COMMUNITY MERCY HEALTH PARTNERS: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY MERCY HEALTH PARTNERS (EIN 31-0785684)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-13
IRS object ID: 201413179349306241
Schema version: 2013v3.1
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	2014-11-13T14:00:04-06:00	ReturnTs
Tax Period End	2013-12-31	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	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	312 WALNUT STREET SUITE 300	AddressLine1
City	CINCINNATI	City
State	OH	State
ZIP Code	45202	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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	BusinessNameLine1

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	AddressLine1
City	Springfield	City
State	OH	State
ZIP Code	45502	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WILLIAM KUSNIERZ	PersonNm
Person Title	MARKET CFO	PersonTitleTxt
Signature	2014-11-04	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	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SPRINGFIELD REGIONAL MEDICAL CENTER	BusinessNameLine1

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

Field	Value	IRS element (for citing)
Business Name Line1	PAUL HILTZ PRESIDENT & CEO	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One South Limestone Street	AddressLine1
City	Springfield	City
State	OH	State
ZIP Code	45502	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$305,374,470	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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2850	TotalEmployeeCnt
Total Volunteers	963	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,330,566	PYContributionsGrantsAmt
CY Contributions Grants	$4,033,190	CYContributionsGrantsAmt
PY Program Service Revenue	$280,736,179	PYProgramServiceRevenueAmt
CY Program Service Revenue	$292,979,492	CYProgramServiceRevenueAmt
PY Investment Income	$3,792,636	PYInvestmentIncomeAmt
CY Investment Income	$279,593	CYInvestmentIncomeAmt
PY Other Revenue	$8,143,226	PYOtherRevenueAmt
CY Other Revenue	$7,426,862	CYOtherRevenueAmt
PY Total Revenue	$294,002,607	PYTotalRevenueAmt
CY Total Revenue	$304,719,137	CYTotalRevenueAmt
PY Grants And Similar Paid	$108,650	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,710	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$130,382,232	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$124,254,697	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$155,127,254	PYOtherExpensesAmt
CY Other Expenses	$156,396,933	CYOtherExpensesAmt
PY Total Expenses	$285,618,136	PYTotalExpensesAmt
CY Total Expenses	$280,665,340	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,384,471	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$24,053,797	CYRevenuesLessExpensesAmt
Total Assets BOY	$397,421,895	TotalAssetsBOYAmt
Total Assets EOY	$372,257,444	TotalAssetsEOYAmt
Total Liabilities BOY	$245,889,731	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$179,198,069	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$151,532,164	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$193,059,375	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF COMMUNITY MERCY HEALTH PARTNERS IS TO CARRY OUT THE CATHOLIC HEALTH PARTNERS 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	$235,165,385	ExpenseAmt
Grant	$13,710	GrantAmt
Revenue	$292,979,492	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 2013 COMMUNITY MERCY HEALTH PARTNERS PROVIDED $27,551,708 IN COMMUNITY BENEFITS REPRESENTING 9.88% OF TOTAL OPERATING EXPENSES.	Desc
Total Program Service Expenses	$235,165,385	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	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
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	2850	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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5136392800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	615 ELSINORE PLACE	AddressLine1
City	CINCINNATI	City
State	OH	State
ZIP Code	45202	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (29 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
MARK B ROBERTSON
CHAIR	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
PAUL HILTZ
TRUSTEE, MARKET LEADER & PRESIDENT	40.00	5.50	Yes (X)	Yes (X)	$392,725	$0	$92,179
PIUS KURIAN MD
SECRETARY	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
REV DARRYL L GRAYSON
VICE CHAIR	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
DEANNA L BROUGHER
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
JAMES MAY
TRUSTEE, CHP EVP & COO	0.30	43.40	Yes (X)		$0	$1,794,878	$45,028
JAMES N DOYLE
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
JOSEPH R JACKSON
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
KATHLEEN M HUGHES
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MICHAEL S MCKEE MD
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
PAMELA R YOUNG PHD
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
RAVI C KHANNA MD
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
SR DORIS A GOTTEMOELLER RSM
TRUSTEE	1.00	4.00	Yes (X)		$0	$0	$0
SURENDER NERAVETLA MD
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
WENDY DOOLITTLE
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
JOHN DEMPSEY
VP, CFO & TREASURER	40.00	2.00		Yes (X)	$293,894	$0	$31,144
WILLIAM KUSNIERZ
VP, CFO & TREASURER	40.00	2.00		Yes (X)	$0	$319,079	$13,353
D TERRY BOYS
VP, CHIEF NURSING OFFICER	40.00	0.00			$195,763	$0	$4,983	Yes (X)
GARY HAGENS
VP, COO - VPMA	40.00	0			$385,702	$0	$40,591	Yes (X)
KENNETH W RICH
VP, BUSINESS DEVELOPMENT & ANCILLARY SERVICES	40.00	0			$153,836	$0	$28,408	Yes (X)
SHERRY NELSON
VP Chief Nursing Officer	40.00	0			$211,392	$0	$7,280	Yes (X)
JENELLE ZELINSKI
DIRECTOR OF FINANCE	40.00	0			$179,212	$0	-$11,388		Yes (X)
KAREN S GORBY
DIRECTOR, CLINICAL SERVICES	40.00	0			$144,785	$0	$15,053		Yes (X)
PAMELA ALLEN
Director, Pharmacy	40.00	0			$169,786	$0	$7,498		Yes (X)
ROSE MCKELVIE
Director, Clinical Services	40.00	0			$142,408	$0	$19,416		Yes (X)
SANDRA CROW
RN	40.00	0			$151,067	$0	$25,878		Yes (X)
KATRINA ENGLISH
FORMER KEY EMPLOYEE	0.00	56.00			$0	$366,634	$33,810			Yes (X)
MARK WIENER
FORMER OFFICER	0.00	0.00			$338,208	$0	$2,784			Yes (X)
SANA WAIKHOM MD
