BETA

COMMUNITY MERCY HEALTH PARTNERS: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY MERCY HEALTH PARTNERS (EIN 31-0785684)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201103159349303375
Schema version
2010v3.2
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)
Timestamp2011-11-11T15:01:03-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1312 WALNUT STREET SUITE 300AddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310785684EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY MERCY HEALTH PARTNERSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone9373287000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One South Limestone StreetAddressLine1
CitySpringfieldCity
StateOHState
ZIP Code45502ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBORAH BLOOMFIELDName
TitleDIVISIONAL CFOTitle
Date Signed2011-11-03DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5136218300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SPRINGFIELD REGIONAL MEDICAL CENTERBusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1MARK WIENER PRESIDENT AND CEOBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 S LIMESTONE STAddressLine1
CitySPRINGFIELDCity
StateOHState
ZIP Code45502ZIPCode
FieldValueIRS element (for citing)
Gross Receipts300727005GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.COMMUNITY-MERCY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF COMMUNITY MERCY HEALTH PARTNERS IS TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees3318TotalNbrEmployees
Total Nbr Volunteers962TotalNbrVolunteers
Total Gross UBI20220TotalGrossUBI
Net Unrelated Business Txbl Income-49147NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year452663ContributionsGrantsPriorYear
Contributions Grants Current Year1477204ContributionsGrantsCurrentYear
Program Service Revenue Prior Year306780216ProgramServiceRevenuePriorYear
Program Service Revenue CY288667356ProgramServiceRevenueCY
Investment Income Prior Year2072807InvestmentIncomePriorYear
Investment Income Current Year6978038InvestmentIncomeCurrentYear
Other Revenue Prior Year3839352OtherRevenuePriorYear
Other Revenue Current Year3604407OtherRevenueCurrentYear
Total Revenue Prior Year313145038TotalRevenuePriorYear
Total Revenue Current Year300727005TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year450000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY446756GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year147740310SalariesEtcPriorYear
Salaries Etc Current Year138891138SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year163907101OtherExpensePriorYear
Other Expenses Current Year149532368OtherExpensesCurrentYear
Total Expenses Prior Year312097411TotalExpensesPriorYear
Total Expenses Current Year288870262TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1047627RevenuesLessExpensesPriorYear
Revenues Less Expenses CY11856743RevenuesLessExpensesCY
Total Assets BOY257797472TotalAssetsBOY
Total Assets EOY338674626TotalAssetsEOY
Total Liabilities BOY105668189TotalLiabilitiesBOY
Total Liabilities EOY172451855TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY152129283NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY166222771NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF COMMUNITY MERCY HEALTH PARTNERS IS TO CARRY OUT THE CATHOLIC HEALTH PARTNERS MISSION WITHIN OUR COMMUNITY BY PROVIDING SAFE, EFFECTIVE, PATIENT/RESIDENT CENTERED, TIMELY AND COST EFFICIENT CARE AND EDUCATION TO MEET THE HEALTH NEEDS OF ALL PEOPLE, ESPECIALLY THE POOR AND UNDER-SERVED. OUR COMMITMENT TO THIS HEALING MINISTRY WILL BE EVIDENCED BY EXCEPTIONAL CARE, COMPASSION, AND RESPECT FOR THE DIVERSE RELIGIOUS BELIEFS AND FAITH TRADITIONS OF THOSE WE SERVE.MissionDescription
Significant ChangefalseSignificantChange
Expense234554799Expense
Grants446756Grants
Revenue288667356Revenue
DescriptionCOMMUNITY MERCY HEALTH PARTNERS IS COMMITTED TO DELIVERING EXCEPTIONAL CARE AND COMPASSION AS IT SEEKS TO MEET THE HEALTH CARE NEEDS OF ALL PEOPLE, ESPECIALLY THE POOR AND UNDER-SERVED. DURING 2010 COMMUNITY MERCY HEALTH PARTNERS PROVIDED $19,327,732 IN COMMUNITY BENEFITS REPRESENTING 7.08% OF TOTAL OPERATING EXPENSES.Description
Total Program Service Expense234554799TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3318NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DEBORAH BLOOMFIELDBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5139815056TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14600 MCAULEY PLACEAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45242ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MARK WIENER
PRESIDENT & CEO40XX442002051509
JOHN DEMPSEY
VP CFO & TREASURER40X280816035140
SUSAN HAYES
VP SENIOR HEALTH & HOUSING40191498091768X
TERRANCE WEINBURGER
VP MISSION SERVICES40232710033918X
KATRINA ENGLISH
VP GENERAL COUNSEL40234341039539X
JAMES N DOYLE
SECRETARY1XX108100
RICHARD W FURAY MD
TRUSTEE1X92600
SR DORIS A GOTTEMOELLER RSM
TRUSTEE, CHP SVP MISSION/VALUES INTEGRATION1X000
PIUS KURIAN MD
TRUSTEE1X000
JAMES MAY
TRUSTEE, SVP CHP & DIVISIONAL CEO1X0937068177170
MICHAEL S MCKEE MD
CHAIR1XX000
PLATO N PAVLATOS
TRUSTEE1X000
PAMELA YOUNG PHD
VICE CHAIR1XX109000
JOSEPH R JACKSON
TRUSTEE1X92600
RAVI C KHANNA MD
TRUSTEE1X000
MARK B ROBERTSON
TRUSTEE1X000
HOMER A SMITH
TRUSTEE1X000
E'LISE DELANGLADE SPRIGGS
TRUSTEE1X108100
GREGORY SMITH
STAFF PHARMACIST40154024018697X
JAMES GOODRICH MD
PHYSICIAN40195638019556X
SANA WAIKHOM MD
PHYSICIAN40172680018553X
JENELLE ZELINSKI
DIRECTOR OF FINANCE40180769020157X
REV DARRYL L GRAYSON
TRUSTEE1X000
KATHLEEN M HUGHES
TRUSTEE1X92600
RON CONNOVICH
VP FACILITY MANAGEMENT40168946034428X
D TERRY BOYS
VP CHIEF NURSING OFFICER40209496020003X
DONALD B JOHNSON MD
VP MEDICAL AFFAIRS40226944015719X
ROBERT GONDOS
CONTROLLER401599060102471X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2855800TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs937068TotalReportableCompFrmRltdOrgs
Total Other Compensation678628TotalOtherCompensation
Number Individuals GT100 K69NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations874305RelatedOrganizations
All Other Contributions602899AllOtherContributions
Total Contributions1477204TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE621990286730692286730692
INCOME FROM JV'S AND PARTNERSHIPS900003509080509080
SCHOOL OF NURSING TUITION611600688864688864
PURCHASE DISCOUNTS9000996642366423
CORPORATE WELLNESS900099190048190048

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column482249TotalRevenueColumn
Related Or Exempt Function Income482249RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue288667356TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6978038TotalRevenueColumn
Exclusion$6,978,038ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA722210583325$583,325
CHILDCARE624410454830$454,830
CATERING7223201171656$1,151,43620220

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1394596TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,394,596ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3604407TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column300727005TotalRevenueColumn
Related Or Exempt Function Income288667356RelatedOrExemptFunctionIncome
Unrelated Business Revenue20220UnrelatedBusinessRevenue
Exclusion$10,562,225ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total446756Total
Program Services446756ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2314807Total
Program Services1851846ProgramServices
Management And General462961ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total109424554Total
Program Services87539643ProgramServices
Management And General21884911ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4346265Total
Program Services3477012ProgramServices
Management And General869253ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14924222Total
Program Services11939378ProgramServices
Management And General2984844ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7881290Total
Program Services6305032ProgramServices
Management And General1576258ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total4270233Total
Program Services3416186ProgramServices
Management And General854047ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total522697Total
Management And General522697ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total549028Total
Management And General549028ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total40235016Total
Program Services32188013ProgramServices
Management And General8047003ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total46134738Total
Program Services36907790ProgramServices
Management And General9226948ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4435185Total
Program Services3548148ProgramServices
Management And General887037ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8676158Total
Program Services6940926ProgramServices
Management And General1735232ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1016928Total
Program Services813542ProgramServices
Management And General203386ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total19603537Total
Program Services15682830ProgramServices
Management And General3920707ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2304194Total
Program Services1843355ProgramServices
Management And General460839ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE1631021116310211
LTC BED TAXES18457461845746
MEMBERSHIP DUES798564638851159713
MISCELLANEOUS-147002-117601-29401
OHIO FRANCHISE FEES29771352977135

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total288870262Total
Program Services234554799ProgramServices
Management And General54315463ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-5925311BOY
EOY2418141EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY363005BOY
EOY363231EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25629866BOY
