COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER (EIN 34-0714704)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-13
IRS object ID
201433179349305328
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-13T16:00:28-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1312 WALNUT STREET SUITE 300AddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN340714704EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone4409604000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13700 Kolbe RoadAddressLine1
CityLorainCity
StateOHState
ZIP Code44053ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT TONKINSON JRPersonNm
Person TitleMARKET CFOPersonTitleTxt
Signature2014-11-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP00961884PTIN
Phone5136218300PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MERCY REGIONAL MEDICAL CENTERBusinessNameLine1

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

FieldValueIRS element (for citing)
Business Name Line1EDWIN M OLEY PRESIDENT & CEOBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line13700 KOLBE ROADAddressLine1
CityLORAINCity
StateOHState
ZIP Code44053ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$199,677,642GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCYONLINE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionCOMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee2084TotalEmployeeCnt
Total Volunteers250TotalVolunteersCnt
Total Gross UBI$225,910TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$115,118NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,797,048PYContributionsGrantsAmt
CY Contributions Grants$2,998,170CYContributionsGrantsAmt
PY Program Service Revenue$195,528,001PYProgramServiceRevenueAmt
CY Program Service Revenue$196,309,007CYProgramServiceRevenueAmt
PY Investment Income-$255,362PYInvestmentIncomeAmt
CY Investment Income-$50,260CYInvestmentIncomeAmt
PY Other Revenue$500,194PYOtherRevenueAmt
CY Other Revenue$363,830CYOtherRevenueAmt
PY Total Revenue$197,569,881PYTotalRevenueAmt
CY Total Revenue$199,620,747CYTotalRevenueAmt
PY Grants And Similar Paid$200,004PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$200,004CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$96,570,653PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$92,714,598CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$103,286,505PYOtherExpensesAmt
CY Other Expenses$106,658,054CYOtherExpensesAmt
PY Total Expenses$200,057,162PYTotalExpensesAmt
CY Total Expenses$199,572,656CYTotalExpensesAmt
PY Revenues Less Expenses-$2,487,281PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$48,091CYRevenuesLessExpensesAmt
Total Assets BOY$144,174,575TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$169,023,395TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$24,848,820NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER ACCOMPLISHES THIS MISSION BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$170,810,447ExpenseAmt
Grant$200,004GrantAmt
Revenue$196,309,007RevenueAmt
DescTHE PRIMARY EXEMPT PURPOSE OF COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER 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. COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. TOTAL COMMUNITY BENEFIT PROVIDED IN 2013 WAS $21,800,000, SERVING APPROXIMATELY 130,000 INDIVIDUALS.Desc
Total Program Service Expenses$170,810,447TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsYes (true)TerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2084EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Travis CrumBusinessNameLine1
FieldValueIRS element (for citing)
Phone5136392800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 Elsinore PlaceAddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CATHY E DIETLIN PHD
SECRETARY4.502.00Yes (X)Yes (X)$0$0$0
EDWIN OLEY
BOARD MEMBER, PRESIDENT - COMMUNITY RMC25.0025.00Yes (X)Yes (X)$0$366,135$57,029
MARCIA MILLER
VICE CHAIRMAN/TREASURER4.502.00Yes (X)Yes (X)$0$0$0
RANDALL FORTIN
CHAIRMAN3.502.50Yes (X)Yes (X)$0$0$0
ALEXANDER F ZOLLI MD
BOARD MEMBER40.002.00Yes (X)$106,500$0$0
ANGELA WU
BOARD MEMBER3.002.00Yes (X)$0$0$0
BRIAN SMITH
BOARD MEMBER, CHP EVP NETWORKS0.5052.00Yes (X)$0$991,294-$51,781
CHARLES BUTREY MD
BOARD MEMBER3.0040.00Yes (X)$0$514,734$32,820
DOUGLAS B WILBER
BOARD MEMBER3.002.00Yes (X)$0$0$0
ERIC JENKINS MD
BOARD MEMBER3.002.00Yes (X)$0$0$0
GAIL STUMPHAUZER
BOARD MEMBER3.002.00Yes (X)$0$0$0
GEORGIA NEWMAN MD
BOARD MEMBER3.002.00Yes (X)$0$0$0
JEANNE COUGHLIN
BOARD MEMBER3.002.00Yes (X)$0$0$0
MARIO M SERTICH MD
BOARD MEMBER3.002.00Yes (X)$0$0$0
MAUD W DE LA PORTE
BOARD MEMBER3.002.00Yes (X)$0$0$0
REV BRIAN D BURKE
BOARD MEMBER3.002.00Yes (X)$0$0$0
ROBERT FISHER
BOARD MEMBER3.002.00Yes (X)$0$0$0
ROD BRAYE
BOARD MEMBER3.002.00Yes (X)$0$0$0
SANDRA L HODGE
BOARD MEMBER3.002.00Yes (X)$0$0$0
SR DOROTHY THUM RSM
BOARD MEMBER0.504.00Yes (X)$0$0$0
SR JANE PANK HM
BOARD MEMBER3.002.00Yes (X)$0$0$0
SR MARIE RUEGG HM
BOARD MEMBER2.752.50Yes (X)$0$0$0
STEPHANIE MERCADO
BOARD MEMBER3.002.00Yes (X)$0$0$0
ROBERT TONKINSON JR
CFO & COO25.0025.00Yes (X)$0$300,299$14,640
BERNARD SMITH
LEGAL COUNSEL25.0025.00$0$200,342$8,359Yes (X)
DR HAYSAM EL-DALATI
CHIEF MEDICAL OFFICER44.0016.00$0$562,410$40,497Yes (X)
ELIJAH WHITE
VP - OPERATIONS & SYSTEM EFFECTIVENESS35.0015.00$0$150,254$30,540Yes (X)
JAMES STEPHENS
VP - QUALITY & POST-ACUTE CARE40.0010.00$0$186,361$4,497Yes (X)
JANIS YERGAN
VP STRATEGY & BUSINESS DEVELOPMENT35.0015.00$0$239,739$8,117Yes (X)
JOSEPH SOBER
VP ALLEN HOSPITAL & REGIONAL ANCILLARY SVCS20.0030.00$0$198,301$42,152Yes (X)
MOLLY SEALS
VP HUMAN RESOURCES10.0030.00$0$304,050$16,825Yes (X)
WILLIAM E RUTH
VP PROFESSIONAL SERVICES40.0010.00$0$245,617-$4,151Yes (X)
ABRAHAM PEDRO
PHYSICIAN50.000$584,825$0$35,602Yes (X)
HEATHER SCULLIN
PHYSICIAN50.000$673,660$0$33,056Yes (X)
HEIDI LENCOSKI
PHYSICIAN50.000$532,326$0$33,266Yes (X)
OSAMA IBRAHIM
PHYSICIAN50.000$896,114$0$11,439Yes (X)
WASSIM EID
PHYSICIAN50.000$862,656$0$30,902Yes (X)
DONALD KLINE
Former Officer0.000.00$0$518,025$55,882Yes (X)
MARY C KOCH
FORMER OFFICER0.0050.00$0$332,966$16,003Yes (X)
SAMANTHA PLATZKE
FORMER OFFICER0.000.00$0$620,164$15,908Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,656,081TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,730,691TotReportableCompRltdOrgAmt
Total Other Compensation$431,602TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K67IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$1,834,732RelatedOrganizationsAmt
Government Grants$165,119GovernmentGrantsAmt
All Other Contributions$998,319AllOtherContributionsAmt
Total Contributions$2,998,170TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621990$194,385,252$194,385,252
RENTAL INCOME FROM AFFILIATES531120$637,501$637,501
EXEMPT FUNCTION RENTAL INCOME531120$155,543$155,543
HOSPICE621990$151,135$151,135
RENTAL OF LIFELINE DEVICES621990$68,772$68,772

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$910,804TotalRevenueColumnAmt
Related Or Exempt Func Income$910,804RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$196,309,007TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,635TotalRevenueColumnAmt
Exclusion$2,635ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$4,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$56,895OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other-$52,895OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$52,895TotalRevenueColumnAmt
Exclusion-$52,895ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
LABORATORY FEES621500$179,061$179,061
ANSWERING SERVICE FEES561499$142,794$9,814$132,980
FITNESS CENTER713940$37,035$37,035

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,940TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,940ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$363,830OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$199,620,747TotalRevenueColumnAmt
Related Or Exempt Func Income$196,309,007RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$225,910UnrelatedBusinessRevenueAmt
Exclusion$87,660ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$200,004TotalAmt
Program Services$200,004ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$106,500TotalAmt
Program Services$90,525ProgramServicesAmt
Management And General$15,975ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$73,059,439TotalAmt
Program Services$62,100,523ProgramServicesAmt
Management And General$10,958,916ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,254,594TotalAmt
Program Services$1,916,405ProgramServicesAmt
Management And General$338,189ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,053,309TotalAmt
Program Services$10,245,313ProgramServicesAmt
Management And General$1,807,996ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,240,756TotalAmt
Program Services$4,454,643ProgramServicesAmt
Management And General$786,113ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,212TotalAmt
Management And General$1,212ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$31,834TotalAmt
Management And General$31,834ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$48,507,545TotalAmt
