nursing Center Inc 2920 Tibbits Ave Troy NY 12180 141725101 Nursing home NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 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 LTC (Eddy) Inc 1 James A Eddy Memorial Geriatric Center Inc 2256 Burdett Ave Troy NY 12180 222570478 Nursing home NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 LTC (Eddy) Inc 2212 Burdett Ave Troy NY 12180 222564710 Elderly health/housing supporting org NY 501(c)(3) Line 11a, I Northeast Health Inc 1 The Marjorie Doyle Rockwell Center Inc 421 West Columbia St Cohoes NY 12047 141793885 Adult Home/Alzheimers NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Samaritan Hospital of Troy New York 2215 Burdett Ave Troy NY 12180 141338544 General hospital NY 501(c)(3) Line 3 Northeast Health Inc 1 Shaker Properties Inc 2212 Burdett Ave Troy NY 12180 223119822 Real Estate holding NY 501(c)(2) N/A Northeast Health Inc 1 Sunnyview Hospital & Rehabilitation Ctr 1270 Belmont Ave Schenectady NY 12308 141338386 Rehabilitation hospital NY 501(c)(3) Line 3 LTC (Eddy) Inc 1 Empire Home Infusion Service Inc 10 Blacksmith Drive Malta NY 12020 141795732 Home care NY 501(c)(3) Line 9 Home Aid Service of Eastern New York Inc 1 Samaritan Child Care Center Inc 2213 Burdett Ave Troy NY 12180 141710225 Child day care NY 501(c)(3) Line 9 Northeast Health Inc 1 The Northeast Health Foundation Inc 2224 Burdett Ave Troy NY 12180 222743478 Supporting foundation NY 501(c)(3) Line 7 Northeast Health Inc 1 Northeast Health Inc 2212 Burdett Ave Troy NY 12180 042450756 Supporting Organization NY 501(c)(3) Line 11b, II St Peter's Health Partners 1 Seton Health System Inc 1300 Massachusetts Avenue Troy NY 12180 141776186 Hospital NY 501(c)(3) Line 3 St Peter's Health Partners 1 Seton Auxiliary Inc 1300 Massachusetts Avenue Troy NY 12180 141505031 Supporting Organization NY 501(c)(3) Line 9 Seton Health System Inc 1 Seton Health at Schuyler Ridge Residential Healthcare 1 Abele Blvd Clifton Park NY 12065 141756230 Skilled Nursing NY 501(c)(3) Line 9 Seton Health System Inc 1 Seton Health Foundation 1300 Massachusetts Avenue Troy NY 12180 222345416 Supporting Organization NY 501(c)(3) Line 11a, I Seton Health System Inc 1 Seton Licensed Home Care Inc 1300 Massachusetts Avenue Troy NY 12180 141809134 Licensed Home Health Agency NY 501(c)(3) Line 3 Seton Health System Inc 1 Vincentian Health Services 1300 Massachusetts Avenue Troy NY 12180 141685163 Discontinued Operations NY 501(c)(3) Line 11a, I Seton Health System Inc 1 St Mary's Woodland Village Inc 1300 Massachusetts Avenue Troy NY 12180 141675183 Discontinued Operations NY 501(c)(3) Line 9 Seton Health System Inc 1 Brightside Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 042182395 Behavioral Care MA 501(c)(3) Line 9 Sisters of Providence Health System Inc 1 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 Sisters of Providence Health System Inc 1 Mercy Hospital Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 043398280 Acute Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 1 Mercy Specialist Physicians Inc c/o SPHS 1221 Main Street No 108 Holyoke MA 01040 264033168 Neurosurgery Medical Services MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 1 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 Sisters of Providence Health System Inc 1 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 Catholic Health East 1 McAuley Center Inc 275 Steele Road West Hartford CT 06117 061058086 Independent Living CT 501(c)(3) Line 9 Mercy Community Health Inc 1 Mercy Community Health Inc 2021 Albany Avenue West Hartford CT 06117 061492707 Management & Support Services CT 