2011-11-15T13:15:27-06:00 2010-12-31 Deloitte Tax LLP 1700 Market Street 25th Floor Philadelphia PA 19103 990 2010-01-01 043398374 Sisters of Providence Health System Inc SIST 4135392689 1221 Main Street No 108 Holyoke MA 01040 Thomas Robert 4135392689 2011-11-15 1 2152462300 2010 2016-03-07 17:11:31Z Daniel P Moen 1221 Main Street No 108 Holyoke MA 01040 29683454 0 0928 X www.mercycares.com X 1984 MA The Sisters of Providence Health System, Inc. ("SPHS"), is a community of persons committed to being a transforming, healing presence within the communities that we serve. We believe in the sacredness of human life, in the innate dignity of each person, and that it is in relationaship with one another that all persons realize their fullest potential. In our service we are sustained by an unwavering trust in God's Providence. The Sisters of Providence Health System, Inc. is member of Catholic Health East ("CHE"). 22 17 212 32 16799 5219 422551 175367 0 28423147 353166 363319 29022511 721621 29798228 29683454 0 0 0 0 12964961 12985220 0 45685 793909 16327170 16299547 29292131 29330452 506097 353002 17626498 15338244 25213547 23037046 -7587049 -7698802 X The Sisters of Providence Health System, Inc. ("SPHS"), is a community of persons committed to being a transforming, healing presence within the communities that we serve. We believe in the sacredness of human life, in the innate dignity of each person, and that it is in relationship with one another that all persons realize their fullest potential. In our service we are sustained by an unwavering trust in God's Providence. The Sisters of Providence Health System, Inc. is a member of Catholic Health East ("CHE"). 0 0 28308921 29129834 The Sisters of Providence Health System, Inc. provides certain centralized functions to its entities. The functions are as follows: workers compensation, information services, mission, accounting, patient care billing, administrative support, managed care, marketing, human resources, printing, legal, compliance and risk managment, communications, advocacy and fund development. Entities that are supported are: Mercy Hospital, Inc., Sisters of Providence Care Centers, Inc., Brightside Inc., Farren Care Centers, Inc., Providence Home Care, Inc., System Coordinated Services, Inc. and Subsidiaries (Catherine Horan Building Corporation, Diversified Community Services, Inc., Mercy Inpatient Medical Association, Inc., Providence Home Care, Inc.). 28308921 1 1 0 1 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 58 0 1 212 1 1 1 0 0 0 0 0 0 0 0 0 X 22 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MA X William Krasin 4135392689 c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 William A Collins 1.00 X 0 0 0 Rev Msgr C D Connelly 1.00 X 0 0 0 John E Dowd 1.00 X 0 0 0 Philip F Gaziano MD 1.00 X 0 0 0 John E Griggs MD 1.00 X 0 0 0 Sr Ann M Horgan SP 1.00 X 0 0 0 Kathleen M Kane 1.00 X 0 0 0 Almaneta G Lee GNP-BC MS 1.00 X 0 0 0 Sr Ruth F McGoldrick SP 1.00 X 0 0 0 Leda M McKenry PHD 1.00 X 0 0 0 Sr Joan C Mullen SP 1.00 X 0 0 0 Shirin Nash MD 1.00 X 0 0 0 Carla W Newton ESQ 1.00 X 0 0 0 Sr Kathleen M Popko SP 1.00 X 0 0 0 Rev Karen L Rucks 1.00 X 0 0 0 John E Sjoberg 1.00 X 0 0 0 Paul J Valickus 1.00 X 0 0 0 Dean M Whalen ESQ 1.00 X 0 0 0 David M Chadbourne MD 1.00 X X 0 0 0 Joanne M Beauregard 1.00 X X 0 0 0 Robert M Sullivan 1.00 X X 0 0 0 William Bithoney MD 50.00 X X 479430 0 45580 Vincent McCorkle 50.00 X X 564863 0 30351 Michael Hammond 50.00 X 176672 0 14943 Thomas Robert 50.00 X 209255 0 15198 Sr Sullivan-See Sch O 50.00 X 176303 0 17481 Christopher McLaughlin 50.00 X 200110 0 33459 Leonard Pansa 50.00 X 251992 0 25122 Mark Fulco 40.00 X 212084 0 36148 Daniel Keenan Jr 40.00 X 177803 0 30537 Scott Wolf 40.00 X 172673 0 21899 Brenda McCormick 40.00 X 142158 0 13438 Lisa McCusker 40.00 X 137460 0 15897 2900803 0 300053 19 0 1 0 Hill Associates Healthcare PO Box 980 2 Wilder Dr Suite 4 Plaistow NH 038650980 Manage health care claims 528523 Medical Information Technology PO Box 74569 Chicago IL 60696 Provide software to manage patient info 481677 Green Reimbursement LLC PO Box 920024 Needham MA 191706924 Professional Services 243330 Nuance Communications PO Box 7247-6924 Philadelphia PA 191706924 Computer software company 177881 Telserv LLC 96 South Turnpike Rd Wallingford CT 06492 Telecommunications products and svcs 152383 8 175367 175367 System Assessment Fees 561000 27833836 27833836 Management Fees 541610 296395 296395 Print Shop 