COMMUNITY MERCY HEALTH PARTNERS: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY MERCY HEALTH PARTNERS (EIN 31-0785684)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-14
IRS object ID: 201743189349306854
Schema version: 2016v3.0
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)
Return	2017-11-14T14:00:38-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	312 Walnut Street Suite 300	AddressLine1Txt
City	Cincinnati	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	310785684	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Community Mercy Health Partners	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COMM	BusinessNameControlTxt
Phone	9373287000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Medical Center Drive	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	455031832	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	William Kusnierz	PersonNm
Person Title	Region CFO	PersonTitleTxt
Signature	2017-11-07	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Aaron Hershberger	PreparerPersonNm
PTIN	P00961884	PTIN
Phone	5136218300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Springfield Regional Medical Center	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MATTHEW CALDWELL PRESIDENT & CEO	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Medical Center Drive	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	455031832	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$303,525,092	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COMMUNITY-MERCY.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF COMMUNITY MERCY HEALTH PARTNERS IS TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2640	TotalEmployeeCnt
Total Volunteers	1000	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$688,399	PYContributionsGrantsAmt
CY Contributions Grants	$640,679	CYContributionsGrantsAmt
PY Program Service Revenue	$297,008,842	PYProgramServiceRevenueAmt
CY Program Service Revenue	$298,370,080	CYProgramServiceRevenueAmt
PY Investment Income	$1,818,989	PYInvestmentIncomeAmt
CY Investment Income	$2,000,456	CYInvestmentIncomeAmt
PY Other Revenue	$2,835,859	PYOtherRevenueAmt
CY Other Revenue	$2,513,877	CYOtherRevenueAmt
PY Total Revenue	$302,352,089	PYTotalRevenueAmt
CY Total Revenue	$303,525,092	CYTotalRevenueAmt
PY Grants And Similar Paid	$67,236	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$16,466	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$125,855,951	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$134,612,424	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$163,912,823	PYOtherExpensesAmt
CY Other Expenses	$165,936,840	CYOtherExpensesAmt
PY Total Expenses	$289,836,010	PYTotalExpensesAmt
CY Total Expenses	$300,565,730	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,516,079	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,959,362	CYRevenuesLessExpensesAmt
Total Assets BOY	$408,504,569	TotalAssetsBOYAmt
Total Assets EOY	$403,949,224	TotalAssetsEOYAmt
Total Liabilities BOY	$188,278,746	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$179,133,887	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$220,225,823	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$224,815,337	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF COMMUNITY MERCY HEALTH PARTNERS IS TO CARRY OUT THE MERCY HEALTH MISSION WITHIN OUR COMMUNITY BY PROVIDING SAFE, EFFECTIVE, PATIENT/RESIDENT CENTERED, TIMELY AND COST EFFICIENT CARE AND EDUCATION TO MEET THE HEALTH NEEDS OF ALL PEOPLE, ESPECIALLY THE POOR AND UNDER-SERVED. OUR COMMITMENT TO THIS HEALING MINISTRY WILL BE EVIDENCED BY EXCEPTIONAL CARE, COMPASSION, AND RESPECT FOR THE DIVERSE RELIGIOUS BELIEFS AND FAITH TRADITIONS OF THOSE WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$263,910,670	ExpenseAmt
Grant	$16,466	GrantAmt
Revenue	$298,370,080	RevenueAmt
Desc	COMMUNITY MERCY HEALTH PARTNERS IS COMMITTED TO DELIVERING EXCEPTIONAL CARE AND COMPASSION AS IT SEEKS TO MEET THE HEALTH CARE NEEDS OF ALL PEOPLE, ESPECIALLY THE POOR AND UNDER-SERVED. DURING 2016 COMMUNITY MERCY HEALTH PARTNERS PROVIDED $12,815,116 IN NET COMMUNITY BENEFITS REPRESENTING 4.3% OF TOTAL OPERATING EXPENSES.	Desc
Total Program Service Expenses	$263,910,670	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2640	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TRAVIS CRUM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5139525000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1701 Mercy Health Place	AddressLine1Txt
City	CINCINNATI	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45237	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PIUS KURIAN MD
CHAIR	1.0	1.5	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH R JACKSON
VICE CHAIR	1.0	1.5	Yes (X)	Yes (X)	$0	$0	$0
WENDY H DOOLITTLE
Secretary	1.0	1.5	Yes (X)	Yes (X)	$0	$0	$0
JAMES N DOYLE
TRUSTEE (OFF 2/16)	1.0	1.5	Yes (X)		$0	$0	$0
RAVI C KHANNA MD
TRUSTEE	1.0	1.5	Yes (X)		$0	$0	$0
MARK B ROBERTSON
TRUSTEE	1.0	1.5	Yes (X)		$0	$0	$0
REV DARRYL L GRAYSON
TRUSTEE	1.0	1.5	Yes (X)		$0	$0	$0
KATHLEEN M HUGHES
TRUSTEE (OFF 7/16)	1.0	1.5	Yes (X)		$0	$0	$0
WILLIAM H RAY
TRUSTEE	1.0	2.5	Yes (X)		$0	$0	$0
SR CHERYL ERB RSM
TRUSTEE	0.5	3.0	Yes (X)		$0	$0	$0
BRIAN SMITH
TRUSTEE (BEGIN 5/16), EVP & COO, MERCY HEALTH	1.0	47.5	Yes (X)		$0	$1,036,023	$74,867
Surender NERAVETLA MD
TRUSTEE	1.0	1.5	Yes (X)		$0	$0	$0
DEANNA L BROUGHER
TRUSTEE	1.0	1.5	Yes (X)		$0	$0	$0
JOHN STARCHER JR JD
Trustee, President & CEO Mercy Health (END 5/16)	1.0	53.0	Yes (X)		$0	$1,685,517	$43,882
JOSEPH MORMAN MD
TRUSTEE	1.0	1.5	Yes (X)		$0	$0	$0
PAUL HILTZ
Pres/CEO Springfield Region, SVP Mercy Health (END 12/16)	40.0	5.0		Yes (X)	$384,006	$0	$134,344
WILLIAM KUSNIERZ
VP, CFO & TREASURER	40.0	1.5		Yes (X)	$0	$329,860	$41,142
MATTHEW CALDWELL
Pres/CEO Springfield Region, SVP Mercy Health (BEGIN 12/16)	40.0	1.0		Yes (X)	$62,805	$0	$3,461
GARY HAGENS
VP, COO - VPMA	40.0	0			$357,979	$0	$8,312	Yes (X)
SHERRY NELSON
VP Chief Nursing Officer	40.0	0			$261,674	$0	$35,151	Yes (X)
DONALD B JOHNSON MD
CHIEF CLINICAL OFFICER	40.0	0.5			$298,603	$0	$13,419	Yes (X)
JENELLE ZELINSKI
ASSISTANT CFO	40.0	0			$190,675	$0	$35,002		Yes (X)
PAMELA ALLEN
Director, Pharmacy	40.0	0			$179,650	$0	$20,863		Yes (X)
MICHELLE ADKINS
DIRECTOR, CLINICAL SERVICES	40.0	0			$165,937	$0	$28,983		Yes (X)
MARYANN MCQUARRIE
DIRECTOR, CLINICAL SERVICES	40.0	0			$152,955	$0	$17,601		Yes (X)
ELIZABETH PRICE
SUPERVISOR NURSING	40.0	0			$144,923	$0	$18,075		Yes (X)
KATRINA ENGLISH
FORMER KEY EMPLOYEE	0.0	56.5			$0	$306,896	$77,373			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,199,207	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,358,296	TotReportableCompRltdOrgAmt
Total Other Compensation	$552,475	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	55	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$640,679	RelatedOrganizationsAmt
Total Contributions	$640,679	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621990	$296,364,137	$296,364,137
INCOME FROM JV'S AND PARTNERSHIPS	900099	$703,872	$703,872
rental income from affiliates	531120	$915,840	$915,840
Intercompany	900099	$386,231	$386,231

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$298,370,080	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$547,460	TotalRevenueColumnAmt
Exclusion	$547,460	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,069,030	SecuritiesAmt
Other	$383,966	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,069,030	SecuritiesAmt
Other	$383,966	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,452,996	TotalRevenueColumnAmt
Exclusion	$1,452,996	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722514	$946,132	$946,132
HITECH stimulus funds	900099	$250,630	$250,630
Other Revenues	900099	$1,317,115	$1,317,115

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,513,877	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$303,525,092	TotalRevenueColumnAmt
Related Or Exempt Func Income	$298,370,080	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$4,514,333	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$16,466	TotalAmt
Program Services	$16,466	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,559,754	TotalAmt
Program Services	$1,325,791	ProgramServicesAmt
Management And General	$233,963	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$108,459,103	TotalAmt
Program Services	$92,190,237	ProgramServicesAmt
Management And General	$16,268,866	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,120,565	TotalAmt
Program Services	$4,352,480	ProgramServicesAmt
Management And General	$768,085	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,095,354	TotalAmt
Program Services	$10,281,051	ProgramServicesAmt
Management And General	$1,814,303	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,377,648	TotalAmt
Program Services	$6,271,001	ProgramServicesAmt
Management And General	$1,106,647	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$121,918	TotalAmt
Management And General	$121,918	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$18,294	TotalAmt
Management And General	$18,294	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$75,947,350	TotalAmt
Program Services	$66,450,654	ProgramServicesAmt
Management And General	$9,496,696	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,355,107	TotalAmt
Program Services	$3,701,841	ProgramServicesAmt
Management And General	$653,266	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,965,845	TotalAmt
Program Services	$6,770,968	ProgramServicesAmt
Management And General	$1,194,877	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$565,856	TotalAmt
Program Services	$480,978	ProgramServicesAmt
Management And General	$84,878	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,714,767	TotalAmt
Program Services	$5,707,552	ProgramServicesAmt
Management And General	$1,007,215	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$18,031,235	TotalAmt
Program Services	$15,326,550	ProgramServicesAmt
Management And General	$2,704,685	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,008,848	TotalAmt
Program Services	$1,707,521	ProgramServicesAmt
Management And General	$301,327	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$37,911,094	$37,911,094
state assessments	$4,375,428	$4,375,428
membership dues	$498,740	$423,929	$74,811
Dietary & laboratory supplies	$5,508,247	$5,508,247

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,914,111	TotalAmt
Program Services	$1,108,882	ProgramServicesAmt
Management And General	$805,229	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$300,565,730	TotalAmt
Program Services	$263,910,670	ProgramServicesAmt
Management And General	$36,655,060	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,908,077	BOYAmt
EOY	-$47,296	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$361,987	BOYAmt
EOY	$203,240	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$85,529,228	BOYAmt
EOY	$83,956,422	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,642,057	BOYAmt
EOY	$1,824,975	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,819,568	BOYAmt
EOY	$6,486,815	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$305,039	BOYAmt
EOY	$419,469	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$394,356,027	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$163,748,586	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$235,614,216	BOYAmt
EOY	$230,607,441	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$74,691,483	BOYAmt
EOY	$78,952,255	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,632,914	BOYAmt
EOY	$1,545,903	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$408,504,569	BOYAmt
EOY	$403,949,224	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$33,717,930	BOYAmt
EOY	$29,982,278	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$151,171,008	BOYAmt
EOY	$146,907,840	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,389,808	BOYAmt
EOY	$2,243,769	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$188,278,746	BOYAmt
EOY	$179,133,887	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$219,720,294	BOYAmt
EOY	$224,307,027	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$221,553	BOYAmt
EOY	$224,334	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$283,976	BOYAmt
EOY	$283,976	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$220,225,823	BOYAmt
EOY	$224,815,337	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$408,504,569	BOYAmt
EOY	$403,949,224	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,959,362	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,676,516	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,046,364	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (true)	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$1,427	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,775	OtherActivitiesAmt
Total Lobbying Expenditures	$3,202	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

LOBBYING ACTIVITIES PERFORMED INCLUDE BOTH THE USE OF VOLUNTEERS ENCOURAGED TO WRITE LETTERS TO PUBLIC OFFICIALS ON ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE TO PROVIDE HEALTH SERVICES TO THE COMMUNITIES SERVED, AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. PAID MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDUM, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS REGARDING ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE PROVIDING HEALTHCARE SERVICES TO ITS PATIENTS AND TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. PAID STAFF MEMBERS HAVE, ON LIMITED OCCASIONS, WRITTEN TO LEGISLATORS ON SUCH ISSUES. THE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE THE ORGANIZATION'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT OUR SYSTEM. THE ORGANIZATION FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND OUR HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES WE SERVE. TO CARRY OUT THESE EFFORTS, THE ORGANIZATION PARTNERS WITH EXPERT CONSULTANTS AND PROFESSIONAL TRADE ASSOCIATIONS TO BUILD AWARENESS AND EXECUTE SPECIFIC STRATEGIES THAT WILL YIELD A FAVORABLE OUTCOME FOR PATIENT CARE IN THE ORGANIZATION'S FACILITIES WHERE THEY ARE TREATED.