FORMER HCE	0.00	40.00			$0	$160,077	-$16,104			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,758,778	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,640,668	TotReportableCompRltdOrgAmt
Total Other Compensation	$339,913	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	52	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,878,893	RelatedOrganizationsAmt
Government Grants	$89,917	GovernmentGrantsAmt
All Other Contributions	$1,064,380	AllOtherContributionsAmt
Total Contributions	$4,033,190	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621990	$291,232,574	$291,232,574
INCOME FROM JV'S AND PARTNERSHIPS	900003	$587,021	$587,021
RENTAL INCOME FROM AFFILIATES	531120	$1,063,404	$1,063,404
INTERCOMPANY	900099	$96,493	$96,493
		$0

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	$292,979,492	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$759,404	TotalRevenueColumnAmt
Exclusion	$759,404	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$175,522	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$655,333	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$175,522	SecuritiesAmt
Other	-$655,333	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$479,811	TotalRevenueColumnAmt
Exclusion	-$479,811	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722210	$1,073,830	$1,073,830
CHILDCARE	624410	$47,059	$47,059
HITECH STIMULUS FUNDS	900099	$2,773,299	$2,773,299

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,532,674	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,532,674	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,426,862	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$304,719,137	TotalRevenueColumnAmt
Related Or Exempt Func Income	$292,979,492	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$7,706,455	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	$13,710	TotalAmt
Program Services	$13,710	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,176,105	TotalAmt
Program Services	$1,740,884	ProgramServicesAmt
Management And General	$435,221	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$95,453,601	TotalAmt
Program Services	$76,362,881	ProgramServicesAmt
Management And General	$19,090,720	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,224,350	TotalAmt
Program Services	$4,979,480	ProgramServicesAmt
Management And General	$1,244,870	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,334,994	TotalAmt
Program Services	$10,667,995	ProgramServicesAmt
Management And General	$2,666,999	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,065,647	TotalAmt
Program Services	$5,652,518	ProgramServicesAmt
Management And General	$1,413,129	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$56,500	TotalAmt
Management And General	$56,500	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$399,506	TotalAmt
Management And General	$399,506	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$63,463,636	TotalAmt
Program Services	$52,579,201	ProgramServicesAmt
Management And General	$10,884,435	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,952,662	TotalAmt
Program Services	$3,962,130	ProgramServicesAmt
Management And General	$990,532	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,175,344	TotalAmt
Program Services	$6,540,275	ProgramServicesAmt
Management And General	$1,635,069	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$495,563	TotalAmt
Program Services	$396,450	ProgramServicesAmt
Management And General	$99,113	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,418,273	TotalAmt
Program Services	$7,534,618	ProgramServicesAmt
Management And General	$1,883,655	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,952,322	TotalAmt
Program Services	$14,361,858	ProgramServicesAmt
Management And General	$3,590,464	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,098,311	TotalAmt
Program Services	$2,478,649	ProgramServicesAmt
Management And General	$619,662	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$36,621,733	$36,621,733
TAXES AND STATE ASSESSMENTS	$3,802,198	$3,802,198
MEMBERSHIP DUES	$869,818	$695,854	$173,964
DIETARY & LABORATORY SUPPLIES	$5,510,481	$5,510,481

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,580,586	TotalAmt
Program Services	$1,264,470	ProgramServicesAmt
Management And General	$316,116	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$280,665,340	TotalAmt
Program Services	$235,165,385	ProgramServicesAmt
Management And General	$45,499,955	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$4,112,621	BOYAmt
EOY	-$1,856,001	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$362,748	BOYAmt
EOY	$362,406	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$50,665,902	BOYAmt
EOY	$37,386,020	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$799,382	BOYAmt
EOY	$877,641	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,762,728	BOYAmt
EOY	$4,958,816	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	-$306,566	BOYAmt
EOY	-$317,455	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$580,970,850	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$339,224,081	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$263,072,773	BOYAmt
EOY	$241,746,769	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$81,007,590	BOYAmt
EOY	$87,881,808	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,169,959	BOYAmt
EOY	$1,217,440	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$397,421,895	BOYAmt
EOY	$372,257,444	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$27,965,438	BOYAmt
EOY	-$763,641	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$175,074,624	BOYAmt
EOY	$163,646,505	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$42,849,669	BOYAmt
EOY	$16,315,205	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$245,889,731	BOYAmt
EOY	$179,198,069	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$150,894,479	BOYAmt
EOY	$192,559,009	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$353,709	BOYAmt
EOY	$216,390	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	$151,532,164	BOYAmt
EOY	$193,059,375	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$397,421,895	BOYAmt
EOY	$372,257,444	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$24,053,797	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,259,059	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$15,214,356	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (true)	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	Yes (true)	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$11,251	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$2,902	OtherActivitiesAmt