323100 292916 276117 16799 28423147 361780 361780 1539 1539 1539 1539 Billing Services 900099 389366 389366 Insurance Policy 900099 266303 266303 65952 67817 -1865 721621 29683454 29129834 16799 361454 2058625 2058625 8703040 8192483 510557 24479 24479 1216239 1216239 982837 982837 198322 198322 29300 29300 45685 45685 1477169 1326191 150978 679243 674840 4403 1793294 1729157 64137 5496545 5496545 252731 252731 103215 98872 4343 45479 32768 12711 6167 6167 3056174 3056174 325364 325364 CHE Program Fees 2236427 2236427 Hill Billing Fees 504577 504577 Sponsorship 55940 55940 Association Dues 38405 38405 Employee Contributions 1195 100 1095 29330452 28308921 227622 793909 146249 188569 499045 393144 15062 15659 421489 394098 24785280 18779055 7757999 6006225 117498 180223 8669156 8160326 17626498 15338244 22806196 20465589 184945 178875 2222406 2392582 25213547 23037046 X -7838908 -8005995 201859 257193 50000 50000 -7587049 -7698802 17626498 15338244 X 353002 -464755 X X 0 1 1 X 1 1 X X X 0 0 0 Mercy Hospital Inc 043398280 3 1 1 1 21792302 Brightside Inc 042182395 7 1 1 1 1127721 Sisters of Providence Care Centers Inc 222541103 7 1 1 1 1522886 Farren Care Center Inc 042501711 7 1 1 1 853548 Mercy Specialist Physicians Inc 264033168 7 1 1 1 143786 System Coordinated 042938161 7 1 1 1 1156715 Providence Home Care 043317426 7 1 1 1 510496 Mercy Inpatient medical Association 043029929 7 1 1 1 726383 8 27833837 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 154495 0 0 154495 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: The organization pays membership dues to member organizations which may engage in lobbying activities. Therefore, a portion of the dues may be attributable to lobbying expenses. 50000 50000 275000 145667 370667 50000 275000 70036 70036 275000 1.00000 0 0 313908 313908 24471372 18779055 5692317 6006225 Loan Receivable Due from Affiliate 4240661 Insurance policy receivable 1715591 Investment in physician practice 2103106 Due from related parties 80373 Other receivables 20595 8160326 Accrued insurance 203511 Pension liability 436515 Accrued restructure expense 19263 Abandoned property 23522 Reserve for officers and directors 250000 Other Reserve 659487 Due to affiliates 800153 LT-Swap program CHE-Market Valuation 131 2392582 Description of Intended Use of Endowment Funds: Part V, Line 4: To retain restriction of the principal, allowing annual use of the income to be added to the SPHS mission fund for support of Sisters of Providence Health System, Inc. employees for catastrophic events or need. X X X X 1 Ghiorsi & Sorrenti Inc Mack-Cali Corporate Center 50 Tice Woodcliff Lake NJ 076770000 Professional Services - Feasibility Study 0 0 45866 45866 45866 45866 MA X 1 1 0 1 0 0 0 1 1 0 0 William Bithoney MD 377186 0 96570 0 5674 0 23850 0 21730 0 525010 0 0 0 Vincent McCorkle 222909 0 140916 0 201038 0 13752 0 16599 0 595214 0 0 0 Michael Hammond 130718 0 44805 0 1149 0 5435 0 9508 0 191615 0 0 0 Thomas Robert 193720 0 15053 0 482 0 11964 0 3234 0 224453 0 0 0 Sr Sullivan-See Sch O 150653 0 25650 0 0 0 9110 0 8371 0 193784 0 0 0 Christopher McLaughlin 168607 0 30975 0 528 0 15365 0 18094 0 233569 0 0 0 Leonard Pansa 212933 0 37155 0 1904 0 20380 0 4742 0 277114 0 0 0 Mark Fulco 181061 0 30450 0 573 0 17664 0 18484 0 248232 0 0 0 Daniel Keenan Jr 156916 0 20396 0 491 0 15806 0 14731 0 208340 0 0 0 Scott Wolf 172303 0 0 0 370 0 12056 0 9843 0 194572 0 0 0 Brenda McCormick 133097 0 8648 0 413 0 6476 0 6962 0 155596 0 0 0 Lisa McCusker 128239 0 9080 0 141 0 0 0 15897 0 153357 0 0 0 Part I, Line 1a Monthly dues for Sisters of Providence Health System's CEO were paid to the Colony Club. Part I, Line 4b The following individuals received payments from a supplemental nonqualified retirement plan: Leonard Pansa - $12,797; Sr. Kathleen Sullivan - $9,110; Thomas Robert-$7,455; Christopher J. McLaughlin-$10,376; Mark Fulco, SVP Stratigic Plan/Mkt - $11,115; William Bithoney - $16,500; Daniel Keenen Jr, SVP Govt. Ralations - $10,200 Scott Wolf, VP Medical Affairs - $10,598 Part I, Line 6 The organization has an incentive pay program of which one criteria is based on the organization's operating results as compared to budget as well as other criteria which includes quality and patient satisfaction. Mass HEFA 2007C 042456011 57586CXY6 2007-04-19 138983 Advance refunding 0 0 0 Mass HEFA 2009 042456011 57586EGR6 2009-03-19 81270 Current refunding and swap termination 0 0 0 Mass HEFA 2010 042456011 57586ESB8 2010-04-07 75399 Current refunding 0 0 0 117150 138983 3443 1257 134283 2007 0 1 1 1 510 81270 1455 79815 2009 1 0 1 1 6080 75399 1092 74307 2010 1 0 1 1 0 0 1 0 1 1 0 0 1 MERRILL LYNCH CAPITAL SERVICES 21.600000000000 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 Schedule K, Part III, Column B, Line 3a: The organization 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. Schedule K, Part IV, Column A, line 5: Proceeds are held in a yield restricted refunding escrow. Form 990, Part VI, Section A, line 6 Yes, Sisters of Providence Health System, Inc. is the sole member. Form 990, Part VI, Section A, line 7a Yes, Sisters of Providence Health System, Inc. approves the appointment of the members of the governing body. Form 990, Part VI, Section A, line 7b Catholic Health East has limited reserved powers to approve decisions of the governing body. Form 990, Part VI, Section B, line 11 The organization took steps to educate management, members of the board and members of appropriate subcommittees of the board on the compliance requirements mandated by the Form 990. The form was prepared by Deloitte Tax LLP, reviewed by management and then was presented to the Finance Committee, who reviewed the 990 at their meeting on November 1, 2011. Form 990, Part VI, Section B, line 12c The organization has adopted Catholic Health East's Policy 103, setting forth the organization's conflict of interest policy and processes. Annually, all those serving the organization in a fiduciary capacity, including directors, officers and key employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the organization's CEO and board's chair. Summary information is reported to the entire board and available to the board throughout the year as business comes before the board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the board or an 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 The organization has adopted Catholic Health East's process for determining compensation which includes the following: The board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing the organization's roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes. Form 990, Part VI, Section C, line 19 Organizational articles of incorporation, corporate bylaws, governance policies believed to be of interest to the public, conflict of interest policy, audited financial statements, annual community benefit report and IRS Form 990 are available to the public upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 6,360. Investment expenses: 1,558. Pension adjustment -87,851. Contributions/Pledges 146,995. Realized gains 1,539. Change in fair value of interest rate swaps -4,365. Transfer to/from affiliates -137,006. Extinguishment of debt -1,865. Assets released from restriction -390,120. Total to Form 990, Part XI, Line 5: -464,755. Explanation of financial statements: Form 990, Part XII, Line 2a & 2b: While the entity does not have individual audited financial statements, an audit of Sisters of Providence Health System's consolidated financial statements was performed. Avg hours devoted to related organziation(s) when related comp is reported: Form 990, Part VII, Section A: Individuals receiving compensation from related organizations have system-wide responsibilities requiring services to be performed for this organization as well as other organizations in the Sisters of Providence Health System, Inc. The hours listed for individuals in Part VII reflect the time the individual spends on this organization and related organizations. Accordingly, compensation listed in this part represents the individual's total compensation for work performed for all organizations comprising the Sisters of Providence Health System, Inc. Form 990, Part VII, Section A: All money paid on behalf of Sr. Sullivan goes directly to her religious order on her behalf. Professional Fundraiser: Schedule G, Part I: Sisters of Providence Health System, Inc. is a management company that provides services for related organizations. As such, the Sisters of Providence Health System, Inc. paid for the services of a professional fundraiser. The revenue raised from the fundraiser is recorded by a related organization. Mercy Health System of Maine 144 State Street Portland ME 04101 010484074 Management & Support Services ME 501(c)(3) Line 11c, III-FI Catholic Health East 0 Mercy Hospital 144 State Street Portland ME 04101 010211534 Hospital ME 501(c)(3) Line 3 Mercy Health System of Maine 0 Mercy Care for Kids Inc 310 South Manning Blvd Albany NY 12208 141717564 Day care center NY 501(c)(3) Line 9 St Peter's Health Care Services 0 Our Lady of Mercy Life Center 2 Mercycare Lane Guilderland NY 12084 141743506 Nursing Home Facility NY 501(c)(3) Line 3 St Peter's Health Care Services 0 St Peter's Auxiliary 315 South Manning Blvd Albany NY 01228 222843206 Auxiliary NY 501(c)(3) Line 11a, I St Peter's Health Care Services 0 St Peter's Health Care Services 315 South Manning Blvd Albany NY 12208 222702507 Management & Support Services NY 501(c)(3) Line 9 Catholic Health East 0 St Peter's Hospital 315 South Manning Blvd Albany NY 12208 141348692 Hospital NY 501(c)(3) Line 3 St Peter's Health Care Services 0 St Peter's Hospital Foundation Inc 319 South Manning Blvd Suite 309 Albany NY 12208 222262982 Fundraising & Public Relations NY 501(c)(3) Line 7 St Peter's Health Care Services 0 St Peter's Licensed Home Care Agency 159 Wolf Road Albany NY 12205 141818568 Home Health NY 501(c)(3) Line 3 St Peter's Health Care Services 0 The Community Hospice Foundation Inc 295 Valley View Blvd Rensselaer NY 12144 222692940 Fundraising & Public Relations NY 501(c)(3) Line 7 St Peter's Health Care Services 0 The Community Hospice Inc 295 Valley View Blvd Rensselaer NY 12144 141608921 Serving seriously ill people & their families NY 501(c)(3) Line 3 St Peter's Health Care Services 0 Villa Mary Immaculate 301 Hackett Blvd Albany NY 12208 141438749 Nursing Home & Physical Rehab NY 501(c)(3) Line 3 St Peter's Health Care Services 0 Warde Service Corporation Inc 159 Wolf Road 3rd Floor Albany NY 12205 141732097 Supporting & strengthing the ministries of rel. sr. mercy NY 501(c)(3) Line 9 St Peter's Health Care Services 0 Brightside Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 042182395 Behavioral Care MA 501(c)(3) Line 9 Sisters of Providence Health System Inc 0 Farren Care Center Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 042501711 Long Term Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 0 Mercy Hospital Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 043398280 Acute Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 0 Mercy Specialist Physicians Inc c/o SPHS 1221 Main Street No 108 Holyoke MA 01040 264033168 Neurosurgery Medical Services MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 0 Sisters of Providence Care Centers Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 222541103 Long Term Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 0 McAuley Center Inc 275 Steele Road West Hartford CT 06117 061058086 Independent Living CT 501(c)(3) Line 9 Mercy Community Health Inc 0 Mercy Community Health Inc 2021 Albany Avenue West Hartford CT 06117 061492707 Management & Support Services CT 501(c)(3) Line 11a, I Catholic Health East 0 Mercy Community HomeCare Services 2021 Albany Avenue West Hartford CT 06117 061488137 In Home Health Care CT 501(c)(3) Line 9 Mercy Community Health Inc 0 Mercy Services 2021 Albany Avenue West Hartford CT 06117 061453323 Support Services CT 501(c)(3) Line 1 Mercy Community Health Inc 0 Mercyknoll Inc 2021 Albany Avenue West Hartford CT 06117 060757380 Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc 0 Saint Mary Home II Inc 2021 Albany Avenue West Hartford CT 06117 061164104 Elderly Care CT 501(c)(3) Line 3 Mercy Community Health Inc 0 St Mary Home Incorporated 2021 Albany Avenue West Hartford CT 06117 060646843 Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc 0 Mercy Healthcare Center 114 Wawbeek Avenue Tupper Lake NY 12986 150532211 Hospital NY 501(c)(3) Line 3 Catholic Health East 0 Mercy Uihlein Health Corporation 185 Old Military Road Lake Placid NY 12946 161535133 Hospital NY 501(c)(3) Line 11b, II Mercy Healthcare Center 0 Uihlein Mercy Center 185 Old Military Road Lake Placid NY 12946 150532190 Hospital NY 501(c)(3) Line 3 Mercy Healthcare Center 0 St James Mercy Foundation Inc 411 Canisteo Street Hornell NY 14843 161486437 Foundation NY 501(c)(3) Line 7 St James Mercy Health System Inc 0 St James Mercy Health System Inc 411 Canisteo Street Hornell NY 14843 223127184 Management & Support Services NY 501(c)(3) Line 11b, II Catholic Health East 0 St James Mercy Hospital 411 Canisteo Street Hornell NY 14843 160743310 Hospital NY 501(c)(3) Line 3 St James Mercy Health System Inc 0 Marian Community Hospital 100 Lincoln Avenue Carbondale PA 18407 240711230 Hospital PA 501(c)(3) Line 3 Maxis Health System 0 Marian Community Hospital Auxiliary 100 Lincoln Avenue