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,275,076	OtherCostOrOtherBasisAmt
Book Value	$24,275,076	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$240,976,746	OtherCostOrOtherBasisAmt
Depreciation	$68,931,103	DepreciationAmt
Book Value	$172,045,643	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$128,009,438	OtherCostOrOtherBasisAmt
Depreciation	$94,817,483	DepreciationAmt
Book Value	$33,191,955	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,094,767	OtherCostOrOtherBasisAmt
Book Value	$1,094,767	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$230,607,441	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	MERCY HEALTH INVESTMENT MANAGEMENT PROGRAM	Desc
Book Value	$78,952,255	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$78,952,255	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	OTHER	Desc
Amt	$2,243,769	Amt

Field	Value	IRS element (for citing)
Total Liability	$2,243,769	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	THE COMPANY [MERCY HEALTH AND AFFILIATED ENTITIES] COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2016 AND 2015, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2016 OR 2015.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$918,257	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$918,257	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,801,367	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,558,947	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,242,420	NetCommunityBenefitExpnsAmt
Total Expense	0.0374	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$63,719,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,477,204	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,242,420	NetCommunityBenefitExpnsAmt
Total Expense	0.0374	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$636,029	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	-$8,142	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$644,171	NetCommunityBenefitExpnsAmt
Total Expense	0.0021	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$841,177	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$841,177	NetCommunityBenefitExpnsAmt
Total Expense	0.0028	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$418,889	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$353,314	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,575	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,973	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,773	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,918,068	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$345,372	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,572,696	NetCommunityBenefitExpnsAmt
Total Expense	0.0052	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$65,637,692	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,822,576	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,815,116	NetCommunityBenefitExpnsAmt
Total Expense	0.0426	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,322	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,322	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$625	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$625	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$33,947	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,947	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$25,874,034	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$56,488,834	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$58,370,652	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,881,818	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Mercy Medical Office Condominium Association
Real Property Management	0.496	0.0	0.504
Northpark Condominium Association
Real Property Management	0.55	0.0	0.45

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
SPRINGFIELD REGIONAL MEDICAL CENTER
1	100 Medical Center Drive	SPRINGFIELD	OH	45504	www.mercy.com/springfield	1122AHR	Yes (X)	Yes (X)	Yes (X)	A
MERCY MEMORIAL HOSPITAL
2	904 SCIOTO STREET	URBANA	OH	43078	www.mercy.com/springfield	1121AHR	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	www.mercy.com/global/about-us/community-benefit	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.mercy.com/gobal/about-us/community-benefit	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.mercy.com/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.mercy.com/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.mercy.com/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - Springfield Regional Medical Center. SPRINGFIELD REGIONAL MEDICAL CENTER ("SRMC") PARTICIPATED IN A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS COORDINATED BY THE CLARK COUNTY CHNA STAKEHOLDER GROUP ("STAKEHOLDER GROUP" OR "GROUP"). THE STAKEHOLDER GROUP CONSISTED OF SRMC, CLARK COUNTY COMBINED HEALTH DISTRICT ("CCCHD"), MENTAL HEALTH AND RECOVERY BOARD OF CLARK, GREENE, AND MADISON COUNTIES, AND ROCKING HORSE CENTER. THE GROUP WORKED TOGETHER TO GATHER DATA AND ANALYZE THE CURRENT HEALTH CARE NEEDS IN THE REGION. REGIONAL DATA WAS ACCUMULATED THROUGH RANDOM ADULT TELEPHONE SURVEYS, A YOUTH RISK BEHAVIOR SURVEY WITHIN CLARK COUNTY LOCAL SCHOOLS, AND ORGANIZATIONAL SURVEYS DISTRIBUTED WITHIN THE COMMUNITY. THE SURVEYS TOOK PLACE BETWEEN MAY 2015 TO OCTOBER 2015. THE STAKEHOLDER GROUP USED THE COMMUNITY HEALTH ASSESSMENT AND GROUP EVALUATION (CHANGE) TOOL DEVELOPED BY THE CDC TO EVALUATE THE COMMUNITY-AT-LARGE. THE CHANGE TOOL WAS CONDUCTED AMONG SEVERAL AT-RISK NEIGHBORHOODS WITH THE MOST HEALTH DISPARITIES. CCCHD COMPLETED A "YOUTH RISK SURVEY COMPARISON CLARK 2015 VS. CLARK 2011 VS. OHIO 2011 VS. US 2011" IN OCTOBER 2015. SRMC AND MERCY MEMORIAL HOSPITAL SPONSORED A HEALTH CARE SUMMIT IN OCTOBER 2015. COMMUNITY LEADERS FROM CLARK AND CHAMPAIGN COUNTIES WERE INVITED TO IDENTIFY HEALTHCARE ISSUES WITHIN THE COMMUNITY. DATA WAS PRESENTED AT A LARGE COMMUNITY MEETING IN JANUARY 2016, AND COMMUNITY PARTNERS WERE ASSIGNED A TASK FORCE TO IDENTIFY NEEDS, OBJECTIVES, AND WORK PLANS. MORE THAN 20 LARGE COMMUNITY AND TASK FORCE MEETINGS WERE HELD BETWEEN MARCH 2016 TO JUNE 2016. ATTENDEES INCLUDED THOSE WHO PREDOMINANTLY SERVE THE POOR AND THE MOST AT-RISK POPULATIONS. MEMBERS OF THE FOLLOWING ORGANIZATIONS ATTENDED THE COMMUNITY AND TASK FORCE MEETINGS: ALZHEIMBER'S ASSOCIATION OF MIAMI VALLEY, CARESOURCE, CLARK COUNTY DEPARTMENT OF JOB & FAMILY SERVICES, CLARK COUNTY EMA, CLARK COUNTY JAIL, CLARK COUNTY JUVENILE COURT, CLARK STATE UNIVERSITY, COMMUNITY HEALTH FOUNDATION, FAMILY AND CHILDREN FIRST COUNCIL, MENTAL HEALTH AND RECOVERY BOARD OF CLARK, GREEN, AND MADISON COUNTIES, NATIONAL TRAILS AND PARK DISTRICT, OHIO HOUSE OF REPRESENTATIVES, OHIO STATE UNIVERSITY EXTENSION OFFICE, PARENT ADVOCACY CONNECTION, PLANNED PARENTHOOD AND FAMILIES, ROCKING HORSE CENTER, SPRINGFIELD CITY SCHOOL DISTRICT, SPRINGFIELD FOUNDATION, SPRINGFIELD SOUP KITCHEN, SPRINGFIELD YMCA, UNITED SENIOR SERVICES, UNITED WAY, URBAN LIGHT MINISTRIES, WITTENBERG UNIVERSITY, AND WRIGHT STATE UNIVERSITY. STATISTICS THAT WERE DEEMED TO BE CAUSING THE MOST HEALTH DISPARITIES AND AFFECTING INDIVIDUAL AREAS AND POPULATIONS THE MOST WERE ANALYZED SEPARATELY. THE STATISTICS ("CONCERNING STATISTICS") WERE GROUPED BY TOPIC, FOCUS, AND MEASURE ACCORDING TO THE COUNTY HEALTH RANKINGS SYSTEM, AND SCORED BY AREA, AGE, AND POPULATION. THE OVERALL SCORES WERE CALCULATED, AND THE HEALTH NEEDS WERE PRIORITIZED ACCORDINGLY. THE MOST SERIOUS ISSUES FACING THE COMMUNITY WERE IDENTIFIED TO BE: * SUBSTANCE ABUSE * MENTAL HEALTH * CHRONIC DISEASES * HEALTHY BIRTHS AND SEXUALITY * PHYSICAL ACTIVITY * NUTRITION * SMOKING CESSATION ACCESS TO CARE IS A CRITICAL COMPONENT FOR EACH ISSUE.