Program Services$41,231,413ProgramServicesAmt
Management And General$7,276,132ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,225TotalAmt
Program Services$1,225ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$31,431,350TotalAmt
Program Services$26,716,648ProgramServicesAmt
Management And General$4,714,702ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,517,387TotalAmt
Program Services$2,989,779ProgramServicesAmt
Management And General$527,608ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$406,019TotalAmt
Program Services$345,116ProgramServicesAmt
Management And General$60,903ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$28,246TotalAmt
Program Services$24,009ProgramServicesAmt
Management And General$4,237ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,506,946TotalAmt
Program Services$3,830,904ProgramServicesAmt
Management And General$676,042ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,338,562TotalAmt
Program Services$7,087,778ProgramServicesAmt
Management And General$1,250,784ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$24,920TotalAmt
Program Services$21,182ProgramServicesAmt
Management And General$3,738ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL PROFESSIONAL FEES$5,187,462$5,187,462
OHIO MEDICAID ASSESSMENTS$2,623,159$2,623,159
MEMBERSHIP DUES$126,225$107,291$18,934
PROFESSIONAL LICENSURE$318,033$270,328$47,705

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,607,929TotalAmt
Program Services$1,366,740ProgramServicesAmt
Management And General$241,189ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$199,572,656TotalAmt
Program Services$170,810,447ProgramServicesAmt
Management And General$28,762,209ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$34,858,813BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$22,663,860BOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,331,969BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY-$109,941BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$79,603,353BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,826,521BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$144,174,575BOYAmt
EOY$0EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,040,761BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$158,982,634BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$169,023,395BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$24,848,820BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$24,848,820BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$144,174,575BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$48,091ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$24,800,729OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersYes (true)MailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$11,994GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$0DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$11,994TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1iFormAndLineReferenceDesc
ExplanationLOBBYING 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

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2, FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served17451PersonsServedCnt
Total Community Benefit Expns$7,921,930TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,921,930NetCommunityBenefitExpnsAmt
Total Expense0.03990TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served74025PersonsServedCnt
Total Community Benefit Expns$10,374,878TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,374,878NetCommunityBenefitExpnsAmt
Total Expense0.05220TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served91476PersonsServedCnt
Total Community Benefit Expns$18,296,808TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,296,808NetCommunityBenefitExpnsAmt
Total Expense0.09210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served30769PersonsServedCnt
Total Community Benefit Expns$1,918,427TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,918,427NetCommunityBenefitExpnsAmt
Total Expense0.00970TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served282PersonsServedCnt
Total Community Benefit Expns$513,131TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$513,131NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served2518PersonsServedCnt
Total Community Benefit Expns$906,407TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$906,407NetCommunityBenefitExpnsAmt
Total Expense0.00460TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served5135PersonsServedCnt
Total Community Benefit Expns$136,700TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$136,700NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served38704PersonsServedCnt
Total Community Benefit Expns$3,474,665TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,474,665NetCommunityBenefitExpnsAmt
Total Expense0.01760TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served130180PersonsServedCnt
Total Community Benefit Expns$21,771,473TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,771,473NetCommunityBenefitExpnsAmt
Total Expense0.10970TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,828TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,828NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$525TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$525NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$231,094TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$231,094NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$238,447TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$238,447NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$15,894,454BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$75,498,397ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$71,285,406CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$4,212,991MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CTRBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line13700 KOLBE ROADAddressLine1
CityLORAINCity
StateOHState
ZIP Code44053ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.MERYONLINE.ORGWebsiteAddressTxt
State License1018StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CTRBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.mercyonline.orgOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLwww.mercy.comOtherWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment(1) - COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER: MERCY DETERMINED THAT IT WOULD BE MOST EFFICIENT FOR IT TO DEVELOP ITS COMMUNITY HEALTH NEEDS ASSESSMENT BY BUILDING UPON EFFORTS PREVIOUSLY UNDERTAKEN IN LORAIN COUNTY TO ASSESS HEALTH NEEDS AND DEVELOP STRATEGIES TO ADDRESS THOSE NEEDS. MERCY, ALONG WITH THE 3 GENERAL HEALTH DISTRICTS AND OTHER LEADING HEALTH AND SOCIAL SERVICE AGENCIES, PARTICIPATED IN THE LORAIN COUNTY, OHIO HEALTH ASSESSMENT PROJECT. THE RESULTS OF THE LORAIN COUNTY, OHIO HEALTH ASSESSMENT PROJECT WERE THEN SHARED WITH KEY LEADERS IN THE COMMUNITY, AS WELL AS GROUPS IN THE COMMUNITY ITSELF FOR ADDITIONAL FEEDBACK. ADDITIONALLY, MERCY AND ELYRIA MEMORIAL HOSPITAL HEALTHCARE ENGAGED KEY COMMUNITY STAKEHOLDERS TO SOLICIT THEIR INPUT AND EXPERTISE IN PRIORITIZING THE NEEDS OF THE COMMUNITY. MERCY IS CONTINUING TO WORK WITH THE OTHER AGENCIES IN LORAIN COUNTY TO DEVELOP A COUNTY-WIDE COMMUNITY HEALTH IMPROVEMENT PLAN. A TOTAL OF 34 ADDITIONAL ENGAGEMENT SESSIONS WERE CONDUCTED OVER A 6 WEEK PERIOD WITH OUTREACH DIRECTLY TARGETING URBAN AREAS, SUBURBAN COMMUNITIES AND RURAL AREAS OF LORAIN COUNTY. THE ATTENDANCE AT THE SESSIONS WAS A MIXTURE OF BOTH PERSONNEL AND RESIDENTS. THE INTENT OF THESE COMMUNITY FORUMS WAS TO PROVIDE FACTUAL INTERPRETATION OF THE RESULTS FROM THE RECENT LORAIN COUNTY, OHIO HEALTH ASSESSMENT PROJECT TO COMMUNITY STAKEHOLDERS IN ORDER TO DEVELOP A SHARED UNDERSTANDING OF THE INFORMATION; IDENTIFY AREAS OF PROGRESS FOR THE COMMUNITY; IDENTIFY KEY ISSUES STILL FACING LORAIN COUNTY AND DISCOVER AREAS NEEDING IMPROVEMENT THAT WOULD EITHER IMPACT LARGE NUMBERS OF PEOPLE OR ADDRESS DISPARITIES BETWEEN GROUPS OF PEOPLE. ORGANIZATIONS AVON HEALTH COMMITTEE AMHERST CITY SCHOOLS / ADMINISTRATIVE TEAM MEETING BLACK RIVER REMEDIAL ACTION PLAN BUILD A BETTER COMMUNITY COMMITTEE (B2C2) CITY OF NORTH RIDGEVILLE DEPARTMENT LEADERS CITY OF OBERLIN MANAGEMENT TEAM CITY OF WELLINGTON ADMINISTRATION CLEARVIEW SCHOOLS COLUMBIA SCHOOLS COMMUNITIES THAT CARE COUNTY GUIDANCE COUNSELORS COUNTY HIGH SCHOOL PRINCIPALS FAMILY PLANNING SERVICE GRAFTON VILLAGE COUNCIL MEETING KEYSTONE BOARD OF EDUCATION LC BOARD OF DEVELOPMENTAL DISABILITIES SERVICE & SUPPORT ADMINISTRATION MEETING LORAIN COUNTY MATERNAL & CHILD HEALTH CONSORTIUM LIVE HEALTHY LORAIN COUNTY LIVE HEALTHY LORAIN COUNTY PARTNERS LIVE HEALTHY OBERLIN LORAIN CITY CONTINUUM OF CARE LORAIN COUNTY CHILDREN & FAMILIES COUNCIL LORAIN COUNTY GENERAL HEALTH DISTRICT LORAIN COUNTY GENERAL HEALTH DISTRICT VOLUNTEER TRAINING DAY LORAIN COUNTY PREVENTION CONNECTION LORAIN COUNTY SUPERINTENDENT'S MEETING METRO PARKS KEY LEADERS OBERLIN