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ST MARYS HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST MARYS HOSPITAL INC (EIN 58-0566223)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201133189349303523
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-14T10:01:08-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11700 Market Street 25th FloorAddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN580566223EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Mary's Health Care System IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTMANameControl
Phone7063893939Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11230 Baxter StreetAddressLine1
CityAthensCity
StateGAState
ZIP Code306063791ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDonald McKennaName
TitlePresident / CEOTitle
Phone7063893939Phone
Date Signed2011-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2152462300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDonald McKennaNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11230 Baxter StreetAddressLine1
CityAthensCity
StateGAState
ZIP Code306063791ZIPCode
FieldValueIRS element (for citing)
Gross Receipts172907455GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.stmarysathens.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1938YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionAs a member of Catholic Health East ("CHE") and sponsored by the Sisters of Mercy, the mission of St. Mary's Health Care System is to be a compassionate healing presence in our community, committed to the sacredness of human life and the dignity of each person we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees1499TotalNbrEmployees
Total Nbr Volunteers200TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year163388451ProgramServiceRevenuePriorYear
Program Service Revenue CY169684100ProgramServiceRevenueCY
Investment Income Prior Year22414InvestmentIncomePriorYear
Investment Income Current Year957738InvestmentIncomeCurrentYear
Other Revenue Prior Year9758490OtherRevenuePriorYear
Other Revenue Current Year2204923OtherRevenueCurrentYear
Total Revenue Prior Year173169355TotalRevenuePriorYear
Total Revenue Current Year172846761TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year340368GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY247707GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year70287706SalariesEtcPriorYear
Salaries Etc Current Year69913503SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year91108655OtherExpensePriorYear
Other Expenses Current Year98315045OtherExpensesCurrentYear
Total Expenses Prior Year161736729TotalExpensesPriorYear
Total Expenses Current Year168476255TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11432626RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4370506RevenuesLessExpensesCY
Total Assets BOY166226310TotalAssetsBOY
Total Assets EOY180201056TotalAssetsEOY
Total Liabilities BOY58746476TotalLiabilitiesBOY
Total Liabilities EOY67224011TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY107479834NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY112977045NetAssetsOrFundBalancesEOY
Mission DescriptionAs a member of Catholic Health East ("CHE") and sponsored by the Sisters of Mercy, the mission of St. Mary's Health Care System is to be a compassionate healing presence in our community, committed to the sacredness of human life and the dignity of each person we serve.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense120540908Expense
Grants247707Grants
Revenue169684100Revenue
DescriptionSt. Mary's Health Care System was established to meet the health care needs of the people of Northeast Georgia. The System operates an acute care hospital, home health care agency, hospice, and leases a long-term care facility. Additionally, the System offers many wellness and educational services to the community at low, or in some cases at no charge.Description
Total Program Service Expense120540908TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096112NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1499NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Marty HutsonBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7063893939TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11230 Baxter StreetAddressLine1
CityAthensCity
StateGAState
ZIP Code306063791ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Howard Abney MD
Director1.00X000
Kemp Brian
Director1.00X000
Bennett Rodney
Director1.00X000
Burgess Tim
Director1.00X000
McKenna Don
President/CEO40.00X056844748557X
Griffin Dawn
Director1.00X000
Hubrich Leon
Director1.00X000
Perno Louis A
Director1.00X000
Upchurch Charles L
Director1.00X000
Snipes Bobby
Director1.00X000
Cline Ruth M MD
Director1.00X000
Wilbanks Kathy
Director1.00X000
Hollingworth III Thomas F
Director1.00X000
Hooker Robbie P
Director1.00X000
Beltran Paul MD
Chief of Staff1.00X000
Hutson Martin
Vice President & CFO40.00241773022616X
Dugger Brenda
VP Compliance, Qu, & HH40.00182259014433X
Evans Nina
VP Nursing40.00184906011136X
Carter Montez
VP of Operations40.005042704562X
English Jeffrey
VP Human Resourses40.00188814017809X
Schuller Karen
VP & General Counsel40.00229912012244X
Middendorf Bruce
Chief Medical Officer20.00000X
Loome Sister Patricia
VP of Mission Services40.0012199806758X
Vaughn Kerry
Chief Info. Office40.00013913534374X
Bigelow Linda
VP Nursing40.0012189808552X
Camp Steven
Pharmacist40.00191595015965X
Wright Gary
Director of Pharmacy40.0016415709916X
Griffiths Catherine
Nursing Supervisor40.00137189012256X
Shutt Robert
RN40.00134790015674X
Dixon-Martin Kelly
Physician40.00131114012365X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2080832TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs707582TotalReportableCompFrmRltdOrgs
Total Other Compensation247217TotalOtherCompensation
Number Individuals GT100 K47NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Brasfield and Gorrie LLC
1990 Vaughn Rd Ste 100KennesawGA301440000Construction2489443
Athens Hospitalist Services PC
PO Box 7695AthensGA306060000Physicians2372286
Rehabcare Group Inc
PO Box 502096St LouisMO631502096IP Management Services1563588
Sodexo Inc
PO Box 536922AtlantaGA303536922Dietary/Housekeeping1431316
Anesthesia Consult of Athens
PO Box 7127AthensGA306040000Anesthosiologist1107116
FieldValueIRS element (for citing)
Number Of Contractors GT100 K37NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHospital Patient ServiDescription
Business Code622110BusinessCode
Total Revenue Column169684100TotalRevenueColumn
Related Or Exempt Function Income169684100RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue169684100TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column660246TotalRevenueColumn
Exclusion$660,246ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real416766Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real416766Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column416766TotalRevenueColumn
Exclusion$416,766ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other358186Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other60694Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other297492Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column297492TotalRevenueColumn
Exclusion$297,492ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Fitness Revenue622110575625$575,625
Gift Shop Revenue622110191154$191,154
Thrift Revenue622110155307$155,307

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column866071TotalRevenueColumn
Exclusion$866,071ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1788157TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column172846761TotalRevenueColumn
Related Or Exempt Function Income169684100RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,162,661ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total247707Total
Program Services247707ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2214392Total
Program Services578173ProgramServices
Management And General1636219ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total54330373Total
Program Services42576792ProgramServices
Management And General11753581ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2627627Total
Program Services2005405ProgramServices
Management And General622222ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6762357Total
Program Services5161031ProgramServices
Management And General1601326ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3978754Total
Program Services3036585ProgramServices
Management And General942169ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total211998Total
Management And General211998ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total15559875Total
Program Services4373786ProgramServices
Management And General11186089ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total797968Total