Total Lobbying Expenditures	$14,153	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, Description of the activities reported on Lines 1a through 1i	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	$347,981,598	OtherCostOrOtherBasisAmt
Depreciation	$168,626,036	DepreciationAmt
Book Value	$179,355,562	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$207,586,573	OtherCostOrOtherBasisAmt
Depreciation	$170,598,045	DepreciationAmt
Book Value	$36,988,528	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,298,023	OtherCostOrOtherBasisAmt
Book Value	$1,298,023	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$241,746,769	TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	CATHOLIC HEALTH PARTNERS INVESTMENT MANAGEMENT PROGRAM	Desc
Book Value	$87,881,808	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$87,881,808	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ACCRUED POST RETIREMENT BENEFITS	$423,706
ACCRUED PENSION	$11,067,855
OTHER	$4,823,644

Field	Value	IRS element (for citing)
Total Liability	$16,315,205	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 [CATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES] COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2013 AND 2012, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2013 OR 2012.	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	$10,377,945	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,601,633	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,776,312	NetCommunityBenefitExpnsAmt
Total Expense	0.02430	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,065,146	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,908,083	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,157,063	NetCommunityBenefitExpnsAmt
Total Expense	0.06150	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	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	$56,443,091	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,509,716	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,933,375	NetCommunityBenefitExpnsAmt
Total Expense	0.08580	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$530,539	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,247	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$517,292	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$811,849	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$811,849	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,676,240	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$743,440	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,932,800	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$356,392	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$356,392	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,375,020	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$756,687	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,618,333	NetCommunityBenefitExpnsAmt
Total Expense	0.01300	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$60,818,111	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,266,403	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,551,708	NetCommunityBenefitExpnsAmt
Total Expense	0.09880	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,050	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,050	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,050	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,050	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$24,083,774	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$62,894,915	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$51,665,337	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$11,229,578	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	0.504
NORTHPARK CONDOMINIUM ASSOCIATION
REAL PROPERTY MANAGEMENT	0.55	0	0.45

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	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	1122	Yes (X)	Yes (X)	Yes (X)
MERCY MEMORIAL HOSPITAL
2	904 SCIOTO STREET	URBANA	OH	43078	WWW.COMMUNITY-MERCY.ORG	1121	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	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 Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Rpt Available Upon RequestRptAvailableUponRequestInd	Adopt Implementation StrategyAdoptImplementationStrategyInd	Exec Implementation StrategyExecImplementationStrategyInd	Develop Community Wide PlanDevelopCommunityWidePlanInd	Exec Community Wide PlanExecCommunityWidePlanInd	Include Operational PlanIncludeOperationalPlanInd	Prioritize Health NeedsPrioritizeHealthNeedsInd	Prioritize ServicesPrioritizeServicesInd	All Needs AddressedAllNeedsAddressedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Explained BasisExplainedBasisInd	Income LevelIncomeLevelInd	Medical IndigencyMedicalIndigencyInd	Uninsured DiscountUninsuredDiscountInd	Medicaid MedicareMedicaidMedicareInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	Posted On WebsitePostedOnWebsiteInd	Attached To InvoiceAttachedToInvoiceInd	Posted In Emergency RoomPostedInEmergencyRoomInd	Posted In Admission OfficePostedInAdmissionOfficeInd	Provided On AdmissionProvidedOnAdmissionInd	Available On RequestAvailableOnRequestInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	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
SPRINGFIELD REGIONAL MEDICAL CENTER
1	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 (X)	www.community-mercy.org	Yes (X)	www.ccchd.com, www.mercy.com	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	false	Yes (true)	Yes (true)	200	Yes (true)	400	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
MERCY MEMORIAL HOSPITAL
