HAWTHORNE RIDGE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HAWTHORNE RIDGE INC (EIN 80-0102840)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201213209349305116
- 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
- Form 990
- Schedule A
- Schedule D
- Schedule J
- Schedule K
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T13:13:10-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 MARKET STREET 25TH FLOOR | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 191033984 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800102840 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hawthorne Ridge Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HAWT | NameControl |
| Phone | 5188331111 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 Community Way | AddressLine1 |
| City | East Greenbush Way | City |
| State | NY | State |
| ZIP Code | 12061 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Richard Petterson | Name |
| Title | CFO | Title |
| Phone | 5188331111 | Phone |
| Date Signed | 2012-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | William J Homer | Name |
| PTIN | P00994519 | PTIN |
| Phone | 2152462300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Richard Petterson | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 Community Way | AddressLine1 |
| City | East Greenbush Way | City |
| State | NY | State |
| ZIP Code | 12061 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5914708 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2003 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | To provide a high-quality, accessible continuum of healthcare, supportive housing and community services. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 41 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 35 | NbrIndependentVotingMembers |
| Total Nbr Employees | 96 | TotalNbrEmployees |
| Total Nbr Volunteers | 35 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1292 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 296 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5655872 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5901960 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 14233 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12452 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5671397 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5914708 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2518173 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2682649 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3399308 | OtherExpensePriorYear |
| Other Expenses Current Year | 3324570 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5917481 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6007219 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -246084 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -92511 | RevenuesLessExpensesCY |
| Total Assets BOY | 17598903 | TotalAssetsBOY |
| Total Assets EOY | 17054819 | TotalAssetsEOY |
| Total Liabilities BOY | 19281725 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 18641109 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -1682822 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -1586290 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | To provide a high-quality, accessible continuum of healthcare, supportive housing and community services. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 4887653 | Expense |
| Revenue | 5901960 | Revenue |
| Description | Hawthorne Ridge provides a "home for the aged" including 50 independent living apartments and health care for the elderly in a 12-unit assisted living and 54-unit Alzheimer's residence. The retirement community serves residents 60 years of age and older, and provides security, maintenance, dining, activities and amenities to allow residents to stay independent as long as possible. The assisted living and Alzheimer's residence provides assistance with the activities of daily living, as well as health related services to its residents. Hawthorne Ridge is committed to making its services and facilities available to those residents who can no longer meet the financial obligations of residency to the extent that it is financially feasible to do so. Hawthorne Ridge's activities are funded primarily from gross receipts from admissions and monthly service fees. | Description |
| Total Program Service Expense | 4887653 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 20 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 96 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 41 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 35 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Melissa Inman | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5182715038 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 Northern Blvd East Wing | AddressLine1 |
| City | Albany | City |
| State | NY | State |
| ZIP Code | 12204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (49 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| Altes Jane PhD | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Boyle Steven | ||||||
| Board Member, CEO | 1.00 | X | 0 | 869274 | 15412 | X |
| Bristol Bob | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Bylancik Robert J | ||||||
| Board Member | 2.00 | X | 0 | 50000 | 0 | |
| Cartwright Mark | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Costantino Jo-Ann | ||||||
| CEO of the Eddy | 0.50 | X | 0 | 368616 | 19523 | X |
| Cottrell Barbara | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Dake Susan | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Dascher Norman Jr | ||||||
| EVP, NEH/CEO, Patient Care Div | 2.00 | X | 0 | 372840 | 23209 | X |
| DiSarro Ann | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Doyle Rev Kenneth | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Filippone John MD | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Foley William J PhD | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Fortune Robert | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Goldberg Alan | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Gordon Harold Esq | ||||||
| 2nd Vice Chair | 4.00 | X | 0 | 0 | 0 | X |
| Guzior Ronald L | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Hearst George III | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Herbert Sr Phyllis | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Johnson Robert W III Esq | ||||||
| Co-Chair | 4.00 | X | 0 | 0 | 0 | X |
| Jones Sydney Tucker III | ||||||
| Co-Chair | 4.00 | X | 0 | 0 | 0 | X |
| Joyce Eileen MD | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Karpiak Beverly | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Keegan Michael | ||||||
