2011-11-14T10:03:25-06:00 2010-12-31 DELOITTE TAX LLP 1700 MARKET STREET 25TH FLOOR PHILADELPHIA PA 191033984 990 2010-01-01 222483605 Mercy Health Plan MERC 6105676000 c/o One West Elm Street Conshohocken PA 194284108 Joseph H Bradley 6105676000 2011-11-14 1 2152462300 2010 2016-02-24 21:20:13Z H Ray Welch Jr One West Elm Street Conshohocken PA 194284108 24399768 0 X www.mercyhealth.org X 1982 PA See Schedule O 15 14 0 15 10513602 10069016 0 0 23019949 24399768 0 0 0 0 23019949 24399768 0 0 0 0 0 0 0 0 0 4646803 6317000 4646803 6317000 18373146 18082768 181924190 198001214 0 693824 181924190 197307390 X See Schedule O 0 0 6067000 13886166 See Schedule O 6067000 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 PA X Anthony D Fanelli Jr 6105676000 c/o One West Elm Street Conshohocken PA 194284108 X Sister Kathleen Boyce RSM 0.20 X 0 0 0 Robert S Bright 0.20 X 0 0 0 Delores F Brisbon 0.20 X 0 0 0 M Louise FitzpatrickEdDRN FAAN 0.20 X 0 0 0 John P Gallagher Esquire 0.20 X 0 0 0 Dyan D Kelly 0.20 X 0 0 0 Sister Christine McCann RSM 0.20 X X 0 0 0 Sister Catherine McGroarty RSM 0.20 X 0 0 0 Sister Honora Nicholson RSM 0.20 X 0 0 0 Edward J Rodgers 0.20 X 0 0 0 Nancy Rogers 0.20 X 0 0 0 Anthony J Szuszczewicz 0.20 X 0 0 0 John M Talone 0.20 X 0 0 0 Kenneth G Valosky 0.20 X 0 0 0 H Ray Welch Jr 10.00 X X 0 954642 45394 Vincent P Haley Esquire 1.00 X X 0 0 0 Joseph H Bradley 10.00 X 0 446204 17741 Mark Bullock 10.00 X 0 364242 16492 0 1765088 79627 0 0 1 0 Goldman Sachs & Co 200 West Street New York NY 10282 Valuation Services 250000 1 Direct Health and Medi 621491 24399768 13886166 10513602 24399768 24399768 13886166 10513602 0 60000 60000 1250000 1000000 250000 Tax on Unrelated Busine 5007000 5007000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6317000 6067000 250000 0 181924190 198001214 181924190 198001214 250000 333410 0 110414 0 693824 X 181924190 197307390 181924190 197307390 181924190 198001214 X 18082768 -2699568 X X 0 0 0 X X X X 0 0 0 St Agnes Continuing Care Center 232840137 3 0 0 1 0 Nazareth Hospital 232794121 3 0 0 1 0 Mercy Catholic Medical Center 231352191 3 0 0 1 0 Mercy Suburban Hospital 231396763 3 0 0 1 0 Mercy Management of Southeastern Pennsylvania 232627944 3 0 0 1 0 NE Physician Services 232497355 3 0 0 1 0 Nazareth Physician Services 203261266 3 0 0 1 0 Mercy Family Support 232325059 9 0 0 1 0 Mercy Home Health 231352099 9 0 0 1 0 9 0 Schedule 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). 0 Joint Venture - Gateway Health Plan 108197353 C Joint Venture - AmeriHealth Mercy Health Plan 58334033 C Joint Venture - Keystone Mercy Health Plan 29927500 C Joint Venture - Keystone Mercy Health Plan (Intangible) 1542328 C 198001214 Federal and State Tax Liability 110414 110414 0 0 0 0 0 0 0 0 0 H Ray Welch Jr 0 537309 0 177804 0 239529 0 17598 0 27796 0 1000036 0 0 Joseph H Bradley 0 329176 0 106998 0 10030 0 8820 0 8921 0 463945 0 0 Mark Bullock 0 277741 0 82193 0 4308 0 9181 0 7311 0 380734 0 0 Supplemental Information Part III Part I, Line 3: The organization relied on a related organization that used one or more of the methods described below to establish the top management official's compensation: - Compensation committee - Independent compensation committee - Written employment contract - Compensation survey or study - Approval by the board or compensation committee. Organization Mission Statement Form 990, Part I, Line 1 Mercy 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 Statement Form 990, Part III, Line 1 Mercy 