Schedule H, Part V, Section B, Line 5 Facility A, 2	Facility A, 2 - MERCY MEMORIAL HOSPITAL. MERCY MEMORIAL HOSPITAL, A CRITICAL ACCESS HOSPITAL, PARTICIPATED IN A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS COORDINATED BY THE CHAMPAIGN COUNTY CHNA STAKEHOLDER GROUP ("STAKEHOLDER GROUP" OR "GROUP"). THE STAKEHOLDER GROUP CONSISTED OF MERCY MEMORIAL HOSPITAL, CHAMPAIGN COUNTY HEALTH DISTRICT, CHAMPAIGN COUNTY YMCA, AND CHAMPAIGN COUNTY DRUG FREE YOUTH COALITION. REGIONAL DATA WAS ACCUMULATED THROUGH RANDOM ADULT TELEPHONE SURVEYS, A YOUTH RISK BEHAVIOR SURVEY PERFORMED IN COLLABORATION WITH CHAMPAIGN COUNTY FAMILY AND CHIDLREN FIRST COUNCIL, AND ORGANIZATIONAL SURVEYS DISTRIBUTED WITHIN THE COMMUNITY. THE SURVEYS TOOK PLACE IN THE SPRING OF 2015. THE STAKEHOLDER GROUP USED THE COMMUNITY HEALTH ASSESSMENT AND GROUP EVALUATION (CHANGE) TOOL DEVELOPED BY THE CDC TO EVALUATE THE COMMUNITY-AT-LARGE. THE CHANGE TOOL WAS CONDUCTED AMONG SEVERAL AT-RISK NEIGHBORHOODS WITH THE MOST HEALTH DISPARITIES. ADDITIONALLY, CHAMPAIGN HEALTH DISTRICT PROVIDED DATA TO IDENTIFY LOCAL HEALTH NEEDS. SPRINGFIELD REGIONAL MEDICAL CENTER AND MERCY MEMORIAL HOSPITAL SPONSORED A JOINT HEALTH CARE SUMMIT IN OCTOBER 2015. COMMUNITY LEADERS FROM CLARK AND CHAMPAIGN COUNTIES WERE INVITED TO IDENTIFY HEALTHCARE ISSUES WITHIN THE COMMUNITY. DATA WAS PRESENTED AT A LARGE COMMUNITY MEETING IN JANUARY 2016, AND COMMUNITY PARTNERS WERE ASSIGNED A TASK FORCE TO IDENTIFY NEEDS, OBJECTIVES, AND WORK PLANS. MORE THAN 20 LARGE COMMUNITY AND TASK FORCE MEETINGS WERE HELD BETWEEN MARCH 2016 TO JUNE 2016, AND INCLUDED 31 RESPRESENTATIVES ASSIGNED TO SEVEN TASK FORCES. ATTENDEES INCLUDED THOSE WHO PREDOMINANTLY SERVE THE POOR AND THE MOST AT-RISK POPULATIONS. MEMBERS OF THE FOLLOWING ORGANIZATIONS ATTENDED THE COMMUNITY AND TASK FORCE MEETINGS: CHAMPAIGN COUNTY HEALTH DISTRICT, COMMUNITY HEALTH FOUNDATION, CONSOLIDATED CARE INC., CHAMPAIGN RESIDENTIAL SERVICES, INC., CHAMPAIGN COUNTY FAMILY AND CHILDREN FIRST COUNCIL, MENTAL HEALTH, DRUG & ALCOHOL SERVICES BOARD OF LOGAN AND CHAMPAIGN COUNTIES, MERCY WELL CHILD PEDIATRICS, SUICIDE PREVENTION COALITION OF LOGAN AND CHAMPAIGN COUNTIES, UNITED WAY OF CLARK, CHAMPAIGN, AND MADISON, URBANA CITY SCHOOLS, AND CHAMPAIGN FAMILY YMCA. STATISTICS THAT WERE DEEMED TO BE CAUSING THE MOST HEALTH DISPARITIES AND AFFECTING INDIVIDUAL AREAS AND POPULATIONS THE MOST WERE ANALYZED SEPARATELY. THE STATISTICS ("CONCERNING STATISTICS") WERE GROUPED BY TOPIC, FOCUS, AND MEASURE ACCORDING TO THE COUNTY HEALTH RANKINGS SYSTEM, AND SCORED BY AREA, AGE, AND POPULATION. THE OVERALL SCORES WERE CALCULATED, AND THE HEALTH NEEDS WERE PRIORITIZED ACCORDINGLY. THE MOST SERIOUS ISSUES FACING THE COMMUNITY WERE IDENTIFIED TO BE: * MENTAL HEALTH * HEALTHY LIVING * SUBSTANCE ABUSE * YOUNG CHILD WELLNESS ACCESS TO CARE IS A CRITICAL COMPONENT FOR EACH ISSUE.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - SPRINGFIELD REGIONAL MEDICAL CENTER. SPRINGFIELD REGIONAL MEDICAL CENTER'S CHNA WAS CONDUCTED, IN PART, WITH MERCY MEMORIAL HOSPITAL.
Schedule H, Part V, Section B, Line 6a Facility A, 2	Facility A, 2 - MERCY MEMORIAL HOSPITAL. MERCY MEMORIAL HOSPITAL'S CHNA WAS CONDUCTED, IN PART, WITH SPRINGFIELD REGIONAL MEDICAL CENTER.
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - Springfield Regional Medical Center. ALZHEIMBER'S ASSOCIATION OF MIAMI VALLEY CARESOURCE CLARK COUNTY COMBINED HEALTH DISTRICT CLARK COUNTY DEPARTMENT OF JOB & FAMILY SERVICES CLARK COUNTY EMA CLARK COUNTY JAIL CLARK COUNTY JUVENILE COURT CLARK STATE UNIVERSITY COMMUNITY HEALTH FOUNDATION FAMILY AND CHILDREN FIRST COUNCIL MENTAL HEALTH AND RECOVERY BOARD OF CLARK, GREEN, AND MADISON COUNTIES NATIONAL TRAILS AND PARK DISTRICT OHIO HOUSE OF REPRESENTATIVES OHIO STATE UNIVERSITY EXTENSION OFFICE PARENT ADVOCACY CONNECTION PLANNED PARENTHOOD AND FAMILIES ROCKING HORSE CENTER SPRINGFIELD CITY SCHOOL DISTRICT SPRINGFIELD FOUNDATION SPRINGFIELD SOUP KITCHEN SPRINGFIELD YMCA UNITED SENIOR SERVICES UNITED WAY URBAN LIGHT MINISTRIES WITTENBERG UNIVERSITY WRIGHT STATE UNIVERSITY.
Schedule H, Part V, Section B, Line 6b Facility A, 2	Facility A, 2 - MERCY MEMORIAL HOSPITAL. CHAMPAIGN COUNTY HEALTH DISTRICT COMMUNITY HEALTH FOUNDATION CONSOLIDATED CARE INC. CHAMPAIGN RESIDENTIAL SERVICES, INC. CHAMPAIGN COUNTY FAMILY AND CHILDREN FIRST COUNCIL MENTAL HEALTH, DRUG & ALCOHOL SERVICES BOARD OF LOGAN AND CHAMPAIGN COUNTIES MERCY WELL CHILD PEDIATRICS NORTH LEWISBURG MAYOR SUICIDE PREVENTION COALITION OF LOGAN AND CHAMPAIGN COUNTIES UNITED WAY OF CLARK, CHAMPAIGN, AND MADISON URBANA CITY SCHOOLS CHAMPAIGN FAMILY YMCA
Schedule H, Part V, Section B, Line 7 Facility A, 1	Facility A, 1 - SPRINGFIELD REGIONAL MEDICAL CENTER, MERCY MEMORIAL HOSPITAL. A link to the CHNA for each hospital can also be found on the hospital website at www.mercy.com/springfield/about-us/community-benefit.aspx.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - Springfield Regional Medical Center. Springfield Regional Medical Center (SRMC) is addressing the significant needs identified in the most recently conducted CHNA as follows: MENTAL HEALTH SRMC continues to partner with the Clark County Mental Health Task Force to work with the State in the area of medical Mental Health Homes and managed care so our focus in on prevention. A Gatekeepers Reference Card has been developed. The Resource Card is the tool used to evaluate how many persons are referred to Mercy Health and how many of those actually sought services. Additionally, physicians were surveyed to determine how many of their patients are being treated for mental illness, depression, how many are referred to Mercy Health and what triggers a referral. MHRB advocates adoption of treatment overlay; the FQHC provides mental health services; there is an array of Mercy Health providers for adults and youth (Osterlin, Catholic Charities, Well Spring, Rocking Horse-and Medicaid is available through all providers); MHRB is beginning a focus on prevention using the Good Behavior Game (GBG) in local schools, which is also embedded in the local university's education program curriculum; A Trauma informed care initiative at SRMC; Crisis intervention training done by the board on a regular basis to first responders where focus is recognition and referral. CHRONIC DISEASE MANAGEMENT Diabetes - Established an additional ADA certified education site. The Health Resources Center opened in November of 2016 to support post discharge follow up appointments for unattached patients as well as patients with a primary care physician who are unable to be seen by their physician in a timely fashion. Congestive Heart Failure (CHF) - Following the Diabetes successful protocols, a plan was developed for post discharged CHF patients, to track weight, medication compliance, and as well as the admission rates at 30, 60 and 90 days having staffing in place 1st quarter of 2017. Asthma - The Chronic Disease Task Force decreased the number of asthma attacks that required emergency room services by implementing home-based environmental assessments/interventions. There was a 22% decrease in ER visits for asthma between 2015 and 2016. There was a 70% decrease in asthma admissions to inpatient through the ER, from 134 in 2015 to 40 admissions in 2016. Oral Health - In 2016 the first steps to decrease the number of Clark County residents with poor oral health by fluoridation of the public water supply. This included data collection, developing infographic and fact sheets, as well as discussion with local business for support. Next step in 2017 to place a fluoridation ordinance to the city commission for approval. Education and group support for patients with chronic disease will be available to all in the community. SUBSTANCE ABUSE Clark County, like many communities in the country, is experiencing an increase in the use of heroin among other substance abuse trends. The community determined that the primary barrier to improving substance abuse prevention strategies is the overall lack of capacity in the County. In 2016, Community Mercy Health Partners continued the Vivitrol program. This program offers medication assistance treatment (MAT) to our Springfield clients of Mercy REACH, Outpatient Drug, Alcohol and Tobacco rehab program. The Vivitrol Company offers the first injection free to our clients. In partnership with the Substance Abuse task force, through McKinley Hall grant, clients are offered a free NARCAN medication. An inpatient Detox Program was established in the 3rd quarter with 39 self-referrals and 20 completed detox; 15 left AMA. In the 4th quarter we had 46 self-referrals