2	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 (X)	www.community-mercy.org	Yes (X)	www.mercy.com	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	false	Yes (true)	Yes (true)	200	Yes (true)	400	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment	(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. INDIVIDUALS CONTACTED: RACHEL STRIDSBERG, OSU EXTENSION KEVIN GRIGGS, SPRINGFIELD REGIONAL MEDICAL CENTER JUDY ANDREWS, CLARK COUNTY COMBINED HEALTH DISTRICT DEBRA HENDERSON, SANOFI CATHY FERGUSON, UNITED SENIOR SERVICES CHRISTY DETRICK, MENTAL HEALTH SERVICES PILAR GONZALEZ-MOCK, COMMUNITY MERCY CANCER CENTER DELORIS PALMER, SPRINGFIELD REGIONAL MEDICAL CENTER CHRISTINA CONOVER, CLARK COUNTY COMBINED HEALTH LIN WAGNER, UNITED WAY OF CLARK, CHAMPAIGN AND MADISON COUNTIES CURT GILLESPIE, MENTAL HEALTH SERVICES FOR CLARK & MADISON COUNTIES, INC. GABE JONES, CCCHD EPIDEMIOLOGIST BECKY BONERIGO, CLARK COUNTY COMBINED HEALTH DISTRICT WENDY DOOLITTLE, MCKINLEY HALL AMANDA HOBBS, MENTAL HEALTH SERVICES FOR CLARK & MADISON COUNTIES, INC. KELLEY KOEHLER, CATHOLIC CENTRAL SCHOOL SYSTEM DAVE LYLE, CLARK COUNTY SHERIFF'S OFFICE RICHARD MARSH, CLARK COUNTY CORONER DENISE ESTEP, DEPARTMENT OF JOB & FAMILY SERVICES ANGIE BEEDY, DEPARTMENT OF JOB & FAMILY SERVICES KEN BROWN, CLARK COUNTY PROBATION OFFICE ADULT PROBATION BECKY DODDS, CLARK STATE LPN PROGRAM FAITH MCDONALD, DEPARTMENT OF JOB & FAMILY SERVICES KAREN CREEL-LAKES, CLARK COUNTY COMBINED HEALTH DISTRICT BETH HITT, MENTAL HEALTH SERVICES OF CLARK & MADISON COUNTIES J. DAYHART, FAMILY & YOUTH INITIATIVES, NEW CARLISLE, OH DIANE VAN AUKER, COMMUNITY HEALTH FOUNDATION SHERI JONES, HYDEN CONSULTING TRACY FRAME, CEDARVILLE UNIVERSITY PHARMACY PROGRAM SHERI HAINES, MERCY REACH SHIRLEY WISE, SPRINGFIELD REGIONAL MEDICAL CENTER LORI LAMBERT, CLARK COUNTY COMBINED HEALTH DISTRICT JILL STROUPE, MERCY MED ASSIST PAM MURMANS, CLARK COUNTY FAMILY & CHILDREN FIRST ROSELIN RUNNELS, MENTAL HEALTH RECOVERY BOARD OF CLARK, GREEN & MADISON COUNTIES TIFFANY LATTA, SPRINGFIELD NEWS SUN MARIANNE POTINA, COMMUNITY MERCY HEALTH PARTNERS CHARLES PATTERSON, CLARK COUNTY COMBINED HEALTH DISTRICT; (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. MAX COATES, CHAMPAIGN COUNTY COMMISSIONER SARA PRINZL, COMMUNITY HEALTH ENHANCEMENT DIRECTOR JACQUELINE HOWLEY, PARENT MENTOR ELAINE DYAR, DIETICIAN JENNIFER MEYER, SOCIAL WORKER TRACEY STUTE, BEHAVIOR HEALTH THERAPIST KILEY HORN, PROGRAM ASSISTANT, FOOD & NUTRITION PROGRAM, OSU EXTENSION STACY COX, DEPARTMENT JOBS & FAMILY SERVICES HEATHER TIEFEATHALER, YMCA, ACTIVATE CHAMPAIGN SHEILA PENA, CHAMPAIGN COUNTY HEALTH DISTRICT DETECTIVE RICK JORDAN, SHERIFF DEPARTMENT MATT SANCTIS, SNS JANE DOCKERY, WRIGHT STATE UNIVERSITY TERRI REEDER, FAMILIES & CHILDREN FIRST COUNCIL SARAH JOHNSON, CHAMPAIGN HEALTH DISTRICT CRAIG EVANS, EMERGENCY MANAGEMENT AGENCY MATT LINGRELL, URBANA POLICE DEPARTMENT JANICE RHODES, CONSOLIDATED CARE, INC. SUE BAILEY, DEPARTMENT JOBS & FAMILY SERVICES CINDY MCMAKEN, CHAMPAIGN HEALTH DISTRICT AUDREY FERRYMAN, UNITED WAY JACKIE ARRINGTON , SENIOR JEFF WEBB, CHAMPAIGN HEALTH DISTRICT MICHELLE DICKERSON, HONDROS STUDENT KEVIN DINGFELDER, HONDROS STUDENT BARRY PAXTON, MEDICAL DIRECTOR BARBARA WILLMUTH, CHAMPAIGN COUNTY BOARD DD MICHELE CARNS, CHAMPAIGN HEALTH DISTRICT RUSS WELLMAN, CHAMPAIGN HEALTH DISTRICT MATT LINGRELL, URBAN POLICE DIVISION ;
Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment	(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 Sec B, Line 7, Needs not addressed in Needs Assessment	(1) - SPRINGFIELD REGIONAL MEDICAL CENTER: * OBESITY - AS A RESULT OF THE CHNA DETERMINATION OF THIS NEED, COMMUNITY PARTNERS, WHO HAVE THE EXPERTISE AND COMPETENCIES, WILL ADDRESS THIS COMMUNITY NEED. THE TASK FORCE INCLUDES: THE PROMISE NEIGHBORHOOD, THE SPRINGFIELD CITY SCHOOL SYSTEM, CLARK COUNTY COMBINED HEALTH DISTRICT. * SUBSTANCE ABUSE - AS A RESULT OF THE CHNA DETERMINATION OF THIS NEED, COMMUNITY PARTNERS, WHO HAVE THE EXPERTISE AND COMPETENCIES, WILL ADDRESS THIS COMMUNITY NEED. THE TASK FORCE INCLUDES: MERCY REACH, MCKINLEY HALL, MENTAL HEALTH SERVICES, AND MHRB * HEALTH BIRTH/SEXUALITY - - AS A RESULT OF THE CHNA DETERMINATION OF THIS NEED, COMMUNITY PARTNERS, WHO HAVE THE EXPERTISE AND COMPETENCIES, WILL ADDRESS THIS COMMUNITY NEED. THE TASK FORCE INCLUDES THE FOLLOWING: WIC PROGRAM AND ROCKING HORSE CENTER (FQHC) ; (1) - MERCY MEMORIAL HOSPITAL: * YOUTH SUBSTANCE ABUSE AND WELLNESS - AS A RESULT OF THE CHNA DETERMINATION OF THIS NEED, COMMUNITY PARTNERS, WHO HAVE THE EXPERTISE AND COMPETENCIES, WILL ADDRESS THIS COMMUNITY NEED. THE TASK FORCE INCLUDES: CHAMPAIGN COUNTY DRUG FREE YOUTH COALITION, CHAMPAIGN COUNTY FAMILY AND CHILDREN FIRST COUNCIL, TRIAD LOCAL SCHOOLS, MERCY WELL CHILD PEDIATRICS. * YOUNG CHILD WELLNESS - - AS A RESULT OF THE CHNA DETERMINATION OF THIS NEED, COMMUNITY PARTNERS, WHO HAVE THE EXPERTISE AND COMPETENCIES, WILL ADDRESS THIS COMMUNITY NEED. THE TASK FORCE INCLUDES: EARLY CHILDHOOD COORDINATING COMMITTEE, AND MERCY WELL CHILD PEDIATRICS. ;
Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined	(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.; (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	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
MERCY MEMORIAL WOUND CARE CENTER
1430 East US Highway 36	URBANA	OH	43078	WOUND CARE CENTER
ST JOHN'S CENTER
100 W McCreight Ave	SPRINGFIELD	OH	45504	SKILLED NURSING FACILITY
OAKWOOD VILLAGE
1500 Villa Road	SPRINGFIELD	OH	45503	SKILLED NURSING FACILITY
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 (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7, COMMUNITY BENEFIT REPORT	COMMUNITY MERCY HEALTH PARTNERS PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT. A COPY OF THIS REPORT CAN BE FOUND ON THE COMPANY'S WEBSITE AT WWW.COMMUNITY-MERCY.ORG.
Schedule H, Part I, Line 6a, Community benefit report prepared by related organization	CATHOLIC HEALTH PARTNERS
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 I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation	0
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.
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. IN 2008, CMHP ENGAGED DEMPSTER HEALTHCARE GROUP TO STUDY PHYSICIAN SHORTAGES AND ASSIST WITH A STRATEGIC PLAN FOR PHYSICIAN RECRUITING.
