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MERCY HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MERCY HOSPITAL INC (EIN 59-0791034)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201213209349301626
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)
Timestamp2012-11-15T08:43:25-06:00Timestamp
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 Code191033984ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN590791034EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Mercy Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERCNameControl
Phone3052852904Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13663 South Miami AvenueAddressLine1
CityMiamiCity
StateFLState
ZIP Code33133ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLinda V WilfordName
TitleCFO/TreasurerTitle
Phone3052852904Phone
Date Signed2012-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWilliam J HomerName
PTINP00994519PTIN
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 PersonLinda V WilfordNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14725 North Federal HighwayAddressLine1
CityFt LauderdaleCity
StateFLState
ZIP Code333081603ZIPCode
FieldValueIRS element (for citing)
Gross Receipts85336184GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.mercymiami.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1945YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionMercy Hospital, Inc. is a member of the Mercy Hospital, Miami Health System. In witness of Jesus' Healing Mission, Mercy Hospital, Miami strives to improve the well-being of those served through a healthcare delivery system designed to promote wellness and cure illness. As a ministry of the Roman Catholic Church and a member of Catholic Health East ("CHE"), we are committed to being a transforming, healing presence within our community.ActivityOrMissionDescription
Termination Or ContractionXTerminationOrContraction
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees1962TotalNbrEmployees
Total Nbr Volunteers394TotalNbrVolunteers
Total Gross UBI4286031TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8467624ContributionsGrantsPriorYear
Contributions Grants Current Year1520999ContributionsGrantsCurrentYear
Program Service Revenue Prior Year239588630ProgramServiceRevenuePriorYear
Program Service Revenue CY74124428ProgramServiceRevenueCY
Investment Income Prior Year409582InvestmentIncomePriorYear
Investment Income Current Year-468024InvestmentIncomeCurrentYear
Other Revenue Prior Year18174024OtherRevenuePriorYear
Other Revenue Current Year9487491OtherRevenueCurrentYear
Total Revenue Prior Year266639860TotalRevenuePriorYear
Total Revenue Current Year84664894TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year56799GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY12500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year113558141SalariesEtcPriorYear
Salaries Etc Current Year35889561SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year186778182OtherExpensePriorYear
Other Expenses Current Year58852396OtherExpensesCurrentYear
Total Expenses Prior Year300393122TotalExpensesPriorYear
Total Expenses Current Year94754457TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-33753262RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-10089563RevenuesLessExpensesCY
Total Assets BOY225827975TotalAssetsBOY
Total Assets EOY24431621TotalAssetsEOY
Total Liabilities BOY238363700TotalLiabilitiesBOY
Total Liabilities EOY47138225TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-12535725NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-22706604NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionIn witness of Jesus' healing mission, Mercy Hospital strives to improve the well-being of those served through a healthcare delivery system designed to promote wellness and cure illness. As a ministry of the Roman Catholic Church and a member of Catholic Health East, we are committed to being a transforming, healing presence within our community. Adopting the spirit of the Sisters of St. Joseph in "working to achieve unity of neighbor with neighbor and neighbor with God", we attest to the value of human life in all its cycles. This is done through respect for the unborn and recognition of the transcendent meaning of suffering and death by combining professional excellence with a compassionate concern for the whole person. We seek to understand and respond to the needs of our community through collaboration with others that share a common mission and vision. With attention to fiscal responsibility, quality services are made available and accessible to those who need them.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change1SignificantChange
Expense79336030Expense
Grants12500Grants
Revenue74124428Revenue
DescriptionMercy Hospital is dedicated to providing the highest quality & health care services to Miami and the surrounding 93 communities, including an emergency department that is open 24 hours per day, which provides emergency medical care without regard to the patients' ability to pay. Mercy Hospital's mission includes charity care for those in need, within the limits of the financial resources of the hospital. Other community services include religious services, contributions to charitable organizations, donations to the community, and patient transportation.Description
Total Program Service Expense79336030TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
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 Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation1PartialLiquidation
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 With1096270NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1962NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
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 Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
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 Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Linda V WilfordBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9547763012TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13663 South Miami AvenueAddressLine1
CityMiamiCity
StateFLState
ZIP Code331334253ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Basil Bernard
Trustee1.00X000
John Dasburg
Trustee1.00X000
Patrick Dwyer
Trustee1.00X000
J Patrick Fitzgerald
Trustee1.00X000
Ricardo Girala MD Sch O
Trustee1.00X10737608035
Jeffrey Horstmyer MD Sch O
Trustee1.00X7863200
Sister Ann Kuhn SSJ
Trustee1.00X000
Leonardo Lopez MD Sch O
Trustee1.00X578000
Sister Margaret Mary Lyons SSJ
Trustee1.00X000
Marilu Madrigal MD
Trustee1.00X000
Rev Monsignor Tomas Marin
Trustee1.00X000
Nikki Simon
Trustee1.00X000
Sister Jane Stoecker SSJ
Trustee1.00X000
Sr Carol E Stovall SSJ Sch O
Trustee24.00X000
Ramon Usategui
Trustee1.00X000
Sister Elizabeth Worley SSJ
Trustee1.00X000
Sister Barbara Cekosh SSJ
Chair Board Trustee1.00X000
Sister Edith Gonzalez Sch O
Vchair Secty VP Mission40.00X000
Patrick K McGrath III
Treasurer1.00X000
Rolando J De Leon MD
Pres-Elect Medical Staff1.00X378000
Dr Manuel P Anton III
President/CEO40.00X047420914294X
John C Johnson Sch O
President/CEO1.00X0176778033523X
Linda Wilford Sch O
SVP/CFO16.00X0517539164307X
Laura Dominguez RN
VP Business Development40.009494507190X
Edward Rundle
VP Human Resources40.009533602392X
Mariluz Guzman
SVP/CFO40.0018627207315X
Martha T Acosta
RN III CCU40.0020540904858X
Estrella King-Bryant
Manager Nursing40.0018953005675X
Gerard J Barrios MD
Physician40.0020725608025X
Frances Reese
RN III Radiology40.0028155003458X
Manuel Mayor MD
Physician40.0018882506086X
Carlos Moas MD
Former Trustee0.001811200X
John Matuska
Former Officer0.00063720712532X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1662803TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3396735TotalReportableCompFrmRltdOrgs
Total Other Compensation277690TotalOtherCompensation
Number Individuals GT100 K19NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Cardinal Health Florida
2045 Interstate DrLakelandFL33805Medical8034898
Neighborhood Health
PO Box 025680MiamiFL33102Insurance3796999
Cardinal Health (Allegiance)
PO Box 95600AlburquerqueNM87100Medical2407182
Florida's Blood Centers Inc
8669 Commodity CircleOrlandoFL32819Medical1384688
Sheridan Healthcorp Inc
PO Box 452197SunriseFL333232197Medical751205
FieldValueIRS element (for citing)
Number Of Contractors GT100 K89NumberOfContractorsGT100K
Related Organizations75028RelatedOrganizations
Government Grants1445971GovernmentGrants
Total Contributions1520999TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Revenue6211107382015873820158
Nursing School611600242891242891
Childbirth/Lactation6116006137961379
FieldValueIRS element (for citing)
Total Program Service Revenue74124428TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column203266TotalRevenueColumn
Exclusion$203,266ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real8961Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real8961Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column8961TotalRevenueColumn
Exclusion$8,961ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities667806Securities
Other3484Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-667806Securities
Other-3484Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-671290TotalRevenueColumn
Exclusion-$671,290ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Pharmacy4461104188722-973094286031
Research Revenue541700102657102657
X-ray MRI Revenue6215001828218282

