2019-11-15T09:00:40-06:00 2018-12-31 134008324 PricewaterhouseCoopers LLP 600 13th Street NW Ste 1000 Washington DC 20005 990 2018-01-01 311161086 Mercy Health MERC 5139525000 1701 Mercy Health Place Cincinnati OH 45237 Deborah Bloomfield CFO 2019-11-15 true Travis L Patton P00369623 2124141000 2018 2020-03-31 21:24:44Z Deborah Bloomfield 1701 Mercy Health Place Cincinnati OH 45237 4557548171 false 0928 X www.mercy.com X 1985 OH Mercy Health extends the healing ministry of Jesus by improving the health of our communities with emphasis on people who are poor and under-served. Mercy Health demonstrates behaviors reflecting our core values of compassion, excellence, human dignity, justice, sacredness of life and service. 18 15 41334 45 58820125 34827332 17825288 31749157 4392276584 4531523544 63955034 -21507260 12130221 15782730 4486187127 4557548171 9419096 7102096 0 2334481848 2302676040 0 0 1952109208 2215130369 4296010152 4524908505 190176975 32639666 6234892730 6005268265 3160006675 4260452998 3074886055 1744815267 Mercy Health will provide assistance, support and direction to all of the health care institutions and activities operated and maintained by its Subsidiaries. The mission of Mercy Health in performing these activities shall be to provide a means by which the Sponsors manifest the healing ministry of Jesus. Through governance, management, development of leadership and use of resources, Mercy Health intends to give substance and direction to a dynamic Catholic health ministry. false false 3567343210 7102096 4121232009 MERCY HEALTH IS A MISSION-DRIVEN, NONPROFIT, CATHOLIC HEALTH SYSTEM. MERCY HEALTH OPERATES ACUTE CARE HOSPITALS, LONG-TERM CARE FACILITIES, HOUSING SITES FOR THE ELDERLY, HOME HEALTH AGENCIES, HOSPICE PROGRAMS, WELLNESS CENTERS AND OTHER HEALTHCARE ORGANIZATIONS. MERCY HEALTH'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. 409406113 0 351660056 The twenty-two hospitals included on this return extend the healing ministry of Jesus by improving the health of their communities with an emphasis on people who are poor and under-served. This is accomplished by demonstrating behaviors reflecting our core values of compassion, excellence, human dignity, justice, sacredness of life and service. Total community benefit provided in 2018 was $389,717,735 serving 2,366,822 individuals. 3976749323 true true false true false false false false false true true true false true true false true false true true false false false false false true true true true true true false false true false false false false false true true true false false false true true true true false false true X 2529 0 true 41334 true true true HK AR ID EI IS IT JA JE KS KU LU AS MX NL NO PE SA SN SF SP SW SZ TW BE AE UK BD BR VI CA CJ CI CH CO DA FI FR GM GK false false false false true false false false true false X 18 15 false false true false true true true true true false false true true true true true true true true true true NC X Travis Crum 5139525000 1701 Mercy Health Place CINCINNATI OH 45237 JOHN STARCHER JR JD PRESIDENT & CEO BSMH 15.0 35.0 X X 3207892 250 47846 LEONARD M RANDOLPH JR MD VICE CHAIR (END 08/18) 2.0 1.0 X X 826 0 0 KATHERINE W VESTAL PHD CHAIRMAN (END 08/18); VICE CHAIR (BEG 09/18) 2.0 4.0 X X 0 25250 0 Chris Allen Chairman (BEG 09/18) 2.0 11.0 X X 0 75250 0 DAVID C LEACH MD TRUSTEE (END 02/18) 2.0 1.0 X 0 0 0 SR JEAN ORSUTO HM TRUSTEE 2.0 0 X 0 0 0 SR MARY STANTON RSM TRUSTEE 2.0 0 X 0 0 0 SR DORIS A GOTTEMOELLER RSM TRUSTEE 2.0 4.0 X 0 0 0 Lawrence Grypp Trustee (END 08/18) 2.0 1.0 X 0 0 0 Catherine A Jacobson CPA Trustee 2.0 1.0 X 0 0 0 SR CAROL ANNE SMITH HM TRUSTEE 2.0 3.5 X 0 0 0 KATHERINE A ARBUCKLE CPA TRUSTEE 2.0 4.0 X 0 250 0 DENISE KOO MD TRUSTEE (END 08/18) 2.0 1.0 X 0 0 0 ILIANA A MORA TRUSTEE (END 08/18) 2.0 1.0 X 0 0 0 Stephanie Ferguson PhD TRUSTEE (BEG 09/18) 2.0 4.0 X 0 250 0 Sr Fran Gorsuch CBS TRUSTEE (BEG 09/18) 2.0 48.0 X 0 0 0 Lizanne Gottung TRUSTEE (BEG 09/18) 2.0 4.0 X 0 250 0 Clarion Johnson MD TRUSTEE (BEG 09/18) 2.0 4.0 X 0 250 0 Gerard Kells TRUSTEE (BEG 09/18) 2.0 4.0 X 0 250 0 Peter Maddox TRUSTEE (BEG 09/18) 2.0 4.0 X 0 250 0 Jennifer O'Brien JD TRUSTEE (BEG 09/18) 2.0 4.0 X 0 250 0 SR PATRICIA ECK CBS Trustee (Beg 09/18) 2.0 3.0 X 0 0 0 FR Myles N Sheehan SJ MD TRUSTEE 2.0 4.0 X 0 0 0 MICHAEL BEZNEY JD BOARD ASST. SECRETARY (END 08/18); CHIEF LEGAL OFFICER & GENERAL COUNSEL 11.0 39.0 X 1179489 250 50648 DEBORAH BLOOMFIELD PhD CPA TREASURER & CFO 15.0 35.0 X 1176887 250 188916 CHRISTINE O'NEILL BOARD SECRETARY (END 08/18); BOARD ASST. SECRETARY (BEG 09/18) 14.0 36.0 X 128340 250 15422 Christine Lay JD Secretary (BEG 09/18) 14.0 36.0 X 0 737711 47519 Christine Morris Board Asst. Secretary (Beg 09/18) 14.0 36.0 X 0 111252 35105 DONALD KLINE SVP MERCY HEALTH, PRES. & CEO YOUNGSTOWN REGION (END 08/18); PRES GREAT LAKES GROUP (BEG 09/18) 48.0 3.0 X 1170647 0 165210 JEFFREY COPELAND SVP, BUSINESS DEVELOPMENT (END KEY 08/18) 48.0 2.0 X 943255 0 142301 REBECCA SYKES SVP, CIO (END KEY 08/18) 50.0 0 X 1347841 0 19803 JEROME JUDD SVP TREASURY & INVESTMENTS 15.0 35.0 X 732353 0 120819 JOSEPH GAGE JR SVP, CHIEF HUMAN RESOURCES OFFICER 15.0 35.0 X 1372452 0 181348 BRIAN SMITH EVP, COO, Mercy Health 7.0 43.5 X 1651554 250 -5235 ROBERT BAXTER PRESIDENT/CEO TOLEDO & LIMA REGIONS, SVP MERCY HEALTH (END 08/18) 48.0 2.0 X 739920 0 162828 EDWIN OLEY PRESIDENT/CEO LORAIN REGION, SVP MERCY HEALTH (END KEY 08/18) 47.0 2.0 X 850366 0 59391 ANTON DECKER Chief Clinical Officer (END KEY 08/18) 50.0 0.5 X 1076515 0 186044 JUDSON IVY PRES & CEO ENSEMBLE RMC LLC 15.0 35.0 X 1147875 0 212655 MICHAEL W GARFIELD SVP MERCY HEALTH, PRES. & CEO CINCINNATI REGION (END 08/18); PRES MID-AMERICAN GROUP (BEG 09/18) 46.5 4.5 X 1229631 0 43578 MATTHEW CALDWELL SVP MERCY HEALTH, PRES/CEO SPRINGFIELD REGION (END KEY 08/18) 2.0 48.0 X 0 684951 211765 DAVID A CANNADY CHIEF STRATEGY OFFICER 15.0 35.0 X 947852 250 297313 MICHAEL YUNGMANN SVP MERCY HEALTH, PRES/CEO KENTUCKY REGION (END KEY 08/18) 48.0 2.0 X 704763 0 216181 Alethea Williams-Carlson Chief Information Officer (BEG 09/18) 10.0 40.0 X 0 1209914 110183 Mark Nantz Chief Administrative Officer, PRES ATLANTIC GROUP (BEG 09/18) 10.0 40.0 X 0 2460450 137158 Samuel Ross MD Chief Community Health Officer (BEG 09/18) 10.0 40.0 X 0 1785518 37281 Jeffrey Oak Chief Enterprise Risk Officer (Beg 09/18) 10.0 40.0 X 0 1234518 79901 Wael Haidar MD Chief Clinical Officer (Beg 09/18) 10.0 40.0 X 0 1779319 156400 Andrea Mazzoccoli SVP, Chief Nursing Officer (Beg 09/18) 10.0 40.0 X 0 1173441 99769 JOEL DAVID TALLEY III MD PHYSICIAN 50.0 0 X 1496164 0 54493 ZOHEIR ABDELBAKI MD PHYSICIAN 50.0 0 X 1484870 0 46554 CRAIG A NICHOLSON MD PHYSICIAN 50.0 0.0 X 1742748 0 46554 SAMEH AREBI PHYSICIAN 50.0 0 X 1519681 0 41644 FAIQ AKHTER PHYSICIAN 50.0 0 X 1419532 0 44761 JANE CROWLEY FORMER EVP & CHIEF TRANSFORMATION OFFICER 0.0 0.0 X 1775024 0 8471 PAUL HILTZ FORMER PRESIDENT/CEO SPRINGFIELD REGION, SVP MERCY HEALTH 0.0 0.0 X 323551 0 79419 REV JOSEPH CARDONE SVP, MISSION & VALUES INTEGRATION (END KEY 12/17) 50.0 0 X 435440 0 166965 THOMAS GOLIAS CHIEF MANAGED CARE OFFICER (END KEY 12/17) 50.0 0 X 483906 0 103395 SANDRA D MACKEY CHIEF MARKETING OFFICER (END KEY 12/17) 50.0 0 X 692773 0 131565 30982147 11280824 3743970 2586 true true false Cardinal Health LLC 5490 Collection CTR Dr Chicago IL 60693 Medical Products/Services 245399707 Medline Industries Inc PO Box 382075 Pittsburgh PA 15251 Medical Products/Services 106668197 Medtronic USA Inc 4642 Collection CTR Dr Chicago IL 60693 Medical Technology 66062185 GE Precision Healthcare PO Box 96483 Chicago IL 60693 Medical Technology 43010256 Rudolph Libbe Inc 6494 Latcha Rd Walbridge IL 43465 Construction 35318367 1465 X 29856074 1714630 178453 1065695 31749157 Net Patient Service Revenue 621990 4220350414 4205170064 15180350 MARKET ASSESSMENTS 514610 54282890 54282890 EXEMPT FUNCTION INCOME 621980 100562460 72366542 28195918 JV AND PARTNERSHIP INCOME 900003 24091909 12449655 11642254 RETAIL PHARMACY 446110 40381081 37023717 3357364 91854790 91599197 255593 0 4531523544 34832167 34832167 0 0 -59964001 3624574 -59964001 3624574 -56339427 -56339427 Cafeteria 722210 13901920 13901920 Other Nonoperating Revenue 900099 2875362 90944 2784418 Vending Machines 900099 249197 249197 -1243749 0 97702 -1341451 15782730 4557548171 4472892065 58820125 -5913176 X 7075825 7075825 26271 26271 23082579 19620192 3462387 1855083729 1576821170 278262559 74258183 63119456 11138727 236251857 200814078 35437779 113999692 96899738 17099954 4138506 4138506 7773828 7773828 751337437 654446741 96890696 0 12838231 10912496 1925735 8419868 7156888 1262980 116397339 98937738 17459601 18705456 15899638 2805818 72291847 61448070 10843777 