EOY27665515EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2191766BOY
EOY4973593EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4293957BOY
EOY4143292EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3294012BOY
EOY1665005EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis524072285LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec337475907LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY127596802BOY
EOY186596378EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY94251618BOY
EOY104787082EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6101757BOY
EOY6062389EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY257797472BOY
EOY338674626EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY39819066BOY
EOY31443189EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY49216482BOY
EOY123392075EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY16632641BOY
EOY17616591EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY105668189BOY
EOY172451855EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY148535631BOY
EOY162570720EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2697518BOY
EOY2755917EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY896134BOY
EOY896134EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY152129283BOY
EOY166222771EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY257797472BOY
EOY338674626EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses11856743ReconcilationRevenueExpenses
Reconcilation Other Changes2236745ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Exmpt Function Expenditures0TotalExmptFunctionExpenditures
VolunteerstrueVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcasttruePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$31,449GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB31449TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Non Ded Lobby Political Total0NonDedLobbyPoliticalTotal

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferencePART II-B, LINE 1ReturnReference
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.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3762538OtherCostOrOtherBasis
Book Value3762538BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis180702800OtherCostOrOtherBasis
Depreciation148171836Depreciation
Book Value32530964BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis203583168OtherCostOrOtherBasis
Depreciation189304071Depreciation
Book Value14279097BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis136023779OtherCostOrOtherBasis
Book Value136023779BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings186596378TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value0BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value0BookValue

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionCATHOLIC HEALTH PARTNERS INVESTMENT MANAGEMENT PROGRAMDescription
Book Value104787082BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities104787082TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DEFERRED INCOME$247,132
ACCRUED PENSION$15,916,860
ACCRUED POST RETIREMENT BENEFITS$384,039
OTHER$1,068,560
FieldValueIRS element (for citing)
Total Of Amounts17616591TotalOfAmounts
Excess Or Deficit For Year0ExcessOrDeficitForYear
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS0ExcessOrDeficitPerFS
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal0RevenueSubtotal
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9900TotalRevenuePerForm990
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal0ExpensesSubtotal
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9900TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationTHE COMPANY [CATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES] COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2010 AND 2009, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2010 OR 2009.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served5030PersonsServed
Total Community Benefit Expense8564322TotalCommunityBenefitExpense
Direct Offsetting Revenue3293894DirectOffsettingRevenue
Net Community Benefit Expense5270428NetCommunityBenefitExpense
Percent Of Total Expense0.01930PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served56976PersonsServed
Total Community Benefit Expense38043460TotalCommunityBenefitExpense
Direct Offsetting Revenue25824337DirectOffsettingRevenue
Net Community Benefit Expense12219123NetCommunityBenefitExpense
Percent Of Total Expense0.04480PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served62006PersonsServed
Total Community Benefit Expense46607782TotalCommunityBenefitExpense
Direct Offsetting Revenue29118231DirectOffsettingRevenue
Net Community Benefit Expense17489551NetCommunityBenefitExpense
Percent Of Total Expense0.06410PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Benefit Expense338023TotalCommunityBenefitExpense
Direct Offsetting Revenue4863DirectOffsettingRevenue
Net Community Benefit Expense333160NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense1712402TotalCommunityBenefitExpense
Direct Offsetting Revenue732783DirectOffsettingRevenue
Net Community Benefit Expense979619NetCommunityBenefitExpense
Percent Of Total Expense0.00360PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense1043815TotalCommunityBenefitExpense
Direct Offsetting Revenue240155DirectOffsettingRevenue
Net Community Benefit Expense803660NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense7800TotalCommunityBenefitExpense
Net Community Benefit Expense7800NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense3102040TotalCommunityBenefitExpense
Direct Offsetting Revenue977801DirectOffsettingRevenue
Net Community Benefit Expense2124239NetCommunityBenefitExpense
Percent Of Total Expense0.00770PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served62006PersonsServed
Total Community Benefit Expense49709822TotalCommunityBenefitExpense
Direct Offsetting Revenue30096032DirectOffsettingRevenue
Net Community Benefit Expense19613790NetCommunityBenefitExpense
Percent Of Total Expense0.07180PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Total Community Building Expense382350TotalCommunityBuildingExpense
Net Community Building Expense382350NetCommunityBuildingExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense382350TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense382350NetCommunityBuildingExpense
Percent Of Total Expense0.00140PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$4,994,914BadDebtExpenseAmount
Amount Attributable To2893AmountAttributableTo
Amount Reimbursed By Medicare52597989AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare53095326CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-497337MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
MERCY SURGERY CENTER
OPERATE FREESTANDING AMBULATORY SURGERY CENTER0.4900.51
MERCY MEDICAL OFFICE CONDOMINIUM ASSOCIATION
REAL PROPERTY MANAGEMENT0.49600.504
NORTHPARK CONDOMINIUM ASSOCIATION
REAL PROPERTY MANAGEMENT0.5500.45
FieldValueIRS element (for citing)
Number Of Hospital Facilities3NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursCritical Access HospitalCriticalAccessHospital
SPRINGFIELD REGIONAL MEDICAL CENTER
12615 E HIGH STSPRINGFIELDOH45503XXX
SPRINGFIELD REGIONAL MEDICAL CENTER
21343 N FOUNTAIN BLVDSPRINGFIELDOH45504XXX
MERCY MEMORIAL HOSPITAL
3904 SCIOTO STREETURBANAOH43078XXXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumber
SPRINGFIELD REGIONAL MEDICAL CENTER
1
SPRINGFIELD REGIONAL MEDICAL CENTER
2
MERCY MEMORIAL HOSPITAL
3

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
MCAULEY CENTER
906 SCIOTO STREETURBANAOH43078SKILLED NURSING FACILITY
ST JOHN'S CENTER
100 W MCCREIGHT AVESPRINGFIELDOH45504SKILLED NURSING FACILITY
OAKWOOD VILLAGE
1500 VILLA ROADSPRINGFIELDOH45503SKILLED NURSING FACILITY
MERCY SIENA RETIREMENT COMMUNITY
6125 N MAIN STDAYTONOH45415SKILLED NURSING FACILITY
SPRINGFIELD REGIONAL CANCER CENTER
148 W NORTH STSPRINGFIELDOH45503CANCER CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Subsidized Health ServicesSchedule H, Part I, Line 7gCOMMUNITY MERCY HEALTH PARTNERS (CMHP) OPERATES THE MERCY WELL CHILD PEDIATRIC CLINIC. SERVICES ARE PROVIDED PRIMARILY BY A NURSE PRACTITIONER; HOWEVER, WE DO HAVE A STAFF PHYSICIAN (ON OUR PAYROLL) WHO PROVIDES ON-CALL COVERAGE AND LIMITED ON-SITE HOURS. WE REPORTED $520,396 AS SUBSIDIZED SERVICES FOR THIS PROGRAM.
Bad Debt Expense excluded from financial assistance calculationSchedule H, Part I, Line 7, column(f)16,310,211
Costing Methodology used to calculate financial assistanceSchedule H, Part I, Line 7COST OF CHARITY CARE WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. THE COST RELATED TO MEDICAID PATIENTS WAS DETERMINED USING THE HOSPITAL COST ACCOUNTING SYSTEM AND INCLUDED BOTH INPATIENTS AND OUTPATIENTS FOR TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PLANS. FOR SUBSIDIZED SERVICES THE HOSPITAL'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COST RELATED TO THE SPECIFIC SERVICE EXCLUDING TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PATIENTS. COSTS FOR CHARITY AND BAD DEBT ACCOUNTS ARE DEDUCTED USING A RATIO OF COST TO CHARGE SPECIFIC TO THAT SUBSIDIZED SERVICE. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS.
Community Building ActivitiesSchedule H, Part IICOMMUNITY MERCY HEALTH PARTNERS (CMHP) ENSURES ACCESS TO HEALTH SERVICES BY RECRUITING AND PROVIDING TRANSITIONAL SUPPORT TO PHYSICIANS TO ATTRACT THEM TO THE COMMUNITY FOR SPECIALTIES WHERE THERE IS A DEMONSTRATED NEED. AN APPROPRIATE SUPPLY OF PHYSICIANS IS NECESSARY TO ENSURE THAT RESIDENTS HAVE ACCESS TO ADEQUATE AND TIMELY DIAGNOSIS AND TREATMENT FOR ALL HEALTH CONDITIONS. IN 2008, CMHP ENGAGED DEMPSTER HEALTHCARE GROUP TO STUDY PHYSICIAN SHORTAGES AND ASSIST WITH A STRATEGIC PLAN FOR PHYSICIAN RECRUITING. THE DEMPSTER REPORT RECOMMENDED A RECRUITMENT GOAL OF AT LEAST 30 NEW PHYSICIANS BETWEEN 2008 AND 2011.