Program Services202262ProgramServices
Management And General595706ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1137200Total
Program Services422073ProgramServices
Management And General715127ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total226506Total
Management And General226506ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1569941Total
Program Services1265186ProgramServices
Management And General304755ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total493160Total
Program Services347661ProgramServices
Management And General145499ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total962835Total
Management And General962835ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10341863Total
Program Services4739746ProgramServices
Management And General5602117ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1909565Total
Program Services585ProgramServices
Management And General1908980ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Medical & General Suppl3313295833051352816060
Bad Debt12685270126852700
Physician Fees494181147870981547130
Maintenance4752843179677829560650
Pension Adjustment1968358019683580

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7622894Total
Program Services3263418ProgramServices
Management And General4359476ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total168476255Total
Program Services120540908ProgramServices
Management And General47935347ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2BOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY25176849BOY
EOY33708443EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19523488BOY
EOY19187452EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY760226BOY
EOY760226EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3700739BOY
EOY3531338EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY991139BOY
EOY1258496EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis189159660LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec122312844LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY72056001BOY
EOY66846816EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY26429238BOY
EOY28595199EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY367635BOY
EOY347377EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17220993BOY
EOY25965709EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY166226310BOY
EOY180201056EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18110993BOY
EOY24681153EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY68351BOY
EOY62670EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY19752373BOY
EOY19055348EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1377372BOY
EOY1223751EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19437387BOY
EOY22201089EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY58746476BOY
EOY67224011EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY107803483BOY
EOY113415521EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY-323648BOY
EOY-438476EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY107479834BOY
EOY112977045EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY166226310BOY
EOY180201056EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4370506ReconcilationRevenueExpenses
Reconcilation Other Changes1126705ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1954580OtherCostOrOtherBasis
Book Value1954580BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis68969160OtherCostOrOtherBasis
Depreciation35676717Depreciation
Book Value33292443BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis69429OtherCostOrOtherBasis
Depreciation11472Depreciation
Book Value57957BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis70655665OtherCostOrOtherBasis
Depreciation55256910Depreciation
Book Value15398755BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis47510826OtherCostOrOtherBasis
Depreciation31367745Depreciation
Book Value16143081BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings66846816TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Total Due From Other Entities14835154
Investment in Uncon Sub-Premier Co-op6177605
LT-Swap Prgm CHE-Market Valuation4952950
FieldValueIRS element (for citing)
Total Book Value Other Assets25965709TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
3rd Party Payables$1,589,708
Due to Related Parties$32,535
Worker's Compensation Reserve$794,000
Pension Liability$14,824,384
LT Swap Prgm CHE-Market Valuation$4,960,462
FieldValueIRS element (for citing)
Total Of Amounts22201089TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense5970978TotalCommunityBenefitExpense
Net Community Benefit Expense5970978NetCommunityBenefitExpense
Percent Of Total Expense0.03300PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense18503831TotalCommunityBenefitExpense
Direct Offsetting Revenue11789501DirectOffsettingRevenue
Net Community Benefit Expense6714330NetCommunityBenefitExpense
Percent Of Total Expense0.03710PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense24474809TotalCommunityBenefitExpense
Direct Offsetting Revenue11789501DirectOffsettingRevenue
Net Community Benefit Expense12685308NetCommunityBenefitExpense
Percent Of Total Expense0.07010PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served18056PersonsServed
Total Community Benefit Expense120970TotalCommunityBenefitExpense
Net Community Benefit Expense120970NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served818PersonsServed
Total Community Benefit Expense1127848TotalCommunityBenefitExpense
Net Community Benefit Expense1127848NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense300117TotalCommunityBenefitExpense
Net Community Benefit Expense300117NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served4088PersonsServed
Total Community Benefit Expense150407TotalCommunityBenefitExpense
Net Community Benefit Expense150407NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served22962PersonsServed
Total Community Benefit Expense1699342TotalCommunityBenefitExpense
Net Community Benefit Expense1699342NetCommunityBenefitExpense
Percent Of Total Expense0.00940PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served22962PersonsServed
Total Community Benefit Expense26174151TotalCommunityBenefitExpense
Direct Offsetting Revenue11789501DirectOffsettingRevenue
Net Community Benefit Expense14384650NetCommunityBenefitExpense
Percent Of Total Expense0.07950PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense67856TotalCommunityBuildingExpense
Net Community Building Expense67856NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense1647TotalCommunityBuildingExpense
Net Community Building Expense1647NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense69503TotalCommunityBuildingExpense
Net Community Building Expense69503NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$4,784,797BadDebtExpenseAmount
Amount Attributable To2656240AmountAttributableTo
Amount Reimbursed By Medicare57103668AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare73955229CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-16851561MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Mary's Health Care System IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11230 Baxter StreetAddressLine1
CityAthensCity
StateGAState
ZIP Code30606ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherHome Health, Hospice, and other OP CentersOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NOT APPLICABLEBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained0EligibilityCriteriaExplained
Uses FPG Free0UsesFPGFree
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis0ExplainsBasis
Explains Application Method0ExplainsApplicationMethod
Includes Publicity Measures0IncludesPublicityMeasures
Actions On Nonpayment0ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy0NondiscrimEmergencyCarePolicy
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation
Part I, Line 6a: Saint Mary's Health Care System issues it's own community benefit report in addition to a related organization, Catholic Health East, issuing a consolidated community benefit report.
Part I, Line 7: The cost to charge ratio is not computed using worksheet 2 from the instructions: the cost to charge ratio is computed by taking the full amount of expenses from the hospital statement of expeses, subtracting bad debt the dividing by gross revenue.
Part I, Line 7g: St. Mary's Health Care System has a Pediatric Subspecialty Clinic where specialty physicians from outside the local area come and see patients from the local area. The total cost for the Pedicatric Sub-specialty Clinic included in Part I, line 7g is $59,471.
Part I, L7 Col(f): The amount of bad debt expense included on Form 990, Part IX, Line 25, column (a), but subtracted for purposes of calculating the percentages on schedule H, part I, line 7 column (f) is $12,685,270.