| Treasurer | 4.00 | X | 0 | 0 | 0 | X |
| Lang John M | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Massry Norman | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Natwin Sr Kathleen | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Nowak Thomas | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Opalka Chester | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Oster Russell | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Philip George | ||||||
| 1st Vice Chair | 4.00 | X | 0 | 0 | 0 | X |
| Powell Curtis | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Puleo James H MD | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Puleo James V MD | ||||||
| Board Member | 2.00 | X | 0 | 6250 | 0 | |
| Reed James K MD | ||||||
| Board Member, President | 2.00 | X | 0 | 815276 | 37728 | X |
| Robinson Harry Esq | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Rosenberg Stuart MD | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Sanders Alan MD | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Slavin James MD | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Somerville Sr Jane | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Tartaglia Anthony P MD | ||||||
| Secretary | 4.00 | X | 0 | 0 | 0 | X |
| Thorn Lisa MD | ||||||
| Board Member | 2.00 | X | 0 | 38625 | 0 | |
| Turley Sr Kathleen | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Tyrrell Thomas | ||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |
| Collins John MD | ||||||
| CMO | 1.00 | 0 | 306074 | 25919 | X | |
| Gavin James | ||||||
| CFO | 1.00 | 0 | 394647 | 129780 | X | |
| Kennedy Amy | ||||||
| Executive Director | 40.00 | 86913 | 0 | 16440 | X | |
| Petterson Richard | ||||||
| VP & CFO | 1.40 | 0 | 218561 | 28093 | X | |
| Schuhle Thomas | ||||||
| CFO | 1.00 | 0 | 323320 | 29892 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 86913 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3763483 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 325996 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Morrison Management Specialist | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 102289 | AddressLine1 |
| City | Atlanta | City |
| State | GA | State |
| ZIP Code | 30368 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Food Services | DescriptionOfServices |
| Compensation | 556100 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| All Other Contributions | 296 | AllOtherContributions |
| Total Contributions | 296 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Retirement Community | Description |
| Business Code | 623990 | BusinessCode |
| Total Revenue Column | 5901960 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5901960 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5901960 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12452 | TotalRevenueColumn |
| Exclusion | $12,452 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5914708 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5901960 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $12,452 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103353 | Total |
| Management And General | 103353 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2082029 | Total |
| Program Services | 1858815 | ProgramServices |
| Management And General | 223214 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47105 | Total |
| Program Services | 28263 | ProgramServices |
| Management And General | 18842 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 290809 | Total |
| Program Services | 255777 | ProgramServices |
| Management And General | 35032 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159353 | Total |
| Program Services | 135610 | ProgramServices |
| Management And General | 23743 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 271694 | Total |
| Program Services | 42576 | ProgramServices |
| Management And General | 229118 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4423 | Total |
| Management And General | 4423 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8800 | Total |
| Management And General | 8800 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131091 | Total |
| Program Services | 99647 | ProgramServices |
| Management And General | 31444 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93338 | Total |
| Management And General | 93338 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10214 | Total |
| Program Services | 5479 | ProgramServices |
| Management And General | 4735 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60473 | Total |
| Program Services | 35092 | ProgramServices |
| Management And General | 25381 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 277889 | Total |
| Program Services | 200089 | ProgramServices |
| Management And General | 77800 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6482 | Total |
| Program Services | 618 | ProgramServices |
| Management And General | 5864 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10350 | Total |
| Program Services | 5751 | ProgramServices |
| Management And General | 4599 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 293855 | Total |
| Program Services | 293855 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1172422 | Total |
| Program Services | 1172422 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41472 | Total |
| Management And General | 41472 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Purchased Services | 442457 | 304053 | 138404 | 0 |
| Food Expense | 268088 | 268088 | 0 | 0 |
| Maintenance Repairs & R | 96179 | 96179 | 0 | 0 |
| Bank Fees | 77030 | 77030 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58313 | Total |
| Program Services | 8309 | ProgramServices |
| Management And General | 50004 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6007219 | Total |
| Program Services | 4887653 | ProgramServices |
| Management And General | 1119566 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3340110 | BOY |
| EOY | 3684759 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60271 | BOY |
| EOY | 18245 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52283 | BOY |
| EOY | 40079 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 17417150 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4446079 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13519127 | BOY |
| EOY | 12971071 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 251020 | BOY |
| EOY | 255565 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 376092 | BOY |
| EOY | 85100 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17598903 | BOY |
| EOY | 17054819 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 218823 | BOY |
| EOY | 304950 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9090000 | BOY |