501(c)(3) Line 11a, I Catholic Health East 1 Mercy Community HomeCare Services 2021 Albany Avenue West Hartford CT 06117 061488137 In Home Health Care CT 501(c)(3) Line 9 Mercy Community Health Inc 1 Mercy Services 2021 Albany Avenue West Hartford CT 06117 061453323 Support Services CT 501(c)(3) Line 1 Mercy Community Health Inc 1 Mercyknoll Inc 2021 Albany Avenue West Hartford CT 06117 060757380 Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc 1 Saint Mary Home II Inc 2021 Albany Avenue West Hartford CT 06117 061164104 Elderly Care CT 501(c)(3) Line 3 Mercy Community Health Inc 1 St Mary Home Incorporated 2021 Albany Avenue West Hartford CT 06117 060646843 Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc 1 Mercy Healthcare Center 114 Wawbeek Avenue Tupper Lake NY 12986 150532211 Hospital NY 501(c)(3) Line 3 Catholic Health East 1 Mercy Uihlein Health Corporation 185 Old Military Road Lake Placid NY 12946 161535133 Hospital NY 501(c)(3) Line 11b, II Mercy Healthcare Center 1 Uihlein Mercy Center 185 Old Military Road Lake Placid NY 12946 150532190 Hospital NY 501(c)(3) Line 3 Mercy Healthcare Center 1 St James Mercy Foundation Inc 411 Canisteo Street Hornell NY 14843 161486437 Foundation NY 501(c)(3) Line 7 St James Mercy Health System Inc 1 St James Mercy Health System Inc 411 Canisteo Street Hornell NY 14843 223127184 Management & Support Services NY 501(c)(3) Line 11b, II Catholic Health East 1 St James Mercy Hospital 411 Canisteo Street Hornell NY 14843 160743310 Hospital NY 501(c)(3) Line 3 St James Mercy Health System Inc 1 Marian Community Hospital 100 Lincoln Avenue Carbondale PA 18407 240711230 Hospital PA 501(c)(3) Line 3 Maxis Health System 1 Marian Community Hospital Auxiliary 100 Lincoln Avenue Carbondale PA 18407 251874733 Fundraising PA 501(c)(3) Line 11b, II Maxis Health System 1 Maxis Foundation 100 Lincoln Avenue Carbondale PA 18407 232330090 Fundraising PA 501(c)(3) Line 11b, II Maxis Health System 1 Maxis Health System 100 Lincoln Avenue Carbondale PA 18407 911940902 Health Care System PA 501(c)(3) Line 11b, II Catholic Health East 1 Maxis Medical Services 100 Lincoln Avenue Carbondale PA 18407 232577185 Physician Practices PA 501(c)(3) Line 3 Maxis Health System 1 Tri-County Human Services Center Inc PO Box 517 Carbondale PA 18407 231938528 Behavioral Health Organization PA 501(c)(3) Line 7 Maxis Health System 1 Columbus Acquisition Corp 1160 Raymond Boulevard Newark NJ 07102 262616342 Inactive Entity NJ 501(c)(3) Line 9 Saint Michaels Medical Center 1 Saint Michaels Medical Center 111 Central Avenue Newark NJ 07102 262616046 Hospital NJ 501(c)(3) Line 3 Catholic Health East 1 St James Care Inc 1160 Raymond Boulevard Newark NJ 07102 262616230 Inactive Entity NJ 501(c)(3) Line 9 Saint Michaels Medical Center 1 St Michaels Medical Center Foundation 1160 Raymond Boulevard Newark NJ 07102 223311976 Foundation NJ 501(c)(3) Line 11a, I Saint Michaels Medical Center 1 University Heights Property Company Inc 1160 Raymond Boulevard Newark NJ 07102 223100162 Medical Property Holding Company NJ 501(c)(2) N/A Saint Michaels Medical Center 1 Life St Francis Corporation 601 Hamilton Avenue Trenton NJ 08629 222797282 Health Services NJ 501(c)(3) Line 11a, I St Francis Medical Center Trenton NJ 1 St Francis Medical Center Foundation NJ 601 Hamilton Avenue Trenton NJ 08629 521025476 Foundation NJ 501(c)(3) Line 11a, I St Francis Medical Center Trenton NJ 1 St Francis Medical Center Trenton NJ 601 Hamilton Avenue Trenton NJ 08629 223431049 Hospital NJ 501(c)(3) Line 3 Catholic Health East 1 Langhorne MRI Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232519529 Inactive Entity PA 