with 35 completing detox and 12 leaving AMA. With the increase of clients in 2016, Mercy REACH hired an additional therapist in the 3rd quarter reducing the client wait from 4 weeks to a 2 week wait period. Identified needs that are not being addressed specifically by SRMC OBESITY As identified in the 2013 CHNA and 2014 Implementation plan, the Obesity Task Force's strategic plan was to implement a child health, multi-dimensional, school-wide, evidence-based program in Lincoln Elementary as a pilot program to determine what works then scale up to additional schools. The Obesity Task Force determined that a core criterion for their decision was prevention, and therefore their focus is on youth in schools, which also engages parents, via a multidimensional, school-wide, child health evidence-based program. Due to the number of school based prevention programs available, the Task Force preferred to present the various programs to school representatives and allow them to select the program that best suits their needs. Although SRMC chose not to specifically address childhood obesity, SRMC recognizes that one third of Americans are overweight. SRMC opened the Springfield Regional Weight Management Solutions due to the challenges associated with weight loss. A weight management solution program was designed specifically for individuals, including Sleeve Gastrectomy, Gastric Bypass, Adjustable Gastric Banding, Robotic Bariatric Surgery and Revision Surgery. In addition to providing surgical weight loss options, we also offer counseling, support group programs, meal planning and fitness programs to guide our patients to become healthier individuals. In 2016, SRMC added 163 new patients to our surgical program, 50 new patients to our non-surgical program, and 91 patients attended support groups throughout the year. Total lbs. lost for our surgical program - 4574 lbs., Total lbs. lost for our non-surgical program - 845 lbs. In 2016, 12 unduplicated individuals qualified for assistance with 48 cases of ensure health supplement. HEALTHY BIRTHS/SEXUALITY Strategic plan - To identify and engage pregnant women in first trimester prenatal care. Partnering Agencies are Clark County Combined Health District including its WIC program, the Community Foundation, the Pregnancy Resource Center, Clark County Department of Job and Family Services, and Springfield's Women's Network. The gap analysis uncovered the need for better outreach to pregnant women to get them to the FQHC's OB program. A concerning proportion of pregnant women delay prenatal care, and this trend is especially evident among the growing Spanish speaking-only households, where it is not uncommon for pregnant women to get a confirmation of pregnancy at 4-6 months. An SRMC Mother Baby educator participated in the Clark County Healthy Births/Sexuality Task Force in support of the needs as follows: * Decrease in the teen birthrate 15-17 year olds for Clark County * Increase in percent of infants born to pregnant women receiving prenatal care beginning in the first trimester * Minority populations and other vulnerable populations have increased access to sexual health information and services.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - MERCY MEMORIAL HOSPITAL. Mercy Memorial Hospital is addressing the significant needs identified in the most recently conducted CHNA as follows: MENTAL HEALTH The goal to provide a safe room in the Emergency Department at Mercy Memorial Hospital was met in 2015. The room is fully enclosed and specially designed to remove all potentially dangerous objects. There is a monitoring system that provides safety for the staff in the case of violent patients and also eliminates the need for a "sitter" which upholds the dignity of the patient. A Precision Medicine program was started in 2016 to support appropriate medication for mental health patients. Using the patient's DNA, the prescriber can tell which anti-depressant, anti-psychotic or ADHD medication will be likely to work. While no guarantee, it has cut down on moving through multiple medications with an average cost savings just in pharmaceuticals to consumers of approximately $1,000.00 annually. This also can reduce the cost of treatment for side effects, added visits to the healthcare provider or testing that may not be needed. MMH's NP is meeting with outpatient mental health once a month, with a focus on streamlining the process and support all mental health collaborative issues. NUTRITION AND EXERCISE A fitness center was opened for employees at Mercy Memorial Hospital in 2015 to promote wellness for employees. Employees are taking advantage to the fitness center noting the opportunity to use before or after work, eliminating an extra stop at a community gym and eliminating the cost of membership. Continue to operate the fitness center. Mercy Memorial Hospital partnered with the YMCA beginning in 2016 to develop and execute a 12 week community diabetes prevention program. In 2016, 44 persons were served. Other actions taken by MMH in 2016 include: * A Healthy Kids Day event promoting the 5-2-1 Almost None program. 325 children served * A Go Red for Women program focused on heart health and healthy eating. Served 45 persons * A health fair event with the Champaign County Health Department program on Healthy Eating served 41 persons. CHRONIC DISEASE MANAGEMENT The Chronic Care Clinic at MMH, opened in May of 2015 provides post discharge, follow up appointments for patients without a primary care physician, medication reconciliation and support in finding a medical home. The recent reduction in readmissions in 2015 has been attributed to the clinic. The Chronic Care Clinic continued focus on patients without a primary care physician, to provide follow up visits after discharge from the ED and inpatient setting in 2016. MMH also established an additional ADA certified education site at MMH to provide education for diabetic patients in Champaign County. The Chronic Care Clinic at mercy Memorial Hospital continued focus on patients without a primary care physician, to provide follow up visits after discharge from the ED and inpatient setting. Identified needs that are not being addressed specifically by Mercy Memorial Hospital: YOUTH SUBSTANCE ABUSE AND WELLNESS: Other community agencies are specifically designed and better prepared to address this health need. MMH continues to support groups such as Champaign County Drug Free Youth Coalition, Champaign County Family and Children First Council, Triad Local Schools North Lewisburg, Ohio and Mercy Well Child Pediatrics, Urbana Ohio.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - Springfield Regional Medical Center, Mercy Memorial Hospital. Mercy Health's financial assistance policy requires a patient or family member to complete an application including gross income for a minimum of 3 months (up to 12 months) prior to the date of application or date of service. Proof of income is required with the exceptions of patients discharged to a skilled nursing facility, patients who are deceased with no estate, and patients who have documented homelessness. Third party income scoring may be used to verify income in situations where income verification is unable to be obtained through other methods.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - Springfield Regional Medical Center, Mercy Memorial Hospital. Mercy Health's financial assistance policy requires proof that Health Savings Account and/or Medical Savings Account funds be depleted prior to providing healthcare financial assistance.
Schedule H, Part V, Section B, Line 13 Facility A, 2	Facility A, 2 - Springfield Regional Medical Center, Mercy Memorial Hospital. Patients who live in the community served by a Mercy Health hospital will be offered healthcare financial assistance. For those patients living outside of the geographic area, extenuating circumstances must be documented and approved by the PFS Manager. A list of the zip codes of the community served for each Mercy Health hospital is maintained in a separate document and readily available via the contact list at the end of Mercy Health's financial assistance policy.
Schedule H, Part V, Section B, Line 13 Facility A, 3	Facility A, 3 - Springfield Regional Medical Center, Mercy Memorial Hospital. Mercy Health's financial assistance policy requires a patient to apply for health insurance coverage and/or enter the marketplace/exchange before financial assistance may be extended. Exceptions to this policy include patients discharged to a SNF, patients who are deceased with no estate, and patients who have documented homelessness.