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column5168869TotalRevenueColumn
Related Or Exempt Function Income5168869RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue9478530TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column84664894TotalRevenueColumn
Related Or Exempt Function Income79316927RelatedOrExemptFunctionIncome
Unrelated Business Revenue4286031UnrelatedBusinessRevenue
Exclusion-$459,063ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total12500Total
Program Services12500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total672991Total
Program Services305738ProgramServices
Management And General367253ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total28973249Total
Program Services25789616ProgramServices
Management And General3183633ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3740703Total
Program Services3067376ProgramServices
Management And General673327ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2502618Total
Program Services2127225ProgramServices
Management And General375393ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total264490Total
Management And General264490ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total989812Total
Management And General989812ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total-54159Total
Management And General-54159ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total559014Total
Management And General559014ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total783380Total
Program Services232427ProgramServices
Management And General550953ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3933499Total
Program Services3382809ProgramServices
Management And General550690ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1111724Total
Program Services1111724ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total18670Total
Management And General18670ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1358516Total
Program Services271703ProgramServices
Management And General1086813ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total157Total
Program Services133ProgramServices
Management And General24ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4245776Total
Program Services3863656ProgramServices
Management And General382120ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies1779109117791091
Prov. for Bad Debts1084543210845432
Professional Fees1074054083776212362919
Contracted Health Care18449821844982