CITY SCHOOLS / ADMINISTRATION MEETING OHIO STATE HIGHWAY PATROL POLICE CHIEFS SAFE COMMUNITY COALITION SCHOOL NURSE MEETING WELLINGTON VILLAGE ADMINISTRATION IN ORDER TO DEVELOP A 3-YEAR PLAN TO ADDRESS COMMUNITY HEALTH NEEDS BEGINNING IN 2014, MERCY AND ELYRIA MEMORIAL HOSPITAL (EMH) TOOK THE RESULTS FROM THE PREVIOUS WORK AND ENGAGED KEY STAKEHOLDERS IN THE COMMUNITY TO PRIORITIZE THE KEY NEEDS OF LORAIN COUNTY. THE PUBLIC SERVICES INSTITUTE (PSI) OF LORAIN COUNTY COMMUNITY COLLEGE WAS COMMISSIONED BY MERCY REGIONAL HEALTH CENTER AND ELYRIA MEMORIAL HOSPITAL (EMH) TO CONDUCT AND ANALYZE THE RESULTS OF KEY COMMUNITY STAKEHOLDERS. THE DESIGN OF THE STAKEHOLDER INTERVIEWS WAS TO BUILD UPON THE COMPREHENSIVE LORAIN COUNTY HEALTH ASSESSMENT PROJECT AND THE COMMUNITY ENGAGEMENT SESSIONS BY DEVELOPING A SHARED UNDERSTANDING AROUND THE DATA; IDENTIFY AND PRIORITIZE KEY ASSETS AND ISSUES FOR THE COMMUNITY. THE INTENT OF THE STAKEHOLDER INTERVIEWS WAS TO PRIORITIZE HEALTH RELATED NEEDS BASED ON SEVERITY OF THE PROBLEM SIZE OF POPULATIONS AFFECTED, COMMUNITY CAPACITY TO ADDRESS AND AVAILABILITY OF DATA TO TRACK AND MONITOR OUTCOMES. A TOTAL OF 28 IN-DEPTH INTERVIEWS WERE CONDUCTED WITH KEY INDIVIDUALS WHO REPRESENTED A CROSS SECTION OF COMMUNITY LEADERS INCLUDING HEALTH CARE PROVIDERS, FUNDING ENTITIES, NOT-FOR-PROFIT HEALTH AND SOCIAL SERVICE PROVIDERS, SCHOOLS, FAITH-BASED ORGANIZATIONS, PHILANTHROPY AND OTHERS. WHILE ABOUT HALF OF THE ORGANIZATIONS SERVED ALL OF LORAIN COUNTY, THE OTHERS SERVED SMALLER AREAS WITHIN THE COUNTY SUCH AS AN INDIVIDUAL CITY, A PORTION OF THE COUNTY OR A SPECIFIC SCHOOL DISTRICT WITHIN THE COUNTY. ADDITIONALLY, MANY OF THOSE INTERVIEWED ALSO PROVIDE SERVICES INTO AREAS SURROUNDING LORAIN COUNTY, INCLUDING WESTERN CUYAHOGA COUNTY, HURON COUNTY AND ERIE COUNTY. RESPONSE CONTINUED IN PART VI SUPPLEMENTAL INFORMATION;
Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment(1) - COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER: THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS DONE IN CONJUNCTION WITH MERCY ALLEN HOSPITAL AND UNIVERSITY HOSPITALS ELYRIA MEDICAL CENTER (FORMERLY EMH REGIONAL MEDICAL CENTER).;
Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment(1) - COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER: NEEDS NOT BEING ADDRESSED: TEEN BIRTHS DESCRIPTION OF NEED: AS DETAILED IN MRMC'S COMMUNITY HEALTH NEEDS ASSESSMENT REPORT: * IN THE CITY OF LORAIN BETWEEN 2001-2007, THE RATE FOR TEEN BIRTHS WAS 63.5 BIRTHS PER 1,000 TEENS COMPARED TO THE LORAIN COUNTY RATE OF 37.5 PER 1,000 TEENS, THE STATE RATE (40.5 PER 1,000 TEENS) AND THE NATIONAL RATE (50.3 PER 1,000 TEENS). GOAL: MERCY WILL NOT ADDRESS THIS SIGNIFICANT NEED AS OTHER COMMUNITY AGENCIES ARE SPECIFICALLY DESIGNED AND BETTER PREPARED TO ADDRESS THIS HEALTH NEED. ADDITIONALLY, AS A CATHOLIC FACILITY, MERCY REGIONAL MEDICAL CENTER DOES NOT SUPPORT THE USE OF CONTRACEPTION AS A MEANS TO PREVENT NEW LIFE. HOWEVER, MRMC WILL CONTINUE TO SUPPORT GROUPS SUCH AS CATHOLIC CHARITIES AND CORNERSTONE AMONG WOMEN THAT ASSIST THIS POPULATION AND WILL PROVIDE CARE TO ANY MEMBER OF THIS POPULATION THAT CHOOSES MERCY FOR THEIR CARE. ALCOHOL, TOBACCO AND OTHER DRUG USE DESCRIPTION OF NEED: AS DETAILED IN MRMC'S COMMUNITY HEALTH NEEDS ASSESSMENT REPORT: * BINGE DRINKING IN LORAIN COUNTY (5 OR MORE DRINKS ON ONE OCCASION IN THE PAST MONTH) WAS AT 23% IN 2011, COMPARED TO ONLY 17% FOR OHIO AND 15% NATIONALLY. * THE CURRENT RATE OF 23% OF ADULTS WHO BINGE DRANK IN THE PAST MONTH HAS INCREASED FROM 13% IN 2002 AND 18.5% IN 2008-09. * IN 2011, 53% OF YOUTHS HAD TRIED A DRINK OF ALCOHOL AT SOME POINT IN THEIR LIFETIME, WITH 12.6 YEARS BEING THE AVERAGE AGE OF ONSET. * ALTHOUGH ADULT SMOKING HAS DECREASED FROM 28% IN 2002 TO 22% IN 2011, IT IS STILL MUCH HIGHER IN LORAIN COUNTY THAN THE NATIONAL RATE OF 17%. * THE % OF ADULT SMOKERS IS HIGHER IN THE CITY OF LORAIN AT 25%. * THE RATE OF SMOKING HAS INCREASED FOR YOUTHS, AS 14% HAD SMOKED IN THE PAST 30 DAYS IN 2011 COMPARED TO 10.8% IN 2009. * THE PERCENT OF YOUTHS THAT HAD TRIED A CIGARETTE IN THEIR LIFETIME ALSO ROSE FROM 26.1% IN 2009 TO 31% IN 2001. * IN 2011, 14% OF YOUTHS IN LORAIN COUNTY HAD USED MEDICATIONS THAT WERE NOT PRESCRIBED FOR THEM OR TOOK MORE THAN PRESCRIBED TO FEEL GOOD OR GET HIGH. GOAL: MERCY WILL NOT ADDRESS THIS SIGNIFICANT NEED AS THERE ARE OTHER ORGANIZATIONS IN LORAIN COUNTY THAT ARE SPECIFICALLY DESIGNED AND BETTER PREPARED TO ADDRESS THIS HEALTH NEED. MERCY WILL SUPPORT THEM AS NEEDED. ADDITIONALLY, MERCY WILL CONTINUE TO ENFORCE ITS TOBACCO-FREE HIRING POLICY AND TOBACCO-FREE CAMPUS, AS WELL AS FOSTER NON-SMOKING AND SMOKING CESSATION AMONG EMPLOYEES AND PATIENTS. ;
Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined(1) - COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER: THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY-NECESSARY CARE IS BASED ON FEDERAL POVERTY LEVELS STATED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.;
FieldValueIRS element (for citing)
Facility27FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
NOIC - COOPER FOSTER PARK
101 Cooper Foster Park RoadAMHERSTOH44001X-RAY & LAB SERVICES
NOIC - CENTER ROAD
1480 Center Road Suite AAVONOH44011X-RAY & LAB SERVICES
NOIC - VERMILION
1607 State Route 60 Suite 6VERMILIONOH44089X-RAY & LAB SERVICES
NEW LIFE HOSPICE CENTER
3700 Kolbe RoadLORAINOH44053INPATIENT HOSPICE CARE
NOIC - AVON
37450 Colorado AveAVONOH44011X-RAY AND LAB SERVICES
NOIC - OBERLIN
319 West Lorain StreetOBERLINOH44074X-RAY & LAB SERVICES
MERCY CANCER CENTER
41201 SCHADDEN ROADELYRIAOH44035CANCER CARE OUTPATIENT TREATMENT SUPPORT SERVICES
NOIC - AMHERST
550 North Leavitt RoadAMHERSTOH44001X-RAY SERVICES
OCCUPATIONAL HEALTH CENTER
1800 Livingston AveLORAINOH44052INJURY TREATMENT & PREVENTATIVE SERVICES
NOIC - EMERALD STREET
6115 Emerald StreetNORTH RIDGEVILLEOH44039X-RAY & LAB SERVICES
NOIC - BROAD STREET
1120 Broad StreetELYRIAOH44035X-RAY & LAB SERVICES
NORTHERN OHIO IMAGING CENTER
1900 West River RoadELYRIAOH44035OUTPATIENT DIAGNOSTIC IMAGING
MERCY REGIONAL MEDICAL CENTER INPATIENT REHABILITATION
3700 KOLBE ROADLORAINOH44053INPATIENT REHAB
MERCY HOME HEALTH CARE
3700 KOLBE ROADLORAINOH44053HOME HEALTH CARE
MERCY ANTICOAGULATION CLINIC
3600 KOLBE ROAD SUITE 104LORAINOH44053ANTICOAGULATION CLINIC
MERCY DIABETES SELF MANAGEMENT PROGRAM
3600 KOLBE ROAD SUITE 015LORAINOH44053DIABETES TREATMENT CENTER
MERCY DIAGNOSTIC CENTER LORAIN - CARDIAC IMAGING
3600 KOLBE ROAD SUITE 223LORAINOH440531652IMAGING SERVICES
MERCY DIAGNOSTIC CENTER LORAIN WEST
3600 KOLBE ROAD SUITE 203LORAINOH440531652IMAGING SERVICES
MERCY DIGESTIVE HEALTH CENTER
1120 EAST BROAD STREET LOWER LEVELELYRIAOH440356306DIGESTIVE HEALTH CENTER
MERCY GASTROENTEROLOGY CENTER
3600 KOLBE ROAD SUITE 019LORAINOH440356306GASTROENTEROLOGY CENTER
MERCY OCCUPATIONAL HEALTH CENTER
491 NORTH ABBE ROADELYRIAOH440353706OCCUPATIONAL HEALTH CENTER
MERCY OUTPATIENT INFUSION CENTER
3600 KOLBE ROAD SUITE 103LORAINOH440531652OUTPATIENT INFUSION CENTER
MERCY PRE-ADMISSION TESTING
3600 KOLBE ROAD SUITE 104LORAINOH440531652PRE-ADMISSION TESTING SERVICES
MERCY REHABILITATION SERVICES - RIVER STREET
673 EAST RIVER STREETELYRIAOH440355935REHABILITATION SERVICES
MERCY REHABILITATION SERVICES - HOLLSTEIN BLVD
47160 HOLLSTEIN BOULEVARD SUITE 200AMHERSTOH440013338REHABILITATION SERVICES
MERCY SLEEP CENTER
578 NORTH LEAVITT ROADAMHERSTOH440011131SLEEP CENTER
MERCY TB CLINIC
1800 LIVINGSTON AVENUE SUITE 101LORAINOH440523782TB CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6a, Community benefit report prepared by related organizationCATHOLIC HEALTH PARTNERS
Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistanceCOST OF FINANCIAL ASSISTANCE 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 FINANCIAL ASSISTANCE 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 calculation0
Schedule H, Part I, Line 7g, Subsidized Health ServicesTHE ORGANIZATION REPORTED $245,172 AS SUBSIDIZED HEALTH SERVICES RELATED TO A PHYSICIAN CLINIC FOR INFECTIOUS DISEASE. THE CLINIC PROVIDED COMMUNITY BENEFIT BY IMPROVING ACCESS TO PHYSICIAN SERVICES TO THE POOR AND UNDERSERVED, ESPECIALLY THOSE WITH AIDS.
Schedule H, Part II, Community Building ActivitiesTHE BULK OF THESE EXPENSES ARE RELATED TO THE RECRUITMENT OF PHYSICIANS INTO CHP'S SERVICE AREA. THIS IS PROVIDING THE COMMUNITIES WE SERVE WITH ADDITIONAL OPTIONS FOR MEDICAL SERVICES AND MEETING A NEED IN THE COMMUNITY FOR ADDITIONAL PROVIDERS OF MEDICAL SERVICES.
Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amountTHE 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 MethodologyTHE 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 footnoteTHE 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 costsTHE 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 TO CHARGE RATIO WAS USED TO DETERMINE THE MEDICARE AMOUNTS IN PART III LINE 6.
Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistancePATIENTS 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, OR WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL.