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (40 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
CARDIOLOGISTS OF CLARK AND CHAMPAIGN COUNTIES - SPRINGFIELD
100 W MCCREIGHT AVE FIRST FLOOR	SPRINGFIELD	OH	45504	SPECIALIST DOCTORS
COMMUNITY MERCY FOUNDATION
100 W MCCREIGHT AVE SUITE 200	SPRINGFIELD	OH	45504	SPECIALIST DOCTORS
MITCHELL THOMAS CENTER - ADMINISTRATION
100 W MCCREIGHT AVE SUITE 4 4TH FLO	SPRINGFIELD	OH	45505	OTHER	OR
COMMUNITY MERCY HOME CARE
1111 N PLUM STREET SUITE 4	SPRINGFIELD	OH	45504	SPECIALIST DOCTORS
SPRINGFELD REGIONAL IMAGING CENTER
1343 N FOUNTAIN BLVD	SPRINGFIELD	OH	45504	IMAGING
SPRINGFIELD HEALTH RESOURCE CENTER
1343 N FOUNTAIN BLVD SUITE 205	SPRINGFIELD	OH	45504	OTHER
EXCEL PEDIATRIC REHABILITATION
1345 N FOUNTAIN BLVD	SPRINGFIELD	OH	45504	SPECIALIST DOCTORS
SPRINGFIELD REGIONAL CANCER CENTER
148 W NORTH STREET	SPRINGFIELD	OH	45504	SPECIALIST DOCTORS
OAKWOOD VILLAGE
1500 VILLA ROAD	SPRINGFIELD	OH	45503	SENIOR LIVING
EAST SPRINGFIELD FAMILY MEDICINE
160 SOUTH TUTTLE ROAD	SPRINGFIELD	OH	45505	PRIMARY CARE DOCTORS
COMMUNITY MERCY HOME MEDICAL EQUIPMENT
1702 N LIMESTONE STREET	SPRINGFIELD	OH	45504	SPECIALIST DOCTORS
NORTH FAMILY MEDICINE - WITTENBERG HEALTH CLINIC
200 W WARD STREET ROOM 003	SPRINGFIELD	OH	45504	PRIMARY CARE DOCTORS
SOUTH SPRINGFIELD FAMILY MEDICINE
2055 S LIMETONE STREET	SPRINGFIELD	OH	45504	PRIMARY CARE DOCTORS
EAST SPRINGFIELD INTERNAL MEDICINE
2105 E HIGH STREET	SPRINGFIELD	OH	45505	PRIMARY CARE DOCTORS
NORTHPARKE INTERNAL MEDICINE
211 NORTHPARKE DRIVE	SPRINGFIELD	OH	45503	PRIMARY CARE DOCTORS
SPRINGFIELD PHYSICAL MEDICINE - OUTPATIENT
211 NORTHPARKE DRIVE	SPRINGFIELD	OH	45503	SPECIALIST DOCTORS
SOUTH BURNETT FAMILY MEDICINE
247 SOUTH BURNETT ROAD SUITE 220	SPRINGFIELD	OH	45505	PRIMARY CARE DOCTORS
COMMUNITY MERCY OCCUPATIONAL HEALTH - SPRINGFIELD
2501 E HIGH STREET	SPRINGFIELD	OH	45505	SPECIALIST DOCTORS
EXCEL SPORTS MEDICINE AND REHAB - SPRINGFIELD
2600 N LIMESTONE STREET	SPRINGFIELD	OH	45503	SPECIALIST DOCTORS
SPRINGFIELD REGIONAL OUTPATIENT CENTER
2610 N LIMESTONE STREET	SPRINGFIELD	OH	45503	SPECIALIST DOCTORS
SPRINGFIELD FAMILY PRACTICE
2665 DERR ROAD	SPRINGFIELD	OH	45503	PRIMARY CARE DOCTORS
SPRINGFIELD REGIONAL SLEEP CENTER
30 W MCCREIGHT AVE SUITE 201	SPRINGFIELD	OH	45504	SPECIALIST DOCTORS
NORTH FAMILY MEDICINE
30 W MCCREIGHT AVE SUITE 208	SPRINGFIELD	OH	45503	PRIMARY CARE DOCTORS
CLARK COUNTY GASTROENTEROLGY
30 W MCCREIGHT AVE SUITE 211	SPRINGFIELD	OH	45504	SPECIALIST DOCTORS
SPRINGFIELD WEIGHT MANAGEMENT SOLUTIONS
30 W MCCREIGHT AVE SUTIE 209	SPRINGFIELD	OH	45504	SPECIALIST DOCTORS
COMMUNITY MERCY REACH DRUG ALCOHOL AND TOBACCO CESSATION
30 W MCCREIGHT AVENUE	SPRINGFIELD	OH	45504	SPECIALIST DOCTORS
SPRINGFIELD GYNECOLOGY
30 W MCCREIGHT AVENUE	SPRINGFIELD	OH	45004	SPECIALIST DOCTORS
COMMUNITY MERCY MED ASSIST
30 W MCCREIGHT SUITE 011	SPRINGFIELD	OH	45504	SPECIALIST DOCTORS
SPRINGFIELD AND URBANA GENERAL AND LAPAROSCOPIC SURGEONS
30 W MCREIGHT AVE SUITE 106	SPRINGFIELD	OH	45504	SPECIALIST DOCTORS
SPRINGFIELD REGIONAL MEDICAL GROUP - WOUND CARE - SPRINGFIELD
362 SOUTH BURNETT ROAD	SPRINGFIELD	OH	45505	SPECIALIST DOCTORS
SOUTH URBANA FAMILY MEDICINE
1300 US SOUTH 68	URBANA	OH	43078	PRIMARY CARE DOCTORS
SPRINGFIELD REGIONAL MEDICAL GROUP - WOUND CARE - URBANA
1430 US HIGHWAY 36 EAST SUITE B	URBANA	OH	43078	SPECIALIST DOCTORS
EXCEL SPORTS MEDICINE AND REHABILITATION - URBANA
1450 E US HIGHWAY 36	URBANA	OH	43078	SPECIALIST DOCTORS
URBANA FAMILY MEDICINE AND PEDIATRICS
204 PATRICK AVENUE	URBANA	OH	43078	SPECIALIST DOCTORS
CARDIOLOGISTS OF CLARK AND CHAMPAIGN COUNTIES - URBANA
900 EAST COURT STREET	URBANA	OH	43078	SPECIALIST DOCTORS
SPRINGFIELD REGIONAL MEDICAL GROUP - ORTHOPEDIC AND SURGICAL SPECIALISTS
900 SCIOTO STREET SUITE 1	URBANA	OH	43078	SPECIALIST DOCTORS
URBANA FAMILY AND INTERNAL MEDICINE
900 SCIOTO STREET SUITE 1	URBANA	OH	43078	PRIMARY CARE DOCTORS
URBANA INTERNAL MEDICINE
900 SCIOTO STREET SUITE 4	URBANA	OH	43078	PRIMARY CARE DOCTORS
COMMUNTY MERCY OCCUPATIONAL HEALTH - URBANA
904 SCIOTO STREET	URBANA	OH	43078	SPECIALIST DOCTORS
MERCY MCCAULEY CENTER
906 SCIOTO STREET	URBANA	OH	43078	SENIOR LIVING

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	Mercy Health
Schedule H, Part I, Line 7g Subsidized Health Services	COMMUNITY MERCY HEALTH PARTNERS (CMHP) OPERATES THE DPM Reach Program substance abuse and COPD CLINIC. THE AMOUNT OF SUBSIDIZED HEALTH SERVICES ATTRIBUTABLE TO THE PHYSICIAN CLINIC IS $95,597.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	COST OF CHARITY CARE WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. THE COST RELATED TO MEDICAID PATIENTS WAS DETERMINED USING THE HOSPITAL COST ACCOUNTING SYSTEM AND INCLUDED BOTH INPATIENTS AND OUTPATIENTS FOR TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PLANS. FOR SUBSIDIZED SERVICES THE HOSPITAL'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COST RELATED TO THE SPECIFIC SERVICE EXCLUDING TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PATIENTS. COSTS FOR CHARITY AND BAD DEBT ACCOUNTS ARE DEDUCTED USING A RATIO OF COST TO CHARGE SPECIFIC TO THAT SUBSIDIZED SERVICE. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS.
Schedule H, Part II Community Building Activities	COMMUNITY MERCY HEALTH PARTNERS (CMHP) ENSURES ACCESS TO HEALTH SERVICES BY RECRUITING AND PROVIDING TRANSITIONAL SUPPORT TO PHYSICIANS TO ATTRACT THEM TO THE COMMUNITY FOR SPECIALTIES WHERE THERE IS A DEMONSTRATED NEED. AN APPROPRIATE SUPPLY OF PHYSICIANS IS NECESSARY TO ENSURE THAT RESIDENTS HAVE ACCESS TO ADEQUATE AND TIMELY DIAGNOSIS AND TREATMENT FOR ALL HEALTH CONDITIONS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Net patient accounts are reduced by an allowance for doubtful receivables based upon the hospital's historical collection experience adjusted for current environmental risks and trends for each major payor source. Significant provision is made for self-pay patient accounts in the period of service based on past collection experience. The hospital's concentration of credit risk related to net patient accounts is limited due to the diversity of patients and payors. Net patient accounts consist of amounts due from governmental programs (primarily Medicare and Medicaid), private insurance companies, managed care programs and patients themselves. Net patient service revenue for services provided to patients who have third-party payor coverage is recognized based on contractual rates for services rendered. The hospital recognizes a significant amount of patient service revenue at the time services are rendered even though it does not assess the patient's ability to pay. As a result, the provision for bad debts is presented as a deduction from patient service revenue (net of contractual provisions and discounts). Amounts recognized are subject to adjustment upon review by third-party payors. For uninsured patients that do not qualify for charity care, the hospital recognizes revenue when services are provided. Based on historical experience, a significant portion of the hospital's uninsured patients will be unable or unwilling to pay for services provided. Thus, the hospital records a significant provision for bad debts related to uninsured patients in the period the services are provided. Any discounts applied to self-pay patients would be deemed either Charity or a contractual adjustment. Bad debt would be based on the balance after the charity or contractual adjustment that is deemed uncollectable following a reasonable collection effort.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	The hospital's financial assistance policy does not permit the cost of patients who are uncooperative or unable to be located to be reclassified from bad debt to financial assistance. The hospital's financial assistance policy requires an application and supporting documentation. Therefore, zero dollars are being reported on Part III, Line 3 as amounts included in bad debt that could be attributable to patients eligible under the hospital's financial assistance policy. The hospital follows the Catholic Health Association of the United States policy document, Community Benefit Program, A Revised Resource for Social Accountability ("CHA guidelines") for determining community benefit. The CHA guidelines recommend that hospitals not include bad debt expense as community benefit.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The hospital's audited financial statements do not contain a footnote that describes bad debt expense. The hospital elected to early adopt ASU 2011-07. Accordingly, bad debt expense is reflected as a deduction from revenue rather than an operating expense. Notes to Consolidated Financial Statements, B. Significant Accounting Policies, Net Patient accounts and Net Patient Service Revenue (page 13) states net patient accounts are reduced by an allowance for doubtful receivables based upon the historical collection experience of each regional affiliate adjusted for current environmental risks and trends for each major payor source. Significant provision is made for self-pay patient accounts in the period of service based upon past collection experience.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The hospital follows the Catholic Health Association of the United States policy document, Community Benefit Program, A Revised Resource for Social Accountability ("CHA guidelines") for determining community benefit. The CHA guidelines recommend that hospitals not include Medicare losses as community benefit. The hospital's cost accounting system was used to determine the Medicare amounts in Part III.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Patients known to qualify for charity care or financial assistance are not sent to a collection agency. The organization repeatedly offers patients access to financial help during their hospital stays and after, as well as with each billing notice. Bills are sent to a collection agency as a last resort and only: when patients have the ability to pay some portion of their healthcare expenses but refuse to do so; when patients refuse to work with the organization to determine if they qualify for free or discounted care via federal, state, local or hospital assistance programs; when the organization is unable to locate the patient or person responsible for the bill.