Bad debt expense - financial statement footnoteSchedule H, Part III, Line 4THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BAD DEBT IS CLASSIFIED AS AN OPERATING EXPENSE. THIS TREATMENT IS CONSISTENT WITH THE HFMA PRINCIPLES AND PRACTICES BOARD STATEMENT NO. 15 AND WITH THE AICPA AUDIT AND ACCOUNTING GUIDE FOR HEALTH CARE ORGANIZATIONS. AN AGGREGATE COST TO CHARGE RATIO WAS USED TO PROVIDE BAD DEBT AT COST FOR PART III, LINE 2. REMAINING BALANCES FOR PATIENTS THAT WE KNOW ARE ELIGIBLE FOR CHARITY CARE ARE WRITTEN OFF TO CHARITY CARE. PATIENTS WHO MIGHT BE ELIGIBLE FOR CHARITY CARE BUT ARE UNKNOWN TO US ARE WRITTEN OFF TO BAD DEBT AND THEREFORE NOT INCLUDED IN CHARITY CARE. THE ESTIMATED AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY REPORTED ON PART III, LINE 3 WAS DETERMINED AS FOLLOWS: REVIEWED DOLLAR AMOUNTS FOR TOTAL REFERRED FOR ASSISTANCE, APPROVED FOR ASSISTANCE AND APPLICATIONS DENIED BECAUSE OF INCOMPLETE INFORMATION; DEVELOPED THE PERCENTAGE OF APPROVED APPLICATIONS TO COMPLETED APPLICATIONS AND THEN APPLIED PERCENTAGE TO THOSE APPLICATIONS THAT WERE INCOMPLETE. THIS PROVIDED AN ESTIMATED AMOUNT OF THOSE APPLICATIONS THAT WERE INCOMPLETE THAT WOULD HAVE QUALIFIED FOR ASSISTANCE IF THE APPLICATION HAD BEEN COMPLETED. THE DOLLAR AMOUNT OF CHARITY CARE ACTUALLY WRITTEN OFF REPRESENTS THOSE THAT WERE APPROVED. TO CALCULATE THE FULL ESTIMATED AMOUNT OF CHARITY CARE, A CALCULATION WAS DONE TO DETERMINE WHAT 100% OF CHARITY WOULD BE FOR THE TOTAL OF THE APPROVED APPLICATIONS AND THE ESTIMATED AMOUNT FOR THOSE APPLICATIONS THAT WERE INCOMPLETE BUT WOULD HAVE BEEN APPROVED IF COMPLETED. THE DIFFERENCE BETWEEN THIS ESTIMATED TOTAL AMOUNT AND THE ACTUAL WRITE-OFF AMOUNT FOR CHARITY CARE WAS THEN APPLIED TO THE RATIO OF COST-OF-CHARGES USED FOR CHARITY CARE AT COST.
Community benefit & methodology for determining medicare costsSchedule H, Part III, Line 8MEDICARE SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. THE AMOUNTS ON PART III, LINE 6 WERE GENERATED BY THE MEDICARE COST REPORT WHICH UTILIZES A DEPARTMENT COST TO CHARGE METHODOLOGY.
Collection practices for patients eligible for financial assistanceSchedule H, Part III, Line 9bPATIENTS 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 STAY AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY AS A LAST RESORT AND ONLY: WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT REFUSE TO DO SO; WHEN PATIENTS REFUSE TO WORK WITH THE ORGANIZATION TO DETERMINE IF THEY QUALIFY FOR FREE OR DISCOUNTED CARE VIA FEDERAL, STATE, LOCAL OR HOSPITAL ASSISTANCE PROGRAMS; WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL.
Needs assessment.Schedule H, Part VI, Line 2COMMUNITY MERCY HEALTH PARTNERS (CMHP) USES AN EXISTING COMMUNITY HEALTH NEEDS ASSESSMENT. CMHP'S PRIMARY SERVICE AREA INCLUDES CLARK AND CHAMPAIGN COUNTIES. THE CLARK COUNTY COMBINED HEALTH DISTRICT AND THE CHAMPAIGN COUNTY HEALTH DISTRICT BOTH PUBLISH (AND PERIODICALLY UPDATE) COMMUNITY HEALTH ASSESSMENT REPORTS. CLARK COUNTY'S MOST RECENT REPORT WAS PUBLISHED IN 2008, AND CHAMPAIGN COUNTY'S REPORT WAS PUBLISHED IN 2007. THESE TWO REPORTS ARE PRESENTED IN A COMMON FORMAT, WHICH ADDRESSES NINE CATEGORIES: 1. DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS 2. HEALTH RESOURCE AVAILABILITY 3. DEATH, ILLNESS AND INJURY 4. BEHAVIORAL RISK FACTORS 5. MATERNAL, CHILD AND YOUTH HEALTH 6. COMMUNICABLE DISEASES AND SENTINEL EVENTS 7. ENVIRONMENTAL HEALTH INDICATORS 8. SOCIAL AND MENTAL HEALTH 9. QUALITY OF LIFE IN ADDITION, OUR OWN ASSOCIATES HAVE IDENTIFIED NEEDS BASED ON OBSERVATIONS IN ADMISSION/DISCHARGE TRENDS AND OTHER INTERNAL DATA. ONE EXAMPLE OF THIS IS OUR PATIENT TRANSPORTATION PROGRAM THAT WAS LAUNCHED DURING 2009. STAFF FROM THE EMERGENCY DEPARTMENT AND CASE MANAGEMENT REPORTED THAT, ON AVERAGE 3-5 TIMES PER WEEK, A PATIENT WOULD BE CLEARED FOR DISCHARGE, BUT WOULD NOT HAVE ANY MEANS OF TRANSPORTATION TO GET HOME. THIS WOULD DELAY THE DISCHARGE PROCESS, WHICH IN TURN AFFECTED ER WAIT TIMES AND/OR INPATIENT LENGTH OF STAY. THERE ARE NO TAXI COMPANIES IN SPRINGFIELD, AND THE AREA BUS SYSTEM OPERATES ON LIMITED HOURS AND ROUTES. THIS NEW PROGRAM OFFERS A SOLUTION FOR PATIENTS NEEDING TRANSPORTATION.
Patient education of eligibility for assistance.Schedule H, Part VI, Line 3COMMUNITY MERCY HEALTH PARTNERS (CMHP) POSTS ITS CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. CMHP PROVIDES A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A COPY OF THE POLICY OR A SUMMARY ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED IN PATIENT BILLS. CMHP DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. THE HOSPITAL ELIGIBILITY LINK PROGRAM (HELP) IS A FREE REFERRAL SERVICE PROVIDED BY CMHP. THE PURPOSE OF HELP IS TO ASSIST PATIENTS IN OBTAINING MEDICAL BENEFITS THROUGH FEDERAL, STATE, AND HOSPITAL PROGRAMS. HELP REPRESENTATIVES WILL PROVIDE THE FOLLOWING SERVICES AT NO COST TO THE PATIENT: * EXPLORE ELIGIBILITY UNDER PUBLIC ASSISTANCE PROGRAMS * FILE APPLICATIONS ON PATIENT'S BEHALF * SCHEDULE AND ATTEND APPOINTMENTS * PROVIDE TRANSPORTATION WHEN NECESSARY * PROVIDE MEDICAL DOCUMENTATION TO SOCIAL SECURITY ADMINISTRATION FOR DISABILITY CLAIMS. THROUGH HELP, PATIENTS AND THEIR COUNSELORS LOOK AT WHAT OPTIONS ARE AVAILABLE. CMHP UNDERSTANDS THAT NOT EVERYONE CAN PAY FOR HEALTHCARE SERVICES. HELP IS HERE TO OFFER OPTIONS AND ASSISTANCE FOR THOSE WHO ARE UNINSURED OR UNDERINSURED. HELP IS AN EXTENSION OF CHMP'S MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITY WITH EMPHASIS ON THE POOR AND UNDERSERVED. MEETING THE NEEDS OF THOSE WITH LIMITED RESOURCES HAS ALWAYS BEEN THE HEART OF OUR MISSION. IN 2010, HELP MANAGED 22,505 PATIENT REFERRALS. CMHP IS PROUD TO MAKE OUR FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE, WHICH CAN BE FOUND AT WWW.COMMUNITY-MERCY.ORG OTHER PATIENT EDUCATION INFORMATION THAT IS PROVIDED FOR ELIGIBILITY OF ASSISTANCE IS AS FOLLOWS: * A BILINGUAL REPRESENTATIVE IS AVAILABLE IN OUR HELP PROGRAM. TWO BILINGUAL REPRESENTATIVES ARE AVAILABLE IN OUR CUSTOMER SERVICE DEPARTMENT. EACH OF THESE REPRESENTATIVES ARE IN OUR REGIONAL OFFICE IN CINCINNATI. * STAFF TRAINING ON HOSPITAL CARE ASSURANCE PROGRAM (HCAP) AND HOSPITAL FINANCIAL ASSISTANCE (HFA) WAS PROVIDED IN 2009 BY A PRIVATE AUDITING COMPANY. TRAINING INCLUDED A MANUAL AND IN-DEPTH INFORMATION REGARDING THE PREPARATION OF THE COST REPORT LOGS, ACCURATE COMPLETION OF THE HCAP APPLICATION, AS WELL AS AN OVERVIEW OF THE FAQ'S PROVIDED BY THE OHIO HOSPITAL ASSOCIATION. * FINANCIAL ASSISTANCE COUNSELORS WORK WITH CASE MANAGERS TO EXPEDITE THE TRANSFER OF PATIENTS TO EXTENDED CARE FACILITIES. * FEDERAL POVERTY GUIDELINES ARE POSTED ON OUR WEBSITE AS WELL AS A COPY OF OUR CHARITY APPLICATION. * CONSISTENT REVIEW OF SELF PAY PATIENTS FOR RETROACTIVE MEDICAID COVERAGE. * SERVICES PROVIDED BY VENDOR TO REACH OUT TO PATIENTS IN BAD DEBT TO SCREEN FOR HCAP ELIGIBILITY.