SCHEDULE H, PART V, SECTION B, LINE 3, CONTINUATION OF RESPONSE TO SCHEDULE H PART V LINE 3A NUMBER OF ORGANIZATIONS REPRESENTED IN THE STAKEHOLDER INTERVIEWS SERVE LOW INCOME RESIDENTS EXCLUSIVELY, BUT OTHER SEGMENTS OF THE POPULATION WERE REPRESENTED, INCLUDING SENIORS, MINORITY POPULATIONS, SINGLE PARENTS, PREGNANT FEMALES, YOUTH, MENTAL ILLNESS, IMMIGRANT LABORERS, FAMILIES WHO HAVE EXPERIENCED DOMESTIC VIOLENCE, CHRONIC DISEASE NEEDS, RELIGIOUS CONGREGATIONS AND THE GENERAL PUBLIC. ORGANIZATION/ DESCRIPTION/ POPULATION SERVED/ GEOGRAPHIC SCOPE AMERICAN RED CROSS, LORAIN COUNTY/ PROVIDES RELIEF TO VICTIMS OF DISASTERS AND HELPS PEOPLE PREVENT, PREPARE FOR AND RESPOND TO EMERGENCIES/ GENERAL POPULATION/ LORAIN COUNTY BOARD OF MENTAL HEALTH/ MENTAL HEALTH SERVICES PROVIDER/ ADULTS WITH MENTAL ILLNESS (SEVERE OR MODERATE); CHILDREN WITH EMOTIONAL DISTURBANCES/ LORAIN COUNTY CHILD CARE RESOURCE CENTER/ A CHILD CARE AND EARLY EDUCATION RESOURCE AND REFERRAL AGENCY THAT SERVES FAMILIES, PROFESSIONALS AND LOCAL COMMUNITIES/ LOW INCOME/ LORAIN, ERIE, HURON, SENECA AND SANDUSKY COUNTIES CHURCH OF THE OPEN DOOR/ CAMPUSES IN ELYRIA AND AVON LAKE WHOSE WEEKLY ATTENDANCE AVERAGES OVER 1,500 PEOPLE/ ELDERLY ADULTS AND YOUNG FAMILIES/ LORAIN COUNTY, BUT PRIMARILY NORTHERN PORTION CORNERSTONE AMONG WOMEN/ PROVIDES FREE HELP, INFORMATION AND SUPPORT TO WOMEN DEALING WITH UNPLANNED PREGNANCIES, POST-ABORTION SYNDROME AND LIFESTYLE DISTRESS AT LOCATIONS IN LORAIN AND ELYRIA/ LOW INCOME WOMEN/ LORAIN COUNTY AND WESTERN CUYAHOGA COUNTY ELYRIA CITY HEALTH DEPARTMENT/ RESPONSIBLE FOR PROMOTING GOOD HEALTH FOR ALL RESIDENTS OF THE CITY OF ELYRIA/ LOW INCOME, SINGLE PARENTS, PREGNANT FEMALES, GENERAL POPULATION/ CITY OF ELYRIA GENESIS HOUSE/ BATTERED WOMEN'S SHELTER/ PEOPLE EXPERIENCING DOMESTIC VIOLENCE/ PRIMARILY LORAIN COUNTY HAVEN HOUSE/ PROVIDES EMERGENCY HOUSING, MEALS, SUPPORT AND CRISIS-COUNSELING TO FAMILIES WITH CHILDREN/ MOSTLY INDIVIDUALS IN POVERTY/PRIMARILY LORAIN COUNTY LAGRANGE UNITED METHODIST CHURCH/ LOCATED IN SOUTHERN PART OF LORAIN COUNTY/ AGING POPULATION; FAMILIES/ PARTS OF SOUTHERN LORAIN COUNTY LORAIN CITY HEALTH DEPARTMENT/ RESPONSIBLE FOR PREVENTING DISEASE, PROMOTING HEALTHY LIVING AND PROTECTING THE ENVIRONMENT FOR THE CITIES OF LORAIN AND AVON LAKE/ ENTIRE COMMUNITY/ CITY OF LORAIN AND UNDER CONTRACT TO THE CITY OF AVON LAKE LORAIN COUNTY BOARD OF DEVELOPMENTAL DISABILITIES/ ASSISTS THOSE WITH DEVELOPMENTAL DISABILITIES THROUGH EARLY INTERVENTION PROGRAMS, SUPPORTED EMPLOYMENT AND ADULT OPPORTUNITY AND VOCATIONAL CENTERS/ OVER 2000 RESIDENTS WITH DEVELOPMENTAL DISABILITIES/ LORAIN COUNTY LORAIN COUNTY CATHOLIC CHARITIES/ CENTER IN LORAIN OFFERS ASSISTANCE IN MEETING BASIC NEEDS SUCH AS FOOD, CLOTHING AND SHELTER; CENTER IN ELYRIA OFFERS SOCIAL SERVICES TO INDIVIDUALS AND FAMILIES/ EVERYONE, INCLUDING PREGNANT WOMEN AND ELDERLY/ LORAIN COUNTY LORAIN COUNTY COMMUNITY ACTION AGENCY/ ESTABLISHED TO HELP WITH AMERICA'S WAR OF POVERTY, RESIDENTS IN NEED ARE PROVIDED HELP VIA HEAD START, HOME WEATHERIZATION AND ENERGY ASSISTANCE PROGRAMS/ LOW AND MODERATE INCOME UP TO 200% OF POVERTY LEVEL/ LORAIN COUNTY LORAIN COUNTY FREE CLINIC/ COORDINATES COMMUNITY RESOURCES FOR LOW-INCOME AND UNINSURED RESIDENTS OF LORAIN COUNTY, PROVIDING COMPREHENSIVE HEALTHCARE AT MINIMAL OR NO COST/ ADULTS 19-65 - 20% AFRICAN AMERICAN; 18% HISPANIC /LORAIN COUNTY AND EASTERN ERIE COUNTY LORAIN COUNTY GENERAL HEALTH DISTRICT/ RESPONSIBLE FOR PREVENTING DISEASE AND PROMOTING HEALTH IN LORAIN COUNTY OUTSIDE THE CITIES OF LORAIN, ELYRIA AND AVON LAKE/ SCHOOL AGE AND PRE-SCHOOL CHILDREN; ADULT POPULATION; GENERAL POPULATION/ ALL TOWNSHIPS AND VILLAGES IN LORAIN COUNTY AND CITIES OF AMHERST, AVON, NORTH RIDGEVILLE, OBERLIN AND SHEFFIELD LAKE LORAIN COUNTY HEALTH AND DENTISTRY/ FEDERALLY FUNDED COMMUNITY HEALTH CENTER THAT SERVES THE UNDERSERVED IN LORAIN AND SURROUNDING COMMUNITIES; A SITE IN ELYRIA IS SCHEDULED TO OPEN IN 2013/ LOW-INCOME; UNINSURED, INCLUDING MEDICARE/ HISTORICALLY HAS BEEN CITY OF LORAIN (MAINLY 44052 AND 44055), BUT ALSO GETTING MORE RESIDENTS FROM CITY OF ELYRIA MIGRANT AND IMMIGRATION SERVICES/ RURAL IMMIGRANTS AND FARM WORKERS/ STATEWIDE AND RURAL MT. OLIVET CMA CHURCH/ PARISH LOCATED IN ELYRIA/350 CHURCH MEMBERS MONTHLY/ LORAIN COUNTY OBERLIN COMMUNITY SERVICES/ COMMUNITY ORGANIZATION THAT PROVIDES DIRECT ASSISTANCE, REFERRALS, OUTREACH AND EDUCATIONAL SUPPORT TO THOSE NEEDING HELP TO MEET BASIC NEEDS/ LOW INCOME/ SOUTHERN LORAIN COUNTY, INCLUDING OBERLIN AND WELLINGTON PATHWAYS COUNSELING & GROWTH CENTER/ NON-PROFIT THAT PROVIDES MENTAL HEALTH COUNSELING SERVICES/ MEDICAID-RELATED CLIENTS; THE LOWER MIDDLE CLASS/ PRIMARILY LORAIN COUNTY PASTOR AT OBERLIN HOUSE OF THE LORD FELLOWSHIP (PENTECOSTAL CHURCH)/ CHAIR OF RELIGION DEPARTMENT AND ASSOCIATE PROFESSOR OF RELIGION AND AFRICAN-AMERICAN STUDIES AT OBERLIN COLLEGE/ PREDOMINANTLY AFRICAN-AMERICAN WITH CAUCASIAN AND LATINO MEMBERSHIP/ CONGREGATION INCLUDES LORAIN COUNTY AND OUTSIDE AREAS SACRED HEART CHAPEL/ OLDEST AND LARGEST HISPANIC CATHOLIC PARISH IN OHIO; FOUNDED IN 1952/ ELDERLY AND YOUTH OF PUERTO RICAN AND MEXICAN DECENT/ LORAIN COUNTY THE ALCOHOL & DRUG ADDICTION SERVICES BOARD OF LORAIN COUNTY (ADAS)/ GOVERNMENT AGENCY RESPONSIBLE FOR THE DELIVERY OF ALCOHOL AND OTHER DRUG ADDICTION EDUCATION, PREVENTION AND TREATMENT FOR LORAIN COUNTY RESIDENTS/ FAMILIES; INDIVIDUALS; ADOLESCENTS AND SCHOOL-AGED YOUTH/ LORAIN COUNTY THE NORD CENTER/ PROVIDES BEHAVIORAL HEALTH SERVICES FOR LORAIN COUNTY/ SEVERELY EMOTIONALLY DISABLED CHILDREN AND SEVERELY MENTALLY DISABLED ADULTS/ PRIMARILY LORAIN COUNTY THE NORD FAMILY FOUNDATION/ FOUNDATION THAT DISTRIBUTES OVER $4M ANNUALLY TO QUALIFIED CHARITABLE ORGANIZATIONS IN LORAIN AND CUYAHOGA COUNTIES/ GENERAL PUBLIC; LOW AND MODERATE INCOME RESIDENTS AND ECONOMICALLY DISADVANTAGED, INDIRECTLY/60% TO LORAIN COUNTY; REMAINING 40% TO OTHER COMMUNITIES ACROSS THE COUNTRY THE URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROGRAM/ SERVES ONE OF OHIO'S LARGEST HISPANIC COMMUNITIES AS WELL AS LARGE AFRICAN-AMERICAN POPULATION BY ENSURING THEY HAVE AFFORDABLE ACCESS TO PROGRAMS THAT TREAT ALCOHOL, TOBACCO AND DRUG ABUSE/ PRIMARILY AFRICAN-AMERICAN & HISPANIC/ LORAIN COUNTY UNITED WAY OF GREATER LORAIN COUNTY/ IMPROVES THE LIVES OF LORAIN COUNTY RESIDENTS BY DISCOVERING NEEDS AND CREATING SOLUTIONS AROUND EDUCATION, INCOME AND HEALTH/ MIDDLE SCHOOL STUDENTS AND LOW WAGE WORKERS WITH FAMILIES AT THE 200% POVERTY LEVELS/ LORAIN COUNTY AND VERMILION IN ERIE COUNTY WELLINGTON OFFICE ON AGING/ PROVIDES SERVICE TO ADULTS AGED 60+ WHICH PROMOTE DIGNITY AND QUALITY OF LIFE/ OLDER ADULTS AGED 60+/ PRIMARILY RESIDENTS OF WELLINGTON
Schedule H, Part VI, Line 2, Needs assessment.IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B, COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER (KNOWN AS MERCY) CONTINUALLY ASSESSES AND RESPONDS TO CHANGING NEEDS THROUGH BEING AN ACTIVE PARTICIPANT IN THE COMMUNITY IT SERVES. MERCY INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. MERCY RECOGNIZES THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. MERCY'S COMMUNITY BENEFIT PLANNING INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. MERCY ALSO PARTNERS WITH MANY OF THE HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE COMMUNITY TO ENSURE PROPER SERVICES ARE PROVIDED, COORDINATE EFFORTS AND AVOID DUPLICATION. ADDITIONALLY, MEMBERS OF MERCY'S LEADERSHIP TEAM SERVE ON BOARDS OF THESE ORGANIZATIONS TO HEAR THE NEEDS OF THE POPULATIONS SERVED BY THESE ORGANIZATIONS, PROVIDE INSIGHT AND OFFER ASSISTANCE. MERCY ALSO PROVIDES GRASSROOTS SERVICES SUCH AS ITS RESOURCE MOTHERS PROGRAM, WHICH ASSISTS LOW-INCOME PREGNANT WOMEN AND NEW MOTHERS, AND PARISH NURSING, WHICH REACHES OUT TO LOW-INCOME RESIDENTS THROUGH THEIR CHURCHES BY OFFERING SCREENING AND HEALTH EDUCATION. THESE PROGRAMS ARE ACTIVE IN THE COMMUNITY AND DIRECTLY ASSIST RESIDENTS OF THESE COMMUNITIES. THESE PROGRAMS NOT ONLY PROVIDE IMMEDIATE SUPPORT TO THE RESIDENTS, BUT ARE ALSO FLEXIBLE TO ADAPT TO NEW NEEDS AS THEY ARISE.
