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MERCY HEALTH PLAN: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MERCY HEALTH PLAN (EIN 22-2483605)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201143189349303654
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)
Timestamp2011-11-14T10:03:25-06:00Timestamp
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 Code191033984ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222483605EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Mercy Health PlanBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERCNameControl
Phone6105676000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1c/o One West Elm StreetAddressLine1
CityConshohockenCity
StatePAState
ZIP Code194284108ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoseph H BradleyName
TitleCFO/Senior VP of Finance, MHSTitle
Phone6105676000Phone
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 PersonH Ray Welch JrNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1One West Elm StreetAddressLine1
CityConshohockenCity
StatePAState
ZIP Code194284108ZIPCode
FieldValueIRS element (for citing)
Gross Receipts24399768GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.mercyhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionSee Schedule OActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI10513602TotalGrossUBI
Net Unrelated Business Txbl Income10069016NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year23019949ProgramServiceRevenuePriorYear
Program Service Revenue CY24399768ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year23019949TotalRevenuePriorYear
Total Revenue Current Year24399768TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4646803OtherExpensePriorYear
Other Expenses Current Year6317000OtherExpensesCurrentYear
Total Expenses Prior Year4646803TotalExpensesPriorYear
Total Expenses Current Year6317000TotalExpensesCurrentYear
Revenues Less Expenses Prior Year18373146RevenuesLessExpensesPriorYear
Revenues Less Expenses CY18082768RevenuesLessExpensesCY
Total Assets BOY181924190TotalAssetsBOY
Total Assets EOY198001214TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY693824TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY181924190NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY197307390NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSee Schedule OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6067000Expense
Revenue13886166Revenue
DescriptionSee Schedule ODescription
Total Program Service Expense6067000TotalProgramServiceExpense
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 Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
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
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
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 Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Anthony D Fanelli JrBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6105676000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1c/o One West Elm StreetAddressLine1
CityConshohockenCity
StatePAState
ZIP Code194284108ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Sister Kathleen Boyce RSM
Board Member0.20X000
Robert S Bright
Board Member0.20X000
Delores F Brisbon
Board Member0.20X000
M Louise FitzpatrickEdDRN FAAN
Board Member0.20X000
John P Gallagher Esquire
Board Member0.20X000
Dyan D Kelly
Board Member0.20X000
Sister Christine McCann RSM
Chairperson0.20X000X
Sister Catherine McGroarty RSM
Board Member0.20X000
Sister Honora Nicholson RSM
Board Member0.20X000
Edward J Rodgers
Board Member0.20X000
Nancy Rogers
Board Member0.20X000
Anthony J Szuszczewicz
Board Member0.20X000
John M Talone
Board Member0.20X000
Kenneth G Valosky
Board Member0.20X000
H Ray Welch Jr
President & CEO MHS10.00X095464245394X
Vincent P Haley Esquire
Board Member, Secretary1.00X000X
Joseph H Bradley
Senior VP and CFO MHS10.00044620417741X
Mark Bullock
Assistant Secretary10.00036424216492X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1765088TotalReportableCompFrmRltdOrgs
Total Other Compensation79627TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Goldman Sachs & CoBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 West StreetAddressLine1
CityNew YorkCity
StateNYState
ZIP Code10282ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesValuation ServicesDescriptionOfServices
Compensation250000Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionDirect Health and MediDescription
Business Code621491BusinessCode
Total Revenue Column24399768TotalRevenueColumn
Related Or Exempt Function Income13886166RelatedOrExemptFunctionIncome
Unrelated Business Revenue10513602UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue24399768TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column24399768TotalRevenueColumn
Related Or Exempt Function Income13886166RelatedOrExemptFunctionIncome
Unrelated Business Revenue10513602UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total60000Total
Program Services60000ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1250000Total
Program Services1000000ProgramServices
Management And General250000ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Tax on Unrelated Busine5007000500700000
0000
0000
0000
0000

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6317000Total
Program Services6067000ProgramServices
Management And General250000ManagementAndGeneral
Fundraising0Fundraising

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY181924190BOY
EOY198001214EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY181924190BOY
EOY198001214EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY250000EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY333410EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY110414EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY693824EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY181924190BOY
EOY197307390EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY181924190BOY
EOY197307390EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY181924190BOY
EOY198001214EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses18082768ReconcilationRevenueExpenses
Reconcilation Other Changes-2699568ReconcilationOtherChanges
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (9 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
St Agnes Continuing Care Center
2328401373001$0
Nazareth Hospital
2327941213001$0
Mercy Catholic Medical Center
2313521913001$0
Mercy Suburban Hospital