Schedule H, Part V, Section B, Line 16a FAP website	A - SPRINGFIELD REGIONAL MEDICAL CENTER: Line 16a URL: www.mercy.com/financial-assistance; A - MERCY MEMORIAL HOSPITAL: Line 16a URL: www.mercy.com/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - SPRINGFIELD REGIONAL MEDICAL CENTER: Line 16b URL: www.mercy.com/financial-assistance; A - MERCY MEMORIAL HOSPITAL: Line 16b URL: www.mercy.com/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - SPRINGFIELD REGIONAL MEDICAL CENTER: Line 16c URL: www.mercy.com/financial-assistance; A - MERCY MEMORIAL HOSPITAL: Line 16c URL: www.mercy.com/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	COMMUNITY MERCY HEALTH PARTNERS (CMHP) HOSPITALS ASSESS AND CONTINUALLY RESPOND TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. CMHP HOSPITALS JOIN AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. MERCY HEALTH HOSPITALS INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. CMHP HOSPITALS RECOGNIZE THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. CMHP HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. CMHP'S COMMUNITY BENEFITS COMMITTEES MEET TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. CMHP HOSPITALS WORK CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES TO AVOID DUPLICATION.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Community Mercy Health Partners (CMHP) posts its charity care policy, or a summary thereof, and financial assistance contact information in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. CMHP provides a copy of the policy, or a summary thereof, and financial assistance contact information to patients as part of the intake process and with discharge materials. Additionally, a copy of the policy or a summary along with financial assistance contact information is included in patient bills. CMHP discusses with the patient the availability of various government benefits, such as Medicaid or state programs, and assists the patient with qualification for such programs, where applicable. The Hospital Eligibility Link Program (HELP) is a free referral service provided by CMHP. The purpose of HELP is to assist patients in obtaining medical benefits through federal, state, and hospital programs. HELP representatives will provide the following services at no cost to the patient: * Explore eligibility under public assistance programs * File applications on patient's behalf * Schedule and attend appointments * Provide transportation when necessary * Provide medical documentation to Social Security Administration for disability claims. Through HELP, patients and their counselors look at what options are available. CMHP understands that not everyone can pay for healthcare services. HELP is here to offer options and assistance for those who are uninsured or underinsured. HELP is an extension of CHMP's mission to improve the health of our community with emphasis on the poor and underserved. Meeting the needs of those with limited resources has always been the heart of our mission. CMHP is proud to make our financial assistance information available to the public through our website, which can be found at www.community-mercy.org Other patient education information that is provided for eligibility of assistance is as follows: * A bilingual representative is available in our HELP Program. Two bilingual representatives are available in our customer service department. Each of these representatives are in our regional office in Cincinnati. * Staff training on Hospital Care Assurance Program (HCAP) and Hospital Financial Assistance (HFA) was provided in 2009 by a private auditing company. Training included a manual and in-depth information regarding the preparation of the cost report logs, accurate completion of the HCAP application, as well as an overview of the FAQ's provided by the Ohio Hospital Association. * Financial assistance counselors work with case managers to expedite the transfer of patients to extended care facilities. * Federal poverty guidelines are posted on our website as well as a copy of our charity application. * Consistent review of self pay patients for retroactive Medicaid coverage. * Services provided by vendor to reach out to patients in bad debt to screen for HCAP eligibility.
Schedule H, Part VI, Line 4 Community information	Community Mercy Health Partners's (CMHP) primary service area includes Clark and Champaign counties, which have a total population of approximately 209,700. According to the most recent Community Health Assessment reports from the two counties, residents of the CMHP primary service area are generally older, poorer and have worse health statistics than state and national averages. Unemployment has also risen in our community during the last several years, and we serve a growing number of uninsured and underinsured patients. CMHP owns two of the three hospitals in this geographic area. The third hospital (not owned by CMHP) is a limited-service for-profit hospital that specializes in outpatient and short-stay surgery, and it does not have an emergency department. Part of the city of Springfield has been federally designated as a medically underserved area. Other demographics of our service area include: * Percentage of adults who have not achieved at least a high school diploma is higher that both the state and national averages * Higher percentage of residents living in poverty than in the state and nationwide * Unemployment rate is higher than both the state and national rates * Median household income is below the state median and US median * The population of the service area consists of 3.3% non-English speaking people. * The population of the service area that is 65 years or older is 17%. * The occupation classification in the community consists of 29% blue collar, 51% white collar and 20% service and farm workers. The major health problems and/or leading causes of death in our service area are Cardiovascular disease, Diabetes, Emphysema and Cancer. Most of these are preventable through proper care and maintaining control of the illness/disease, as well as choosing healthier lifestyles. In our service area 28% of the population are smokers, 40% have high cholesterol, and 30-40% are overweight or at risk for becoming overweight.
Schedule H, Part VI, Line 5 Promotion of community health	Community Mercy Health Partners (CMHP) operates emergency rooms open to all regardless of ability to pay. In addition to providing emergency services, CMHP also provides minor emergency and urgent care services to all regardless of ability to pay. CMHP participates in Medicaid, Medicare, Champus and/or other government sponsored health programs. CMHP operates skilled nursing units, ICU, newborn nursery, wound care, diabetes management, outpatient pediatrics, substance abuse, prescription assistance and a critical access hospital. CMHP has an open medical staff with privileges available to all qualified physicians in the area. The majority of the governing body consists of independent persons representative of the community served by CMHP. CMHP participates in Medicaid, Medicare, CHAMPUS, and/or other government -sponsored health care programs. CMHP furthers its exempt purpose by providing the following community benefit programs in the communities in which it serves: Community Mercy Med Assist helps area residents who cannot afford their prescription medications. Community Mercy REACH offers outpatient treatment for chemical dependency by licensed professionals who have master's-level education. REACH also offers an innovative and effective smoking cessation program that incorporates exercise and nutrition/weight control to promote an overall healthy lifestyle. Mercy Well Child Pediatrics is a pediatric clinic that identifies and addresses potential health and developmental concerns in children. The clinic promotes quality pediatric care with a holistic approach to meet the health, social and emotional needs of children and families. Mercy Well Child Pediatrics serves children from infants to age 21, regardless of the families' income or insurance status. CMHP's emergency department treats an increasing number of patients who use the facility for primary care needs. Patient demographics reflect the changing community. As in other communities, some area physicians place limits on their acceptance of Medicaid patients. In addition, some primary care physicians refer patients with after-hours needs directly to area emergency rooms. Community groups and individuals are very supportive of CMHP. For the past decade, the Rocking Horse Center has been a key partner with CMHP in making basic healthcare more accessible, especially for the poor and underserved. Early in 2009, Rocking Horse was granted status as a Federally Qualified Health Center, which will provide higher levels of Medicaid reimbursement. In addition, CMHP and Rocking Horse collaborated to develop an ER referral process, to identify patients who did not have a medical home and to provide follow-up care.
Schedule H, Part VI, Line 6 Affiliated health care system	Community Mercy Health Partners (CMHP) is a member of Community Mercy Health Systems. CMHP is sponsored by the Sisters of Mercy and has been an integral part of the community since 1950. CMHP includes an acute care hospital and a critical care access hospital with approximately 641 licensed beds combined. Community Mercy Health System community benefit for 2016 per the audit footnote is as follows: Total 2016 Community Benefit: $14.9 Million Benefits to the Broader Community: $1.1 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $13.3 million Support for Other Programs for Those Who are Poor: $0.5 million Community Benefit as Percent of Total Expense: 4.9 percent CMHP is a member of Mercy Health, which is the largest health system in Ohio, the state's fourth largest employer and one of the largest Catholic health systems in the United States. Mercy Health is sponsored by Partners in Catholic Health Ministries (PCHM). PCHM is a public juridic person of the Roman Catholic Church. Mercy Health continues the healthcare ministries begun by its founders in urban and rural areas across Ohio and Kentucky more than 150 years ago. Mercy Health provides integrated health services via acute care hospitals, physician practices, long-term care residences, housing sites for the elderly, home health agencies, hospice programs, outreach services and wellness centers. Mercy Health hospitals include critical access facilities that offer essential health services that otherwise would not be available in many communities. Mercy Health's mission calls it to extend the healing ministry of Jesus by improving the health of the communities it serves with special emphasis on people who are poor and under-served. In addition to providing programs and services designed to enhance the health of entire communities, Mercy Health cares for everyone who comes to its facilities, regardless of their ability to pay. Mercy Health's home office in Cincinnati, Ohio provides services and support to the entire system. Its governance practices have been nationally recognized for quality. System leadership provides strategic vision and management oversight in support of the ministry by directing resources, providing access to lower cost debt financing, improving clinical outcomes and reducing operating costs. System-wide community benefit for 2016 per the audit footnote is as follows: Total 2016 Community Benefit: $346.7 Million Benefits to the Broader Community: $80.3 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $242.7 million Cost of Care for Those Who Could Not Afford to Pay: $4.7 million Support for Other Programs for Those Who are Poor: $19.0 million Community Benefit as Percent of Total Expense: 7.8 percent

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRIAN SMITH
TRUSTEE (BEGIN 5/16), EVP & COO, MERCY HEALTH	$0	$771,014	$0	$0	$0	$265,009	$0	$35,344	$0	$39,523	$0	$1,110,890	$0	$67,437
JOHN STARCHER JR JD
Trustee, President & CEO Mercy Health (END 5/16)	$0	$1,206,522	$0	$225,000	$0	$253,995	$0	$16,731	$0	$27,151	$0	$1,729,399	$0	$0
PAUL HILTZ
Pres/CEO Springfield Region, SVP Mercy Health (END 12/16)	$378,385	$0	$0	$0	$5,621	$0	$105,041	$0	$29,303	$0	$518,350	$0	$0	$0
WILLIAM KUSNIERZ
VP, CFO & TREASURER	$0	$275,404	$0	$13,678	$0	$40,778	$0	$29,778	$0	$11,364	$0	$371,002	$0	$0
KATRINA ENGLISH
FORMER KEY EMPLOYEE	$0	$302,867	$0	$1,112	$0	$2,917	$0	$46,937	$0	$30,436	$0	$384,269	$0	$0
GARY HAGENS
VP, COO - VPMA	$73,040	$0	$0	$0	$284,939	$0	$2,216	$0	$6,096	$0	$366,291	$0	$548	$0
SHERRY NELSON
VP Chief Nursing Officer	$246,009	$0	$0	$0	$15,665	$0	$15,062	$0	$20,089	$0	$296,825	$0	$0	$0
DONALD B JOHNSON MD
CHIEF CLINICAL OFFICER	$267,694	$0	$12,000	$0	$18,909	$0	$12,068	$0	$1,351	$0	$312,022	$0	$0	$0
JENELLE ZELINSKI
ASSISTANT CFO	$189,761	$0	$0	$0	$914	$0	$33,292	$0	$1,710	$0	$225,677	$0	$0	$0
PAMELA ALLEN
Director, Pharmacy	$175,912	$0	$0	$0	$3,738	$0	$10,841	$0	$10,022	$0	$200,513	$0	$0	$0
MICHELLE ADKINS
DIRECTOR, CLINICAL SERVICES	$146,602	$0	$17,737	$0	$1,598	$0	$13,789	$0	$15,194	$0	$194,920	$0	$0	$0
MARYANN MCQUARRIE
DIRECTOR, CLINICAL SERVICES	$149,878	$0	$0	$0	$3,077	$0	$8,628	$0	$8,973	$0	$170,556	$0	$0	$0
ELIZABETH PRICE
SUPERVISOR NURSING	$143,820	$0	$0	$0	$1,103	$0	$8,111	$0	$9,964	$0	$162,998	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4b The Mercy Health SERP Plan	The Mercy Health SERP plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. It provides annual credits of a specified percentage of compensation and annual interest credits. Participants vest 50%, 75%, and 100% in their accounts after 5, 6, and 7 years of service, respectively, vesting occurs earlier for death or total disability or reaching age 60 while employed, or involuntary termination of employment within 24 months after a change in control of the organization or due to position elimination, payments during employment are made for required tax withholdings. Payment of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: John Starcher, Jr. JD $230,539; Brian Smith $119,659.