| EOY | 8835000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9972902 | BOY |
| EOY | 9501159 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19281725 | BOY |
| EOY | 18641109 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1705501 | BOY |
| EOY | -1666445 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18248 | BOY |
| EOY | 74819 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4431 | BOY |
| EOY | 5336 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1682822 | BOY |
| EOY | -1586290 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17598903 | BOY |
| EOY | 17054819 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -92511 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 189043 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 296 | CurrentTaxYear |
| Total | 296 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3520212 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5033460 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5382652 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5447405 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5738192 | CurrentTaxYear |
| Total | 25121921 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3520212 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5033460 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5382652 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5447405 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5738488 | CurrentTaxYear |
| Total | 25122217 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 598447 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 468302 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 516601 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 555710 | CurrentTaxYearMinus1Year |
| Current Tax Year | 424751 | CurrentTaxYear |
| Total | 2563811 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 598447 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 468302 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 516601 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 555710 | CurrentTaxYearMinus1Year |
| Current Tax Year | 424751 | CurrentTaxYear |
| Total | 2563811 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 22558406 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 14233 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12453 | CurrentTaxYear |
| Total | 26686 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 14233 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12453 | CurrentTaxYear |
| Total | 26686 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3520212 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5033460 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5382652 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5461638 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5750941 | CurrentTaxYear |
| Total | 25148903 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.89700 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.87990 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00110 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00430 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 1 | AgentTrusteeEtc |
| Beginning Balance | 4977 | BeginningBalance |
| Additions During Year | 17132 | AdditionsDuringYear |
| Distributions During Year | 15084 | DistributionsDuringYear |
| Ending Balance | 7025 | EndingBalance |
| Included On FS | 0 | IncludedOnFS |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15359899 | OtherCostOrOtherBasis |
| Depreciation | 3276890 | Depreciation |
| Book Value | 12083009 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 117243 | OtherCostOrOtherBasis |
| Depreciation | 26771 | Depreciation |
| Book Value | 90472 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1940008 | OtherCostOrOtherBasis |
| Depreciation | 1142418 | Depreciation |
| Book Value | 797590 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 12971071 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Affiliates - Long term | $3,269,000 |
| Due to Affiliates - Current | $1,831 |
| Pension & Post Retirement Obligation | $65,434 |
| Refundable Entrance Fees | $5,410,467 |
| SWAP Liability | $435,800 |
| Unearned Entrance Fees | $318,627 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 9501159 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part IV, Line 1b: | ReturnReference |
| Explanation | As part of NYS DOH guidelines, our facilities offer to each resident an opportunity to place their personal allowance in an individual resident allowance account. The facility must maintain the account for inspection and each resident account must be segregated and not co-mingled with the facility's own operating funds. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Boyle Steven | |||||||||||||
| 0 | 550014 | 0 | 267101 | 0 | 52159 | 0 | 11025 | 0 | 4387 | 0 | 884686 | 0 | 0 |
| Costantino Jo-Ann | |||||||||||||
| 0 | 327758 | 0 | 19011 | 0 | 21847 | 0 | 12199 | 0 | 7324 | 0 | 388139 | 0 | 0 |
| Dascher Norman Jr | |||||||||||||
| 0 | 322139 | 0 | 20332 | 0 | 30369 | 0 | 9800 | 0 | 13409 | 0 | 396049 | 0 | 0 |
| Reed James K MD | |||||||||||||
| 0 | 493493 | 0 | 289859 | 0 | 31924 | 0 | 19524 | 0 | 18204 | 0 | 853004 | 0 | 0 |
| Collins John MD | |||||||||||||
| 0 | 285367 | 0 | 15824 | 0 | 4883 | 0 | 11079 | 0 | 14840 | 0 | 331993 | 0 | 0 |
| Gavin James | |||||||||||||
| 0 | 290196 | 0 | 73799 | 0 | 30652 | 0 | 113976 | 0 | 15804 | 0 | 524427 | 0 | 0 |
| Petterson Richard | |||||||||||||
| 0 | 210240 | 0 | 7907 | 0 | 414 | 0 | 9147 | 0 | 18946 | 0 | 246654 | 0 | 0 |
| Schuhle Thomas | |||||||||||||
| 0 | 270314 | 0 | 31466 | 0 | 21540 | 0 | 11460 | 0 | 18432 | 0 | 353212 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 3 | Compensation of the organization's top management officials: Steven Boyle was compensated by CHE, and James Reed was compensated by Northeast Health, Inc. through September 30, 2011 and by CHE starting October 1, 2011. The organization relied on Northeast Health, Inc. and CHE which used one or more of the following methods to establish compensation for these officials: - Compensation committee - Independent compensation consultant - Written employment contract - Compensation survey - Approval by the board or compensation committee On an annual basis, the organization uses an independent compensation consultant to review the salaries for other executives and ensure such salaries are consistent with market salaries paid to similarly situated executives. In addition, a compensation committee reviews this information annually and it is then approved by the board or compensation committee. Finally, executives receive a written letter outlining the specifics of their compensation. |