281048224 238890990 42157234 39537868 33607188 5930680 Medical Supplies 796500730 796500730 State Assessments 51596111 51596111 Restructuring Expense 22783719 19366161 3417558 Federal and State Tax Expense 8353456 7100438 1253018 23407749 16509404 6898345 0 4524908505 3976749323 548159182 0 90550968 255314784 133359987 69219781 625406235 568314366 0 0 0 14468624 16944089 106183061 109695356 43428871 49012512 5977767449 3688370355 2316975062 2289397094 1909945995 1985710730 729978133 400616421 163199908 166448654 101395886 94594478 6234892730 6005268265 822819741 1113077542 19236165 14835736 2130641928 2903140254 0 187308841 229399466 3160006675 4260452998 X 3071087752 1740576048 1189164 1630080 2609139 2609139 3074886055 1744815267 6234892730 6005268265 X 32639666 -121465187 -16318242 -1224927025 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 0 false true 91418 true 88665 false true 151145 331228 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING ACTIVITIES PERFORMED INCLUDE BOTH THE USE OF VOLUNTEERS ENCOURAGED TO WRITE LETTERS TO PUBLIC OFFICIALS ON ISSUES THAT IMPACT MERCY HEALTH'S ABILITY TO CONTINUE TO PROVIDE HEALTH SERVICES TO THE COMMUNITIES IT SERVES, AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. PAID MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDA, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS REGARDING ISSUES THAT IMPACT MERCY HEALTH'S ABILITY TO CONTINUE PROVIDING HEALTHCARE SERVICES TO ITS PATIENTS AND TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. PAID STAFF MEMBERS HAVE, ON LIMITED OCCASIONS, WRITTEN TO LEGISLATORS ON SUCH ISSUES. THE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE MERCY HEALTH'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT THE MERCY HEALTH HEALTHCARE SYSTEM. MERCY HEALTH FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND ITS HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES MERCY HEALTH SERVES. TO CARRY OUT THESE EFFORTS, MERCY HEALTH 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 MERCY HEALTH FACILITIES WHERE THEY ARE TREATED. GRANTS PAID TO OTHER ORGANIZATIONS OF $91,418 CONSTITUTE THE PORTION OF DUES DEEMED TO BE FOR LOBBYING PURPOSES. OTHER LOBBYING ACTIVITIES OF $151,145 CONSTITUTE ISSUED-BASED LOBBYING SUPPORT. 144338099 144338099 2970728001 1554628712 1416099289 53365223 32984764 20380459 2136228347 1654798896 481429451 673107779 445957983 227149796 2289397094 Donor restricted Funds Held by Trustee 45131402 F Long Term Investments 1884685951 F Assets Whose Use is Limited Under Securities Lending Program 9179016 F Investment in Joint Venture 46714361 F 1985710730 Notes Receivable 400616421 F 400616421 Payable Under Securities Lending Program 9179016 Other Liabilities 90318315 Swap Liability 67576467 Self Insurance Liabilities 57903970 Property Tax Payable 4778917 Other Tax Payable -1440039 Retainage on Contruction Projects 1082820 229399466 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Company completed an analysis of its tax positions in accordance with applicable accounting guidance at December 31, 2018 and 2017, and determined that no amounts were required to be recognized in the consolidated financial statements at December 31, 2018 or 2017. Central America and the Caribbean 0 0 Investments 288384980 Europe (Including Iceland and Greenland) 0 0 Investments 151341777 Central America and the Caribbean 1 1 Program Services SELF INSURANCE 1170537 East Asia and the Pacific 0 0 Investments 46206750 South America 0 0 Investments 3073827 North America (Canada & Mexico only) 0 0 Investments 16552130 Sub-Saharan Africa 0 0 Investments 1624712 South Asia 0 0 Program Services Revenue Cycle Services 526728 South Asia 0 0 Unrelated Business Activities 409687 Middle East and North Africa 0 0 Investments 2665275 1 1 0 0 1 1 511956403 0 511956403 true false true true true true true true X true X true X true true true false true true 27223939 8578214 18645725 0.0041 866887461 586737174 280150287 0.0619 0 0.0 0 0 894111400 595315388 298796012 0.0660 17003923 1782543 15221380 0.0034 81012279 39603707 41408572 0.0092 54903535 24181978 30721557 0.0068 525293 525293 0.0001 3063181 18260 3044921 0.0007 0 0 156508211 65586488 90921723 0.0201 0 0 1050619611 660901876 389717735 0.0861 2500 0 2500 0.0000 200000 0 200000 0.0000 765442 0 765442 0.0002 489 0 489 0.0000 166822 0 166822 0.0000 188740 0 188740 0.0000 21818 0 21818 0.0000 1706587 0 1706587 0.0004 14513 0 14513 0.0000 0 0 3066911 0 3066911 0.0007 false 349068494 0 906337401 878183799 28153602 X true true TIFFIN AMBULATORY SURGICAL ASSOCIATION LLC AMBULATORY SURGERY 0.51 0.0 0.49 UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC RADIATION THERAPY SERVICES 0.51 0.0 0.49 OSC-HMHP LLC ORTHOPEDIC SURGERY CENTER 0.51 0.0 0.49 WEST CENTRAL OHIO GROUP LTD (DBA INSTITUTE FOR ORTHOPEDIC SURGERY) ORTHOPEDIC HOSPITAL 0.51 0.0 0.49 KIDNEY SERVICES OF WEST CENTRAL OHIO DIALYSIS CENTER 0.51 0.0 0.49 CORNERSTONE ALLIANCE MEDICAL MANAGEMENT 0.5 0.0 0.5 RADIATION ONCOLOGY CENTERS AT MERCY HEALTH LLC RADIATION THERAPY SERVICES 0.49 0.0 0.51 Lourdes Ambulatory Surgery Center Ambulatory Surgery Center 0.79 0.0 0.21 22 1 Mercy Health - St Vincent Medical Center LLC 2213 Cherry Street Toledo OH 43608 www.mercy.com 1225AHR X X X X A 2 Mercy Health - St Rita's Medical Center LLC 730 W Market Street Lima OH 45801 www.mercy.com 1103AHR X X X A 3 Mercy Health - St Elizabeth Health Center 1044 Belmont Avenue Youngstown OH 44501 www.mercy.com 1230AHR X X X X X A 4 Jewish Hospital LLC 4777 East Galbraith Road Cincinnati OH 45236 www.mercy.com 1003AHR X X X X A 5 Mercy Health - Fairfield Hospital LLC 3000 Mack Road Fairfield OH 45014 www.mercy.com 1033AHR X X X A 6 Mercy Health - West Hospital LLC 3300 Mercy Health Blvd Cincinnati OH 45211 www.mercy.com 1026AHR X X X A 7 Mercy Health - Anderson Hospital LLC 7500 State Road Cincinnati OH 45255 www.mercy.com 1193AHR X X X A 8 Mercy Health - Lourdes Hospital LLC 1530 Lone Oak Road Paducah KY 42003 www.elourdes.org 100304 X X X B 9 Mercy Health - Regional Medical Center LLC 3700 Kolbe Road Lorain OH 44053 www.mercy.com 1018AHR X X X A 10 Mercy Health - St Elizabeth Boardman Health Center 8401 Market Street Boardman OH 44512 www.mercy.com 1471AHR X X X A 11 Mercy Health - St Joseph Health Center 667 Eastland Avenue SE Warren OH 44484 www.mercy.com 1000AHR X X X X A 12 Mercy Health - St Charles Hospital LLC 2600 Navarre Avenue Oregon OH 43616 www.mercy.com 1223AHR X X X A 13 Mercy Health - St Anne Hospital LLC 3404 W Sylvania Avenue Toledo OH 43623 www.mercy.com 1444AHR X X X X A 14 Mercy Health - Clermont Hospital LLC 3000 Hospital Drive Batavia OH 45103 www.mercy.com 1028AHR X X X A 15 Mercy Health - Tiffin Hospital LLC 45 St Lawrence Drive Tiffin OH 44883 www.mercy.com 1267AHR X X X A 16 Mercy Health - Defiance Hospital LLC 1404 E Second Street Defiance OH 43513 www.mercy.com 1462AHR X X X A 17 Mercy Health - Willard Hospital LLC 1100 Neal Zick Road Willard OH 44890 www.mercy.com 1205AHR X X X A 18 Mercy Health - Allen Hospital LLC 200 W Lorain Street Oberlin OH 44074 www.mercy.com 1219AHR X X X A 19 Mercy Health - Marcum and Wallace Hospital LLC 60 Mercy Court Irvine KY 40336 www.mercy.com 600052 X X X X C 20 ST Vincent Mercy Children's Hospital 2222 Cherry Street Toledo OH 43608 www.mercy.com 1225AHR X X A 21 Institute for Orthopaedic Surgery 801 Medical Drive Lima OH 45804 www.ioshospital.com 1445AHR X D 22 Mercy Health Perrysburg Hospital 12623 Eckel Junction Road Perrysburg OH 43551 www.mercy.com 1912AHR X X X E A false false true X X X X X X X X X 16 true true true true X https://www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment X true 17 true https://www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment false true X 200.0 400.0 X X X X X X true true X X X true X https://www.mercy.com/patient-resources/financial-assistance X https://www.mercy.com/patient-resources/financial-assistance X https://www.mercy.com/patient-resources/financial-assistance X X X X X true X false X X X true X false false B 8 false false true X X X X X X X X X 16 true true false true X https://www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment X true 17 true https://www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment false true X 200.0 400.0 X X X X X X true true X X X true X HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE X HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE X HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE X X X X X true X false X X X true X false false C 19 false false true X X X X X X X X X 16 true false true true X https://www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment X true 17 true https://www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment false true X 200.0 400.0 X X X X X X true true X X X true X HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE X HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE X HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE X X X X X true X false X X X true X false false D 21 false false true X X X X X X X X X 16 true true true true X https://www.ioshospital.com/orthopaedics/pdfs/2016communityhealthneedsassessment.pdf X https://www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment X true 16 true https://www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment false true X 200.0 200.0 X X X X X X true true X X X true X https://www.ioshospital.com/orthopaedics/hospitalBillingFinancialAssistancePolicy.aspx X https://www.ioshospital.com/ORTHOPAEDICS/HOSPITALBILLINGFINANCIALASSISTANCEAPPLICATION.ASPX X https://www.ioshospital.com/orthopaedics/hospitalBillingFinancialAssistancePlain.aspx X X X X X true X false X X X X false X X false false E 22 true false false false true X 200.0 400.0 X X X X X X true true X X X true X https://www.mercy.com/patient-resources/financial-assistance X https://www.mercy.com/patient-resources/financial-assistance X https://www.mercy.com/patient-resources/financial-assistance X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Mercy Health - St. Vincent Medical Center LLC, Mercy Health - St. Charles Hospital LLC, Mercy Health - St. Anne Hospital LLC, St. Vincent Mercy Children's Hospital. The hospitals participated in a regional Community Health Needs Assessment process coordinated by The Hospital Council of Northwest Ohio which contracted with a third-party consultant to facilitate a comprehensive community health needs assessment. Input from persons representing the broad interest of the community was taken into account via stakeholder interviews and end-user surveys which included individuals with specific knowledge of or expertise in public health, the local health department, agencies with current data or information about the health needs of the community, and leaders, representatives and members of medically underserved, low income, and minority populations, and populations with chronic disease needs. Local community agencies were invited to participate in the health assessment process, including choosing questions for the surveys, providing local data, reviewing draft reports and planning the community event, release of the data and setting priorities. The needs of the population, especially those who are medically underserved, low-income, minority populations and populations with chronic disease needs, were taken into account through the sample methodology that surveyed these populations and over-sampled minority populations. In addition, the organizations that serve these populations participated in the health assessment and community planning process, such as Toledo-Lucas County CareNet, Toledo-Lucas County Commission on Minority Health, United Way of Greater Toledo, etc. Three specific population groups, adults (ages 19-75 years), youth (grades 6-12), and children (ages 0-5 and 6-11 years) were surveyed. The 2015-2018 Community Health Improvement Plan was drafted by agencies and service providers with Lucas County. To facilitate the Community Health Improvement Process, the Toledo-Lucas County Health Department, along with local hospitals, invited key community leaders to participate in an organized process of strategic planning to improve the health of residents of the county. The National Association of City County Health Officer's (NACCHO) strategic planning tool, Mobilizing for Action through Planning and Partnerships (MAPP), was used throughout this process. Beginning in December 2014 to March 2015, Healthy Lucas County met eight (8) times to review the process and timeline, finalize committee members, create or review the vision, choose priorities based on quantitative and qualitative data, rank the priorities, assess existing resources and community strengths, identify gaps in community resources, and draft plans to address the needs. Health problems were ranked based on magnitude, seriousness of consequences and feasibility of correcting the issue. Quantitative and qualitative data was used to prioritize the target areas. In addition, existing programs, services and activities in the community were identified that address the priority target impact area. The target areas also were reviewed in consideration of the Local Public Health System Assessment and Quality of Life Survey. The Lucas County Health Improvement Plan was presented to the community on Sept. 15, 2015. Additional detail can be found on the Mercy Health website at www.mercy.com/global/about-us/community-benefit Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - Mercy Health - Tiffin Hospital LLC. The hospital participated in a Community Health Needs Assessment (CHNA) process coordinated by the Seneca County Health Alliance. Data was collected for this assessment with the assistance of the Hospital Council of Northwest Ohio. Input from persons representing the broad interest of the community was taken into account via stakeholder interviews and end-user surveys which included individuals with specific knowledge of or expertise in public health; the local health department; agencies with current data or information about the health needs of the community; and leaders, representatives and members of medically underserved, low income, and minority populations, and populations with chronic disease needs. The community health needs assessment included a written survey of adults, 19 years of age and older, and adolescents, ages 12 through 18, within Seneca County. The project coordinator from the Hospital Council of Northwest Ohio conducted a series of meetings with the planning committee from Seneca County. Based on input from the Seneca County planning committee, the draft surveys prepared by the project coordinator were reviewed and approved by health education researchers at the University of Toledo. Local community agencies were invited to participate in the health assessment process, including choosing questions for the surveys, providing local data, reviewing draft reports and planning the community event, release of the data and setting priorities. The needs of the population, especially those who are medically under-served, low-income, minority populations or face a chronic disease, were taken into account through the sample methodology that surveyed these populations and over-sampled minority populations. In addition, the organizations that serve these populations participated in the health assessment and community planning process, such as Seneca County School District, Seneca County Commission on Aging and Seneca County United Way. The 2016-2019 Community Health Improvement Plan (CHIP) was drafted by agencies and services providers within Seneca County, and shared at a community meeting in January 2017. Based on the analyzed data, the committee will determine priority issues within the community, which if addressed could improve future outcomes, determine gaps in current programming and policies and examine best practices and solutions. Additional detail can be found on the Mercy Health website at www.mercy.com/global/about-us/community-benefit Schedule H, Part V, Section B, Line 5 Facility A, 3 Facility A, 3 - Mercy Health - Willard Hospital LLC. The hospital participated in a Community Health Needs Assessment process coordinated by Huron County Health Partners. Data was collected for this assessment with the assistance of the Hospital Council of Northwest Ohio. Input from persons representing the broad interest of the community was taken into account via stakeholder interviews and end-user surveys which included individuals with specific knowledge of or expertise in public health; the local health department; agencies with current data or information about the health needs of the community; and leaders, representatives and members of medically underserved, low income, and minority populations, and populations with chronic disease needs. The community health needs assessment included a written survey of adults (19 years of age and older), adolescents (ages 12 through 18), and children (ages 0-11), within Huron County. Local community agencies were invited to participate in the health assessment process, including choosing questions for the surveys, providing local data, reviewing draft reports, planning the community event, releasing the data and setting priorities. The needs of the population, especially those who are medically under-served, low-income, minority or face a chronic disease, were taken into account