501(c)(3) Line 9 St Mary Medical Center 1 Langhorne Physician Services Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232571699 Physician Services PA 501(c)(3) Line 9 St Mary Medical Center 1 LIFE St Mary 1201 Langhorne-Newtown Road Langhorne PA 19047 262976184 Elderly Care PA 501(c)(3) Line 9 St Mary Medical Center 1 St Mary Medical Center 1201 Langhorne-Newtown Road Langhorne PA 19047 231913910 Hospital PA 501(c)(3) Line 3 Catholic Health East 1 St Mary Medical Center Foundation Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232567468 Foundation PA 501(c)(3) Line 7 St Mary Medical Center 1 East Norriton Physician Services c/o One West Elm Street Conshohocken PA 19428 232515999 Physician Services PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 Mercy Catholic Medical Center of Southeastern Pennsylvania One West Elm Street Conshohocken PA 19428 231352191 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 Mercy Family Support 1001 Baltimore Pike Suite 301 Springfield PA 19064 232325059 Home Health PA 501(c)(3) Line 9 Mercy Health System of Southeastern Pennsylvania 1 Mercy Health Foundation of Southeastern Pennsylvania c/o MHS One West Elm Street Conshohocken PA 19428 232829864 Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Mercy Health Plan c/o One West Elm Street Conshohocken PA 19428 222483605 Health Plans PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Mercy Health System of Southeastern Pennsylvania One West Elm Street Conshohocken PA 19428 232212638 Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East 1 Mercy Home Health 1001 Baltimore Pike Suite 310 Springfield PA 19064 231352099 Home Health PA 501(c)(3) Line 9 Mercy Health System of Southeastern Pennsylvania 1 Mercy Home Health Services 1001 Baltimore Pike Suite 301 Springfield PA 19064 232325058 Home Health PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Mercy Management of Southeastern Pennsylvania One West Elm Street Conshohocken PA 19428 232627944 Physician Practices PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Mercy Suburban Hospital One West Elm Street Conshohocken PA 19428 231396763 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 Nazareth Health Care Foundation 2701 Holme Avenue Philadelphia PA 19152 232300951 Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Nazareth Hospital 2601 Holme Avenue Philadelphia PA 19152 232794121 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 Nazareth Physician Services Inc 2601 Holme Avenue Philadelphia PA 19152 203261266 Physician Practices PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 NE Physician Services 2601 Holme Avenue Philadelphia PA 19152 232497355 Physician Practices PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 St Agnes Continuing Care Center 1900 S Broad Street Philadelphia PA 19145 232840137 Continuing Care Services PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 St Agnes Continuing Care Center Foundation 1900 S Broad Street Philadelphia PA 19145 232415137 Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Life at Lourdes Inc 1600 Haddon Avenue Camden NJ 08108 261854750 Elderly Care NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 1 Lourdes Ancillary Services 1600 Haddon Avenue Camden NJ 08103 222568525 Supporting Organization NJ 501(c)(3) Line 11b, II Our Lady of Lourdes Health Care Services 1 Lourdes Dialysis at Innova Inc 1600 Haddon Avenue Camden NJ 08108 263237625 Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 1 Lourdes Medical Center Burlington County 218 Sunset Road Willingboro NJ 08046 223612265 Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 1 Our Lady of Lourdes Health