| Part I, Line 4b | Supplemental Executive Retirement Plan will provide benefits to certain key executive employees of SPHCS. The Trustee is Charles Schwab Trust Company. The plan type is a 457(f) plan funded through a Rabbi Trust. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rensselaer Country Industries | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 141614433 | IssuerEIN |
| CUSIP Number | 759921CJ6 | CUSIPNumber |
| Date Issued | 2005-10-26 | DateIssued |
| Issue Price | 15250000 | IssuePrice |
| Description Of Purpose | Construction & equip retirement | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 15250000 | TotalProceeds |
| Amount In Reserve Fund | 285411 | AmountInReserveFund |
| Issuance Costs From Proceeds | 402667 | IssuanceCostsFromProceeds |
| Capital Expenditures | 14561922 | CapitalExpenditures |
| Amount Unspent | 2581 | AmountUnspent |
| Year Of Subst Completion | 2006 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 1 | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | 1 | EngageBondCounselContracts |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 1 | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Citizens Bank | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 5.000000000000 | TermOfHedge |
| Superintegrated Hedge | 0 | SuperintegratedHedge |
| Hedge Terminated | 0 | HedgeTerminated |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | Directors James H. Puleo, M.D. and James V. Puleo, M.D. have a family relationship. | |
| Form 990, Part VI, Section A, line 4 | Yes. As a result of an affiliation on October 1, 2011, the organization became part of St. Peter's Health Partners, a newly formed not-for-profit health care system that has applied for exemption under IRC Sec. 501(c)(3). SPHP, in turn, is part of Catholic Health East, a Pennsylvania nonprofit corporation that is exempt under IRC Sec. 501(c)(3). In connection with the affiliation, both the certificate of incorporation and bylaws of the organization were amended in 2011. I. The certificate of incorporation was amended: - to provide that the organization will carry out its purposes "in concert with the Catholic health care system governed by Catholic Health East" and that it will pursue its purposes in conformity with the Ethical and Religious Directives for Catholic Health Care Services; - to confer certain reserve powers on Catholic Health East; - to confer certain reserved powers on St. Peter's Health Partners; - to revise the provision regarding disposition of assets in the event of dissolution, preserving the requirement that distribution shall only to be an organization exempt under IRC Sec. 501(c)(3); - to state that the organization's sole member (i.e., corporate parent) is LTC (Eddy), Inc.; - to revise the reserve powers of the sole member; II. The bylaws were amended to generally be consistent with the amended certificate, and more specifically: - to provide that the organization will carry out its purposes "in concert with the Catholic health care system governed by Catholic Health East." - to set forth a mission and values for the organization; - to provide that St. Peter's Health Partners is the sole member of the Corporation; - to confer certain reserve powers on Catholic Health East; - to confer certain reserved powers on St. Peter's Health Partners; - to revise provisions relating to the Board of Trustees, their powers and their meetings; - to revise provisions relating to officers and committees; - to revise provisions relating to indemnification and amendments. | |
| Form 990, Part VI, Section A, line 6 | LTC (Eddy), Inc. is the sole member. | |
| Form 990, Part VI, Section A, line 7a | Yes, LTC (Eddy), Inc. approves the appointment of the members of the governing body. | |
| Form 990, Part VI, Section A, line 7b | St. Peter's Health Partners, its subsidiaries, and/or Catholic Health East, may have limited reserved powers to approve decisions of the governing body. | |
| Form 990, Part VI, Section B, line 11 | Form 990 was made available on the board website for all board members to review. | |
| Form 990, Part VI, Section B, line 12c | Northeast Health, the health system to which Hawthorne Ridge, Inc. belongs has two system-wide conflict-of-interest policies, one applicable to the Board of Directors of each system affiliate and one applicable to administrative staff and select employees and medical staff. Together, the two policies require annual disclosure of conflicts of interest by all directors, officers and key employees, and prescribe various responses to such conflicts applying customary conflict-of-interest principles. Employee disclosure forms are reviewed annually by the system compliance officer for a determination of any conflict's impact on the integrity of the disclosing individual's acts and decisions. Violation of the policy subjects an employee to potential disciplinary action. Board of Directors' conflict-of-interest disclosure forms are reviewed and summarized by the system compliance officer, and the summary is reviewed by the board's Corporate Compliance and Audit Committee and any necessary action taken by such committee. Customary procedures are followed, including non-participation by affected individuals in the deliberation and vote on any matters that potentially conflict with the individual's outside interests. Appropriate corrective action is taken by the board in the event of a director's failure to disclose a conflict of interest or other violation of the policy. | |
| Form 990, Part VI, Section B, line 15 | Procedures to determine the organization's top management officials compensation are set forth in Schedule J, Part III. In addition, CHE's determination of compensation includes review by an independent compensation committee, which reviews and approves all elements of remuneration. The committee has an established compensation philosophy, which details the objects of market positioning and pay elements. The committee engages with external consultants to provide market data comparing the organization's roles to similarly sized health systems utilizing both title and job content comparisons. The 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. The compensation of other officers and key employees of the organization are reviewed by an independent compensation consultant who reviews the salaries to ensure they are within market and market competitive. This is done on an annual basis, reviewed by either the organization's or a related organization's compensation committee and communicated to the other officers and key employees. | |
| Form 990, Part VI, Section C, line 19 | In 2011, Northeast Health, Inc. and its affiliates did not make the above-named documents available to the public, although certificates of incorporation were available from the NYS Secretary of State. | |