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 11) 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 VI, Line 2, Needs assessment.	COMMUNITY MERCY HEALTH PARTNERS (CMHP) USES AN EXISTING COMMUNITY HEALTH NEEDS ASSESSMENT. CMHP'S PRIMARY SERVICE AREA INCLUDES CLARK AND CHAMPAIGN COUNTIES. THE CLARK COUNTY COMBINED HEALTH DISTRICT AND THE CHAMPAIGN COUNTY HEALTH DISTRICT BOTH PUBLISH (AND PERIODICALLY UPDATE) COMMUNITY HEALTH ASSESSMENT REPORTS. CLARK COUNTY'S MOST RECENT REPORT WAS PUBLISHED IN 2008, AND CHAMPAIGN COUNTY'S REPORT WAS PUBLISHED IN 2007. THESE TWO REPORTS ARE PRESENTED IN A COMMON FORMAT, WHICH ADDRESSES NINE CATEGORIES: 1. DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS 2. HEALTH RESOURCE AVAILABILITY 3. DEATH, ILLNESS AND INJURY 4. BEHAVIORAL RISK FACTORS 5. MATERNAL, CHILD AND YOUTH HEALTH 6. COMMUNICABLE DISEASES AND SENTINEL EVENTS 7. ENVIRONMENTAL HEALTH INDICATORS 8. SOCIAL AND MENTAL HEALTH 9. QUALITY OF LIFE IN ADDITION, OUR OWN ASSOCIATES HAVE IDENTIFIED NEEDS BASED ON OBSERVATIONS IN ADMISSION/DISCHARGE TRENDS AND OTHER INTERNAL DATA. ONE EXAMPLE OF THIS IS OUR PATIENT TRANSPORTATION PROGRAM THAT WAS LAUNCHED DURING 2009. STAFF FROM THE EMERGENCY DEPARTMENT AND CASE MANAGEMENT REPORTED THAT, ON AVERAGE 3-5 TIMES PER WEEK, A PATIENT WOULD BE CLEARED FOR DISCHARGE, BUT WOULD NOT HAVE ANY MEANS OF TRANSPORTATION TO GET HOME. THIS WOULD DELAY THE DISCHARGE PROCESS, WHICH IN TURN AFFECTED ER WAIT TIMES AND/OR INPATIENT LENGTH OF STAY. THERE ARE NO TAXI COMPANIES IN SPRINGFIELD, AND THE AREA BUS SYSTEM OPERATES ON LIMITED HOURS AND ROUTES. THIS NEW PROGRAM OFFERS A SOLUTION FOR PATIENTS NEEDING TRANSPORTATION
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 2013 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2013 COMMUNITY BENEFIT: $29.7 MILLION BENEFITS TO THE BROADER COMMUNITY: $3.2 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $19.1 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $6.9 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $0.5 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 10.1 PERCENT CMHP IS A MEMBER OF CATHOLIC HEALTH PARTNERS (CHP). CHP 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. CHP IS SPONSORED BY PARTNERS IN CATHOLIC HEALTH MINISTRIES (PCHM). PCHM IS A PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH. CHP CONTINUES THE HEALTHCARE MINISTRIES BEGUN BY ITS FOUNDERS IN URBAN AND RURAL AREAS ACROSS OHIO, PENNSYLVANIA AND KENTUCKY MORE THAN 150 YEARS AGO. CHP 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. CHP HOSPITALS INCLUDE CRITICAL ACCESS FACILITIES THAT OFFER ESSENTIAL HEALTH SERVICES THAT OTHERWISE WOULD NOT BE AVAILABLE IN MANY COMMUNITIES. CHP'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, CHP CARES FOR EVERYONE WHO COMES TO ITS FACILITIES, REGARDLESS OF THEIR ABILITY TO PAY. CHP'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 2013 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2013 COMMUNITY BENEFIT: $374.7 MILLION BENEFITS TO THE BROADER COMMUNITY: $73.5 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $150.9 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $122.0 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $28.3 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 9.8 PERCENT

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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	$313,761	$0	$68,733	$0	$10,231	$0	$72,464	$0	$19,715	$0	$484,904	$0	$0	$0
JAMES MAY
TRUSTEE, CHP EVP & COO	$0	$734,698	$0	$262,703	$0	$797,477	$0	$10,200	$0	$34,828	$0	$1,839,906	$0	$0
MARK WIENER
FORMER OFFICER	$25,763	$0	$0	$0	$312,445	$0	-$141	$0	$2,925	$0	$340,992	$0	$0	$0
JOHN DEMPSEY
VP, CFO & TREASURER	$271,103	$0	$11,890	$0	$10,901	$0	$13,864	$0	$17,280	$0	$325,038	$0	$0	$0
WILLIAM KUSNIERZ
VP, CFO & TREASURER	$0	$236,932	$0	$62,013	$0	$20,134	$0	$6,749	$0	$6,604	$0	$332,432	$0	$0
KATRINA ENGLISH
FORMER KEY EMPLOYEE	$0	$274,046	$0	$15,508	$0	$77,080	$0	$14,054	$0	$19,756	$0	$400,444	$0	$0
D TERRY BOYS
VP, CHIEF NURSING OFFICER	$23,016	$0	$0	$0	$172,747	$0	$3,670	$0	$1,313	$0	$200,746	$0	$0	$0
GARY HAGENS
VP, COO - VPMA	$324,729	$0	$49,202	$0	$11,771	$0	$16,925	$0	$23,666	$0	$426,293	$0	$0	$0
KENNETH W RICH
VP, BUSINESS DEVELOPMENT & ANCILLARY SERVICES	$146,653	$0	$0	$0	$7,183	$0	$4,300	$0	$24,108	$0	$182,244	$0	$0	$0
SHERRY NELSON
VP CHIEF NURSING OFFICER	$179,572	$0	$29,288	$0	$2,532	$0	$0	$0	$7,280	$0	$218,672	$0	$0	$0
SANA WAIKHOM MD
FORMER HCE	$0	$135,775	$0	$6,000	$0	$18,302	$0	-$24,334	$0	$8,230	$0	$143,973	$0	$0
JENELLE ZELINSKI
DIRECTOR OF FINANCE	$177,581	$0	$1,000	$0	$631	$0	-$13,124	$0	$1,736	$0	$167,824	$0	$0	$0
KAREN S GORBY
DIRECTOR, CLINICAL SERVICES	$144,009	$0	$0	$0	$776	$0	$173	$0	$14,880	$0	$159,838	$0	$0	$0
SANDRA CROW
RN	$148,804	$0	$2,144	$0	$119	$0	$11,446	$0	$14,432	$0	$176,945	$0	$0	$0
PAMELA ALLEN
DIRECTOR, PHARMACY	$168,846	$0	$0	$0	$940	$0	$66	$0	$7,432	$0	$177,284	$0	$0	$0
ROSE MCKELVIE
DIRECTOR, CLINICAL SERVICES	$142,235	$0	$0	$0	$173	$0	$0	$0	$19,416	$0	$161,824	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a, Housing allowance or residence for personal use	A HOUSING ALLOWANCE WAS PROVIDED TO THE FOLLOWING LISTED INDIVIDUAL: SHERRY NELSON $1,752. THE ENTIRE AMOUNT WAS TREATED AS TAXABLE COMPENSATION.
Schedule J, Part I, Line 4a, Severance or change-of-control payment	SEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO 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: D. TERRY BOYS $146,734; MARK WIENER $308,714.
Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan	THE COMMUNITY MERCY HEALTH PARTNERS (CMHP) 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 INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JOHN DEMPSEY $0; GARY HAGENS $0; D. TERRY BOYS $0; KENNETH W. RICH $0.
SCHEDULE J, PART I, LINE 4B, THE CHP EXECUTIVE RETENTION PLAN	THE CHP 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 $593,585; KATRINA ENGLISH $0.
SCHEDULE J, PART I, LINE 4B, THE CHP SERP PLAN	THE CHP 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 $154,309.
SCHEDULE J, PART I, LINE 4B, TERMS AND CONDITIONS OF THE MHPSWO EXECUTIVE BENEFIT PLAN	THE MERCY HEALTH PARTNERS OF SOUTHWEST OHIO 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 PARTNERS OF SOUTHWEST OHIO. AMOUNTS INCLUDABLE 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 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 J, PART II, COLUMN (C), REPORTING NEGATIVE DEFERRED COMPENSATION	ANNUAL ACTUARIALLY-DETERMINED CONTRIBUTIONS TO DEFINED BENEFIT PLANS, WHICH ARE BASED ON PRIOR PLAN CONTRIBUTIONS, CHANGES IN INTEREST RATES, THE PRESENT VALUE OF ACCRUED BENEFITS, AND OTHER DATA AND ASSUMPTIONS ABOUT THE FUTURE, MAY, FOR SOME PLAN PARTICIPANTS AND FOR SOME YEARS, RESULT IN NEGATIVE CONTRIBUTION AMOUNTS.