through a sample methodology that surveyed these populations and over-sampled minority populations. In addition, the organizations that serve these populations participated in the health assessment and community planning process, including the Huron County Public Health, Fisher-Titus Medical Center, Mercy Health - Willard Hospital, The Bellevue Hospital and Norwalk Area United Fund. The 2014-2016 Community Health Improvement Plan was drafted by agencies and service providers with Huron County and was shared at a community meeting on Feb. 7, 2015. The committee reviewed many sources of information concerning the health and social challenges that Huron County adults, youth and children may be facing. They determined priority issues which, if addressed, could improve future outcomes, determined gaps in current in programming and policies and examined best practices and solutions. Additional detail can be found on the Mercy Health website at www.mercy.com/global/about-us/community-benefit Schedule H, Part V, Section B, Line 5 Facility A, 4 Facility A, 4 - Mercy Health - Defiance Hospital LLC. The hospital participated in a Community Health Needs Assessment process coordinated by POWER Defiance County Coalition. Data was collected for this assessment with the assistance of The Hospital Council of Northwest Ohio. Input from persons representing the broad interest of the community was taken into account via stakeholder interviews and end-user surveys which included individuals with specific knowledge of or expertise in public health; the local health department; agencies with current data or information about the health needs of the community; and leaders, representatives and members of medically underserved, low income, and minority populations, and populations with chronic disease needs. The community health needs assessment included a written survey of adults (19 years of age and older), adolescents (ages 12 through 18), and children (ages 0-11), within Defiance County. Community leaders were actively engaged in the planning process and helped define the content, scope and sequence of the project. Active engagement of community members throughout the planning process is regarded as an important step in completing a valid needs assessment. Under the leadership of the Hospital Council of Northwest Ohio, the survey questions were drafted and reviewed in a series of meetings with the planning committee from Defiance County. The needs of the population, especially those who are medically under-served, low-income, minority populations and populations with chronic disease needs, were accounted for through the sample methodology that surveyed these populations and over-sampled minority populations. In addition, the organizations that serve these populations participated in the health assessment and community planning process. Additional detail can be found on the Mercy Health website at www.mercy.com/global/about-us/community-benefit Schedule H, Part V, Section B, Line 5 Facility A, 5 Facility A, 5 - Mercy Health - St. Rita's Medical Center LLC. The hospital collaborated with The Community Sustainability Advisory Committee Lima-Allen County Regional Planning Commission. Community members from various groups, organizations, and sectors established the Community Sustainability Advisory Committee under the Lima-Allen County Regional Planning Commission. The Community Sustainability Advisory Committee reviews and develops initiatives that target opportunities to improve the qualify of life of Allen County residents. Committee members include academic and education experts, business groups, civic leaders, community development professionals, economic development executives, elected officials, environmental advocates, faith-based organizations, healthcare, manufacturers and major employers, public health organizations, nonprofit organizations, natural resource authorities, media, information and public relations, and transportation system managers. The CSAC implemented Healthy Communities Institute software to summarize data from secondary data sources. This non-biased information was publicly available on the website of the Lima-Allen County Regional Planning Commission. The Healthy Communities Institute website and original data sources were used to retrieve information for the CHNA analysis. The hospital contracted with the Hospital Council of Northwest Ohio to faciliatate a comprehensive community health needs assessment in Allen and Auglaize Counties. The hospital also collaborated with the Center of Social Research, Indiana University-Purdue University Fort Wayne to obtain Putnam County health data. Iinput from persons representing the broad interest of the community was taken into account via stakeholder interviews and end-user surveys which included individuals with specific knowledge of or expertise in public health; the local health department; agencies with current data or information about the health needs of the community; and leaders, representatives and members of medically underserved, low income, minority populations, and populations with chronic disease needs. A focus group was comprised of the members of the Community Health Improvement Plan (CHIP) Committee for Allen County. The CHIP Committee includes community stakeholders and representatives of organizations knowledgeable and interested in community health issues. Participation on the CHIP committee allowed community leaders and public health experts to discuss their concerns in a small group setting. The CHIP committee provided input about community capacity including organizations and resources available to address community needs. Additional detail can be found on the Mercy Health website at www.mercy.com/global/about-us/community-benefit Schedule H, Part V, Section B, Line 5 Facility A, 6 Facility A, 6 - Mercy Health - St. Elizabeth Health Center, Mercy Health - St. Elizabeth Boardman Health Center, Mercy Health - St. Joseph Health Center. The hospitals conducted their own community health needs assessments between January and June 2016. Input from persons representing the broad interests of the community was taken into account via stakeholder interviews, community focus groups and end-user surveys which included individuals with specific knowledge of or expertise in public health; the local health department; agencies with current data or information about the health needs of the community; and leaders, representatives and members of medically underserved, low income, and minority populations, and populations with chronic disease needs. The Community Benefits Planning Committee (CBPC) distributed surveys to community leaders from public health, healthcare, business, education, non-profit, philanthropy and governmental organizations. The committee then identified health needs by reviewing the surveys as well as input from local city and county health commissioners. To verify the needs, goals and strategic alignment, this information was reviewed with hospital presidents, Mercy Health leaders, key stakeholders and service line leaders in behavioral health, diabetes education, cancer care and drug, alcohol and substance abuse. The hospitals held focus groups to obtain input from local health commissioners. The focus groups reviewed local health districts' community health needs and strategies, the hospital's survey results and the state of Ohio's current community health priorities. They also sought input from local health commissioners on other pressing or current health needs in the community. The results of the focus groups were then compared with the results of the state, local and hospital survey. The hospitals reviewed the process and also validated alignment with the current community health needs identified by county and state commissioners and health departments. The hospitals also reviewed community health data provided by Kent State University (KSU) College of Public Health, which provided data related to key health findings within the counties of Mahoning, Trumbull and Columbiana. Additional detail can be found on the Mercy Health website at www.mercy.com/global/about-us/community-benefit Schedule H, Part V, Section B, Line 5 Facility A, 7 Facility A, 7 - Mercy Health - Regional Medical Center LLC, Mercy Health - Allen Hospital LLC. The hospitals performed a joint community health needs assessment in 2016, which reflects the hospitals' collaborative efforts to conduct an assessment of the health needs of the community they serve. The hospitals collaborated with the 2015 Lorain County Community Health Assessment Project (LCCHAP), which was coordinated and managed by the Hospital Council of Northwest