| Form 990, Part VII, Section A: | Individuals compensated by a related organization have responsibilities and perform services for several organizations within the health system. The amount of compensation appearing in Columns (E) and (F) reflect the services performed for the entire health system as a whole and not merely a single organization within the health system. | Avg hours devoted to related org(s) when related comp is reported: |
| Form 990, Part XI, line 5: | Prior period adjustments: 96,532. other adjustments to net assets 92,511. Total to Form 990, Part XI, Line 5: 189,043. | Changes in Net Assets or Fund Balances: |
| 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/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Catholic Health East | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 232929748 | Management Services | PA | 501(c)(3) | Line 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 | 1 | Catholic Health East | |
| Mercy Health System of Maine | |||||||||||
| 144 State Street | Portland | MA | 04101 | 010484074 | Management & Support Services | ME | 501(c)(3) | Line 11c, III-FI | 1 | Catholic Health East | |
| Mercy Hospital | |||||||||||
| 144 State Street | Portland | MA | 04101 | 010211534 | Hospital | ME | 501(c)(3) | Line 3 | 1 | Mercy Health System of Maine | |
| St Peter's Health Partners | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 453570715 | Management & Support Services | NY | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| St Peter's Health Care Services | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 222702507 | Management & Support Services | NY | 501(c)(3) | Line 9 | 1 | St Peter's Health Partners | |
| St Peter's Hospital | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 141348692 | Hospital | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Care Services | |
| St Peter's Hospital Foundation Inc | |||||||||||
| 319 South Manning Blvd Suite 309 | Albany | NY | 12208 | 222262982 | Fundraising & Public Relations | NY | 501(c)(3) | Line 7 | 1 | St Peter's Health Care Services | |
| Eddy Licensed Home Care Agency | |||||||||||
| 433 River St Suite 3000 | Troy | NY | 12180 | 141818568 | Home Health | NY | 501(c)(3) | Line 3 | 1 | LTC(Eddy) Inc | |
| The Community Hospice Foundation Inc | |||||||||||
| 295 Valley View Blvd | Rensselaer | NY | 12144 | 222692940 | Fundraising & Public Relations | NY | 501(c)(3) | Line 7 | 1 | The Community Hospice Inc | |
| The Community Hospice Inc | |||||||||||
| 295 Valley View Blvd | Rensselaer | NY | 12144 | 141608921 | Serving seriously ill people & their families | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Care Services | |
| Villa Mary Immaculate | |||||||||||
| 301 Hackett Blvd | Albany | NY | 12208 | 141438749 | Nursing Home & Physical Rehab | NY | 501(c)(3) | Line 3 | 1 | St Peter's Hospital | |
| Warde Service Corporation Inc | |||||||||||
| 159 Wolf Road 3rd Floor | Albany | NY | 12205 | 141732097 | Supporting & strengthing the ministries of rel. sr. mercy | NY | 501(c)(3) | Line 9 | 1 | St Peter's Health Care Services | |
| Mercy Care for Kids Inc | |||||||||||
| 310 South Manning Blvd | Albany | NY | 12208 | 141717564 | Day care center | NY | 501(c)(3) | Line 9 | 1 | St Peter's Health Care Services | |
| Our Lady of Mercy Life Center | |||||||||||
| 2 Mercycare Lane | Guilderland | NY | 12084 | 141743506 | Nursing Home Facility | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Care Services | |
| St Peter's Auxiliary | |||||||||||
| 315 South Manning Blvd | Albany | NY | 01228 | 222843206 | Auxiliary | NY | 501(c)(3) | Line 11a, I | 1 | St Peter's Health Care Services | |
| Memorial Hospital Albany NY | |||||||||||
| 600 Northern Blvd | Albany | NY | 12204 | 141338457 | General Hospital | NY | 501(c)(3) | Line 3 | 1 | Northeast Health Inc | |
| Beechwood Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 141651563 | Real estate holding | NY | 501(c)(2) | N/A | 1 | LTC (Eddy) Inc | |
| Beverwyck Inc | |||||||||||
| 40 Autumn Drive | Slingerlands | NY | 12159 | 141717028 | Independent/Assisted Living Retirement Community | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Capital Region Geriatric Center Inc | |||||||||||
| 421 West Columbia St | Cohoes | NY | 12047 | 141701597 | Nursing Home | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Senior Care Connection Inc | |||||||||||
| 504 State St | Schenectady | NY | 12305 | 141708754 | PACE Program | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Glen Eddy Inc | |||||||||||
| One Glen Eddy Drive | Niskayuna | NY | 12309 | 141794150 | Independent/Assisted Living Community | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Heritage House Nursing Center Inc | |||||||||||
| 2920 Tibbits Ave | Troy | NY | 12180 | 141725101 | Nursing home | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Home Aid Service of Eastern New York Inc | |||||||||||
| 433 River St Suite 3000 | Troy | NY | 12180 | 141514867 | Home care | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| James A Eddy Memorial Geriatric Center Inc | |||||||||||
| 2256 Burdett Ave | Troy | NY | 12180 | 222570478 | Nursing home | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| LTC (Eddy) Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 222564710 | Elderly health/housing supporting org | NY | 501(c)(3) | Line 11a, I | 1 | Northeast Health Inc | |
| The Marjorie Doyle Rockwell Center Inc | |||||||||||
| 421 West Columbia St | Cohoes | NY | 12047 | 141793885 | Adult Home/Alzheimers | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Samaritan Hospital of Troy New York | |||||||||||
| 2215 Burdett Ave | Troy | NY | 12180 | 141338544 | General hospital | NY | 501(c)(3) | Line 3 | 1 | Northeast Health Inc | |
| Shaker Properties Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 223119822 | Real Estate holding | NY | 501(c)(2) | N/A | 1 | Northeast Health Inc | |
| Sunnyview Hospital & Rehabilitation Ctr | |||||||||||
| 1270 Belmont Ave | Schenectady | NY | 12308 | 141338386 | Rehabilitation hospital | NY | 501(c)(3) | Line 3 | 1 | LTC (Eddy) Inc | |
| Empire Home Infusion Service Inc | |||||||||||
| 10 Blacksmith Drive | Malta | NY | 12020 | 141795732 | Home care | NY | 501(c)(3) | Line 9 | 1 | Home Aid Service of Eastern New York Inc | |
| Samaritan Child Care Center Inc | |||||||||||
| 2213 Burdett Ave | Troy | NY | 12180 | 141710225 | Child day care | NY | 501(c)(3) | Line 9 | 1 | Northeast Health Inc | |
| The Northeast Health Foundation Inc | |||||||||||
| 2224 Burdett Ave | Troy | NY | 12180 | 222743478 | Supporting foundation | NY | 501(c)(3) | Line 7 | 1 | Northeast Health Inc | |
| Northeast Health Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 042450756 | Supporting Organization | NY | 501(c)(3) | Line 11b, II | 1 | St Peter's Health Partners | |
| Seton Health System Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141776186 | Hospital | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Partners | |
| Seton Auxiliary Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141505031 | Supporting Organization | NY | 501(c)(3) | Line 9 | 1 | Seton Health System Inc | |
| Seton Health at Schuyler Ridge Residential Healthcare | |||||||||||
| 1 Abele Blvd | Clifton Park | NY | 12065 | 141756230 | Skilled Nursing | NY | 501(c)(3) | Line 9 | 1 | Seton Health System Inc | |
| Seton Health Foundation | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 222345416 | Supporting Organization | NY | 501(c)(3) | Line 11a, I | 1 | Seton Health System Inc | |
| Seton Licensed Home Care Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141809134 | Licensed Home Health Agency | NY | 501(c)(3) | Line 3 | 1 | Seton Health System Inc | |
| Vincentian Health Services | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141685163 | Discontinued Operations | NY | 501(c)(3) | Line 11a, I | 1 | Seton Health System Inc | |
| St Mary's Woodland Village Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141675183 | Discontinued Operations | NY | 501(c)(3) | Line 9 | 1 | Seton Health System Inc | |
| Brightside Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 042182395 | Behavioral Care | MA | 501(c)(3) | Line 9 | 1 | Sisters of Providence Health System Inc | |
| Farren Care Center Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 042501711 | Long Term Care | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Mercy Hospital Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 043398280 | Acute Care | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Mercy Specialist Physicians Inc | |||||||||||
| c/o SPHS 1221 Main Street No 108 | Holyoke | MA | 01040 | 264033168 | Neurosurgery Medical Services | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Sisters of Providence Care Centers Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 222541103 | Long Term Care | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Sisters of Providence Health System Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 043398374 | Management & Support Services | MA | 501(c)(3) | Line 11a, I | 1 | Catholic Health East | |
| McAuley Center Inc | |||||||||||
| 275 Steele Road | West Hartford | CT | 06117 | 061058086 | Independent Living | CT | 501(c)(3) | Line 9 | 1 | Mercy Community Health Inc | |
| Mercy Community Health Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061492707 | Management & Support Services | CT | 501(c)(3) | Line 11a, I | 1 | Catholic Health East | |
| Mercy Community HomeCare Services | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061488137 | In Home Health Care | CT | 501(c)(3) | Line 9 | 1 | Mercy Community Health Inc | |
| Mercy Services | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061453323 | Support Services | CT | 501(c)(3) | Line 1 | 1 | Mercy Community Health Inc | |
| Mercyknoll Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 060757380 | Skilled Nursing | CT | 501(c)(3) | Line 3 | 1 | Mercy Community Health Inc | |
| Saint Mary Home II Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061164104 | Elderly Care | CT | 501(c)(3) | Line 3 | 1 | Mercy Community Health Inc | |
| St Mary Home Incorporated | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 060646843 | Skilled Nursing | CT | 501(c)(3) | Line 3 | 1 | Mercy Community Health Inc | |
| Mercy Healthcare Center | |||||||||||
| 114 Wawbeek Avenue | Tupper Lake | NY | 12986 | 150532211 | Hospital | NY | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Mercy Uihlein Health Corporation | |||||||||||
| 185 Old Military Road | Lake Placid | NY | 12946 | 161535133 | Hospital | NY | 501(c)(3) | Line 11b, II | 1 | Mercy Healthcare Center | |
| Uihlein Mercy Center | |||||||||||
| 185 Old Military Road | Lake Placid | NY | 12946 | 150532190 | Hospital | NY | 501(c)(3) | Line 3 | 1 | Mercy Healthcare Center | |
| St James Mercy Foundation Inc | |||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 161486437 | Foundation | NY | 501(c)(3) | Line 7 | 1 | St James Mercy Health System Inc | |
| St James Mercy Health System Inc | |||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 223127184 | Management & Support Services | NY | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| St James Mercy Hospital | |||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 160743310 | Hospital | NY | 501(c)(3) | Line 3 | 1 | St James Mercy Health System Inc | |
| Marian Community Hospital | |||||||||||
| 100 Lincoln Avenue | Carbondale | PA | 18407 | 240711230 | Hospital | PA | 501(c)(3) | Line 3 | 1 | Maxis Health System | |
| Marian Community Hospital Auxiliary | |||||||||||
| 100 Lincoln Avenue | Carbondale | PA | 18407 | 251874733 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Maxis Health System | |
| Maxis Foundation | |||||||||||
| 100 Lincoln Avenue | Carbondale | PA | 18407 | 232330090 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Maxis Health System | |
| Maxis Health System | |||||||||||
| 100 Lincoln Avenue | Carbondale | PA | 18407 | 911940902 | Health Care System | PA | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| Maxis Medical Services | |||||||||||
| 100 Lincoln Avenue | Carbondale | PA | 18407 | 232577185 | Physician Practices | PA | 501(c)(3) | Line 3 | 1 | Maxis Health System | |
| Tri-County Human Services Center Inc | |||||||||||
| PO Box 517 | Carbondale | PA | 18407 | 231938528 | Behavioral Health Organization | PA | 501(c)(3) | Line 7 | 1 | Maxis Health System | |
| Columbus Acquisition Corp | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 262616342 | Inactive Entity | NJ | 501(c)(3) | Line 9 | 1 | Saint Michaels Medical Center | |
| Saint Michaels Medical Center | |||||||||||
| 111 Central Avenue | Newark | NJ | 07102 | 262616046 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| St James Care Inc | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 262616230 | Inactive Entity | NJ | 501(c)(3) | Line 9 | 1 | Saint Michaels Medical Center | |
| St Michaels Medical Center Foundation | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 223311976 | Foundation | NJ | 501(c)(3) | Line 11a, I | 1 | Saint Michaels Medical Center | |
| University Heights Property Company Inc | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 223100162 | Medical Property Holding Company | NJ | 501(c)(2) | N/A | 1 | Saint Michaels Medical Center | |
| Life St Francis Corporation | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 222797282 | Health Services | NJ | 501(c)(3) | Line 11a, I | 1 | St Francis Medical Center Trenton NJ | |