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4419472Total
Program Services311997ProgramServices
Management And General4107475ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total94754457Total
Program Services79336030ProgramServices
Management And General15418427ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1BOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4708272BOY
EOY7075225EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY642896BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY32308340BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6890066BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1251875BOY
EOY1235649EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis0LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY141023288BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY25854141BOY
EOY7530506EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13149096BOY
EOY8590241EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY225827975BOY
EOY24431621EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY74455628BOY
EOY19418605EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY120140000BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY43768072BOY
EOY27719620EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY238363700BOY
EOY47138225EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-12732938BOY
EOY-22706604EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY197213BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-12535725BOY
EOY-22706604EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY225827975BOY
EOY24431621EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-10089563ReconcilationRevenueExpenses
Reconcilation Other Changes-81316ReconcilationOtherChanges
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteer Hours0VolunteerHours
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$12,000DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB12000TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationThe hospital engaged local lobbyist to lobby on its behalf. According to the contract between the lobbyist and the hospital the lobbyist was to: 1. Provide representation before all relevant state agencies, notably the Agency for Health Care Administration. Representation included a full range of responsibilities including Certificate of Need, Medicaid reimbursement and similar regulatory issues; and, 2. Provide representation before the Florida Legislature on relevant substantive issues as well as appropriations issues.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Nmbr States In Which Easements Held1NmbrStatesInWhichEasementsHeld
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
Other Receivables1319809
Investments in Unconsolidated Subsidiaries1006452
Other Receivables - Life Insurance161857
Other Receivables - Reverse Split Dollar Insurance3660123
Workers Compensation Insurance Recoverable2442000
FieldValueIRS element (for citing)
Total Book Value Other Assets8590241TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescriptionAmountAmount
Third Party Payable$10,829,762
Due to Affiliates$352,939
Other Liabilities$6,790,423
Payable to CHE$6,069,259
Workers Comp - Gross Liability$2,442,000
Asset Retirement Obligation$983,934
Escheat Payable$166,602
FICA Taxes Payable$13,799
Social Security Tax Withheld$10,902
Unemployment Taxes$60,000
FieldValueIRS element (for citing)
Total Of Amounts27719620TotalOfAmounts