Community information.Schedule H, Part VI, Line 4COMMUNITY MERCY HEALTH PARTNERS'S (CMHP) PRIMARY SERVICE AREA INCLUDES CLARK AND CHAMPAIGN COUNTIES, WHICH HAVE A TOTAL POPULATION OF APPROXIMATELY 259,200. ACCORDING TO THE MOST RECENT COMMUNITY HEALTH ASSESSMENT REPORTS FROM THE TWO COUNTIES, RESIDENTS OF THE CMHP PRIMARY SERVICE AREA ARE GENERALLY OLDER, POORER AND HAVE WORSE HEALTH STATISTICS THAN STATE AND NATIONAL AVERAGES. UNEMPLOYMENT HAS ALSO RISEN IN OUR COMMUNITY DURING THE LAST SEVERAL YEARS, AND WE SERVE A GROWING NUMBER OF UNINSURED AND UNDERINSURED PATIENTS. CMHP OWNS TWO OF THE THREE HOSPITALS IN THIS GEOGRAPHIC AREA. THE THIRD HOSPITAL (NOT OWNED BY CMHP) IS A LIMITED-SERVICE FOR-PROFIT HOSPITAL THAT SPECIALIZES IN OUTPATIENT AND SHORT-STAY SURGERY, AND IT DOES NOT HAVE AN EMERGENCY DEPARTMENT. PART OF THE CITY OF SPRINGFIELD HAS BEEN FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA. OTHER DEMOGRAPHICS OF OUR SERVICE AREA INCLUDE: * PERCENTAGE OF ADULTS WHO HAVE NOT ACHIEVED AT LEAST A HIGH SCHOOL DIPLOMA IS HIGHER THAT BOTH THE STATE AND NATIONAL AVERAGES * HIGHER PERCENTAGE OF RESIDENTS LIVING IN POVERTY THAN IN THE STATE AND NATIONWIDE * UNEMPLOYMENT RATE IS HIGHER THAN BOTH THE STATE AND NATIONAL RATES * MEDIAN HOUSEHOLD INCOME IS BELOW THE STATE MEDIAN AND US MEDIAN * THE POPULATION OF THE SERVICE AREA CONSISTS OF 2.6% NON-ENGLISH SPEAKING PEOPLE. * THE POPULATION OF THE SERVICE AREA THAT IS 65 YEARS OR OLDER IS 16%. * THE OCCUPATION CLASSIFICATION IN THE COMMUNITY CONSISTS OF 30% BLUE COLLAR, 52% WHITE COLLAR AND 18% SERVICE AND FARM WORKERS. THE MAJOR HEALTH PROBLEMS AND/OR LEADING CAUSES OF DEATH IN OUR SERVICE AREA ARE CARDIOVASCULAR DISEASE, DIABETES, EMPHYSEMA AND CANCER. MOST OF THESE ARE PREVENTABLE THROUGH PROPER CARE AND MAINTAINING CONTROL OF THE ILLNESS/DISEASE, AS WELL AS CHOOSING HEALTHIER LIFESTYLES. IN OUR SERVICE AREA 28% OF THE POPULATION ARE SMOKERS, 40% HAVE HIGH CHOLESTEROL, AND 30-40% ARE OVERWEIGHT OR AT RISK FOR BECOMING OVERWEIGHT. IN 2010, CMHP HAD 16,416 ADMISSIONS, 347,766 OUTPATIENT VISITS, AND 89,710 EMERGENCY ROOM VISITS.
Promotion of community healthSchedule H, Part VI, Line 5COMMUNITY MERCY HEALTH PARTNERS (CMHP) OPERATES EMERGENCY ROOMS OPEN TO ALL REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, CMHP ALSO PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. CMHP PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS AND/OR OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. IN ADDITION TO OUR PARTICIPATION IN THESE PROGRAMS, CMHP ABSORBED $497,337 IN UNREIMBURSED MEDICARE COSTS DURING 2010. CMHP OPERATES SKILLED NURSING UNITS, ICU, NEWBORN NURSERY, WOUND CARE, DIABETES MANAGEMENT, OUTPATIENT PEDIATRICS, SUBSTANCE ABUSE, PRESCRIPTION ASSISTANCE AND A CRITICAL ACCESS HOSPITAL. CMHP HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY CMHP. THROUGH THE SPRINGFIELD REGIONAL SCHOOL OF NURSING (SRSN), CMHP PREPARES ENTRY-LEVEL PRACTITIONERS TO PROVIDE SERVICES IN A VARIETY OF SETTINGS. GRADUATES OF THE TWO-YEAR PROGRAM AT SRSN ARE PREPARED FOR THE REGISTERED NURSING LICENSING EXAMINATION. CMHP PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT -SPONSORED HEALTH CARE PROGRAMS. CMHP FURTHERS ITS EXEMPT PURPOSE BY PROVIDING THE FOLLOWING COMMUNITY BENEFIT PROGRAMS IN THE COMMUNITIES IN WHICH IT SERVES: COMMUNITY MERCY MED ASSIST HELPS AREA RESIDENTS WHO CANNOT AFFORD THEIR PRESCRIPTION MEDICATIONS. DURING 2010, THE MED ASSIST TEAM PROVIDED OVER $2.4 MILLION IN PRESCRIPTION ASSISTANCE TO 2,027 CLIENTS. COMMUNITY MERCY REACH OFFERS OUTPATIENT TREATMENT FOR CHEMICAL DEPENDENCY BY LICENSED PROFESSIONALS WHO HAVE MASTER'S-LEVEL EDUCATION. REACH ALSO OFFERS AN INNOVATIVE AND EFFECTIVE SMOKING CESSATION PROGRAM THAT INCORPORATES EXERCISE AND NUTRITION/WEIGHT CONTROL TO PROMOTE AN OVERALL HEALTHY LIFESTYLE. MERCY WELL CHILD IS A PEDIATRIC CLINIC THAT IDENTIFIES AND ADDRESSES POTENTIAL HEALTH AND DEVELOPMENTAL CONCERNS IN CHILDREN. THE CLINIC PROMOTES QUALITY PEDIATRIC CARE WITH A HOLISTIC APPROACH TO MEET THE HEALTH, SOCIAL AND EMOTIONAL NEEDS OF CHILDREN AND FAMILIES. MERCY WELL CHILD SERVES CHILDREN FROM INFANTS TO AGE 21, REGARDLESS OF THE FAMILIES' INCOME OR INSURANCE STATUS. THE PETTICREW CENTER FOR ADULT SERVICES IS THE ONLY PROVIDER OF ADULT DAY CARE IN THE SPRINGFIELD AREA. THIS SERVICE OFFERS AN ALTERNATIVE TO IN-HOME CARE OR PERMANENT PLACEMENT IN A NURSING FACILITY, AND IT PROVIDES A BREAK FOR CAREGIVERS WHILE THEY WORK OR ATTEND TO THEIR OWN PERSONAL NEEDS. CMHP'S EMERGENCY DEPARTMENT TREATS AN INCREASING NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF CMHP. FOR THE PAST DECADE, THE ROCKING HORSE CENTER HAS BEEN A KEY PARTNER WITH CMHP IN MAKING BASIC HEALTHCARE MORE ACCESSIBLE, ESPECIALLY FOR THE POOR AND UNDERSERVED. EARLY IN 2009, ROCKING HORSE WAS GRANTED STATUS AS A FEDERALLY QUALIFIED HEALTH CENTER, WHICH WILL PROVIDE HIGHER LEVELS OF MEDICAID REIMBURSEMENT. IN ADDITION, CMHP AND ROCKING HORSE COLLABORATED TO DEVELOP AN ER REFERRAL PROCESS, TO IDENTIFY PATIENTS WHO DID NOT HAVE A MEDICAL HOME AND TO PROVIDE FOLLOW-UP CARE.
Affiliated health care systemSchedule H, Part VI, Line 6COMMUNITY MERCY HEALTH PARTNERS (CMHP) IS A MEMBER OF COMMUNITY MERCY HEALTH SYSTEMS. CMHP IS SPONSORED BY THE SISTERS OF MERCY AND HAS BEEN AN INTEGRAL PART OF THE COMMUNITY SINCE 1950. CMHP INCLUDES AN ACUTE CARE HOSPITAL AND A CRITICAL CARE ACCESS HOSPITAL WITH APPROXIMATELY 641 LICENSED BEDS COMBINED. COMMUNITY MERCY HEALTH SYSTEM COMMUNITY BENEFIT FOR 2010 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $23.8 MILLION BENEFITS TO THE BROADER COMMUNITY $2.3 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID $15.3 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY $5.9 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR $0.3 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 8.3 PERCENT CMHP IS A MEMBER OF CATHOLIC HEALTH PARTNERS (CHP). CHP IS THE CONTINUATION OF THE HEALTH MINISTRY STARTED MORE THAN 150 YEARS AGO BY OUR CO-SPONSORING CONGREGATIONS: THE SISTERS OF MERCY, REGIONAL COMMUNITY OF CINCINNATI (OH); THE MID-ATLANTIC COMMUNITY, MERION STATION, PA; THE SISTERS OF HUMILITY OF MARY; THE FRANCISCAN SISTERS OF THE POOR; AND COVENANT HEALTH SYSTEMS. OUR SYSTEM OF REGIONAL HEALTH CARE PROVIDERS SERVES LOCAL HEALTH NEEDS IN COMMUNITIES IN OHIO, KENTUCKY, PENNSYLVANIA AND TENNESSEE. CHP IS FOCUSED ON IMPROVING THE HEALTH OF COMMUNITIES WE SERVE BY PROVIDING INTEGRATED HEALTH SERVICES THROUGH FACILITIES THAT INCLUDE ACUTE CARE HOSPITALS, LONG-TERM CARE RESIDENCES, HOUSING SITES FOR THE ELDERLY, HOME HEALTH AGENCIES, HOSPICE PROGRAMS, OUTREACH SERVICES AND WELLNESS CENTERS. OUR HOSPITALS INCLUDE FOUR CRITICAL ACCESS FACILITIES OFFERING ESSENTIAL HEALTH SERVICES THAT WOULD OTHERWISE NOT EXIST IN THOSE COMMUNITIES. WE CARE FOR EVERYONE WHO COMES TO US, REGARDLESS OF THEIR ABILITY TO PAY. AS WE HAVE DONE FOR DECADES, WE PROVIDE EXTENSIVE SERVICES TO THE BROADER COMMUNITY, WITH EMPHASIS ON SERVICES FOR PERSONS WHO ARE POOR AND UNDER-SERVED. CHP'S HOME OFFICE PROVIDES SERVICES AND SUPPORT TO THE ENTIRE SYSTEM, INCLUDING BUT NOT LIMITED TO: PROVIDING GOVERNANCE, MANAGEMENT OVERSIGHT, STRATEGIC LEADERSHIP, FOCUSING RESOURCES TO ASSURE THE HEALING MISSION, PROVIDING ACCESS TO LOWER COST DEBT FINANCING TO SUPPORT OPERATIONS, IMPROVING CLINICAL OUTCOMES AND REDUCING OPERATING COSTS. SYSTEM-WIDE COMMUNITY BENEFIT FOR 2010 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $365.1 MILLION BENEFITS TO THE BROADER COMMUNITY $77.1 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID $131.7 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY $123.2 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR $33.1 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 8.5 PERCENT
COMMUNITY BENEFIT REPORTPART VI, LINE 7CMHP IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT IN ANY STATE.
COMMUNITY BENEFIT REPORTPART I, LINE 6ACOMMUNITY MERCY HEALTH PARTNERS PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT. A COPY OF THIS REPORT CAN BE FOUND ON THE COMPANY'S WEBSITE AT WWW.COMMUNITY-MERCY.ORG.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ROCKING HORSE COMMUNITY HEALTH CENTER
651 SOUTH LIMESTONE STSPRINGFIELDOH45505311593544501(C)(3)421879GENERAL PURPOSES
SISTERS OF NOTRE DAME OF COVINGTON KY
1601 DIXIE HIGHWAYCOVINGTONKY41011610485643501(C)(3)16720GENERAL PURPOSES
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationCOMMUNITY MERCY HEALTH PARTNERS PERSONNEL REVIEW DOCUMENTATION SUBMITTED FOR THE INTENDED USE OF THE WITHDRAWALS MADE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARK WIENER
351931084186058850263170251920493511000
JOHN DEMPSEY
245059029299064580194900156500315956000
SUSAN HAYES
6189002443001051780748650169030283266000
TERRANCE WEINBURGER
198464025489087570188820150360266628000
KATRINA ENGLISH
198575034059017070166970228420273880000
JAMES MAY
05394800210106018748201460850310850111423800
GREGORY SMITH
15354901250350077960109010172721000
JAMES GOODRICH MD
194292012501221059420136140215194000
SANA WAIKHOM MD
17156301250992069480116050191233000
JENELLE ZELINSKI
1643420158160611091810109760200926000
RON CONNOVICH
16266000062860135170209110203374000
D TERRY BOYS
173726020859014911017058029450229499000
DONALD B JOHNSON MD
20693101847701536037590119600242663000
ROBERT GONDOS
66856048830881670779290245420262377000

Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Travel for companionsSchedule J, Part I, Line 1aTRAVEL FOR COMPANIONS WAS PROVIDED FOR THE FOLLOWING LISTED INDIVIDUALS: JAMES N. DOYLE, RICHARD W. FURAY, M.D., KATHLEEN M. HUGHES, JOSEPH R. JACKSON, E'LISE DELANGLADE SPRIGGS, AND PAMELA YOUNG, PH.D. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE COMPENSATION.
Severance or change-of-control paymentSchedule J, Part I, Line 4aSEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO LISTED INDIVIDUALS FOR SPECIFIED PERIODS. THE LISTED INDIVIDUALS EXECUTED RELEASES AND WAIVERS OF CLAIMS IN EXCHANGE FOR THE SEVERANCE BENEFITS. SALARY CONTINUATION AMOUNTS PROVIDED DURING THE YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: SUSAN HAYES $85,991; ROBERT GONDOS $64,397.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bTHE COMMUNITY MERCY HEALTH PARTNERS (CMHP) SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE CMHP COMMITTEE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INVESTMENT RETURNS AND/OR LOSSES. PARTICIPANTS VEST THE LATER OF FIVE YEARS OF ACTIVE SERVICE OR THE SECOND ANNIVERSARY OF HIS OR HER SEPARATION FROM SERVICE WITH THE EMPLOYER. VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY. PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDING. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: MARK WIENER $0; JOHN DEMPSEY $0; SUSAN HAYES $0; TERRANCE WEINBURGER $0; KATRINA ENGLISH $0; RON CONNOVICH $0; D. TERRY BOYS $0.
Non-fixed paymentsSchedule J, Part I, Line 7THE 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 ACHIEVE FOR INCENTIVES TO BE AWARDED. THE BOARD ALSO ESTABLISHES THRESHOLD, TARGET AND MAXIMUM LEVELS FOR INCENTIVE AWARDS. WITHIN THESE ESTABLISHED PARAMETERS, THE BOARD DETERMINES THE CEO'S INCENTIVE AWARD AND INCENTIVE AWARDS FOR OTHER LISTED INDIVIDUALS ARE DETERMINED BY THE CEO AND DISCLOSED TO THE BOARD. THE BOARD MAY AUTHORIZE MODIFIED INCENTIVE AWARDS WHEN APPROPRIATE IN ITS JUDGMENT.
THE CHP EXECUTIVE RETENTION PLANSCHEDULE J, PART I, LINE 4BTHE CHP EXECUTIVE RETENTION PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST AND CEASE TO RECEIVE CREDITS AFTER 5 YEARS OF PLAN PARTICIPATION PROVIDED THEY REMAIN EMPLOYED. VESTING AND CESSATION OF CREDITS OCCUR EARLIER FOR DEATH OR TOTAL DISABILITY WHILE EMPLOYED, INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION, OR, FOR CERTAIN PARTICIPANTS, UPON BEING OFFERED A SPECIFIED PROMOTION. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS UPON VESTING. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JAMES MAY $0.