Schedule J, Part I, Line 4b Terms and conditions of the Cincinnati Market SERP	The Cincinnati Market SERP is a deferred compensation plan which provides employment continuation incentives to all executive council members. The plan is no longer accepting new participants and the cessation of contributions has occurred. Participants must complete a two tiered vesting provision. Participants must be vested under the base qualified plan and must count 24 months after termination during which they do not compete with Mercy Health Cincinnati LLC. Amounts includible as taxable compensation for listed individuals due to executive benefit plan participation in the reporting year were as follows: Paul Hiltz $0.
Schedule J, Part I, Line 4b Terms and conditions of the Mercy Health System SERP	The Mercy Health System SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Paul Hiltz $0; Matthew Caldwell $0; Gary Hagens $4,445; Donald B. Johnson MD $14,069; Sherry Nelson $12,552; William Kusnierz $0; Katrina English $0.
Schedule J, Part I, Line 4b Terms and conditions of the Lima MArket SERP	THE LIMA MARKET 457(F) PLAN PROVIDES A FLEXIBLE BENEFIT ALLOWANCE TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. THIS ALLOWANCEMAY BE ALLOCATED AMONG VARIOUS INSURANCE AND DEFERRED COMPENSATION BENEFIT OPTIONS. THE PLAN IS NO LONGER ACCEPTING NEW PARTICIANTS AND THE CESSATION OF CONTRIBUTIONS HAS OCCURRED. AMOUNTS INCLUDIBLE IN TAXABLE COMPENSATION FOR LISTED PARTICIPATING INDIVIDUALS IN THE REPORTING YEAR WERE AS FOLLOWS: BRIAN SMITH $67,437.
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	A tax indemnification benefit to cover the income tax incurred on moving expenses was paid to the following listed individual: Matthew Caldwell. The entire benefit was treated as taxable compensation.
Schedule J, Part I, Line 1a Housing allowance or residence for personal use	A housing allowance was provided to the following listed individual as a result of employment by Community Mercy Health Partners: Matthew Caldwell. The entire amount was treated as taxable compensation.
Schedule J, Part I, Line 4a Severance or change-of-control payment	Severance Benefits consisting of continuation of base salary and insurance benefits were provided to a listed individual for a specified period. The listed individual executed a release and waiver of claims in exchange for the severance benefits. The salary continuation amount provided during the reporting year to the listed individual were as follows: Gary Hagens $275,340.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	The Community Mercy Health Partners SERP plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the CMHP Committee. The plan is no longer accepting new participants and cessation of contributions has occurred. Participants vest the later of five years of active service or the second anniversary of his or her separation from service with the employer. Vesting occurs earlier for death or total disability. Payments during employment are made for required tax withholding. Payment of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Gary Hagens $0; Katrina English $0; Donald B. Johnson, MD $0.
Schedule J, Part I, Line 7 Non-fixed payments	The organization provides annual incentive compensation for listed individuals. The organization's Board of Trustees establishes objective thresholds for quality, community benefit, and financial performance which must be achieved for incentives to be awarded. The Board also establishes threshold, target and maximum levels for incentive awards. Within these established parameters, the Board determines the CEO's incentive award and incentive awards for other listed individuals are determined by the listed individual's supervisor and disclosed to the Board. The Board may authorize modified incentive awards when appropriate in its judgment.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SPRINGFIELD HEART SURGEONS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SURENDER NERAVETLA, M.D. (BOARD MEMBER) HAS A REPORTABLE OWNERSHIP INTEREST	RelationshipDescriptionTxt
Transaction	$964,367	TransactionAmt
Transaction	INDEPENDENT CONTRACTOR	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part IV, Line 14a Consolidated audited financial statements	The filing organization does not have separate, independent audited financial statements. The organization is included in Mercy Health's consolidated audited financial statements, which are prepared in accordance with Generally Accepted Accounting Principles. Mercy Health's Audit and Corporate Responsibility Committee has responsibility for oversight of the audit and the selection of an independent accountant.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	JOSEPH R. JACKSON, JAMES N. DOYLE - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	COMMUNITY MERCY HEALTH SYSTEM IS THE MEMBER OF COMMUNITY MERCY HEALTH PARTNERS.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Mercy Health elects all board members who have full voting rights.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	Certain matters require approval of the Mercy Health Corporate Member, Mercy Health Governing body, or Mercy Health CEO. The regulations of the organization describe the level of approval required for various decisions.
Form 990, Part VI, Line 11b Review of form 990 by governing body	The Form 990 is prepared by Mercy Health's Tax Department and reviewed by an independent accounting firm. A copy of the Form 990 is then reviewed by management. Once the Form 990 is reviewed by all applicable parties a copy of the final version is provided to all members of the governing body prior to filing.
Form 990, Part VI, Line 12c Conflict of interest policy	ALL BOARD MEMBERS ARE COVERED BY THE Mercy Health CONFLICT OF INTEREST POLICY WHICH REQUIRES DISCLOSURE ON AN ANNUAL BASIS. ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY Mercy Health CORPORATE COMPLIANCE OFFICER. AT THE BEGINNING OF EACH BOARD MEETING ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. BOARD MEMBERS DETERMINED TO HAVE A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISION-MAKING FOR THE TRANSACTION IN WHICH THE CONFLICT EXISTS.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	The organization's formal process for determining total compensation for the CEO and other officers and key employees is intended to provide reasonable compensation for accomplishing the organization's mission, to recognize performance, and to operate in keeping with the organization's obligations as a tax-exempt charitable organization. The Compensation & Evaluation Committee of the organization's Board of Trustees conducts an annual review of the compensation and performance of the CEO and other officers and key employees. In doing so, the Committee retains a qualified independent compensation consultant to conduct a competitive market analysis annually of the market ranges of base, incentive, and total cash compensation. The Committee utilizes that analysis and other appropriate information in connection with its annual review and adjustment of compensation ranges. It also reviews and recommends to the full board the threshold, target, and maximum incentive awards for which the listed individuals may be eligible, based upon the organization's performance results for community benefit, quality, and financial performance. The committee's recommendations concerning salary range adjustments and incentive awards go to the full board for approval. The committee, with full board approval, determines the adjustment to the ceo's base compensation and incentive award, within such established parameters. For the coo, cao, evp, and svp positions, adjustments and incentive awards are approved by the organization's ceo within such parameters. Adjustments and awards for other listed individuals are recommended by the supervising executive. Base salary adjustments and incentive awards are disclosed to the committee. A formal performance appraisal process is incorporated in the compensation adjustment and award process. It utilizes a multi-perspective approach and performance measures which are linked to the organization's long-term strategic plan, achievement of annual system objectives, and personal objectives.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	Compensation-related determinations are conducted in accordance with applicable requirements of the Internal Revenue Code and regulations to qualify for the presumption that the compensation is reasonable, including but not limited to approval by an authorized body composed of individuals who do not have a conflict of interest, obtaining and relying on appropriate data as to comparability, and concurrent documentation of the basis for the compensation determinations.
Form 990, Part VI, Line 19 Required documents available to the public	THE CONFLICT OF INTEREST POLICY and financial statements are POSTED ON THE Mercy Health WEBSITE.