Carbondale PA 18407 251874733 Fundraising PA 501(c)(3) Line 11b, II Maxis Health System 0 Maxis Foundation 100 Lincoln Avenue Carbondale PA 18407 232330090 Fundraising PA 501(c)(3) Line 11b, II Maxis Health System 0 Maxis Health System 100 Lincoln Avenue Carbondale PA 18407 911940902 Health Care System PA 501(c)(3) Line 11b, II Catholic Health East 0 Maxis Medical Services 100 Lincoln Avenue Carbondale PA 18407 232577185 Physician Practices PA 501(c)(3) Line 3 Maxis Health System 0 Tri-County Human Services Center Inc PO Box 517 Carbondale PA 18407 231938528 Behavioral Health Organization PA 501(c)(3) Line 7 Maxis Health System 0 Columbus Acquisition Corp 1160 Raymond Boulevard Newark NJ 07102 262616342 Inactive Entity NJ 501(c)(3) Line 9 Saint Michaels Medical Center 0 Saint Michaels Medical Center 111 Central Avenue Newark NJ 07102 262616046 Hospital NJ 501(c)(3) Line 3 Catholic Health East 0 St James Care Inc 1160 Raymond Boulevard Newark NJ 07102 262616230 Inactive Entity NJ 501(c)(3) Line 9 Saint Michaels Medical Center 0 St Michaels Medical Center Foundation 1160 Raymond Boulevard Newark NJ 07102 223311976 Foundation NJ 501(c)(3) Line 11a, I Saint Michaels Medical Center 0 University Heights Property Company Inc 1160 Raymond Boulevard Newark NJ 07102 223100162 Medical Property Holding Company NJ 501(c)(2) Saint Michaels Medical Center 0 Life St Francis Corporation 601 Hamilton Avenue Trenton NJ 08629 222797282 Health Services NJ 501(c)(3) Line 11a, I St Francis Medical Center Trenton NJ 0 St Francis Medical Center Foundation NJ 601 Hamilton Avenue Trenton NJ 08629 521025476 Foundation NJ 501(c)(3) Line 11a, I St Francis Medical Center Trenton NJ 0 St Francis Medical Center Trenton NJ 601 Hamilton Avenue Trenton NJ 08629 223431049 Hospital NJ 501(c)(3) Line 3 Catholic Health East 0 Langhorne MRI Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232519529 Inactive Entity PA 501(c)(3) Line 9 St Mary Medical Center 0 Langhorne Physician Services Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232571699 Physician Services PA 501(c)(3) Line 9 St Mary Medical Center 0 LIFE St Mary 1201 Langhorne-Newtown Road Langhorne PA 19047 262976184 Elderly Care PA 501(c)(3) Line 9 St Mary Medical Center 0 St Mary Medical Center 1201 Langhorne-Newtown Road Langhorne PA 19047 231913910 Hospital PA 501(c)(3) Line 3 Catholic Health East 0 St Mary Medical Center Foundation Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232567468 Foundation PA 501(c)(3) Line 7 St Mary Medical Center 0 East Norriton Physician Services c/o One West Elm Street Conshohocken PA 19428 232515999 Physician Services PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 Mercy Catholic Medical Center of Southeastern Pennsylvania One West Elm Street Conshohocken PA 19428 231352191 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 Mercy Family Support 1001 Baltimore Pike Suite 301 Springfield PA 19064 232325059 Home Health PA 501(c)(3) Line 9 Mercy Health System of Southeastern Pennsylvania 0 Mercy Health Foundation of Southeastern Pennsylvania c/o MHS One West Elm Street Conshohocken PA 19428 232829864 Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 0 Mercy Health Plan c/o One West Elm Street Conshohocken PA 19428 222483605 Health Plans PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 0 Mercy Health System of Southeastern Pennsylvania One West Elm Street Conshohocken PA 19428 232212638 Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East 0 Mercy Home Health 1001 Baltimore Pike Suite 310 Springfield PA 19064 231352099 Home Health PA 501(c)(3) Line 9 Mercy Health System of Southeastern Pennsylvania 0 Mercy Home Health Services 1001 Baltimore Pike Suite 301 Springfield PA 19064 232325058 Home Health PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 0 Mercy Management of Southeastern Pennsylvania One West Elm Street Conshohocken PA 19428 232627944 Physician Practices PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 0 Mercy Suburban Hospital One West Elm Street Conshohocken PA 19428 231396763 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 Nazareth Health Care Foundation 2701 Holme Avenue Philadelphia PA 19152 232300951 Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 0 Nazareth Hospital 2601 Holme Avenue Philadelphia PA 19152 232794121 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 Nazareth Physician Services Inc 2601 Holme Avenue Philadelphia PA 19152 203261266 Physician Practices PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 NE Physician Services 2601 Holme Avenue Philadelphia PA 19152 232497355 Physician Practices PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 St Agnes Continuing Care Center 1900 S Broad Street Philadelphia PA 19145 232840137 Continuing Care Services PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 St Agnes Continuing Care Center Foundation 1900 S Broad Street Philadelphia PA 19145 232415137 Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 0 Life at Lourdes Inc 1600 Haddon Avenue Camden NJ 08108 261854750 Elderly Care NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 0 Lourdes Ancillary Services 1600 Haddon Avenue Camden NJ 08103 222568525 Supporting Organization NJ 501(c)(3) Line 11b, II Our Lady of Lourdes Health Care Services 0 Lourdes Dialysis at Innova Inc 1600 Haddon Avenue Camden NJ 08108 263237625 Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 0 Lourdes Medical Center Burlington County 218 Sunset Road Willingboro NJ 08046 223612265 Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 0 Our Lady of Lourdes Health Care Services 1600 Haddon Avenue Camden NJ 08103 222568528 Management & Support Services NJ 501(c)(3) Line 11b, II Catholic Health East 0 Our Lady of Lourdes Health Foundation Inc 1600 Haddon Avenue Camden NJ 08103 222351960 Foundation NJ 501(c)(3) Line 7 Our Lady of Lourdes Health Care Services 0 Our Lady of Lourdes Medical Center 1600 Haddon Avenue Camden NJ 08103 210635001 Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 0 Franciscan Eldercare Corporation PO Box 2500 Wilmington DE 19805 223008680 Eldercare DE 501(c)(3) Line 9 St Francis Hospital 0 St Francis Foundation PO Box 2500 Wilmington DE 19805 510374158 Foundation DE 501(c)(3) Line 11b, II St Francis Hospital 0 St Francis Hospital PO Box 2500 Wilmington DE 19805 510064326 Hospital DE 501(c)(3) Line 3 Catholic Health East 0 McAuley Ministries McAuley Hall 3333 Fifth Avenue Pittsburgh PA 15213 943436142 Management & Support Services PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 0 Mercy Jeannette Hospital 3805 West Chester Pike Newtown Square PA 19073 251310602 Inactive Entity PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 0 Mercy Life Center Corporation 1200 Reedsdale Street Pittsburgh PA 15233 251604115 Community Treatment PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 0 Pittsburgh Mercy Foundation 1200 Reedsdale Street Pittsburgh PA 15233 251479026 Foundation PA 501(c)(3) Line 11b, II Pittsburgh Mercy Health System 0 Pittsburgh Mercy Health System 3333 5th Avenue Pittsburgh PA 15213 251464211 Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East 0 St Joseph's of the Pines Inc 100 Gossman Drive Suite B Southern Pines NC 28387 560694200 Hospital NC 501(c)(3) Line 3 Catholic Health East 0 Life St Joseph of the Pines Inc 100 Gossman Drive Suite B Southern Pines NC 28387 272159847 Healthcare Services NC 501(c)(3) Line 3 St Joseph's of the Pines Inc 0 Mercy Senior Care Inc 212 West Third Street PO Box 866 Rome GA 30162 581366508 Community Outreach GA 501(c)(3) Line 7 Saint Joseph's Health System Inc 0 Saint Joseph's at East Georgia Inc 1201 Siloam Road Greensboro GA 30462 261720984 Hospital GA 501(c)(3) Line 3 Saint Joseph's Health System Inc 0 Saint Joseph's Health System Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 581744848 Management & Support Services GA 501(c)(3) Line 11b, II Catholic Health East 0 Saint Joseph's Hospital of Atlanta Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 580566257 Hospital GA 501(c)(3) Line 3 Saint Joseph's Health System Inc 0 Saint Joseph's Mercy Care Services Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 581752700 Community Outreach GA 501(c)(3) Line 7 Saint Joseph's Health System Inc 0 Saint Joseph's Mercy Foundation Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 581448522 Fundraising GA 501(c)(3) Line 11b, II Saint Joseph's Health System Inc 0 Saint Joseph's Translational Research Institute Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 800079841 Research GA 501(c)(3) Line 4 Saint Joseph's Health System Inc 0 Mercy Services Downtown Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 272046353 Real Estate Holding Company GA 501(c)(3) Line 11b, II Saint Joseph's Health System Inc 0 St Mary's Health Care System Inc 1230 Baxter Street Athens GA 30606 580566223 Hospital GA 501(c)(3) Line 3 Catholic Health East 0 St Mary's Foundation Inc 1230 Baxter Street Athens GA 30606 582544232 Fundraising GA 