2024-08-26T10:19:17-05:00 2023-10-19 990EZ 2023-07-01 222483605 MERCY HEALTH PLAN MERC 6105676000 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 KIMBERLY CUMMINGS REG VP OF FINANCE & CFO 6105676000 2024-08-26 1 2023 2024-08-08 14:25:15Z X X X WWW.TRINITYHEALTHMA.ORG X X 0 0 0 0 0 0 0 0 0 0 0 0 0 X TO OWN AND OPERATE ARRANGEMENTS FOR THE DELIVERY OF HEALTH CARE SERVICES BY HOSPITALS, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS MERCY HEALTH PLAN WOUND DOWN OPERATIONS IN OCTOBER 2023.BEFORE CLOSURE, MERCY HEALTH PLAN CARRIED OUT ITS MISSION THROUGH ITS OWNERSHIP AND PARTICIPATION IN A PARTNERSHIP THAT OPERATES HEALTH MAINTENANCE ORGANIZATIONS FOR MEDICAID ENROLLEES AND MEDICAID/MEDICARE DUAL ELIGIBLES WITH SPECIAL NEEDS. THE PARTNERSHIP, GATEWAY HEALTH PLAN, PROVIDES 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 PARTNERSHIP PARTICIPATES 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.THROUGH THESE ACTIVITIES, MERCY HEALTH PLAN FACILITATED THE PROVISION OF HEALTH CARE SERVICES TO LOWER INCOME INDIVIDUALS AND OTHERS HAVING SPECIAL NEEDS, AND THEREBY CARRIED OUT THE SECTION 501(C)(3) CHARITABLE PURPOSE OF PROVIDING RELIEF TO THE POOR AND DISTRESSED AND LESSENING THE BURDENS OF GOVERNMENT. 0 0 0 X REBECCA KERCHNER DIRECTOR; CHAIR 0.20 0 0 0 VINCE GORDON DIRECTOR; VICE CHAIR 0.20 0 0 0 JAMES WOODWARD DIR; PRES & CEO MID-ATLANTIC REGION 0.20 0 0 0 TALYANA BROMBERG J D DIRECTOR 0.20 0 0 0 MARK BRUCKER DIRECTOR 0.20 0 0 0 BARBARA BUCKLEY RSM DIRECTOR 0.20 0 0 0 MICHELLE CALOPE DIRECTOR 0.20 0 0 0 MARTINA DEIGNAN DIRECTOR 0.20 0 0 0 JOSEPH DESANTIS DIRECTOR 0.20 0 0 0 KATHRYN DOUGHERTY OSF DIRECTOR 0.20 0 0 0 HIRAL FONTANILLA MD DIRECTOR 0.20 0 0 0 MARIANNE GRACE DIRECTOR 0.20 0 0 0 X 0 0 0 0 1 0 0 0 0 0 0 0 0 0 ROBERT BROWN 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 6108866673 0 0 0 0 0 1 0 0 0 0 0 NONE 0 NONE 0 1 X X 3 NAZARETH HOSPITAL 232794121 3 0 0 0 MERCY CATHOLIC MEDICAL CENTER 231352191 3 0 0 0 MERCY SUBURBAN HOSPITAL 231396763 3 0 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, LINE 1: MERCY HEALTH PLAN'S SUPPORTED ORGANIZATIONS ARE NOT LISTED BY NAME IN THE GOVERNING DOCUMENTS, BUT ARE DESIGNATED BY PURPOSE. THE PURPOSE OF MERCY HEALTH PLAN AS STATED IN ITS GOVERNING DOCUMENTS IS TO CARRY ON, SPONSOR, OR PARTICIPATE DIRECTLY OR THROUGH ONE OR MORE AFFILIATES, IN ANY ACTIVITIES RELATED TO THE DELIVERY OF HEALTH CARE AND HEALTH CARE RELATED SERVICES WHICH ARE APPROPRIATE IN CARRYING OUT THE HEALTH CARE MISSION OF CATHOLIC HEALTH MINISTRIES AND TRINITY HEALTH. ITS SPECIFIC PURPOSES ARE TO DEVELOP, OWN, MANAGE AND OPERATE ARRANGEMENTS FOR THE DELIVERY OF HEALTH CARE SERVICES BY HOSPITALS, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS. THE SUPPORTED ORGANIZATIONS LISTED IN PART I, LINE 12 ARE AFFILIATES OF TRINITY HEALTH AND QUALIFY AS SEC. 509(A)(1) PUBLIC CHARITIES, AND SHARE THE EXEMPT PURPOSES OF MERCY HEALTH PLAN AND TRINITY HEALTH. PART IV, SECTION A, LINE 2: MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA, AND MERCY SUBURBAN HOSPITAL DO NOT HAVE AN IRS DETERMINATION OF STATUS UNDER SECTION 509(A)(1); THEY HAVE BEEN RECOGNIZED AS EXEMPT UNDER SECTION 501(C)(3) UNDER GROUP EXEMPTION NO. 0928 AND ARE LISTED IN THE OFFICIAL CATHOLIC DIRECTORY. EACH OF THESE ORGANIZATIONS IS A PUBLIC CHARITY AS DESCRIBED IN SECTION 509(A)(1) BECAUSE THEY ARE HOSPITALS AS DESCRIBED UNDER SECTION 170(B)(1)(A)(III). ORGANIZATION HAS NO ASSETS. ASSETS WERE DISTRIBUTED AND REPORTED ON SCHEDULE N, PART II IN A PRIOR YEAR 0 0 0 0 0 1 1 1 1 0 THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.