MERCY MEDICAL CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: MERCY MEDICAL CENTER INC (EIN 52-0591658)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-16
IRS object ID: 201111369349302886
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-16T11:17:26-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COHEN RUTHERFORD KNIGHT PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	6903 ROCKLEDGE DRIVE SUITE 500	AddressLine1
City	BETHESDA	City
State	MD	State
ZIP Code	208171800	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	520591658	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MERC	NameControl
Phone	4103329000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	301 St Paul Place	AddressLine1
City	Baltimore	City
State	MD	State
ZIP Code	21202	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOHN TOPPER	Name
Title	SENIOR VP/ CFO	Title
Phone	4103329313	Phone
Date Signed	2011-05-11	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3018281008	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	THOMAS MULLEN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	301 ST PAUL PLACE	AddressLine1
City	BALTIMORE	City
State	MD	State
ZIP Code	21202	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	389075442	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.mdmercy.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1949	YearFormation
State Legal Domicile	MD	StateLegalDomicile
Activity Or Mission Description	Grounded in a vision of God's healing love for all people, we are committed to providing healthcare for persons of every creed, color, and economic and social condition in Balt City, Central MD and beyond.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	1	NbrIndependentVotingMembers
Total Nbr Employees	3233	TotalNbrEmployees
Total Nbr Volunteers	161	TotalNbrVolunteers
Total Gross UBI	883607	TotalGrossUBI
Net Unrelated Business Txbl Income	-290565	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	5886074	ContributionsGrantsPriorYear
Contributions Grants Current Year	10673654	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	361121789	ProgramServiceRevenuePriorYear
Program Service Revenue CY	361778126	ProgramServiceRevenueCY
Investment Income Prior Year	-4474247	InvestmentIncomePriorYear
Investment Income Current Year	3206570	InvestmentIncomeCurrentYear
Other Revenue Prior Year	11611857	OtherRevenuePriorYear
Other Revenue Current Year	11860031	OtherRevenueCurrentYear
Total Revenue Prior Year	374145473	TotalRevenuePriorYear
Total Revenue Current Year	387518381	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	275833	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	162572206	SalariesEtcPriorYear
Salaries Etc Current Year	166554477	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	181097930	OtherExpensePriorYear
Other Expenses Current Year	184825680	OtherExpensesCurrentYear
Total Expenses Prior Year	343945969	TotalExpensesPriorYear
Total Expenses Current Year	351380157	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	30199504	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	36138224	RevenuesLessExpensesCY
Total Assets BOY	764769042	TotalAssetsBOY
Total Assets EOY	798086962	TotalAssetsEOY
Total Liabilities BOY	547565010	TotalLiabilitiesBOY
Total Liabilities EOY	552550779	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	217204032	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	245536183	NetAssetsOrFundBalancesEOY
Mission Description	Mercy is dedicated to carry forward the 136 - year tradition of the Sister's healing ministry in Baltimore. Grounded in a vision of God's healing love for all people, we are committed to providing healthcare for persons of every creed, color, and economic and social condition in Baltimore City, Central Maryland and beyond. In the tradition of Catholic healthcare and of the Sisters of Mercy, we continue our special commitment to poor and underserved persons. Mercy is driven by its mission to serve and will remain steadfast in its commitment to uphold its highest standards for care, its commitment ot the poor and its commitment ot Baltimore. We are here to provide excellent healthcare, with compassion and respect, to all who come to us for help.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	265641316	Expense
Revenue	361778126	Revenue
Description	To provide healthcare to patients without regard to ability to pay. Mercy strives to provide excellent clinical services across the life span within a community of compassionate care. Mercy Medical Center (MMC) has 243 licensed beds and had 18,214 inpatient admissions for the fiscal year ending JunE 30,2010. Mercy Medical Center's primary service area ( PSA) which comprises 16 ZIP codes in Baltimore City, accounts for almost 60% of its total admissions. The key demographic characteristics of the PSA are as follows: 64% of the population is black AND approximately 59% of patients served by MMC are members of a racial or ethnic minority while 66% are women and 51% are Medicaid and/or Medicare beneficiaries. 12% of the population is 65 year in age and older. The median household income of the population is $35,656, 40% of Baltimore City households reported a income of less than $30,000. Three times as many families living in Baltimore City had income that was below the poverty level compared to all familes in Maryland. Within the hospital's immediate zip codes of 21201 and 21202 35% of familIes live beLOW the federal poverty level definition. Due to its location in center city, MMC cares for many of the at-risk, low income population in the communities that immediately surround the hospital. This is best evidenced by the large percentage of emergency room visits by Medicaid, uninsured, and Medicare patients. Medicaid covered and unisured patients accounted for more than 50% of FY2010 emergency room visits. In FY 2010, the supportive housing program provided a comprehensive range couseling services and community resource linkages to 166 clients. These services incurred a direct costs of $523,381 during FY 2010, or abouT $3,000 per client. Of the 60,787 visits to MMC emergency department ( ED) in FY 2010, 39.4% were medicaid beneficiaries and 21.3% either had no insurance or ability to pay or were underinsured. The hospital's high percentage of poor persons who seek care at the ED reguires substantial emergency physician salary subsidy to support the high level of uncompensated care. This amounted to $ 1,807,369 in FY2010, one of the single largest community benefit financial contributions. MMC delivered more babies, 2,802, than any other hospital in Baltimore City in FY 2010. Of these babies, 11.2% were of low birth weight and 13.8% were premature. 60% fo the patients who delivered babies at MMC were either Medicaid beneficiaries or unisured/self pay. This population is especially linked with low birth weight and prematurity due to poverty that closely related to unhealthy lifestyles, particularly, poor nutritition and inadequate prenatal care.	Description
Total Program Service Expense	265641316	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	372	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3233	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	true	Form8899Filed
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	1	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JOHN TOPPER	NamePerson
Telephone Number	4103329313	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	301 ST PAUL PLACE	AddressLine1
City	Baltimore	City
State	MD	State
ZIP Code	21202	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
THOMAS MULLEN
PRESIDENT AND CEO	40.0	X	X	1095098	0	29127
AMY FREEMAN
EXE VP/SECRETARY	40.0	X	X	951774	0	17868
SAMUEL MOSKOWITZ
EXEC VP/VICE CHAIR	40.0	X	X	675089	0	30947
SCOTT SPIER md
SR VP/DIRECTOR	40.0	X		408945	0	34011
JOHN TOPPER
SR VP & CFO/TREASURER	40.0	X	X	808444	0	27512
SUSAN FINLAYSON
SR VP/DIRECTOR	40.0	X		642557	0	69531
AINE OCONNOR
DIRECTOR	40.0	X		0	0	0
JUDITH WEILAND
SENIOR VP	40.0			326240	0	17682	X
ROBERT EDWARDS
SENIOR VP	40.0			272645	0	27286	X
JAMES LEVY MD
PHYSICIAN	40.0			272736	0	37488	X
JESSIE REED
SENIOR VP	40.0			299158	0	30784	X
JOHN LEPLEY
VP OF FINANCE	40.0			309882	0	25438	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6062568	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	347674	TotalOtherCompensation
Number Individuals GT100 K	128	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
WHITING TURNER
PO BOX 17596	BALTIMORE	MD	21297	CONSTRUCTION	121106751
ELLERBE BECKET
1001 G ST NW	WASHINGTON	DC	20001	ARCHITECT	2854480
UNIVERSITY OF MARYLAND MEDICAL SYST
PO BOX 62163	BALTIMORE	MD	212642163	MEDICAL SERVICES	3412892
CURA HOSPITALITY
PO BOX 827276	PHILADELPHIA	PA	19182	FOOD SERVICES	3601746
RADAMERICA II LLC
9105 FRANKLIN SQUARE DR	BALTIMORE	MD	21237	RADIATION THERAPY	2538811

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	73	NumberOfContractorsGT100K
Related Organizations	7512741	RelatedOrganizations
Government Grants	1179938	GovernmentGrants
All Other Contributions	1980975	AllOtherContributions
Noncash Contributions	1352804	NoncashContributions
Total Contributions	10673654	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE	361150197	361150197
PEDIATRIC REVENUE	627929	627929

Field	Value	IRS element (for citing)
Total Program Service Revenue	361778126	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3215413	TotalRevenueColumn
Exclusion	$3,215,413	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1551099	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1557061	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-5962	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-5962	TotalRevenueColumn
Unrelated Business Revenue	-31182	UnrelatedBusinessRevenue
Exclusion	$25,220	ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-8843	TotalRevenueColumn
Exclusion	-$8,843	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
MANAGEMENT FEE	561000	5458202	154121	$5,304,081
TELEVISION SERVICE		92770		$92,770
CAFETERIA REVENUE		1800990		$1,800,990

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4514031	TotalRevenueColumn
Unrelated Business Revenue	760668	UnrelatedBusinessRevenue
Exclusion	$3,753,363	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	11865993	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	387518381	TotalRevenueColumn
Related Or Exempt Function Income	361778126	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	883607	UnrelatedBusinessRevenue
Exclusion	$14,182,994	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2406973	Total
Program Services	0	ProgramServices
Management And General	2406973	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	138717281	Total
Program Services	102322131	ProgramServices
Management And General	36395150	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3062555	Total
Program Services	2348980	ProgramServices
Management And General	713575	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	12376709	Total
Program Services	9492935	ProgramServices
Management And General	2883774	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	9990959	Total
Program Services	7663066	ProgramServices
Management And General	2327893	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1382970	Total
Management And General	1382970	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	969523	Total
Program Services	17143	ProgramServices
Management And General	952380	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	452892	Total
Program Services	176065	ProgramServices
Management And General	276827	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	216143	Total
Program Services	216143	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	24024844	Total
Program Services	16900806	ProgramServices
Management And General	7124038	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1590216	Total
Program Services	1582786	ProgramServices
Management And General	7430	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	76625207	Total
Program Services	72256913	ProgramServices
Management And General	4368294	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1052021	Total
Program Services	1052021	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	8318384	Total
Program Services	7585143	ProgramServices
Management And General	733241	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	412002	Total
Program Services	276426	ProgramServices
Management And General	135576	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	282949	Total
Program Services	77309	ProgramServices
Management And General	205640	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6739340	Total
Program Services	6739340	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	20901059	Total
Management And General	20901059	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5914741	Total
Program Services	5185505	ProgramServices
Management And General	729236	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
REPAIRS AND MAINT	7985962	6995827	990135
OTHER	5223208	3679689	1543519
DONATIONS	97877	97877
BAD DEBT	20975211	20975211
GARAGE TOWNE PARK EXPENSES	1661131		1661131

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	351380157	Total
Program Services	265641316	ProgramServices
Management And General	85738841	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	59805697	BOY
EOY	58933702	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	23247708	BOY
EOY	21652316	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	150000	BOY
EOY	75000	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	222901	BOY
EOY	201120	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5046103	BOY
EOY	5477366	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3026104	BOY
EOY	3196298	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	667017651	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	213166930	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	326492725	BOY
EOY	453850721	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	206063767	BOY
EOY	144993940	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	80135909	BOY
EOY	51670718	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	60578128	BOY
EOY	58035781	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	764769042	BOY
EOY	798086962	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	46440491	BOY
EOY	48512885	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	444488377	BOY
EOY	440856541	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	362672	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	56273470	BOY
EOY	63181353	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	547565010	BOY
EOY	552550779	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	179182648	BOY
EOY	210431026	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	36856312	BOY
EOY	33981727	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1165072	BOY
EOY	1123430	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	217204032	BOY
EOY	245536183	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	764769042	BOY
EOY	798086962	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8067791	OtherCostOrOtherBasis
Book Value	8067791	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	248892043	OtherCostOrOtherBasis
Depreciation	98885350	Depreciation
Book Value	150006693	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	154157999	OtherCostOrOtherBasis
Depreciation	114281580	Depreciation
Book Value	39876419	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	255899818	OtherCostOrOtherBasis
Book Value	255899818	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	453850721	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
RESTRICTED INVESTMENTS	32335040	F
RESTRICTED CASH	19335678	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	51670718	TotalOfBookValueSecurities

Other Assets OtherAssets (10 entries)

DescriptionDescription	Book ValueBookValue
INTEREST IN MERCY HEALTH FOUND	32683840
DUE FROM RELATED ENTITIES	9906910
OTHER RECEIVABLES	2770880
DEPOSITS	733200
DEFERRED FINANCING COSTS	3034987
OTHER CURRENT ASSETS	229274
OTHER ASSETS	179059
INVEST UNCONSOLID SUBS	868380
DEFERRED COMP PLAN ASSETS	5908447
CARDINAL SHEHAN SEC DEPOSIT	1720804

Field	Value	IRS element (for citing)
Total Book Value Other Assets	58035781	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
CONSTRUCTION RETAINAGE	$10,467,327
POST RETIREMENT OBLIGATION	$5,537,624
DEFERRED COMPENSATION	$5,908,441
MERRILL LYNCH SWAP	$32,599,933
MALPRACTICE TAIL LIABILITY	$327,536
CARDINAL DEPOSIT	$3,436,302
RETIREMENT ANNUITY PLAN OBLIGA	$3,904,190
ESTIMATED TAIL LIAB GIC	$1,000,000

Field	Value	IRS element (for citing)
Total Of Amounts	63181353	TotalOfAmounts

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8407003	TotalCommunityBenefitExpense
Net Community Benefit Expense	8407003	NetCommunityBenefitExpense
Percent Of Total Expense	0.02390	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8407003	TotalCommunityBenefitExpense
Net Community Benefit Expense	8407003	NetCommunityBenefitExpense
Percent Of Total Expense	0.02390	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4080198	TotalCommunityBenefitExpense
Direct Offsetting Revenue	215181	DirectOffsettingRevenue
Net Community Benefit Expense	3865017	NetCommunityBenefitExpense
Percent Of Total Expense	0.01100	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	15630	PersonsServed
Total Community Benefit Expense	13483181	TotalCommunityBenefitExpense
Net Community Benefit Expense	13483181	NetCommunityBenefitExpense
Percent Of Total Expense	0.03840	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	36883	PersonsServed
Total Community Benefit Expense	4025733	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1156263	DirectOffsettingRevenue
Net Community Benefit Expense	2869470	NetCommunityBenefitExpense
Percent Of Total Expense	0.00820	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1575847	TotalCommunityBenefitExpense
Net Community Benefit Expense	1575847	NetCommunityBenefitExpense
Percent Of Total Expense	0.00450	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	52513	PersonsServed
Total Community Benefit Expense	23164959	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1371444	DirectOffsettingRevenue
Net Community Benefit Expense	21793515	NetCommunityBenefitExpense
Percent Of Total Expense	0.06210	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	52513	PersonsServed
Total Community Benefit Expense	31571962	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1371444	DirectOffsettingRevenue
Net Community Benefit Expense	30200518	NetCommunityBenefitExpense
Percent Of Total Expense	0.08600	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	1139782	TotalCommunityBuildingExpense
Net Community Building Expense	1139782	NetCommunityBuildingExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Persons Served	166	PersonsServed
Total Community Building Expense	882074	TotalCommunityBuildingExpense
Direct Offsetting Revenue	457308	DirectOffsettingRevenue
Net Community Building Expense	424686	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	15	PersonsServed
Total Community Building Expense	138261	TotalCommunityBuildingExpense
Net Community Building Expense	138261	NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Persons Served	135	PersonsServed
Total Community Building Expense	176049	TotalCommunityBuildingExpense
Net Community Building Expense	176049	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	348101	TotalCommunityBuildingExpense
Net Community Building Expense	348101	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	316	PersonsServed
Total Community Building Expense	2684267	TotalCommunityBuildingExpense
Direct Offsetting Revenue	457308	DirectOffsettingRevenue
Net Community Building Expense	2226879	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$20,975,000	BadDebtExpenseAmount
Amount Reimbursed By Medicare	94723674	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	73519537	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	21204137	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

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

Address Address

Field	Value	IRS element (for citing)
Address Line1	301 ST PAUL PLACE	AddressLine1
City	BALTIMORE	City
State	MD	State
ZIP Code	21202	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	FINANCIAL ASSISTANCE WILL BE PROVIDED AT NO CHARGE OR AT A REDUCED CHARGE TO PATIENTS WHO ARE UNABLE TO PAY BASED ON A SLIDING SCALE THAT WILL BE APPLIED FOR INCOMES UP TO APPROXIMATELY 400% ABOVE THE HHS POVERTY GUIDELINES. THE POVERTY GUIDELINES ARE ISSUED EACH YEAR BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HSS). IN ORDER TO QUALIFY FOR FINANCIAL ASSISTANCE, ONE OF THE FOLLOWING CONDITIONS MUST BE MET: 1. PATIENT'S INCOME LEVEL IS UP TO 400% OF THE HHS POVERTY GUIDELINES AND THE PATIENT HAS LESS THAN $10,000 IN NET ASSETS TO QUALIFY FOR FULL FINANCIAL ASSISTANCE. 2. PATIENT'S INCOME LEVEL IS AT OR ABOVE THE PARAMETERS OF THE SLIDING SCALE, AND THEIR FINANCIAL PROFILE INDICATES THAT EXPENSES RELATED TO THE NECESSITIES OF LIFE (FOOD, HOUSING, UTILITIES, ETC) EXCEED INCOME. 3. PATIENT IS HOMELESS. 4. PATIENT IS DECEASED, WITH NO PERSON DESIGNATED AS DIRECTOR OF FINANCIAL AFFAIRS, OR NO ESTATE NUMBER ON FILE AT THE APPLICABLE REGISTRAR OF WILLS DEPARTMENT. 5. PATIENT HAS A REMAINING BALANCE AFTER MEDICAL ASSISTANCE. IN ADDITION, THE FOLLOWING CONDITIONS MUST BE MET AND IT WILL THEN BE DETERMINED IF THE PATIENT QUALIFIES FOR FULL OR PARTIAL ASSSISTANCE: A) FIXED INCOME SUCH AS SOCIAL SECURITY, RETIREMENT OR DISABILITY WITH NO ADDITIONAL INCOME SOURCE AVAILABLE. B) MEDICAL EXPENSES WHICH EXCEED 50% OF NET MONTHLY INCOME. IN DETERMINING ELIGIBILITY, THE SIZE OF THE PATIENT'S BILL RELATIVE TO THE PATIENT'S ABILITY TO PAY WILL BE CONSIDERED. FINANCIAL ASSISTANCE WILL BE GRANTED FOR NECESSARY HOSPITAL SERVICES AND IT WILL BE PROVIDED TO THOSE WHO PROPERLY DOCUMENT ELIGIBILITY AND COOPERATE WITH MERCY MEDICAL CENTER'S FINANCIAL ASSISTANCE APPLICATION PROCESS. WITHIN TWO BUSINESS DAYS FOLLOWING A PATIENT'S INITIAL REQUEST FOR FINANCIAL ASSISTANCE SERVICES, APPLICATION FOR MEDICAL ASSISTANCE, OR BOTH, THE FACILITY MUST MAKE A DETERMINATION OF PROBABLE ELIGIBILITY. NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IS BE POSTED IN THE ADMISSIONS OFFICE, BUSINESS OFFICE, AND EMERGENCY AREAS OF THE HOSPITAL. SUCH NOTICE IS POSTED IN ENGLISH, SPANISH AND/OR ANY OTHER LANGUAGE THAT WILL BE UNDERSTANDABLE TO TARGET POPULATIONS OF PATIENTS UTILIZING HOSPITAL SERVICES. INDIVIDUAL NOTICE OF THE AVAILABLILITY OF FINANCIAL ASSISTANCE, THE POTENTIAL FOR MEDICAID ELIGIBILITY, AND THE AVAILABILITY OF ASSISTANCE FROM OTHER GOVERNMENT FUNDED PROGRAMS SHALL BE PROVIDED TO EACH PERSON WHO SEEKS SERVICES IN THE HOSPITAL AT THE TIME OF COMMUNITY OUTREACH EFFORTS, PRENATAL SERVICES, PREADMISSION, OR ADMISSION. SUCH NOTICE WILL BE PRINTED IN ENGLISH, SPANISH, AND/OR ANY OTHER LANGUAGE THAT WILL BE UNDERSTANDABLE TO TARGET POPULATIONS OF PATIENTS UTILIZING HOSPITAL SERVICES. MERCY MEDICAL CENTER WILL MAKE AN EFFORT TO PROVIDE THE FINANCIAL ASSISTANCE APPLICATION, POLICIES, PROCEDURES, AND INFORMATION AVAILABLE IN ENGLISH, SPANISH, AND/OR ANY OTHER LANGUAGE THAT WILL BE UNDERSTANDABLE TO TARGET POPULATIONS OF PATIENTS UTILIZING HOSPITAL SERVICES.	IncomeBasedCriteria
Annual Community Benefit Expln	MERCY MEDICAL CENTER PREPARES ITS COMMUNITY BENEFIT REPORT ANNUALLY AND IT IS MADE AVAILABLE TO THE PUBLIC.	AnnualCommunityBenefitExpln
Costing Method Used	IN TABLE 7, A COST-TO-CHARGE RATIO WAS USED IN ALL CALCULATIONS.	CostingMethodUsed
Subsidized Health Services Expln	THERE ARE NO COSTS REPORTED THAT ARE ATTRIBUTABLE TO A PHYSICIAN CLINIC.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	THE BAD DEBT EXPENSE AS REPORTED ON FORM 990, PART IX, IS $20,975,211.	PercentOfTotalExpenseExpln
Bad Debt Footnote	THE COST OF BAD DEBTS ON LINE 2 AND 3 OF SCHEDULE H WAS DETERMINED BASED ON THE COST TO CHARGE RATIO FROM MMC'S ANNUAL FILING WITH THE MHSCRC.	BadDebtFootnote
Shortfall As Community Benefit	THE COSTING SOURCE IS THE MEDICARE COST REPORT AND THE METHODOLOGY IS MC ALLOWABLE COST TO MC REVENUES RECEIVED.	ShortfallAsCommunityBenefit
Debt Collection Policy	Once the collection process has begun, the organization continues to monitor whether the patient qualifies for charity care under the financial assistance policy. If the organization determines that a patient qualifies for financial assistance, including once the collection process has begun, the organization will approve the patient for charity care. Once charity care has been approved, there is no further attempt made by the organization to collect. Collection efforts will be stopped at any time during the collection process if the patient qualifies for charity care under the financial assistance policy. Furthermore, if a patient's financial situation changes at any point during the collection process, the patient may qualify for financial assistance at such point.	DebtCollectionPolicy
Number Of Facility Type Expln	MERCY MEDICAL CENTER (MMC) IS A LICENSED HOSPITAL. MMC PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES PRIMARILY FOR THE CITIZENS OF THE BALTIMORE METROPOLITAN AREA.	NumberOfFacilityTypeExpln
General Explanation	7A. CHARITY CARE AT COST AND 7F. HEALTH PROFESSIONS EDUCATION ARE EXPLAINED IN THE FOLLOWING: MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. 7B. UNREIMBURSED MEDICAID IS EXPLAINED IN THE FOLLOWING: MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY DIRECTED OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE SETTING SYSTEM.	GeneralExplanation
Needs Assessment	MERCY MEDICAL CENTER EMPLOYED A MULTI-PRONGED APPROACH IN IDENTIFYING COMMUNITY NEEDS. THESE APPROACHES ARE AS FOLLOWS: 1. ACCESSING EXISTING DATA SOURCES ON HEALTH CARE STATUS IN PSA As previously referenced, "Baltimore City's Health Status Report: 2008" was the main statistical document that provided the Hospital with key data on the most critical health care conditions affecting the population. Accessed and reviewed other State of Maryland health care data bases related to health care needs of communities that Mercy Medical Center serves beyond its PSA. Publications and data available from organizations in which Mercy Medical Center physician and administrative leadership are active participants and members such as B'More for Healthy Babies, Journey Home, Family Crisis Center of Baltimore, and Baltimore Homeless Services, amoung others. 2. Partnerships, Workgroups, and Membership in Organizations Through the workgroups and partnerships that have been established with key organizations such as Health Care for the Homeless, the Hospital received significant input and feedback on the health care needs of its immediate surrounding neighborhoods and communities. This was achieved through regular meetings and discussions throughout FY 2010. Through participation of the Hospital's executive leadership team in business forums such as The Downtown Partnership and membership in other organizations, significant feedback and information on health care needs and gaps was also gathered. 3. Mercy Health Services Mission and Corporate Ethics Committee The Mission and Corporate Ethics Committee of the Board of Trustees meets regularly to review and coordinate issues related to mission integration and coordination. This Board committee is informed and clearly understands the scope and depth of the Hospital's community benefit need initiatives. In summary, through a quantitative assessment of needs based on review of current data sources and active participation in several community based organizations, Mercy Medical Center was able to determine and prioritize its community need focus.	NeedsAssessment
Patient Education Assistance	Mercy attempts to be very proactive in communicating its charity care policy and financial assistance contact information to patients. The charity care policy and financial assistance contact information is posted in all admissions areas, including the emergency room. A copy of the policy and financial assistance contact information is also provided to patients or their families during the pre-admission, pre-surgery and admissions process. Mercy utilizes a third party, as well as in-house financial counseling staff, to contact and support patients in understanding and completing the financial assistance requirements. They also discuss with patients or their families the availability of various government benefits and assist patients with understanding the qualifications for such programs. Even after the patient is discharged, each billing statement contains an overview of Mercy's Financial Assistance Policy, a patient's rights and obligations, and contact numbers for financial assistance, financial counseling, and Maryland Medicaid. Follow-up phone calls by hospital billing/collection staff made to patients with unpaid balances also stress the availability of financial assistance and charity care availability. MERCY MEDICAL CENTER PROVIDES AND PROMOTES HEALTH SERVICES FOR THE PEOPLE OF BALTIMORE OF EVERY CREED, RACE, ECONOMIC, AND SOCIAL CONDITION. IN THE SPIRIT OF THE SISTERS OF MERCY WHO ARE ITS SPONSORS, MERCY CONTINUES A SPECIAL COMMITMENT TO THE UNDERSERVED AND THE UNINSURED. CONSISTENT WITH THIS MISSION, IT HAS BEEN THE POLICY OF MERCY MEDICAL CENTER TO ACCEPT, WITHIN THE LIMITS OF ITS FINANCIAL RESOURCES, ALL PATIENTS WHO REQUIRE ITS SERVICES, WITHOUT REGARD TO THEIR ABILITY TO PAY FOR SUCH SERVICES. EMERGENCY CARE WILL BE RENDERED TO ALL PATIENTS WITHOUT REGARD TO THE LIMITATION OF FINANCIAL RESOURCES. THIS POLICY, HOWEVER, DOES NOT PRECLUDE AN ATTEMPT TO REVIEW: 1. THE PATIENT'S ABILITY TO PAY 2. THE AVAILABILITY OF INSURANCE BENEFITS 3. THE ELIGIBILITY OF MEDICAL ASSISTANCE FOR THE PATIENT	PatientEducationAssistance
Community Information	LOCATED IN THE HEART OF DOWNTOWN BALTIMORE, MERCY MEDICAL CENTER DRAWS PATIENTS FROM THE GREATER BALTIMORE METROPOLITAN AREA FOR ITS LONGSTANDING TRADITION OF COMPASSIONATE CARE, COMMITMENT TO QUALITY AND PATIENT SAFETY, AS WELL AS ITS PRIMARY CARE AND SPECIALIST PHYSICIANS. MERCY MEDICAL CENTER'S PRIMARY SERVICE AREA (PSA) WHICH COMPRISES 16 ZIP CODES IN BALTIMORE CITY, ACCOUNTS FOR ALMOST 60% OF ITS TOTAL ADMISSIONS. KEY DEMOGRAPHIC CHARACTERISTICS OF THE PSA ARE AS FOLLOWS: POPULATION 1. THE PSA 2009 POPULATION IS 535,038. 2. PSA POPULATION GROWTH IS PROJECTED TO DECLINE BY 1.2% FROM 2009 TO 2014. THIS IS IN CONTRAST TO A 3.1% PROJECTED GROWTH FOR THE STATE OF MARYLAND. 3. SINCE 1990, THE DISTRIBUTION OF BALTIMORE CITY RESIDENTS HAS SHIFTED TOWARDS OLDER AGE GROUPS WITH A 6% INCREASE IN THE 40 YEARS AND OLDER POPULATION. THIS TREND OF AN INCREASING OLDER POPULATION GROWTH IS EXPECTED THROUGH 2020. ETHNICITY AND AGE 1. 64% BLACK; 32% CAUCASIAN IN PSA. BALTIMORE CITY'S BLACK POPULATION HAS INCREASED BY 5% SINCE 1990. 2. APPROXIMATELY 59% OF PATIENTS SERVED BY MERCY MEDICAL CENTER ARE MEMBERS OF A RACIAL OR ETHNIC MINORITIES; 66% ARE WOMEN AND 51% ARE MEDICAID AND/OR MEDICARE BENEFICIARIES. 3. 12% OF THE POPULATION IS 65 YEARS IN AGE AND OLDER. INCOME 1. PSA MEDIAN HOUSEHOLD INCOME $35,656 2. 40% OF BALTIMORE CITY HOUSEHOLDS REPORTED AN INCOME OF LESS THAN $30,000. THIS IS ONLY 44% OF THE STATEWIDE MEDIAN INCOME OF $68,080 3. THREE TIMES AS MANY FAMILIES LIVING IN BALTIMORE CITY HAD INCOME THAT WAS BELOW THE POVERTY LEVEL COMPARED TO ALL FAMILIES IN MARYLAND. 4. WITHIN THE HOSPITAL'S IMMEDIATE ZIP CODES OF 21201 AND 21202, 35% OF FAMILIES LIVE BENEATH THE FEDERAL POVERTY LEVEL DEFINITION. OF NOTE, THE MAJOR COMMUNITY BENEFIT PROGRAMS THAT ARE IDENTIFIED IN QUESTION #4 DIRECTLY ADDRESS KEY HEALTH CARE NEEDS OF THE POPULATION IN MERCY MEDICAL CENTER'S PSA. KEY FINDINGS FROM THE "BALTIMORE CITY HEALTH STATUS REPORT 2008" BALTIMORE CITY VS. STATE OF MARYLAND ON KEY HEALTH OUTCOME MEASURES 1. OVERALL MORTALITY RATE: BALTIMORE IS 37% HIGHER 2. LIFE EXPECTANCY: BALTIMORE IS 8% LOWER 3. INFANT MORTALITY: BALTIMORE IS 41% HIGHER 4. LOW BIRTH WEIGHT: BALTIMORE IS 36% HIGHER 5. TEEN BIRTH RATE: BALTIMORE IS TWICE AS HIGH 6. HIV/AIDS MORTALITY: BALTIMORE IS FIVE TIMES HIGHER AS SHOWN BY THESE SELECT INDICATORS, THERE IS A SIGNIFICANT HEALTH STATUS DISPARITY BETWEEN BALTIMORE CITY'S RESIDENTS AND THE REST OF THE STATE OF MARYLAND. DUE TO ITS LOCATION IN CENTER CITY, MERCY MEDICAL CENTER CARES FOR MANY OF THE AT-RISK, LOW INCOME POPULATION IN THE COMMUNITIES THAT IMMEDIATELY SURROUND THE HOSPITAL. THIS IS BEST EVIDENCED BY THE LARGE PERCENTAGE OF EMERGENCY ROOM VISITS BY THE MEDICAID, UNINSURED, AND MEDICARE PATIENTS. MEDICAID COVERED AND UNINSURED PATIENTS ACCOUNTED FOR MORE THAN 50% OF THE FY2010 EMERGENCY ROOM VISITS. 1. BALTIMORE CITY'S LARGEST HOMELESS SHELTER AT GUILFORD AVENUE IS WITHIN THREE BLOCKS OF THE HOSPITAL 2. MERCY MEDICAL CENTER PROVIDES ALL OF THE MEDICAL STAFF (PHYSICIANS AND NURSING PERSONNEL) FOR HEALTHCARE FOR THE HOMELESS(HCH), A FEDERALLY QUALIFIED HEALTH CENTER, WHICH DELIVERS OUTPATIENT CARE TO A LARGE NUMBER OF HOMELESS PERSONS IN BALTIMORE CITY. THE HCH CLINIC IS LOCATED TWO BLOCKS FROM THE HOSPITAL.	CommunityInformation
Community Building Activities	MERCY SUPPORTIVE HOUSING PROGRAM -------------------------------- THE SUPPORTIVE HOUSING PROGRAM AT MERCY MEDICAL CENTER HAS A STAFF OF EIGHT EXPERIENCED HUMAN SERVICES PERSONNEL WHO WORK IN CONJUNCTION WITH OTHER HOMELESS AND HUMAN SERVICE PROVIDERS TO COORDINATE SERVICES FOR HOMELESS FAMILIES AND FAMILIES AT RISK FOR HOMELESSNESS. THE PROGRAM'S GOAL IS TO HOUSE HOMELESS FAMILIES AND TO PROVIDE SUPPORTIVE SERVICES FOR A DEFINED PERIOD TO PREVENT A RETURN TO HOMELESSNESS. IN FY 2010, THE SUPPORTIVE HOUSING PROGRAM AT MERCY PROVIDED A COMPREHENSIVE RANGE OF COUNSELING SERVICES AND COMMUNITY RESOURCE LINKAGES TO 166 CLIENTS. THESE SERVICES INCURRED DIRECT COSTS OF $523,381 DURING FY2010, OR ABOUT $3,000 PER CLIENT. MERCY FAMILY VIOLENCE RESPONSE PROGRAM THE MERCY FAMILY VIOLENCE RESPONSE PROGRAM WAS DEVELOPED BY A MULTIDISCIPLINARY STAFF TASK FORCE AT MERCY MEDICAL CENTER TO PROVIDE CRISIS INTERVENTION AND SAFETY PLANNING FOR VICTIMS OF FAMILY VIOLENCE (DOMESTIC VIOLENCE, CHILD ABUSE, ELDER AND VULNERABLE ADULT ABUSE) AND SEXUAL ASSAULT WHO COME TO MERCY MEDICAL CENTER AND ITS PHYSICIANS FOR TREATMENT. THIS PROGRAM IMPROVES BALTIMORE'S COORDINATED COMMUNITY RESPONSE TO VICTIMS OF VIOLENCE, AND CREATES AN ALERT WORKFORCE AT MERCY MEDICAL CENTER, SKILLED AT IDENTIFYING AND RESPONDING TO VICTIMS OF FAMILY VIOLENCE. EMERGENCY DEPARTMENT SERVICES AT MERCY MEDICAL CENTER ----------------------------------------------------- OF THE 60,787 VISITS TO MERCY MEDICAL CENTER'S EMERGENCY DEPARTMENT (ED) IN FY 2010, 39.4% WERE MEDICAID BENEFICIARIES AND 21.3% EITHER HAD NO INSURANCE OR ABILITY TO PAY OR WERE UNDERINSURED. THE HOSPITAL'S HIGH PERCENTAGE OF POOR PERSONS WHO SEEK CARE AT THE ED REQUIRES SUBSTANTIAL EMERGENCY PHYSICIAN SALARY SUBSIDY TO SUPPORT THE HIGH LEVEL OF UNCOMPENSATED CARE. THIS AMOUNTED TO $1,807,369 IN FY 2010, ONE OF THE SINGLE LARGEST COMMUNITY BENEFIT FINANCIAL CONTRIBUTIONS. DUE TO ITS LOCATION WITHIN THREE BLOCKS OF THE CITY'S LARGEST HOMELESS SHELTER AT GUILFORD AVENUE AND CLOSE PROXIMITY TO HCH, MERCY MEDICAL CENTER'S ED RECEIVES MANY VISITS FROM HOMELESS PERSONS. WITH DECADES OF EXPERIENCE IN PROVIDING EMERGENT AND URGENT CARE TO POOR AND HOMELESS POPULATIONS, THE HOSPITAL HAS ESTABLISHED KEY SERVICES FOR THE MEDICALLY UNDERSERVED INCLUDING THE FOLLOWING: A FULL TIME SOCIAL WORKER IS A PART OF THE ED TEAM TO COORDINATE CARE AND OTHER SERVICES FOR HOMELESS PATIENTS WHO ARRIVE AT THE ED. ED PHYSICIANS AND NURSES MAKE VISITS TO BALTIMORE CITY SHELTERS TO PROVIDE THE FOLLOWING SERVICES: 1. ADMINISTRATION OF FLU VACCINATIONS TO RESIDENTS 2. PRESENTATIONS ON PARASITES AND INFECTIOUS DISEASE 3. INFECTIOUS DISEASE PREVENTION THE FORENSIC NURSE EXAMINER PROGRAM (FNE) IS HOUSED AT THE HOSPITAL'S ED AND PROVIDES 24/7 CARE TO PATIENTS WHO ARE VICTIMS OF SEXUAL, DOMESTIC, CHILD, ELDER, AND INSTITUTIONAL VIOLENCE. FORENSIC NURSES PROVIDE COMPREHENSIVE FORENSIC MEDICAL INTERVIEWS, MEDICAL ASSESSMENTS, AND EVIDENCE COLLECTION, AND ASSURE CRISIS INTERVENTION TO AN EVER INCREASING VOLUME OF UNDERSERVED PATIENTS. DURING FY 2010, THE FNE PROGRAM CONDUCTED 502 EXAMINATIONS AND IS THE DESIGNATED SITE FOR PATIENTS IN BALTIMORE CITY. LOW BIRTH WEIGHT PROGRAM- DEPARTMENT OF OBSTETRICS -------------------------------------------------- MERCY MEDICAL CENTER DELIVERED MORE BABIES, 2,802, THAN ANY OTHER HOSPITAL IN BALTIMORE CITY IN FY 201O. OF THESE BABIES, 11.2% WERE OF LOW BIRTH WEIGHT AND 13.8% WERE PREMATURE. LOW BIRTH WEIGHT AND PREMATURITY ARE INTERTWINED AND CORRELATED. AS CITED IN QUESTION #2, LOW BIRTH WEIGHT IS A KEY HEALTH STATUS INDICATOR THAT IS MEASURED AND TRACKED BY THE BALTIMORE CITY DEPARTMENT OF HEALTH THAT MUST BE DECREASED IN INCIDENCE. FY2010 RATE MERCY MARYLAND NATIONAL LOW BIRTH WEIGHT 11.2% 9.15% 8.2% PREMATURITY 13.8% 13.40% 12.7% THE HOSPITAL HAS TAKEN A LEADERSHIP ROLE THROUGH ITS ACTIVE PARTICIPATION IN "B'MORE FOR HEALTHY BABIES", A LONG TERM INITIATIVE LED BY THE MAYOR'S OFFICE AND MANAGED BY THE BALTIMORE CITY HEALTH DEPARTMENT TO REDUCE TO INCIDENTS OF LOW BIRTH WEIGHT. DR. ROBERT ATLAS, CHAIRMAN OF MERCY MEDICAL CENTER'S DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, HAS A LEADERSHIP ROLE WITHIN THIS WORKGROUP. THE GOALS OF "B'MORE FOR HEALTHY BABIES" ARE REDUCTION IN THE FOLLOWING: 1. RATE OF PRE-TERM BIRTHS BY AT LEAST 10% 2. RATE OF LOW BIRTH WEIGHT INFANTS BY AT LEAST 10% 3. THE NUMBER OF DEATHS FROM UNSAFE SLEEP BY AT LEAST 10% OF NOTE, 60% OF THE PATIENTS WHO DELIVERED BABIES AT MERCY MEDICAL CENTER WERE EITHER MEDICAID BENEFICIARIES OR UNINSURED/SELF PAY. THIS POPULATION IS ESPECIALLY LINKED WITH LOW BIRTH RATE AND PREMATURITY DUE TO POVERTY THAT CLOSELY RELATES TO UNHEALTHY LIFESTYLES, PARTICULARLY, POOR NUTRITION AND INADEQUATE PRENATAL CARE. IN ORDER TO ENSURE 24/7 COVERAGE FOR ITS OBSTETRICAL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, MERCY MEDICAL CENTER PROVIDED $1,415,617 IN PHYSICIAN SUBSIDY FOR THIS SPECIALTY; A 12% INCREASE FROM FY 2009. DETERMINING THE NEEDS IN THE COMMUNITY TO BE ADDRESSED ------------------------------------------------------ SINCE THE INCEPTION OF COMMUNITY BENEFIT REPORTING TO THE HSCRC, MERCY MEDICAL CENTER HAS CONSISTENTLY RANKED AMONG THE TOP FIVE HOSPITALS IN THE STATE OF MARYLAND IN TERMS OF THE PERCENTAGE OF OPERATING REVENUE DEVOTED TO COMMUNITY NEED PROGRAMS. OF NOTE, COMMUNITY BENEFIT AND CHARITY CARE SPENDING AS A PERCENTAGE OF TOTAL OPERATING EXPENSES INCREASED TO 12.2% IN FY2010 FROM 11.9% IN FY2009. A KEY REASON FOR THE HIGHER PERCENTAGE OF MONEY SPENT ON COMMUNITY NEED PROJECTS RELATES DIRECTLY TO THE HOSPITAL'S MISSION AND VALUE STATEMENTS.	CommunityBuildingActivities
Other Information	ACCESS TO CARE FOR AT-RISK, UNDERSERVED POPULATIONS HAS LONG BEEN A CORNERSTONE MISSION FOR MERCY MEDICAL CENTER. MAJOR PROGRAMS TO SERVE THIS NEED INCLUDE OUR FUNDING OF DIRECT PHYSICIAN CHARITY CARE ACROSS ALL SPECIALTIES AND THE PHARMACY CHARITY FUND TO PATIENTS WHO ARE UNINSURED AND UNABLE TO PAY. IN ADDITION, THE FAMILY HEALTH CENTERS OF BALTIMORE (FCHB) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), WHICH RECEIVES SIGNIFICANT FINANCIAL SUPPORT FROM THE HOSPITAL. FCHB, WITH A CLINIC LOCATED ADJACENT TO THE MERCY CAMPUS, LARGELY SERVES THE MEDICAID AND UNINSURED POPULATIONS IN SURROUNDING COMMUNITIES. BASED UPON THE NEEDS ASSESSEMENT, MERCY MEDICAL CENTER IDENTIFIED THREE KEY AREAS OF FOCUS FOR "MISSION DRIVEN HEALTH SERVICES" IN FY 2010; THEY ARE AS FOLLOWS: HOMELESSNESS: THE NEED TO RESPOND TO AND ACTIVELY SUPPORT THE MEDICAL PROFESSIONAL NEEDS OF ORGANIZATIONS THAT SERVE THE HOMELES POPULATION OF BALTIMORE. EMERGENCY SERVICES: AS PROVIDED THROUGH THE EMERGENCY DEPARTMENT, GIVEN THE LARGE PERCENTAGE OF POOR AND UNINSURED PATIENTS WHO ACCESS THIS SERVICE. LOW BIRTH WEIGHT: MERCY MEDICAL CENTER DELIVERS MORE BABIES TO WOMEN AT OR BELOW THE POVERTY LINE THAN ANY OTHER HOSPITAL IN BALTIMORE. A SIGNIFICANT PERCENTAGE (>10%) OF THESE BIRTHS ARE PREMATURE AND OF LOW BIRTH WEIGHT. ALL OF THESE PROGRAMS ARE INTERTWINED AS THEY SHARE A COMMON THREAD IN THAT THE UNDERSERVED AND POOR POPULATIONS OF BALTIMORE ARE THE PRIMARY RECIPIENTS OF MEDICAL SERVICES PROVIDED BY MERCY MEDICAL CENTER ON AND OFF ITS CAMPUS. HOMELESSNESS ------------ THE NUMBER OF PEOPLE EXPERIENCING HOMELESSNESS HAS GROWN STEADILY OVER THE PAST 20 YEARS IN BALTIMORE AND THROUGHOUT THE ENTIRE NATION. THIS NUMBER IS EXPECTED TO CONTINUE TO RISE GIVEN THE DETERIORATING ECONOMIC CONDITIONS LOCALLY AND NATIONALLY THAT CAUSE HIGH UNEMPLOYMENT, LOSS OF HOMES, REDUCED FEDERAL ASSISTANCE TO MEDICAID AND OTHER SAFETY NET PROGRAMS. BALTIMORE'S HOMELESS POPULATION EXTENDS GREATLY BEYOND THOSE WHO CAN FIND BEDS IN CITY AND OTHER NONPROFIT RUN SHELTERS. MERCY MEDICAL CENTER IS DIRECTLY INVOLVED IN THE PROVISION OF MEDICAL SERVICES TO THE HOMELESS POPULATION THROUGH THREE KEY AREAS. HEALTH CARE FOR THE HOMELESS ---------------------------- HEALTH CARE FOR THE HOMELESS (HCH) WAS ESTABLISHED IN 1985 AND PROVIDES ADULT, PEDIATRIC, AND GERIATRIC MEDICAL CARE, DENTAL CARE, MENTAL HEALTH, HIV SERVICES, SOCIAL WORK AND CASE MANAGEMENT, ADDICTION TREATMENT, OUTREACH, PRISON RE-ENTRY, SUPPORTIVE HOUSING, AND ACCESS TO EDUCATION AND EMPLOYMENT. IN 2009, HCH SAW 6,196 PATIENTS WHO ACCOUNTED FOR 65,430 VISITS. WITH ITS NEW LOCATION TWO BLOCKS FROM MERCY MEDICAL CENTER, HCH IS EXPECTED TO PROVIDE SIGNIFICANTLY MORE CARE ACROSS ITS SPECTRUM OF SERVICES DUE TO EXPANDED SPACE AND INCREASED STAFFING. SINCE ITS INCEPTION IN 1985 (A 25-YEAR PARTNERSHIP), MERCY MEDICAL CENTER HAS DIRECTLY EMPLOYED AND PROVIDED ALL OF THE PHYSICIAN AND NURSING STAFF TO HCH FOR MEDICAL SERVICES. WHILE THE HOSPITAL IS REIMBURSED FOR THE DIRECT COSTS OF ITS EMPLOYED CLINICIANS FROM HCH, INDIRECT AND OTHER NON COMPENSATED COSTS CONTRIBUTED TO HCH WERE $886,762 IN FY 2010. AS OF DECEMBER 2009, THE HOSPITAL EMPLOYS AND PROVIDES FOUR PRIMARY CARE PHYSICIANS, TWO NURSE PRACTITIONERS, ONE PHYSICIAN ASSISTANT, AND THREE REGISTERED NURSES TO WORK AT HCH. IN FY2011 AND BEYOND, MERCY MEDICAL CENTER WILL RESPOND AND EXPAND ITS LEVEL OF DIRECT AND INDIRECT SUPPORT TO HCH AS NEEDED: 1. HCH PROJECTS A 10% INCREASE IN THE NUMBER OF PATIENT VISITS TO ITS MAIN CENTER IN DOWNTOWN BALTIMORE IN FY2011. 2. HCH PLANS TO PLACE MID-LEVEL PRACTITIONER STAFFING AT TWO OF THE MAIN HOMELESS SHELTERS IN THE DOWNTOWN AREA. Mercy Medical Center, through its sole member MHS, is governed by a community board comprised of civic leaders who are committed to and represent the healthcare needs of the community. Mercy Medical Center extends medical staff privileges to all qualified physicians for all of its departments. All financial surpluses Mercy Medical Center generates are used exclusively to further the mission of the organization." MERCY SUPPORTIVE HOUSING PROGRAM -------------------------------- THE SUPPORTIVE HOUSING PROGRAM AT MERCY MEDICAL CENTER HAS A STAFF OF EIGHT EXPERIENCED HUMAN SERVICES PERSONNEL WHO WORK IN CONJUNCTION WITH OTHER HOMELESS AND HUMAN SERVICE PROVIDERS TO COORDINATE SERVICES FOR HOMELESS FAMILIES AND FAMILIES AT RISK FOR HOMELESSNESS. THE PROGRAM'S GOAL IS TO HOUSE HOMELESS FAMILIES AND TO PROVIDE SUPPORTIVE SERVICES FOR A DEFINED PERIOD TO PREVENT A RETURN TO HOMELESSNESS. IN FY 2010, THE SUPPORTIVE HOUSING PROGRAM AT MERCY PROVIDED A COMPREHENSIVE RANGE COUNSELING SERVICES AND COMMUNITY RESOURCE LINKAGES TO 166 CLIENTS. THESE SERVICES INCURRED DIRECT COSTS OF $523,381 DURING FY2010, OR ABOUT $3,000 PER CLIENT. MERCY FAMILY VIOLENCE RESPONSE PROGRAM THE MERCY FAMILY VIOLENCE RESPONSE PROGRAM WAS DEVELOPED BY A MULTIDISCIPLINARY STAFF TASK FORCE AT MERCY MEDICAL CENTER TO PROVIDE CRISIS INTERVENTION AND SAFETY PLANNING FOR VICTIMS OF FAMILY VIOLENCE (DOMESTIC VIOLENCE, CHILD ABUSE, ELDER AND VULNERABLE ADULT ABUSE) AND SEXUAL ASSAULT WHO COME TO MERCY MEDICAL CENTER AND ITS PHYSICIANS FOR TREATMENT. THIS PROGRAM IMPROVES BALTIMORE'S COORDINATED COMMUNITY RESPONSE TO VICTIMS OF VIOLENCE, AND CREATES AN ALERT WORKFORCE AT MERCY MEDICAL CENTER, SKILLED AT IDENTIFYING AND RESPONDING TO VICTIMS OF FAMILY VIOLENCE. EMERGENCY DEPARTMENT SERVICES AT MERCY MEDICAL CENTER ----------------------------------------------------- OF THE 60,787 VISITS TO MERCY MEDICAL CENTER'S EMERGENCY DEPARTMENT (ED) IN FY 2010, 39.4% WERE MEDICAID BENEFICIARIES AND 21.3% EITHER HAD NO INSURANCE OR ABILITY TO PAY OR WERE UNDERINSURED. THE HOSPITAL'S HIGH PERCENTAGE OF POOR PERSONS WHO SEEK CARE AT THE ED REQUIRES SUBSTANTIAL EMERGENCY PHYSICIAN SALARY SUBSIDY TO SUPPORT THE HIGH LEVEL OF UNCOMPENSATED CARE. THIS AMOUNTED TO $1,807,369 IN FY 2010, ONE OF THE SINGLE LARGEST COMMUNITY BENEFIT FINANCIAL CONTRIBUTIONS. DUE TO ITS LOCATION WITHIN THREE BLOCKS OF THE CITY'S LARGEST HOMELESS SHELTER AT GUILFORD AVENUE AND CLOSE PROXIMITY TO HCH, MERCY MEDICAL CENTER'S ED RECEIVES MANY VISITS FROM HOMELESS PERSONS. WITH DECADES OF EXPERIENCE IN PROVIDING EMERGENT AND URGENT CARE TO POOR AND HOMELESS POPULATIONS, THE HOSPITAL HAS ESTABLISHED KEY SERVICES FOR THE MEDICALLY UNDERSERVED INCLUDING THE FOLLOWING: A FULL TIME SOCIAL WORKER IS A PART OF THE ED TEAM TO COORDINATE CARE AND OTHER SERVICES FOR HOMELESS PATIENTS WHO ARRIVE AT THE ED. ED PHYSICIANS AND NURSES MAKE VISITS TO BALTIMORE CITY SHELTERS TO PROVIDE THE FOLLOWING SERVICES: ...ADMINISTRATION OF FLU VACCINATIONS TO RESIDENTS ...PRESENTATIONS ON PARASITES AND INFECTIOUS DISEASE ...INFECTIOUS DISEASE PREVENTION THE FORENSIC NURSE EXAMINER PROGRAM (FNE) IS HOUSED AT THE HOSPITAL'S ED AND PROVIDES 24/7 CARE TO PATIENTS WHO ARE VICTIMS OF SEXUAL, DOMESTIC, CHILD, ELDER, AND INSTITUTIONAL VIOLENCE. FORENSIC NURSE PROVIDE COMPREHENSIVE FORENSIC MEDICAL INTERVIEWS, MEDICAL ASSESSMENTS, AND EVIDENCE COLLECTION, AND ASSURE CRISIS INTERVENTION TO AN EVER INCREASING VOLUME OF UNDERSERVED PATIENTS. DURING FY 2010, THE FNE PROGRAM CONDUCTED 502 EXAMINATIONS AND IS THE DESIGNATED SITE FOR PATIENTS IN BALTIMORE CITY. LOW BIRTH WEIGHT PROGRAM- DEPARTMENT OF OBSTETRICS -------------------------------------------------- MERCY MEDICAL CENTER DELIVERED MORE BABIES, 2,802, THAN ANY OTHER HOSPITAL IN BALTIMORE CITY IN FY 201O. OF THESE BABIES, 11.2% WERE OF LOW BIRTH WEIGHT AND 13.8% WERE PREMATURE. LOW BIRTH WEIGHT AND PREMATURELY ARE INTERTWINED AND CORRELATED. AS CITED IN QUESTION #2, LOW BIRTH WEIGHT IS A KEY HEALTH STATUS INDICATOR THAT IS MEASURED AND TRACKED BY THE BALTIMORE CITY DEPARTMENT OF HEALTH THAT MUST BE DECREASED IN INCIDENCE. FY2010 RATE MERCY MARYLAND NATIONAL LOW BIRTH WEIGHT 11.2% 9.15% 8.2% PREMATURITY 13.8% 13.40% 12.7% THE HOSPITAL HAS TAKEN A LEADERSHIP ROLE THROUGH ITS ACTIVE PARTICIPATION IN "B'MORE FOR HEALTHY BABIES", A LONG TERM INITIATIVE LED BY THE MAYOR'S OFFICE AND MANAGED BY THE BALTIMORE CITY HEALTH DEPARTMENT TO REDUCE TO INCIDENCE OF LOW BIRTH WEIGHT. DR. ROBERT ATLAS, CHAIRMAN OF MERCY MEDICAL CENTER'S DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, HAS A LEADERSHIP ROLE WITHIN THIS WORKGROUP. THE GOALS OF "B'MORE FOR HEALTHY BABIES" ARE REDUCTION IN THE FOLLOWING: ...RATE OF PRE-TERM BIRTHS BY AT LEAST 10% ...RATE OF LOW BIRTH WEIGHT INFANTS BY AT LEAST 10% ...THE NUMBER OF DEATHS FROM UNSAFE SLEEP BY AT LEAST 10% OF NOTE, 60% OF THE PATIENTS WHO DELIVERED BABIES AT MERCY MEDICAL CENTER WERE EITHER MEDICAID BENEFICIARIES OR UNINSURED/SELF PAY. THIS POPULATION IS ESPECIALLY LINKED WITH LOW BIRTH RATE AND PREMATURELY DUE TO POVERTY THAT CLOSELY RELATES TO UNHEALTHY LIFESTYLES, PARTICULARLY, POOR NUTRITION AND INADEQUATE PRENATAL CARE. IN ORDER TO ENSURE 24/7 COVERAGE FOR ITS OBSTETRICAL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, MERCY MEDICAL CENTER PROVIDED $1,415,617 IN PHYSICIAN SUBSIDY FOR	OtherInformation
Affiliated Health Care System	KEY MERCY HEALTH SERVICES (MHS) PARTNERSHIPS/WORK GROUPS GROUP NAME: JOURNEY HOME PURPOSE AND MMC PARTICIPATION: SISTER HELEN AMOS, RSM, EXECUTIVE CHAIR OF THE MERCY HEALTH SERVICES (MHS) BOARD OF TRUSTEES AND FORMER CEO OF MHS, SERVES AS CHAIR OF THE LEADERSHIP ADVISORY GROUP FOR THE ORGANIZATION WHOSE PURPOSE IS TO END HOMELESSNESS IN BALTIMORE. GROUP NAME: HEALTH CARE FOR THE HOMELESS PURPOSE AND MMC PARTICIPATION: HEALTH CARE FOR THE HOMELESS (HCH) PROVIDES HEALTH-RELATED SERVICES TO REDUCE THE INCIDENCE AND BURDENS OF HOMELESSNESS; ITS MAIN SITE IS WITHIN TWO BLOCKS OF MERCY MEDICAL CENTER (MMC). CATHERINE KELLY, DIRECTOR OF COMMUNITY OUTREACH OF MMC SERVES ON HCH'S BOARD OF DIRECTORS. GROUP NAME: BALTIMORE HOMELESS SERVICES PURPOSE AND MMC PARTICIPATION: A PROGRAM WITHIN THE CITY OF BALTIMORE CONSISTING OF PROVIDERS AND STAKEHOLDERS INVOLVED IN ADDRESSING HOMELESSNESS. GROUP NAME: GUILFORD AVENUE SHELTER PURPOSE AND MMC PARTICIPATION: BALTIMORE CITY'S LARGEST SHELTER, WHERE MMC HAS ESTABLISHED CLINICAL OUTREACH SERVICES ON-SITE. GROUP NAME: MAYOR'S OFFICE ON EMERGENCY MANAGEMENT PURPOSE AND MMC PARTICIPATION: MMC SERVES ON THE EMERGENCY PREPAREDNESS TASK FORCE FOR BALTIMORE CITY. GROUP NAME: SEX AND FAMILY CRIMES DIVISION OF THE BALTIMORE CITY POLICE DEPARTMENT PURPOSE AND MMC PARTICIPATION: MERCY'S FAMILY VIOLENCE RESPONSE PROGRAM WORKS CLOSELY WITH THE CITY'S POLICE DEPARTMENT AS THE HOSPITAL HAS THE ONLY FORENSIC NURSE EXAMINER PROGRAM IN BALTIMORE CITY. GROUP NAME: FAMILY CRISIS CENTER OF BALTIMORE (FCCB) PURPOSE AND MMC PARTICIPATION: FCCB IS A MAJOR REFERRAL PARTNER TO MERCY'S FORENSIC NURSE EXAMINER AND SUPPORTIVE HOUSING PROGRAMS. GROUP NAME: DOMESTIC VIOLENCE COORDINATING COUNCIL PURPOSE AND MMC PARTICIPATION: MARY CATHERINE-WEBB, DIRECTOR OF SOCIAL SERVICES AT MMC SERVES ON THE ORGANIZATION'S STEERING COMMITTEE. GROUP NAME: B'MORE FOR HEALTHY BABIES (BHB) PURPOSE AND MMC PARTICIPATION: BHB IS A COALITION OF PHYSICIANS AMONG BALTIMORE CITY'S MAJOR HOSPITALS THAT ADDRESS WAYS TO REDUCE INFANT MORTALITY, PREMATURITY, AND LOW BIRTH WEIGHT. ROBERT ATLAS, M.D., MMC'S CHAIRMAN OF OBSTETRICS AND GYNECOLOGY IS A LEADER WITHIN BHB. GROUP NAME: FRIENDS OF PATTERSON PARK PURPOSE AND MMC PARTICIPATION: MERCY IS ACTIVELY INVOLVED IN AND FINANCIALLY SUPPORTS THE "HEALTHY LIVING INITIATIVE" OF FPP. GROUP NAME: FAMILY HEALTH CENTERS OF BALTIMORE (FCHB) PURPOSE AND MMC PARTICIPATION: SAM MOSKOWITZ, MMC'S CHIEF OPERATING OFFICER SERVES ON THE BOARD OF DIRECTORS OF FCHB, A FEDERALLY QUALIFIED HEALTH CENTER THAT SERVES CENTRAL AND SOUTH BALTIMORE CITY.	AffiliatedHealthCareSystem

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg
THOMAS MULLEN
676902	0	0	0	418196	0	7350	0	21777	0	1124225	0	261258
AMY FREEMAN
328859	0	0	0	622915	0	7350	0	10518	0	969642	0	571502
SAMUEL MOSKOWITZ
437074	0	0	0	238015	0	7350	0	23597	0	706036	0	169540
SCOTT SPIER md
353668	0	0	0	55277	0	10822	0	23189	0	442956	0	0
JOHN TOPPER
336898	0	0	0	471546	0	7350	0	20162	0	835956	0	418969
SUSAN FINLAYSON
265726	0	0	0	376831	0	38350	0	31181	0	712088	0	311892
JUDITH WEILAND
260723	0	0	0	65517	0	13974	0	3708	0	343922	0	31341
ROBERT EDWARDS
235295	0	0	0	37350	0	7124	0	20162	0	299931	0	0
JAMES LEVY MD
240736	0	24000	0	8000	0	10956	0	26532	0	310224	0	0
JESSIE REED
195546	0	0	0	103612	0	19396	0	11388	0	329942	0	84187
JOHN LEPLEY
200022	0	0	0	109860	0	6179	0	19259	0	335320	0	78861

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
NONQUALIFIED RETIREMENT PLAN	SCH J LINE 4B	The Corporation maintained a nonqualified plan of deferred compensation for certain employees. The Plan only permits deferrals (that is, no contributions are made by the Corporation). Due to the changes in tax laws, the plan was terminated during the year and participating employees were paid and taxed on the entirety of their accounts. Schedule J reports the amounts distributed, which amounts were reflected as contributions in prior periods. The following individuals received distributions from the nonqualified deferred compensation plan in the following amounts: THOMAS MULLEN $261,258 JOHN TOPPER $418,969 SAMUEL MOSKOWITZ $169,540 AMY FREEMAN $571,502 SUSAN FINLAYSON $311,892 JUDITH WEILAND $ 31,341 JESSIE REED $ 84,187 JOHN LEPLEY $ 78,861
NON-FIXED PAYMENTS	SCH J LINE 7	The Compensation Committee approves non-fixed payments for management based on the degree of meeting corporate priorities established by the Board of Trustees. The corporate objectives are designed to advance the organization in the areas of quality care, patient safety, patient satisfaction, business development and financial strength.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (5 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
MARYLAND HEALTH & HIGHER EDUCATIONAL FAC AUTHORITY
520936091	574217XX8	2006-08-03	35000000	2006 REPLACEMENT GARAGE AND RO	false	false
MARYLAND HEALTH & HIGHER EDUCATIONAL FAC AUTHORITY
520936091	574217L29	2007-11-08	155000000	2007 A REPLACEMENT TOWER AND R	false	false
MARYLAND HEALTH & HIGHER EDUCATIONAL FAC AUTHORITY
520936091	574217L37	2007-11-08	150000000	2007 B C D REPLACEMENT PATIENT	false	false
MARYLAND HEALTH & HIGHER EDUCATIONAL FAC AUTHORITY
520936091	574217Y41	2008-07-16	35325000	2008 REFUNDING OF 2003 BONDS	false	false
MARYLAND HEALTH & HIGHER EDUCATIONAL FACILITY AUTH
520936091	5742174Z5	2009-12-16	30000000	2009 PARTIAL CONVERSION 2008 BONDS	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount In Reserve FundAmountInReserveFund	Amount DefeasedAmountDefeased	Amount UnspentAmountUnspent
35952865	330107	35622758	2008	false	false	true	true
168743062	1508050	97263600	2011	true	false	false	true	12498309	8812500	48660602
155940666	896739	150516037	2011	false	false	false	true			4527890
35457518	387518		2008	true	false	true	true		35070000
30000000			2009	true	false	true	true		30000000

Form990 Schedule K Part III Form990ScheduleKPartIII (5 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	true	true	false	true	0.00000	0.00000	0.00000	true
false	true	true	false	true	0.00000	0.00000	0.00000	true
false	true	true	false	true	0.00000	0.00000	0.00000	true
false	true	true	false	true	0.00500	0.00100	0.00600	true
false	true	true	false	true	0.00500	0.00100	0.00600	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (5 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
MERRILL LYNCH
false	false	true	30.	false	false	true
MERRILL LYNCH
false	false	true	30.	true	false	true	GE FUNDING	4.25	true
MERRILL LYNCH
false	true	true	35.	true	false	true	GE FUNDING	2.	true
(no name)
false	true	false		false	false	true
(no name)
false	false	false		false	false	true

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	SUSAN FINLAYSON	NamePerson
Purpose Of Loan	RELOCATION	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$250,000	OriginalPrincipalAmount
Balance Due	75000	BalanceDue
Default	false	Default
Approved By Board	true	ApprovedByBoard
Written Agreement	true	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	75000	TotalBalanceDue

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes

Intellectual Property IntellectualProperty

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Method Of Determining Revenues	Cost savings	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Publicly Traded		SecuritiesPubliclyTraded
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF 990 REVIEW PROCESS	PART VI, LINE 11	Mercy Health Services, Inc. ("MHS), the sole parent of the Corporation, has a policy which requires the Corporation's 990 to be made available for review by the MHS Board and/or the MHS Board Executive Committee prior to its filing. At its March 23, 2011 meeting, MHS Board Executive Committee members received a copy of the Corporation's draft form 990. The MHS CFO provided a power point presentation regarding the draft and there was an opportunity for questions and discussion. Following further revision of the draft 990 and prior to its filing, it was made available in final form to all members of the MHS Board and the Corporation's Board.
CONFLICTS OF INTEREST MONITORING AND ENFORCEMENT	PART VI, LINE 12C	MHS HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT COVERS MHS AND ALL OF ITS DIRECT AND INDIRECT SUBSIDIARIES. THE INDIVIDUALS COVERED UNDER THE POLICY INCLUDE ALL TRUSTEES, DIRECTORS, OFFICERS (INCLUDING ALL SENIOR AND EXECUTIVE VICE PRESIDENTS) AND MEMBERS OF ANY COMMITTEE WITH BOARD-DELEGATED POWERS. UNDER THE POLICY, EACH SUCH PERSON IS REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE FORM REGARDING BUSINESS RELATIONSHIPS THAT HE OR SHE, OR ANY FAMILY MEMBER, HAS WITH ANY OTHER ORGANIZATION THAT DOES BUSINESS WITH MHS OR ITS SUBSIDIARIES AND RELATIONSHIPS BETWEEN AND AMONG OFFICERS, TRUSTEES AND DIRECTORS. THE COMPLETED DISCLOSURE FORMS ARE REVIEWED BY THE MHS BOARD CHAIR AND BY THE MHS CEO OR A DESIGNEE. IN ADDITION TO THE ANNUAL DISCLOSURE, ANY PERSON WHO IS COVERED BY THE CONFLICT OF INTEREST POLICY HAS AN ONGOING OBLIGATION TO DISCLOSE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT TO THE BOAURD OR THE BOARD COMMITTEE IN WHICH THE MATTER ARISES. FOLLOWING THE DISCLOSURE, THE PERSON MAY MAKE A PRESENTATION, BUT MUST THEN LEAVE THE MEETING AND THE OTHER MEMBERS OF THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER A CONFLICT EXISTS. UNDER THE POLICY, A CONFLICT OF INTEREST EXISTS WHEN AN INDIVIDUAL'S OWN PERSONAL INTERST WOULD, OR MAY, INTERFERE WITH HIS OR HER IMPARTIALITY REGARDING THE MATTER. IF A CONFLICT EXISTS, THE PERSON MAY NOT BY PRESENT DURING DELIBERATIONS ON THE MATTER OR VOTE ON IT. THE BOARD OR COMMITTEE, AFTER CONDUCTING SUCH ADDITIONAL DUE DILIGENCE AS IT DETERMINES IS APPROPRIATE, SHALL MAKE A DECISION ON THE MATTER BASED UPON WHETHER THE PARTICULAR PROPOSAL IS FAIR, REASONABLE AND IN THE BEST INTEREST OF THE ORGANIZATION.
PROCESS OF DETERMINING COMPENSATION	PART VI, LINE 15	THE ORGANIZATION'S BOARD HAS ADOPTED A COMPENSATION POLICY (THE "POLICY") FOR COVERED INDIVIDUALS. PURSUANT TO THE POLICY, A COMPENATION COMMITTEE OF INDEPENDENT DIRECTORS OF THE BOARD OF THE ORGANIZATION'S PARENT CORPORATION WAS ESTABLISHED TO REVIEW THE COMPENSATION OF ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE REMUNERATION FROM THE ORGANIZATION. THE COMPENSATION COMMITTEE IS ADVISED BY AN INDEPENDENT COMPENSATION CONSULTANT, WHICH OPINES TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDES DATA OF COMPENSATION PROVIDED AT SIMILAR ORGANIZATIONS TO ENSURE THAT THE ORGANIZATION DOES NOT COMPENSATE IN EXCESS OF MARKET NORMS. Mercy Health Services, Inc. (the Corporation's sole member) has a written policy regarding the review of physician compensation titled "Amended and Restated Physician Compensation Review." The policy applies to all MHS subsidiaries, including the Corporation, and it sets out the process and procedures for ensuring that physician compensation is appropriately reviewed and determined to be consistent with fair market value. Under the policy the review and determination must be documented in writing. The policy addresses internal reviews through benchmarking of physician compensation against nationally recognized compensation survey data, the use of independent compensation consultants and review by the MHS Board Compensation Committee. The policy further requires that all compensation reviews be performed in accordance with the MHS Conflict of Interest Policy.
DOCUMENT AVAILABILITY	PART VI, LINE 19	The governing documents of the organization, its conflicts of interest policy, and its financial statements are available from the organization upon request.
AUDITS	PART XI, QUSTIONS 2 AND 3	MERCY HEALTH SYSTEM, INC. AND ITS SUBSIDIARES INCLUDING THE ORGANIZATION FILING THIS FORM 990, UNDERGO A CONSOLIDATED AUDIT OF THEIR FINANCIAL STATEMENT THAT COMPLIES WITH SINGLE AUDIT ACT/OMB CIRCULAR A-133 REQUIREMENTS DUE TO THE EXPENDITURE OF FEDERAL AWARDS. THE ACCOUNTING FIRM OF COHEN, RUTHERFORD + KNIGHT P.C. HAS ISSUED AN UNQUALIFIED OPINION REGARDING THE CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMANCE WITH GENERALLY ACCEPTED AUDIT STANDARDS AND THE SINGLE AUDIT ACT/OMB CIRCULAR A-133 REQUIREMENTS FOR THE FISCAL YEAR THAT CORRESPONDS TO THE TAX REPORTING YEAR GOVERNED BY THIS FORM 990.
SUPPLEMENTAL INFORMATION FOR SCHEDULE K	SCHEDULE K, PART I, COLUMN G, LINE C AND D	LINE C AND D HAS BEEN CHECKED SINCE THESE BOND ISSUES HAVE NOT BEEN FULLY REFUNDED; HOWEVER, THEY HAVE BEEN PARTIALLY REFUNDED, AND THE BOND ISSUES TO PARTIALLY REFUND BONDS LISTED ON LINES C AND D OF PART I ARE SHOWN ON LINE E AND A.
SUPPLEMENTAL FOR SCHEDULE K	SCHEDULE K, PART II, LINE 3	PROCEEDS FROM THE "2007 A REPLACEMENT TOWERS" BONDS AND "2008 REFUNDING OF 2003 BONDS" WERE USED TO REFUND BOND ISSUES NOT LISTED ON SCHEDULE K BECAUSE THESE UNLISTED BOND ISSUES WERE FULLY DEFEASED AS OF JUNE 30TH, 2010.
PART VI, LINE 1B		Mercy Health Services, Inc. ("MHS"), a 501(c)(3) corporation, is the sole member of Mercy Medical Center, Inc. ("MMC"). MHS is governed by a 26-person Board of Trustees, of whom 21 are independent board members. The Board of Directors of MMC is currently made of 7 directors. The President of MHS serves as an ex officio member of MMC's Board and the balance of the MMC Board members are elected by, and subject to removal by, the Board of Trustees of MHS. One of the members of the MFC Board is independent. Seven of the Board members are compensated as employees either of MFC or a related organization listed in Schedule R, Part II.
PART VI, LINE 6		MHS is the sole member of MMC.
PART VI, LINE 7A		The President of MHS serves as an ex officio voting member of the Board of Directors of MMC. As the member of MMC, the Board of Trustees of MHS elects all of the other members of the Board of MMC. All of the members of the MMC Board serve at the pleasure of the Board of Trustees of MHS and are subject to removal by the MHS Board.
PART VI, LINE 7B		The Board of Trustees of MHS exercises authority over MMC through its right to appoint and remove MMC Board members. In addition, MHS, as the member, is responsible for the following actions: a) to appoint members to MMC's Board of Directors; b) to review and approve or disapprove the strategic plan, annual budget and the annual operating goals and objectives of MMC as recommended to MHS by MMC's Board of Directors; c) to evaluate the performance of MMC's Board of Directors, officers, and operating management; d) to remove Board members of MMC in its discretion at any time; e) to approve the mission and vision that govern MMC's operations; f) to have ultimate responsibility for MMC's quality assurance, performance improvement, utilization review and risk management; and g) to appoint, reappoint and take any corrective action related to the Medical Staff of MMC (the "Medical Staff") in accordance with the Medical Staff Bylaws of MMC. The following actions require the approval of and affirmative corporate action by MHS: a) any disposition of all or substantially all of MMC's assets, dissolution, liquidation, winding up or abandonment of MMC; b) any amendment of the Articles of Incorporation or Bylaws of MMC or of the Medical Staff Bylaws of MMC; c) any borrowing or lending by MMC or the issuance of any guarantee by MMC in an amount in excess of an amount specified by MHS from time to time; d) any merger, consolidation or institutional affiliation with any other corporation or other entity; and e) the purchase or sale of assets for an amount in excess of an amount specified from time to time by MHS. Ultimately, the Corporation is controlled by MHS's 26-person community board, which includes 21 independent directors as noted above.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1
MERCY HEALTH SERVICES INC
301 ST PAUL PLACE	BALTIMORE	MD	21202	522173382	SUPPORT	MD	501(c)(3)	509(A)(3)	N/A
MERCY HEALTH FOUNDATION INC
301 ST PAUL PLACE	BALTIMORE	MD	21202	522173656	FOUNDATION	MD	501(c)(3)	170(B)(1)vi		MERCY HEALTH
SAINT PAUL PLACE SPECIALISTS INC
301 ST PAUL PLACE	BALTIMORE	MD	21202	521495113	SPEC CARE	MD	501(c)(3)	170(B)1 iii		MERCY HEALTH
MARYLAND FAMILY CARE INC
301 ST PAUL PLACE	BALTIMORE	MD	21202	522046586	PRIMARY CARE	MD	501(c)(3)	170(B)1 iii		MERCY HEALTH
STELLA MARIS INC
2300 DULANEY VALLEY	TIMONIUM	MD	21093	521419602	NURSING FACLT	MD	501(c)(3)	509(A)(2)		MERCY HEALTH
MERCY TRANSITIONAL CARE SERVICES INC
301 ST PAUL PLACE	BALTIMORE	MD	21202	521968440	SKILLED NURSE	MD	501(c)(3)	509(A)(2)		MERCY MEDICA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	GREENLEAF INSURANCE CO LTD	BusinessNameLine1

Address Foreign AddressForeign

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1363	AddressLine1
City	GRAND CAYMAN	City
Province Or State	CAYMAN ISLANDS	ProvinceOrState
Country	CJ	Country
Postal Code	KY1-1108	PostalCode

Field	Value	IRS element (for citing)
EIN	520591658	EIN
Primary Activity	INSURANCE	PrimaryActivity
Legal Domicile Foreign Country	CJ	LegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Type Of Entity	LTD	TypeOfEntity
Share Of Total Income	3502597	ShareOfTotalIncome
Share Of EOY Assets	37752778	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
GREENLEAF INSURANCE CO LTD
P	850211
MERCY TRANSITIONAL CARE SERVICES
O	1958866
MERCY TRANSITIONAL CARE SERVICES
M	-3754575
MERCY TRANSITIONAL CARE SERVICES
N	1796593