| St Francis Medical Center Foundation NJ | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 521025476 | Foundation | NJ | 501(c)(3) | Line 11a, I | 1 | St Francis Medical Center Trenton NJ | |
| St Francis Medical Center Trenton NJ | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 223431049 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Langhorne MRI Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232519529 | Inactive Entity | PA | 501(c)(3) | Line 9 | 1 | St Mary Medical Center | |
| Langhorne Physician Services Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232571699 | Physician Services | PA | 501(c)(3) | Line 9 | 1 | St Mary Medical Center | |
| LIFE St Mary | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 262976184 | Elderly Care | PA | 501(c)(3) | Line 9 | 1 | St Mary Medical Center | |
| St Mary Medical Center | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 231913910 | Hospital | PA | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| St Mary Medical Center Foundation Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232567468 | Foundation | PA | 501(c)(3) | Line 7 | 1 | St Mary Medical Center | |
| East Norriton Physician Services | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 232515999 | Physician Services | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Catholic Medical Center of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 231352191 | Acute Care Hospital | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Family Support | |||||||||||
| 1001 Baltimore Pike Suite 301 | Springfield | PA | 19064 | 232325059 | Home Health | PA | 501(c)(3) | Line 9 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Health Foundation of Southeastern Pennsylvania | |||||||||||
| c/o MHS One West Elm Street | Conshohocken | PA | 19428 | 232829864 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Health Plan | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 222483605 | Health Plans | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Health System of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232212638 | Management & Support Services | PA | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| Mercy Home Health | |||||||||||
| 1001 Baltimore Pike Suite 310 | Springfield | PA | 19064 | 231352099 | Home Health | PA | 501(c)(3) | Line 9 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Home Health Services | |||||||||||
| 1001 Baltimore Pike Suite 301 | Springfield | PA | 19064 | 232325058 | Home Health | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Management of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232627944 | Physician Practices | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Suburban Hospital | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 231396763 | Acute Care Hospital | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Nazareth Health Care Foundation | |||||||||||
| 2701 Holme Avenue | Philadelphia | PA | 19152 | 232300951 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Nazareth Hospital | |||||||||||
| 2601 Holme Avenue | Philadelphia | PA | 19152 | 232794121 | Acute Care Hospital | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Nazareth Physician Services Inc | |||||||||||
| 2601 Holme Avenue | Philadelphia | PA | 19152 | 203261266 | Physician Practices | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| NE Physician Services | |||||||||||
| 2601 Holme Avenue | Philadelphia | PA | 19152 | 232497355 | Physician Practices | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| St Agnes Continuing Care Center | |||||||||||
| 1900 S Broad Street | Philadelphia | PA | 19145 | 232840137 | Continuing Care Services | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| St Agnes Continuing Care Center Foundation | |||||||||||
| 1900 S Broad Street | Philadelphia | PA | 19145 | 232415137 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Life at Lourdes Inc | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08108 | 261854750 | Elderly Care | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Lourdes Ancillary Services | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 222568525 | Supporting Organization | NJ | 501(c)(3) | Line 11b, II | 1 | Our Lady of Lourdes Health Care Services | |
| Lourdes Dialysis at Innova Inc | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08108 | 263237625 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Lourdes Medical Center Burlington County | |||||||||||
| 218 Sunset Road | Willingboro | NJ | 08046 | 223612265 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Our Lady of Lourdes Health Care Services | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 222568528 | Management & Support Services | NJ | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| Our Lady of Lourdes Health Foundation Inc | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 222351960 | Foundation | NJ | 501(c)(3) | Line 7 | 1 | Our Lady of Lourdes Health Care Services | |
| Our Lady of Lourdes Medical Center | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 210635001 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Franciscan Eldercare Corporation | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 223008680 | Eldercare | DE | 501(c)(3) | Line 9 | 1 | St Francis Hospital | |
| St Francis Foundation | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 510374158 | Foundation | DE | 501(c)(3) | Line 11b, II | 1 | St Francis Hospital | |
| St Francis Hospital | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 510064326 | Hospital | DE | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| LIFE at St Francis Healthcare Inc | |||||||||||
| 7th Clayton Streets | Wilmington | DE | 19805 | 452569214 | Elderly Care | DE | 501(c)(3) | Line 3 | 1 | St Francis Hospital | |
| McAuley Ministries | |||||||||||
| McAuley Hall 3333 Fifth Avenue | Pittsburgh | PA | 15213 | 943436142 | Management & Support Services | PA | 501(c)(3) | Line 9 | 1 | Pittsburgh Mercy Health System | |
| Mercy Jeannette Hospital | |||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 251310602 | Inactive Entity | PA | 501(c)(3) | Line 9 | 1 | Pittsburgh Mercy Health System | |
| Mercy Life Center Corporation | |||||||||||
| 1200 Reedsdale Street | Pittsburgh | PA | 15233 | 251604115 | Community Treatment | PA | 501(c)(3) | Line 9 | 1 | Pittsburgh Mercy Health System | |
| Pittsburgh Mercy Health System | |||||||||||
| 3333 5th Avenue | Pittsburgh | PA | 15213 | 251464211 | Management & Support Services | PA | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| St Joseph's of the Pines Inc | |||||||||||
| 100 Gossman Drive Suite B | Southern Pines | NC | 28387 | 560694200 | Hospital | NC | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Life St Joseph of the Pines Inc | |||||||||||
| 100 Gossman Drive Suite B | Southern Pines | NC | 28387 | 272159847 | Healthcare Services | NC | 501(c)(3) | Line 3 | 1 | St Joseph's of the Pines Inc | |
| Mercy Senior Care Inc | |||||||||||
| 212 West Third Street PO Box 866 | Rome | GA | 30162 | 581366508 | Community Outreach | GA | 501(c)(3) | Line 7 | 1 | Saint Joseph's Health System Inc | |
| Good Samaritan HospitalInc | |||||||||||
| 1201 Siloam Road | Greensboro | GA | 30462 | 261720984 | Hospital | GA | 501(c)(3) | Line 3 | 1 | Saint Joseph's Health System Inc | |
| 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 | 1 | Catholic Health East | |
| Saint Joseph's Mercy Care Services Inc | |||||||||||
| 5673 Peachtree-Dunwoody Road Suite | Atlanta | GA | 30342 | 581752700 | Community Outreach | GA | 501(c)(3) | Line 7 | 1 | Saint Joseph's Health System Inc | |
| Saint Joseph's Mercy Foundation Inc | |||||||||||
| 5673 Peachtree-Dunwoody Road Suite | Atlanta | GA | 30342 | 581448522 | Fundraising | GA | 501(c)(3) | Line 11b, II | 1 | Saint Joseph's Health System Inc | |
| Mercy Services Downtown Inc | |||||||||||
| 5673 Peachtree-Dunwoody Road Suite | Atlanta | GA | 30342 | 272046353 | Real Estate Holding Company | GA | 501(c)(3) | Line 11b, II | 1 | Saint Joseph's Health System Inc | |
| St Mary's Health Care System Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 580566223 | Hospital | GA | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| St Mary's Foundation Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 582544232 | Fundraising | GA | 501(c)(3) | Line 11b, II | 1 | St Mary's Health Care System Inc | |
| St Mary's Highland Hills Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 020576648 | Assisted Living & Retirement Community | GA | 501(c)(3) | Line 3 | 1 | St Mary's Health Care System Inc | |
| St Mary's Medical Group Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 261858563 | Hospital / Physician Services | GA | 501(c)(3) | Line 3 | 1 | St Mary's Health Care System Inc | |
| Mercy Medical Corporation | |||||||||||
| PO Box 1090 101 Villa Drive | Daphne | AL | 36526 | 636002215 | Hospital | AL | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Mercy LIFE of Alabama | |||||||||||
| PO Box 1090 101 Villa Drive | Daphne | AL | 36526 | 273163002 | Hospital | AL | 501(c)(3) | Line 3 | 1 | Mercy Medical Corporation | |
| Allegany Franciscan Ministries Inc | |||||||||||
| 33920 US Highway 19 North Suite 269 | Palm Harbor | FL | 34684 | 581492325 | Management & Support Services | FL | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| St Francis Hospital Inc | |||||||||||
| 33920 US Highway 19 North Suite 269 | Palm Harbor | FL | 34684 | 590624442 | Hospital | FL | 501(c)(3) | Line 11a, I | 1 | Allegany Franciscan Ministries Inc | |
| Holy Cross Hospital Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 590791028 | Hospital | FL | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Holy Cross Long-Term Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 650787320 | Medical Services | FL | 501(c)(3) | Line 3 | 1 | Holy Cross Hospital Inc | |
| Holy Cross Medical Properties Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 650666283 | Medical Building Real Estate Management | FL | 501(c)(2) | N/A | 1 | Holy Cross Hospital Inc | |
| Mercy Hospital Foundation Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 591709438 | Fundraising | FL | 501(c)(3) | Line 7 | 1 | Mercy Hospital Inc | |
| Mercy Hospital Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 590791034 | Hospital | FL | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Mercy Medical Development Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 592789194 | Outpatient Services | FL | 501(c)(3) | Line 9 | 1 | Mercy Hospital Inc | |
| Mercy Mission Services Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 650435764 | Health Care | FL | 501(c)(3) | Line 11a, I | 1 | Mercy Hospital Inc | |
| Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 510461511 | Hospital | FL | 501(c)(3) | Line 3 | 1 | Mercy Hospital Inc | |
| Global Health Ministry | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 233068656 | Health Care | PA | 501(c)(3) | Line 7 | 1 | Catholic Health East | |
| VNA Home Health & Hospice | |||||||||||
| 50 Foden Road | South Portland | ME | 04106 | 010246804 | Home Health & Hospice | ME | 501(c)(3) | Line 11a, I | 1 | Mercy Health System of Maine | |
| Providence Place Inc | |||||||||||
| 5 Gamelin Street | Holyoke | MA | 01040 | 043404084 | Retirement Community | MA | 501(c)(3) | Line 9 | 1 | Sisters of Providence Health System Inc | |
| Intercoastal Health Systems | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 650556413 | Management & Support Services | PA | 501(c)(3) | Line 11a, I | 1 | Catholic Health East | |
| Sunnyview Hospital & Rehabilitation Center Foundation | |||||||||||
| 1270 Belmont Ave | Schenectady | NY | 12308 | 222505127 | Supporting foundation | NY | 501(c)(3) | Line 11a, I | 1 | Sunnyview Hospital & Rehabilitation Ctr | |
Form990 Schedule R Part III Form990ScheduleRPartIII (21 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| St Peter's Ambulatory Surgery Center LLC | |||||||
| 1375 Washington Avenue Ste 201 | Albany | NY | 12206 | 460463892 | 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 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (34 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Province Or StateAddressForeign/ProvinceOrState | Postal CodeAddressForeign/PostalCode |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Samaritan Medical Office Building Inc | ||||||||||||||
| 2212 Burdett Avenue | Troy | NY | 12180 | 141607244 | Real Estate | NY | N/A | C | ||||||
| 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 | ||||||||||||||
| Insurance | N/A | C | 11 Victoria Street | Hamilton | BD | BD | ||||||||
| 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 | ||||||||||||||
| 980078266 | Insurance | N/A | C | PO Box 69 | Grand Cayman | CJ | CJ | Cayman Islands | KY1-1102 | |||||
| Catholic Health East Senior Services | ||||||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 371572595 | Senior Services | PA | N/A | C | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Northeast Health Inc | ||
| L | 367831 | FMV |
| Beechwood Inc | ||
| J | 50004 | FMV |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | The organization timely filed a request for an additional three month extension to November 15, 2012, but the IRS approval letter for the "Application for Extension of Time to File an Exempt Organization Return" had the extended due date to file as August 15, 2012. The August 15, 2012, date appears to be an IRS error. | Explanation |