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	$117,939	RENTAL PAYMENTS & LABORATORY SERVICES	false
SPRINGFIELD HEART SURGEONS
SURENDER NERAVETLA, M.D. (BOARD MEMBER) HAS A REPORTABLE OWNERSHIP INTEREST	$748,079	INDEPENDENT CONTRACTOR	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART IV, LINE 12A, CONSOLIDATED AUDITED FINANCIAL STATEMENTS	THE FILING ORGANIZATION DOES NOT HAVE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN CATHOLIC HEALTH PARTNERS' CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH ARE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. CATHOLIC HEALTH PARTNERS' AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.
Form 990, Part VI, Sec A, Line 2, Family/business relationships amongst interested persons	JOSEPH R. JACKSON, JAMES N. DOYLE - BUSINESS RELATIONSHIP
Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders	COMMUNITY MERCY HEALTH SYSTEM IS THE MEMBER OF COMMUNITY MERCY HEALTH PARTNERS.
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body	CATHOLIC HEALTH PARTNERS ELECTS ALL BOARD MEMBERS WHO HAVE FULL VOTING RIGHTS.
Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders	CERTAIN MATTERS REQUIRE APPROVAL OF THE CHP CORPORATE MEMBER, CHP GOVERNING BODY, OR CHP CEO. THE REGULATIONS OF THE ORGANIZATION DESCRIBE THE LEVEL OF APPROVAL REQUIRED FOR VARIOUS DECISIONS.
Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body	THE FORM 990 IS PREPARED BY CHP'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, Sec B, Line 12c, Conflict of interest policy	ALL BOARD MEMBERS ARE COVERED BY THE CATHOLIC HEALTH PARTNERS (CHP) CONFLICT OF INTEREST POLICY WHICH REQUIRES DISCLOSURE ON AN ANNUAL BASIS. ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY CHP 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, Sec B, 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, Sec B, 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, Sec C, Line 19, Required documents available to the public	THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE.
Form 990, Part IX, Line 11g, Other Expenses	MEDICAL PROFESSIONAL FEES - TOTAL EXPENSE: 9041456, PROGRAM SERVICE EXPENSE: 9041456, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONSULTING - TOTAL EXPENSE: 1942791, PROGRAM SERVICE EXPENSE: 1554233, MANAGEMENT AND GENERAL EXPENSES: 388558, FUNDRAISING EXPENSES: ; COLLECTION SERVICES - TOTAL EXPENSE: 1388030, PROGRAM SERVICE EXPENSE: 1110424, MANAGEMENT AND GENERAL EXPENSES: 277606, FUNDRAISING EXPENSES: ; AFFILIATE PURCHASED SERVICES - TOTAL EXPENSE: 27065632, PROGRAM SERVICE EXPENSE: 21652506, MANAGEMENT AND GENERAL EXPENSES: 5413126, FUNDRAISING EXPENSES: ; OTHER PURCHASED SERVICES - TOTAL EXPENSE: 24025727, PROGRAM SERVICE EXPENSE: 19220582, MANAGEMENT AND GENERAL EXPENSES: 4805145, FUNDRAISING EXPENSES: ;
Form 990 , Part XI, Line 9, Other changes in net assets or fund balances	PRIOR YEAR ADJUSTMENT TO FUND BALANCE - 1313000; ELIMINATION OF INTERCOMPANY BALANCES - -15808181; PENSION LIABILITY ADJUSTMENT - 24292527; AFFILIATE FUND BALANCE TRANSFERS - 5559010; NET ASSETS RELEASED FROM RESTRICTION - -142000;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SPRINGFIELD REGIONAL CANCER CENTER	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	148 W NORTH STREET	AddressLine1
City	SPRINGFIELD	City
State	OH	State
ZIP Code	45502	ZIPCode

Field	Value	IRS element (for citing)
EIN	352216018	EIN
Primary Activities	CANCER CENTER	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Total Income	$2,977,474	TotalIncomeAmt
End Of Year Assets	$4,686,701	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MERCY HEALTH PARTNERS	BusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (64 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
CATHOLIC HEALTH PARTNERS
615 ELSINORE PLACE	CINCINNATI	OH	45202	311161086	HEALTHCARE SYSTEM PARENT	OH	501(C)(3)	11 - Type III - FI	NA	false
CATHOLIC HEALTH PARTNERS FOUNDATION
615 ELSINORE PLACE	CINCINNATI	OH	45202	201072726	FUNDRAISING	OH	501(C)(3)	7	CATHOLIC HEALTH PARTNERS	false
CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT
615 ELSINORE PLACE	CINCINNATI	OH	45202	208943658	HUD PARENT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS	false
CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST
615 ELSINORE PLACE	CINCINNATI	OH	45202	316046304	RETIREMENT TRUST	OH	501(C)(3)	8	CATHOLIC HEALTH PARTNERS	false
COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
3700 KOLBE ROAD	LORAIN	OH	44053	270071694	MARKET PARENT	OH	501(C)(3)	11 - Type II	CATHOLIC HEALTH PARTNERS	false
COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
3700 KOLBE ROAD	LORAIN	OH	44053	340714704	HOSPITAL	OH	501(C)(3)	3	COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM	false
ALLEN MEDICAL CENTER
200 WEST LORAIN ST	OBERLIN	OH	44074	340864230	HOSPITAL	OH	501(C)(3)	3	COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM	false
COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION
3700 KOLBE ROAD	LORAIN	OH	44053	341504558	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER	false
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROAD	LORAIN	OH	44053	341268828	MEDICAL OFFICE RENTAL	OH	501(C)(3)	9	COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER	false
ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN ST	OBERLIN	OH	44074	364504991	MEDICAL OFFICE RENTAL	OH	501(C)(3)	11 - Type II	ALLEN MEDICAL CENTER	false
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