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 Statement Form 990, Part III, Line 4a Mercy 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 6 Mercy 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 7a The 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 7b The 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 11 In 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 12c The 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 15 The 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 19 Organizational 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. Mercy Health System of Maine 144 State Street Portland ME 04101 010484074 Management & Support Services ME 501(c)(3) Line 11c, III-FI Catholic Health East 0 Mercy Hospital 144 State Street Portland ME 04101 010211534 Hospital ME 501(c)(3) Line 3 Mercy Health System of Maine 0 Mercy Care for Kids Inc 310 South Manning Blvd Albany NY 12208 141717564 Day care center NY 501(c)(3) Line 9 St Peter's Health Care Services 0 Our Lady of Mercy Life Center 2 Mercycare Lane Guilderland NY 12084 141743506 Nursing Home Facility NY 501(c)(3) Line 3 St Peter's Health Care Services 0 St Peter's Auxiliary 315 South Manning Blvd Albany NY 01228 222843206 Auxiliary NY 501(c)(3) Line 11a, I St Peter's Health Care Services 0 St Peter's Health Care Services 315 South Manning Blvd Albany NY 12208 222702507 Management & Support Services NY 501(c)(3) Line 9 Catholic Health East 0 St Peter's Hospital 315 South Manning Blvd Albany NY 12208 141348692 Hospital NY 501(c)(3) Line 3 St Peter's Health Care Services 0 St Peter's Hospital Foundation Inc 319 South Manning Blvd Suite 309 Albany NY 12208 222262982 Fundraising & Public Relations NY 501(c)(3) Line 7 St Peter's Health Care Services 0 St Peter's Licensed Home Care Agency 159 Wolf Road Albany NY 12205 141818568 Home Health NY 501(c)(3) Line 3 St Peter's Health Care Services 0 The Community Hospice Foundation Inc 295 Valley View Blvd Rensselaer NY 12144 222692940 Fundraising & Public Relations NY 501(c)(3) Line 7 St Peter's Health Care Services 0 The Community Hospice Inc 295 Valley View Blvd Rensselaer NY 12144 141608921 Serving seriously ill people & their families NY 501(c)(3) Line 3 St Peter's Health Care Services 0 Villa Mary Immaculate 301 Hackett Blvd Albany NY 12208 141438749 Nursing Home & Physical Rehab NY 501(c)(3) Line 3 St Peter's Health Care Services 0 Warde Service Corporation Inc 159 Wolf Road 3rd Floor Albany NY 12205 141732097 Supporting & strengthing the ministries of rel. sr. mercy NY 501(c)(3) Line 9 St Peter's Health Care Services 0 Brightside Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 042182395 Behavioral Care MA 501(c)(3) Line 9 Sisters of Providence Health System Inc 0 Farren Care Center Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 042501711 Long Term Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 0 Mercy Hospital Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 043398280 Acute Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 0 Mercy Specialist Physicians Inc c/o SPHS 1221 Main Street No 108 Holyoke MA 01040 264033168 Neurosurgery Medical Services MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 0 Sisters of Providence Care Centers Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 222541103 Long Term Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 0 Sisters of Providence Health System Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 043398374 Management & Support Services MA 501(c)(3) Line 11a, I Catholic Health East 0 McAuley Center Inc 275 Steele Road West Hartford CT 06117 061058086 Independent Living CT 501(c)(3) Line 9 Mercy Community Health Inc 0 Mercy Community Health Inc 2021 Albany Avenue West Hartford CT 06117 061492707 Management & Support Services CT 501(c)(3) Line 11a, I Catholic Health East 0 Mercy Community HomeCare Services 2021 Albany Avenue West Hartford CT 06117 061488137 In Home Health Care CT 501(c)(3) Line 9 Mercy Community Health Inc 0 Mercy Services 2021 Albany Avenue West Hartford CT 06117 061453323 Support Services CT 501(c)(3) Line 1 Mercy Community Health Inc 0 Mercyknoll Inc 2021 Albany Avenue West Hartford CT 06117 060757380 Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc 0 Saint Mary Home II Inc 2021 Albany Avenue West Hartford CT 06117 061164104 Elderly Care CT 501(c)(3) Line 3 Mercy Community Health Inc 0 St Mary Home Incorporated 2021 Albany Avenue West Hartford CT 06117 060646843 Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc 0 Mercy Healthcare Center 114 Wawbeek Avenue Tupper Lake NY 12986 150532211 Hospital NY 501(c)(3) Line 3 Catholic Health East 0 Mercy Uihlein Health Corporation 185 Old Military Road Lake Placid NY 12946 161535133 Hospital NY 501(c)(3) Line 11b, II Mercy Healthcare Center 0 Uihlein Mercy Center 185 Old Military Road Lake Placid NY 12946 150532190 Hospital NY 501(c)(3) Line 3 Mercy Healthcare Center 0 St James Mercy Foundation Inc 411 Canisteo Street Hornell NY 14843 161486437 Foundation NY 501(c)(3) Line 7 St James Mercy Health System Inc 0 St James Mercy Health System Inc 411 Canisteo Street Hornell NY 14843 223127184 Management & Support Services NY 501(c)(3) Line 11b, II Catholic Health East 0 St James Mercy Hospital 411 Canisteo Street Hornell NY 14843 160743310 Hospital NY 501(c)(3) Line 3 St James Mercy Health System Inc 0 Marian Community Hospital 100 Lincoln Avenue Carbondale PA 18407 240711230 Hospital PA 501(c)(3) Line 3 Maxis Health System 0 Marian Community Hospital Auxiliary 100 Lincoln Avenue Carbondale PA 18407 251874733 Fundraising PA 501(c)(3) Line 11b, II Maxis Health System 0 Maxis Foundation 100 Lincoln Avenue Carbondale PA 18407 232330090 Fundraising PA 501(c)(3) Line 11b, II Maxis Health System 0 Maxis Health System 100 Lincoln Avenue Carbondale PA 18407 911940902 Health Care System PA 501(c)(3) Line 11b, II Catholic Health East 0 Maxis Medical Services 100 Lincoln Avenue Carbondale PA 18407 232577185 Physician Practices PA 501(c)(3) Line 3 Maxis Health System 0 Tri-County Human Services Center Inc PO Box 517 Carbondale PA 18407 231938528 Behavioral Health Organization PA 501(c)(3) Line 7 Maxis Health System 0 Columbus Acquisition Corp 1160 Raymond Boulevard Newark NJ 07102 262616342 Inactive Entity NJ 501(c)(3) Line 9 Saint Michaels Medical Center 0 Saint Michaels Medical Center 111 Central Avenue Newark NJ 07102 262616046 Hospital NJ 501(c)(3) Line 3 Catholic Health East 0 St James Care Inc 1160 Raymond Boulevard Newark NJ 07102 262616230 Inactive Entity NJ 501(c)(3) Line 9 Saint Michaels Medical Center 0 St Michaels Medical Center Foundation 1160 Raymond Boulevard Newark NJ 07102 223311976 Foundation NJ 501(c)(3) Line 11a, I Saint Michaels Medical Center 0 University Heights Property Company Inc 1160 Raymond Boulevard Newark NJ 07102 223100162 Medical Property Holding Company NJ 501(c)(2) Saint Michaels Medical Center 0 Life St Francis Corporation 601 Hamilton Avenue Trenton NJ 08629 222797282 Health Services NJ 501(c)(3) Line 11a, I St Francis Medical Center Trenton NJ 0 St Francis Medical Center Foundation NJ 601 Hamilton Avenue Trenton NJ 08629 521025476 Foundation NJ 501(c)(3) Line 11a, I St Francis Medical Center Trenton NJ 0 St Francis Medical Center Trenton NJ 601 Hamilton Avenue Trenton NJ 08629 223431049 Hospital NJ 501(c)(3) Line 3 Catholic Health East 0 Langhorne MRI Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232519529 Inactive Entity PA 501(c)(3) Line 9 St Mary Medical Center 0 Langhorne Physician Services Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232571699 Physician Services PA 501(c)(3) Line 9 St Mary Medical Center 0 LIFE St Mary 1201 Langhorne-Newtown Road Langhorne PA 19047 262976184 Elderly Care PA 501(c)(3) Line 9 St Mary Medical Center 0 St Mary Medical Center 1201 Langhorne-Newtown Road Langhorne PA 19047 231913910 Hospital PA 501(c)(3) Line 3 Catholic Health East 0 St Mary Medical Center Foundation Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232567468 Foundation PA 501(c)(3) Line 7 St Mary Medical Center 0 East Norriton Physician Services c/o One West Elm Street Conshohocken PA 19428 232515999 Physician Services PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 Mercy Catholic Medical Center of Southeastern Pennsylvania One West Elm Street Conshohocken PA 19428 231352191 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 Mercy Family Support 1001 Baltimore Pike Suite 301 Springfield PA 19064 232325059 Home Health PA 501(c)(3) Line 9 Mercy Health System of Southeastern Pennsylvania 0 Mercy Health Foundation of Southeastern Pennsylvania c/o MHS One West Elm Street Conshohocken PA 19428 232829864 Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 0 Mercy Health System of Southeastern Pennsylvania One West Elm Street Conshohocken PA 19428 232212638 Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East 0 Mercy Home Health 1001 Baltimore Pike Suite 310 Springfield PA 19064 231352099 Home Health PA 501(c)(3) Line 9 Mercy Health System of Southeastern Pennsylvania 0 Mercy Home Health Services 1001 Baltimore Pike Suite 301 Springfield PA 19064 232325058 Home Health PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 0 Mercy Management of Southeastern Pennsylvania One West Elm Street Conshohocken PA 19428 232627944 Physician Practices PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 0 Mercy Suburban Hospital One West Elm Street Conshohocken PA 19428 231396763 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 Nazareth Health Care Foundation 2701 Holme Avenue Philadelphia PA 19152 232300951 Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 0 Nazareth Hospital 2601 Holme Avenue Philadelphia PA 19152 232794121 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 Nazareth Physician Services Inc 2601 Holme Avenue Philadelphia PA 19152 203261266 Physician Practices PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 NE Physician Services 2601 Holme Avenue Philadelphia PA 19152 232497355 Physician Practices PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 St Agnes Continuing Care Center 1900 S Broad Street Philadelphia PA 19145 232840137 Continuing Care Services PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 0 St Agnes Continuing Care Center Foundation 1900 S Broad Street Philadelphia PA 19145 232415137 Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 0 Life at Lourdes Inc 1600 Haddon Avenue Camden NJ 08108 261854750 Elderly Care NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 0 Lourdes Ancillary Services 1600 Haddon Avenue Camden NJ 08103 222568525 Supporting Organization NJ 501(c)(3) Line 11b, II Our Lady of Lourdes Health Care Services 0 Lourdes Dialysis at Innova Inc 1600 Haddon Avenue Camden NJ 08108 263237625 Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 0 Lourdes Medical Center Burlington County 218 Sunset Road Willingboro NJ 08046 223612265 Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 0 Our Lady of Lourdes Health Care Services 1600 Haddon Avenue Camden NJ 08103 222568528 Management & Support Services NJ 501(c)(3) Line 11b, II Catholic Health East 0 Our Lady of Lourdes Health Foundation Inc 1600 Haddon Avenue Camden NJ 08103 222351960 Foundation NJ 501(c)(3) Line 7 Our Lady of Lourdes Health Care Services 0 Our Lady of Lourdes Medical Center 1600 Haddon Avenue Camden NJ 08103 210635001 Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 0 Franciscan Eldercare Corporation PO Box 2500 Wilmington DE 19805 223008680 Eldercare DE 501(c)(3) Line 9 St Francis Hospital 0 St Francis Foundation PO Box 2500 Wilmington DE 19805 510374158 Foundation DE 501(c)(3) Line 11b, II St Francis Hospital 0 St Francis Hospital PO Box 2500 Wilmington DE 19805 510064326 Hospital DE 501(c)(3) Line 3 Catholic Health East 0 McAuley Ministries McAuley Hall 3333 Fifth Avenue Pittsburgh PA 15213 943436142 Management & Support Services PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 0 Mercy Jeannette Hospital 3805 West Chester Pike Newtown Square PA 19073 251310602 Inactive Entity PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 0 Mercy Life Center Corporation 1200 Reedsdale Street Pittsburgh PA 15233 251604115 Community Treatment PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 0 Pittsburgh Mercy Foundation 1200 Reedsdale Street Pittsburgh PA 15233 251479026 Foundation PA 501(c)(3) Line 11b, II Pittsburgh Mercy Health System 0 Pittsburgh Mercy Health System 3333 5th Avenue Pittsburgh PA 15213 251464211 Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East 0 St Joseph's of the Pines Inc 100 Gossman Drive Suite B Southern Pines NC 28387 560694200 Hospital NC 501(c)(3) Line 3 Catholic Health East 0 Life St Joseph of the Pines Inc 100 Gossman Drive Suite B Southern Pines NC 28387 272159847 Healthcare Services NC 501(c)(3) Line 3 St Joseph's of the Pines Inc 0 Mercy Senior Care Inc 212 West Third Street PO Box 866 Rome GA 30162 581366508 Community Outreach GA 501(c)(3) Line 7 Saint Joseph's Health System Inc 0 Saint Joseph's at East Georgia Inc 1201 Siloam Road Greensboro GA 30462 261720984 Hospital GA 501(c)(3) Line 3 Saint Joseph's Health System Inc 0 Saint Joseph's Health System Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 581744848 Management & Support Services GA 501(c)(3) Line 11b, II Catholic Health East 0 Saint Joseph's Hospital of Atlanta Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 580566257 Hospital GA 501(c)(3) Line 3 Saint Joseph's Health System Inc 0 Saint Joseph's Mercy Care Services Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 581752700 Community Outreach GA 501(c)(3) Line 7 Saint Joseph's Health System Inc 0 Saint Joseph's Mercy Foundation Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 581448522 Fundraising GA 501(c)(3) Line 11b, II Saint Joseph's Health System Inc 0 Saint Joseph's Translational Research Institute Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 800079841 Research GA 501(c)(3) Line 4 Saint Joseph's Health System Inc 0 Mercy Services Downtown Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 272046353 Real Estate Holding Company GA 501(c)(3) Line 11b, II Saint Joseph's Health System Inc 0 St Mary's Health Care System Inc 1230 Baxter Street Athens GA 30606 580566223 Hospital GA 501(c)(3) Line 3 Catholic Health East 0 St Mary's Foundation Inc 1230 Baxter Street Athens GA 30606 582544232 Fundraising GA 501(c)(3) Line 11b, II St Mary's Health Care System Inc 0 St Mary's Highland Hills Inc 1230 Baxter Street Athens GA 30606 020576648 Assisted Living & Retirement Community GA 501(c)(3) Line 3 St Mary's Health Care System Inc 0 St Mary's Medical Group Inc 1230 Baxter Street Athens GA 30606 261858563 Hospital / Physician Services GA 501(c)(3) Line 3 St Mary's Health Care System Inc 0 Mercy Medical Corporation PO Box 1090 101 Villa Drive Daphne AL 36526 636002215 Hospital AL 501(c)(3) Line 3 Catholic Health East 0 Allegany Franciscan Ministries Inc 33920 US Highway 19 North Suite 269 Palm Harbor FL 34684 581492325 Management & Support Services FL 501(c)(3) Line 11b, II Catholic Health East 0 St Francis Hospital Inc 33920 US Highway 19 North Suite 269 Palm Harbor FL 34684 590624442 Hospital FL 501(c)(3) Line 11a, I Allegany Franciscan Ministries Inc 0 Holy Cross Hospital Inc 4725 North Federal Highway Ft Lauderdale FL 33308 590791028 Hospital FL 501(c)(3) Line 3 Catholic Health East 0 Holy Cross Long-Term Inc 4725 North Federal Highway Ft Lauderdale FL 33308 650787320 Medical Services FL 501(c)(3) Line 3 Holy Cross Hospital Inc 0 Holy Cross Medical Properties Inc 4725 North Federal Highway Ft Lauderdale FL 33308 650666283 Medical Building Real Estate Management FL 501(c)(2) Holy Cross Hospital Inc 0 Mercy Hospital Foundation Inc 3663 South Miami Avenue Miami FL 33133 591709438 Fundraising FL 501(c)(3) Line 7 Mercy Hospital Inc 0 Mercy Hospital Inc 3663 South Miami Avenue Miami FL 33133 590791034 Hospital FL 501(c)(3) Line 3 Catholic Health East 0 Mercy Medical Development Inc 3663 South Miami Avenue Miami FL 33133 592789194 Outpatient Services FL 501(c)(3) Line 9 Mercy Hospital Inc 0 Mercy Mission Services Inc 3663 South Miami Avenue Miami FL 33133 650435764 Health Care FL 501(c)(3) Line 11a, I Mercy Hospital Inc 0 Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square PA 19073 232929748 Management Services PA 501(c)(3) Line 11a, I N/A 0 Continuing Care Management Services Network 3805 West Chester Pike Suite 100 Newtown Square PA 19073 352336834 Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East 0 Global Health Ministry 3805 West Chester Pike Suite 100 Newtown Square PA 19073 233068656 Health Care PA 501(c)(3) Line 7 Catholic Health East 0 Mercy Jeanette Hospital Foundation 600 Jefferson Avenue Jeannette PA 15644 251462863 Foundation PA 501(c)(3) Line 7 Pittsburgh Mercy Health System 0 VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Home Health & Hospice ME 501(c)(3) Line 11a, I Mercy Health System of Maine 0 Providence Place Inc 5 Gamelin Street Holyoke MA 01040 043404084 Retirement Community MA 501(c)(3) Line 9 Sisters of Providence Health System Inc 0 Intercoastal Health Systems 3805 West Chester Pike Suite 100 Newtown Square PA 19073 650556413 Management & Support Services PA 501(c)(3) Line 11a, I Catholic Health East 0 Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital 3663 South Miami Avenue Miami FL 33133 510461511 Hospital FL 501(c)(3) Line 3 Mercy Hospital Inc 0 Catherine Horan Building Limited Partnership 1221 Main Street Room 108 Holyoke MA 010400000 042723429 Property Management MA N/A 0.01000 AmeriHealth Mercy Health Plan 200 Stevens Drive Suite 350 Philadelphia PA 19113 232859523 Medicaid Managed Care Organization PA N/A Related 9567722 133798225 0 11264750 1 0.50000 Amerihealth Mercy of Indiana LLC 200 Stevens Drive Suite 350 Philadelphia PA 19113 204948091 Prepaid Health Care Services IN Amerihealth Mercy Health Plan Other 0 0 0.50000 East Norriton Medical Associates 2701 Dekalb Pike Norristown PA 19401 232319531 Medical Office Building PA N/A 0.12560 East Norriton Medical Associates 2701 Dekalb Pike Norristown PA 19401 232319531 Medical Office Building PA N/A 0.40930 Gateway Health Plan 300 Grant Street Pittsburgh PA 15219 251691945 Medicaid & Medicare/Special Needs Managed Care Organization PA N/A Related 3333903 113840074 0 1 0.50000 Keystone Mercy Health Plan 100 Stevens Drive Philadelphia PA 19113 232842344 Medicaid Managed Care Organization PA N/A Related 2294052 176152635 0 -751148 1 0.50000 Langhorne MOB Partners LP 1201 Langhorne-Newtown Road Langhorne PA 19047 232622772 Investment and operation of a medical building PA N/A 0.28956 SMMC MOB II LP 1201 Langhorne-Newtown Road Langhorne PA 19047 364559869 Investment and operation of a medical building PA N/A 0.74520 MercyManor Partnership PO Box 10086 Toledo OH 436990086 521931012 Nursing Home PA N/A 0.50000 Nazareth Medical Office Building Associates LP c/o Nazareth Hospital 2601 Holme Av Philadelphia PA 19152 232388040 Medical Office Building PA N/A 0.01000 Nazareth Medical Office Building Associates LP c/o Nazareth Hospital 2601 Holme Av Philadelphia PA 19152 232388040 Medical Office Building PA N/A 0.47460 St Agnes Long Term Intensive Care LLP 1900 S Broad Street Philadelphia PA 19145 200984882 Long Term Intensive Care PA N/A 0.60000 St Agnes Long Term Intensive Care LLP 1900 S Broad Street Philadelphia PA 19145 200984882 Long Term Intensive Care PA N/A 0.40000 St Peter's Ambulatory Surgery Center LLC 1375 Washington Avenue Ste 201 Albany NY 12206 460463892 Surgery NY N/A 0.34750 Outpatient Surgical Management LLC 5673 Peachtree Dunwoody Rd Ste 550 Atlanta GA 30342 208004929 Outpatient Medical Services GA N/A 0.51000 CV Partners LLC 5665 Peachtree Dunwoody Road Atlanta GA 303421764 263881202 Outpatient Medical Services GA N/A 0.50000 Gwinnett Cardiovascular Services LLC 1000 Medical Center Boulevard Lawrenceville GA 30045 263870307 Cardiology GA N/A 0.50000 Central New Jersey Heart Services LLC 10720 Sikes Places Ste 300 Charlotte NC 28277 208525458 Cardiac Program NJ N/A 0.63905 Physicians Outpatient Surgery Center LLC 1000 NE 56th Oakland Park FL 33334 352325646 Ambulatory Surgery Center FL N/A 0.73000 Center for Surgery & Digestive Orders 3641 South Miami Avenue Miami FL 33133 510438152 Outpatient Medical Services FL N/A 0.50000 SJV Management LLC 200 Century Pkwy Ste 200E Mount Laurel NJ 08054 202273476 NJ N/A 0.50000 Catherine Horan Building Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 042938180 Building Management MA N/A C Diversified Community Services Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 043128890 Medical Services MA N/A C Mercy Inpatient Medical Associates Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 043029829 Medical Services MA N/A C Providence Home Care Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 043317426 Health Care Services MA N/A C System Coordinated Services Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 042938181 Lab Services MA N/A C Physicians Medical Office Building Condominium Trust 1221 Main Street Room 108 Holyoke MA 010400000 046608649 Property Management MA N/A C SJM Properties 411 Canisteo Street Hornell NY 148482104 161294991 Property Holdings NY N/A C Carbondale Area Physicians' Association PC 100 Lincoln Ave Carbondale PA 18407 232801677 Medical Insurance Contracting PA N/A C Carbondale Area Physicians' PHO Inc 100 Lincoln Ave Carbondale PA 18407 232801676 Inactive PA N/A C Carbondale Physicians' Services Inc 100 Lincoln Ave Carbondale PA 18407 232365077 Pharmacy PA N/A C Chestnut Risk Services Ltd 11 Victoria Street Hamilton BD Insurance BD N/A C LifeCare Physicians PC 601 Hamilton Avenue Trenton NJ 086291986 261649038 Health Care Services NJ N/A C Multicare Plus Inc 601 Hamilton Avenue Trenton NJ 086291986 223435844 Inactive NJ N/A C Langhorne Services II Inc 1201 Langhorne-Newtown Road Langhorne PA 190470000 253795549 General Partner of LMOB Partners, II PA N/A C Langhorne Services Inc 1201 Langhorne-Newtown Road Langhorne PA 190470000 232625981 General Partner of LMOB Partners PA N/A C AMHP Holdings Corp 200 Stevens Drive Philadelphia PA 19113 261144363 Behavioral Health PA N/A C Select Health of South Carolina Inc 4390 Belle Oaks Drive Suite 400 Charleston SC 29405 571032456 Health Maintenance Organization SC N/A C Gateway Health Plan Inc 600 Grant Street Pittsburgh PA 15219 251505506 Health Care PA Gateway Health Plan LP C 0.50000 Gateway Health Plan Inc of Ohio 600 Grant Street Pittsburgh PA 15219 300282076 Health Care PA Gateway Health Plan LP C 0.50000 MCMC Eastwick Inc c/o MHS One West Elm Street Conshohocken PA 19428 232184261 Medical Office Buildings PA N/A C Community Behavioral Healthcare Network of PA Inc 8040 Carlson Road Harrisburg PA 17112 251765391 Behavioral Health PA N/A C Health Management Services Org Inc 500 Grove Street Suite 100 Haddon Heights NJ 08035 223366580 Health Care Billing NJ N/A C Jeannette Medical Providers 3805 West Chester Pike Newtown Square PA 19073 251787334 Holding Company PA N/A C Jeannette OBGYN Group 1 Inc 3805 West Chester Pike Newtown Square PA 19073 232890748 Holding Company PA N/A C Jeannette Primary Care Group 1 Inc 3805 West Chester Pike Newtown Square PA 19073 232890743 Holding Company PA N/A C Saint Joseph's Service Corporation Inc 5673 Peachtree Dunwoody Road Atlanta GA 303421769 581750815 Service Provider GA N/A C Saint Joseph's Real Estate Management Corp 5673 Peachtree Dunwoody Road Atlanta GA 303421769 581657768 Investment Company GA N/A C Magnetic Resonance Imaging Inc 5673 Peachtree Dunwoody Road Atlanta GA 303421769 581609308 Holding Company GA N/A C ACTx 5673 Peachtree Dunwoody Road Atlanta GA 303421769 830345672 Research GA N/A C Georgia Health Enterprises LLC 11440 Commerce Park Drive Reston VA 20191 541806329 Healthcare VA N/A C St Mary's Highland Hills Village Inc 1660 Jennings Mill Road Bogart GA 30622 582276801 Assisted Living GA N/A C GHE Physicians PC 3500 Piedmont Road Atlanta GA 30305 582277939 Practice Management GA N/A C Nursing Network Inc 4725 North Federal Highway Fort Lauderdale Highwa FL 333080000 591145192 Medical Services FL N/A C Mercy Physician Group Inc 3663 South Miami Avenue Miami FL 33133 202970015 Health Care FL N/A C Stella Maris Insurance Company Limited PO Box 69 Grand Cayman Cayman Islands CJ KY1-1102 980078266 Insurance CJ N/A C Catholic Health East Senior Services 3805 West Chester Pike Suite 100 Newtown Square PA 19073 371572595 Senior Services PA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 Mercy Health System of Southeastern PA O 1000000 Fair Market Value Mercy Health System of Southeastern PA Q 13367467 Fair Market Value