THE CHP SERP PLANSCHEDULE J, PART I, LINE 4BTHE CHP SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTIVELY, VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMINATION, PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDINGS. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JAMES MAY $132,881.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
SPRINGFIELD HEMATOLOGY AND ONCOLOGY ASSOCIATES
RAVI KHANNA, M.D. (BOARD MEMEBER) IS AN OWNER145975INDEPENDENT CONTRACTORfalse
MERCY ANESTHESIOLOGY
FAMILY MEMBER OF PLATO PAVLATOS (BOARD MEMBER) HAS A REPORTABLE OWNERSHIP INTEREST553893INDEPENDENT CONTRACTORfalse
SPRINGFIELD HEMATOLOGY AND ONCOLOGY ASSOCIATES
RAVI KHANNA M.D. (BOARD MEMBER) HAS A REPORTABLE OWNERSHIP INTEREST118390RENTAL PAYMENTSfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Family/business relationships amongst interested personsForm 990, Part VI, Section A, Line 2JAMES N. DOYLE, MARK B. ROBERTSON, AND PAMELA YOUNG, PH.D. - BUSINESS RELATIONSHIP, JOSEPH R. JACKSON, JAMES N. DOYLE - BUSINESS RELATIONSHIP
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6COMMUNITY MERCY HEALTH SYSTEM IS THE MEMBER OF COMMUNITY MERCY HEALTH PARTNERS.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aCOMMUNITY MERCY HEALTH SYSTEM HAS THE ABILITY TO ELECT AND REMOVE BOARD MEMBERS.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bCOMMUNITY MERCY HEALTH SYSTEM HAS THE AUTHORITY TO APPROVE THE FOLLOWING: AMENDMENTS TO GOVERNING DOCUMENTS, CHANGES TO THE MISSION, VISION AND VALUE STATEMENTS THAT DETERMINE THE ACTIVITIES OF THE CORPORATION, TO FIX THE NUMBER OF AND ELECT MEMBERS TO THE GOVERNING BODY, TO REMOVE AT WILL, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE GOVERNING BOARD.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE FORM 990 IS PREPARED BY CHP'S TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN REVIEWED BY MANAGEMENT. UPON REVIEW, THE FORM 990 IS THEN FORWARDED TO THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE FOR APPROVAL. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION RELATED SCHEDULES AND DISCLOSURES. BOTH THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE AND THE COMPENSATION COMMITTEE ARE INDEPENDENT OF THE FILING ORGANIZATION. 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.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cALL BOARD MEMBERS ARE COVERED BY THE CATHOLIC HEALTH PARTNERS (CHP) CONFLICT OF INTEREST POLICY WHICH REQUIRES DISCLOSURE ON AN ANNUAL BASIS. ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY CHP CORPORATE COMPLIANCE OFFICER. AT THE BEGINNING OF EACH BOARD MEETING ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. BOARD MEMBERS DETERMINED TO HAVE A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISION-MAKING FOR THE TRANSACTION IN WHICH THE CONFLICT EXISTS.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE ORGANIZATION'S FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACCOMPLISHING THE ORGANIZATION'S MISSION, TO RECOGNIZE PERFORMANCE, AND TO OPERATE IN KEEPING WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. THE COMPENSATION & EVALUATION COMMITTEE OF THE ORGANIZATION'S BOARD OF TRUSTEES CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION AND PERFORMANCE OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES. IN DOING SO, THE COMMITTEE RETAINS A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A COMPETITIVE MARKET ANALYSIS ANNUALLY OF THE MARKET RANGES OF BASE, INCENTIVE, AND TOTAL CASH COMPENSATION. THE COMMITTEE UTILIZES THAT ANALYSIS AND OTHER APPROPRIATE INFORMATION IN CONNECTION WITH ITS ANNUAL REVIEW AND ADJUSTMENT OF COMPENSATION RANGES. IT ALSO REVIEWS AND RECOMMENDS TO THE FULL BOARD THE THRESHOLD, TARGET, AND MAXIMUM INCENTIVE AWARDS FOR WHICH THE LISTED INDIVIDUALS MAY BE ELIGIBLE, BASED UPON THE ORGANIZATION'S PERFORMANCE RESULTS FOR COMMUNITY BENEFIT, QUALITY, AND FINANCIAL PERFORMANCE. THE COMMITTEE'S RECOMMENDATIONS CONCERNING SALARY RANGE ADJUSTMENTS AND INCENTIVE AWARDS GO TO THE FULL BOARD FOR APPROVAL. THE COMMITTEE, WITH FULL BOARD APPROVAL, DETERMINES THE ADJUSTMENT TO THE CEO'S BASE COMPENSATION AND INCENTIVE AWARD, WITHIN SUCH ESTABLISHED PARAMETERS. FOR THE COO, CAO, EVP, AND SVP POSITIONS, ADJUSTMENTS AND INCENTIVE AWARDS ARE APPROVED BY THE ORGANIZATION'S CEO WITHIN SUCH PARAMETERS. ADJUSTMENTS AND AWARDS FOR OTHER LISTED INDIVIDUALS ARE RECOMMENDED BY THE SUPERVISING EXECUTIVE. BASE SALARY ADJUSTMENTS AND INCENTIVE AWARDS ARE DISCLOSED TO THE COMMITTEE. A FORMAL PERFORMANCE APPRAISAL PROCESS IS INCORPORATED IN THE COMPENSATION ADJUSTMENT AND AWARD PROCESS. IT UTILIZES A MULTI-PERSPECTIVE APPROACH AND PERFORMANCE MEASURES WHICH ARE LINKED TO THE ORGANIZATION'S LONG-TERM STRATEGIC PLAN, ACHIEVEMENT OF ANNUAL SYSTEM OBJECTIVES, AND PERSONAL OBJECTIVES.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bCOMPENSATION-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.
Public DisclosureForm 990, Part VI, Section C, Line 19THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE.
AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS BY LISTED PERSONSFORM 990 PART VII SECTION A COLUMN (B)JAMES MAY 40 MARK WEINER 5 JOHN DEMPSEY 3 JAMES N. DOYLE 2 RICHARD W. FURAY, M.D. 2 SR. DORIS A. GOTTEMOELLER, RSM 3 PIUS KURIAN, M.D. 2 MICHAEL S. MCKEE, M.D. 2 PLATO N. PAVLATOS 2 PAMELA R. YOUNG, PH.D. 2 JOSEPH R. JACKSON 2 RAVI C. KHANNA, M.D. 2 MARK B. ROBERTSON 2 HOMER A. SMITH 2 E'LISE DELANGLADE SPRIGGS 2 REV. DARRYL L. GRAYSON 2 KATHLEEN M. HUGHES 2
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 3191933; NET ASSETS RELEASED FROM RESTRICTIONS - -8806; EQUITY TRANSFERS BETWEEN REGIONS - -1073995; RESIDENT TRUST ACCOUNT ADJUSTMENTS - -71780; INCOME REPORTED IN CH HEALTH SERVICES COMPANY - 199393;

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SPRINGFIELD REGIONAL CANCER CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1148 W NORTH STREETAddressLine1
CitySPRINGFIELDCity
StateOHState
ZIP Code45502ZIPCode
FieldValueIRS element (for citing)
EIN352216018EIN
Primary ActivitiesCANCER CENTERPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Total Income3656423TotalIncome
EOY Assets8535716EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (103 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CATHOLIC HEALTH PARTNERS
615 ELSINORE PLACECINCINNATIOH45202311161086HEALTHCARE SYSTEM PARENTOH501(C)(3)11 - Type III - FINA
CATHOLIC HEALTHCARE PARTNERS FOUNDATION
615 ELSINORE PLACECINCINNATIOH45202201072726FUNDRAISINGOH501(C)(3)7CATHOLIC HEALTH PARTNERS
CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT
615 ELSINORE PLACECINCINNATIOH45202208943658HUD PARENTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST
615 ELSINORE PLACECINCINNATIOH45202316046304RETIREMENT TRUSTOH501(C)(3)8CATHOLIC HEALTH PARTNERS
SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST
615 ELSINORE PLACECINCINNATIOH45202310990309TRUST ADMINISTRATIONOH501(C)(3)11 - Type ICATHOLIC HEALTH PARTNERS
COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
3700 KOLBE ROADLORAINOH44053270071694REGIONAL PARENTOH501(C)(3)11 - Type IICATHOLIC HEALTH PARTNERS
COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
3700 KOLBE ROADLORAINOH44053340714704HOSPITALOH501(C)(3)3COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
ALLEN MEDICAL CENTER
200 WEST LORAIN STOBERLINOH44074340864230HOSPITALOH501(C)(3)3COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION
3700 KOLBE ROADLORAINOH44053341504558FOUNDATIONOH501(C)(3)11 - Type III - FICOMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROADLORAINOH44053341268828MEDICAL OFFICE RENTALOH501(C)(3)9COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
ALLEN MEDICAL CENTER FOUNDATION
200 WEST LORAIN STOBERLINOH44074341675592FOUNDATIONOH501(C)(3)11 - Type IALLEN MEDICAL CENTER
ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN STOBERLINOH44074364504991MEDICAL OFFICE RENTALOH501(C)(3)11 - Type IIALLEN MEDICAL CENTER
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
4600 MCAULEY PLACECINCINNATIOH45242311063783REGIONAL PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERS
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION
4600 MCAULEY PLACECINCINNATIOH45242311217563FOUNDATIONOH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY HOSPITALS WEST
2446 KIPLING AVENUECINCINNATIOH45239311091597HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY HOSPITAL ANDERSON
7500 STATE ROADCINCINNATIOH45255310537085HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
THE SISTERS OF MERCY OF HAMILTON OHIO
3000 MACK ROADFAIRFIELDOH45014310538532HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO
3000 HOSPITAL DRIVEBATAVIAOH45103310830955HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
CLERMONT MERCY FOUNDATION
3000 HOSPITAL DRIVEBATAVIAOH45103311514749FOUNDATIONOH501(C)(3)11 - Type III - FITHE SISTERS OF MERCY OF CLERMONT COUNTY OHIO
MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC
7010 ROWAN HILLS DRCINCINNATIOH45227311308729RETIREMENT HOMEOH501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY SACRED HEART INC
2120 PAYNE STREETLOUISVILLEKY40206611318326RETIREMENT HOMEKY501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY LONG TERM CARE INITIATIVE
4915 CHARLESTOWN RDNEW ALBANYIN47150311332491RETIREMENT HOMEIN501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
PROVIDENCE RETIREMENT HOME AUXILIARY
4915 CHARLESTOWN RDNEW ALBANYIN47150204664839SUPPORTING ORGIN501(C)(3)11 - Type IIMERCY LONG TERM CARE INITIATIVE
MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREETCINCINNATIOH45210311222942LOW INCOME HOUSINGOH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY FRANCISCAN AT ST RAPHAEL INC
610 HIGH STREETHAMILTONOH45011202934871SERVICES TO THE POOROH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
COMMUNITY MERCY HEALTH SYSTEM
ONE S LIMESTONE STSPRINGFIELDOH45502300272454REGIONAL PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERS
THE COMMUNITY MERCY FOUNDATION
1343 N FOUNTAIN BLVDSPRINGFIELDOH45504311443778FOUNDATIONOH501(C)(3)7COMMUNITY MERCY HEALTH SYSTEM
COMMUNITY HOSPITAL HEALTH SERVICES COMPANY
ONE S LIMESTONE STSPRINGFIELDOH45502311181984HOSPITALOH501(C)(3)3COMMUNITY MERCY HEALTH SYSTEM
CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE
1150 E HOME ROADSPRINGFIELDOH45503260698515MEDICAL INFORMATION EXCHANGEOH501(C)(3)9COMMUNITY MERCY HEALTH SYSTEM
THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST
ONE S LIMESTONE STSPRINGFIELDOH45502346827136INDIGENT MEDICAL CAREOH501(C)(3)11 - Type INA
MERCY HEALTH SYSTEM - NORTHERN REGION
2200 JEFFERSON AVENUETOLEDOOH43604341344482REGIONAL PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERS
ST CHARLES MERCY HOSPITAL OF OREGON OHIO
2600 NAVARRE AVENUEOREGONOH43616344445373HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
ST CHARLES MERCY HEALTH FOUNDATION
2600 NAVARRE AVENUEOREGONOH43616341414900FOUNDATIONOH501(C)(3)11 - Type III - FIST CHARLES MERCY HOSPITAL OF OREGON OHIO
RIVERSIDE MERCY HOSPITAL
3404 W SYLVANIA AVETOLEDOOH43623311556401HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY HOME CARE INC
2200 JEFFERSON AVENUETOLEDOOH43604341587572HOME HEALTHCAREOH501(C)(3)9MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY COLLEGE OF NORTHWEST OHIO
2221 MADISON AVENUETOLEDOOH43604341726619MEDICAL COLLEGEOH501(C)(3)2MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY COLLEGE OF NORTHWEST OHIO FOUNDATION INC
2221 MADISON AVENUETOLEDOOH43604141963204FOUNDATIONOH501(C)(3)11 - Type IMERCY COLLEGE OF NORTHWEST OHIO
MERCY HOSPITAL OF TIFFIN OHIO
45 ST LAWRENCE DRIVETIFFINOH44883344431174HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY TIFFIN HEALTH FOUNDATION
45 ST LAWRENCE DRIVETIFFINOH44883341499894FOUNDATIONOH501(C)(3)11 - Type III - FIMERCY HOSPITAL OF TIFFIN OHIO
THE SISTERS OF MERCY OF WILLARD OHIO
110 EAST HOWARD STWILLARDOH44890341577110HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY HOSPITAL OF WILLARD FOUNDATION
110 EAST HOWARD STWILLARDOH44890113742347FOUNDATIONOH501(C)(3)11 - Type III - FITHE SISTERS OF MERCY OF WILLARD OHIO
ST VINCENT MERCY MEDICAL CENTER
2213 CHERRY STREETTOLEDOOH43608344428250HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
ST VINCENT MERCY MEDICAL CENTER FOUNDATION
2213 CHERRY STREETTOLEDOOH43608237393213FOUNDATIONOH501(C)(3)11 - Type III - FIST VINCENT MERCY MEDICAL CENTER
LIFESTAR AMBULANCE INC
2200 JEFFERSON AVENUETOLEDOOH43604341354653MEDICAL TRANSPORTATIONOH501(C)(3)11 - Type IIMERCY HEALTH SYSTEM - NORTHERN REGION
RSM MEDICAL FOUNDATION
2200 JEFFERSON AVENUETOLEDOOH43624341693671HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
ST MARGUERITE D'YOUVILLE FOUNDATION II
2213 CHERRY STREETTOLEDOOH43608134350655FOUNDATIONOH501(C)(3)11 - Type IICATHOLIC HEALTH PARTNERS
SIMON OUTREACH SERVICES
2600 NAVARRE AVENUEOREGONOH43616341383325MEDICAL OFFICE RENTALOH501(C)(3)11 - Type IIST CHARLES MERCY HOSPITAL OF OREGON OHIO
FARLEY HEALTHCARE CORPORATION
2200 JEFFERSON AVENUETOLEDOOH43604341363204HEALTH SERVICESOH501(C)(3)9MERCY HEALTH SYSTEM - NORTHERN REGION
ST RITA'S MEDICAL CENTER
730 W MARKET STREETLIMAOH45801341105619HOSPITALOH501(C)(3)3CATHOLIC HEALTH PARTNERS
SRHC FOUNDATION
730 W MARKET STREETLIMAOH45801341368429FOUNDATIONOH501(C)(3)11 - Type III - FIST RITA'S MEDICAL CENTER
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400LIMAOH45801341937267MEDICAL LAB SERVICESOH501(C)(3)11 - Type III - FIST RITA'S MEDICAL CENTER
HUMILITY OF MARY HEALTH PARTNERS
1044 BELMONT AVENUEYOUNGSTOWNOH44501340505560HOSPITALOH501(C)(3)3CATHOLIC HEALTH PARTNERS
THE ASSUMPTION VILLAGE
9800 N MARKET STREETNORTH LIMAOH44452341013695NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERS
HOSPICE OF THE VALLEY
5190 MARKET STREETYOUNGSTOWNOH44512341288745HOSPICE SERVICESOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERS
HUMILITY OF MARY DEVELOPMENT FOUNDATION
1044 BELMONT AVENUEYOUNGSTOWNOH44501341826978FOUNDATIONOH501(C)(3)11 - Type III - FIHUMILITY OF MARY HEALTH PARTNERS
HUMILITY OF MARY INFORMATION SYSTEMS
250 FEDERAL PLAZA EASTYOUNGSTOWNOH44501341452943INFORMATION SERVICESOH501(C)(3)11 - Type IIHUMILITY OF MARY HEALTH PARTNERS
HUMILITY HOUSE
755 OHLTOWN ROADAUSTINTOWNOH44515341894783NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERS
LAUREL LAKE RETIREMENT COMMUNITY INC
200 LAUREL LAKE DRIVEHUDSONOH44236341481142NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERS
LAUREL LAKE RETIREMENT COMMUNITY FOUNDATION INC
200 LAUREL LAKE DRIVEHUDSONOH44236341779303FOUNDATIONOH501(C)(3)7LAUREL LAKE RETIREMENT COMMUNITY INC
ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SEWARRENOH44484346556121FUNDRAISINGOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERS
MERCY HEALTH PARTNERS - LOURDES INC
1530 LONE OAK ROADPADUCAHKY42003610600313HOSPITALKY501(C)(3)3CATHOLIC HEALTH PARTNERS
LOURDES FOUNDATION INC
1530 LONE OAK ROADPADUCAHKY42003611258960FOUNDATIONKY501(C)(3)7MERCY HEALTH PARTNERS - LOURDES INC
LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROADPADUCAHKY42003610927805FUNDRAISINGKY501(C)(3)11 - Type III - FILOURDES FOUNDATION INC
MARCUM AND WALLACE MEMORIAL HOSPITAL INC
60 MERCY COURTIRVINEKY40336610927491HOSPITALKY501(C)(3)3MERCY HEALTH PARTNERS - LOURDES INC
MARCUM AND WALLACE HOSPITAL FOUNDATION INC
60 MERCY COURTIRVINEKY40336320026557FOUNDATIONKY501(C)(3)11 - Type III - FIMARCUM AND WALLACE MEMORIAL HOSPITAL INC
MERCY HEALTH PARTNERS INC
900 EAST OAK HILL AVEKNOXVILLETN37917731627534REGIONAL PARENTTN501(C)(3)11 - Type ICATHOLIC HEALTH PARTNERS
MERCY HEALTH SYSTEM INC
900 EAST OAK HILL AVEKNOXVILLETN37917620480068HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY INC