Ohio. The hospitals also engaged The Public Services Institute of Lorain County Community College (PSI) to prepare a comprehensive csummary report on data generated by the LCCHAP. The hospitals also utilized the work of Communities That Care of Lorain County (CTC), which is Lorain County's Drug Free Community Coalition. Input from persons representing the broad interest of the community was taken into account via stakeholder interviews, community focus groups and end-user surveys which included individuals with specific knowledge of or expertise in public health; the local health department; agencies with current data or information about the health needs of the community; and leaders, representatives and members of medically underserved, low income, and minority populations, and populations with chronic disease needs. A community event was held by the LCCHAP member organizations in May of 2016. Attendees included nearly 110 key leaders from the community representing public health, law enforcement, schools, churches, public officials, social service agencies and the general public. The results of the 2015 LCCHAP Report prepared by the Hospital Council of Northwest Ohio, which analyzed the survey results against historical data and comparative benchmarks, was shared with attendees. PSI facilitated a panel discussion where updates on the Community Health Improvement Plan (CHIP) were shared. A county-wide coalition was formed as a result of the Lorain County Health Assessment Project, 2011, and subsequent community input sessions and summits that took place between 2012 and 2014 as part of that project. This coalition became the Community Health Improvement Plan (CHIP) Steering Committee, which coordinates the oversight of the CHIP and implements strategies to address the top health needs of Lorain County. Additional detail can be found on the Mercy Health website at www.mercy.com/global/about-us/community-benefit Schedule H, Part V, Section B, Line 5 Facility A, 8 Facility A, 8 - Jewish Hospital LLC, Mercy Health - West Hospital LLC, Mercy Health - Anderson Hospital LLC, Mercy Health - Fairfield Hospital LLC, Mercy Health - Clermont Hospital LLC. The hospitals participated in a regional Community Health Needs Assessment process coordinated by The Health Collaborative. Input from persons representing the broad interest of the community was taken into account via stakeholder interviews, focus groups, community forums, and end-user surveys which included individuals with specific knowledge of or expertise in public health; the local health department; agencies with current data or information about the health needs of the community; and leaders, representatives and members of medically underserved, low income, and minority populations, and populations with chronic disease needs. Over 150 community organizations and/or members of the medically under-served and vulnerable populations attended community meetings to identify needs and barriers, prioritze issues, and name resources to address health and health related needs. The hospitals relied on input from local residents and health-related organizations through results from the community meetings, individual and agency surveys, and local and county health commissioners. Community leaders in attendance at the meetings were asked to prioritize the health needs identified and discussed. Under the leadership of The Health Collaborative, these priorities were combined with ranked community health issues noted in online and agency surveys, and the issues noted by local health department commissioners. The hospital convened a committee to review the results of the community health needs assessment prepared by The Health Collaborative to discuss, evaluate, and prioritize the top needs. Additional detail can be found on the Mercy Health website at www.mercy.com/global/about-us/community-benefit Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Mercy Health - St. Vincent Medical Center LLC, Mercy Health - St. Charles Hospital LLC, Mercy Health - St. Anne Hospital LLC, St. Vincent Mercy Children's Hospital. Mercy Children's Hospital, Promedica Health System, Promedicia St. Luke's Hospital Schedule H, Part V, Section B, Line 6a Facility A, 2 Facility A, 2 - Mercy Health - Tiffin Hospital LLC. ProMedica-Fosteria Community Hospital Schedule H, Part V, Section B, Line 6a Facility A, 3 Facility A, 3 - Mercy Health - Willard Hospital LLC. Fisher-Titus Medical Center, The Bellevue Hospital Schedule H, Part V, Section B, Line 6a Facility A, 4 Facility A, 4 - MERCY HEALTH - DEFIANCE HOSPITAL LLC. Community Memorial Hospital, ProMedica Defiance Regional Hospital Schedule H, Part V, Section B, Line 6a Facility A, 5 Facility A, 5 - Mercy Health - St. Rita's Medical Center LLC. Lima Memorial Health System, Institute for Orthopaedic Surgery Schedule H, Part V, Section B, Line 6a Facility A, 6 Facility A, 6 - Mercy Health - St. Elizabeth Health Center, Mercy Health - St. Elizabeth Boardman Health Center, Mercy Health - St. Joseph Health Center. Mercy Health - St. Elizabeth Health Center, Mercy Health - St. Elizabeth Boardman Health Center, Mercy Health - St. Joseph Health Center Schedule H, Part V, Section B, Line 6a Facility A, 7 Facility A, 7 - Mercy Health - Regional Medical Center LLC, Mercy Health - Allen Hospital LLC. University Hospitals Elyria Medical Center Schedule H, Part V, Section B, Line 6a Facility A, 8 Facility A, 8 - Jewish Hospital LLC, Mercy Health - West Hospital LLC, Mercy Health - Anderson Hospital LLC, Mercy Health - Fairfield Hospital LLC, Mercy Health - Clermont Hospital LLC. Adams County Regional Medical Center, Atrium Medical Center, Beckett Springs, Cincinnati Children's Hospital Medical Center, CMH Regional Health System/Clinton Memorial Hospital, Dearborn County Hospital, Fort Hamilton Hospital, Highland District Hospital, Lindner Center of Hope, Margaret Mary Community Hospital, McCullough-Hyde Memorial Hospital, St. Elizabeth Healthcare, Shriners Hospitals for Children - Cincinnati, Summit Behavioral Healthcare, The Christ Hospital Health Network, Trihealth, UC Health, Veterans Affairs Medical Center Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - Mercy Health - St. Vincent Medical Center LLC, Mercy Health - St. Charles Hospital LLC, Mercy Health - St. Anne Hospital LLC, St. Vincent Mercy Children's Hospital. American Cancer Society, Exchange Club, Grace Community Center, Lucas County Educational Service Center, Lucas County Family Council, Lucas County Help Me Grow, Lucas County Job & Family Services, Lucas County Juvenile Court, Mental Health Recovery Services Board of Lucas County, Ohio Department of Health, Parish Nurse Association, Toledo Community Foundation, Toledo Lucas County CareNet, Toledo Lucas County Health Department, Toledo Public School Nurses, United Way of Greater Toledo, YMCA Live Well Toledo, YWCA, Toledo Lucas-County Health Department, Toledo Public Schools, Pediatricare Associates, Inc. Schedule H, Part V, Section B, Line 6b Facility A, 2 Facility A, 2 - Mercy Health - Willard Hospital LLC. Bellevue City Schools, Community Action Coalition of Erie, Huron and Richland Counties, Cornerstone Counseling of Bellevue, Erie-Huron Counties CAC, Inc., Firelands Counseling & Recovery Services, Huron County ADAMhS Board, Huron County Board of Developmental Disabilities, Huron County Juvenile and Probate Court, Huron County General Health District, Huron County Job and Family Services, Huron County Sheriff's Department, Monroeville Local Schools, National Alliance on Mental Illness of Huron County, New London Local Schools, North Point Educational Service Center, Norwalk City Schools, Stein Hospice, South Central Schools, United Fund of Huron County, Western Reserve Local Schools, Willard City Schools Schedule H, Part V, Section B, Line 6b Facility A, 3 Facility A, 3 - Mercy Health - Tiffin Hospital LLC. Advertiser-Tribune, Allen Eiry Center, Community Hospice Care, Firelands Counseling and Recovery Services, First Call for Help, Mental Health and Recovery Services Board of Seneca, Sandusky and Wyandot Counties, OSU Extension, PK Management, Seneca County Family & Children First Council, Seneca County General Health District, Seneca County Department of Job and Family Services, Seneca County Juvenile and Probate Court, Tiffin City Schools, WSOS, YMCA Tiffin Community Schedule H, Part V, Section B, Line 6b Facility A, 4 Facility A, 4 - Mercy Health - Defiance Hospital LLC. American Cancer Society, City of Defiance, Defiance Area YMCA, Defiance County Board of Commissioners, Defiance County Family and Children First Council, Defiance County General Health District, Defiance County Sheriff, First Call For Help, Four