501(c)(3) Line 11b, II St Mary's Health Care System Inc 0 St Mary's Highland Hills Inc 1230 Baxter Street Athens GA 30606 020576648 Assisted Living & Retirement Community GA 501(c)(3) Line 3 St Mary's Health Care System Inc 0 St Mary's Medical Group Inc 1230 Baxter Street Athens GA 30606 261858563 Hospital / Physician Services GA 501(c)(3) Line 3 St Mary's Health Care System Inc 0 Mercy Medical Corporation PO Box 1090 101 Villa Drive Daphne AL 36526 636002215 Hospital AL 501(c)(3) Line 3 Catholic Health East 0 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 Catholic Health East 0 St Francis Hospital Inc 33920 US Highway 19 North Suite 269 Palm Harbor FL 34684 590624442 Hospital FL 501(c)(3) Line 11a, I Allegany Franciscan Ministries Inc 0 Holy Cross Hospital Inc 4725 North Federal Highway Ft Lauderdale FL 33308 590791028 Hospital FL 501(c)(3) Line 3 Catholic Health East 0 Holy Cross Long-Term Inc 4725 North Federal Highway Ft Lauderdale FL 33308 650787320 Medical Services FL 501(c)(3) Line 3 Holy Cross Hospital Inc 0 Holy Cross Medical Properties Inc 4725 North Federal Highway Ft Lauderdale FL 33308 650666283 Medical Building Real Estate Management FL 501(c)(2) Holy Cross Hospital Inc 0 Mercy Hospital Foundation Inc 3663 South Miami Avenue Miami FL 33133 591709438 Fundraising FL 501(c)(3) Line 7 Mercy Hospital Inc 0 Mercy Hospital Inc 3663 South Miami Avenue Miami FL 33133 590791034 Hospital FL 501(c)(3) Line 3 Catholic Health East 0 Mercy Medical Development Inc 3663 South Miami Avenue Miami FL 33133 592789194 Outpatient Services FL 501(c)(3) Line 9 Mercy Hospital Inc 0 Mercy Mission Services Inc 3663 South Miami Avenue Miami FL 33133 650435764 Health Care FL 501(c)(3) Line 11a, I Mercy Hospital Inc 0 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 0 Continuing Care Management Services Network 3805 West Chester Pike Suite 100 Newtown Square PA 19073 352336834 Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East 0 Global Health Ministry 3805 West Chester Pike Suite 100 Newtown Square PA 19073 233068656 Health Care PA 501(c)(3) Line 7 Catholic Health East 0 Mercy Jeanette Hospital Foundation 600 Jefferson Avenue Jeannette PA 15644 251462863 Foundation PA 501(c)(3) Line 7 Pittsburgh Mercy Health System 0 VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Home Health & Hospice ME 501(c)(3) Line 11a, I Mercy Health System of Maine 0 Providence Place Inc 5 Gamelin Street Holyoke MA 01040 043404084 Retirement Community MA 501(c)(3) Line 9 Sisters of Providence Health System Inc 0 Intercoastal Health Systems 3805 West Chester Pike Suite 100 Newtown Square PA 19073 650556413 Management & Support Services PA 501(c)(3) Line 11a, I Catholic Health East 0 Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital 3663 South Miami Avenue Miami FL 33133 510461511 Hospital FL 501(c)(3) Line 3 Mercy Hospital Inc 0 Mary's Meadow at Providence Place Inc 12 Gamelin Street Holyoke MA 01040 262043754 Long Term Care Religious MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 0 Catherine Horan Building Limited Partnership 1221 Main Street Room 108 Holyoke MA 010400000 042723429 Property Management MA N/A AmeriHealth Mercy Health Plan 200 Stevens Drive Suite 350 Philadelphia PA 19113 232859523 Medicaid Managed Care Organization PA N/A 0.50000 Amerihealth Mercy of Indiana LLC 200 STEVENS DRIVE Suite 350 Philadelphia PA 19113 204948091 PREPAID HEALTH CARE SERVICES IN N/A 0.50000 East Norriton Medical Associates 2701 Dekalb Pike Norristown PA 19401 232319531 Medical Office Building PA N/A 0.12560 East Norriton Medical Associates 2701 Dekalb Pike Norristown PA 19401 232319531 Medical Office Building PA N/A 0.40930 Gateway Health Plan 300 Grant Street Pittsburgh PA 15219 251691945 Medicaid & Medicare/Special Needs Managed Care Organization PA N/A 0.50000 Keystone Mercy Health Plan 100 Stevens Drive Philadelphia PA 19113 232842344 Medicaid Managed Care Organization PA N/A 0.50000 Langhorne MOB Partners LP 1201 Langhorne-Newtown Road Langhorne PA 19047 232622772 Investment and operation of a medical building PA N/A 0.28956 SMMC MOB II LP 1201 Langhorne-Newtown Road Langhorne PA 19047 364559869 Investment and operation of a medical building PA N/A 0.74520 MercyManor Partnership PO Box 10086 Toledo OH 436990086 521931012 Nursing Home PA N/A 0.50000 Nazareth Medical Office Building Associates LP c/o Nazareth Hospital 2601 Holme Av Philadelphia PA 19152 232388040 Medical Office Building PA N/A 0.01000 Nazareth Medical Office