4600 MCAULEY PLACE	CINCINNATI	OH	45242	311063783	MARKET PARENT	OH	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS	false
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION
4600 MCAULEY PLACE	CINCINNATI	OH	45242	311217563	FOUNDATION	OH	501(C)(3)	7	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
MERCY HOSPITALS WEST
2446 KIPLING AVENUE	CINCINNATI	OH	45239	311091597	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
MERCY HOSPITAL ANDERSON
7500 STATE ROAD	CINCINNATI	OH	45255	310537085	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
THE SISTERS OF MERCY OF HAMILTON OHIO
3000 MACK ROAD	FAIRFIELD	OH	45014	310538532	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO
3000 HOSPITAL DRIVE	BATAVIA	OH	45103	310830955	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	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 PARTNERS OF SOUTHWEST OHIO	false
MERCY SACRED HEART INC
2120 PAYNE STREET	LOUISVILLE	KY	40206	611318326	RETIREMENT HOME	KY	501(C)(3)	9	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
MERCY LONG TERM CARE INITIATIVE
4915 CHARLESTOWN RD	NEW ALBANY	IN	47150	311332491	RETIREMENT HOME	IN	501(C)(3)	9	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREET	CINCINNATI	OH	45210	311222942	LOW INCOME HOUSING	OH	501(C)(3)	7	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
MERCY FRANCISCAN AT ST RAPHAEL INC
610 HIGH STREET	HAMILTON	OH	45011	202934871	SERVICES TO THE POOR	OH	501(C)(3)	7	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
COMMUNITY MERCY HEALTH SYSTEM
ONE S LIMESTONE ST	SPRINGFIELD	OH	45502	300272454	MARKET PARENT	OH	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS	false
COMMUNITY MERCY HEALTH PARTNERS
ONE S LIMESTONE ST	SPRINGFIELD	OH	45502	310785684	HOSPITAL	OH	501(C)(3)	3	COMMUNITY MERCY HEALTH SYSTEM	false
THE COMMUNITY MERCY FOUNDATION
1343 N FOUNTAIN BLVD	SPRINGFIELD	OH	45504	311443778	FOUNDATION	OH	501(C)(3)	7	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)	11 - Type I	NA	false
MERCY HEALTH SYSTEM - NORTHERN REGION
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341344482	MARKET PARENT	OH	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS	false
MERCY PROPERTY HOLDINGS
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	300699825	TITLE HOLDING COMPANY	OH	501(C)(2)	N/A	MERCY HEALTH SYSTEM - NORTHERN REGION	false
ST CHARLES MERCY HOSPITAL OF OREGON OHIO
2600 NAVARRE AVENUE	OREGON	OH	43616	344445373	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION	false
RIVERSIDE MERCY HOSPITAL
3404 W SYLVANIA AVE	TOLEDO	OH	43623	311556401	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION	false
MERCY HOME CARE INC
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341587572	HOME HEALTHCARE	OH	501(C)(3)	9	MERCY HEALTH SYSTEM - NORTHERN REGION	false
MERCY COLLEGE OF OHIO
2221 MADISON AVENUE	TOLEDO	OH	43604	341726619	MEDICAL COLLEGE	OH	501(C)(3)	2	MERCY HEALTH SYSTEM - NORTHERN REGION	false
MERCY COLLEGE OF OHIO FOUNDATION INC
2221 MADISON AVENUE	TOLEDO	OH	43604	141963204	FOUNDATION	OH	501(C)(3)	11 - Type I	MERCY COLLEGE OF OHIO	false
MERCY HOSPITAL OF TIFFIN OHIO
45 ST LAWRENCE DRIVE	TIFFIN	OH	44883	344431174	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION	false
MERCY TIFFIN HEALTH FOUNDATION
45 ST LAWRENCE DRIVE	TIFFIN	OH	44883	341499894	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	MERCY HOSPITAL OF TIFFIN OHIO	false
THE SISTERS OF MERCY OF WILLARD OHIO
110 EAST HOWARD ST	WILLARD	OH	44890	341577110	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION	false
MERCY HOSPITAL OF WILLARD FOUNDATION
110 EAST HOWARD ST	WILLARD	OH	44890	113742347	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	THE SISTERS OF MERCY OF WILLARD OHIO	false
ST VINCENT MERCY MEDICAL CENTER
2213 CHERRY STREET	TOLEDO	OH	43608	344428250	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION	false
MERCY FOUNDATION
2213 CHERRY STREET	TOLEDO	OH	43608	237393213	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	ST VINCENT MERCY MEDICAL CENTER	false
LIFESTAR AMBULANCE INC
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341354653	MEDICAL TRANSPORTATION	OH	501(C)(3)	11 - Type II	MERCY HEALTH SYSTEM - NORTHERN REGION	false
RSM MEDICAL FOUNDATION
2200 JEFFERSON AVENUE	TOLEDO	OH	43624	341693671	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION	false
SIMON OUTREACH SERVICES
2600 NAVARRE AVENUE	OREGON	OH	43616	341383325	MEDICAL OFFICE RENTAL	OH	501(C)(3)	11 - Type II	ST CHARLES MERCY HOSPITAL OF OREGON OHIO	false
FARLEY HEALTHCARE CORPORATION
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341363204	HEALTH SERVICES	OH	501(C)(3)	9	MERCY HEALTH SYSTEM - NORTHERN REGION	false
ST RITA'S MEDICAL CENTER
730 W MARKET STREET	LIMA	OH	45801	341105619	HOSPITAL	OH	501(C)(3)	3	CATHOLIC HEALTH PARTNERS	false
SRHC FOUNDATION
730 W MARKET STREET	LIMA	OH	45801	341368429	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	ST RITA'S MEDICAL CENTER	false
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400	LIMA	OH	45801	341937267	MEDICAL LAB SERVICES	OH	501(C)(3)	11 - Type III - FI	ST RITA'S MEDICAL CENTER	false
HUMILITY OF MARY HEALTH PARTNERS
1044 BELMONT AVENUE	YOUNGSTOWN	OH	44501	340505560	HOSPITAL	OH	501(C)(3)	3	CATHOLIC HEALTH PARTNERS	false
THE ASSUMPTION VILLAGE
9800 N MARKET STREET	NORTH LIMA	OH	44452	341013695	NURSING HOME	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS	false
HOSPICE OF THE VALLEY
5190 MARKET STREET	YOUNGSTOWN	OH	44512	341288745	HOSPICE SERVICES	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS	false
HUMILITY OF MARY DEVELOPMENT FOUNDATION
1044 BELMONT AVENUE	YOUNGSTOWN	OH	44501	341826978	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	HUMILITY OF MARY HEALTH PARTNERS	false
HUMILITY HOUSE
755 OHLTOWN ROAD	AUSTINTOWN	OH	44515	341894783	NURSING HOME	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS	false
ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SE	WARREN	OH	44484	346556121	FUNDRAISING	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS	false
MERCY HEALTH PARTNERS - LOURDES INC
1530 LONE OAK ROAD	PADUCAH	KY	42003	610600313	HOSPITAL	KY	501(C)(3)	3	CATHOLIC HEALTH PARTNERS	false
LOURDES FOUNDATION INC
1530 LONE OAK ROAD	PADUCAH	KY	42003	611258960	FOUNDATION	KY	501(C)(3)	7	MERCY HEALTH PARTNERS - LOURDES INC	false
LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROAD	PADUCAH	KY	42003	610927805	FUNDRAISING	KY	501(C)(3)	11 - Type III - FI	LOURDES FOUNDATION INC	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
MARCUM AND WALLACE HOSPITAL FOUNDATION INC
60 MERCY COURT	IRVINE	KY	40336	320026557	FOUNDATION	KY	501(C)(3)	11 - Type III - FI	MARCUM AND WALLACE MEMORIAL HOSPITAL INC	false
MERCY HEALTH PARTNERS INC
615 ELSINORE PLACE	CINCINNATI	OH	45202	731627534	MARKET PARENT	TN	501(C)(3)	11 - Type I	CATHOLIC HEALTH PARTNERS	false
MERCY HEALTH PARTNERS - NORTHEAST REGION INC
615 ELSINORE PLACE	CINCINNATI	OH	45202	232813196	MARKET PARENT	PA	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS	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)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS	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 (12 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	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
ST ELIZABETH SOUTHWOODS IMAGING
250 DEBARTOLO PLACE BLDG B	YOUNGSTOWN	OH	44512	261626482	DIAGNOSTIC IMAGING	OH	NA	N/A
ST ELIZABETH CARDIAC CATH LAB LLC
P O BOX 16008	PITTSBURGH	PA	15242	300023795	LAB SERVICES	PA	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 (27 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Legal Domicile StateLegalDomicileStateCd
CHP INSURANCE LTD
615 ELSINORE PLACE	CINCINNATI	OH	45202	980621978	INSURANCE	CJ	NA	C CORPORATION
SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST
615 ELSINORE PLACE	CINCINNATI	OH	45202	310990309	WORKERS COMPENSATION TRUST		NA	TRUST	MA
MHSWO HEALTH VENTURES INC
1 S LIMESTONE ST	SPRINGFIELD	OH	45502	311072139	PHYSICIAN PRACTICES		NA	C CORPORATION	OH
NORTHPARKE MEDICAL COMMONS CONDO ASSN
333 N LIMESTONE ST	SPRINGFIELD	OH	45503	311391230	REAL PROPERTY MGMNT		NA	C CORPORATION	OH
MERCY HEALTH AFFILIATES INC
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341372633	PHYSICIAN SERVICES		NA	C CORPORATION	OH
PHYSICIAN'S HEALTH COLLABORATIVE
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	203986844	MEDICAL & HOSPITAL SERVICES		NA	C CORPORATION	OH
NORTHSIDE CORPORATION
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341318438	RESIDENT RENTALS		NA	C CORPORATION	OH
MERCY WORK SOLUTIONS
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	300066340	WORKERS COMPENSATION		NA	C CORPORATION	OH
MERCY HEALTH SYSTEM PHO
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341778321	MEDICAL SERVICES		NA	C CORPORATION	OH
PHYSICIAN MANAGED CARE INC
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341565320	HEALTH SERVICES		NA	C CORPORATION	OH
MCAULEY MANAGEMENT SERVICES INC
730 W MARKET STREET	LIMA	OH	45801	341379037	PROPERTY RENTAL		NA	C CORPORATION	OH
LIMA MEDICAL SUPPLIES INC
730 W MARKET STREET	LIMA	OH	45801	340944477	MEDICAL EQUIPMENT		NA	C CORPORATION	OH
COMMUNITY HEALTH PARTNERS ENTERPRISES INC
3700 KOLBE ROAD	LORAIN	OH	44053	341455525	HOLDING COMPANY		NA	C CORPORATION	OH
COMMUNITY HEALTH PARTNERS PHYSICIANS INC
3700 KOLBE ROAD	LORAIN	OH	44053	341803352	PHYSICIAN PRACTICES		NA	C CORPORATION	OH
AMC PHYSICIANS INC
200 W LORAIN STREET	OBERLIN	OH	44074	371439554	PHYSICIAN SERVICES		NA	C CORPORATION	OH
MERCY HEALTH VENTURES INC
4600 MCAULEY PLACE	CINCINNATI	OH	45242	311185477	DIVERSIFIED ACTIVITIES		NA	C CORPORATION	OH
MERCY FRANCISCAN MEDICAL MANAGEMENT SERVICES
4600 MCAULEY PLACE	CINCINNATI	OH	45242	311640789	DIVERSIFIED ACTIVITIES		NA	C CORPORATION	OH
MERCY FRANCISCAN AT WINTON WOODS I INC
10290 MILL ROAD	CINCINNATI	OH	45231	311658668	LOW-INCOME HOUSING		NA	C CORPORATION	OH
MERCY HEALTH MANAGEMENT INC
1530 LONE OAK ROAD	PADUCAH	KY	42003	611086762	MEDICAL OFFICES		NA	C CORPORATION	KY
HEALTH DYNAMICS INC
900 E OAK HILL AVENUE	KNOXVILLE	TN	37917	621247729	MEDICAL EQUIPMENT SALES		NA	C CORPORATION	TN
HEALTH VENTURES INC & SUBSIDIARIES
P O BOX 1788	KNOXVILLE	TN	37901	621175587	MEDICAL SERVICES		NA	C CORPORATION	TN
ANNE KILCAWLEY CHRISTMAN FOUNDATION
100 FEDERAL PLAZA EAST	YOUNGSTOWN	OH	44503	356735706	BENEFICIAL TRUST		NA	TRUST	OH
RALPH EWE TRUST
270 PARK AVENUE	NEW YORK	NY	10017	346866422	BENEFICIAL TRUST		NA	TRUST	NY
ELIZABETH HINES CATES TRUST
PNC 1900 E 9TH ST	CLEVELAND	OH	44114	346515678	BENEFICIAL TRUST		NA	TRUST	OH
WILLIS PARK TRUST
PNC 1900 E 9TH ST	CLEVELAND	OH	44114	346519904	BENEFICIAL TRUST		NA	TRUST	OH
ERMA GIBSON BALDWIN TRUST
PNC 1900 E 9TH ST	CLEVELAND	OH	44114	346515566	BENEFICIAL TRUST		NA	TRUST	OH
HEALTHSPAN INC
225 PICTORIA DR	CINCINNATI	OH	45246	311431434	INSURANCE		NA	C CORPORATION	OH

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	THE COMMUNITY MERCY FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$2,878,893	InvolvedAmt
Method Of Amount Determination	GAAP	MethodOfAmountDeterminationTxt