Form 990, Part IX, Line 11g Other Fees	Medical Professional fees - Total Expense: 12636037, Program Service Expense: 12636037, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 674029, Program Service Expense: 572925, Management and General Expenses: 101104, Fundraising Expenses: ; Affiliate Purchased services - Total Expense: 40062835, Program Service Expense: 34053410, Management and General Expenses: 6009425, Fundraising Expenses: ; Other purchased services - Total Expense: 22574449, Program Service Expense: 19188282, Management and General Expenses: 3386167, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Intercompany Eliminations - -432551; Loss on discontinued operations - -613813;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SPRINGFIELD REGIONAL CANCER CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	148 W NORTH STREET	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45502	ZIPCd

Field	Value	IRS element (for citing)
EIN	352216018	EIN
Primary Activities	CANCER CENTER	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Total Income	$3,360,323	TotalIncomeAmt
End Of Year Assets	$8,109,138	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MERCY HEALTH PARTNERS	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (32 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MERCY HEALTH
1701 Mercy Health Place	CINCINNATI	OH	45237	311161086	HEALTHCARE SYSTEM PARENT	OH	501(c)(3)	3	NA	false
MERCY HEALTH FOUNDATION
1701 Mercy Health Place	CINCINNATI	OH	45237	201072726	FUNDRAISING	OH	501(c)(3)	7	MERCY HEALTH	false
MERCY HEALTH RETIREMENT TRUST
1701 Mercy Health Place	CINCINNATI	OH	45237	316046304	RETIREMENT TRUST	OH	501(c)(3)	7	MERCY HEALTH	false
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROAD	LORAIN	OH	44053	341268828	MEDICAL OFFICE RENTAL	OH	501(c)(3)	10	MERCY HEALTH - REGIONAL MEDICAL CENTER LLC	false
ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN ST	OBERLIN	OH	44074	364504991	MEDICAL OFFICE RENTAL	OH	501(c)(3)	10	MERCY HEALTH - ALLEN HOSPITAL LLC	false
MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC
7010 ROWAN HILLS DR	CINCINNATI	OH	45227	311308729	RETIREMENT HOME	OH	501(c)(3)	10	MERCY HEALTH CINCINNATI LLC	false
MERCY SACRED HEART INC
2120 PAYNE STREET	LOUISVILLE	KY	40206	611318326	RETIREMENT HOME	KY	501(c)(3)	10	MERCY HEALTH CINCINNATI LLC	false
MERCY LONG TERM CARE INITIATIVE
4915 CHARLESTOWN RD	NEW ALBANY	IN	47150	311332491	RETIREMENT HOME	IN	501(c)(3)	10	MERCY HEALTH CINCINNATI LLC	false
MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREET	CINCINNATI	OH	45210	311222942	LOW INCOME HOUSING	OH	501(c)(3)	7	MERCY HEALTH CINCINNATI LLC	false
COMMUNITY MERCY HEALTH SYSTEM
100 Medical Center Drive	SPRINGFIELD	OH	45504	300272454	MARKET PARENT	OH	501(c)(3)	Type III-FI	MERCY HEALTH	false
COMMUNITY MERCY HEALTH PARTNERS
100 Medical Center Drive	SPRINGFIELD	OH	45504	310785684	HOSPITAL	OH	501(c)(3)	3	COMMUNITY MERCY HEALTH SYSTEM	false
C H HEALTH SERVICES COMPANY
100 Medical Center Drive	SPRINGFIELD	OH	45504	311181984	HOSPITAL	OH	501(c)(3)	3	COMMUNITY MERCY HEALTH SYSTEM	false
THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST
100 Medical Center Drive	SPRINGFIELD	OH	45504	346827136	INDIGENT MEDICAL CARE	OH	501(c)(3)	Type I	NA	false
MERCY PROPERTY HOLDINGS
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	300699825	TITLE HOLDING COMPANY	OH	501(c)(2)		MERCY HEALTH NORTH LLC	false
MERCY COLLEGE OF OHIO
2221 MADISON AVENUE	TOLEDO	OH	43604	341726619	MEDICAL COLLEGE	OH	501(c)(3)	2	MERCY HEALTH NORTH LLC	false
MERCY COLLEGE OF OHIO FOUNDATION INC
2221 MADISON AVENUE	TOLEDO	OH	43604	141963204	FOUNDATION	OH	501(c)(3)	7	MERCY COLLEGE OF OHIO	false
LIFESTAR AMBULANCE INC
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341354653	MEDICAL TRANSPORTATION	OH	501(c)(3)	10	MERCY HEALTH NORTH LLC	false
SIMON OUTREACH SERVICES
2600 NAVARRE AVENUE	OREGON	OH	43616	341383325	MEDICAL OFFICE RENTAL	OH	501(c)(3)	10	MERCY HEALTH - ST CHARLES HOSPITAL LLC	false
FARLEY HEALTHCARE CORPORATION
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341363204	HEALTH SERVICES	OH	501(c)(3)	10	MERCY HEALTH NORTH LLC	false
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400	LIMA	OH	45801	341937267	MEDICAL LAB SERVICES	OH	501(c)(3)	3	ST RITA'S MEDICAL CENTER LLC	false
THE ASSUMPTION VILLAGE
9800 N MARKET STREET	NORTH LIMA	OH	44452	341013695	NURSING HOME	OH	501(c)(3)	10	MERCY HEALTH YOUNGSTOWN LLC	false
HOSPICE OF THE VALLEY
5190 MARKET STREET	YOUNGSTOWN	OH	44512	341288745	HOSPICE SERVICES	OH	501(c)(3)	10	MERCY HEALTH YOUNGSTOWN LLC	false
HUMILITY HOUSE
755 OHLTOWN ROAD	AUSTINTOWN	OH	44515	341894783	NURSING HOME	OH	501(c)(3)	10	MERCY HEALTH YOUNGSTOWN LLC	false
ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SE	WARREN	OH	44484	346556121	FUNDRAISING	OH	501(c)(3)	10	MERCY HEALTH YOUNGSTOWN LLC	false
LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROAD	PADUCAH	KY	42003	610927805	FUNDRAISING	KY	501(c)(3)	10	MERCY HEALTH FOUNDATION	false
MARCUM AND WALLACE MEMORIAL HOSPITAL INC
60 MERCY COURT	IRVINE	KY	40336	610927491	HOSPITAL	KY	501(c)(3)	3	MERCY HEALTH PARTNERS - LOURDES INC	false
MERCY HEALTH PARTNERS INC
1701 Mercy Health Place	CINCINNATI	OH	45237	731627534	MARKET PARENT	TN	501(c)(3)	3	MERCY HEALTH	false
MERCY HEALTH PARTNERS - NORTHEAST REGION INC
1701 Mercy Health Place	CINCINNATI	OH	45237	232813196	MARKET PARENT	PA	501(c)(3)	3	MERCY HEALTH	false
MERCY HOSPITAL OF WILKES-BARRE
746 JEFFERSON AVENUE	SCRANTON	PA	18510	240795625	HOSPITAL	PA	501(c)(3)	3	MERCY HEALTH PARTNERS - NORTHEAST REGION INC	false
MERCY HEALTH CARE CENTER
746 JEFFERSON AVENUE	SCRANTON	PA	18510	232322809	HOSPITAL	PA	501(c)(3)	3	MERCY HEALTH PARTNERS - NORTHEAST REGION INC	false
HEALTHSPAN PARTNERS
1701 Mercy Health Place	CINCINNATI	OH	45237	463055925	MARKET PARENT	OH	501(c)(3)	Type II	MERCY HEALTH	false
HEALTHSPAN INTEGRATED CARE
1001 LAKESIDE AVE SUITE 1200	CLEVELAND	OH	44114	340922268	HMO	OH	501(c)(3)	10	HEALTHSPAN PARTNERS	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
Advanced Health Select LLC
1701 Mercy Health Place	Cincinnati	OH	45237	473666880	Clinically-integrated network	OH	NA	N/A
NWO Integrated Laboratories Mercy LLC
2200 Jefferson Avenue	Toledo	OH	43624	341898285	Laboratory services	OH	NA	N/A
Tiffin Ambulatory Surgical Associates
45 St Lawrence Drive	Tiffin	OH	44833	371567866	Ambulatory Surgery Center	OH	NA	N/A
New Vision Medical Lab LLC
750 W High Street	Lima	OH	45801	341913433	Lab Services	OH	NA	N/A
West Central Ohio Group Ltd
801 Medical Drive	Lima	OH	45804	341848147	Orthopedic Hospital	OH	NA	N/A
Kidney Services of West Central Ohio
750 W High Street Suite 100	Lima	OH	45801	061644264	Dialysis Center	OH	NA	N/A
West Central Ohio Regional Healthcare Alliance Ltd
2615 Fort Amanda Road	Lima	OH	45805	341817078	Healthcare quality	OH	NA	N/A
Urologic Oncology of Mahoning Valley LLC
1044 Belmont Ave	Youngstown	OH	44501	262989686	Radiation Therapy	OH	NA	N/A
OSC-HMHP LLC
6505 Market St Bldg B Ste 101	Boardman	OH	44512	010724836	Orthopedic Surgery Center	OH	NA	N/A
Lourdes Ambulatory Surgery Center
225 Medical Center Drive	Paducah	KY	42003	205588350	Surgery Center	KY	NA	N/A
Marshall County MRI LLC
615 Old Symsonia Road	Benton	KY	42025	610601267	MRI facility	KY	NA	N/A
Ensemble RCM LLC
1701 Mercy Health Place	Cincinnati	OH	45237	471202570	Revenue cycle services	OH	NA	N/A
Premium ASC Holdings LLC
5217 Maryland Way Suite 200	Brentwood	TN	37027	451995066	Surgery Center	TN	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Legal Domicile StateLegalDomicileStateCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
CHP INSURANCE LTD
1701 Mercy Health Place	CINCINNATI	OH	45237	980621978	INSURANCE	CJ	NA	C Corporation	false
NORTHPARKE MEDICAL COMMONS CONDO ASSN
333 N LIMESTONE ST	SPRINGFIELD	OH	45503	311391230	REAL PROPERTY MGMNT		Community Mercy Health Partners	C Corporation	Yes (true)	OH	$11,516	$629	0.55
NORTHSIDE CORPORATION
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341318438	RESIDENT RENTALS		NA	C Corporation	false	OH
MERCY WORK SOLUTIONS
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	300066340	WORKERS COMPENSATION		NA	C Corporation	false	OH
MERCY HEALTH SYSTEM PHO
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341778321	MEDICAL SERVICES		NA	C Corporation	false	OH
MCAULEY MANAGEMENT SERVICES INC
730 W MARKET STREET	LIMA	OH	45801	341379037	PROPERTY RENTAL		NA	C Corporation	false	OH
LIMA MEDICAL SUPPLIES INC
730 W MARKET STREET	LIMA	OH	45801	340944477	MEDICAL EQUIPMENT		NA	C Corporation	false	OH
COMMUNITY HEALTH PARTNERS ENTERPRISES INC
3700 KOLBE ROAD	LORAIN	OH	44053	341455525	HOLDING COMPANY		NA	C Corporation	false	OH
AMC PHYSICIANS INC
200 W LORAIN STREET	OBERLIN	OH	44074	371439554	PHYSICIAN SERVICES		NA	C Corporation	false	OH
MERCY HEALTH VENTURES INC
1701 Mercy Health Place	CINCINNATI	OH	45237	311185477	DIVERSIFIED ACTIVITIES		NA	C Corporation	false	OH
MERCY FRANCISCAN AT WINTON WOODS I INC
10290 MILL ROAD	CINCINNATI	OH	45231	311658668	LOW-INCOME HOUSING		NA	C Corporation	false	OH
HEALTH VENTURES INC & SUBSIDIARIES
P O BOX 1788	KNOXVILLE	TN	37901	621175587	MEDICAL SERVICES		NA	C Corporation	false	TN
RALPH EWE TRUST
270 PARK AVENUE	NEW YORK	NY	10017	346866422	BENEFICIAL TRUST		NA	Trust	false	NY
ELIZABETH HINES CATES TRUST
PNC 1900 E 9TH ST	CLEVELAND	OH	44114	346515678	BENEFICIAL TRUST		NA	Trust	false	OH
WILLIS PARK TRUST
PNC 1900 E 9TH ST	CLEVELAND	OH	44114	346519904	BENEFICIAL TRUST		NA	Trust	false	OH
ERMA GIBSON BALDWIN TRUST
PNC 1900 E 9TH ST	CLEVELAND	OH	44114	346515566	BENEFICIAL TRUST		NA	Trust	false	OH
HEALTHSPAN INC
225 PICTORIA DR	CINCINNATI	OH	45246	311431434	INSURANCE		NA	C Corporation	false	OH
HEALTHSPAN SOLUTIONS INC
1701 Mercy Health Place	CINCINNATI	OH	45237	300810766	CONSULTING		NA	C Corporation	false	OH
HEALTHCARE SERVICES AND SUPPORT
1701 Mercy Health Place	CINCINNATI	OH	45237	812388652	HEALTHCARE SERVICES		NA	C Corporation	false	OH

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd