COMMUNITY MERCY HEALTH PARTNERS: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY MERCY HEALTH PARTNERS (EIN 31-0785684)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201523179349301697
- Schema version
- 2014v5.0
- 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 | 2015-11-13T09:03:01-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | 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 | 2014-01-01 | 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 | One South Limestone Street | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45502 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | William Kusnierz | PersonNm |
| Person Title | Market CFO | PersonTitleTxt |
| Signature | 2015-10-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00961884 | PTIN |
| Phone | 5136218300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | 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 | PAUL HILTZ PRESIDENT & CEO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One South Limestone Street | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $303,100,044 | 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 | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 2509 | TotalEmployeeCnt |
| Total Volunteers | 993 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,033,190 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,147,691 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $292,979,492 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $292,245,552 | CYProgramServiceRevenueAmt |
| PY Investment Income | $279,593 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,106,471 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,426,862 | PYOtherRevenueAmt |
| CY Other Revenue | $4,398,333 | CYOtherRevenueAmt |
| PY Total Revenue | $304,719,137 | PYTotalRevenueAmt |
| CY Total Revenue | $302,898,047 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $13,710 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $13,077 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $124,254,697 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $123,069,352 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $156,396,933 | PYOtherExpensesAmt |
| CY Other Expenses | $162,949,367 | CYOtherExpensesAmt |
| PY Total Expenses | $280,665,340 | PYTotalExpensesAmt |
| CY Total Expenses | $286,031,796 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $24,053,797 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $16,866,251 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $372,257,444 | TotalAssetsBOYAmt |
| Total Assets EOY | $379,218,112 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $179,198,069 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $167,266,291 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $193,059,375 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $211,951,821 | 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 | $238,127,663 | ExpenseAmt |
| Grant | $13,077 | GrantAmt |
| Revenue | $293,504,805 | 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 2014 COMMUNITY MERCY HEALTH PARTNERS PROVIDED $19,767,239 IN NET COMMUNITY BENEFITS REPRESENTING 6.91% OF TOTAL OPERATING EXPENSES. | Desc |
| Total Program Service Expenses | $238,127,663 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| 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 | 2509 | 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | 5136392800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 ELSINORE PLACE | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| PAUL HILTZ | ||||||||||
| TRUSTEE, MARKET LEADER & PRESIDENT | 40.00 | 5.50 | Yes (X) | Yes (X) | $565,893 | $0 | $119,194 | |||
| PIUS KURIAN MD | ||||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $1,709 | $0 | $0 | |||
| MARK B ROBERTSON | ||||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $1,758 | $0 | $0 | |||
| REV DARRYL L GRAYSON | ||||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAMES N DOYLE | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $1,387 | $0 | $0 | ||||
| MICHAEL S MCKEE MD | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $1,966 | $0 | $0 | ||||
| JOSEPH R JACKSON | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $1,331 | $0 | $0 | ||||
| RAVI C KHANNA MD | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KATHLEEN M HUGHES | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SR CHERYL ERB RSM | ||||||||||
| TRUSTEE | 0.50 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| WENDY H DOOLITTLE | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $1,855 | $0 | $0 | ||||
| SURENDER NERAVETLA MD | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES MAY | ||||||||||
| TRUSTEE, EVP Mercy Health | 1.00 | 55.00 | Yes (X) | $0 | $1,427,730 | $45,388 | ||||
| DEANNA L BROUGHER | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM KUSNIERZ | ||||||||||
| VP, CFO & TREASURER | 40.00 | 1.00 | Yes (X) | $0 | $296,781 | $51,607 | ||||
| GARY HAGENS | ||||||||||
| VP, COO - VPMA | 40.00 | 0 | $396,111 | $0 | $22,036 | Yes (X) | ||||
| KENNETH W RICH | ||||||||||
| VP, BUSINESS DEVELOPMENT & ANCILLARY SERVICES | 40.00 | 0 | $161,732 | $0 | $33,269 | Yes (X) | ||||
| SHERRY NELSON | ||||||||||
| VP Chief Nursing Officer | 40.00 | 0 | $240,661 | $0 | $24,135 | Yes (X) | ||||
| JENELLE ZELINSKI | ||||||||||
| DIRECTOR OF FINANCE | 40.00 | 0 | $188,641 | $0 | $43,118 | Yes (X) | ||||
| KAREN S GORBY | ||||||||||
| DIRECTOR, CLINICAL SERVICES | 40.00 | 0 | $160,311 | $0 | $25,404 | Yes (X) | ||||
| PAMELA ALLEN | ||||||||||
| Director, Pharmacy | 40.00 | 0 | $180,593 | $0 | $11,275 | Yes (X) | ||||
| MARIANNE POTINA | ||||||||||
| VP MISSION & VALUES | 40.00 | 0 | $156,338 | $0 | $27,223 | Yes (X) | ||||
| JAMIE HOUSEMAN | ||||||||||
| DIRECTOR MARKET OPERATIONS | 40.00 | 0 | $137,781 | $0 | $34,044 | Yes (X) | ||||
| SANA WAIKHOM MD | ||||||||||
| FORMER HCE | 0.00 | 40.00 | $0 | $159,784 | $86,211 | Yes (X) | ||||
| KATRINA ENGLISH | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 56.50 | $0 | $352,916 | $69,882 | Yes (X) | ||||
| MARK WIENER | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $158,098 | $0 | $972 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,356,165 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,237,211 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $593,758 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 48 | 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 |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $1,147,691 | RelatedOrganizationsAmt |
| Total Contributions | $1,147,691 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621990 | $289,974,588 | $289,974,588 |
| INCOME FROM JV'S AND PARTNERSHIPS | 900003 | $733,700 | $733,700 |
| rental income from affiliates | 531120 | $1,075,691 | $1,075,691 |
| Intercompany | 900099 | $461,573 | $461,573 |
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 | $292,245,552 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,282,936 | TotalRevenueColumnAmt |
| Exclusion | $1,282,936 | 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 | $4,025,532 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $201,997 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,025,532 | SecuritiesAmt |
| Other | -$201,997 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,823,535 | TotalRevenueColumnAmt |
| Exclusion | $3,823,535 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA | 722210 | $966,743 | $966,743 | |
| HITECH stimulus funds | 900099 | $2,145,271 | $2,145,271 | |
| Other Revenues | 900099 | $1,286,319 | $27,066 | $1,259,253 |
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 | $4,398,333 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $302,898,047 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $293,504,805 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,245,551 | 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 | $13,077 | TotalAmt |
| Program Services | $13,077 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,731,135 | TotalAmt |
| Program Services | $1,384,908 | ProgramServicesAmt |
| Management And General | $346,227 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,233,139 | TotalAmt |
| Program Services | $80,186,511 | ProgramServicesAmt |
| Management And General | $20,046,628 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,983,414 | TotalAmt |
| Program Services | $2,386,731 | ProgramServicesAmt |
| Management And General | $596,683 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,311,843 | TotalAmt |
| Program Services | $9,049,474 | ProgramServicesAmt |
| Management And General | $2,262,369 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,809,821 | TotalAmt |
| Program Services | $5,447,857 | ProgramServicesAmt |
| Management And General | $1,361,964 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,953 | TotalAmt |
| Management And General | $91,953 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,630 | TotalAmt |
| Management And General | $1,630 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,496,684 | TotalAmt |
| Program Services | $57,997,347 | ProgramServicesAmt |
| Management And General | $14,499,337 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,129,999 | TotalAmt |
| Program Services | $2,503,999 | ProgramServicesAmt |
| Management And General | $626,000 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,371,903 | TotalAmt |
| Program Services | $7,497,522 | ProgramServicesAmt |
| Management And General | $1,874,381 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $609,135 | TotalAmt |
| Program Services | $487,308 | ProgramServicesAmt |
| Management And General | $121,827 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,834,360 | TotalAmt |
| Program Services | $7,067,488 | ProgramServicesAmt |
| Management And General | $1,766,872 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,831,167 | TotalAmt |
| Program Services | $13,464,934 | ProgramServicesAmt |
| Management And General | $3,366,233 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,863,764 | TotalAmt |
| Program Services | $2,291,011 | ProgramServicesAmt |
| Management And General | $572,753 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $37,579,196 | $37,579,196 | |
| Taxes and state assessments | $4,004,264 | $4,004,264 | |
| membership dues | $748,001 | $598,401 | $149,600 |
| Dietary & laboratory supplies | $5,288,929 | $5,288,929 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,098,382 | TotalAmt |
| Program Services | $878,706 | ProgramServicesAmt |
| Management And General | $219,676 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,031,796 | TotalAmt |
| Program Services | $238,127,663 | ProgramServicesAmt |
| Management And General | $47,904,133 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,856,001 | BOYAmt |
| EOY | -$14,715,268 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $362,406 | BOYAmt |
| EOY | $362,205 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,386,020 | BOYAmt |
| EOY | $56,364,062 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $877,641 | BOYAmt |
| EOY | $1,570,478 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,958,816 | BOYAmt |
| EOY | $5,638,059 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$317,455 | BOYAmt |
| EOY | -$524,871 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $474,494,845 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $236,837,531 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $241,746,769 | BOYAmt |
| EOY | $237,657,314 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,881,808 | BOYAmt |
| EOY | $91,477,805 | 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 | $1,217,440 | BOYAmt |
| EOY | $1,388,328 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $372,257,444 | BOYAmt |
| EOY | $379,218,112 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$763,641 | BOYAmt |
| EOY | $4,570,822 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,646,505 | BOYAmt |
| EOY | $157,100,712 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,315,205 | BOYAmt |
| EOY | $5,594,757 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,198,069 | BOYAmt |
| EOY | $167,266,291 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,559,009 | BOYAmt |
| EOY | $211,448,259 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $216,390 | BOYAmt |
| EOY | $219,586 | 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 | $193,059,375 | BOYAmt |
| EOY | $211,951,821 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $372,257,444 | BOYAmt |
| EOY | $379,218,112 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $16,866,251 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,674,728 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $2,455,923 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $1,245,000 | 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 |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $8,730 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $1,175 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $9,905 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,104,656 | OtherCostOrOtherBasisAmt |
| Book Value | $24,104,656 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $289,887,500 | OtherCostOrOtherBasisAmt |
| Depreciation | $117,480,666 | DepreciationAmt |
| Book Value | $172,406,834 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $151,846,727 | OtherCostOrOtherBasisAmt |
| Depreciation | $119,356,865 | DepreciationAmt |
| Book Value | $32,489,862 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,655,962 | OtherCostOrOtherBasisAmt |
| Book Value | $8,655,962 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $237,657,314 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MERCY HEALTH INVESTMENT MANAGEMENT PROGRAM | Desc |
| Book Value | $91,477,805 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $91,477,805 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED POST RETIREMENT BENEFITS | |
| ACCRUED PENSION | |
| OTHER | $5,594,757 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,594,757 | 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, 2014 AND 2013, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2014 OR 2013. | 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 | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| 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 | $3,969,412 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,278,316 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $691,096 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0024 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,151,250 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,713,918 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,437,332 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0540 | 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 | $59,120,662 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,992,234 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,128,428 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0564 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $577,644 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $576,144 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,050,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,050,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0037 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,567,862 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $585,915 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,981,947 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0069 | 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 | $30,920 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,720 | 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 | $4,226,426 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $587,615 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,638,811 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0127 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $63,347,088 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,579,849 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,767,239 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0691 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $28,222,580 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $61,854,959 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $52,913,461 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $8,941,498 | 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 | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SPRINGFIELD REGIONAL MEDICAL CENTER | ||||||||||
| 1 | 2615 East High Street | SPRINGFIELD | OH | 45505 | www.community-mercy.org | 1122AHR | Yes (X) | Yes (X) | Yes (X) | |
| MERCY MEMORIAL HOSPITAL | ||||||||||
| 2 | 904 SCIOTO STREET | URBANA | OH | 43078 | www.community-mercy.org | 1121AHR | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Asset Level CriteriaAssetLevelCriteriaInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPRINGFIELD REGIONAL MEDICAL CENTER | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | false | Yes (true) | Yes (true) | Yes (X) | www.community-mercy.org | Yes (X) | www.ccchd.com, www.mercy.com | Yes (X) | Yes (true) | 13 | Yes (true) | www.mercy.com/corporate/community-benefits.aspx | false | false | Yes (true) | Yes (X) | 2.0 | 4.0 | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | |
| MERCY MEMORIAL HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | www.community-mercy.org | Yes (X) | www.mercy.com | Yes (X) | Yes (true) | 13 | Yes (true) | www. mercy.com/corporate/community-benefits.aspx | false | false | Yes (true) | Yes (X) | 2.0 | 4.0 | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | Yes (X) | |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Springfield Regional Medical Center. Springfield Regional Medical Center (SRMC) and community representatives worked together to gather data and analyze the current health care needs in our region. A meeting was held on October 22, 2012 to review the data which included the following topics: * General Health Status * Prevalence of Disease * Lifestyle Choices * Early Detection * Immunization * Accident Prevention * Children's Health Attendees included representatives from Clark County Combined Health District (CCCHD), Community Health Foundation, Community Mercy Health Partners, Hyden Consulting (RHC/MHS), Rocking Horse Center, and the Springfield Foundation. Discussion led to the invitation of the following organizations to join the coalition: United Way of Clark, Champaign and Madison Counties; Ohio Valley Medical Center; local Dental and Medical Societies; Mental Health Board; United Senior Services/Area Agency on Aging; and Dayton Children's/Nationwide Children's Hospitals (for data on Clark County Pediatrics). The epidemiologist at CCCHD and Springfield Regional Medical Center staff worked together to gather ICD-9 data. Springfield Regional Medical Center participated in the Clark County Community Health Assessment that began in October 2012 and ended in June 2013 after twelve meetings. A team of Wright State University researchers reviewed current literature to identify evidence-based practices (EBP) that could be used to remedy the priority issues. Task forces reconvened in April 2013 with nine (9) subsequent meetings to review the data and prioritize the needs. A meeting was held in June 2013 with all partners to review and approve the priority list. Feedback collected from this meeting was used to refine research efforts and develop action steps to implement the chosen strategies. This information was organized into an action plan by the Wright State team and distributed to task force participants for review in October 2012. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - Springfield Regional Medical Center. OSU Extension Clark County Combined Health District SANOFI United Senior Services Mental Health Services Community Mercy Cancer Center Clark County Combined Health United Way of Clark, Champaign and Madison Counties Mental Health Services for Clark & Madison Counties, Inc. Clark County Combined Health District McKinley Hall Mental Health Services for Clark & Madison Counties, Inc. Catholic Central School System Clark County Sheriff's Office Clark County Coroner Department of Job & Family Services Clark County Probation office Adult Probation Clark State LPN Program Department of Job & Family Services Mental Health Services of Clark & Madison Counties Family & Youth Initiatives, New Carlisle, OH Community Health Foundation Hyden Consulting Cedarville University Pharmacy Program Mercy Med Assist Springfield News Sun |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Springfield Regional Medical Center. Springfield Regional Medical Center (SRMC) is addressing the significant needs identified in the most recently conducted CHNA as follows: 1. Mental Health Wellbeing - Currently, SRMC is partnering in Clark County to work with the State in the area of medical Mental Health Homes and managed care so our focus in on prevention. MHRB advocates adoption of treatment overlay; the FQHC provides mental health services; there is an array of MH 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. 2. Chronic Disease Management - A large portion of the city of Springfield is a Health Professionals Shortage Area (HPSA). The County does have an FQHC, but while it does have new physical capacity, the facility has dropped from four physicians to two with one of those two being the medical director. SRMC has worked with the FQHC, first by providing $150,000.00 to recruit and hire additional providers. SRMC and the FQHC have established a process for patients being discharged from the hospital with a diagnosis of diabetes and without a PCP, to schedule the first follow up appointment and become an established patient at the FQHC. This success of this program is proven by the zero readmission rate of these patients and a reduction in their A1C levels and overall improved health. 3. 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. To get to the point of targeting the highest priority strategies, the community first needs to build data collection and analysis capacity. Such capacity will enable the community to make a firm case for the need for more resources, then to obtain additional professionals, and to be able to prioritize and disseminate effective prevention interventions. In terms of community strengths, there is wide community support to follow the Strategic Prevention Framework and to pursue participation by the 12 partnering sectors recommended by the Substance Abuse and Mental Health Services Administration (SAMHSA). Additionally SRMC is part of the Drug Death Review Team whose purpose is to perform a multidisciplinary review of all unintentional drug deaths occurring in Clark County, identifying interventions to reduce the rate of drug deaths. Identified needs that are not being addressed specifically by SRMC 1. Obesity - 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. 2. Healthy Births - 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. |
| Schedule H, Part V, Section B, Line 22 Facility , 1 | Facility , 1 - SPRINGFIELD REGIONAL MEDICAL CENTER. The maximum amount that can be charged to FAP-eligible individuals for emergency care or other medically necessary care is based upon federal poverty levels stated in the hospital's financial assistance policy. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Mercy Memorial Hospital. Mercy Memorial Hospital, a critical access hospital, took part in the Regional Health Needs Assessment Project: Ohio's Critical Access Hospitals, North Central Region. The process relied on a data-driven, facilitated planning approach, and was conducted between November 2011 and May 2012 in four (4) half-day sessions. In addition, Mercy Memorial Hospital participated in the Champaign County Community Health Plan process beginning in November 2012 with six (6) meetings and concluding in June 2013. A team of Wright State University researchers reviewed current literature to identify evidence-based practices (EBP) that could be used to remedy the priority issues. Task forces reconvened in June and August of 2012 to review and determine the viability of the EBP. Feedback collected from this meeting was used to refine research efforts and develop action steps to implement the chosen strategies. This information was organized into an action plan by the Wright State team and distributed to task force participants for review in October 2012. A community health planning cycle was used to analyze the data in 5 steps: 1. Self-assessment 2. Build the partnership 3. Conduct planning Activities 4. Task forces 5. Evaluation A total of five meetings were held thereafter with Wright State consisting of the first steering meeting, two task force meetings (community and internal), and a second steering committee meeting to combine all the data. Active partners in this process included representatives from the Champaign County Mental Health/Suicide Coalition, County Health Commissioner, YMCA, Mercy Memorial Hospital, Drug Free Youth Coalition, Early Childhood Coordinating Committee, Family & Children First Council, Caring Kitchen, Mercy Well Child Pediatrics, local Cancer Association, Champaign County Board of Developmentally Delayed , Educational Services Center Office, Transitions Counseling, Home Health and area churches as well as the Administrators of local senior residential facilities, superintendents of Champaign County and Urbana City schools, North Lewisburg Township Trustees and the county's Medical Director. Seven meetings were held over a twelve month period beginning in October 2011 through November 2012. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - Mercy Memorial Hospital. Mercy Memorial Hospital's CHNA was conducted, in part, with the following hospital facilities, all part of the Ohio Critical Access Hospital group: Bucyrus & Galion Community Hospital, Conneaut & Geneva Medical Center, Hardin Memorial Hospital, Lodi Community Hospital, Mercy Allen Hospital, Mercy Willard Hospital, Morrow County Hospital and Wyandot Memorial Hospital |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - Mercy Memorial Hospital. Champaign County Commissioners OSU Extension Department Jobs & Family Services YMCA, Activate Champaign Champaign County Health District Sheriff Department SNS Wright State University Emergency Management Agency Urbana Police Department Consolidated Care, Inc. United Way Hondros |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Mercy Memorial Hospital. Mercy Memorial Hospital is addressing the significant needs identified in the most recently conducted CHNA as follows: 1. Adult Mental Health - Using a brief screening tool for patients at regular primary care doctor visits for earlier identification of mental health support that patients may need. 2. Nutrition and Exercise - A health-conscious workplace has been created to promote wellness for employees and their families. This begins with the employees completing My Health Assessment (blood draw, biometric health screening & online questionnaire) elect a primary care physician (PCP) if they do not already have one and set a health goal with their PCP. 3. Chronic Disease Management - MMH has developed a multidisciplinary, team based clinic to coach, council and treat residents of Champaign County who are affected by chronic diseases including diabetes, obesity, congestive heart failure, chronic obstructive pulmonary disease, arthritis and memory challenges. 4. Preventative Health Education: Mercy Memorial Hospital and community representatives have identified the need for a targeted and coordinated approach. Passport To Wellness provides monthly programs focused on healthy living for busy individuals. The 5-2-1 Almost None program for kids is promoted throughout the community. Identified needs that are not being addressed specifically by Mercy Memorial Hospital: 1. 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 22 Facility , 1 | Facility , 1 - Mercy Memorial Hospital. The maximum amount that can be charged to FAP-eligible individuals for emergency or other medically necessary care is based upon federal povery levels stated in the hospital's financial assistance policy. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Mercy Memorial Wound Care Center | ||||
| 1430 East US Highway 36 | Urbana | OH | 43078 | Wound Care Center |
| Springfield Regional Wound Care center | ||||
| 362 S Burnett Rd | Springfield | OH | 45505 | Wound Care Center |
| Occupational Health Center-Springfield | ||||
| 2501 East High Street | Springfield | OH | 45505 | Occupational Health Center |
| Occupational Health Center-Urbana | ||||
| 904 Scioto St | Urbana | OH | 43078 | Occupational Health Center |
| Springfield Regional Cancer Center | ||||
| 148 W North St | Springfield | OH | 45503 | Cancer Center |
| Mercy Siena Retirement Community | ||||
| 6125 N Main St | Dayton | OH | 45415 | Skilled Nursing Facility |
| Community Mercy Home Medical Equipment | ||||
| 1702 N Limestone St | Springfield | OH | 45505 | Medical Equipment Supplier |
| Community Mercy Home Care Services of Springfield LLC | ||||
| 530 South Burnett Rd | Springfield | OH | 45505 | Home Health Agency |
| McAuley Center | ||||
| 906 Scioto Street | Urbana | OH | 43078 | Skilled Nursing Facility |
Supplemental Information Detail SupplementalInformationDetail (15 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 Mercy Well Child Pediatric Clinic. Services are provided primarily by a Nurse Practitioner; however, we do have a staff physician (on our payroll) who provides on-call coverage and limited on-site hours. The amount of subsidized health services attributable to a physician clinic is $990,316. |
| 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 16b FAP Application website | - SPRINGFIELD REGIONAL MEDICAL CENTER: Line 16b URL: www.mercy.com; - MERCY MEMORIAL HOSPITAL: Line 16b URL: www.mercy.com; |
| Schedule H, Part VI, Line 2 Needs assessment | COMMUNITY MERCY HEALTH PARTNERS (CMHP) HOSPITALS ASSESS AND CONTINUALLY RESPONDS 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 2014 per the audit footnote is as follows: Total 2014 Community Benefit: $22.4 Million Benefits to the Broader Community: $3.4 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $17.7 million Cost of Care for Those Who Could Not Afford to Pay: $0.8 million Support for Other Programs for Those Who are Poor: $0.5 million Community Benefit as Percent of Total Expense: 7.8 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 2014 per the audit footnote is as follows: Total 2014 Community Benefit: $346.2 Million Benefits to the Broader Community: $61.5 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $227.9 million Cost of Care for Those Who Could Not Afford to Pay: $40.6 million Support for Other Programs for Those Who are Poor: $16.2 million Community Benefit as Percent of Total Expense: 7.9 percent |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| 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 (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL HILTZ | ||||||||||||||
| TRUSTEE, MARKET LEADER & PRESIDENT | $447,193 | $0 | $55,164 | $0 | $63,536 | $0 | $94,423 | $0 | $24,771 | $0 | $685,087 | $0 | $0 | $0 |
| JAMES MAY | ||||||||||||||
| TRUSTEE, EVP Mercy Health | $0 | $835,789 | $0 | $267,418 | $0 | $324,523 | $0 | $18,200 | $0 | $27,188 | $0 | $1,473,118 | $0 | $0 |
| MARK WIENER | ||||||||||||||
| FORMER OFFICER | $0 | $0 | $0 | $0 | $158,098 | $0 | $972 | $0 | $0 | $0 | $159,070 | $0 | $73,884 | $0 |
| WILLIAM KUSNIERZ | ||||||||||||||
| VP, CFO & TREASURER | $0 | $245,005 | $0 | $31,804 | $0 | $19,972 | $0 | $28,613 | $0 | $22,994 | $0 | $348,388 | $0 | $0 |
| KATRINA ENGLISH | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $292,438 | $0 | $58,502 | $0 | $1,976 | $0 | $45,536 | $0 | $24,346 | $0 | $422,798 | $0 | $0 |
| GARY HAGENS | ||||||||||||||
| VP, COO - VPMA | $340,811 | $0 | $33,230 | $0 | $22,070 | $0 | $15,600 | $0 | $6,436 | $0 | $418,147 | $0 | $0 | $0 |
| KENNETH W RICH | ||||||||||||||
| VP, BUSINESS DEVELOPMENT & ANCILLARY SERVICES | $144,708 | $0 | $16,100 | $0 | $924 | $0 | $12,401 | $0 | $20,868 | $0 | $195,001 | $0 | $0 | $0 |
| SHERRY NELSON | ||||||||||||||
| VP Chief Nursing Officer | $208,596 | $0 | $18,254 | $0 | $13,811 | $0 | $8,287 | $0 | $15,848 | $0 | $264,796 | $0 | $0 | $0 |
| SANA WAIKHOM MD | ||||||||||||||
| FORMER HCE | $0 | $129,511 | $0 | $9,000 | $0 | $21,273 | $0 | $76,859 | $0 | $9,352 | $0 | $245,995 | $0 | $0 |
| JENELLE ZELINSKI | ||||||||||||||
| DIRECTOR OF FINANCE | $180,960 | $0 | $7,117 | $0 | $564 | $0 | $41,497 | $0 | $1,621 | $0 | $231,759 | $0 | $0 | $0 |
| KAREN S GORBY | ||||||||||||||
