ST JAMES HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ST JAMES HOSPITAL (EIN 16-0743310)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-12-13
- IRS object ID
- 201143479349300224
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-12-13T15:35:59-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 Market Street 25th Floor | AddressLine1 |
| City | Philadelphia | City |
| State | PA | State |
| ZIP Code | 191033984 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743310 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St James Mercy Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STJA | NameControl |
| Phone | 6073248000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1 |
| City | Hornell | City |
| State | NY | State |
| ZIP Code | 148432104 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Mary LaRowe | Name |
| Title | President/CEO | Title |
| Phone | 6073248113 | Phone |
| Date Signed | 2011-12-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2152462300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| Name Of Principal Officer Person | Mary LaRowe | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1 |
| City | Hornell | City |
| State | NY | State |
| ZIP Code | 148432104 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 61519307 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.stjamesmercy.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1992 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | Faithful to our sponsor, the Sisters of Mercy, St. James Mercy Hospital is a part of St. James Mercy Health System,Inc. ("SJMHS") a community of persons committed to being a transforming, healing presence within the rural communities we serve, particularly addressing the needs of the poor, underserved and disadvantaged. St. James Mercy Health System, Inc. is a member of Catholic Health East ("CHE"). | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1026 | TotalNbrEmployees |
| Total Nbr Volunteers | 60 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 323314 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 528389 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 59066217 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 60330070 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 479362 | InvestmentIncomePriorYear |
| Investment Income Current Year | 441912 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 994174 | OtherRevenuePriorYear |
| Other Revenue Current Year | 218936 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 60863067 | TotalRevenuePriorYear |
| Total Revenue Current Year | 61519307 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 34525897 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 35549603 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 27026195 | OtherExpensePriorYear |
| Other Expenses Current Year | 26823174 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 61552092 | TotalExpensesPriorYear |
| Total Expenses Current Year | 62372777 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -689025 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -853470 | RevenuesLessExpensesCY |
| Total Assets BOY | 43884276 | TotalAssetsBOY |
| Total Assets EOY | 41591897 | TotalAssetsEOY |
| Total Liabilities BOY | 27512809 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 25115729 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 16371467 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 16476168 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Faithful to our sponsor, the Sisters of Mercy, St. James Mercy Health System, a member of Catholic Health East, is a community of persons committed to being a transforming, healing presence within the rural communities we serve, particularly addressing the needs of the poor, underserved and disadvantaged. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 44986807 | Expense |
| Revenue | 60030898 | Revenue |
| Description | St. James Mercy Hospital is an acute healthcare facility providing routine, Ambulatory and Ancillary services. Major services include Medical, Surgical, X-ray, Laboratory and Maternity. The Aquinas Center Psychiatric Day Care Center provides Behavioral Health Programs for resocialization and recreation of the mentally handicapped. Total Acute discharges for the Hospital were 2,427. Outpatient registrations for the Hospital were 140,456 and Behavioral Health (Adult and Adolescent psychiatric care and addiction) days were 12,128. St. James Mercy Hospital operates a 120 bed Long-Term Care skilled nursing facility. The Long-Term Care Facility specializes in skilled nursing, assisted living and rehabilitation services. Total patient days for the Long-Term Facility were 42,209. St. James Mercy Hospital operates several physician practices. Total office visits were 47,405. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 215316 | Expense |
| Revenue | 376704 | Revenue |
| Description | Life Line Service - Revenue generated from rental of Life Line units to the elderly for medical alert. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 125140 | Expense |
| Revenue | 129737 | Revenue |