Schedule H, Part VI, Line 3, Patient education of eligibility for assistance.MERCY 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. THE HOSPITAL 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. THE HOSPITAL 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 MERCY. 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. THE HOSPITAL 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 THE HOSPITAL'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.
Schedule H, Part VI, Line 4, Community information.FOR THE PURPOSES OF THE HEALTH ASSESSMENT, MERCY USED LORAIN COUNTY IN OHIO AS THE MAIN SERVICE AREA. 2011 PATIENT DISCHARGE DATA FROM THE OHIO HOSPITAL ASSOCIATION INDICATES THAT APPROXIMATELY 86% OF INPATIENTS SERVED BY THE MERCY REGIONAL MEDICAL CENTER WERE RESIDENTS OF LORAIN COUNTY. ACCORDING TO CENSUS 2010 DATA, LORAIN COUNTY HAD 301,356 RESIDENTS, WITH 75% BEING ADULTS OVER THE AGE OF 19, 10% BEING YOUTHS BETWEEN 12-18 AND THE REMAINING 15% BEING ADOLESCENTS UNDER THE AGE OF 12. OVER 40% OF THE 301,356 RESIDENTS LIVE IN EITHER LORAIN OR ELYRIA, WITH EACH CITY HAVING IN EXCESS OF 60,000 RESIDENTS. THE COUNTY HAS 4 ADDITIONAL CITIES WITH 20,000-PLUS RESIDENTS (NORTH RIDGEVILLE, AVON LAKE, AVON AND AMHERST). THE MAJORITY OF LORAIN COUNTY RESIDENTS WERE CAUCASIAN (85%), FOLLOWED BY AFRICAN-AMERICANS (9%), HISPANICS (8%), ASIAN (1%) AND TWO OR MORE RACES (3%). THE MEAN HOUSEHOLD INCOME IN LORAIN COUNTY (BASED ON 2010 INFLATION-ADJUSTED DOLLARS) WAS $61,475. IN LORAIN COUNTY, 14% OF ALL RESIDENTS AND 11% OF FAMILIES HAD AN INCOME BELOW THE POVERTY LEVEL. THE POVERTY STATUS REPORTS FROM AMERICAN FACTFINDER SHOWS THAT ALMOST 11% OF THE 80,715 FAMILIES IN LORAIN COUNTY LIVE BELOW THE POVERTY LEVEL AND WHEN YOU LOOK AT FAMILIES WITH CHILDREN UNDER 18 YEARS, THE NUMBER JUMPS TO 18% OF THE 38,305 FAMILIES. THIS IS A LARGER PROBLEM FOR THE AFRICAN AMERICAN COMMUNITY (37% OF THE 5,739 FAMILIES WITH AN AFRICAN AMERICAN HOUSEHOLDER), OF WHICH THERE IS A LARGER COMMUNITY OF WITHIN THE CITY OF LORAIN. THERE ARE 3 ACUTE HOSPITALS AND 1 LONG-TERM ACUTE CARE HOSPITAL IN LORAIN COUNTY, AND ALL 4 ARE NON-PROFIT HOSPITALS. MERCY'S COMMUNITY IS CHANGING AND IT SERVES A GROWING UNINSURED AND UNDERINSURED POPULATION. THERE ARE SEVERAL PORTIONS OF LORAIN COUNTY WHICH HAVE BEEN FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS (MUA) OR POPULATIONS. THE LARGEST SECTION IS A CLUSTER OF CENSUS TRACTS IN LORAIN/ SOUTH LORAIN WHICH IS WITHIN 3 - 5 MILES OF MERCY. WITHIN THIS TRACT IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), AND PART OF THIS TRACT ALSO HAS A HPSA DESIGNATION. THERE ARE TWO ISOLATED CENSUS TRACTS IN LORAIN COUNTY - ONE OF THEM IN ELYRIA - THAT ALSO HAVE MUA DESIGNATION. THE SOUTHERN PORTION OF LORAIN COUNTY, WHICH IS SERVED BY MERCY ALLEN COMMUNITY HOSPITAL (A RELATED ENTITY) CONTAINS WELLINGTON, WHICH HAS A HEALTH PROFESSIONALS SHORTAGE AREA (HPSA) DESIGNATION. THE DEMOGRAPHIC AREA SERVED BY MRMC SERVES MULTIPLE ETHNIC AND CULTURAL GROUPS. BASED ON 2010 CENSUS DATA, APPROXIMATELY 9% OF THE HOUSEHOLDS IN LORAIN COUNTY SPEAK A PRIMARY LANGUAGE OTHER THAN ENGLISH. THAT PERCENTAGE IS EXPECTED TO BE HIGHER IN MERCY'S PSA, AS THERE IS A LARGE CONCENTRATION OF SPANISH-SPEAKING RESIDENTS LIVING IN THE CITY OF LORAIN. APPROXIMATELY 11% OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES. AGAIN, THE RATE IN THE PSA IS EXPECTED TO BE MUCH HIGHER, AS THE OVERALL COUNTY NUMBER IS OFFSET BY THE MORE AFFLUENT GROWING POPULATIONS IN THE EASTERN PORTION OF THE COUNTY. THE UNEMPLOYMENT RATE FOR THE CITY OF LORAIN (9.7%) IS ALSO ESTIMATED TO BE HIGHER THAN LORAIN COUNTY (6.4%). ACCORDING TO A 2008 COUNTY PROFILE BY THE OHIO DEPARTMENT OF JOB AND FAMILY SERVICES, 14.1% OF RESIDENTS ARE ON MEDICAID. ACCORDING TO THE LORAIN COUNTY, OHIO HEALTH ASSESSMENT PROJECT, WHICH WAS THE BASIS FOR MERCY'S COMMUNITY NEEDS ASSESSMENT REPORT, 20% OF ADULTS IN LORAIN COUNTY COULD NOT SEE A DOCTOR WHEN NEEDED DUE TO COST. ALSO, 14% OF ADULTS IN THE CITY OF LORAIN AND 16% IN THE CITY OF ELYRIA DID NOT HAVE HEALTH CARE COVERAGE AS OPPOSED TO ONLY 10% OF THE ENTIRE COUNTY'S ADULTS.
Schedule H, Part VI, Line 5, Promotion of community healthBETWEEN BOTH MERCY REGIONAL MEDICAL CENTER (MRMC) AND MERCY ALLEN HOSPITAL (MAH), ALMOST $24M IN COMMUNITY BENEFITS WAS PROVIDED IN 2013. THIS WAS NOT ONLY ACHIEVED THROUGH CHARITY CARE THAT WAS PROVIDED, BUT ALSO ADDITIONAL SERVICES AND PROGRAMS WHICH BENEFITTED BOTH THE POOR AND COMMUNITY-AT-LARGE. CURRENTLY, BOTH MRMC AND MAH ARE WORKING WITH LOCAL AGENCIES, INCLUDING THE LOCAL HEALTH DEPARTMENTS, TO DEVELOP A COMMUNITY-WIDE COMMUNITY NEEDS IMPLEMENTATION PLAN. MERCY'S FACILITIES AND SERVICES ARE AVAILABLE TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. IN 2013, MERCY PROVIDED ALMOST $24 MILLION IN COMMUNITY BENEFIT, WITH ALMOST $9 MILLION OF THAT BEING DEVOTED TO CHARITY CARE AND OVER $11 MILLION BEING DEVOTED TO MEDICAID LOSS. IN ADDITION, MERCY ALSO PROVIDES ITS HOSPITAL ELIGIBILITY LINK PROGRAM (HELP), WHICH OFFERS MERCY PATIENTS FREE CARE AND DISCOUNTS AS WELL AS EXPLORES PATIENT'S ELIGIBILITY FOR STATE AND HOSPITAL ASSISTANCE PROGRAMS. MERCY FURTHERS ITS EXEMPT PURPOSE BY PROVIDING THE FOLLOWING SERVICES IN THE COMMUNITIES IT SERVES, REGARDLESS OF ABILITY TO PAY: OUTPATIENT DIABETIC EDUCATION, OUTPATIENT PALLIATIVE CARE, HEALTH MINISTRY AND FAMILY OUTREACH. IT IS MERCY'S GOAL TO HELP PREVENT AND MANAGE MAJOR DISEASES AFFECTING ITS COMMUNITY. MERCY'S HEALTH MINISTRY AND FAMILY OUTREACH PROGRAMS HAVE SUCCESSFULLY UTILIZED HEALTH SCREENINGS AND INTENSE MENTORING, TO IDENTIFY HEALTH CONCERNS AND GET FOLLOW-UP CARE FOR RESIDENTS IN THE COMMUNITY. THESE OUTREACH PROGRAMS HAVE BEEN SUCCESSFUL IN MANAGING AND IDENTIFYING CHRONIC DISEASES BEFORE THEY BECOME TOO SERIOUS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY THE HOSPITAL AS WELL AS OF COMMUNITY ORGANIZATIONS WHICH REPRESENT DIVERSE POPULATIONS. MERCY ENGAGES IN THE TRAINING AND EDUCATION OF ITS HEALTH CARE PROFESSIONALS, AS WELL AS PROVIDING A RESIDENCY PROGRAM IN PODIATRY. MERCY SERVES AS A CLINICAL EXPERIENCE SITE FOR OTHER HEALTH PROFESSIONALS, WITH DEPARTMENTS OFFERING CLINICAL EXPERIENCE INCLUDING: NURSING, PHARMACY, RESPIRATORY, THERAPIES (PHYSICAL, OCCUPATIONAL AND SPEECH).
