2014-11-13T14:00:04-06:00 2013-12-31 440160260 BKD LLP 312 WALNUT STREET SUITE 300 CINCINNATI OH 45202 990 2013-01-01 310785684 COMMUNITY MERCY HEALTH PARTNERS COMM 9373287000 One South Limestone Street Springfield OH 45502 WILLIAM KUSNIERZ MARKET CFO 2014-11-04 true P00961884 5136218300 2013 2015-11-30 17:44:51Z SPRINGFIELD REGIONAL MEDICAL CENTER PAUL HILTZ PRESIDENT & CEO One South Limestone Street Springfield OH 45502 305374470 false 0928 X WWW.COMMUNITY-MERCY.ORG X 1983 OH 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. 15 11 2850 963 0 0 1330566 4033190 280736179 292979492 3792636 279593 8143226 7426862 294002607 304719137 108650 13710 0 0 130382232 124254697 0 0 0 155127254 156396933 285618136 280665340 8384471 24053797 397421895 372257444 245889731 179198069 151532164 193059375 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. false false 235165385 13710 292979492 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. 235165385 true true false true false false false false false true true false false true true false true false false false false false false false false true true false false true false false false false false false false true false false false false true true true true false false true 0 0 2850 true false false false false false false false false false false X 15 11 true false false false true true true true true false false true true true true true true true true true true X TRAVIS CRUM 5136392800 615 ELSINORE PLACE CINCINNATI OH 45202 MARK B ROBERTSON CHAIR 1.00 1.00 X X 0 0 0 PAUL HILTZ TRUSTEE, MARKET LEADER & PRESIDENT 40.00 5.50 X X 392725 0 92179 PIUS KURIAN MD SECRETARY 1.00 1.00 X X 0 0 0 REV DARRYL L GRAYSON VICE CHAIR 1.00 1.00 X X 0 0 0 DEANNA L BROUGHER TRUSTEE 1.00 1.00 X 0 0 0 JAMES MAY TRUSTEE, CHP EVP & COO 0.30 43.40 X 0 1794878 45028 JAMES N DOYLE TRUSTEE 1.00 1.00 X 0 0 0 JOSEPH R JACKSON TRUSTEE 1.00 1.00 X 0 0 0 KATHLEEN M HUGHES TRUSTEE 1.00 1.00 X 0 0 0 MICHAEL S MCKEE MD TRUSTEE 1.00 1.00 X 0 0 0 PAMELA R YOUNG PHD TRUSTEE 1.00 1.00 X 0 0 0 RAVI C KHANNA MD TRUSTEE 1.00 1.00 X 0 0 0 SR DORIS A GOTTEMOELLER RSM TRUSTEE 1.00 4.00 X 0 0 0 SURENDER NERAVETLA MD TRUSTEE 1.00 1.00 X 0 0 0 WENDY DOOLITTLE TRUSTEE 1.00 1.00 X 0 0 0 JOHN DEMPSEY VP, CFO & TREASURER 40.00 2.00 X 293894 0 31144 WILLIAM KUSNIERZ VP, CFO & TREASURER 40.00 2.00 X 0 319079 13353 D TERRY BOYS VP, CHIEF NURSING OFFICER 40.00 0.00 X 195763 0 4983 GARY HAGENS VP, COO - VPMA 40.00 0 X 385702 0 40591 KENNETH W RICH VP, BUSINESS DEVELOPMENT & ANCILLARY SERVICES 40.00 0 X 153836 0 28408 SHERRY NELSON VP Chief Nursing Officer 40.00 0 X 211392 0 7280 JENELLE ZELINSKI DIRECTOR OF FINANCE 40.00 0 X 179212 0 -11388 KAREN S GORBY DIRECTOR, CLINICAL SERVICES 40.00 0 X 144785 0 15053 PAMELA ALLEN Director, Pharmacy 40.00 0 X 169786 0 7498 ROSE MCKELVIE Director, Clinical Services 40.00 0 X 142408 0 19416 SANDRA CROW RN 40.00 0 X 151067 0 25878 KATRINA ENGLISH FORMER KEY EMPLOYEE 0.00 56.00 X 0 366634 33810 MARK WIENER FORMER OFFICER 0.00 0.00 X 338208 0 2784 SANA WAIKHOM MD FORMER HCE 0.00 40.00 X 0 160077 -16104 2758778 2640668 339913 52 true true false 0 2878893 89917 1064380 4033190 NET PATIENT SERVICE REVENUE 621990 291232574 291232574 INCOME FROM JV'S AND PARTNERSHIPS 900003 587021 587021 RENTAL INCOME FROM AFFILIATES 531120 1063404 1063404 INTERCOMPANY 900099 96493 96493 0 0 0 0 0 292979492 759404 759404 0 0 0 0 0 175522 655333 175522 -655333 -479811 -479811 0 0 0 CAFETERIA 722210 1073830 1073830 CHILDCARE 624410 47059 47059 HITECH STIMULUS FUNDS 900099 2773299 2773299 3532674 0 0 3532674 7426862 304719137 292979492 0 7706455 X 13710 13710 0 0 0 2176105 1740884 435221 0 95453601 76362881 19090720 6224350 4979480 1244870 13334994 10667995 2666999 7065647 5652518 1413129 0 56500 56500 399506 399506 0 0 0 63463636 52579201 10884435 0 0 4952662 3962130 990532 0 0 8175344 6540275 1635069 495563 396450 99113 0 0 9418273 7534618 1883655 0 17952322 14361858 3590464 3098311 2478649 619662 MEDICAL SUPPLIES 36621733 36621733 TAXES AND STATE ASSESSMENTS 3802198 3802198 MEMBERSHIP DUES 869818 695854 173964 DIETARY & LABORATORY SUPPLIES 5510481 5510481 1580586 1264470 316116 0 280665340 235165385 45499955 0 0 -4112621 -1856001 362748 362406 50665902 37386020 0 0 0 0 799382 877641 4762728 4958816 -306566 -317455 580970850 339224081 263072773 241746769 81007590 87881808 0 0 1169959 1217440 397421895 372257444 27965438 -763641 0 0 175074624 163646505 42849669 16315205 245889731 179198069 X 150894479 192559009 353709 216390 283976 283976 151532164 193059375 397421895 372257444 X 24053797 2259059 15214356 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true false false false true 0 true 11251 false false true 2902 14153 false Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i 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. 24104656 24104656 347981598 168626036 179355562 0 207586573 170598045 36988528 1298023 1298023 241746769 0 0 CATHOLIC HEALTH PARTNERS INVESTMENT MANAGEMENT PROGRAM 87881808 F 87881808 0 ACCRUED POST RETIREMENT BENEFITS 423706 ACCRUED PENSION 11067855 OTHER 4823644 16315205 X Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote 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. true true X true X true X true true true false true true 10377945 3601633 6776312 0.02430 46065146 28908083 17157063 0.06150 0 0.00000 0 0 56443091 32509716 23933375 0.08580 530539 13247 517292 0.00190 811849 0 811849 0.00290 2676240 743440 1932800 0.00690 0 0.00000 356392 356392 0.00130 0 0 4375020 756687 3618333 0.01300 0 0 60818111 33266403 27551708 0.09880 0 0.00000 0 0.00000 1050 1050 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 1050 0 1050 0.00000 false 24083774 0 62894915 51665337 11229578 X true true MERCY MEDICAL OFFICE CONDOMINIUM ASSOCIATION REAL PROPERTY MANAGEMENT 0.496 0 0.504 NORTHPARK CONDOMINIUM ASSOCIATION REAL PROPERTY MANAGEMENT 0.55 0 0.45 2 1 SPRINGFIELD REGIONAL MEDICAL CENTER 2615 East High Street SPRINGFIELD OH 45505 WWW.COMMUNITY-MERCY.ORG 1122 X X X 2 MERCY MEMORIAL HOSPITAL 904 SCIOTO STREET URBANA OH 43078 WWW.COMMUNITY-MERCY.ORG 1121 X X X X SPRINGFIELD REGIONAL MEDICAL CENTER 1 true X X X X X X X X X 13 true false true X www.community-mercy.org X www.ccchd.com, www.mercy.com X X X X X X X X false false true true 200 true 400 true X X X X true true X X X X X X true false X X X X true X false false MERCY MEMORIAL HOSPITAL 2 true X X X X X X X X X 13 true true true X www.community-mercy.org X www.mercy.com X X X X X X X X false false true true 200 true 400 true X X X X true true X X X X X X true false X X X X true X false false 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.; 11 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 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 X true true X X X X X true true false false false false false true false PAUL HILTZ TRUSTEE, MARKET LEADER & PRESIDENT 313761 0 68733 0 10231 0 72464 0 19715 0 484904 0 0 0 JAMES MAY TRUSTEE, CHP EVP & COO 0 734698 0 262703 0 797477 0 10200 0 34828 0 1839906 0 0 MARK WIENER FORMER OFFICER 25763 0 0 0 312445 0 -141 0 2925 0 340992 0 0 0 JOHN DEMPSEY VP, CFO & TREASURER 271103 0 11890 0 10901 0 13864 0 17280 0 325038 0 0 0 WILLIAM KUSNIERZ VP, CFO & TREASURER 0 236932 0 62013 0 20134 0 6749 0 6604 0 332432 0 0 KATRINA ENGLISH FORMER KEY EMPLOYEE 0 274046 0 15508 0 77080 0 14054 0 19756 0 400444 0 0 D TERRY BOYS VP, CHIEF NURSING OFFICER 23016 0 0 0 172747 0 3670 0 1313 0 200746 0 0 0 GARY HAGENS VP, COO - VPMA 324729 0 49202 0 11771 0 16925 0 23666 0 426293 0 0 0 KENNETH W RICH VP, BUSINESS DEVELOPMENT & ANCILLARY SERVICES 146653 0 0 0 7183 0 4300 0 24108 0 182244 0 0 0 SHERRY NELSON VP CHIEF NURSING OFFICER 179572 0 29288 0 2532 0 0 0 7280 0 218672 0 0 0 SANA WAIKHOM MD FORMER HCE 0 135775 0 6000 0 18302 0 -24334 0 8230 0 143973 0 0 JENELLE ZELINSKI DIRECTOR OF FINANCE 177581 0 1000 0 631 0 -13124 0 1736 0 167824 0 0 0 KAREN S GORBY DIRECTOR, CLINICAL SERVICES 144009 0 0 0 776 0 173 0 14880 0 159838 0 0 0 SANDRA CROW RN 148804 0 2144 0 119 0 11446 0 14432 0 176945 0 0 0 PAMELA ALLEN DIRECTOR, PHARMACY 168846 0 0 0 940 0 66 0 7432 0 177284 0 0 0 ROSE MCKELVIE DIRECTOR, CLINICAL SERVICES 142235 0 0 0 173 0 0 0 19416 0 161824 0 0 0 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. SPRINGFIELD HEMATOLOGY AND ONCOLOGY ASSOCIATES RAVI KHANNA M.D. (BOARD MEMBER) HAS A REPORTABLE OWNERSHIP INTEREST 117939 RENTAL PAYMENTS & LABORATORY SERVICES false SPRINGFIELD HEART SURGEONS SURENDER NERAVETLA, M.D. (BOARD MEMBER) HAS A REPORTABLE OWNERSHIP INTEREST 748079 INDEPENDENT CONTRACTOR false 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; SPRINGFIELD REGIONAL CANCER CENTER 148 W NORTH STREET SPRINGFIELD OH 45502 352216018 CANCER CENTER OH 2977474 4686701 COMMUNITY MERCY HEALTH PARTNERS 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 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 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 MA NA TRUST MHSWO HEALTH VENTURES INC 1 S LIMESTONE ST SPRINGFIELD OH 45502 311072139 PHYSICIAN PRACTICES OH NA C CORPORATION NORTHPARKE MEDICAL COMMONS CONDO ASSN 333 N LIMESTONE ST SPRINGFIELD OH 45503 311391230 REAL PROPERTY MGMNT OH NA C CORPORATION MERCY HEALTH AFFILIATES INC 2200 JEFFERSON AVENUE TOLEDO OH 43604 341372633 PHYSICIAN SERVICES OH NA C CORPORATION PHYSICIAN'S HEALTH COLLABORATIVE 2200 JEFFERSON AVENUE TOLEDO OH 43604 203986844 MEDICAL & HOSPITAL SERVICES OH NA C CORPORATION NORTHSIDE CORPORATION 2200 JEFFERSON AVENUE TOLEDO OH 43604 341318438 RESIDENT RENTALS OH NA C CORPORATION MERCY WORK SOLUTIONS 2200 JEFFERSON AVENUE TOLEDO OH 43604 300066340 WORKERS COMPENSATION OH NA C CORPORATION MERCY HEALTH SYSTEM PHO 2200 JEFFERSON AVENUE TOLEDO OH 43604 341778321 MEDICAL SERVICES OH NA C CORPORATION PHYSICIAN MANAGED CARE INC 2200 JEFFERSON AVENUE TOLEDO OH 43604 341565320 HEALTH SERVICES OH NA C CORPORATION MCAULEY MANAGEMENT SERVICES INC 730 W MARKET STREET LIMA OH 45801 341379037 PROPERTY RENTAL OH NA C CORPORATION LIMA MEDICAL SUPPLIES INC 730 W MARKET STREET LIMA OH 45801 340944477 MEDICAL EQUIPMENT OH NA C CORPORATION COMMUNITY HEALTH PARTNERS ENTERPRISES INC 3700 KOLBE ROAD LORAIN OH 44053 341455525 HOLDING COMPANY OH NA C CORPORATION COMMUNITY HEALTH PARTNERS PHYSICIANS INC 3700 KOLBE ROAD LORAIN OH 44053 341803352 PHYSICIAN PRACTICES OH NA C CORPORATION AMC PHYSICIANS INC 200 W LORAIN STREET OBERLIN OH 44074 371439554 PHYSICIAN SERVICES OH NA C CORPORATION MERCY HEALTH VENTURES INC 4600 MCAULEY PLACE CINCINNATI OH 45242 311185477 DIVERSIFIED ACTIVITIES OH NA C CORPORATION MERCY FRANCISCAN MEDICAL MANAGEMENT SERVICES 4600 MCAULEY PLACE CINCINNATI OH 45242 311640789 DIVERSIFIED ACTIVITIES OH NA C CORPORATION MERCY FRANCISCAN AT WINTON WOODS I INC 10290 MILL ROAD CINCINNATI OH 45231 311658668 LOW-INCOME HOUSING OH NA C CORPORATION MERCY HEALTH MANAGEMENT INC 1530 LONE OAK ROAD PADUCAH KY 42003 611086762 MEDICAL OFFICES KY NA C CORPORATION HEALTH DYNAMICS INC 900 E OAK HILL AVENUE KNOXVILLE TN 37917 621247729 MEDICAL EQUIPMENT SALES TN NA C CORPORATION HEALTH VENTURES INC & SUBSIDIARIES P O BOX 1788 KNOXVILLE TN 37901 621175587 MEDICAL SERVICES TN NA C CORPORATION ANNE KILCAWLEY CHRISTMAN FOUNDATION 100 FEDERAL PLAZA EAST YOUNGSTOWN OH 44503 356735706 BENEFICIAL TRUST OH NA TRUST RALPH EWE TRUST 270 PARK AVENUE NEW YORK NY 10017 346866422 BENEFICIAL TRUST NY NA TRUST ELIZABETH HINES CATES TRUST PNC 1900 E 9TH ST CLEVELAND OH 44114 346515678 BENEFICIAL TRUST OH NA TRUST WILLIS PARK TRUST PNC 1900 E 9TH ST CLEVELAND OH 44114 346519904 BENEFICIAL TRUST OH NA TRUST ERMA GIBSON BALDWIN TRUST PNC 1900 E 9TH ST CLEVELAND OH 44114 346515566 BENEFICIAL TRUST OH NA TRUST HEALTHSPAN INC 225 PICTORIA DR CINCINNATI OH 45246 311431434 INSURANCE OH NA C CORPORATION false false true false true false false false false false false false false false true false false true true THE COMMUNITY MERCY FOUNDATION C 2878893 GAAP