Care Services 1600 Haddon Avenue Camden NJ 08103 222568528 Management & Support Services NJ 501(c)(3) Line 11b, II Catholic Health East 1 Our Lady of Lourdes Health Foundation Inc 1600 Haddon Avenue Camden NJ 08103 222351960 Foundation NJ 501(c)(3) Line 7 Our Lady of Lourdes Health Care Services 1 Our Lady of Lourdes Medical Center 1600 Haddon Avenue Camden NJ 08103 210635001 Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 1 Franciscan Eldercare Corporation PO Box 2500 Wilmington DE 19805 223008680 Eldercare DE 501(c)(3) Line 9 St Francis Hospital 1 St Francis Foundation PO Box 2500 Wilmington DE 19805 510374158 Foundation DE 501(c)(3) Line 11b, II St Francis Hospital 1 St Francis Hospital PO Box 2500 Wilmington DE 19805 510064326 Hospital DE 501(c)(3) Line 3 Catholic Health East 1 LIFE at St Francis Healthcare Inc 7th Clayton Streets Wilmington DE 19805 452569214 Elderly Care DE 501(c)(3) Line 3 St Francis Hospital 1 McAuley Ministries McAuley Hall 3333 Fifth Avenue Pittsburgh PA 15213 943436142 Management & Support Services PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 1 Mercy Jeannette Hospital 3805 West Chester Pike Newtown Square PA 19073 251310602 Inactive Entity PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 1 Mercy Life Center Corporation 1200 Reedsdale Street Pittsburgh PA 15233 251604115 Community Treatment PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 1 Pittsburgh Mercy Health System 3333 5th Avenue Pittsburgh PA 15213 251464211 Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East 1 St Joseph's of the Pines Inc 100 Gossman Drive Suite B Southern Pines NC 28387 560694200 Hospital NC 501(c)(3) Line 3 Catholic Health East 1 Life St Joseph of the Pines Inc 100 Gossman Drive Suite B Southern Pines NC 28387 272159847 Healthcare Services NC 501(c)(3) Line 3 St Joseph's of the Pines Inc 1 Mercy Senior Care Inc 212 West Third Street PO Box 866 Rome GA 30162 581366508 Community Outreach GA 501(c)(3) Line 7 Saint Joseph's Health System Inc 1 Good Samaritan HospitalInc 1201 Siloam Road Greensboro GA 30462 261720984 Hospital GA 501(c)(3) Line 3 Saint Joseph's Health System Inc 1 Saint Joseph's Health System Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 581744848 Management & Support Services GA 501(c)(3) Line 11b, II Catholic Health East 1 Saint Joseph's Mercy Care Services Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 581752700 Community Outreach GA 501(c)(3) Line 7 Saint Joseph's Health System Inc 1 Saint Joseph's Mercy Foundation Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 581448522 Fundraising GA 501(c)(3) Line 11b, II Saint Joseph's Health System Inc 1 Mercy Services Downtown Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 272046353 Real Estate Holding Company GA 501(c)(3) Line 11b, II Saint Joseph's Health System Inc 1 St Mary's Health Care System Inc 1230 Baxter Street Athens GA 30606 580566223 Hospital GA 501(c)(3) Line 3 Catholic Health East 1 St Mary's Foundation Inc 1230 Baxter Street Athens GA 30606 582544232 Fundraising GA 501(c)(3) Line 11b, II St Mary's Health Care System Inc 1 St Mary's Highland Hills Inc 1230 Baxter Street Athens GA 30606 020576648 Assisted Living & Retirement Community GA 501(c)(3) Line 3 St Mary's Health Care System Inc 1 St Mary's Medical Group Inc 1230 Baxter Street Athens GA 30606 261858563 Hospital / Physician Services GA 501(c)(3) Line 3 St Mary's Health Care System Inc 1 Mercy Medical Corporation PO Box 1090 101 Villa Drive Daphne AL 36526 636002215 Hospital AL 501(c)(3) Line 3 Catholic Health East 1 Mercy LIFE of Alabama PO Box 1090 101 Villa Drive Daphne AL 36526 273163002 Hospital AL 