2313967633001$0
Mercy Management of Southeastern Pennsylvania
2326279443001$0
NE Physician Services
2324973553001$0
Nazareth Physician Services
2032612663001$0
Mercy Family Support
2323250599001$0
Mercy Home Health
2313520999001$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs9TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts
General ExplanationSchedule A, Part IV, Supplemental Information: Schedule A, Part 1, Line 11, h(iv): Pursuant to its Articles of Incorporation, Mercy Health Plan operates to support or benefit beneficiary organizations that are designated by their class and/or purpose because the Articles of Incorporation state that Mercy Health Plans purpose is to promote and support, through Catholic Health East, a Section 501(c)(3) organization, and its successors and constituent corporations, the Catholic healthcare ministries and Catholic healthcare mission of the Institute of the Sisters of Mercy Mid-Atlantic Community ("Sisters of Mercy"), a religious institute of the Roman Catholic Church. All of the listed supported organizations of Mercy Health Plan are publicly supported organizations that are Catholic healthcare ministries of the Sisters of Mercy. Schedule A, Part I, Line 11, h(vii): During 2010, Mercy Health Plan transferred cash in the amount of $7,410,881 to Mercy Health System of Southeastern Pennsylvania for use by the supported organizations listed in Part I, Line 11, h(vii).GeneralExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Joint Venture - Gateway Health Plan108197353C
Joint Venture - AmeriHealth Mercy Health Plan58334033C
Joint Venture - Keystone Mercy Health Plan29927500C
Joint Venture - Keystone Mercy Health Plan (Intangible)1542328C
FieldValueIRS element (for citing)
Total Of Book Value Program Related198001214TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionFederal and State Tax LiabilityDescription
Amount$110,414Amount
FieldValueIRS element (for citing)
Total Of Amounts110414TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
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 (3 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
H Ray Welch Jr
0537309017780402395290175980277960100003600
Joseph H Bradley
032917601069980100300882008921046394500
Mark Bullock
0277741082193043080918107311038073400

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart IIIReturnReference
ExplanationPart I, Line 3: The organization relied on a related organization that used one or more of the methods described below to establish the top management official's compensation: - Compensation committee - Independent compensation committee - Written employment contract - Compensation survey or study - Approval by the board or compensation committee.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Organization Mission StatementForm 990, Part I, Line 1Mercy Health Plan is a member of Mercy Health System of Southeastern PA ("SEPA"). Our mission is to be a partner in the healing ministry of the Catholic Church in the spirit of the Sisters of Mercy and Hope Ministries. To fulfill that mission, we strive to create an environment that is caring and compassionate within our health system and in our service to the community. We are dedicated to being a transforming, healing presence that supports healthy communities, addresses the diverse health needs of our neighbors at every stage of life, and is accessible to all, including the often forgotten poor and disadvantaged. SEPA is a member of Catholic Health East ("CHE").
Organization Mission StatementForm 990, Part III, Line 1Mercy Health Plan is a member of Mercy Health System of Southeastern PA ("SEPA"). Our mission is to be a partner in the healing ministry of the Catholic Church in the spirit of the Sisters of Mercy and Hope Ministries. To fulfill that mission, we strive to create an environment that is caring and compassionate within our health system and in our service to the community. We are dedicated to being a transforming, healing presence that supports healthy communities, addresses the diverse health needs of our neighbors at every stage of life, and is accessible to all, including the often forgotten poor and disadvantaged. SEPA is a member of Catholic Health East ("CHE").
Program Service StatementForm 990, Part III, Line 4aMercy Health Plan is a nonprofit corporation whose sole member SEPA, a nonprofit corporation that is a Section 501(c)(3) organization. Mercy Health Plan and Mercy Health System of SEPA are part of Catholic Health East ("CHE"), a Section 501(c)(3) health care system. The Section 501(c)(3) mission of Mercy Health Plan and Mercy Health System of SEPA is to advance, promote and support through CHE the Catholic healthcare mission and Catholic healthcare ministries of the Institute of the Sisters of Mercy of the Americas, Regional Community of Merion, a religious institute of the Roman Catholic Church. Mercy Health Plan carries out its mission through its ownership and participation in three partnerships that operate health maintenance organizations for Medicaid enrollees and Medicaid/Medicare dual eligibles with special needs. The three partnerships, Keystone Mercy Health Plan, AmeriHealth Mercy Health Plan and Gateway Health Plan, each provide comprehensive managed care services to Medicaid recipients under risk-based contracts and through contractual networks that include hospitals, physicians and other health care providers. Among other things, the three partnerships participate in the HealthChoices Program in Pennsylvania, a program designed to ensure that Medicaid recipients, who are mandated under the program to enroll in a participating Health Maintenance Organization, have access to uniformly high quality primary and preventive care, while allowing the Pennsylvania Department of Public Welfare to control the growth and cost of the program. AmeriHealth Mercy Health Plan also provides certain management, administrative, pharmacy benefit, care management, and behavioral health care services, while Keystone Mercy Health Plan provides certain management services to other managed care organizations including those owned and operated by affiliated organizations. Through these activities Mercy Health Plan facilitates the provision of health care services to lower income individuals and others having special needs, and thereby carries out the Section 501(c)(3) charitable purpose of providing relief to the poor and distressed and lessening the burdens of government.
