MERCY HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL (EIN 01-0211534)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-15
IRS object ID: 201233209349305343
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 B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-15T13:50:09-06:00	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	010211534	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MERC	NameControl
Phone	2078793000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	144 State Street	AddressLine1
City	Portland	City
State	ME	State
ZIP Code	041013795	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Michael Hachey	Name
Title	Senior Vice President & CFO	Title
Phone	2078793000	Phone
Date Signed	2012-11-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Pamela L Heist	Name
PTIN	P00294236	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	Eileen Skinner	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	144 State Street	AddressLine1
City	Portland	City
State	ME	State
ZIP Code	041013795	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	203435458	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.mercyhospital.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1945	YearFormation
State Legal Domicile	ME	StateLegalDomicile
Activity Or Mission Description	Mercy Hospital carries out the healing work of Christ by providing clinically excellent, compassionate healthcare for all, with special concern for the poor and disadvantaged.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	28	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	22	NbrIndependentVotingMembers
Total Nbr Employees	1978	TotalNbrEmployees
Total Nbr Volunteers	463	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1100877	ContributionsGrantsPriorYear
Contributions Grants Current Year	1608779	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	186573567	ProgramServiceRevenuePriorYear
Program Service Revenue CY	199595175	ProgramServiceRevenueCY
Investment Income Prior Year	1153624	InvestmentIncomePriorYear
Investment Income Current Year	558497	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1536041	OtherRevenuePriorYear
Other Revenue Current Year	1434405	OtherRevenueCurrentYear
Total Revenue Prior Year	190364109	TotalRevenuePriorYear
Total Revenue Current Year	203196856	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	102903247	SalariesEtcPriorYear
Salaries Etc Current Year	112207570	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	658714	TotalFundrsngExpCurrentYear
Other Expense Prior Year	104122902	OtherExpensePriorYear
Other Expenses Current Year	106971762	OtherExpensesCurrentYear
Total Expenses Prior Year	207026149	TotalExpensesPriorYear
Total Expenses Current Year	219179332	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-16662040	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-15982476	RevenuesLessExpensesCY
Total Assets BOY	206185828	TotalAssetsBOY
Total Assets EOY	197985033	TotalAssetsEOY
Total Liabilities BOY	119849704	TotalLiabilitiesBOY
Total Liabilities EOY	129071451	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	86336124	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	68913582	NetAssetsOrFundBalancesEOY
Mission Description	Mercy Hospital carries out the healing work of Christ by providing clinically excellent, compassionate healthcare for all, with special concern for the poor and disadvantaged.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	188607202	Expense
Revenue	199595175	Revenue
Description	Provide access to healthcare for all people through direct patient care at Mercy's various hospital, clinical and physician locations. In providing these services, the organization absorbs significant costs that are not reimbursed through Medicare, Medicaid or other programs. In addition, as part of our mission, we maintain a charity care program that exceeds the Federal Poverty Guidelines. The Company also provides and sponsors a number of socially responsible activities and events that have a positive impact on the lives of the residents of the Greater Portland Community.	Description
Total Program Service Expense	188607202	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	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	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	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	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	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	142	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1978	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	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
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	28	NbrVotingGoverningBodyMembers
Number Independent Voting Members	22	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	ME	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Douglas W Libby	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2078793000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	144 State Street	AddressLine1
City	Portland	City
State	ME	State
ZIP Code	041013795	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (43 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
William Demicco
Chief of Medical Staff	37.50	X	269716	0	28648
Eileen Skinner
President & CEO	37.50	X	0	573327	39246	X
Thomas W Yoder Jr
Chairman	5.00	X	0	0	0	X
Joseph R Foley
Vice Chairman	5.00	X	0	0	0	X
Karen Hart
Secretary	5.00	X	0	0	0	X
Paul Bloch MD
Trustee	2.50	X	0	0	0
Sr Barbara Brennan RSM
Trustee	2.50	X	0	0	0
Sr Patricia Flynn RSM PhD
Trustee	2.50	X	0	0	0
Joseph Gray
Trustee	2.50	X	0	0	0
Margaret Hourigan
Trustee	2.50	X	0	0	0
Lois Lengyel
Trustee	2.50	X	0	0	0
Cheryl Libby
Trustee	2.50	X	0	0	0
Paul Lones
Trustee	2.50	X	0	0	0
Sr Michele Aronica RSM
Trustee	2.50	X	0	0	0
Brenda Miley
Trustee	2.50	X	0	0	0
Lisa Miller
Trustee	2.50	X	0	0	0
Jon Jennings
Trustee	2.50	X	0	0	0
Thimi Mina
Trustee	2.50	X	0	0	0
Sr Mary Morey RSM
Trustee	2.50	X	0	0	0
Mary Louise Norton
Trustee	2.50	X	0	0	0
Gregg Otterbein
Trustee	2.50	X	0	0	0
Sr Patricia Pora RSM
Trustee	2.50	X	0	0	0
David Small
Trustee	2.50	X	0	0	0
Sr Kathleen M Smith RSM
Trustee	2.50	X	0	0	0
Nelson A Toner
Immediate Past Chairman	2.50	X	0	0	0	X
Isabella Thurston MD
Trustee	2.50	X	0	0	0
Sr Janice Turner RSM
Trustee	2.50	X	0	0	0
Bruce Wagner
Trustee	2.50	X	0	0	0
Daniel Merson DO
Trustee	2.50	X	0	0	0
William Schirmer MD
Trustee	2.50	X	0	0	0
Daniel P Sheridan PhD
Trustee	2.50	X	0	0	0
John Walters
Trustee	2.50	X	0	0	0
Anthony Marple Sch O
Chief Financial Officer	37.50		0	226069	21118	X
Michael Hachey Sch O
SVP Ambulatory Services	37.50		0	328003	36743		X
Robert Nutter
Chief Operating Officer	37.50		0	272290	36366		X
Scott Rusk
VP Medical Affairs	37.50		0	314823	30546		X
James Shrum
VP Patient Care Services	37.50		0	203292	29537		X
Gregory Pomeroy
Lead Physician	40.00		708145	0	37108			X
Marc Hodroff
Physician	40.00		469925	0	28241			X
Gregory Adey
Physician	40.00		468651	0	32800			X
Adam Owen
Physician	40.00		512860	0	23923			X
Christopher Kleeman
Physician	40.00		448377	0	24814			X
Edward Ted McCarthy
Chief of Medical Staff	37.50		198697	0	27987				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3076371	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1917804	TotalReportableCompFrmRltdOrgs
Total Other Compensation	397077	TotalOtherCompensation
Number Individuals GT100 K	131	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
General Electric Medical Systems
8200 West Tower Avenue	Milwaukee	WI	53223	Equipment Service & Maintenance	2328837
Synernet Inc
110 Free Street	Portland	ME	04101	Transcription; Equip. Svcs & Maintenance	2032637
Quest Diagnostics
5763 Collection Center Drive	Chicago	IL	60693	Patient Lab Tests	1202923
Seabreeze Property Services
PO Box 617	Portland	ME	04102	Grounds Management & Maintenance	997636
BCA Financial Services Inc
18001 Old Cutler Road Suite 462	Miami	FL	33157	Collections	661900

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	44	NumberOfContractorsGT100K
Fundraising Events	98497	FundraisingEvents
Government Grants	760268	GovernmentGrants
All Other Contributions	750014	AllOtherContributions
Noncash Contributions	30234	NoncashContributions
Total Contributions	1608779	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Revenu	621110	198238159	198238159
All Other Program Serv	621110	1357016	1357016

Field	Value	IRS element (for citing)
Total Program Service Revenue	199595175	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	13249	TotalRevenueColumn
Exclusion	$13,249	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	411096	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	411096	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	411096	TotalRevenueColumn
Exclusion	$411,096	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	508732	Securities
Other	171179	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	134663	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	508732	Securities
Other	36516	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	545248	TotalRevenueColumn
Exclusion	$545,248	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	212225	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	98497	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	103939	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	108286	TotalRevenueColumn
Exclusion	$108,286	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Cafeteria Income	Description
Business Code	722210	BusinessCode
Total Revenue Column	915023	TotalRevenueColumn
Exclusion	$915,023	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	915023	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	203196856	TotalRevenueColumn
Related Or Exempt Function Income	199595175	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,992,902	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2539738	Total
Program Services	2405131	ProgramServices
Management And General	134607	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	87472343	Total
Program Services	82611600	ProgramServices
Management And General	4637482	ManagementAndGeneral
Fundraising	223261	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3592420	Total
Program Services	3393431	ProgramServices
Management And General	185347	ManagementAndGeneral
Fundraising	13642	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	12529326	Total
Program Services	11438108	ProgramServices
Management And General	1046413	ManagementAndGeneral
Fundraising	44805	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6073743	Total
Program Services	5597696	ProgramServices
Management And General	459633	ManagementAndGeneral
Fundraising	16414	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	233217	Total
Program Services	16326	ProgramServices
Management And General	216891	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	319838	Total
Management And General	319838	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	119000	Total
Management And General	119000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	22566802	Total
Program Services	15504950	ProgramServices
Management And General	6864225	ManagementAndGeneral
Fundraising	197627	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	898684	Total
Program Services	2142	ProgramServices
Management And General	879122	ManagementAndGeneral
Fundraising	17420	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	41112479	Total
Program Services	38330587	ProgramServices
Management And General	2642485	ManagementAndGeneral
Fundraising	139407	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5604979	Total
Management And General	5604979	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6134026	Total
Program Services	5731939	ProgramServices
Management And General	402087	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	169715	Total
Program Services	135422	ProgramServices
Management And General	32702	ManagementAndGeneral
Fundraising	1591	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	5644	Total
Program Services	5594	ProgramServices
Management And General	50	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3175992	Total
Management And General	3175992	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	10705940	Total
Program Services	8117051	ProgramServices
Management And General	2585151	ManagementAndGeneral
Fundraising	3738	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2991685	Total
Program Services	2719842	ProgramServices
Management And General	271843	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Bad Debt	12049563	12049563
Dues and Subscriptions	697670	393193	303668	809
Auxiliary	129627	129627
Amortization	56901	25000	31901

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	219179332	Total
Program Services	188607202	ProgramServices
Management And General	29913416	ManagementAndGeneral
Fundraising	658714	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	4257240	BOY
EOY	5729864	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	25219266	BOY
EOY	29729152	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4283233	BOY
EOY	4672245	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2425062	BOY
EOY	1094317	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	193405442	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	88894838	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	107321903	BOY
EOY	104510604	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	27264472	BOY
EOY	19206682	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	246167	BOY
EOY	124167	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	35168485	BOY
EOY	32918002	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	206185828	BOY
EOY	197985033	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	19100602	BOY
EOY	19399735	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1150377	BOY
EOY	1890248	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	73886719	BOY
EOY	73170121	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	303963	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	57846	BOY
EOY	30530	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	25350197	BOY
EOY	34580817	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	119849704	BOY
EOY	129071451	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	84203259	BOY
EOY	66899973	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1080540	BOY
EOY	971663	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1052325	BOY
EOY	1041946	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	86336124	BOY
EOY	68913582	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	206185828	BOY
EOY	197985033	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-15982476	ReconcilationRevenueExpenses
Reconcilation Other Changes	-1440066	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	0	FSAudited
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	0	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$500	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$102,200	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$16,300	OtherActivitiesAmount
Total Lobbying Expenditures IIB	119000	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	Percentage of dues paid to Maine Hospital Association (MHA) and American Hospital Association (AHA) used by MHA and AHA for lobbying purposes.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1052325	BeginningOfYearBalance
Contributions	1850	Contributions
Investment Earnings Or Losses	-12229	InvestmentEarningsOrLosses
End Of Year Balance	1041946	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	983424	BeginningOfYearBalance
Contributions	4188	Contributions
Investment Earnings Or Losses	64713	InvestmentEarningsOrLosses
End Of Year Balance	1052325	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	873360	BeginningOfYearBalance
Contributions	31500	Contributions
Investment Earnings Or Losses	78564	InvestmentEarningsOrLosses
End Of Year Balance	983424	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1086370	BeginningOfYearBalance
Contributions	1500	Contributions
Investment Earnings Or Losses	-214510	InvestmentEarningsOrLosses
End Of Year Balance	873360	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6251723	OtherCostOrOtherBasis
Book Value	6251723	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	102939507	OtherCostOrOtherBasis
Depreciation	35077707	Depreciation
Book Value	67861800	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2844314	OtherCostOrOtherBasis
Depreciation	1114510	Depreciation
Book Value	1729804	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	77808259	OtherCostOrOtherBasis
Depreciation	51819351	Depreciation
Book Value	25988908	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3561639	OtherCostOrOtherBasis
Depreciation	883270	Depreciation
Book Value	2678369	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	104510604	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Marketable Equity Securities	11353286	F
Marketable Debt Securities	3215627	F
Alternative Investments	4637769	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	19206682	TotalOfBookValueSecurities

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
Due from Third-Party Payors	22162231
Other Accounts Receivable	3673747
Unamortized Financing	677323
Other Assets	594510
Market Value Swap Asset	204191
Insurance Recoveries	5606000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	32918002	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescription	AmountAmount
Market Value Swap Liability	$1,193,577
Workers Compensation Reserve	$3,132,000
Accrued Pension Liability	$2,499,012
AR Credit Balances	$1,783,497
Due to Third Party Payors	$6,672,265
Health Claim Reserves	$1,177,997
Due to Related Companies	$9,822,369
Other Reserves	$1,076,774
Professional Liability Reserve	$6,540,900
Deferred Compensation	$682,426

Field	Value	IRS element (for citing)
Total Of Amounts	34580817	TotalOfAmounts
Total Revenue	203196856	TotalRevenue
Total Expenses	219179332	TotalExpenses
Excess Or Deficit For Year	-15982476	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-2087863	NetUnrealizedGLOnInvestments
Other	$647,797	OtherAmount
Total Adjustments	-1440066	TotalAdjustments
Excess Or Deficit Per FS	-17422542	ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	Endowment funds restricted uses include funding operations, educational programs, hospice and Alzheimer's screening.
Part XI, Line 8 - Other Adjustments:		Transfers to/from Affliliates 647,797.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Gary's House Golf	NameOfEvent1
Gross Receipts Event1	197136	GrossReceiptsEvent1
Charitable Contributions Event1	70000	CharitableContributionsEvent1
Gross Revenue Event1	127136	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	2000	NonCashPrizesEvent1
Rent Facility Costs Event1	1000	RentFacilityCostsEvent1
Food And Beverage Event1	15928	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	43233	OtherDirectExpensesEvent1
Name Of Event2	McAuley Auction	NameOfEvent2
Gross Receipts Event2	39824	GrossReceiptsEvent2
Charitable Contributions Event2	0	CharitableContributionsEvent2
Gross Revenue Event2	39824	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	500	RentFacilityCostsEvent2
Food And Beverage Event2	3818	FoodAndBeverageEvent2
Entertainment Event2	250	EntertainmentEvent2
Other Direct Expenses Event2	5649	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	73762	GrossReceiptsOtherEvents
Charitable Contrib Other Events	28497	CharitableContribOtherEvents
Gross Revenue Other Events	45265	GrossRevenueOtherEvents
Cash Prizes Other Events	0	CashPrizesOtherEvents
Non Cash Prizes Other Events	1018	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	1790	RentFacilityCostsOtherEvents
Food And Beverage Other Events	3299	FoodAndBeverageOtherEvents
Entertainment Other Events	400	EntertainmentOtherEvents
Other Direct Expenses Other Events	25054	OtherDirectExpensesOtherEvents
Gross Receipts Total	310722	GrossReceiptsTotal
Charitable Contributions Total	98497	CharitableContributionsTotal
Gross Revenue Total Events	212225	GrossRevenueTotalEvents
Non Cash Prizes Total Events	3018	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	3290	RentFacilityCostsTotalEvents
Food And Beverage Total Events	23045	FoodAndBeverageTotalEvents
Entertainment Total Events	650	EntertainmentTotalEvents
Other Direct Expenses Total Events	73936	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	103939	DirectExpenseSummaryEvents
Net Income Summary	108286	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent250	X	Pcent250
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7087418	TotalCommunityBenefitExpense
Net Community Benefit Expense	7087418	NetCommunityBenefitExpense
Percent Of Total Expense	0.03420	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	33599117	TotalCommunityBenefitExpense
Direct Offsetting Revenue	24346098	DirectOffsettingRevenue
Net Community Benefit Expense	9253019	NetCommunityBenefitExpense
Percent Of Total Expense	0.04470	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	40686535	TotalCommunityBenefitExpense
Direct Offsetting Revenue	24346098	DirectOffsettingRevenue
Net Community Benefit Expense	16340437	NetCommunityBenefitExpense
Percent Of Total Expense	0.07890	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1090471	TotalCommunityBenefitExpense
Direct Offsetting Revenue	621424	DirectOffsettingRevenue
Net Community Benefit Expense	469047	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	97717	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12	DirectOffsettingRevenue
Net Community Benefit Expense	97705	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1188188	TotalCommunityBenefitExpense
Direct Offsetting Revenue	621436	DirectOffsettingRevenue
Net Community Benefit Expense	566752	NetCommunityBenefitExpense
Percent Of Total Expense	0.00280	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	41874723	TotalCommunityBenefitExpense
Direct Offsetting Revenue	24967534	DirectOffsettingRevenue
Net Community Benefit Expense	16907189	NetCommunityBenefitExpense
Percent Of Total Expense	0.08170	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	103596	TotalCommunityBuildingExpense
Net Community Building Expense	103596	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	103596	TotalCommunityBuildingExpense
Net Community Building Expense	103596	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$6,695,041	BadDebtExpenseAmount
Amount Attributable To	223770	AmountAttributableTo
Amount Reimbursed By Medicare	66258482	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	79299887	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-13041405	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	144 State Street	AddressLine1
City	Portland	City
State	ME	State
ZIP Code	04101	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	0	CHNAConducted
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	250.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	0	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 6a: The organization's community benefit activities are included in Catholic Health East's Community Benefit Report.
Part I, Line 7: The method used was a cost-to-charge ratio derived from the most recent Medicare Cost Report data.
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 $ 12049563.
Part II: See attachment for narrative to be added here.
Part III, Line 4: Mercy Hospital 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 written off against the allowance for doubtful accounts when managment determines that recovery is unlikely and refers collection efforts to a third-party collector under contract. Recoveries of bad debt write-offs reduce bad debt expense. The costing methodology used for determining Mercy Hospital's bad debt expense at cost is applying a cost-to-charge ratio on the value of the organizations bad debt expense. To determine the estimated amount of bad debt expense (at cost) attributable to patients eligible under the organizations's charity care policy, the calculated percentage of total charity care to total gross patient revenue was applied to the total bad debt expense. The resulting amount was multiplied by the Medicare cost to charge ratio. Although our charity care policies and procedures make every effort to indentify thoses patients who are eligible for charity care before the billing process begins, often it is not possible to make an appropriate determination until after the billing and collection cycle has commenced. The rationale for including bad debt amounts in community benefits would be to account for those patients who were classified as bad debt expense, but would have qualified for charity care if sufficient information had been availiable to make a determination of their eligibility.Discounts on patient accounts are not considered to be bad debts.
Part III, Line 8: The costing methodology to determine Mercy Hospital's Medicare shortfall is calculated by applying a cost-to-charge ratio on the value of gross Medicare revenue to determine an estimate of total revenue received from Medicare and comparing this amount to allowable costs of care.
Part III, Line 9b: Mercy Hospital's written charity care policy clearly states that patients who are known to qualify for charity care or financial assistance are covered under Mercy Hospital's charity care policy. The charity care policy outlines specific parameters for collection practices for charity care patients.
Part V, Section B, Line 19d: Patients qualifying under the Financial Assistance Plan, FAP, are not charged differently than patients who do not qualify. However, the bills for patients who qualify are adjusted for the amount of financial assistance granted based on the patient's income and family size.	Mercy Hospital
Part VI, Line 2: Describe how the organization assess the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.Aligning community services using community identified health indicatorsMercy Hospital works to align our services with the health needs of the community by using the health indicators listed in the Community Health Profile for Cumberland County, annual data provided by Portland's Public Health Division, and a comprehensive asset map and analysis provided by Catholic Health East. These health indicators are as follow: Health Status; Access to Health Care;Physical Activity; Asthma; Tobacco Use; Diabetes; Nutrition; Hypertension; Overweight and Obesity; Mammogram; Medical Care Costs; Pap smear, Alcohol/Drug Abuse, and Safety/Security/ Domestic Violence. The indicators targeted by Mercy's outreach efforts are:(1) Access to Health Care;(2) Alcohol/Drug Abuse;(3) Health Status,(4) Medical Care Costs;(5) Nutrition, and(6) Diabetes.The following are examples of Mercy Hospital Community Services and the relevant community health indicator:(1) Access to Health Care - Volunteer Services, Community Health Outreach Workers (CHOW), Mercy's OB Clinic, and Interpreter's Training Sponsorship;(2) Alcohol/Drug Abuse - HOME Team and Portland's Area Regional Consortium Advisory Board;(3) Health Status - Cancer Support Groups, Pastoral Care - Hospice Visits, McAuley Residence and Hearts to Souls Event;(4) Medical Care Costs - Advanced Patient Advocacy, McAuley Residence, and Community Health Outreach Worker Training;(5) Nutrition - Nutrition Education and Counseling and "Cooking for One" Class; and(6) Diabetes - Diabetes Self-Management Education Program.H.O.M.E. TeamChronically homeless persons in Portland use an inordinate amount of resources without benefit of improved health status or overall quality of life. Many of these homeless individuals end up in hospital emergency departments and the county jail at great cost to the local municipalities and state. In July 2010, the H.O.M.E. Team - Mobile Van Unit with Street Intervention Workers - was launched to engage chronically homeless individuals in services that will get them off the streets and into safe, stabilized situations. By going to the streets and reaching out directly to this group, the H.O.M.E. Team has formed relationships, identified unmet social service needs, and made appropriate referrals to community programs. Through active assessment, intervention and referral services, the team has guided these individuals to the appropriate services by accessing the current service delivery system and has markedly reduced the number of contacts with Portland Police and Fire and Rescue. An analysis from June 2011 through December 2011 showed that the HOME Team had roughly 175 contacts per week and 75 weekly interventions for public intoxication and disruptive behavior. These encounters provide an opportunity to refer the chronically homeless persons to social service programs (i.e., Milestone Shelter and Detox program, Oxford St. Shelter, Preble Street Day Shelter, Amistad Drop in Center, and Healthcare for the Homeless). The team achieved a 10% reduction in Emergency Department visits at Mercy Hospital and a 30% reduction at Maine Medical Center for this target population. The data also suggests a significant drop in the number of police responses to high frequency users who were passed out on the street. It should be noted that police policy changed in May of 2010 as to when they would respond to calls for service involving layouts. Even when controlling for this change in police policy, the data suggests an 82 percent drop in police responses to calls for individuals who are passed out on the street.Community Health Outreach WorkersThrough a partnership with the city of Portland, Mercy employs two Community Health Outreach Workers (CHOW) to assist with community outreach and care navigation for patients with diverse backgrounds. The Latino CHOW works primarily at the Portland Community Free Clinic coordinating care and assisting patients with access to follow up care with a Mercy provider or specialist. The Somali CHOW works in Mercy's Fore River Family Practice and manages a case load of patients, ensuring that patients with chronic disease or behavioral health concerns successfully navigate the system of care. Both of the CHOWs provide necessary translation of documents or flyers.Minority Health Program (MHP)The Minority Health Program (MHP) of the Public Health Division, Health and Human Services Department, and City of Portland was established to help address the health related issues and needs of all minority communities in the Greater Portland area. MHP links people to needed services and improves the communities' health status through Community Health Outreach Workers (CHOWs) and community partnerships. Among the Minority Populations Served include the following racial and ethnic groups:MHP Current Projects are as follows:ACCESS Project - MHP partners with Mercy Hospital, Maine Medical Center and Ingraham to improve health care access to the ethnic minority communities in the Greater Portland area. The project has four major components. Major Events - Each year, MHP hosts an event in one of the minority communities celebrating their culture and highlighting specific health issues that are a concern in those communities. Some examples include: the Exercise for Health and Love health fair and screening, and the Latino Soccer Tournament. Mattina R. Proctor Diabetes CenterThe Diabetes Self-Management Education Program (DSME) at Mercy Hospital assists persons with diabetes in acquiring the knowledge, skills, and attitudes necessary to achieve and maintain good diabetes control. DSME is offered in group or individual sessions that include general DSME, insulin initiation/adjustment, self-blood glucose management, gestational diabetes counseling, and insulin pump therapy. The target audience is newly diagnosed or previously diagnosed adults with diabetes, which includes Type 1, Type 2, and gestational diabetes and their significant others. Both the nurse and dietician conduct an individual needs assessment with each client and clients attending group classes have a post-assessment interview within one month of completing the classes. Follow-up group is offered monthly continuing for up to one year. Education services for patients are scheduled at intervals based on individual needs and assessment of health status, knowledge, skills, and attitudes, behavioral goal achievement, and post-partum clinical outcomes. Education materials are offered in various languages and literacy levels. A detailed follow up plan for each patient is communicated to the referring provider. Our professional staff includes an Endocrinologist Medical Director, Nurse Manager, RN Clinical Dietician, RN diabetes educator.Mercy's OB ClinicIn 2011, the Mercy Hospital OB Clinic provided low risk prenatal care for 689 patients; many of whom have diverse backgrounds and limited English proficiency. The clinic is open two days per week and staffed with Nurse Midwives and professional nurses. Staff administers a psycho-social assessment to include a risk assessment for domestic violence, nutritional screens, prenatal lab work, adolescent screens for young women under 18 years of age and add appropriate supports to foster safe and health delivery. Referrals occur from the community and primary care physicians. Mercy's Volunteer Program In 2011, 463 volunteers gave of their skills, time and energy to our healthcare system. Their contribution was as varied as the individuals providing the support services to patients and clerical assistance to staff. Volunteers provided support in most hospital departments and at primary and specialty care sites throughout the year: in filing records, escorting patients, knitting for The Birthplace, registering patients for our flu and vascular clinics, greeting visitors, staffing the Gift Shop, and assisting with childcare in our transitional housing program. Portland is one of nine designated Refugee Resettlement Community in the United States and welcomes primary and secondary immigrants as well as those seeking political asylum from around the world. The Manager of Mission Services works closely with the Department of Health and Human Services to develop meaningful roles for mothers involved in Maine's welfare to work program called ASPIRE and new immigrants to assist them to become accustomed to the workplace environment. In 2011, we offered English as a second language classes for volunteers and staff in partnership with Portland's Adult Education. Mercy's Employee Health office provided TB tests, flu shots, and inoculations for measles, mumps, rubella, and varicella for 144 senior and 147 junior volunteers. 18 volunteers required additional lab work.
Part VI, Line 3: The following is taken from our charity care policy and describes how the organization informs and educates patients on charity care: Public Notice of the availability of assistance through this policy is made through each of the following means:1. Posting notices in a visible manner in locations where there is a high volume of inpatient or outpatient admitting/registration, such as emergency departments, billing offices, admitting offices, and hospital outpatient service settings.2. Posting notice of availability of assistance and contact numbers and location on the organization's website.3. Providing uninsured patients the Financial Assistance application upon registration to the hospital. Upon request, a full text copy of the Charity Care policy should be made available. 4. Making available to the public on a reasonable basis: the annual charity care provided; the unreimbursed costs of care provided to the beneficiaries of government programs that serve the poor (being defined as shortfalls between costs and off-setting reimbursement/revenue that the organization experiences in providing care under the Medicaid and local/county indigent programs for care provided to Medicare beneficiaries who are dually eligible for Medicaid). Posted notices (as listed above) shall be in the primary languages(s) of the service area and in a manner consistent with all applicable federal and state laws and regulations. Should any provision of this Policy conflict with the State of Maine requirements surrounding Charity Care, State law shall supersede the conflicting policy provision and the facility shall act in conformance with applicable State law.
Part VI, Line 4: The geographic area served by Mercy Hospital programs is primarily Cumberland and York counties, in south coastal Maine. Two distinct geographic exceptions are the Mercy Recovery Center, Maine's largest addiction treatment facility, which serves patients statewide, and the Northern New England Eating Disorders Program, the only such program located north of Massachusetts. The "community" can be defined in micro fashion, i.e. the city and discreet neighborhood in which Mercy is located, and in macro fashion, i.e. the larger geographical service area (primarily the two counties, but with a widening catchment area). Portland and the West End - Mercy's acute care campuses at Fore River and State Street are located in the West End neighborhood of Portland (Cumberland County), the state's most populous city (pop. 63,591). While population density for the state as a whole is 37 people per square mile, and for Portland itself is 3,029 people per square mile, in the West End (the state's most densely populated neighborhood) the density measure is 10,568 people per square mile. While median income is lower in Portland than in the rest of the state, median income in the West End is lower than Portland's by $7,800 ($35,770 vs. $43,603). In addition, while as a designated Refugee Resettlement city Portland has a more culturally and ethnically diverse population than Maine (9.4% vs. 3.6% non-white), a larger percentage of residents are foreign born (8.1% vs. 7.6%) in the West End than in the rest of Portland. Portland is home to the largest population of Somali / Sudanese / Rwandan and other pan-African populations in Maine, as well as large populations of Hispanics, Asians, Russians and other ethnic groups. In summary, Portland is more densely populated, poorer and more culturally diverse than the rest of Maine, and our immediate neighborhood, the West End, is even more so in all three categories. Portland is also home to a significant population of homeless individuals, drawn to the city by the network of homeless-serving social service agencies, including a dedicated FQHC operated by the City of Portland Public Health Division, located less than a mile from Mercy's State Street campus. This FQHC is strictly for homeless individuals, though Portland Public Health and Mercy Hospital collaborate to provide clinic based services to the poor who are Medicaid (MaineCare) ineligible by subsidizing the Portland Free Clinic with funding and volunteers. A second FQHC, the Portland Community Health Center for MaineCare eligible individuals and children opened in 2009 Mercy Hospital provides the necessary ancillary services and referrals for inpatient admissions from the FQHCs.Mercy's involvement in a wide range of community benefit initiatives to improve the health and lives of individuals and families in the city of Portland, is discussed elsewhere in this narrative. Overall Service Area - While the Portland community is a major focus of Mercy healthcare and community involvement, the organization's catchment area (Cumberland and York counties, and wider) also includes more rural areas such as Gorham ("very rural" designation, with a pop. of 4,302) , Standish ("rural" pop. 9,895) , and Buxton ("rural" pop. 8,072). To facilitate access to primary care - the basic building block of healthcare reform - in these outlying rural areas, Mercy has established primary care practice (PCP) sites in several of them: Windham; Gorham; Standish; Falmouth; Yarmouth; and West Falmouth. These are in addition to PCP sites in Portland and Westbrook.
Part VI, Line 5: In addition to the activities listed in Part VI, Line 2, the Hospital maintains an open medical staff and is governed by a board consisting largely of independent members.
AL,CT,DE,FL,GA,ME,MA,NJ,NY,NC,PA	Reports Filed With States	Part VI, Line 7

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Discretionary Spending Account	X	DiscretionarySpendingAccount
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
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	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 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
William Demicco
255422	0	1533	0	12761	0	10051	0	18597	0	298364	0	0	0
Eileen Skinner
0	356895	0	90250	0	126182	0	9930	0	29316	0	612573	0	0
Anthony Marple Sch O
0	203808	0	0	0	22261	0	2223	0	18895	0	247187	0	0
Michael Hachey Sch O
0	239506	0	36882	0	51615	0	10413	0	26330	0	364746	0	0
Robert Nutter
0	207579	0	34393	0	30318	0	9441	0	26925	0	308656	0	0
Scott Rusk
0	295006	0	13629	0	6188	0	3063	0	27483	0	345369	0	0
James Shrum
0	190000	0	9154	0	4138	0	1759	0	27778	0	232829	0	0
Gregory Pomeroy
484728	0	215770	0	7647	0	10413	0	26695	0	745253	0	0	0
Marc Hodroff
375808	0	75000	0	19117	0	10413	0	17828	0	498166	0	0	0
Gregory Adey
375808	0	75000	0	17843	0	10413	0	22387	0	501451	0	0	0
Adam Owen
520000	0	0	0	-7140	0	0	0	23923	0	536783	0	0	0
Christopher Kleeman
367154	0	85000	0	-3777	0	356	0	24458	0	473191	0	0	0
Edward Ted McCarthy
177104	0	6100	0	15493	0	8162	0	19825	0	226684	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReference	ExplanationExplanation
Part I, Line 1a	As part of the compensation plan, executives receive a discretionary spending account for certain eligible expenses incurred. Payments of these expenses are made on a grossed-up basis. Mercy Hospital provides local housing for one executive.
Part I, Line 3	The organization relied on a related organization that used one or more of the methods described below to establish the top management official's compensation: - Compensation committee - Independent compensation consultants - Written employment contract - Compensation survey or study - Approval by the board or compensation committee.
Part I, Line 4b	The following individuals received taxable SERP payments: Michael Hachey - $25,602; Robert Nutter - $20,328; Colleen Hilton - $14,420; Eileen Skinner - $103,112.
Part I, Line 6	An individual listed on Form 990 Part VII Section A received incentive compensation related to the contribution margin associated with office-based services. Under this arrangement, the individual was paid (a) up to 17.5% of the excess of the current year's actual contribution margin over the prior year's contribution margin and (b) up to 17.5% of the excess of the current year's actual contribution margin over the budgeted contribution margin with a combined payment cap not to exceed $120,000.
Part I, Line 7	Company compensation programs include various incentive/bonus programs where fixed payments measured in terms of a percentage of base salary may be made in relation to performance or goal achievements.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Maine Health and Higher Educational
010314384	560425G61	2006-12-20	68400000	Construction of Fore River Hospital	0	0	0
Maine Health and Higher Educational
010314384	560427JA5	2010-06-24	11275000	Refinancing 1998A Bonds	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount RetiredAmountRetired	Other Spent ProceedsOtherSpentProceeds
68400000	4710502	496240	195080	62998175	2008	0	0	1	1
11275000	1097744	112393			2010	1	0	1	1	715000	10064863

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
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line2NameOfGICProvider/BusinessNameLine2	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
Pallas Capital
1	1	0	1	Corporation	2.500000000000	1	0	0
(no name)
0	0	0	0				0	0

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	Schedule K Supplental Information	Identifier
Explanation	Part III, Line 3a: The Company has entered into various management and service contracts. Collectively, these contracts do not constitute an amount of private business use that exceeds the prescribed percentage.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Maine Surgical Group
Paul Bloch, MD, Board Member	32260	Payment for physician services related to vascular services to Maine Surgical Care Group, where Dr. Paul Bloch is a partner.	0
William Demicco MD
William Demicco, MD, Board Member	274991	Dr. Demicco is a Mercy Hospital employed Pulmonologist and is paid for his work as a physician.	0
UNUM
Joseph R Foley, Board Member	120227	Mercy Hospital purchases LTC insurance from UNUM, where Mr. Foley is an executive and an officer.	0
Yvonne Bonney Mina
Thimi Mina, Board Member	157049	Mr. Thimi Mina, a Board Member of Mercy Hospital, is married to Ms. Yvonne Bonney Mina, an employee of Mercy Hospital who was paid a salary for her work as a CRNA in 2011.	0
Sysco North New England
Gregory Otterbein, Board Member	624027	Mercy Hospital purchases food services from Sysco North New England, where Mr. Otterbein is President.	0
Maine Cardiology Associates
Jeffrey Rosenblatt, MD, Board Member (Former)	119193	Payment for physician services related to cardiology services to Maine Cardiology Associates, where Dr. Jeffrey Rosenblatt is a partner.	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	11	NumberOfContributions
Noncash Contribs Rptd F990	25234	NoncashContribsRptdF990
Method Of Determining Revenues	Cost or selling price	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	Other:	Description
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	5000	NoncashContribsRptdF990
Method Of Determining Revenues	Cost or selling price	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 2	Mr. Joe Gray and Mr. Jon Jennings are members of the Board of Directors/Trustees of Mercy Health System of Maine (MHSM) and Mercy Hospital. Mr. Jennings is a key investor in the Thompson's Point Project in Portland, a $100 million complex (convention center hotel, parking garage, etc.). Mr. Gray is a consultant for the Thompson's Point Project. MHSM and Mercy Hospital are not parties to this transaction.
Form 990, Part VI, Section A, line 6	Mercy Health System of Maine (MHSM) is the sole Member of Mercy Hospital.
Form 990, Part VI, Section A, line 7a	Mercy Health System of Maine (MHSM) is the sole Member of Mercy Hospital. MHSM approves all members of the Board of Trustees of Mercy Hospital.
Form 990, Part VI, Section A, line 7b	MHSM has reserved powers in the following areas: - changes in articles of incorporation; - in Key and non-Key Bylaws Provisions, appoint and remove Trustees; - approve philosophy and mission, strategic plan, operating plan and budget; - significant Financial transactions, significant budget variances and - establishment or dissolution of organizational relationships.
Form 990, Part VI, Section B, line 11	The Board of Directors/Trustees received education about the revised Form 990 during the October Board meeting. The Board discussed significant issues included in the draft Form 990 for Mercy Health System of Maine, MHSM, and for Mercy Hospital during this meeting. The Finance and Audit Committee of MHSM received education about the revised Form 990 at the September Committee meeting and reviewed the Form 990 for MHSM and Mercy Hospital at the October Committee meeting. The Finance Committee approved Form 990 for MHSM and Mercy Hospital for submission to the IRS during the October Finance Committee meeting.
Form 990, Part VI, Section B, line 12c	Mercy Hospital Attachment A to the Bylaws sets forth the organization's conflict of interest policy and processes. Annually, all those serving Mercy Hospital in a fiduciary capacity, including directors, trustees, officers, non-Board committee members 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 Chairman of the Board and Compliance Officer. Summary information is reported to the Governance Committee and entire Board. This is 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 15	Mercy Hospital'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 Mercy Hospital 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 and employed physician populations, considers both reasonableness and effectiveness of all remunerative programs and establishes the performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes.
Form 990, Part VI, Section C, line 19	Organizational Articles of Incorporation, Corporate Bylaws, governance policies, conflict of interest policy and audited financial statements are available upon request. IRS Form 990 is posted on the Mercy Hospital website.
Form 990, Part VII:	Individuals compensated by a related organization have responsibilities and perform services for Mercy Hospital and Mercy 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.	Average hours devoted to related organization(s) when related compensation
Form 990, Part XI, line 5:	Net unrealized losses on investments: -2,087,863. Transfers to/from Affliliates 647,797. Total to Form 990, Part XI, Line 5: -1,440,066.	Changes in Net Assets or Fund Balances:
Form 990, Part XII, Line 2a & 2b:	Financial statements were audited on a consolidated basis.	Explanation of financial statements:
Form 990, Part XII, Line 3B:	At the time of filing, the required A-133 audit has not been performed. Catholic Health East is coordinating the scheduling of this audit for all of it's members and will have them completed by the required due dates.	Explanation of required audits not obtained:
	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
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
Hawthorne Ridge Inc
30 Community Way	East Greenbush	NY	12061	800102840	Independent/Assisted Living Retirement Community	NY	501(c)(3)	Line 9		1	LTC (Eddy) Inc
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		0	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	0	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	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Mercy Health System of Maine
O	2485095	Direct costs
Catholic Health East
O	6421765	Direct costs
Visiting Nurse and Hospice Association
P	96132	Direct costs

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