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 Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1242585TotalCommunityBenefitExpense
Net Community Benefit Expense1242585NetCommunityBenefitExpense
Percent Of Total Expense0.01480PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense4904284TotalCommunityBenefitExpense
Net Community Benefit Expense4904284NetCommunityBenefitExpense
Percent Of Total Expense0.05840PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense860804TotalCommunityBenefitExpense
Net Community Benefit Expense860804NetCommunityBenefitExpense
Percent Of Total Expense0.01030PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense7007673TotalCommunityBenefitExpense
Net Community Benefit Expense7007673NetCommunityBenefitExpense
Percent Of Total Expense0.08350PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense401858TotalCommunityBenefitExpense
Net Community Benefit Expense401858NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense185775TotalCommunityBenefitExpense
Direct Offsetting Revenue2259728DirectOffsettingRevenue
Net Community Benefit Expense-2073953NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense587633TotalCommunityBenefitExpense
Direct Offsetting Revenue2259728DirectOffsettingRevenue
Net Community Benefit Expense-1672095NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense7595306TotalCommunityBenefitExpense
Direct Offsetting Revenue2259728DirectOffsettingRevenue
Net Community Benefit Expense5335578NetCommunityBenefitExpense
Percent Of Total Expense0.08830PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,024,842BadDebtExpenseAmount
Amount Attributable To526459AmountAttributableTo
Amount Reimbursed By Medicare22514103AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare21530975CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall983128MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 Center for Surgery & Digestive Disorders LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityHealth ServicesDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.50000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
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 Line1Mercy Hospital IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line13663 South Miami AvenueAddressLine1
CityMiamiCity
StateFLState
ZIP Code33133ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours
OtherLong term care, Hospice, O/P facilityOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Mercy Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifier
Part I, Line 6a: The organization's 2011 community benefit report was included with the community benefit report of Catholic Health East.
Part I, Line 7: The figures were calculated based on the cost-to-charge ratio. The cost-to-charge ratio was derived by dividing total operating expenses (excluding bad debt expense) by total gross patient charges.
Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 10845432.
Part III, Line 4: The organization writes off patient balances to bad debt expense (deductibles or coinsurance amounts) based on the following procedures: 1. The debt must be related to covered services and derived from deductibles and coinsurance amounts.2. The hospital must be able to establish the reasonable collection efforts were made.3. The debt must actually be uncollectible when claimed as worthless.4. Sound business judgment must be used to establish that there was no likelihood of recovery at any time in the future.Discounts on patient accounts are not included as bad debt expense. Discounts are entered as adjustments to reflect actual expected reimbursements. The organization does not attribute bad debt expenses to patients eligible for charity care. This is evident in the organization's charity policy. Charity care is recorded at cost utilizing the latest cost-to-charge ratio on the most recent audited Medicare cost report.Allowance for Uncollectible Accounts: The Medical Center provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness of patients or third party payors to make payments for services. The allowance is determined by analyzing historical data and trends. Accounts receivable are charged off against the allowance for doubtful accounts when management determines that recovery is unlikely and the Medical Center ceases collection efforts.Charity Care:The Medical Center provides services to patients regardless of ability to pay. In accordance with the Medical Centers policy, a patient is classified as a charity patient based on income eligibility criteria as established by the Federal Poverty Guidelines. Charges for services to patients who meet the Medical Center's guidelines for charity care are not reflected in the accompanying combined financial statements as revenue. The charges associated with these services for charity care provided by the Medical Center approximate $7,595,000 and $16,337,000 in 2011 and 2010, respectively. These amounts do not include the provision for bad debts totaling $10,845,432 and $28,504,000 in 2011 and 2010, respectively, which is reflected separately in the consolidated statements of operations and changes in net assets.
Part III, Line 8: The costing methodology or sourced used to determine the amount reported on line 6 is the costing methodology in the Medicare Cost Report which includes routine cost per day apportioned based by Medicare volume (days) and cost-to-charge ratios apportioned based on Medicare charges for ancillary areas.There is no shortfall reported in Part III, line 7. Had there have been a shortfall, none of the shortfall would have been treated as community benefit.
Part III, Line 9b: A bad debt does not meet the criteria for Charity Care in that bad debt patients are considered to have the financial capacity and ability to pay, but are unwilling to pay. Unpaid balances are passed to a collection agency after 120 days if there has been no indication of intent to pay. Exceptions to placement with a collection agency include the following: Accounts where there is a pending application for Charity Care or Medicaid, discharged in bankruptcy, granted Charity Care, incarcerated patients, known to be homeless or indigent, and in which a complaint has been filed in a court of law.
Part V, Section B, Line 19d: In addition to Medicare rates the hospital facility used federal poverty guidelines at 200% or below to determine amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.Mercy Hospital, Inc.