Part II: St. Mary's partnered with Habitat for Humanity to complete an apartment renovation project which houses sixteen previously homeless families. St. Mary's donated the funds to pay for a portion of the renovation as well as provided volunteers to help work on the actual renovation work. Homelessness can have serious effects on a person's physical, mental and emotional health. Many homeless people lack access to health care, live in unsafe situations, and overall live very stressful lives. Providing a safe and affordable home to a homeless family can greatly improve their health and well-being.The Director of Security attends and participates in emergency planning meetings throughout the year. The planning allows collaboration of state and local agencies and organizations in order to prepare for a local or statewide emergency. The Emergency Department also participates in quarterly meetings to address emergency service coordination in the Athens-Clarke County area. Planning is a vital step in disaster management and will certainly increase community health in the case of an emergency.Several departments of St. Mary's are involved in mentoring students interested in healthcare careers. The Explorer Program is a program for local high school students. They come to the hospital once a month to learn about and experience the health care environment. The Adopt-a-Class program places a St. Mary's employee each month in a middle school classroom to teach the kids about health care careers.Each year St. Mary's hosts a Clergy Conference for the local clergy who visit and minister to patients in the hospital throughout the year. This conference provides valuable education to these clergy and allows them to better address the emotional and spiritual needs of their parishioners and St. Mary's patients.St. Mary's has played a vital role in the establishment of the new Medical College of Georgia/ University of Georgia Medical Partnership. The Chief Medical Officer has served on a committee to help guide the new medical school and establish working relationship with St. Marys as well as other health care organizations in the community.St. Mary's hosts many volunteers throughout the year including high school and college students as well as community members of all ages. Volunteers work as part of the Auxiliary and serve more than 2,000 hours each month. The volunteers not only serve the hospital in vital ways, but also receive experiential training in health care in a hospital setting. Increased education and training correlates with increased health status. St. Mary's has played an integral role in the creation and work of the Athens Health Network.The partnership St. Mary's has with the Athens Health Network is seen as a very important part of our ministry and committment to the Athens community. The Athens Health Network was established to address the health care needs of the uninsured and underinsured populations of the Athens community. St. Mary's in partnership with three other institutions, University of Georgia, Athens-Clarke County government, and Athens Regional Medical Center, helped to establish this network and develop it into a 501(c)(3) organization. Currently, the Athens Health Network is working to help clinics implement electronic medical records, increase the capacity of the free or reduced cost clinics, and prepare for any changes that will affect our community over the next few years as a result of health care reform. St. Mary's believes that the Athens Health Network is going to greatly impact our community's health and we are eager to be a part of their mission.
Part III, Line 4: The figures were calculated based on the cost-to-charge ratio. The cost-to-charge ratio was derived by dividing total operating expenses (excluding bad debt expense) by total grosspatient charges. The cost-to-charge ratio was applied to total bad debt write-offs to calculate the costs for line 2.While we make all reasonable efforts to identify patients eligible for charity care prior to billing, such pre-billing identification is not always possible. This problem arises largely with patients treated in our Emergency Department ("ED") on an outpatient basis. Frequently, these patients do not complete an application for financial assistance therefore making a definitive determination difficult. The estimated amount for patients who likely would qualify for financial assistance is calculated for line 3 based on a review of bad debt write-offs to include only bad debt for uninsured patients, and estimating the amount of that cost that could be charity based on a review of applications for financial assistance. A reasonable estimate based on the percentage of patients whose applications do not meet the criteria for financial assistance is used to estimate the amount that could qualify for financial assistance. For financial reporting, an allowance for doubtful accounts is recordedfor estimated losses resulting from the unwillingness of patients 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 management determines that recovery is unlikely and collection efforts cease.
Part III, Line 8: The amount here is determined by using the actual patient charges, the Medicare cost-to-charge ratios that we are currently being paid on, and the payment-to-charges from the actual remittances. Based on the calculation this shortfall should be viewed as uncompensated care provided to those patients and thus treated entirely as community benefit.
Part III, Line 9b: Accounts with applications pending for Charity Care or other assistance programs are held until the outcome of the application. A "pending charity approval" is defined as an application that has been fully completed by the patient, submitted and is in the process of being determined for eligiblity. It is acceptable ( but not preferable) to take an account though the full collection cycle and later reclassify it as Charity Care as long as a consistent process is followed and a legitimate basis exists that the patient is unable to pay. For example, with self pay accounts written off and sent to bad debt, reclassifying the account to Charity Care may be considered on the basis of all of the following factors:1. No Third party coverage or inadequate coverage exists, 2. No payments are recorded on the account,and 3. The patient/guarantor was billed a minimum of 4 times.All self-pay accounts are automatically transferred to a third party billing agency. The third party billing agency contacts the accountholder to arrange for payment. If the third party billing agency has an account that has not been paid in full within 120 days, the account is then sent back to St. Mary's Health Care System. Upon receipt of an outstanding account, St. Mary's Health Care System transfers the account to a collection agency.
Part VI, Line 7, The list of states in which CHE's community benefit report is filed are: Alabama, Connecticut, Delaware, Florida, Georgia, Maine, Massachusetts, New Jersey, New York, North Carolina and Pennsylvania.
Part VI, Line 2: In July of 2010, St. Mary's Health Care System completed a community health needs assessment. The assessment focused on Athens-Clarke County, where the hospital is located. The assessment included several steps including planning, collecting data, prioritizing needs with community leaders, and meeting with a hospital committee to establish which needs the hospital will work to address. Demographic, health status, and economic data was collected from various governmental databases and community organizations. Qualitative data was collected through focused interviews with knowledgeable community members who are stakeholders in the health of the Athens community. After data was collected, a group of community members met to discuss priorities of needs, and finally a committee of hospital leadership met to determine which needs the hospital will work to address through community partnerships and possible increased services.
Part VI, Line 3: Information is displayed on the hospital website and at all registration areas about financial assistance policies. All self-pay patients are visited by a financial counselor in the hospital and are screened for eligibility of financial assistance. The screening process includes screening for eligibility for the Charity Care policy as well as government programs.
Part VI, Line 4: St. Mary's Health Care System is located in Athens-Clarke County and serves this community as well as Jackson, Madison, Monroe, Oglethorpe, and Oconee Counties. The estimated population of Athens-Clarke County in 2008 was 114,737 people. The 2008 estimated median age was 26.8 years, almost 10 years younger that the Georgia county average. This is due largely to the presence of the University of Georgia which currently enrolls more than 34,000 undergraduate and graduate students in total. Athens-Clarke County is diverse with about 68% of the population being white, 19% African American, and about 8% Latino and 5% other. Athens-Clarke County is very educated, about 40% of residents have a Bachelors degree or higher, but also a large proportion, 20%, have not completed high school. Athens-Clarke County has a large population living in poverty, about 30%, and more than 32% of the population is without health insurance. The surrounding counties are more rural, slightly less diverse, and have less people living in poverty and without health insurance. However, people in these counties have fewer local resources and may face barriers to receiving care related to distance or transportation.
Part VI, Line 6: Many of St. Mary's senior leadership serve on boards of community organizations. Our President, most Vice Presidents and many Directors donate their time and expertise to organizations that strive to improve community or state health. These organizations include Mercy Health Center, Parish Nurses Resource Center, Athens Health Network, Oncology Nursing Society, American Red Cross and Athens Nurses Clinic. St. Mary's is dedicated to serving the community not only within the hospital but also through partnerships in our community.Second, many of the physicians who work for St. Mary's or are associated with our hospital, donate their time and services to the free clinics in Athens, for example Mercy Health Center and Athens Nurses Clinic. The mission of St. Mary's is to serve the community and we encourage all staff to serve the community outside of the hospital.In addition, we maintain a 24-hour emergency room, an open medical staff and board comprised largely of independent members of the community.