923 EAST CENTRAL AVELAFOLLETTETN37766621817376HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
MERCY HEALTH PARTNERS FOUNDATION INC
900 EAST OAK HILL AVEKNOXVILLETN37917621247676FOUNDATIONTN501(C)(3)7MERCY HEALTH PARTNERS INC
JEFFERSON MEMORIAL HOSPITAL INC
110 HOSPITAL DRIVEJEFFERSON CITYTN37760621660663HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
JEFFERSON MEMORIAL FOUNDATION INC
110 HOSPITAL DRIVEJEFFERSON CITYTN37760621660666FOUNDATIONTN501(C)(3)11 - Type III - FIJEFFERSON MEMORIAL HOSPITAL INC
ST MARY'S MEDICAL CENTER OF SCOTT COUNTY INC
18797 ALBERTA STREETONEIDATN37841261535503HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
THE BAPTIST HEALTH SYSTEM FOUNDATION INC
101 BLOUNT AVE BOX 1788KNOXVILLETN37920581565290FOUNDATIONTN501(C)(3)7MERCY HEALTH PARTNERS INC
BAPTIST HOSPITAL OF EAST TENNESSEE INC
137 BLOUNT AVEKNOXVILLETN37920620506166HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
BAPTIST HOSPITAL WEST INC
10820 PARKSIDE DRIVEKNOXVILLETN37934621870324HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
BAPTIST HOSPITAL OF COCKE COUNTY INC
435 SECOND STREETNEWPORTTN37821621133149HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
MERCY HEALTH AND REHABILITATION CENTER INC
3916 BOYDS BRIDGE PIKEKNOXVILLETN37917621592992REHAB CENTERTN501(C)(3)9MERCY HEALTH PARTNERS INC
MERCY HEALTH PARTNERS - NORTHEAST REGION INC
746 JEFFERSON AVENUESCRANTONPA18510232813196REGIONAL PARENTPA501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERS
MERCY HEALTHCARE FOUNDATION
746 JEFFERSON AVENUESCRANTONPA18510232972928FOUNDATIONPA501(C)(3)11 - Type III - FIMERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HOSPITAL SCRANTON PA
746 JEFFERSON AVENUESCRANTONPA18510240795456HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY COMMUNITY CARE CORPORATION
746 JEFFERSON AVENUESCRANTONPA18510232310566MEDICAL CAREPA501(C)(3)9MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY MED-CARE INC
746 JEFFERSON AVENUESCRANTONPA18510232261991HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HOSPITAL NANTICOKE
128 W WASHINGTON STNANTICOKEPA18634232604818HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HOSPITAL OF WILKES-BARRE
746 JEFFERSON AVENUESCRANTONPA18510240795625HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HEALTH CARE CENTER
746 JEFFERSON AVENUESCRANTONPA18510232322809HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY TYLER HEALTH SYSTEMS
880 SR 6WTUNKHANNOCKPA18657232772476SUPPORTING ORGPA501(C)(3)11 - Type IIMERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY TYLER HOSPITAL
880 SR 6WTUNKHANNOCKPA18657240779665HOSPITALPA501(C)(3)3MERCY TYLER HEALTH SYSTEMS
MERCY TYLER HOME HEALTH SERVICES
880 SR 6WTUNKHANNOCKPA18657232723529IN-HOME MEDICAL CAREPA501(C)(3)9MERCY TYLER HEALTH SYSTEMS
SIENA SPRINGS
615 ELSINORE PLACECINCINNATIOH45202311052772HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
SIENA SPRINGS II
615 ELSINORE PLACECINCINNATIOH45202311591780HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
CHARLES MEADOW CORPORATION
615 ELSINORE PLACECINCINNATIOH45202341552671HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
CHARLES CREST CORPORATION
615 ELSINORE PLACECINCINNATIOH45202341399869HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
CHARLES CREST II CORPORATION
615 ELSINORE PLACECINCINNATIOH45202341714407HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
ST THERESA VILLAGE INC
615 ELSINORE PLACECINCINNATIOH45202311411529HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
SACRED HEART VILLAGE INC
615 ELSINORE PLACECINCINNATIOH45202311411531HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
SACRED HEART VILLAGE II INC
615 ELSINORE PLACECINCINNATIOH45202611339396HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
SACRED HEART VILLAGE III INC
615 ELSINORE PLACECINCINNATIOH45202611367719HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
MCAULEY MANOR INC
615 ELSINORE PLACECINCINNATIOH45202311548500HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
DUBLIN MANOR INC
615 ELSINORE PLACECINCINNATIOH45202020655254HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
MERCY MANOR INC
615 ELSINORE PLACECINCINNATIOH45202611344092HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
ST MARY'S VILLA INC
615 ELSINORE PLACECINCINNATIOH45202311548512HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
RIVERVIEW ST MARY'S INC
615 ELSINORE PLACECINCINNATIOH45202621782683HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
ST MARY'S VILLA AT RIVERVIEW II INC
615 ELSINORE PLACECINCINNATIOH45202311723287HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS

Form990 Schedule R Part III Form990ScheduleRPartIII (19 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
NWO INTEGRATED LABORATORIES MERCY LLC
2200 JEFFERSON AVENUETOLEDOOH43624341898285LABORATORY SERVICESOHNAN/A
TIFFIN AMBULATORY SURGICAL ASSOCIATES
45 ST LAWRENCE DRIVETIFFINOH44833371567866AMBULATORY SURGERY CENTEROHNAN/A
MERCY HOSPITAL OF DEFIANCE LLC
1404 E SECOND STDEFIANCEOH43512020701635HOSPITALOHNAN/A
WEST CENTRAL OHIO REGIONAL HEALTHCARE ALLIANCE
FORT AMANDA ROADLIMAOH45804341817078REG HOSPITALSOHNAN/A
WEST CENTRAL OHIO SURGERY & ENDO CENTER
770 W HIGH ST SUITE 100LIMAOH45801341868154AMBULATORY 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
ST ELIZABETH CARDIAC CATH LAB LLC
1044 BELMONT AVEYOUNGSTOWNOH44501300023795CARDIAC CATH LABOHNAN/A
ST ELIZABETH SOUTHWOODS IMAGING
250 DEBARTOLO PLACE BLDG BYOUNGSTOWNOH44512261626482DIAGNOSTIC IMAGINGOHNAN/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
MERCY HEALTHPLEX ANDERSON LLC
7495 STATE ROADCINCINNATIOH45255311589865FITNESS FACILITYOHNAN/A
MERCY HEALTHPLEX FAIRFIELD LLC
3050 MACK ROADFAIRFIELDOH45014311589867FITNESS FACILITYOHNAN/A
LOURDES AMBULATORY SURGERY CENTER
225 MEDICAL CENTER DRIVEPADUCAHKY42003611258960SURGERY CENTERKYNAN/A
TOMOGRAPHY ASSOCIATES LLC
2000 CHAPMAN HWYKNOXVILLETN37920742034927EQUIPMENT LEASINGTNNAN/A
EAST TENNESSEE DIAGNOSTIC CENTER LLC
1450 DOWELL SPRINGS BLVD SUITE 250KNOXVILLETN37909204773300DIAGNOSTIC SERVICESTNNAN/A
LACKAWANNA SURGERY CENTER LLC
415 ADAMS AVENUESCRANTONPA18503205360014AMBULATORY SURGERY CENTERPANAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (25 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityLegal Domicile StateLegalDomicileStateShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
CHP INSURANCE LTD
615 ELSINORE PLACECINCINNATIOH45202980621978INSURANCECJNAC CORPORATION
HEALTHSPAN INC
225 PICTORIA DRIVE STE 320CINCINNATIOH45246311431434PPONAC CORPORATIONOH
MHSWO HEALTH VENTURES INC
1 S LIMESTONE STSPRINGFIELDOH45502311072139PHYSICIAN PRACTICESCOMMUNITY MERCY HEALTH PARTNERSC CORPORATIONOH-643401
NORTHPARKE MEDICAL COMMONS CONDO ASSN
333 N LIMESTONE STSPRINGFIELDOH45503311391230REAL PROPERTY MGMNTCOMMUNITY MERCY HEALTH PARTNERSC CORPORATIONOH1891723970.55
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
GENESIS HEALTH PLAN OF OHIO INC
2200 JEFFERSON AVENUETOLEDOOH43604341819975HMONAC 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
FRANCISCAN HOMES I INC
1300 MAIN STREETCINCINNATIOH45210311313185LOW-INCOME HOUSINGNAC CORPORATIONOH
FRANCISCAN HOMES II INC
1300 MAIN STREETCINCINNATIOH45210311336890LOW-INCOME HOUSINGNAC CORPORATIONOH
FRANCISCAN HOMES III INC
1300 MAIN STREETCINCINNATIOH45210311394510LOW-INCOME HOUSINGNAC CORPORATIONOH
FRANCISCAN HOMES IV INC
1300 MAIN STREETCINCINNATIOH45210311483370LOW-INCOME HOUSINGNAC 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
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1THE COMMUNITY MERCY FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved874305AmountInvolved
Method Of Amt DeterminationGAAPMethodOfAmtDetermination

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