Part VI, Line 2: In 2011, Mercy Hospital improved the lives of many underserved and uninsured people through healthcare services, health screenings, educational and informational programs and transportation services. These programs were developed to address and improve the overall health and wellness of our community. In addition, our employees, support staff and affiliated physicians volunteered thousands of hours for countless community programs and other charitable organizations.
Part VI, Line 3: Charity Care is provided to a patient with a demonstrated inability to pay. A patient is eligible for Charity Care consideration based upon meeting certain income eligibility criteria as established by the Federal Poverty Income Guideline Sliding Scale. When patients arrive at the hospital, those who are uninsured are informed of the hospital's charity care policy through a meeting with a representative. The representative reviews the charity care pamphlet with the patient to determine eligibility for charity care. The patient then completes a statement of financial condition in order to determine to what extent they would qualify for charity care. The hospital's charity care policy is also posted in various areas of the hospital.Mercy Hospital strongly prefers to perform financial screening upon scheduling, admission or registration (discharge processing in the ED) as part of the overall Financial Counseling process. Patients who represent increased financial risk as a result of the amount they are expected to owe "out-of-pocket" should be referred to a Financial Counselor for assistance in applying for alternative payment programs (e.g., Medical Assistance) determining Charity Care eligibility, establishing payment plans or other financing arrangements. Financial Counseling services are to be made available to all elective, urgent and emergent patients. Patients with insurance other than that afforded low-income individuals should not have their patient liability unpaid balance, coinsurance, deductible or non-covered service written-off to Charity Care unless financial hardship can be proven.
Part VI, Line 4: In witness of Jesus' healing mission, Mercy Hospital strives to improve the well-being of those served through a health care delivery system designed to promote wellness and cure illness. The majority of the patients Mercy Hospital serves are residents of Miami-Dade Country, Florida. Miami-Dade, the most populous county in Florida, is densely populated, with more than three times the number of person per square mile than Florida's average population density. In 2011 the county's population was 64.5 percent Hispanic; 16 percent White non-Hispanic: 19.3 percent Black non Hispanic: 1.7 Asian & Pacific Islanders; and 1.5 percent all others. The percentage of Hispanics has increased since 2005. The percentage of foreign born persons in Miami-Dade County in 2011 was 51.1 percent, and 71.9 percent of Miami-Dade Country residents had a language other than English spoken at home. In 2011 Miami-Dade County had 14.2 percent of its population in the 65+ age group. 17.2 percent of the county's residents live in poverty and the median household income was $43,605. 77% of Miami-Dade adults aged 25+ had a high school degree, while nationally that percentage is 84.9. The unemployment rate for Miami-Dade County is currently around 10% versus the National rate of 8.2%.
Part VI, Line 5: The St. John Bosco Clinic (which was part of Mercy Hospital, Inc.) is a beacon of hope to the under privileged adults and children of Miami-Dade County. The Clinic is a parish-based primary care program staffed by volunteer physicians, support staff and Mercy Hospital employees. It provides free healthcare to children and adults who are not eligible for healthcare programs in the county. Mercy Hospital supports the clinic by providing medical supplies as well as paying the salary of nurse practitioners.
Part VI, Line 6: As Miami-Dade County's only Catholic hospital, Mercy Hospital is sponsored by the Sisters of St. Joseph, Florida and is part of Catholic Health East. Since its inception in 1950, Mercy Hospital has maintained its reputation for excellence while following the Catholic tradition of caring for God's people and providing spiritual support.Mercy Hospital provides excellent medical care and cares to the physicial an spiritual needs of the local community through several affiliated organizations. These affiliates include the following:Mercy Hospital Foundation (EIN: 59-1709438)-------------------------------------------Mercy Foundation supports Mercy Hospital and its entities in providing compassionate and quality medical care to the South Florida community. The Foundation is dedicated to meeting the critical needs of the hospital and its medical staff by raising funds for priority projects, capital improvements, outreach programs and charity care.Because Mercy Hospital's capital needs exceed funds available, contributions from grateful patients, generous philanthropists, private foundations and corporations, enhance and expand vital projects that make a difference in the medical care for our community.Mercy Mission Services (EIN: 65-0435764)----------------------------------------Mercy Mission Services support Mercy Hospital in the hospital's provision of healthcare to the community through charity care and community outreach programs. Mercy Medical Development (EIN: 59-2789194)-------------------------------------------Mercy Medical Development supports Mercy Hospital by offering outpatient diagnostic services to the community including outpatient visits for various lab tests, diagnostic imaging, and physical examinations.Mercy Outpatient Services (DBA Sister Emmanual Hospital (EIN: 51-0461511)-------------------------------------------Sister Emmanuel Hospital is a hospital within a hospital providing long-term acute care services by a specified, interdisciplinary treatment team for those with complex medical conditions. The hospital offers a 29-bed, telemetry monitoring, and 6 ventilators. As a long-term care hospital, patients remain in the facility for an average of 25 days. The hospital is committed to "embracing challenges one patient at a time".
Part VI, Line 7, List of States Receiving CHE's Community Benefit Report: FL, ME, PA, NY, CT, MA, AL, GA, DE, NC

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Coconut Grove Arts & HistoricalBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13390 Mary Street 128AddressLine1
CityCoconut GroveCity
StateFLState
ZIP Code33133ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient363049954EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant12500AmountOfCashGrant
Purpose Of GrantSponsorship of the Coconut Grove Arts FestivalPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
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 organization grants money to the Coconut Grove Historial Association for their annual Arts Festival in order to provide first aid services to individuals attending the festival. The organization had employees work the booth that provided first-aid in order to make sure funds were indeed spent on first-aid.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
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 (11 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
Dr Manuel P Anton III
0172541014954701521210483109463048850300
John C Johnson Sch O
0600000025987509079050110250224980180130300
Linda Wilford Sch O
0304065010140201120720150736013571068184600
Mariluz Guzman
1070350007923704582027330193587000
Martha T Acosta
187200364001830490897039610210267000
Estrella King-Bryant
3442300015510701605040700195205000
Gerard J Barrios MD
203875000338100080250215281000
Frances Reese
3932004830023740001467019910285008000
Manuel Mayor MD
1624150002641000060860194911000
Carlos Moas MD
1811200000000018112000
John Matuska
0000063720700012532064973900

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 3ReturnReference
ExplanationPart 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 consultant - Written employment contract - Compensation survey or study - Approval by the board or compensation committee.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
Manuel P Anton
Collateral Assignment in executive split dollar plan.X$593,100593100011
Edward P Rundle
Collateral Assignment in executive split dollar plan.X$224,000224000011
FieldValueIRS element (for citing)
Total Balance Due817100TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Neuroscience Consultants
Interested person is business owned by a board member15500Dr. Jeffrey Horstmyer, MD was a Mercy Hospital, Inc. board member during part of 2011 and is also a greater than 5% owner of Neuroscience Consultants, a neuroscience medical practice. During 2011 Mercy Hospital paid Neuroscience Consultants $15,500 in physician fees for neuroscience services provided to the hospital.0
Sleep Services Management
Interested person is business owned by former board member217800Dr. Carlos Moas, MD is a former board member of Mercy Hospital and has 10% ownership in Sleep Service Management, a sleep lab service. During 2011 Mercy Hospital paid Sleep Services Management $217,800 for sleep lab services provided to the hospital.0

Schedule N IRS990ScheduleN

Disposition Table DispositionTable

FieldValueIRS element (for citing)
Description Of AssetHospital AssetsDescriptionOfAsset
Date Of Distribution2011-05-01DateOfDistribution
FMV Of Asset131202341FMVOfAsset
Method Of FMV DeterminationBook ValueMethodOfFMVDetermination
EIN621372389EIN

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Plantation General Hospital LPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13663 South Miami AvenueAddressLine1
CityMiamiCity
StateFLState
ZIP Code33133ZIPCode
FieldValueIRS element (for citing)
IRC SectionCorporationIRCSection
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2
Employee Of Successor21EmployeeOfSuccessor2
Owner Of Successor20OwnerOfSuccessor2
Receive Compensation20ReceiveCompensation2

Form990 Schedule N Part III Form990ScheduleNPartIII

FieldValueIRS element (for citing)
ExplanationPart II, Line 2e: The following individuals were either an officer, director, trustee or key employee of the filing organization and will either become an employee of or an independent contractor for, a successor or transferee organization:Sister Edith GonzalezDr. Manuel P. Anton IIIMariluz GuzmanLaura DominguezExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Changes in Program ServicesForm 990, Part III, line 3During June 2010, the Board of Trustees of Mercy Hospital voted to sign a non-binding Letter of Intent with the Hospital Corporation of America (HCA) for the sale of certain assets and liabilities of several affiliated organizations to HCA. Under the terms of the Letter of Intent, the affiliated organizations include Mercy Hospital, Sister Emmanuel Hospital, and Mercy Medical Development. In January 2011, Mercy Hospital and HCA signed a definitive agreement for the sale. The transaction was completed on May 1, 2011.
Form 990, Part VI, Section A, line 6Yes, Catholic Health East is the sole member.
Form 990, Part VI, Section A, line 7aYes, Catholic Health East approves the appointment of the members of the governing body.
Form 990, Part VI, Section A, line 7bYes, Catholic Health East 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 12cCatholic Health East Policy 103 sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving Catholic Health East in a fiduciary capacity, including directors, officers, Sponsors Council representatives, and key employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the organization's CEO and Board Chair. Summary information is reported to the entire board and available to the board throughout the year as business comes before the board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the board or an appropriate committee thereof comprised of dis-interested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request.
Form 990, Part VI, Section B, line 15Catholic Health East's process for determining compensation includes the following: The board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing the organization's roles to similarly sized organizations utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes.
Form 990, Part VI, Section C, line 19Organizational articles of incorporation, corporate bylaws, governance policies believed to be of interest to the public, conflict-of-interest policy, audited financial statements, annual community benefit report and IRS Form 990 are available to the public upon request.
Form 990, Part VII and Schedule JCompensation paid to Ricardo Girala, MD, Jeffrey Horstmyer, MD and Leonardo Lopez, MD is paid for their postions as physicians at the Hospital and not for their work as trustees. They have not been included as independent during the tax year. Linda V. Wilford's Compensation: The Chief Financial Officer (CFO) compensation is reflective of responsibility over Mercy Hospital, Inc. with joint responsibility over Holy Cross Hospital, Inc. (a related entity owned by CHE). Approximately $104,000 of the total compensation was deferred compensation that vested in 2011. The estimated breakdown for Holy Cross Hospital is Base Compensation $182,439; At-Risk Compensation $60,841; Other Reportable Compensation $67,243; Deferred Compensation $90,442; and Nontaxable Benefits $9,358. The estimated breakdown for Mercy Hospital is Base Compensation $121,626; At-Risk Compensation $40,561; Other Reportable Compensation $44,829; Deferred Compensation $60,294; and Nontaxable Benefits $6,239. Compensation Paid to Sister Edith Gonzalez and Sister Carol E. Stovall, All compensation paid on behalf of the Sisters goes to her religious order. John C. Johnson Compensation: Compensation paid to John C. Johnson by a related organization: The 2011 compensation for John C. Johnson is reflective of his position Executive Vice President Ministry Operations for Catholic Health East. The total amount of Mr. Johnson's compensation is paid out of Catholic Health East and approximately $525,000 of the total compensation was deferred compensation that vested in 2011. 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.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 5:Donated Services and Use of Facilities -81,316. Total to Form 990, Part XI, Line 5: -81,316.
Explanation of financial statements:Form 990, Part XII, Line 2a & 2b:Audited financial statements were completed by independent accountant for CHE, and Mercy Hospital, Inc was part of those audited financial statements.
Disclosure Statement Related to Form 5471 Filed by Catholic Health East and Saint Michael's Medical Center Under the constructive ownership rule of Internal Revenue Code Sections 318(a) and 958(b), the organization is required to file Form 5471, Information Return of U.S. Persons With Respect to Certain Foreign Corporations, as a Category 4 and/or Category 5 filer with respect to Stella Maris Insurance Company Limited and Chestnut Risk Services, LTD (collectively, the "foreign corporations"). This filing requirement is, or will be, satisfied through the filing of Forms 5471 with respect to the foreign corporations on the organization's behalf by the U.S. organizations identified below. Foreign Corporation: Stella Maris Insurance Company U.S. Organization: Catholic Health East Address: 3805 West Chester Pike, Suite 100, Newtown Square, Pennsylvania 19073 Identifying Number of U.S. Tax Return with Which Form 5471 was filed: 23-2929748 IRS Service Center Where U.S. Return Was Filed: Ogden, UT Foreign Corporation: Chestnut Risk Services, LTD U.S. Organization: Saint Michael's Medical Center Address: 111 Central Avenue, Newark, New Jersey 07102 Identifying Number of U.S. Tax Return with Which Form 5471 was filed: 26-2616046 IRS Service Center Where U.S. Return Was Filed: Ogden, UT