Form 990, Part VI, Section A, line 6Mercy Health System of SEPA, a 501(c)(3) organization, is the sole corporate member of Mercy Health Plan.
Form 990, Part VI, Section A, line 7aThe Board of Directors for Mercy Health System of SEPA has the authority to appoint members of the governing body.
Form 990, Part VI, Section A, line 7bThe governing body can make recommendations for certain types of actions that require approval by the Board of Directors of Mercy Health System of SEPA. Some examples include appointing or removing members of the governing board, amending articles of incorporation and amending by-laws.
Form 990, Part VI, Section B, line 11In 2010, 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. It continues to maintain a process to address questions or concerns surrounding tax reporting requirements. The Form 990 is reviewed by management and the SEPA Audit & Compliance Committee, which is a subcommittee of the SEPA Board of Trustees. The full board is appraised of the committee's findings from their review.
Form 990, Part VI, Section B, line 12cThe organization has adopted SEPA's Policy 96-04-09 which sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving the organization and affiliates in a position to affect business decisions, including directors, officers, members of a Board designated committee, and key employees and physicians, 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 SEPA's Board or senior management as defined in the policy. The determination of whether a disclosure constitutes a conflict of interest is made by SEPA's 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. 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 15The organization has adopted SEPA's process for determining compensation which includes the following: SEPA's Board has an independent committee to review and approve all elements of remuneration. SEPA's Board and the independent committee have established a compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing 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 19Organizational Articles of Incorporation, Corporate Bylaws, governance policies believed to be of interest to the public, conflict-of-interest policy and IRS Form 990 are available to the public upon request.
Form 990, Part VII, Section A:Individuals compensated by a related organization have responsibilities and perform services for several related organizations including the filing organization. The amount of compensation appearing in Columns (E) and (F) reflect the services performed for this organization and its affiliates.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 5:Transfers to Affiliates -7,410,881. Net Unrealized Gains on Investments 4,711,313. Total to Form 990, Part XI, Line 5: -2,699,568.
Explanation of financial statements:Form 990, Part XII, Line 2a & 2b:As parent of Mercy Health Plan, Mercy Health System does not issue a stand-alone audit report. However the Mercy Health System combining financial statements are included in the audited financial statements of Catholic Health East.

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 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 Health Care System Inc
1230 Baxter StreetAthensGA30606580566223HospitalGA501(c)(3)Line 3Catholic Health East0
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 OwnershipPercentageOwnershipPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Catherine Horan Building Limited Partnership
1221 Main Street Room 108HolyokeMA010400000042723429Property ManagementMAN/A0.01000
AmeriHealth Mercy Health Plan
200 Stevens Drive Suite 350PhiladelphiaPA19113232859523Medicaid Managed Care OrganizationPAN/A0.50000Related95677221337982250$11,264,7501
Amerihealth Mercy of Indiana LLC
200 Stevens Drive Suite 350PhiladelphiaPA19113204948091Prepaid Health Care ServicesIN0.50000Other00Amerihealth Mercy Health Plan
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/A0.50000Related333390311384007401
Keystone Mercy Health Plan
100 Stevens DrivePhiladelphiaPA19113232842344Medicaid Managed Care OrganizationPAN/A0.50000Related22940521761526350-$751,1481
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 Services 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 LaurelNJ08054202273476NJN/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 CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Percentage OwnershipPercentageOwnershipProvince 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 CarePACGateway Health Plan LP0.50000
Gateway Health Plan Inc of Ohio
600 Grant StreetPittsburghPA15219300282076Health CarePACGateway Health Plan LP0.50000
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/AC
St Mary's Highland Hills Village Inc
1660 Jennings Mill RoadBogartGA30622582276801Assisted LivingGAN/AC
GHE Physicians PC
3500 Piedmont RoadAtlantaGA30305582277939Practice ManagementGAN/AC
Nursing Network Inc
4725 North Federal HighwayFort Lauderdale HighwaFL333080000591145192Medical ServicesFLN/AC
Mercy Physician Group Inc
3663 South Miami AvenueMiamiFL33133202970015Health 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 Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Mercy Health System of Southeastern PA
O1000000Fair Market Value
Mercy Health System of Southeastern PA
Q13367467Fair Market Value