501(c)(3) Line 3 Mercy Medical Corporation 1 St Francis Hospital Inc 33920 US Highway 19 North Suite 269 Palm Harbor FL 34684 590624442 Hospital FL 501(c)(3) Line 11a, I Allegany Franciscan Ministries Inc 1 Holy Cross Hospital Inc 4725 North Federal Highway Ft Lauderdale FL 33308 590791028 Hospital FL 501(c)(3) Line 3 Catholic Health East 1 Holy Cross Long-Term Inc 4725 North Federal Highway Ft Lauderdale FL 33308 650787320 Medical Services FL 501(c)(3) Line 3 Holy Cross Hospital Inc 1 Holy Cross Medical Properties Inc 4725 North Federal Highway Ft Lauderdale FL 33308 650666283 Medical Building Real Estate Management FL 501(c)(2) N/A Holy Cross Hospital Inc 1 Mercy Hospital Foundation Inc 3663 South Miami Avenue Miami FL 33133 591709438 Fundraising FL 501(c)(3) Line 7 Mercy Hospital Inc 1 Mercy Hospital Inc 3663 South Miami Avenue Miami FL 33133 590791034 Hospital FL 501(c)(3) Line 3 Catholic Health East 1 Mercy Medical Development Inc 3663 South Miami Avenue Miami FL 33133 592789194 Outpatient Services FL 501(c)(3) Line 9 Mercy Hospital Inc 1 Mercy Mission Services Inc 3663 South Miami Avenue Miami FL 33133 650435764 Health Care FL 501(c)(3) Line 11a, I Mercy Hospital Inc 1 Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital 3663 South Miami Avenue Miami FL 33133 510461511 Hospital FL 501(c)(3) Line 3 Mercy Hospital Inc 1 Global Health Ministry 3805 West Chester Pike Suite 100 Newtown Square PA 19073 233068656 Health Care PA 501(c)(3) Line 7 Catholic Health East 1 VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Home Health & Hospice ME 501(c)(3) Line 11a, I Mercy Health System of Maine 1 Providence Place Inc 5 Gamelin Street Holyoke MA 01040 043404084 Retirement Community MA 501(c)(3) Line 9 Sisters of Providence Health System Inc 1 Intercoastal Health Systems 3805 West Chester Pike Suite 100 Newtown Square PA 19073 650556413 Management & Support Services PA 501(c)(3) Line 11a, I Catholic Health East 1 Sunnyview Hospital & Rehabilitation Center Foundation 1270 Belmont Ave Schenectady NY 12308 222505127 Supporting foundation NY 501(c)(3) Line 11a, I Sunnyview Hospital & Rehabilitation Ctr 1 St Peter's Ambulatory Surgery Center LLC 1375 Washington Avenue Ste 201 Albany NY 12206 460463892 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 10720 Sikes Places Ste 300 Charlotte NC 28277 208525458 Cardiac Program NJ N/A Langhorne MOB Partners LP 1201 Langhorne-Newtown Road Langhorne PA 19047 232622772 Investment and operation of a medical building PA 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-Newton Road Langhorne PA 19047 232871206 Outpatient Surgery PA N/A AmeriHealth Mercy Health Plan 200 Stevens Drive Suite 350 Philadelphia PA 19113 232859523 Medicaid Managed Care Organization PA N/A Amerihealth Mercy of Indiana LLC 200 STEVENS DRIVE Suite 350 Philadelphia PA 19113 204948091 PREPAID HEALTH CARE SERVICES IN 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 Keystone Mercy Health Plan 100 Stevens Drive Philadelphia PA 19113 232842344 Medicaid 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 1900 S Broad Street Philadelphia PA 19145 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 St Agnes Long Term Intensive Care LLP 1900 S Broad Street Philadelphia PA 19145 200984882 Long Term Intensive Care 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 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 Samaritan Medical Office Building Inc 2212 Burdett Avenue Troy NY 12180 141607244 Real Estate NY N/A C Affiliated Management Services Corporation Inc 1300 Massachusetts Avenue Troy NY 12180 141668024 Real Estate NY N/A C Catherine Horan Building Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 042938180 Building Management MA N/A C Diversified Community Services Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 043128890 Medical Services MA N/A C Mercy Inpatient Medical Associates Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 043029829 Medical Services MA N/A C Providence Home Care Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 043317426 Health Care Services MA N/A C System Coordinated Services Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 042938181 Lab Services MA N/A C Physicians Medical Office Building Condominium Trust 1221 Main Street Room 108 Holyoke MA 010400000 046608649 Property Management MA N/A C SJM Properties Inc 411 Canisteo Street Hornell NY 148482104 161294991 Property Holdings NY N/A C Carbondale Area Physicians' Association PC 100 Lincoln Ave Carbondale PA 18407 232801677 Medical Insurance Contracting PA N/A C Carbondale Area Physicians' PHO Inc 100 Lincoln Ave Carbondale PA 18407 232801676 Inactive PA N/A C Carbondale Physicians' Services Inc 100 Lincoln Ave Carbondale PA 18407 232365077 Pharmacy PA N/A C Chestnut Risk Services Ltd 11 Victoria Street Hamilton BD Insurance BD N/A C LifeCare Physicians PC 601 Hamilton Avenue trenton NJ 086291986 261649038 Health Care Services NJ N/A C Multicare Plus Inc 601 Hamilton Avenue Trenton NJ 086291986 223435844 Inactive NJ N/A C Langhorne Services II Inc 1201 Langhorne-Newtown Road Langhorne PA 190470000 253795549 General Partner of LMOB Partners, II PA N/A C Langhorne Services Inc 1201 Langhorne-Newtown Road Langhorne PA 190470000 232625981 General Partner of LMOB Partners PA N/A C AMHP Holdings Corp 200 Stevens Drive Philadelphia PA 19113 261144363 Behavorial Health PA N/A C Select Health of South Carolina Inc 4390 Belle Oaks Drive Suite 400 Charleston SC 29405 571032456 Health Maintenance Organization SC N/A C Gateway Health Plan Inc 600 Grant Street Pittsburgh PA 15219 251505506 Health Care PA N/A C Gateway Health Plan Inc of Ohio 600 Grant Street Pittsburgh PA 15219 300282076 Health Care PA N/A C MCMC Eastwick Inc c/o MHS One West Elm Street Conshohocken PA 19428 232184261 Medical Office Buildings PA N/A C Community Behavorial Healthcare Network of PA Inc 8040 Carlson Road Harrisburg PA 17112 251765391 Behavorial Health PA N/A C Health Management Services Org Inc 500 Grove Street Suite 100 Haddon Heights NJ 08035 223366580 Health Care Billing NJ N/A C Jeannette Medical Providers 3805 West Chester Pike Newtown Square PA 19073 251787334 Holding Company PA N/A C Jeannette OBGYN Group 1 Inc 3805 West Chester Pike Newtown Square PA 19073 232890748 Holding Company PA N/A C Jeannette Primary Care Group 1 Inc 3805 West Chester Pike Newtown Square PA 19073 232890743 Holding Company PA N/A C Georgia Health Enterprises LLC 11440 Commerce Park Drive Reston VA 20191 541806329 Healthcare VA N/A C St Mary's Highland Hills Village Inc 1660 Jennings Mill Pkly Bogart GA 30622 582276801 Assisted Living GA N/A C GHE Physicians PC 3500 Piedmont Road Atlanta GA 30305 582277939 Practice Management GA N/A C Nursing Network Inc 4725 North Federal Highway Fort Lauderdale Highwa FL 333080000 591145192 Medical Services FL N/A C Mercy Physician Group Inc 3663 South Miami Avenue Miami FL 33133 202970015 Health Care FL N/A C Stella Maris Insurance Company Limited PO Box 69 Grand Cayman Cayman Islands CJ KY1-1102 980078266 Insurance CJ N/A C Catholic Health East Senior Services 3805 West Chester Pike Suite 100 Newtown Square PA 19073 371572595 Senior Services PA N/A C 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 Catholic Health East B 1000000 Cash Paid Catholic Health East O 788756 Cash Paid