Schedule R IRS990ScheduleR

Form990 Schedule R Part 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 Health Care System Inc
1230 Baxter StreetAthensGA30606580566223HospitalGA501(c)(3)Line 31Catholic Health East
St Mary's Foundation Inc
1230 Baxter StreetAthensGA30606582544232FundraisingGA501(c)(3)Line 11b, II1St Mary's Health Care System Inc
St Mary's Highland Hills Inc
1230 Baxter StreetAthensGA30606020576648Assisted Living & Retirement CommunityGA501(c)(3)Line 31St Mary's Health Care System Inc
St Mary's Medical Group Inc
1230 Baxter StreetAthensGA30606261858563Hospital / Physician ServicesGA501(c)(3)Line 31St Mary's Health Care System Inc
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 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, I1Sunnyview Hospital & Rehabilitation Ctr

Form990 Schedule R Part III Form990ScheduleRPartIII (21 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
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 ServicesFLMercy Hospital IncRelated1493881810759010.50000

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 OwnershipPercentageOwnershipProvince 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 DriveRestonVA20191541806329HealthcareVAN/AC
St Mary's Highland Hills Village Inc
1660 Jennings Mill PklyBogartGA30622582276801Assisted LivingGAN/AC
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 CareFLCMercy Hospital Inc1.00000
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 Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
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 Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Mercy Hospital Foundation
C75028Fair Market Value
Catholic Health East
O8550676Fair Market Value
Mercy Medical Development
N613246Fair Market Value
Mercy Mission Services
N89754Fair Market Value
Holy Cross Hospital
N168838Fair Market Value
Holy Cross Hospital
P92060Fair Market Value
Holy Cross Hospital
O4479747Fair Market Value
Mercy Medical Development
R890348Fair Market Value
Mercy Medical Development
P3955185Fair Market Value
Center for Surgery & Digestive Disorders
A423831Fair Market Value
Mercy Hospital Foundation
B343557Fair Market Value
Mercy Outpatient Services (DBA Sister Emmanual Hospital)
O1330837Fair Market Value