Schedule H, Part VI, Line 6, Affiliated health care systemCOMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER (MERCY) IS A MEMBER OF CATHOLIC HEALTH PARTNERS AND IS AFFILIATED WITH ALLEN COMMUNITY HOSPITAL. ALL ARE OHIO NON-PROFIT CORPORATIONS. MERCY IS SPONSORED BY THE SISTERS OF THE HUMILITY OF MARY AND HAS BEEN AN INTEGRAL PART OF THE COMMUNITY SINCE 1860. MERCY IS AN ACUTE CARE HOSPITAL WITH APPROXIMATELY 328 LICENSED BEDS. COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER COMMUNITY BENEFIT FOR 2013 (INCLUDING COMMUNITY BENEFIT PROVIDED BY RELATED ENTITIES IN THE MERCY REGION OF CATHOLIC HEALTH PARTNERS) PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2013 COMMUNITY BENEFIT: $23.8 MILLION BENEFITS TO THE BROADER COMMUNITY $1.4 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID $11.3 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY $8.8 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR $2.3 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 9.4 PERCENT MERCY HAS BEEN PROVIDING HEALTH SERVICES IN THE LORAIN COMMUNITY SINCE 1892. TODAY COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER 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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHP PHYSICIANS OFFICE BUILDINGSBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line13700 KOLBE ROADAddressLine1
CityLORAINCity
StateOHState
ZIP Code44053ZIPCode
FieldValueIRS element (for citing)
Recipient EIN341268828RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$200,004CashGrantAmt
Purpose Of GrantMISSION SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2, Procedures for monitoring use of grant fundsFormAndLineReferenceDesc
ExplanationTHIS YEAR'S GRANT WAS MADE TO A RELATED ENTITY WHICH OWNS TWO MEDICAL OFFICE BUILDINGS. CHP IS ABLE TO MONITOR THE USE OF THE FUNDS BY THE GRANTEE ENTITY BECAUSE CHP DOES THE ACCOUNTING FOR THIS ENTITY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
EDWIN OLEY
BOARD MEMBER, PRESIDENT - COMMUNITY RMC$0$351,514$0$0$0$14,621$0$40,376$0$16,653$0$423,164$0$0
BRIAN SMITH
BOARD MEMBER, CHP EVP NETWORKS$0$612,239$0$225,000$0$154,055$0-$64,084$0$12,303$0$939,513$0$0
CHARLES BUTREY MD
BOARD MEMBER$0$413,398$0$91,588$0$9,748$0$9,674$0$23,146$0$547,554$0$0
DONALD KLINE
FORMER OFFICER$0$426,462$0$85,356$0$6,207$0$26,949$0$28,933$0$573,907$0$0
MARY C KOCH
FORMER OFFICER$0$257,265$0$70,621$0$5,080$0$7,650$0$8,353$0$348,969$0$0
SAMANTHA PLATZKE
FORMER OFFICER$0$36,336$0$116,469$0$467,359$0-$6,961$0$22,869$0$636,072$0$0
ROBERT TONKINSON JR
CFO & COO$0$209,719$0$10,000$0$80,580$0$0$0$14,640$0$314,939$0$0
DR HAYSAM EL-DALATI
CHIEF MEDICAL OFFICER$0$559,488$0$0$0$2,922$0$15,016$0$25,481$0$602,907$0$0
WILLIAM E RUTH
VP PROFESSIONAL SERVICES$0$235,425$0$0$0$10,192$0-$20,998$0$16,847$0$241,466$0$0
JAMES STEPHENS
VP - QUALITY & POST-ACUTE CARE$0$175,809$0$0$0$10,552$0$3,107$0$1,390$0$190,858$0$0
ELIJAH WHITE
VP - OPERATIONS & SYSTEM EFFECTIVENESS$0$143,159$0$0$0$7,095$0$7,221$0$23,319$0$180,794$0$0
BERNARD SMITH
LEGAL COUNSEL$0$197,980$0$0$0$2,362$0$3,981$0$4,378$0$208,701$0$0
JANIS YERGAN
VP STRATEGY & BUSINESS DEVELOPMENT$0$103,878$0$15,000$0$120,861$0$442$0$7,675$0$247,856$0$0
JOSEPH SOBER
VP ALLEN HOSPITAL & REGIONAL ANCILLARY SVCS$0$174,090$0$15,000$0$9,211$0$19,395$0$22,757$0$240,453$0$0
MOLLY SEALS
VP HUMAN RESOURCES$0$254,602$0$15,172$0$34,276$0$9,027$0$7,798$0$320,875$0$0
OSAMA IBRAHIM
PHYSICIAN$450,000$0$443,286$0$2,828$0$9,808$0$1,631$0$907,553$0$0$0
WASSIM EID
PHYSICIAN$524,800$0$337,370$0$486$0$7,784$0$23,118$0$893,558$0$0$0
HEATHER SCULLIN
PHYSICIAN$271,210$0$401,040$0$1,410$0$10,075$0$22,981$0$706,716$0$0$0
ABRAHAM PEDRO
PHYSICIAN$285,207$0$289,629$0$9,989$0$10,621$0$24,981$0$620,427$0$0$0
HEIDI LENCOSKI
PHYSICIAN$280,184$0$251,597$0$545$0$10,519$0$22,747$0$565,592$0$0$0

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensationTHE COMPENSATION OF EDWIN M. OLEY, PRESIDENT, IS DETERMINED BY COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM (CHPRHS), A RELATED TAX-EXEMPT ORGANIZATION. CHPRHS UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MR. OLEY'S COMPENSATION.
Schedule J, Part I, Line 4a, Severance or change-of-control paymentSEVERANCE 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 REPORTING YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: JANIS YERGAN $112,500; SAMANTHA PLATZKE $464,048.
Schedule J, Part I, Line 4b, Supplemental nonqualified retirement planTHE COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM NONQUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN IS AN EXECUTIVE RETENTION PLAN FOR CERTAIN HIGHLY COMPENSATED INDIVIDUALS, AS DETERMINED BY THE BOARD OF TRUSTEES' EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE. THE PLAN PURPOSE IS TO PROVIDE A BENEFIT TO REPLACE THE BENEFIT THESE PARTICIPANTS WOULD HAVE RECEIVED UNDER THE APPLICABLE QUALIFIED PLAN PRIOR TO ITS AMENDMENT TO COMPLY WITH THE OMNIBUS BUDGET RECONCILIATION ACT OF 1993. IT PROVIDES A DEFERRED COMPENSATION BENEFIT OF 3% TO 5% OF ANNUAL BASE SALARY. PARTICIPANTS VEST AND RECEIVE PLAN BENEFITS ONCE TWO CONDITIONS ARE SATISFIED: (1) MEET THE VESTING REQUIREMENTS OF THE APPLICABLE QUALIFIED PLAN, AND (2) COMPLETE A 24-MONTH POST-EMPLOYMENT NON-COMPETE REQUIREMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED PARTICIPATING INDIVIDUALS IN THE REPORTING YEAR ARE AS FOLLOWS: EDWIN M. OLEY $0; WILLIAM E. RUTH $0; JAMES STEPHENS $0; ELIJAH WHITE $0; JOSEPH SOBER $0.
SCHEDULE J, PART I, LINE 4B, THE CHP SERP PLANTHE CATHOLIC HEALTH PARTNERS (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: BRIAN SMITH $129,575; SAMANTHA PLATZKE $1,732.
SCHEDULE J, PART I, LINE 4B, THE CHP RETENTION PLANTHE CATHOLIC HEALTH PARTNERS (CHP) 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: DONALD KLINE $0.
SCHEDULE J, PART I, LINE 4B, THE HMHP SERP PLANTHE HUMILITY OF MARY HEALTH PARTNERS (HMHP) SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE HMHP BOARD OF TRUSTEES OR ITS DELEGATE. THE PLAN PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 100% IN THEIR ACCOUNTS AFTER THREE YEARS OF SERVICE, EXCEPT FOR PARTICIPANTS WHO HAD ATTAINED AT LEAST TEN YEARS OF SERVICE AT PLAN INCEPTION, WHO HAD IMMEDIATE VESTING. VESTING OCCURS EARLIER UPON DEATH OR TOTAL DISABILITY. PAYMENTS ARE MADE DURING EMPLOYMENT FOR REQUIRED TAX WITHHOLDING. THE VESTED ACCOUNT BALANCE IS PAID AS A LUMP SUM AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR ARE AS FOLLOWS: MOLLY SEALS $14,208; DONALD KLINE $0.
Schedule J, Part I, Line 7, Non-fixed paymentsTHE 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. 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 COMPENSATIONANNUAL 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

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LIFE CARE AMBULANCEBusinessNameLine1
FieldValueIRS element (for citing)
Relationship DescriptionMAUD DE LA PORTE (FORMER BOARD MEMBER) HAS AN OWNERSHIP INTERESTRelationshipDescriptionTxt
Transaction$136,669TransactionAmt
TransactionINDEPENDENT CONTRACTORTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidALL ASSETS AND LIABILITIES OF COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTERAssetsDistriOrExpnssPaidDesc
Distribution2014-01-01DistributionDt
Fair Market Value Of Asset$7,120,574FairMarketValueOfAssetAmt
Method Of FMV DeterminationGAAPMethodOfFMVDeterminationTxt
EIN340714704EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY HEALTH - REGIONAL MEDICAL CENTER LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line13700 KOLBE ROADAddressLine1
CityLORAINCity
StateOHState
ZIP Code44053ZIPCode
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of SuccessorfalseDirectorOfSuccessorInd
Employee Of SuccessorYes (true)EmployeeOfSuccessorInd
Owner Of SuccessorfalseOwnerOfSuccessorInd
Receive CompensationfalseReceiveCompensationInd
Assets DistributedYes (true)AssetsDistributedInd
Required To Notify AGYes (true)RequiredToNotifyAGInd
Attorney General NotifiedYes (true)AttorneyGeneralNotifiedInd
Liabilities PaidYes (true)LiabilitiesPaidInd
Bonds OutstandingfalseBondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule N, Part I, Line 2b, Interested person is an employee or ind. contractor of successor org.FormAndLineReferenceDesc
ExplanationALL OFFICERS AND KEY EMPLOYEES OF COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER BECAME EMPLOYEES OF MERCY HEALTH - REGIONAL MEDICAL CENTER LLC.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1, MISSION OF ORGANIZATIONCOMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER ACCOMPLISHES THIS MISSION BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE.