| DIRECTOR, CLINICAL SERVICES | $146,882 | $0 | $11,087 | $0 | $2,342 | $0 | $9,697 | $0 | $15,707 | $0 | $185,715 | $0 | $0 | $0 |
| PAMELA ALLEN | ||||||||||||||
| Director, Pharmacy | $170,907 | $0 | $6,852 | $0 | $2,834 | $0 | $3,418 | $0 | $7,857 | $0 | $191,868 | $0 | $0 | $0 |
| MARIANNE POTINA | ||||||||||||||
| VP MISSION & VALUES | $133,663 | $0 | $13,170 | $0 | $9,505 | $0 | $11,121 | $0 | $16,102 | $0 | $183,561 | $0 | $0 | $0 |
| JAMIE HOUSEMAN | ||||||||||||||
| DIRECTOR MARKET OPERATIONS | $112,460 | $0 | $24,032 | $0 | $1,289 | $0 | $11,169 | $0 | $22,875 | $0 | $171,825 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4b The Mercy Health Executive Retention Plan | The Mercy Health Executive Retention Plan is a deferred compensation plan which provides employment continuation incentives 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 and cease to receive credits after 5 years of plan participation provided they remain employed. Vesting and cessation of credits occur earlier for death or total disability while employed, involuntary termination of employment within 24 months after a change in control of the organization, or, for certain participants, upon being offered a specified promotion. Payment of the vested account balance in a lump sum occurs upon vesting. Amounts includible as taxable compensation for listed individuals due to retention plan participation in the reporting year were as follows: James May $127,989; Katrina English $0. |
| 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: James May $169,156. |
| Schedule J, Part I, Line 4b Terms and conditions of the Cincinnati Market executive benefit plan | The Cincinnati Market Executive Benefit Plan is a deferred compensation plan which provides employment continuation incentives to all executive council members. It provides annual credits of a specified percentage of compensation. A benefit is calculated for any individual whose compensation is limited in the qualified cash balance plan due to income which exceeds the IRS maximum. The benefit is based upon Form W-2 compensation and is equal to the amount excluded from the qualified plan. 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; Gary Hagens $17,041; Sherry Nelson $10,609; William Kusnierz $0; Katrina English $0; Marianne Potina $6,838. |
| Schedule J, Part I, Line 1a Travel for companions | Travel for companions was provided for the following listed individuals: Pius Kurian, MD, Mark B. Robertson, James N. Doyle, Michael S. McKee, MD, Joseph R. Jackson, and Wendy H. Doolittle. The entire benefit 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 listed individuals for specified periods. The listed individuals executed releases and waivers of claims in exchange for the severance benefits. Salary continuation amounts provided during the year to listed individuals were as follows: Mark Wiener $2,041. |
| 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. It provides annual credits of a specified percentage of compensation and annual investment returns and/or losses. 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; Kenneth W. Rich $0; Mark Wiener $156,057; Katrina English $0; Marianne Potina $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 (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SPRINGFIELD HEMATOLOGY AND ONCOLOGY ASSOCIATES | |||
| RAVI KHANNA M.D. (BOARD MEMBER) HAS A REPORTABLE OWNERSHIP INTEREST | $119,314 | RENTAL PAYMENTS & LABORATORY SERVICES | false |
| SPRINGFIELD HEART SURGEONS | |||
| SURENDER NERAVETLA, M.D. (BOARD MEMBER) HAS A REPORTABLE OWNERSHIP INTEREST | $896,769 | INDEPENDENT CONTRACTOR | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 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 VIII, Line 11d Other Miscellaneous Revenue | - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part IX, Line 11g Other Fees | Medical Professional fees - Total Expense: 8073516, Program Service Expense: 6458813, Management and General Expenses: 1614703, Fundraising Expenses: ; Consulting - Total Expense: 1467893, Program Service Expense: 1174314, Management and General Expenses: 293579, Fundraising Expenses: ; Affiliate Purchased services - Total Expense: 40961204, Program Service Expense: 32768963, Management and General Expenses: 8192241, Fundraising Expenses: ; Other purchased services - Total Expense: 15267714, Program Service Expense: 12214171, Management and General Expenses: 3053543, Fundraising Expenses: ; Maintenance & Service Agreements - Total Expense: 6726357, Program Service Expense: 5381086, Management and General Expenses: 1345271, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Pension Liability Adjustments - -517000; Equity Fund Transfers - 1762000; |
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 | $3,394,894 | TotalIncomeAmt |
| End Of Year Assets | $4,453,393 | 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 (37 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 | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 311161086 | HEALTHCARE SYSTEM PARENT | OH | 501(c)(3 | 3 | NA | false |
| MERCY HEALTH FOUNDATION | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 201072726 | FUNDRAISING | OH | 501(c)(3 | 7 | MERCY HEALTH | false |
| MERCY HEALTH RETIREMENT TRUST | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 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 | 9 | 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 | Type II | 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 | 9 | MERCY HEALTH CINCINNATI LLC | false |