| Description | School of Radiography - Tuition and fee revenue for school. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 45327263 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 0 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 94 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1026 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jennifer L Sullivan Sr VP FinanceCFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6073248110 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1 |
| City | Hornell | City |
| State | NY | State |
| ZIP Code | 148432104 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Mary E LaRowe | ||||||||
| President/CEO | 35.00 | X | X | 366018 | 0 | 27109 | ||
| Mary Fran Wegman RSM | ||||||||
| Chair | 1.00 | X | 0 | 0 | 0 | |||
| John Weyand DC | ||||||||
| Treasurer | 1.00 | X | 0 | 0 | 0 | |||
| Rhonda Peterson MD | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Brenda Copeland | ||||||||
| Vice Chair | 1.00 | X | 0 | 0 | 0 | |||
| Philip Loree | ||||||||
| Secretary | 1.00 | X | 0 | 0 | 0 | |||
| Pradeep Sharda MD | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Robert Donius | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Mary Ann Schimscheiner RSM | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Joyce McGinn RSM | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| David Gray | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Maninder Virdee | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Robert Whelpley MD | ||||||||
| Board Member | 40.00 | X | 196574 | 0 | 22013 | |||
| Nancy Hoff RSM | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Jennifer Sullivan | ||||||||
| Sr. Vice President/CFO | 40.00 | X | 176148 | 0 | 15094 | |||
| Dr Bradley T Truax | ||||||||
| CMO | 20.00 | X | 153133 | 0 | 738 | |||
| Patricia A Uldrich | ||||||||
| CNO | 40.00 | X | 130123 | 0 | 5715 | |||
| Patricia Dagon | ||||||||
| CCO/VP Continuing Care | 40.00 | X | 89679 | 0 | 13571 | |||
| M Tariq Randhawa | ||||||||
| MD | 40.00 | 193603 | 0 | 20552 | X | |||
| Raja V Rao | ||||||||
| MD | 40.00 | 253776 | 0 | 13136 | X | |||
| Pasquale A Picco | ||||||||
| MD | 40.00 | 524259 | 0 | 7350 | X | |||
| Irvin C Oh | ||||||||
| MD | 40.00 | 484719 | 0 | 12052 | X | |||
| Anthony F Yacona | ||||||||
| MD | 40.00 | 318831 | 0 | 6135 | X | |||
| Andres I Rubert | ||||||||
| MD | 40.00 | 266170 | 0 | 10645 | X | |||
| Richard V Welles | ||||||||
| MD | 40.00 | 234033 | 0 | 20310 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3387066 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 174420 | TotalOtherCompensation |
| Number Individuals GT100 K | 22 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Cardinal Health | |||||
| 6012 Molloy Road | Syracuse | NY | 13211 | Pharmaceuticals | 2216308 |
| Century Health Capital Inc | |||||
| 358 Broadway Ste 401 | Saratoga Springs | NY | 12866 | Mortgage | 1808051 |
| Exigence Medical of Hornell | |||||
| 1 John James Audubon Pkwy | Amherst | NY | 14228 | Hospitalist and ED Physicians | 1285004 |
| Sohexho Inc & Affiliates | |||||
| PO Box 95374 | Charolette | NC | 28290 | Food & Related Services | 1200878 |
| Cardinal Health Medical Products and Ser | |||||
| PO Box 13862 | Newark | NJ | 07188 | Medical Products | 858724 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 50 | NumberOfContractorsGT100K |
| Related Organizations | 59583 | RelatedOrganizations |
| Government Grants | 195119 | GovernmentGrants |
| All Other Contributions | 273687 | AllOtherContributions |
| Total Contributions | 528389 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Service Re | 622110 | 59823629 | 59823629 |
| Life Line Service | 621610 | 376704 | 376704 |
| School of Radiography | 611519 | 129737 | 129737 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 60330070 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 441912 | TotalRevenueColumn |
| Exclusion | $441,912 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 43633 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 43633 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 43633 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31966 | RelatedOrExemptFunctionIncome |
| Exclusion | $11,667 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Specialty Clinic | 900099 | 50530 | 50530 |
| Drugs Sold to Employee | 900099 | 21676 | 21676 |
| Mgt/Building Service F | 900099 | 18149 | 18149 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 84948 | TotalRevenueColumn |
| Related Or Exempt Function Income | 84948 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 175303 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 61519307 | TotalRevenueColumn |
| Related Or Exempt Function Income | 60537339 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $453,579 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 981256 | Total |
| Program Services | 726522 | ProgramServices |
| Management And General | 254734 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28083098 | Total |
| Program Services | 20766387 | ProgramServices |
| Management And General | 7316711 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 308342 | Total |