FORM 990, PART IV, LINE 12A, COMBINED AUDITED FINANCIAL STATEMENTSTHE FILING ORGANIZATION DOES NOT HAVE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN CATHOLIC HEALTH PARTNERS' COMBINED 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 6, Classes of members or stockholdersCOMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM (HOLDING COMPANY) IS THE SOLE MEMBER OF COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER.
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing bodyCATHOLIC HEALTH PARTNERS ELECTS ALL MEMBERS WHO HAVE FULL VOTING RIGHTS.
Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholdersCERTAIN 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 bodyTHE FORM 990 IS PREPARED BY CATHOLIC HEALTH PARTNER'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 WITH THE IRS.
Form 990, Part VI, Sec B, Line 12c, Conflict of interest policyALL BOARD MEMBERS ARE COVERED BY THE CATHOLIC HEALTH PARTNERS CONFLICT OF INTEREST POLICY WHICH REQUIRES DISCLOSURE ON AN ANNUAL BASIS. ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE CATHOLIC HEALTH PARTNERS 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 officialTHE 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 COMMITTEE OF THE REGIONAL 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 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 SALARY 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. 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 B, Line 15b, Process to establish compensation of other employeesPLEASE REFER TO THE LINE 15A RESPONSE DIRECTLY ABOVE WHICH DESCRIBES THE PROCESS USED FOR BOTH THE TOP MANAGEMENT OFFICIAL AND FOR OTHER KEY EMPLOYEES.
Form 990, Part VI, Sec C, Line 19, Required documents available to the publicTHE SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE.
Form 990, Part IX, Line 11g, Other ExpensesALLOCATIONS FROM RELATED ENTITIES - TOTAL EXPENSE: 31316494, PROGRAM SERVICE EXPENSE: 26619020, MANAGEMENT AND GENERAL EXPENSES: 4697474, FUNDRAISING EXPENSES: ; OTHER PURCHASED SERVICES - TOTAL EXPENSE: 17191051, PROGRAM SERVICE EXPENSE: 14612393, MANAGEMENT AND GENERAL EXPENSES: 2578658, FUNDRAISING EXPENSES: ;
Form 990 , Part XI, Line 9, Other changes in net assets or fund balancesPENSION LIABILITY ADJUSTMENT - 30657256; EQUITY TRANSFER FROM RELATED ENTITY - 500000; RECLASS CORP STIMULUS - 764048; FUND BALANCE TRANSFER - -7120575;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (64 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
CATHOLIC HEALTH PARTNERS
615 ELSINORE PLACECINCINNATIOH45202311161086HEALTHCARE SYSTEM PARENTOH501(C)(3)11 - Type III - FINAfalse
CATHOLIC HEALTH PARTNERS FOUNDATION
615 ELSINORE PLACECINCINNATIOH45202201072726FUNDRAISINGOH501(C)(3)7CATHOLIC HEALTH PARTNERSfalse
CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT
615 ELSINORE PLACECINCINNATIOH45202208943658HUD PARENTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST
615 ELSINORE PLACECINCINNATIOH45202316046304RETIREMENT TRUSTOH501(C)(3)8CATHOLIC HEALTH PARTNERSfalse
COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
3700 KOLBE ROADLORAINOH44053270071694MARKET PARENTOH501(C)(3)11 - Type IICATHOLIC HEALTH PARTNERSfalse
COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
3700 KOLBE ROADLORAINOH44053340714704HOSPITALOH501(C)(3)3COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEMfalse
ALLEN MEDICAL CENTER
200 WEST LORAIN STOBERLINOH44074340864230HOSPITALOH501(C)(3)3COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEMfalse
COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION
3700 KOLBE ROADLORAINOH44053341504558FOUNDATIONOH501(C)(3)11 - Type III - FICOMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTERfalse
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROADLORAINOH44053341268828MEDICAL OFFICE RENTALOH501(C)(3)9COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTERfalse
ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN STOBERLINOH44074364504991MEDICAL OFFICE RENTALOH501(C)(3)11 - Type IIALLEN MEDICAL CENTERfalse
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
4600 MCAULEY PLACECINCINNATIOH45242311063783MARKET PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION
4600 MCAULEY PLACECINCINNATIOH45242311217563FOUNDATIONOH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY HOSPITALS WEST
2446 KIPLING AVENUECINCINNATIOH45239311091597HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY HOSPITAL ANDERSON
7500 STATE ROADCINCINNATIOH45255310537085HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
THE SISTERS OF MERCY OF HAMILTON OHIO
3000 MACK ROADFAIRFIELDOH45014310538532HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO
3000 HOSPITAL DRIVEBATAVIAOH45103310830955HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC
7010 ROWAN HILLS DRCINCINNATIOH45227311308729RETIREMENT HOMEOH501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY SACRED HEART INC
2120 PAYNE STREETLOUISVILLEKY40206611318326RETIREMENT HOMEKY501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY LONG TERM CARE INITIATIVE
4915 CHARLESTOWN RDNEW ALBANYIN47150311332491RETIREMENT HOMEIN501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREETCINCINNATIOH45210311222942LOW INCOME HOUSINGOH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY FRANCISCAN AT ST RAPHAEL INC
610 HIGH STREETHAMILTONOH45011202934871SERVICES TO THE POOROH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
COMMUNITY MERCY HEALTH SYSTEM
ONE S LIMESTONE STSPRINGFIELDOH45502300272454MARKET PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
COMMUNITY MERCY HEALTH PARTNERS
ONE S LIMESTONE STSPRINGFIELDOH45502310785684HOSPITALOH501(C)(3)3COMMUNITY MERCY HEALTH SYSTEMfalse
THE COMMUNITY MERCY FOUNDATION
1343 N FOUNTAIN BLVDSPRINGFIELDOH45504311443778FOUNDATIONOH501(C)(3)7COMMUNITY MERCY HEALTH SYSTEMfalse
C H HEALTH SERVICES COMPANY
ONE S LIMESTONE STSPRINGFIELDOH45502311181984HOSPITALOH501(C)(3)3COMMUNITY MERCY HEALTH SYSTEMfalse
CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE
1150 E HOME ROADSPRINGFIELDOH45503260698515MEDICAL INFORMATION EXCHANGEOH501(C)(3)9COMMUNITY MERCY HEALTH SYSTEMfalse
THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST
ONE S LIMESTONE STSPRINGFIELDOH45502346827136INDIGENT MEDICAL CAREOH501(C)(3)11 - Type INAfalse
MERCY HEALTH SYSTEM - NORTHERN REGION
2200 JEFFERSON AVENUETOLEDOOH43604341344482MARKET PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
MERCY PROPERTY HOLDINGS
2200 JEFFERSON AVENUETOLEDOOH43604300699825TITLE HOLDING COMPANYOH501(C)(2)N/AMERCY HEALTH SYSTEM - NORTHERN REGIONfalse
ST CHARLES MERCY HOSPITAL OF OREGON OHIO
2600 NAVARRE AVENUEOREGONOH43616344445373HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
RIVERSIDE MERCY HOSPITAL
3404 W SYLVANIA AVETOLEDOOH43623311556401HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY HOME CARE INC
2200 JEFFERSON AVENUETOLEDOOH43604341587572HOME HEALTHCAREOH501(C)(3)9MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY COLLEGE OF OHIO
2221 MADISON AVENUETOLEDOOH43604341726619MEDICAL COLLEGEOH501(C)(3)2MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY COLLEGE OF OHIO FOUNDATION INC
2221 MADISON AVENUETOLEDOOH43604141963204FOUNDATIONOH501(C)(3)11 - Type IMERCY COLLEGE OF OHIOfalse
MERCY HOSPITAL OF TIFFIN OHIO
45 ST LAWRENCE DRIVETIFFINOH44883344431174HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY TIFFIN HEALTH FOUNDATION
45 ST LAWRENCE DRIVETIFFINOH44883341499894FOUNDATIONOH501(C)(3)11 - Type III - FIMERCY HOSPITAL OF TIFFIN OHIOfalse
THE SISTERS OF MERCY OF WILLARD OHIO
110 EAST HOWARD STWILLARDOH44890341577110HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY HOSPITAL OF WILLARD FOUNDATION
110 EAST HOWARD STWILLARDOH44890113742347FOUNDATIONOH501(C)(3)11 - Type III - FITHE SISTERS OF MERCY OF WILLARD OHIOfalse
ST VINCENT MERCY MEDICAL CENTER
2213 CHERRY STREETTOLEDOOH43608344428250HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY FOUNDATION