| MERCY SACRED HEART INC | ||||||||||
| 2120 PAYNE STREET | LOUISVILLE | KY | 40206 | 611318326 | RETIREMENT HOME | KY | 501(c)(3 | 9 | MERCY HEALTH CINCINNATI LLC | false |
| MERCY LONG TERM CARE INITIATIVE | ||||||||||
| 4915 CHARLESTOWN RD | NEW ALBANY | IN | 47150 | 311332491 | RETIREMENT HOME | IN | 501(c)(3 | 9 | 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 |
| MERCY FRANCISCAN AT ST RAPHAEL INC | ||||||||||
| 610 HIGH STREET | HAMILTON | OH | 45011 | 202934871 | SOCIAL SERVICES | OH | 501(c)(3 | 7 | MERCY HEALTH CINCINNATI LLC | false |
| COMMUNITY MERCY HEALTH SYSTEM | ||||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 300272454 | MARKET PARENT | OH | 501(c)(3 | Type I | MERCY HEALTH | false |
| COMMUNITY MERCY HEALTH PARTNERS | ||||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 310785684 | HOSPITAL | OH | 501(c)(3 | 3 | COMMUNITY MERCY HEALTH SYSTEM | false |
| C H HEALTH SERVICES COMPANY | ||||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 311181984 | HOSPITAL | OH | 501(c)(3 | 3 | COMMUNITY MERCY HEALTH SYSTEM | false |
| CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE | ||||||||||
| 1150 E HOME ROAD | SPRINGFIELD | OH | 45503 | 260698515 | MEDICAL INFORMATION EXCHANGE | OH | 501(c)(3 | 9 | COMMUNITY MERCY HEALTH SYSTEM | false |
| THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST | ||||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 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 HOME CARE INC | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341587572 | HOME HEALTHCARE | OH | 501(c)(3 | 9 | 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 | Type I | MERCY COLLEGE OF OHIO | false |
| LIFESTAR AMBULANCE INC | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341354653 | MEDICAL TRANSPORTATION | OH | 501(c)(3 | Type II | MERCY HEALTH NORTH LLC | false |
| RSM MEDICAL FOUNDATION | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43624 | 341693671 | HOSPITAL | OH | 501(c)(3 | 3 | MERCY HEALTH NORTH LLC | false |
| SIMON OUTREACH SERVICES | ||||||||||
| 2600 NAVARRE AVENUE | OREGON | OH | 43616 | 341383325 | MEDICAL OFFICE RENTAL | OH | 501(c)(3 | Type II | MERCY HEALTH - ST CHARLES HOSPITAL LLC | false |
| FARLEY HEALTHCARE CORPORATION | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341363204 | HEALTH SERVICES | OH | 501(c)(3 | 9 | 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 | Type II | 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 | 9 | MERCY HEALTH YOUNGSTOWN LLC | false |
| HOSPICE OF THE VALLEY | ||||||||||
| 5190 MARKET STREET | YOUNGSTOWN | OH | 44512 | 341288745 | HOSPICE SERVICES | OH | 501(c)(3 | 9 | MERCY HEALTH YOUNGSTOWN LLC | false |
| HUMILITY HOUSE | ||||||||||
| 755 OHLTOWN ROAD | AUSTINTOWN | OH | 44515 | 341894783 | NURSING HOME | OH | 501(c)(3 | 9 | MERCY HEALTH YOUNGSTOWN LLC | false |
| ST JOSEPH HEALTH CENTER AUXILIARY | ||||||||||
| 677 EASTLAND SE | WARREN | OH | 44484 | 346556121 | FUNDRAISING | OH | 501(c)(3 | 9 | MERCY HEALTH YOUNGSTOWN LLC | false |
| MERCY HEALTH PARTNERS - LOURDES INC | ||||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | 610600313 | HOSPITAL | KY | 501(c)(3 | 3 | MERCY HEALTH | false |
| LOURDES HOSPITAL AUXILIARY GIFT SHOP | ||||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | 610927805 | FUNDRAISING | KY | 501(c)(3 | Type I | 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 | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 731627534 | MARKET PARENT | TN | 501(c)(3 | Type I | MERCY HEALTH | false |
| MERCY HEALTH PARTNERS - NORTHEAST REGION INC | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 232813196 | MARKET PARENT | PA | 501(c)(3 | Type I | 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 | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 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 | 9 | HEALTHSPAN PARTNERS | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| 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 |
| HMHPUSP Surgery Centers LLC | ||||||||
| 15305 Dallas Pkwy Ste 1600 | Addison | TX | 75001 | 271953122 | Surgery Center | TX | 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 | 611258960 | Surgery Center | KY | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CHP INSURANCE LTD | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 980621978 | INSURANCE | CJ | NA | C Corporation | false | |
| NORTHPARKE MEDICAL COMMONS CONDO ASSN | ||||||||||
| 333 N LIMESTONE ST | SPRINGFIELD | OH | 45503 | 311391230 | REAL PROPERTY MGMNT | NA | C Corporation | false | OH | |
| 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 | ||||||||||
| 4600 MCAULEY PLACE | CINCINNATI | OH | 45242 | 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 DYNAMICS INC | ||||||||||
| 900 E OAK HILL AVENUE | KNOXVILLE | TN | 37917 | 621247729 | MEDICAL EQUIPMENT SALES | NA | C Corporation | false | TN | |
| HEALTH VENTURES INC & SUBSIDIARIES | ||||||||||
| P O BOX 1788 | KNOXVILLE | TN | 37901 | 621175587 | MEDICAL SERVICES | NA | C Corporation | false | TN | |
| ANNE KILCAWLEY CHRISTMAN FOUNDATION | ||||||||||
| 100 FEDERAL PLAZA EAST | YOUNGSTOWN | OH | 44503 | 356735706 | BENEFICIAL TRUST | NA | Trust | false | OH | |
| 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 | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 300810766 | CONSULTING | NA | C Corporation | false | OH | |
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