| Program Services | 228288 | ProgramServices |
| Management And General | 80054 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4321787 | Total |
| Program Services | 3199734 | ProgramServices |
| Management And General | 1122053 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1855120 | Total |
| Program Services | 1373481 | ProgramServices |
| Management And General | 481639 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91944 | Total |
| Program Services | 63979 | ProgramServices |
| Management And General | 27965 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105281 | Total |
| Program Services | 73259 | ProgramServices |
| Management And General | 32022 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2016122 | Total |
| Program Services | 1233710 | ProgramServices |
| Management And General | 782412 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102164 | Total |
| Program Services | 71090 | ProgramServices |
| Management And General | 31074 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74405 | Total |
| Program Services | 51774 | ProgramServices |
| Management And General | 22631 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 828308 | Total |
| Program Services | 507036 | ProgramServices |
| Management And General | 321272 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2587138 | Total |
| Program Services | 1583677 | ProgramServices |
| Management And General | 1003461 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 799952 | Total |
| Program Services | 489678 | ProgramServices |
| Management And General | 310274 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Supplies | 6997436 | 4869000 | 2128436 | 0 |
| Purchased Services | 3638748 | 2528319 | 1110429 | 0 |
| Physician Fees | 3248211 | 3248211 | 0 | 0 |
| Bad Debt | 2609316 | 2682280 | -72964 | 0 |
| Property & Cash Assessm | 1855120 | 1373481 | 481639 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1869029 | Total |
| Program Services | 257357 | ProgramServices |
| Management And General | 1611672 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62372777 | Total |
| Program Services | 45327263 | ProgramServices |
| Management And General | 17045514 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213947 | BOY |
| EOY | 459647 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6397328 | BOY |
| EOY | 6495988 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6621422 | BOY |
| EOY | 5804162 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35000 | BOY |
| EOY | 8000 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1470377 | BOY |
| EOY | 1580446 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 885722 | BOY |
| EOY | 467922 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 76626114 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 62250095 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15532959 | BOY |
| EOY | 14376019 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9817050 | BOY |
| EOY | 9790541 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58945 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2851526 | BOY |
| EOY | 2609172 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43884276 | BOY |
| EOY | 41591897 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4654717 | BOY |
| EOY | 5099053 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14968276 | BOY |
| EOY | 13297767 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7889816 | BOY |
| EOY | 6718909 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27512809 | BOY |
| EOY | 25115729 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16148925 | BOY |
| EOY | 16269186 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 222542 | BOY |
| EOY | 206982 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16371467 | BOY |
| EOY | 16476168 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43884276 | BOY |
| EOY | 41591897 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -853470 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 958171 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $12,936 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 12936 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part IV, Supplemental Information: | Identifier |
| Explanation | Part II-B, Line 1h: As part of our membership fees paid to The Health Care Association of New York State, a portion of the fee is allocated for lobbying. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1653202 | OtherCostOrOtherBasis |
| Book Value | 1653202 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 41595480 | OtherCostOrOtherBasis |
| Depreciation | 37906239 | Depreciation |
| Book Value | 3689241 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 932383 | OtherCostOrOtherBasis |
| Depreciation | 755290 | Depreciation |
| Book Value | 177093 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31146588 | OtherCostOrOtherBasis |
| Depreciation | 23588566 | Depreciation |
| Book Value | 7558022 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1298461 | OtherCostOrOtherBasis |
| Book Value | 1298461 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 14376019 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Est Third Party Payors Net | 1067432 |
| Due From Related Parties | 562959 |
| Loan Origination Fees, Net | 771781 |
| Other Long-term Assets | 207000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2609172 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Est 3rd party Payors net | $3,148,174 |
| Other Liabilities | $651,650 |
| Insurance Liabilities | $2,919,085 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6718909 | TotalOfAmounts |
| Total Revenue | 61519307 | TotalRevenue |
| Total Expenses | 62372777 | TotalExpenses |
| Excess Or Deficit For Year | -853470 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 761090 | NetUnrealizedGLOnInvestments |
| Other | $197,081 | OtherAmount |
| Total Adjustments | 958171 | TotalAdjustments |
| Excess Or Deficit Per FS | 104701 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 62493038 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 761090 | NetUnrealizedGainsInvestments |
| Other Revenues | 212641 | OtherRevenues |
| Revenue Not Rptd F990 | 973731 | RevenueNotRptdF990 |
| Revenue Subtotal | 61519307 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 61519307 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 62372777 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 62372777 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 62372777 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 8 - Other Adjustments: | Intercompany transactions 22,098. Grant funded capital additions 190,543. Contribution and investment income allocation 30,954. Net assets released from restrictions -46,514. |
| Part XII, Line 2d - Other Adjustments: | Intercompany transfers 22,098. Grant funded captial additions 190,543. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1767178 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 351299 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1415879 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02370 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20962525 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19592221 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1370304 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02300 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22729703 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19943520 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2786183 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04670 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16811 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2859 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13952 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 129904 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 219808 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -89904 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7722898 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6047519 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1675379 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02810 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 67394 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 67394 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7937007 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6270186 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1666821 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02940 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30666710 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26213706 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4453004 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07610 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1442 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1442 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 305877 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 305877 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 307319 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 307319 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,395,885 | BadDebtExpenseAmount |
| Amount Attributable To | 236604 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 13599506 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 11698070 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1901436 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St James Mercy Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1 |
| City | Hornell | City |
| State | NY | State |
| ZIP Code | 148432104 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 7: A cost to charge ratio is used for lines 7a and 7b computed by taking total expenses less bad debt divided by total gross patient revenue. | ||
| Part I, Line 7g: Subsidized health care costs include the costs attributable to two outpatient clinics:1. Dental clinic - $974,9262. Rural health clinic - $202,336 | ||
| Part I, L7 Col(f): The amount of bad debt the organization included on Form 990, Part IX, line 25, column (a), subtracted for purposes of calculating the percentage of Schedule H, Part 1, line 7, column (f) is $2,609,316. | ||
| Part II: St. James Mercy Hospital actively recruits physicians and other health professionals to provide services in areas with a medical shortage or are underserved. | ||
| Part III, Line 4: The Hospital provides an allowance for uncollectibles for 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 charged off against the allowance for uncollectibles when management determines that recovery is unlikely and the Hospital ceases collection efforts. The amount reported in Part III, Section A, line 3 is determined by estimating the amount of bad debt expense that would be attributed to patients who would likely qualify for financial assistance but for whom sufficient information was not obtained to make that determination. | ||
| Part III, Line 8: To determine Medicare allowable costs reportable in the Medicare cost report, the cost-to-charge ratio is applied to gross patient revenue associated with services performed for patients who are eligible for Medicare. Although shortfall is not reported on Part I, Line 7, Community Benefit, it evidences the fact that the organization significantly subsidizes the cost of treating Medicare patients. | ||
| Part III, Line 9b: A bad debt results from a patient account balance from which payment was anticipated from the patient, credit extended and the account later deemed to be uncollectible. A bad debt does not meet the criteria for Charity Care, that is, bad debt patients are considered to have the financial capacity and ability to pay, but are unwilling to pay. Collection activities are only pursued with respect to amounts that patients are able to pay as determined by the organization's charity care policy. No collection activities take place with respect to amounts that patients are not expected to pay under this policy. A separate Charity Care Policy is in place and would be exhausted before a patient balance would be deemed self pay. Under the Charity Care policy, Charity Care/Financial Assistance is provided to a patient with a demonstrated inability to pay. A patient is eligible for Charity Care/Financial Assistance consideration based upon meeting certain income eligibility criteria as established by the Federal Poverty Income Guideline Sliding Scale, Per NYS PHL 2807-K, this considers patients whose household income is up to 300% of the most recent Federal Poverty Guidelines.All uninsured, low income patients within St. James Mercy Hospital's primary service area who can demonstrate an inability to pay charges may apply for Charity Care/Financial Assistance for adjustments to their balances for all medically necessary healthcare services, provided that a member, in good standing, of St. James Mercy Hospital's medical staff determines the need for such medical care treatment | ||
| Part VI, Line 2: St. James Mercy Hospital conducts a community needs assessment every three years in conjunction with Steuben County Public Health. Based on residents' feedback, the county's health care priorities, strategies, and programs are determined. St. James Mercy Hospital creates an annual plan based on this assessment, and the progress of these initiatives is reported annually to NYS Department of Health. Local health care priorities are also identified through surveying participants at St. James Mercy's Community Health Fair and its public health education programs. | ||
| Part VI, Line 3: At the time of registration, all self-pay individuals receive an information sheet describing the types of Federal, state and local government programs available, including St. James Mercy Hospital's Charity Care Policy. The eligibility process is coordinated by a Financial Counselor, who contacts the patient or patient family member by phone and/or letter. Patients who qualify for Medicaid are also directed to an in-house facilitated enroller, who coordinates the Medicaid application process on behalf of the patient. | ||
| Part VI, Line 4: The primary service area is the 15-mile radius extending from Hornell (Steuben County), New York, and includes the towns of Wayland to the northeast and Troupsburg to the southeast (just outside of the 15-mile radius). The population declined 2.5% from 38,029 in 2005 to 37,072 in 2009, and is projected to remain relatively flat. The senior population (age 60 and over) comprises a slightly larger proportion of the primary service area population than the population nationwide. The population is racially and ethnically homogeneous with 95.0% White, 1.4% Black, 1.4% Hispanic and 1.0% Asian. Average household income is $50,285/year compared to $67,918/year nationwide. Approximately 16% of area residents have college degrees compared to 25% of the general US population. | ||
| Part VI, Line 6: St. James Mercy Hospital hosts an annual Community Health Fair to provide free screenings and information to educate residents about their health status and motivate them to make positive health behavior changes. In addition, St. James Mercy Hospital offers a free bi-monthly health education series called "Sharing the Health" that gives residents opportunities to learn about a specific health topic and query an expert. This is coupled with a bi-monthly program called "Working with Wegmans" wherein St. James Mercy staff offer free on-site health information and screenings at a local grocery store. | ||
| Part VI, Line 7: St. James Mercy Hospital furthers its exempt status through participation of its senior leadership team on various community boards including Hornell Children's Home; Home and Health, Inc.; United Way; BOCES Nursing Advisory Committee; Faith in Action; Allegany Western Steuben Rural Health Network; and Kinship. In addition, St. James Mercy Hospital recruits community members to serve on its own Board of Directors, Foundation Board, and Properties Board. St. James Mercy Hospital physicians and providers enhance community building through participation in the Hospital's annual Health Fair, and through educational programs such as "Sharing the Health" and "Working with Wegmans". The Hospital furthers its community reach through holiday sponsorships of needy families, and corporate sponsorships such as the local "Relay for Life" event. In addition, St. James Mercy Hospital's Emergency Department is open 24 hours a day and all persons needing care are treated, regardless of ability to pay. | ||
| NY | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mary E LaRowe | |||||||||||||
| 259904 | 0 | 11559 | 0 | 94555 | 0 | 13102 | 0 | 14007 | 0 | 393127 | 0 | 0 | 0 |
| Robert Whelpley MD | |||||||||||||
| 190310 | 0 | 4551 | 0 | 1713 | 0 | 4845 | 0 | 17168 | 0 | 218587 | 0 | 0 | 0 |
| Jennifer Sullivan | |||||||||||||
| 163299 | 0 | 12510 | 0 | 339 | 0 | 4234 | 0 | 10860 | 0 | 191242 | 0 | 0 | 0 |
| Dr Bradley T Truax | |||||||||||||
| 151153 | 0 | 0 | 0 | 1980 | 0 | 738 | 0 | 0 | 0 | 153871 | 0 | 0 | 0 |
| M Tariq Randhawa | |||||||||||||
| 188498 | 0 | 0 | 0 | 5105 | 0 | 4884 | 0 | 15668 | 0 | 214155 | 0 | 0 | 0 |
| Raja V Rao | |||||||||||||
| 251329 | 0 | 0 | 0 | 2447 | 0 | 0 | 0 | 13136 | 0 | 266912 | 0 | 0 | 0 |
| Pasquale A Picco | |||||||||||||
| 430242 | 0 | 92557 | 0 | 1460 | 0 | 7350 | 0 | 0 | 0 | 531609 | 0 | 0 | 0 |
| Irvin C Oh | |||||||||||||
| 479048 | 0 | 5000 | 0 | 671 | 0 | 0 | 0 | 12052 | 0 | 496771 | 0 | 0 | 0 |
| Anthony F Yacona | |||||||||||||
| 313983 | 0 | 1250 | 0 | 3598 | 0 | 450 | 0 | 5685 | 0 | 324966 | 0 | 0 | 0 |
| Andres I Rubert | |||||||||||||
| 258848 | 0 | 5000 | 0 | 2322 | 0 | 4331 | 0 | 6314 | 0 | 276815 | 0 | 0 | 0 |
| Richard V Welles | |||||||||||||
| 231912 | 0 | 0 | 0 | 2121 | 0 | 3892 | 0 | 16418 | 0 | 254343 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 5 | ReturnReference |
| Explanation | Subject to incentive compensation limitations, primary care incentive compensation is based on the amount by which the number of Relative Value Units (RVU's) performed by Physician during any full calendar year exceeds targeted RVU's. Subject to incentive compensation limitations, specialist incentive compensation is based on a percentage of the amount by which adjusted gross revenues of the practice exceed expenses for the practice. Executive performance-based variable compensation is based on performance indicators established annually by the Administrative Team and approved by the Executive Compensation Committee. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | William Veazey | NamePerson |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $20,000 | OriginalPrincipalAmount |
| Balance Due | 8000 | BalanceDue |
| Default | 1 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 8000 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | Yes, St. James Mercy Health System is the sole member. | |
| Form 990, Part VI, Section A, line 7a | Yes, governance decisions are made by the board of St. James Mercy Hospital and then forwarded for final approval to St. James Mercy Health System Board. | |
| Form 990, Part VI, Section A, line 7b | Yes, all decisions are made by the Board of St. James Mercy Hosptial and then forwarded for approval by St. James Mercy Health System Board | |
| Form 990, Part VI, Section B, line 11 | A copy of the Form 990 was given to each board member before it was filed. St. James Mercy Health System Board has designated the Audit and Compliance Committee as the group to be educated and to review each entity return. The Audit and Compliance committee reviewed the 2010 990's for St. James Heath System, St. James Foundation and St. James Hospital on September 27, 2011. | |
| St. James Mercy Hospital has adopted CHE's Policy 103 setting forth the organization's conflict of interest policy and processes. Annually, all those serving St. James Mercy Hospital in a fiduciary capacity, including directors, officers, Sponsors Council representatives, 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 Chair. Summary information is reported to the entire board and available to the board throughout the year as business comes before the board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the board or an appropriate committee thereof comprised of disinterested 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 Boards 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 | |
| St. James Mercy Hospital has adopted CHE's process for determining compensation includes the following: The board has an independent committee review and approves all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing CHE 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 program 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 B, line 15 | |
| Organizational Articles of Incorporation, Corporate Bylaws, governance policies believed to be of interest to the public, conflict of interest policy, audited financial statements; annual community benefit report and IRS Form 990 are available to the public upon request. | Form 990, Part VI, Section C, line 19 | |
| Changes in Net Assets or Fund Balances: | Net unrealized gains on investments: 761,090. Intercompany transactions 22,098. Grant funded capital additions 190,543. Contribution and investment income allocation 30,954. Net assets released from restrictions -46,514. Total to Form 990, Part XI, Line 5: 958,171. | Form 990, Part XI, line 5: |
| This return has been amended to properly reflect Robert Whelpley, M.D.'s compensation reported on Form 990, Part VII and Schedule J, Part II. | Form 990, Box B: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (113 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |
| 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 Acquistion 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 | MRI Services | 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 | Fund Raising | PA | 501(c)(3) | Line 11b, II | Mercy Health System of Southeastern Pennsylvania | 0 | |
| Mercy Health Plan | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 222483605 | Health Plans | PA | 501(c)(3) | Line 11b, II | Mercy Health System of Southeastern Pennsylvania | 0 | |
| Mercy Health System of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232212638 | Management & Support Services | PA | 501(c)(3) | Line 11b, II | Catholic Health East | 0 | |
| Mercy Home Health | |||||||||||
| 1001 Baltimore Pike Suite 310 | Springfield | PA | 19064 | 231352099 | Home Health | PA | 501(c)(3) | Line 9 | Mercy Health System of Southeastern Pennsylvania | 0 | |
| Mercy Home Health Services | |||||||||||
| 1001 Baltimore Pike Suite 301 | Springfield | PA | 19064 | 232325058 | Home Health | PA | 501(c)(3) | Line 11b, II | Mercy Health System of Southeastern Pennsylvania | 0 | |
| Mercy Management of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232627944 | Physician Practices | PA | 501(c)(3) | Line 11b, II | Mercy Health System of Southeastern Pennsylvania | 0 | |
| Mercy Suburban Hospital | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 231396763 | Acute Care Hospital | PA | 501(c)(3) | Line 3 | Mercy Health System of Southeastern Pennsylvania | 0 | |
| Nazareth Health Care Foundation | |||||||||||
| 2701 Holme Avenue | Philadelphia | PA | 19152 | 232300951 | Fund Raising | 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 | Fund Raising | 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 | Supporting Organization | 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 Raod | 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 Francisan 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 Francisan 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 | 0 | N/A | |
| 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 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (22 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|
| Catherine Horan Building Limited Partnership | ||||||||
| 1221 Main Street Room 108 | Holyoke | MA | 010400000 | 042723429 | Property Management | MA | N/A | |
| AmeriHealth Mercy Health Plan | ||||||||
| 200 Stevens Drive Suite 350 | Philadelphia | PA | 19113 | 232859523 | Medicaid Managed Care Organization | PA | N/A | 0.50000 |
| Amerihealth Mercy of Indiana LLC | ||||||||
| 200 STEVENS DRIVE Suite 350 | Philadelphia | PA | 19113 | 204948091 | PREPAID HEALTH CARE SERVICES | IN | N/A | 0.50000 |
| East Norriton Medical Associates | ||||||||
| 2701 Dekalb Pike | Norristown | PA | 19401 | 232319531 | Medical Office Building | PA | N/A | 0.12560 |
| East Norriton Medical Associates | ||||||||
| 2701 Dekalb Pike | Norristown | PA | 19401 | 232319531 | Medical Office Building | PA | N/A | 0.40930 |
| Gateway Health Plan | ||||||||
| 300 Grant Street | Pittsburgh | PA | 15219 | 251691945 | Medicaid & Medicare/Special Needs Managed Care Organization | PA | N/A | 0.50000 |
| Keystone Mercy Health Plan | ||||||||
| 100 Stevens Drive | Philadelphia | PA | 19113 | 232842344 | Medicaid Managed Care Organization | PA | N/A | 0.50000 |
| Langhorne MOB Partners LP | ||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232622772 | Investment and operation of a medical building | PA | N/A | 0.28956 |
| SMMC MOB II LP | ||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 364559869 | Investment and operation of a medical building | PA | N/A | 0.74520 |
| MercyManor Partnership | ||||||||
| PO Box 10086 | Toledo | OH | 436990086 | 521931012 | Nursing Home | PA | N/A | 0.50000 |
| Nazareth Medical Office Building Associates LP | ||||||||
| c/o Nazareth Hospital 2601 Holme Av | Philadelphia | PA | 19152 | 232388040 | Medical Office Building | PA | N/A | 0.01000 |
| Nazareth Medical Office Building Associates LP | ||||||||
| c/o Nazareth Hospital 2601 Holme Av | Philadelphia | PA | 19152 | 232388040 | Medical Office Building | PA | N/A | 0.47460 |
| St Agnes Long Term Intensive Care LLP | ||||||||
| 1900 S Broad Street | Philadelphia | PA | 19145 | 200984882 | Long Term Intensive Care | PA | N/A | 0.60000 |
| St Agnes Long Term Intensive Care LLP | ||||||||
| 1900 S Broad Street | Philadelphia | PA | 19145 | 200984882 | Long Term Intensive Care | PA | N/A | 0.40000 |
| St Peter's Ambulatory Surgery Center LLC | ||||||||
| 1375 Washington Avenue Ste 201 | Albany | NY | 12206 | 460463892 | Surgery | NY | N/A | 0.34750 |
| Outpatient Surgical Management LLC | ||||||||
| 5673 Peachtree Dunwoody Rd Ste 550 | Atlanta | GA | 30342 | 208004929 | Outpatient Medical Services | GA | N/A | 0.51000 |
| CV Partners LLC | ||||||||
| 5665 Peachtree Dunwoody Road | Atlanta | GA | 303421764 | 263881202 | Outpatient Medical Services | GA | N/A | 0.50000 |
| Gwinnett Cardiovascular Servies LLC | ||||||||
| 1000 Medical Center Boulevard | Lawrenceville | GA | 30045 | 263870307 | Cardiology | GA | N/A | 0.50000 |
| Central New Jersey Heart Services LLC | ||||||||
| 10720 Sikes Places Ste 300 | Charlotte | NC | 28277 | 208525458 | Cardiac Program | NJ | N/A | 0.63905 |
| Physicians Outpatient Surgery Center LLC | ||||||||
| 1000 NE 56th | Oakland Park | FL | 33334 | 352325646 | Ambulatory Surgery Center | FL | N/A | 0.73000 |
| Center for Surgery & Digestive Orders | ||||||||
| 3641 South Miami Avenue | Miami | FL | 33133 | 510438152 | Outpatient Medical Services | FL | N/A | 0.50000 |
| SJV Management LLC | ||||||||
| 200 Century Pkwy Ste 200E | Mount Laurel | NJ | 08054 | 202273476 | Medical Services | NJ | N/A | 0.50000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (36 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Province Or StateAddressForeign/ProvinceOrState | Postal CodeAddressForeign/PostalCode |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||||
| Insurance | N/A | C | 11 Victoria Street | Hamilton | BD | BD | ||||||||
| LifeCare Physicians PC | ||||||||||||||
| 601 Hamilton Avenue | trenton | NJ | 086291986 | 261649038 | Health Care Services | NJ | N/A | C | ||||||
| Multicare Plus Inc | ||||||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 086291986 | 223435844 | Inactive | NJ | N/A | C | ||||||
| Langhorne Services II Inc | ||||||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 190470000 | 253795549 | General Partner of LMOB Partners, II | PA | N/A | C | ||||||
| Langhorne Services Inc | ||||||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 190470000 | 232625981 | General Partner of LMOB Partners | PA | N/A | C | ||||||
| AMHP Holdings Corp | ||||||||||||||
| 200 Stevens Drive | Philadelphia | PA | 19113 | 261144363 | Behavorial Health | PA | N/A | C | ||||||
| Select Health of South Carolina Inc | ||||||||||||||
| 4390 Belle Oaks Drive Suite 400 | Charleston | SC | 29405 | 571032456 | Health Maintenance Organization | SC | N/A | C | ||||||
| Gateway Health Plan Inc | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251505506 | Health Care | PA | N/A | C | ||||||
| Gateway Health Plan Inc of Ohio | ||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 300282076 | Health Care | PA | N/A | C | ||||||
| MCMC Eastwick Inc | ||||||||||||||
| c/o MHS One West Elm Street | Conshohocken | PA | 19428 | 232184261 | Medical Office Buildings | PA | N/A | C | ||||||
| Community Behavorial Healthcare Network of PA Inc | ||||||||||||||
| 8040 Carlson Road | Harrisburg | PA | 17112 | 251765391 | Behavorial Health | PA | N/A | C | ||||||
| Health Management Services Org Inc | ||||||||||||||
| 500 Grove Street Suite 100 | Haddon Heights | NJ | 08035 | 223366580 | Health Care Billing | NJ | N/A | C | ||||||
| Jeannette Medical Providers | ||||||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 251787334 | Holding Company | PA | N/A | C | ||||||
| Jeannette OBGYN Group 1 Inc | ||||||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 232890748 | Holding Company | PA | N/A | C | ||||||
| Jeannette Primary Care Group 1 Inc | ||||||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 232890743 | Holding Company | PA | N/A | C | ||||||
| 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 Pkly | Bogart | GA | 30622 | 582276801 | Assisted Living | GA | N/A | C | ||||||
| GHE Physicians PC | ||||||||||||||
| 3500 Piedmont Road | Atlanta | GA | 30305 | 582277939 | Practice Management | GA | N/A | C | ||||||
| Nursing Network Inc | ||||||||||||||
| 4725 North Federal Highway | Fort Lauderdale Highwa | FL | 333080000 | 591145192 | Medical Services | FL | N/A | C | ||||||
| Mercy Physician Group Inc | ||||||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 202970015 | Health Care | FL | N/A | C | ||||||
| Stella Maris Insurance Company Limited | ||||||||||||||
| 980078266 | Insurance | N/A | C | PO Box 69 | Grand Cayman | CJ | CJ | Cayman Islands | KY1-1102 | |||||
| Catholic Health East Senior Services | ||||||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 371572595 | Senior Services | PA | N/A | C | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Catholic Health East | ||
| C | 59583 | Fair Market Value |
| St James Mercy Foundation Inc | ||
| P | 29500 | Fair Market Value |