2213 CHERRY STREETTOLEDOOH43608237393213FOUNDATIONOH501(C)(3)11 - Type III - FIST VINCENT MERCY MEDICAL CENTERfalse
LIFESTAR AMBULANCE INC
2200 JEFFERSON AVENUETOLEDOOH43604341354653MEDICAL TRANSPORTATIONOH501(C)(3)11 - Type IIMERCY HEALTH SYSTEM - NORTHERN REGIONfalse
RSM MEDICAL FOUNDATION
2200 JEFFERSON AVENUETOLEDOOH43624341693671HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
SIMON OUTREACH SERVICES
2600 NAVARRE AVENUEOREGONOH43616341383325MEDICAL OFFICE RENTALOH501(C)(3)11 - Type IIST CHARLES MERCY HOSPITAL OF OREGON OHIOfalse
FARLEY HEALTHCARE CORPORATION
2200 JEFFERSON AVENUETOLEDOOH43604341363204HEALTH SERVICESOH501(C)(3)9MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
ST RITA'S MEDICAL CENTER
730 W MARKET STREETLIMAOH45801341105619HOSPITALOH501(C)(3)3CATHOLIC HEALTH PARTNERSfalse
SRHC FOUNDATION
730 W MARKET STREETLIMAOH45801341368429FOUNDATIONOH501(C)(3)11 - Type III - FIST RITA'S MEDICAL CENTERfalse
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400LIMAOH45801341937267MEDICAL LAB SERVICESOH501(C)(3)11 - Type III - FIST RITA'S MEDICAL CENTERfalse
HUMILITY OF MARY HEALTH PARTNERS
1044 BELMONT AVENUEYOUNGSTOWNOH44501340505560HOSPITALOH501(C)(3)3CATHOLIC HEALTH PARTNERSfalse
THE ASSUMPTION VILLAGE
9800 N MARKET STREETNORTH LIMAOH44452341013695NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
HOSPICE OF THE VALLEY
5190 MARKET STREETYOUNGSTOWNOH44512341288745HOSPICE SERVICESOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
HUMILITY OF MARY DEVELOPMENT FOUNDATION
1044 BELMONT AVENUEYOUNGSTOWNOH44501341826978FOUNDATIONOH501(C)(3)11 - Type III - FIHUMILITY OF MARY HEALTH PARTNERSfalse
HUMILITY HOUSE
755 OHLTOWN ROADAUSTINTOWNOH44515341894783NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SEWARRENOH44484346556121FUNDRAISINGOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
MERCY HEALTH PARTNERS - LOURDES INC
1530 LONE OAK ROADPADUCAHKY42003610600313HOSPITALKY501(C)(3)3CATHOLIC HEALTH PARTNERSfalse
LOURDES FOUNDATION INC
1530 LONE OAK ROADPADUCAHKY42003611258960FOUNDATIONKY501(C)(3)7MERCY HEALTH PARTNERS - LOURDES INCfalse
LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROADPADUCAHKY42003610927805FUNDRAISINGKY501(C)(3)11 - Type III - FILOURDES FOUNDATION INCfalse
MARCUM AND WALLACE MEMORIAL HOSPITAL INC
60 MERCY COURTIRVINEKY40336610927491HOSPITALKY501(C)(3)3MERCY HEALTH PARTNERS - LOURDES INCfalse
MARCUM AND WALLACE HOSPITAL FOUNDATION INC
60 MERCY COURTIRVINEKY40336320026557FOUNDATIONKY501(C)(3)11 - Type III - FIMARCUM AND WALLACE MEMORIAL HOSPITAL INCfalse
MERCY HEALTH PARTNERS INC
615 ELSINORE PLACECINCINNATIOH45202731627534MARKET PARENTTN501(C)(3)11 - Type ICATHOLIC HEALTH PARTNERSfalse
MERCY HEALTH PARTNERS - NORTHEAST REGION INC
615 ELSINORE PLACECINCINNATIOH45202232813196MARKET PARENTPA501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
MERCY HOSPITAL OF WILKES-BARRE
746 JEFFERSON AVENUESCRANTONPA18510240795625HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY HEALTH CARE CENTER
746 JEFFERSON AVENUESCRANTONPA18510232322809HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
HEALTHSPAN PARTNERS
615 ELSINORE PLACECINCINNATIOH45202463055925MARKET PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
HEALTHSPAN INTEGRATED CARE
1001 LAKESIDE AVE SUITE 1200CLEVELANDOH44114340922268HMOOH501(C)(3)9HEALTHSPAN PARTNERSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxt
NWO INTEGRATED LABORATORIES MERCY LLC
2200 JEFFERSON AVENUETOLEDOOH43624341898285LABORATORY SERVICESOHNAN/A
TIFFIN AMBULATORY SURGICAL ASSOCIATES
45 ST LAWRENCE DRIVETIFFINOH44833371567866AMBULATORY SURGERY CENTEROHNAN/A
NEW VISION MEDICAL LAB LLC
750 W HIGH STREETLIMAOH45801341913433LAB SERVICESOHNAN/A
WEST CENTRAL OHIO GROUP LTD
801 MEDICAL DRIVELIMAOH45804341848147ORTHOPEDIC HOSPITALOHNAN/A
KIDNEY SERVICES OF WEST CENTRAL OHIO
750 W HIGH STREET SUITE 100LIMAOH45801061644264DIALYSIS CENTEROHNAN/A
WEST CENTRAL OHIO REGIONAL HEALTHCARE ALLIANCE LTD
2615 FORT AMANDA ROADLIMAOH45805341817078HEALTHCARE QUALITYOHNAN/A
ST ELIZABETH SOUTHWOODS IMAGING
250 DEBARTOLO PLACE BLDG BYOUNGSTOWNOH44512261626482DIAGNOSTIC IMAGINGOHNAN/A
ST ELIZABETH CARDIAC CATH LAB LLC
P O BOX 16008PITTSBURGHPA15242300023795LAB SERVICESPANAN/A
UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC
1044 BELMONT AVEYOUNGSTOWNOH44501262989686RADIATION THERAPYOHNAN/A
HMHPUSP SURGERY CENTERS LLC
15305 DALLAS PKWY STE 1600ADDISONTX75001271953122SURGERY CENTERTXNAN/A
OSC-HMHP LLC
6505 MARKET ST BLDG B STE 101BOARDMANOH44512010724836ORTHOPEDIC SURGERY CENTEROHNAN/A
LOURDES AMBULATORY SURGERY CENTER
225 MEDICAL CENTER DRIVEPADUCAHKY42003611258960SURGERY CENTERKYNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (27 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtLegal Domicile StateLegalDomicileStateCd
CHP INSURANCE LTD
615 ELSINORE PLACECINCINNATIOH45202980621978INSURANCECJNAC CORPORATION
SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST
615 ELSINORE PLACECINCINNATIOH45202310990309WORKERS COMPENSATION TRUSTNATRUSTMA
MHSWO HEALTH VENTURES INC
1 S LIMESTONE STSPRINGFIELDOH45502311072139PHYSICIAN PRACTICESNAC CORPORATIONOH
NORTHPARKE MEDICAL COMMONS CONDO ASSN
333 N LIMESTONE STSPRINGFIELDOH45503311391230REAL PROPERTY MGMNTNAC CORPORATIONOH
MERCY HEALTH AFFILIATES INC
2200 JEFFERSON AVENUETOLEDOOH43604341372633PHYSICIAN SERVICESNAC CORPORATIONOH
PHYSICIAN'S HEALTH COLLABORATIVE
2200 JEFFERSON AVENUETOLEDOOH43604203986844MEDICAL & HOSPITAL SERVICESNAC CORPORATIONOH
NORTHSIDE CORPORATION
2200 JEFFERSON AVENUETOLEDOOH43604341318438RESIDENT RENTALSNAC CORPORATIONOH
MERCY WORK SOLUTIONS
2200 JEFFERSON AVENUETOLEDOOH43604300066340WORKERS COMPENSATIONNAC CORPORATIONOH
MERCY HEALTH SYSTEM PHO
2200 JEFFERSON AVENUETOLEDOOH43604341778321MEDICAL SERVICESNAC CORPORATIONOH
PHYSICIAN MANAGED CARE INC
2200 JEFFERSON AVENUETOLEDOOH43604341565320HEALTH SERVICESNAC CORPORATIONOH
MCAULEY MANAGEMENT SERVICES INC
730 W MARKET STREETLIMAOH45801341379037PROPERTY RENTALNAC CORPORATIONOH
LIMA MEDICAL SUPPLIES INC
730 W MARKET STREETLIMAOH45801340944477MEDICAL EQUIPMENTNAC CORPORATIONOH
COMMUNITY HEALTH PARTNERS ENTERPRISES INC
3700 KOLBE ROADLORAINOH44053341455525HOLDING COMPANYNAC CORPORATIONOH
COMMUNITY HEALTH PARTNERS PHYSICIANS INC
3700 KOLBE ROADLORAINOH44053341803352PHYSICIAN PRACTICESNAC CORPORATIONOH
AMC PHYSICIANS INC
200 W LORAIN STREETOBERLINOH44074371439554PHYSICIAN SERVICESNAC CORPORATIONOH
MERCY HEALTH VENTURES INC
4600 MCAULEY PLACECINCINNATIOH45242311185477DIVERSIFIED ACTIVITIESNAC CORPORATIONOH
MERCY FRANCISCAN MEDICAL MANAGEMENT SERVICES
4600 MCAULEY PLACECINCINNATIOH45242311640789DIVERSIFIED ACTIVITIESNAC CORPORATIONOH
MERCY FRANCISCAN AT WINTON WOODS I INC
10290 MILL ROADCINCINNATIOH45231311658668LOW-INCOME HOUSINGNAC CORPORATIONOH
MERCY HEALTH MANAGEMENT INC
1530 LONE OAK ROADPADUCAHKY42003611086762MEDICAL OFFICESNAC CORPORATIONKY
HEALTH DYNAMICS INC
900 E OAK HILL AVENUEKNOXVILLETN37917621247729MEDICAL EQUIPMENT SALESNAC CORPORATIONTN
HEALTH VENTURES INC & SUBSIDIARIES
P O BOX 1788KNOXVILLETN37901621175587MEDICAL SERVICESNAC CORPORATIONTN
ANNE KILCAWLEY CHRISTMAN FOUNDATION
100 FEDERAL PLAZA EASTYOUNGSTOWNOH44503356735706BENEFICIAL TRUSTNATRUSTOH
RALPH EWE TRUST
270 PARK AVENUENEW YORKNY10017346866422BENEFICIAL TRUSTNATRUSTNY
ELIZABETH HINES CATES TRUST
PNC 1900 E 9TH STCLEVELANDOH44114346515678BENEFICIAL TRUSTNATRUSTOH
WILLIS PARK TRUST
PNC 1900 E 9TH STCLEVELANDOH44114346519904BENEFICIAL TRUSTNATRUSTOH
ERMA GIBSON BALDWIN TRUST
PNC 1900 E 9TH STCLEVELANDOH44114346515566BENEFICIAL TRUSTNATRUSTOH
HEALTHSPAN INC
225 PICTORIA DRCINCINNATIOH45246311431434INSURANCENAC CORPORATIONOH
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
B$200,004GAAP
COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION
C$1,834,732GAAP
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
S$500,000GAAP

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