Building Associates LP c/o Nazareth Hospital 2601 Holme Av Philadelphia PA 19152 232388040 Medical Office Building PA N/A 0.47460 St Agnes Long Term Intensive Care LLP 1900 S Broad Street Philadelphia PA 19145 200984882 Long Term Intensive Care PA N/A 0.60000 St Agnes Long Term Intensive Care LLP 1900 S Broad Street Philadelphia PA 19145 200984882 Long Term Intensive Care PA N/A 0.40000 St Peter's Ambulatory Surgery Center LLC 1375 Washington Avenue Ste 201 Albany NY 12206 460463892 Surgery NY N/A 0.34750 Outpatient Surgical Management LLC 5673 Peachtree Dunwoody Rd Ste 550 Atlanta GA 30342 208004929 Outpatient Medical Services GA N/A 0.51000 CV Partners LLC 5665 Peachtree Dunwoody Road Atlanta GA 303421764 263881202 Outpatient Medical Services GA N/A 0.50000 Gwinnett Cardiovascular Servies LLC 1000 Medical Center Boulevard Lawrenceville GA 30045 263870307 Cardiology GA N/A 0.50000 Central New Jersey Heart Services LLC 10720 Sikes Places Ste 300 Charlotte NC 28277 208525458 Cardiac Program NJ N/A 0.63905 Physicians Outpatient Surgery Center LLC 1000 NE 56th Oakland Park FL 33334 352325646 Ambulatory Surgery Center FL N/A 0.73000 Center for Surgery & Digestive Orders 3641 South Miami Avenue Miami FL 33133 510438152 Outpatient Medical Services FL N/A 0.50000 SJV Management LLC 200 Century Pkwy Ste 200E Mount Laurel NJ 08054 202273476 Medical Services NJ N/A 0.50000 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 411 Canisteo Street Hornell NY 148482104 161294991 Property Holdings NY N/A C Carbondale Area Physicians' Association PC 100 Lincoln Ave Carbondale PA 18407 232801677 Medical Insurance Contracting PA N/A C Carbondale Area Physicians' PHO Inc 100 Lincoln Ave Carbondale PA 18407 232801676 Inactive PA N/A C Carbondale Physicians' Services Inc 100 Lincoln Ave Carbondale PA 18407 232365077 Pharmacy PA N/A C Chestnut Risk Services Ltd 11 Victoria Street Hamilton BD Insurance BD N/A C LifeCare Physicians PC 601 Hamilton Avenue Trenton NJ 086291986 261649038 Health Care Services NJ N/A C Multicare Plus Inc 601 Hamilton Avenue Trenton NJ 086291986 223435844 Inactive NJ N/A C Langhorne Services II Inc 1201 Langhorne-Newtown Road Langhorne PA 190470000 253795549 General Partner of LMOB Partners, II PA N/A C Langhorne Services Inc 1201 Langhorne-Newtown Road Langhorne PA 190470000 232625981 General Partner of LMOB Partners PA N/A C AMHP Holdings Corp 200 Stevens Drive Philadelphia PA 19113 261144363 Behavioral 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 Behavioral Healthcare Network of PA Inc 8040 Carlson Road Harrisburg PA 17112 251765391 Behavioral 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 Saint Joseph's Service Corporation Inc 5673 Peachtree Dunwoody Road Atlanta GA 303421769 581750815 Service Provider GA N/A C Saint Joseph's Real Estate Management Corp 5673 Peachtree Dunwoody Road Atlanta GA 303421769 581657768 Investment Company GA N/A C Magnetic Resonance Imaging Inc 5673 Peachtree Dunwoody Road Atlanta GA 303421769 581609308 Holding Company GA N/A C ACTx 5673 Peachtree Dunwoody Road Atlanta GA 303421769 830345672 Research GA 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 Road Bogart GA 30622 582276801 Assisted Living GA N/A C GHE Physicians PC 3500 Piedmont Road Atlanta GA 30305 582277939 Practice Management GA N/A C Nursing Network Inc 4725 North Federal Highway Fort Lauderdale Highwa FL 333080000 591145192 Medical Services FL N/A C Mercy Physician Group Inc 3663 South Miami Avenue Miami FL 33133 202970015 Health Care FL N/A C Stella Maris Insurance Company Limited PO Box 69 Grand Cayman Cayman Islands CJ KY1-1102 980078266 Insurance CJ N/A C Catholic Health East Senior Services 3805 West Chester Pike Suite 100 Newtown Square PA 19073 371572595 Senior Services PA N/A C 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 Providence Care Center Lenox A 361780 Fair Market Value Catholic Health East B 137006 Fair Market Value Sisters of Providence Care Centers Inc D 392920 Fair Market Value Catholic Health East O 5920397 Fair Market Value Mercy Hospital Inc O 84162 Fair Market Value Mercy Hospital Inc P 21792302 Fair Market Value Brightside Inc P 1127721 Fair Market Value Sisters of Providence Care Centers Inc P 1522886 Fair Market Value Farren Care Center Inc P 853548 Fair Market Value System Coordinated Services Inc and Subsidiaries P 1667211 Fair Market Value Mercy InPatient Medical Association Inc P 726383 Fair Market Value Mercy Specialist Physicians Inc P 143786 Fair Market Value