Part VI, Line 7:
Part VI, Line 7: St. Mary's Health Care System Inc. operates as one organization to promote the health of the community. All Community Benefits are reported together and there is one needs assessment for St. Mary's Health Care System.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
ARCH Foundation
UGA G2c Aderhold HallAthensGA30602202779492501(c)(3)12500FMVTraining and Research
United Way of Northeast Georgia
1 Huntington Rd Ste 805AthensGA30606586008133501(c)(3)22707FMVFunding for various charities
Mercy Health Clinic
767 Oglethorpe AveAthensGA30606582603523501(c)(3)25000FMVMedical treatment of the underserved
Athens Area Habitat
532 Barber StreetAthensGA30603581809143501(c)(3)60000FMVConstruction of Homes for the needy
Global Health Ministries
3805 West Chester Pike Suite 100Newton SquarePA19073233068656501(c)(3)BookSupplies for Mission Trips11000Medical Supplies
Advantage Behavioral Health System
250 North AvenueAthensGA30601582112427FMVAmbulance for Organization's use20000Used Ambulance
Wilkes County EMS
105 Marshall StreetWashingtonGA30673586000911FMVAmbulance for Organization's use5000Used Ambulance
Project Safe Inc
PO Box 7532AthensGA30604581908469501(c)(3)FMVAmbulance for Organization's use12500Used Ambulance
Athens Clarke County Police Department
3035 Lexington RoadAthensGA30605581911146FMVAmbulance for Organization's use10000Used Ambulance
Henry W Grady Health System Foundation
50 Hurt Plaza Suite 803AtlantaGA30303582130437FMVAmbulance for Organization's use7500Used Ambulance
UGA Police Department
286 Onconee Street Suite 100AthensGA30602586001998FMVAmbulance for Organization's use6000Used Ambulance
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants11TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierOther Information:Identifier
Return ReferencePart IV:ReturnReference
ExplanationSchedule I, Part I, Line 2: The type of financial assistance provided by the organization can be broken into two categories, national charities and local not-for-profit entities. The organization does not ask organizations such as the American Cancer Society and the United Way for any documentation has to how the donated funds were used. Smaller donations made to local organizations are usually event specific. A committee reviews the donations request and assumes the money provided pays for the program subject to the request.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
McKenna Don
032408601120140132347014990033567061700400
Hutson Martin
185770049437065660103870122290264389000
Dugger Brenda
1364530376250818108278061550196692000
Evans Nina
171521012935045009311018250196042000
English Jeffrey
149219038920067507887099220206623000
Schuller Karen
1835190455510842010247019970242156000
Vaughn Kerry
01250630140720007158027216017350900
Camp Steven
1768500001474506445095200207560000
Wright Gary
1362270212650666501442084740174073000
Shutt Robert
127608000718207397082770150464000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4aReturnReference
ExplanationLinda Bigelow retired during 2010 and received $43,266 in severence paid.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Dev Auth - Unified Govt of Athens Series 2009BusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN582613761IssuerEIN
CUSIP Number047059BB5CUSIPNumber
Date Issued2009-03-19DateIssued
Issue Price16036560IssuePrice
Description Of PurposeCurrent Refunding & Swap TerminationDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds16036560TotalProceeds
Issuance Costs From Proceeds296790IssuanceCostsFromProceeds
Other Spent Proceeds15739770OtherSpentProceeds
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

IdentifierIdentifierExplanationExplanation
Schedule K, Part II, line 11:Of the amount scheduled, $3,442,770 represents proceeds used to terminate an integrated swap.
Schedule K,Part III, 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonBruce MiddendorfNamePerson
FieldValueIRS element (for citing)
RelationshipEmployee of Athens Hospitalist Services PC and an officer of SMHCSRelationship
Amount Of Transaction2372286AmountOfTransaction
Description Of TransactionDr. Middendorf was an employee of Athens Hospitalist Services PC in 2010 and in that capacity he provided services to St. Mary's Health Care System.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6CHE is the sole member.
Form 990, Part VI, Section A, line 7aYes, CHE approves the appointment of all Board members.
Form 990, Part VI, Section A, line 7bCHE has limited reserved powers to approve decisions of the governing body.
Form 990, Part VI, Section B, line 11The organization took steps to educate management, members of the board and members of appropriate subcommittees of the board on the compliance requirements mandated by the Form 990. The form was reviewed by management and then submitted to the board or a subcommittee thereof which reported its findings to the board.
The organization has adopted CHE's policy 103, which sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving St. Mary's Health Care System 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 appropriated 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 12c
The organization has adopted CHE'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 postioning and pay elements. The committee engages with external consultants to provide market data comparing CHE roles to similarly sized health systems utilizing both title and job contenet 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 incorparated into the incentive plan. All of these discussions and decsions are documented through the provision of meeting minutes.Form 990, Part VI, Section B, line 15
Organizational Articles of Incorporation, Corporate By-laws, governance policies believed to be of interest to the public, conflict-of-interest policy, annual community benefit report and IRS Form 990 are available upon request.Form 990, Part VI, Section C, line 19
Individuals compensated by a related organization have responsibilities and perform services for several related organizations including the filing organization. The amount of compensation appearing in Columns (E) and (F) reflect the services performed for this organization and its affiliates.Form 990, Part VII, Section A:
Changes in Net Assets or Fund Balances:Release of Net Assets for Depreciation -114,828. Unrealized Gain/(Loss) on Investments 1,377,396. Rounding 1. Donations of Used Ambulances 67,000. Change in FV of Int. Rates Swaps -268,859. Transfer to/from affiliates 65,995. Total to Form 990, Part XI, Line 5: 1,126,705.Form 990, Part XI, line 5:
Explanation of financial statements:While the entity does not have individual audited financial statements, an audit for CHE's consolidated financial statements was performed.Form 990, Part XII, Line 2a & 2b:
Other Adjustments to net assets or fund balances:There was an adjustment to temporary restricted net assets for depreciation of assets that were purchased and donated to St. Mary's by St. Mary's Foundation.Form 990, Part XI, Line 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (113 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Mercy Health System of Maine
144 State StreetPortlandME04101010484074Management & Support ServicesME501(c)(3)Line 11c, III-FICatholic Health East0
Mercy Hospital
144 State StreetPortlandME04101010211534HospitalME501(c)(3)Line 3Mercy Health System of Maine0
Mercy Care for Kids Inc
310 South Manning BlvdAlbanyNY12208141717564Day care centerNY501(c)(3)Line 9St Peter's Health Care Services0
Our Lady of Mercy Life Center
2 Mercycare LaneGuilderlandNY12084141743506Nursing Home FacilityNY501(c)(3)Line 3St Peter's Health Care Services0
St Peter's Auxiliary
315 South Manning BlvdAlbanyNY01228222843206AuxiliaryNY501(c)(3)Line 11a, ISt Peter's Health Care Services0
St Peter's Health Care Services
315 South Manning BlvdAlbanyNY12208222702507Management & Support ServicesNY501(c)(3)Line 9Catholic Health East0
St Peter's Hospital
315 South Manning BlvdAlbanyNY12208141348692HospitalNY501(c)(3)Line 3St Peter's Health Care Services0
St Peter's Hospital Foundation Inc
319 South Manning Blvd Suite 309AlbanyNY12208222262982Fundraising & Public RelationsNY501(c)(3)Line 7St Peter's Health Care Services0
St Peter's Licensed Home Care Agency
159 Wolf RoadAlbanyNY12205141818568Home HealthNY501(c)(3)Line 3St Peter's Health Care Services0
The Community Hospice Foundation Inc
295 Valley View BlvdRensselaerNY12144222692940Fundraising & Public RelationsNY501(c)(3)Line 7St Peter's Health Care Services0
The Community Hospice Inc
295 Valley View BlvdRensselaerNY12144141608921Serving seriously ill people & their familiesNY501(c)(3)Line 3St Peter's Health Care Services0
Villa Mary Immaculate
301 Hackett BlvdAlbanyNY12208141438749Nursing Home & Physical RehabNY501(c)(3)Line 3St Peter's Health Care Services0
Warde Service Corporation Inc
159 Wolf Road 3rd FloorAlbanyNY12205141732097Supporting & strengthing the ministries of rel. sr. mercyNY501(c)(3)Line 9St Peter's Health Care Services0
Brightside Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040042182395Behavioral CareMA501(c)(3)Line 9Sisters of Providence Health System Inc0
Farren Care Center Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040042501711Long Term CareMA501(c)(3)Line 3Sisters of Providence Health System Inc0
Mercy Hospital Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040043398280Acute CareMA501(c)(3)Line 3Sisters of Providence Health System Inc0
Mercy Specialist Physicians Inc
c/o SPHS 1221 Main Street No 108HolyokeMA01040264033168Neurosurgery Medical ServicesMA501(c)(3)Line 3Sisters of Providence Health System Inc0
Sisters of Providence Care Centers Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040222541103Long Term CareMA501(c)(3)Line 3Sisters of Providence Health System Inc0
Sisters of Providence Health System Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA01040043398374Management & Support ServicesMA501(c)(3)Line 11a, ICatholic Health East0
McAuley Center Inc
275 Steele RoadWest HartfordCT06117061058086Independent LivingCT501(c)(3)Line 9Mercy Community Health Inc0
Mercy Community Health Inc
2021 Albany AvenueWest HartfordCT06117061492707Management & Support ServicesCT501(c)(3)Line 11a, ICatholic Health East0
Mercy Community HomeCare Services
2021 Albany AvenueWest HartfordCT06117061488137In Home Health CareCT501(c)(3)Line 9Mercy Community Health Inc0
Mercy Services
2021 Albany AvenueWest HartfordCT06117061453323Support ServicesCT501(c)(3)Line 1Mercy Community Health Inc0
Mercyknoll Inc
2021 Albany AvenueWest HartfordCT06117060757380Skilled NursingCT501(c)(3)Line 3Mercy Community Health Inc0
Saint Mary Home II Inc
2021 Albany AvenueWest HartfordCT06117061164104Elderly CareCT501(c)(3)Line 3Mercy Community Health Inc0
St Mary Home Incorporated
2021 Albany AvenueWest HartfordCT06117060646843Skilled NursingCT501(c)(3)Line 3Mercy Community Health Inc0
Mercy Healthcare Center
114 Wawbeek AvenueTupper LakeNY12986150532211HospitalNY501(c)(3)Line 3Catholic Health East0
Mercy Uihlein Health Corporation
185 Old Military RoadLake PlacidNY12946161535133HospitalNY501(c)(3)Line 11b, IIMercy Healthcare Center0
Uihlein Mercy Center
185 Old Military RoadLake PlacidNY12946150532190HospitalNY501(c)(3)Line 3Mercy Healthcare Center0
St James Mercy Foundation Inc
411 Canisteo StreetHornellNY14843161486437FoundationNY501(c)(3)Line 7St James Mercy Health System Inc0
St James Mercy Health System Inc
411 Canisteo StreetHornellNY14843223127184Management & Support ServicesNY501(c)(3)Line 11b, IICatholic Health East0
St James Mercy Hospital
411 Canisteo StreetHornellNY14843160743310HospitalNY501(c)(3)Line 3St James Mercy Health System Inc0
Marian Community Hospital
100 Lincoln AvenueCarbondalePA18407240711230HospitalPA501(c)(3)Line 3Maxis Health System0
Marian Community Hospital Auxiliary
100 Lincoln AvenueCarbondalePA18407251874733FundraisingPA501(c)(3)Line 11b, IIMaxis Health System0
Maxis Foundation
100 Lincoln AvenueCarbondalePA18407232330090FundraisingPA501(c)(3)Line 11b, IIMaxis Health System0
Maxis Health System
100 Lincoln AvenueCarbondalePA18407911940902Health Care SystemPA501(c)(3)Line 11b, IICatholic Health East0
Maxis Medical Services
100 Lincoln AvenueCarbondalePA18407232577185Physician PracticesPA501(c)(3)Line 3Maxis Health System0
Tri-County Human Services Center Inc
PO Box 517CarbondalePA18407231938528Behavioral Health OrganizationPA501(c)(3)Line 7Maxis Health System0
Columbus Acquisition Corp
1160 Raymond BoulevardNewarkNJ07102262616342Inactive EntityNJ501(c)(3)Line 9Saint Michaels Medical Center0
Saint Michaels Medical Center
111 Central AvenueNewarkNJ07102262616046HospitalNJ501(c)(3)Line 3Catholic Health East0
St James Care Inc
1160 Raymond BoulevardNewarkNJ07102262616230Inactive EntityNJ501(c)(3)Line 9Saint Michaels Medical Center0
St Michaels Medical Center Foundation
1160 Raymond BoulevardNewarkNJ07102223311976FoundationNJ501(c)(3)Line 11a, ISaint Michaels Medical Center0
University Heights Property Company Inc
1160 Raymond BoulevardNewarkNJ07102223100162Medical Property Holding CompanyNJ501(c)(2)Saint Michaels Medical Center0
Life St Francis Corporation
601 Hamilton AvenueTrentonNJ08629222797282Health ServicesNJ501(c)(3)Line 11a, ISt Francis Medical Center Trenton NJ0
St Francis Medical Center Foundation NJ
601 Hamilton AvenueTrentonNJ08629521025476FoundationNJ501(c)(3)Line 11a, ISt Francis Medical Center Trenton NJ0
St Francis Medical Center Trenton NJ
601 Hamilton AvenueTrentonNJ08629223431049HospitalNJ501(c)(3)Line 3Catholic Health East0
Langhorne MRI Inc
1201 Langhorne-Newtown RoadLanghornePA19047232519529Inactive EntityPA501(c)(3)Line 9St Mary Medical Center0
Langhorne Physician Services Inc
1201 Langhorne-Newtown RoadLanghornePA19047232571699Physician ServicesPA501(c)(3)Line 9St Mary Medical Center0
LIFE St Mary
1201 Langhorne-Newtown RoadLanghornePA19047262976184Elderly CarePA501(c)(3)Line 9St Mary Medical Center0
St Mary Medical Center
1201 Langhorne-Newtown RoadLanghornePA19047231913910HospitalPA501(c)(3)Line 3Catholic Health East0
St Mary Medical Center Foundation Inc
1201 Langhorne-Newtown RoadLanghornePA19047232567468FoundationPA501(c)(3)Line 7St Mary Medical Center0
East Norriton Physician Services
c/o One West Elm StreetConshohockenPA19428232515999Physician ServicesPA501(c)(3)Line 3Mercy Health System of Southeastern Pennsylvania0
Mercy Catholic Medical Center of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428231352191Acute Care HospitalPA501(c)(3)Line 3Mercy Health System of Southeastern Pennsylvania0
Mercy Family Support
1001 Baltimore Pike Suite 301SpringfieldPA19064232325059Home HealthPA501(c)(3)Line 9Mercy Health System of Southeastern Pennsylvania0
Mercy Health Foundation of Southeastern Pennsylvania
c/o MHS One West Elm StreetConshohockenPA19428232829864FundraisingPA501(c)(3)Line 11b, IIMercy Health System of Southeastern Pennsylvania0
Mercy Health Plan
c/o One West Elm StreetConshohockenPA19428222483605Health PlansPA501(c)(3)Line 11b, IIMercy Health System of Southeastern Pennsylvania0
Mercy Health System of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428232212638Management & Support ServicesPA501(c)(3)Line 11b, IICatholic Health East0
Mercy Home Health
1001 Baltimore Pike Suite 310SpringfieldPA19064231352099Home HealthPA501(c)(3)Line 9Mercy Health System of Southeastern Pennsylvania0
Mercy Home Health Services
1001 Baltimore Pike Suite 301SpringfieldPA19064232325058Home HealthPA501(c)(3)Line 11b, IIMercy Health System of Southeastern Pennsylvania0
Mercy Management of Southeastern Pennsylvania
One West Elm StreetConshohockenPA19428232627944Physician PracticesPA501(c)(3)Line 11b, IIMercy Health System of Southeastern Pennsylvania0
Mercy Suburban Hospital
One West Elm StreetConshohockenPA19428231396763Acute Care HospitalPA501(c)(3)Line 3Mercy Health System of Southeastern Pennsylvania0
Nazareth Health Care Foundation
2701 Holme AvenuePhiladelphiaPA19152232300951FundraisingPA501(c)(3)Line 11b, IIMercy Health System of Southeastern Pennsylvania0
Nazareth Hospital
2601 Holme AvenuePhiladelphiaPA19152232794121Acute Care HospitalPA501(c)(3)Line 3Mercy Health System of Southeastern Pennsylvania0
Nazareth Physician Services Inc
2601 Holme AvenuePhiladelphiaPA19152203261266Physician PracticesPA501(c)(3)Line 3Mercy Health System of Southeastern Pennsylvania0
NE Physician Services
2601 Holme AvenuePhiladelphiaPA19152232497355Physician PracticesPA501(c)(3)Line 3Mercy Health System of Southeastern Pennsylvania0
St Agnes Continuing Care Center
1900 S Broad StreetPhiladelphiaPA19145232840137Continuing Care ServicesPA501(c)(3)Line 3Mercy Health System of Southeastern Pennsylvania0
St Agnes Continuing Care Center Foundation
1900 S Broad StreetPhiladelphiaPA19145232415137FundraisingPA501(c)(3)Line 11b, IIMercy Health System of Southeastern Pennsylvania0
Life at Lourdes Inc
1600 Haddon AvenueCamdenNJ08108261854750Elderly CareNJ501(c)(3)Line 3Our Lady of Lourdes Health Care Services0
Lourdes Ancillary Services
1600 Haddon AvenueCamdenNJ08103222568525Supporting OrganizationNJ501(c)(3)Line 11b, IIOur Lady of Lourdes Health Care Services0
Lourdes Dialysis at Innova Inc
1600 Haddon AvenueCamdenNJ08108263237625HospitalNJ501(c)(3)Line 3Our Lady of Lourdes Health Care Services0
Lourdes Medical Center Burlington County
218 Sunset RoadWillingboroNJ08046223612265HospitalNJ501(c)(3)Line 3Our Lady of Lourdes Health Care Services0
Our Lady of Lourdes Health Care Services
1600 Haddon AvenueCamdenNJ08103222568528Management & Support ServicesNJ501(c)(3)Line 11b, IICatholic Health East0
Our Lady of Lourdes Health Foundation Inc
1600 Haddon AvenueCamdenNJ08103222351960FoundationNJ501(c)(3)Line 7Our Lady of Lourdes Health Care Services0
Our Lady of Lourdes Medical Center
1600 Haddon AvenueCamdenNJ08103210635001HospitalNJ501(c)(3)Line 3Our Lady of Lourdes Health Care Services0
Franciscan Eldercare Corporation
PO Box 2500WilmingtonDE19805223008680EldercareDE501(c)(3)Line 9St Francis Hospital0
St Francis Foundation
PO Box 2500WilmingtonDE19805510374158FoundationDE501(c)(3)Line 11b, IISt Francis Hospital0
St Francis Hospital
PO Box 2500WilmingtonDE19805510064326HospitalDE501(c)(3)Line 3Catholic Health East0
McAuley Ministries
McAuley Hall 3333 Fifth AvenuePittsburghPA15213943436142Management & Support ServicesPA501(c)(3)Line 9Pittsburgh Mercy Health System0
Mercy Jeannette Hospital
3805 West Chester PikeNewtown SquarePA19073251310602Inactive EntityPA501(c)(3)Line 9Pittsburgh Mercy Health System0
Mercy Life Center Corporation
1200 Reedsdale StreetPittsburghPA15233251604115Community TreatmentPA501(c)(3)Line 9Pittsburgh Mercy Health System0
Pittsburgh Mercy Foundation
1200 Reedsdale StreetPittsburghPA15233251479026FoundationPA501(c)(3)Line 11b, IIPittsburgh Mercy Health System0
Pittsburgh Mercy Health System
3333 5th AvenuePittsburghPA15213251464211Management & Support ServicesPA501(c)(3)Line 11b, IICatholic Health East0
St Joseph's of the Pines Inc
100 Gossman Drive Suite BSouthern PinesNC28387560694200HospitalNC501(c)(3)Line 3Catholic Health East0
Life St Joseph of the Pines Inc
100 Gossman Drive Suite BSouthern PinesNC28387272159847Healthcare ServicesNC501(c)(3)Line 3St Joseph's of the Pines Inc0
Mercy Senior Care Inc
212 West Third Street PO Box 866RomeGA30162581366508Community OutreachGA501(c)(3)Line 7Saint Joseph's Health System Inc0
Saint Joseph's at East Georgia Inc
1201 Siloam RoadGreensboroGA30462261720984HospitalGA501(c)(3)Line 3Saint Joseph's Health System Inc0
Saint Joseph's Health System Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342581744848Management & Support ServicesGA501(c)(3)Line 11b, IICatholic Health East0
Saint Joseph's Hospital of Atlanta Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342580566257HospitalGA501(c)(3)Line 3Saint Joseph's Health System Inc0
Saint Joseph's Mercy Care Services Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342581752700Community OutreachGA501(c)(3)Line 7Saint Joseph's Health System Inc0
Saint Joseph's Mercy Foundation Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342581448522FundraisingGA501(c)(3)Line 11b, IISaint Joseph's Health System Inc0
Saint Joseph's Translational Research Institute Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342800079841ResearchGA501(c)(3)Line 4Saint Joseph's Health System Inc0
Mercy Services Downtown Inc
5673 Peachtree-Dunwoody Road SuiteAtlantaGA30342272046353Real Estate Holding CompanyGA501(c)(3)Line 11b, IISaint Joseph's Health System Inc0
St Mary's Foundation Inc
1230 Baxter StreetAthensGA30606582544232FundraisingGA501(c)(3)Line 11b, IISt Mary's Health Care System Inc0
St Mary's Highland Hills Inc
1230 Baxter StreetAthensGA30606020576648Assisted Living & Retirement CommunityGA501(c)(3)Line 3St Mary's Health Care System Inc0
St Mary's Medical Group Inc
1230 Baxter StreetAthensGA30606261858563Hospital / Physician ServicesGA501(c)(3)Line 3St Mary's Health Care System Inc0
Mercy Medical Corporation
PO Box 1090 101 Villa DriveDaphneAL36526636002215HospitalAL501(c)(3)Line 3Catholic Health East0
Allegany Franciscan Ministries Inc
33920 US Highway 19 North Suite 269Palm HarborFL34684581492325Management & Support ServicesFL501(c)(3)Line 11b, IICatholic Health East0
St Francis Hospital Inc
33920 US Highway 19 North Suite 269Palm HarborFL34684590624442HospitalFL501(c)(3)Line 11a, IAllegany Franciscan Ministries Inc0
Holy Cross Hospital Inc
4725 North Federal HighwayFt LauderdaleFL33308590791028HospitalFL501(c)(3)Line 3Catholic Health East0
Holy Cross Long-Term Inc
4725 North Federal HighwayFt LauderdaleFL33308650787320Medical ServicesFL501(c)(3)Line 3Holy Cross Hospital Inc0
Holy Cross Medical Properties Inc
4725 North Federal HighwayFt LauderdaleFL33308650666283Medical Building Real Estate ManagementFL501(c)(2)Holy Cross Hospital Inc0
Mercy Hospital Foundation Inc
3663 South Miami AvenueMiamiFL33133591709438FundraisingFL501(c)(3)Line 7Mercy Hospital Inc0
Mercy Hospital Inc
3663 South Miami AvenueMiamiFL33133590791034HospitalFL501(c)(3)Line 3Catholic Health East0
Mercy Medical Development Inc
3663 South Miami AvenueMiamiFL33133592789194Outpatient ServicesFL501(c)(3)Line 9Mercy Hospital Inc0
Mercy Mission Services Inc
3663 South Miami AvenueMiamiFL33133650435764Health CareFL501(c)(3)Line 11a, IMercy Hospital Inc0
Catholic Health East
3805 West Chester Pike Suite 100Newtown SquarePA19073232929748Management ServicesPA501(c)(3)Line 11a, I0N/A
Continuing Care Management Services Network
3805 West Chester Pike Suite 100Newtown SquarePA19073352336834Management & Support ServicesPA501(c)(3)Line 11b, IICatholic Health East0
Global Health Ministry
3805 West Chester Pike Suite 100Newtown SquarePA19073233068656Health CarePA501(c)(3)Line 7Catholic Health East0
Mercy Jeanette Hospital Foundation
600 Jefferson AvenueJeannettePA15644251462863FoundationPA501(c)(3)Line 7Pittsburgh Mercy Health System0
VNA Home Health & Hospice
50 Foden RoadSouth PortlandME04106010246804Home Health & HospiceME501(c)(3)Line 11a, IMercy Health System of Maine0
Providence Place Inc
5 Gamelin StreetHolyokeMA01040043404084Retirement CommunityMA501(c)(3)Line 9Sisters of Providence Health System Inc0
Intercoastal Health Systems
3805 West Chester Pike Suite 100Newtown SquarePA19073650556413Management & Support ServicesPA501(c)(3)Line 11a, ICatholic Health East0
Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital
3663 South Miami AvenueMiamiFL33133510461511HospitalFL501(c)(3)Line 3Mercy Hospital Inc0

Form990 Schedule R Part III Form990ScheduleRPartIII (22 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPercentage OwnershipPercentageOwnership
Catherine Horan Building Limited Partnership
1221 Main Street Room 108HolyokeMA010400000042723429Property ManagementMAN/A
AmeriHealth Mercy Health Plan
200 Stevens Drive Suite 350PhiladelphiaPA19113232859523Medicaid Managed Care OrganizationPAN/A0.50000
Amerihealth Mercy of Indiana LLC
200 STEVENS DRIVE Suite 350PhiladelphiaPA19113204948091PREPAID HEALTH CARE SERVICESINN/A0.50000
East Norriton Medical Associates
2701 Dekalb PikeNorristownPA19401232319531Medical Office BuildingPAN/A0.12560
East Norriton Medical Associates
2701 Dekalb PikeNorristownPA19401232319531Medical Office BuildingPAN/A0.40930
Gateway Health Plan
300 Grant StreetPittsburghPA15219251691945Medicaid & Medicare/Special Needs Managed Care OrganizationPAN/A0.50000
Keystone Mercy Health Plan
100 Stevens DrivePhiladelphiaPA19113232842344Medicaid Managed Care OrganizationPAN/A0.50000
Langhorne MOB Partners LP
1201 Langhorne-Newtown RoadLanghornePA19047232622772Investment and operation of a medical buildingPAN/A0.28956
SMMC MOB II LP
1201 Langhorne-Newtown RoadLanghornePA19047364559869Investment and operation of a medical buildingPAN/A0.74520
MercyManor Partnership
PO Box 10086ToledoOH436990086521931012Nursing HomePAN/A0.50000
Nazareth Medical Office Building Associates LP
c/o Nazareth Hospital 2601 Holme AvPhiladelphiaPA19152232388040Medical Office BuildingPAN/A0.01000
Nazareth Medical Office Building Associates LP
c/o Nazareth Hospital 2601 Holme AvPhiladelphiaPA19152232388040Medical Office BuildingPAN/A0.47460
St Agnes Long Term Intensive Care LLP
1900 S Broad StreetPhiladelphiaPA19145200984882Long Term Intensive CarePAN/A0.60000
St Agnes Long Term Intensive Care LLP
1900 S Broad StreetPhiladelphiaPA19145200984882Long Term Intensive CarePAN/A0.40000
St Peter's Ambulatory Surgery Center LLC
1375 Washington Avenue Ste 201AlbanyNY12206460463892SurgeryNYN/A0.34750
Outpatient Surgical Management LLC
5673 Peachtree Dunwoody Rd Ste 550AtlantaGA30342208004929Outpatient Medical ServicesGAN/A0.51000
CV Partners LLC
5665 Peachtree Dunwoody RoadAtlantaGA303421764263881202Outpatient Medical ServicesGAN/A0.50000
Gwinnett Cardiovascular Servies LLC
1000 Medical Center BoulevardLawrencevilleGA30045263870307CardiologyGAN/A0.50000
Central New Jersey Heart Services LLC
10720 Sikes Places Ste 300CharlotteNC28277208525458Cardiac ProgramNJN/A0.63905
Physicians Outpatient Surgery Center LLC
1000 NE 56thOakland ParkFL33334352325646Ambulatory Surgery CenterFLN/A0.73000
Center for Surgery & Digestive Orders
3641 South Miami AvenueMiamiFL33133510438152Outpatient Medical ServicesFLN/A0.50000
SJV Management LLC
200 Century Pkwy Ste 200EMount LaurelNJ08054202273476Medical ServicesNJN/A0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (36 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryPercentage OwnershipPercentageOwnershipShare Of EOY AssetsShareOfEOYAssetsProvince Or StateAddressForeign/ProvinceOrStatePostal CodeAddressForeign/PostalCode
Catherine Horan Building Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000042938180Building ManagementMAN/AC
Diversified Community Services Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043128890Medical ServicesMAN/AC
Mercy Inpatient Medical Associates Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043029829Medical ServicesMAN/AC
Providence Home Care Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000043317426Health Care ServicesMAN/AC
System Coordinated Services Inc
c/o SPHS 1221 Main Street Suite 108HolyokeMA010400000042938181Lab ServicesMAN/AC
Physicians Medical Office Building Condominium Trust
1221 Main Street Room 108HolyokeMA010400000046608649Property ManagementMAN/AC
SJM Properties
411 Canisteo StreetHornellNY148482104161294991Property HoldingsNYN/AC
Carbondale Area Physicians' Association PC
100 Lincoln AveCarbondalePA18407232801677Medical Insurance ContractingPAN/AC
Carbondale Area Physicians' PHO Inc
100 Lincoln AveCarbondalePA18407232801676InactivePAN/AC
Carbondale Physicians' Services Inc
100 Lincoln AveCarbondalePA18407232365077PharmacyPAN/AC
Chestnut Risk Services Ltd
InsuranceN/AC11 Victoria StreetHamiltonBDBD
LifeCare Physicians PC
601 Hamilton AvenueTrentonNJ086291986261649038Health Care ServicesNJN/AC
Multicare Plus Inc
601 Hamilton AvenueTrentonNJ086291986223435844InactiveNJN/AC
Langhorne Services II Inc
1201 Langhorne-Newtown RoadLanghornePA190470000253795549General Partner of LMOB Partners, IIPAN/AC
Langhorne Services Inc
1201 Langhorne-Newtown RoadLanghornePA190470000232625981General Partner of LMOB PartnersPAN/AC
AMHP Holdings Corp
200 Stevens DrivePhiladelphiaPA19113261144363Behavioral HealthPAN/AC
Select Health of South Carolina Inc
4390 Belle Oaks Drive Suite 400CharlestonSC29405571032456Health Maintenance OrganizationSCN/AC
Gateway Health Plan Inc
600 Grant StreetPittsburghPA15219251505506Health CarePAN/AC
Gateway Health Plan Inc of Ohio
600 Grant StreetPittsburghPA15219300282076Health CarePAN/AC
MCMC Eastwick Inc
c/o MHS One West Elm StreetConshohockenPA19428232184261Medical Office BuildingsPAN/AC
Community Behavioral Healthcare Network of PA Inc
8040 Carlson RoadHarrisburgPA17112251765391Behavioral HealthPAN/AC
Health Management Services Org Inc
500 Grove Street Suite 100Haddon HeightsNJ08035223366580Health Care BillingNJN/AC
Jeannette Medical Providers
3805 West Chester PikeNewtown SquarePA19073251787334Holding CompanyPAN/AC
Jeannette OBGYN Group 1 Inc
3805 West Chester PikeNewtown SquarePA19073232890748Holding CompanyPAN/AC
Jeannette Primary Care Group 1 Inc
3805 West Chester PikeNewtown SquarePA19073232890743Holding CompanyPAN/AC
Saint Joseph's Service Corporation Inc
5673 Peachtree Dunwoody RoadAtlantaGA303421769581750815Service ProviderGAN/AC
Saint Joseph's Real Estate Management Corp
5673 Peachtree Dunwoody RoadAtlantaGA303421769581657768Investment CompanyGAN/AC
Magnetic Resonance Imaging Inc
5673 Peachtree Dunwoody RoadAtlantaGA303421769581609308Holding CompanyGAN/AC
ACTx
5673 Peachtree Dunwoody RoadAtlantaGA303421769830345672ResearchGAN/AC
Georgia Health Enterprises LLC
11440 Commerce Park DriveRestonVA20191541806329HealthcareVAN/AC1.00000
St Mary's Highland Hills Village Inc
1660 Jennings Mill RoadBogartGA30622582276801Assisted LivingGAN/AC1.000006197854
GHE Physicians PC
3500 Piedmont RoadAtlantaGA30305582277939Practice ManagementGAN/AC
Nursing Network Inc
4725 North Federal HighwayFort Lauderdale HighwaFL333080000591145192Medical ServicesFLN/AC
Mercy Physician Group Inc
3663 South Miami AvenueMiamiFL33133202970015Health CareFLN/AC
Stella Maris Insurance Company Limited
980078266InsuranceN/ACPO Box 69Grand CaymanCJCJCayman IslandsKY1-1102
Catholic Health East Senior Services
3805 West Chester Pike Suite 100Newtown SquarePA19073371572595Senior ServicesPAN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
St Mary's Highland Hills Inc
D139178FMV
St Mary's Highland Hills Inc
O2616000FMV
St Mary's Highland Hills Inc
P2033003FMV
St Mary's Medical Group Inc
O3907000FMV
St Mary's Medical Group Inc
P6369994FMV
St Mary's Foundation Inc
P298326FMV
Catholic Health East
O5236486FMV
St Mary's Medical Group Inc
Q67594FMV
St Mary's Highland Hills Inc
Q4831554FMV
Catholic Health East
Q102020FMV
Catholic Health East
C168015FMV
StMary's Foundation Inc
O70697FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
Return ReferenceSchedule R, Part VReturnReference