County Board of Alcohol, Drug Addiction and Mental Health, Four County Family Center, Hicksville Community Service Center, Maumee Valley Guidance Center, United Way of Defiance County, Village of Hicksville Schedule H, Part V, Section B, Line 6b Facility A, 5 Facility A, 5 - Mercy Health - St. Rita's Medical Center LLC. The Community Sustainability Advisory Committee, Healthy People 2020, Bricker & Eckler LLP, Quality Management Consulting Group Schedule H, Part V, Section B, Line 6b Facility A, 6 Facility A, 6 - Mercy Health - Regional Medical Center LLC, Mercy Health - Allen Hospital LLC. AVON HEALTH COMMITTEE, AMHERST CITY SCHOOLS / ADMINISTRATIVE TEAM MEETING, BLACK RIVER REMEDIAL ACTION PLAN, BUILD A BETTER COMMUNITY COMMITTEE (B2C2), CITY OF NORTH RIDGEVILLE DEPARTMENT LEADERS, CITY OF OBERLIN MANAGEMENT TEAM, CITY OF WELLINGTON ADMINISTRATION, CLEARVIEW SCHOOLS, COLUMBIA SCHOOLS, COMMUNITIES THAT CARE, COUNTY GUIDANCE COUNSELORS, COUNTY HIGH SCHOOL PRINCIPALS, FAMILY PLANNING SERVICE, GRAFTON VILLAGE COUNCIL MEETING, KEYSTONE BOARD OF EDUCATION, LC BOARD OF DEVELOPMENTAL DISABILITIES SERVICE & SUPPORT ADMINISTRATION MEETING, LORAIN COUNTY MATERNAL & CHILD HEALTH CONSORTIUM, LIVE HEALTHY LORAIN COUNTY, LIVE HEALTHY LORAIN COUNTY PARTNERS, LIVE HEALTHY OBERLIN, LORAIN CITY CONTINUUM OF CARE, LORAIN COUNTY CHILDREN & FAMILIES COUNCIL, LORAIN COUNTY GENERAL HEALTH DISTRICT LORAIN COUNTY GENERAL HEALTH DISTRICT VOLUNTEER TRAINING DAY, LORAIN COUNTY PREVENTION CONNECTION, LORAIN COUNTY SUPERINTENDENT'S MEETING, METRO PARKS KEY LEADERS, OBERLIN CITY SCHOOLS / ADMINISTRATION MEETING, OHIO STATE HIGHWAY PATROL, POLICE CHIEFS, SAFE COMMUNITY COALITION, SCHOOL NURSE MEETING, WELLINGTON VILLAGE ADMINISTRATION Schedule H, Part V, Section B, Line 6b Facility A, 7 Facility A, 7 - Mercy Health - St. Elizabeth Health Center, Mercy Health - St. Elizabeth Boardman Health Center, Mercy Health - St. Joseph Health Center. Youngstown City Health District, Valley Health, Diocese of Youngstown, East Liverpool City Health District, Columbiana County Health Department, Youngstown State University, Trumbull county Board of Health, United Way of Youngstown and Mahoning Valley, Warren City Health Department, Salem City Health Department, Mahoning County District Board of Health, City of Canfield Schedule H, Part V, Section B, Line 6b Facility A, 8 Facility A, 8 - Jewish Hospital LLC, Mercy Health - West Hospital LLC, Mercy Health - Anderson Hospital LLC, Mercy Health - Fairfield Hospital LLC, Mercy Health - Clermont Hospital LLC. Greater Cincinnati Health Council, United Way of Greater Cincinnati, Greater Cincinnati Foundation, Hamilton County Public Health, Middletown Health Department, Highland County Health Department, Cincinnati Children's Hospital Medical Center Innovations, The Cincinnati USA Regional Chamber, Health Care Access Now, Health Foundation of Greater Cincinnati, HealthLandscape, United Way of Northern Kentucky, University of Cincinnati Action Research Center Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Mercy Health - St. Vincent Medical Center LLC. Increase Healthy Weight Status Implementation Activities: Goal: Reduce the number of residents in Lucas County with a weight classification of overweight or obese. Increase the knowledge of strategies to use to help maintain a healthy weight status. 2018 Strategies and Outcomes: * Implemented Healthy Connections- Kohl's Kids in Action Program to provide community-based health education with three major components to reduce the incidence of childhood obesity: 1) health-education outreach at community events; 2) print, radio and online public awareness/educational campaigns; 3) community-based health-education programs in local elementary schools and community centers. Beginning in 2018, the program was fully funded by the Mercy Health Toledo Foundation, and produced the following towards its goal: * Event reach goal: 62,309; Actual reach: 76,773 through outreach events and 883 in classrooms * Offered a Group Lifestyle Balance program designed for patients whose medical conditions could be improved through healthy lifestyle changes and weight loss. The program consists of weekly 90-minute group medical visits for 12 weeks, followed by monthly visits for the remainder of a year. Patients targeted were expected to lose a minimum of 7% of body weight. In 2018, 36% of program participants achieved the goal of 7% body weight loss. Of the total program participants 36% also increased their physical activity to a minimum of 150 minutes weekly. Decrease Chronic Disease Implementation Activities: Goal: To reduce the incidence of cardiovascular disease, diabetes and other chronic diseases in Lucas County. 2018 Strategies and Outcomes: * In 2018, the hospital provided social support to 3,675 members and gained 93 clients from the community who are at risk for poor health outcomes and/or suffer from chronic conditions through the Mercy Outreach Program. The program provided this support through home intervention efforts that do the following: 1) teach patients coping skills to prevent re-hospitalization; 2) provide resources (pharmaceutical, transportation and housing); 3) develop support systems for family. * In 2018, 31 patients completed six-week sessions through the Starting Fresh Program. Physicians provided prescriptions for patients to attend the program. It consisted of evidence-based diabetes self-management sessions followed by monthly group support sessions. Patients received samples of fresh produce as snacks at each session, and they took home a grocery bag of fresh fruits and vegetables. Monthly group support sessions had guest speakers and focus on topics relevant to diabetic patients. In January 2018, the program implemented a new curriculum, DEEP (Diabetes Education Empowerment Program) and has been positively received by the class participants. It's use of strong visual demonstrations resonated with the participants. In 2019 the program will be tracking outcomes and then comparing the DEEP model to the Stanford model in measure efficacy. * In 2018, the program has hired a new program coordinator and has begun recruiting efforts for the 2019 year with the aim of achieving increased attendance levels. Decrease Youth Mental Health Issues and Bullying Implementation Activities: Goal: Reduce the youth suicide rate, youth suicide attempts and bullying of youth in Lucas County 2018 Strategies and Outcomes: * Supported the initiatives of the Lucas County Suicide Prevention Coalition, partnering with many community partners including: ProMedica, University of Toledo, Mental Health and Recovery Services Board of Lucas County, Cenpatico, U.S. Department of Veteran Affairs, National Alliance on Mental Illness, Lutheran Social Services of Northwestern Ohio. In 2018, the hospital achieved the following while working towards our goals: 1) The current board has been built up to 6 active members; 2) The LCSPC initiated 2 additional grants in partnership with MHRSB for QPR (Question, Persuade, Refer) suicide prevention training; 3) In 2018 the program coordinator successfully completed QPR certification as a trainer and trained 250 persons in 3 corporations. * Expanded activities and programs of the Lucas County Suicide Prevention Coalition to include: a community loss team; suicide prevention programs and activities in public, charter and parochial high schools; developing the Student Ambassador Program with local high schools; building a collaborative relationship with University of Toledo for research; eliciting state support through the state coalition for funding and support; coordinating program activities and resources with other coalitions such as BRAVE coalition, Trauma coalition, Antibullying task force. In 2018, the following was accomplished in the pursuit of achieving our goals: 1) 5,475 persons were educated on suicide prevention with a goal of increasing awareness of warning signs and how to help someone at risk for suicide to access services. 2) 43 presentations were given at 25 middle schools and high schools. 3) 33 high school students were trained and are active as student ambassadors in area high schools. 4) The LCSPC participated in 44 community events to promote stigma busting activities and suicide prevention outreach. 5) Social marketing activities included over 29K social media viewers with an increase of 18% in social media viewers in 2018. * The hospital will pilot the Adolescent Weight Management program by providing LISWs to provide mental health counseling to program participants. In 2018, 38 placements were made for inpatient psychiatric care. Continued description below. Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - CONTINUED: Mercy Health - St. Vincent Medical Center LLC. Continued description for Mercy Health - St. Vincent Medical Center LLC: Decrease Infant Mortality Implementation Activities: Goal: To reduce the incidence of low birth weight births and increase the number of children reaching the age of one among the high-risk pregnant population in Lucas County by using evidence-based strategies such as prenatal care, safe sleep environments and breastfeeding. 2018 Strategies and Outcomes: * Provided Healthy Connections - Pathways Program to reduce the incidence of low-birth-weight births among the high-risk population in Lucas County by promoting the following: 1) Early entry into prenatal care: In 2018, 415 women were served in the program and 197 babies were born. 2) Regular attendance at prenatal visits: In 2018, 81% regularly attended prenatal visits. 3) Birth weight of 5 lbs. 8 oz. or greater: In 2018, 81% of babies were born at a healthy birth weight. 4) Attendance of postpartum visit 21-56 days after delivery: In 2018, 59% attended postpartum visit. 5) Connecting the infant to a medical home and attending a one-month well visit: In 2018, 90% of babies connected to a medical home. * Offered Healthy Connections - Mother and Child Dependency Program to provide care coordination, needs assessment, advocacy, linkage with community resources, monitoring medication compliance, sober support, skill building, stress management, parenting support and transportation assistance. In 2018, 61 women were served by this program and 88% of the women completed the program and 12% dropped out, which exceeded the hospitals' goals in 2018. Of those women who stayed enrolled in the program, 93% of babies born tested negative to illicit drugs. Increase School Readiness Implementation Activities: Goal: Increase the proportion of children who are ready for school in all five domains of health development: physical development, social-emotional development, approaches to learning, language, and cognitive development. Increase the proportion of parents who use positive parenting and communicate with their doctors or other healthcare professionals about positive parenting. These goals are based on the Healthy People 2020 goals. 2018 Strategies and Outcomes: * Healthy Connections - Early Head Start (EHS) Home Visitation Program works to 1) promote healthy prenatal outcomes for pregnant women; 2) enhance the development of very young children; 3) promote healthy family functioning. In 2018, this program provided weekly 90-minute home visits to 59 children. * Healthy Connections - Help Me Grow Program is a home-visiting program for expectant or new parents to help them create a sturdy foundation for their child's future achievement. Home visitors conduct developmental screenings and develop an Individualized Family Service Plan for each family. Home visitors also refer families to helpful community resources. In 2018, this program served 285 families across Lucas, Wood, and Allen Counties. All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - Mercy Health - St. Charles Hospital LLC. Increase Healthy Weight Status Implementation Activities: Goal: Reduce the number of residents in Lucas County with a weight classification of overweight or obese. Increase the knowledge of strategies to use to help maintain a healthy weight status. 2018 Strategies and Outcomes: * Implemented Healthy Connections- Kohl's Kids in Action Program to provide community-based health education with three major components to reduce the incidence of childhood obesity: 1) health-education outreach at community events; 2) print, radio and online public awareness/educational campaigns; 3) community-based health-education programs in local elementary schools and community centers. Beginning in 2018, the program was fully funded by the Mercy Health Toledo Foundation, and produced the following towards its goal: * Event reach goal: 62,309; Actual reach: 76,773 through outreach events and 883 in classrooms * Offered a Group Lifestyle Balance program designed for patients whose medical conditions could be improved through healthy lifestyle changes and weight loss. The program consists of weekly 90-minute group medical visits for 12 weeks, followed by monthly visits for the remainder of a year. Patients targeted were expected to lose a minimum of 7% of body weight. In 2018, 36% of program participants achieved the goal of 7% body weight loss. Of the total program participants 36% also increased their physical activity to a minimum of 150 minutes weekly. Decrease Chronic Disease Implementation Activities: Goal: To reduce the incidence of cardiovascular disease, diabetes and other chronic diseases in Lucas County. 2018 Strategies and Outcomes: * In 2018, the hospital provided social support to 3,675 members and gained 93 clients from the community who are at risk for poor health outcomes and/or suffer from chronic conditions through the Mercy Outreach Program. The program provided this support through home intervention efforts that do the following: 1) teach patients coping skills to prevent re-hospitalization; 2) provide resources (pharmaceutical, transportation and housing); 3) develop support systems for family. * In 2018, 31 patients completed six-week sessions through the Starting Fresh Program. Physicians provided prescriptions for patients to attend the program. It consisted of evidence-based diabetes self-management sessions followed by monthly group support sessions. Patients received samples of fresh produce as snacks at each session, and they took home a grocery bag of fresh fruits and vegetables. Monthly group support sessions had guest speakers and focus on topics relevant to diabetic patients. In January 2018, the program implemented a new curriculum, DEEP (Diabetes Education Empowerment Program) and has been positively received by the class participants. It's use of strong visual demonstrations resonated with the participants. In 2019 the program will be tracking outcomes and then comparing the DEEP model to the Stanford model in measure efficacy. * In 2018, the program has hired a new program coordinator and has begun recruiting efforts for the 2019 year with the aim of achieving increased attendance levels. Decrease Youth Mental Health Issues and Bullying Implementation Activities: Goal: Reduce the youth suicide rate, youth suicide attempts and bullying of youth in Lucas County 2018 Strategies and Outcomes: * Supported the initiatives of the Lucas County Suicide Prevention Coalition, partnering with many community partners including: ProMedica, University of Toledo, Mental Health and Recovery Services Board of Lucas County, Cenpatico, U.S. Department of Veteran Affairs, National Alliance on Mental Illness, Lutheran Social Services of Northwestern Ohio. In 2018, the hospital achieved the following while working towards our goals: 1) The current board has been built up to 6 active members; 2) The LCSPC initiated 2 additional grants in partnership with MHRSB for QPR (Question, Persuade, Refer) suicide prevention training; 3) In 2018 the program coordinator successfully completed QPR certification as a trainer and trained 250 persons in 3 corporations. * Expanded activities and programs of the Lucas County Suicide Prevention Coalition to include: a community loss team; suicide prevention programs and activities in public, charter and parochial high schools; developing the Student Ambassador Program with local high schools; building a collaborative relationship with University of Toledo for research; eliciting state support through the state coalition for funding and support; coordinating program activities and resources with other coalitions such as BRAVE coalition, Trauma coalition, Antibullying task force. In 2018, the following was accomplished in the pursuit of achieving our goals: 1) 5,475 persons were educated on suicide prevention with a goal of increasing awareness of warning signs and how to help someone at risk for suicide to access services. 2) 43 presentations were given at 25 middle schools and high schools. 3) 33 high school students were trained and are active as student ambassadors in area high schools. 4) The LCSPC participated in 44 community events to promote stigma busting activities and suicide prevention outreach. 5) Social marketing activities included over 29K social media viewers with an increase of 18% in social media viewers in 2018. * The hospital will pilot the Adolescent Weight Management program by providing LISWs to provide mental health counseling to program participants. In 2018, 38 placements were made for inpatient psychiatric care. Continued description below. Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - CONTINUED: Mercy Health - St. Charles Hospital LLC. Continued description for Mercy Health - St. Charles Hospital LLC: Decrease Infant Mortality Implementation Activities: Goal: To reduce the incidence of low birth weight births and increase the number of children reaching the age of one among the high-risk pregnant population in Lucas County by using evidence-based strategies such as prenatal care, safe sleep environments and breastfeeding. 2018 Strategies and Outcomes: * Provided Healthy Connections - Pathways Program to reduce the incidence of low-birth-weight births among the high-risk population in Lucas County by promoting the following: 1) Early entry into prenatal care: In 2018, 415 women were served in the program and 197 babies were born. 2) Regular attendance at prenatal visits: In 2018, 81% regularly attended prenatal visits. 3) Birth weight of 5 lbs. 8 oz. or greater: In 2018, 81% of babies were born at a healthy birth weight. 4) Attendance of postpartum visit 21-56 days after delivery: In 2018, 59% attended postpartum visit. 5) Connecting the infant to a medical home and attending a one-month well visit: In 2018, 90% of babies connected to a medical home. * Offered Healthy Connections - Mother and Child Dependency Program to provide care coordination, needs assessment, advocacy, linkage with community resources, monitoring medication compliance, sober support, skill building, stress management, parenting support and transportation assistance. In 2018, 61 women were served by this program and 88% of the women completed the program and 12% dropped out, which exceeded the hospitals' goals in 2018. Of those women who stayed enrolled in the program, 93% of babies born tested negative to illicit drugs. Increase School Readiness Implementation Activities: Goal: Increase the proportion of children who are ready for school in all five domains of health development: physical development, social-emotional development, approaches to learning, language, and cognitive development. Increase the proportion of parents who use positive parenting and communicate with their doctors or other healthcare professionals about positive parenting. These goals are based on the Healthy People 2020 goals. 2018 Strategies and Outcomes: * Healthy Connections - Early Head Start (EHS) Home Visitation Program works to 1) promote healthy prenatal outcomes for pregnant women; 2) enhance the development of very young children; 3) promote healthy family functioning. In 2018, this program provided weekly 90-minute home visits to 59 children. * Healthy Connections - Help Me Grow Program is a home-visiting program for expectant or new parents to help them create a sturdy foundation for their child's future achievement. Home visitors conduct developmental screenings and develop an Individualized Family Service Plan for each family. Home visitors also refer families to helpful community resources. In 2018, this program served 285 families across Lucas, Wood, and Allen Counties. All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 11 Facility A, 5 Facility A, 5 - Mercy Health - St. Anne Hospital LLC. Increase Healthy Weight Status Implementation Activities: Goal: Reduce the number of residents in Lucas County with a weight classification of overweight or obese. Increase the knowledge of strategies to use to help maintain a healthy weight status. 2018 Strategies and Outcomes: * Implemented Healthy Connections- Kohl's Kids in Action Program to provide community-based health education with three major components to reduce the incidence of childhood obesity: 1) health-education outreach at community events; 2) print, radio and online public awareness/educational campaigns; 3) community-based health-education programs in local elementary schools and community centers. Beginning in 2018, the program was fully funded by the Mercy Health Toledo Foundation, and produced the following towards its goal: * Event reach goal: 62,309; Actual reach: 76,773 through outreach events and 883 in classrooms * Offered a Group Lifestyle Balance program designed for patients whose medical conditions could be improved through healthy lifestyle changes and weight loss. The program consists of weekly 90-minute group medical visits for 12 weeks, followed by monthly visits for the remainder of a year. Patients targeted were expected to lose a minimum of 7% of body weight. In 2018, 36% of program participants achieved the goal of 7% body weight loss. Of the total program participants 36% also increased their physical activity to a minimum of 150 minutes weekly. Decrease Chronic Disease Implementation Activities: Goal: To reduce the incidence of cardiovascular disease, diabetes and other chronic diseases in Lucas County. 2018 Strategies and Outcomes: * In 2018, the hospital provided social support to 3,675 members and gained 93 clients from the community who are at risk for poor health outcomes and/or suffer from chronic conditions through the Mercy Outreach Program. The program provided this support through home intervention efforts that do the following: 1) teach patients coping skills to prevent re-hospitalization; 2) provide resources (pharmaceutical, transportation and housing); 3) develop support systems for family. * In 2018, 31 patients completed six-week sessions through the Starting Fresh Program. Physicians provided prescriptions for patients to attend the program. It consisted of evidence-based diabetes self-management sessions followed by monthly group support sessions. Patients received samples of fresh produce as snacks at each session, and they took home a grocery bag of fresh fruits and vegetables. Monthly group support sessions had guest speakers and focus on topics relevant to diabetic patients. In January 2018, the program implemented a new curriculum, DEEP (Diabetes Education Empowerment Program) and has been positively received by the class participants. It's use of strong visual demonstrations resonated with the participants. In 2019 the program will be tracking outcomes and then comparing the DEEP model to the Stanford model in measure efficacy. * In 2018, the program has hired a new program coordinator and has begun recruiting efforts for the 2019 year with the aim of achieving increased attendance levels. Decrease Youth Mental Health Issues and Bullying Implementation Activities: Goal: Reduce the youth suicide rate, youth suicide attempts and bullying of youth in Lucas County 2018 Strategies and Outcomes: * Supported the initiatives of the Lucas County Suicide Prevention Coalition, partnering with many community partners including: ProMedica, University of Toledo, Mental Health and Recovery Services Board of Lucas County, Cenpatico, U.S. Department of Veteran Affairs, National Alliance on Mental Illness, Lutheran Social Services of Northwestern Ohio. In 2018, the hospital achieved the following while working towards our goals: 1) The current board has been built up to 6 active members; 2) The LCSPC initiated 2 additional grants in partnership with MHRSB for QPR (Question, Persuade, Refer) suicide prevention training; 3) In 2018 the program coordinator successfully completed QPR certification as a trainer and trained 250 persons in 3 corporations. * Expanded activities and programs of the Lucas County Suicide Prevention Coalition to include: a community loss team; suicide prevention programs and activities in public, charter and parochial high schools; developing the Student Ambassador Program with local high schools; building a collaborative relationship with University of Toledo for research; eliciting state support through the state coalition for funding and support; coordinating program activities and resources with other coalitions such as BRAVE coalition, Trauma coalition, Antibullying task force. In 2018, the following was accomplished in the pursuit of achieving our goals: 1) 5,475 persons were educated on suicide prevention with a goal of increasing awareness of warning signs and how to help someone at risk for suicide to access services. 2) 43 presentations were given at 25 middle schools and high schools. 3) 33 high school students were trained and are active as student ambassadors in area high schools. 4) The LCSPC participated in 44 community events to promote stigma busting activities and suicide prevention outreach. 5) Social marketing activities included over 29K social media viewers with an increase of 18% in social media viewers in 2018. * The hospital will pilot the Adolescent Weight Management program by providing LISWs to provide mental health counseling to program participants. In 2018, 38 placements were made for inpatient psychiatric care. Continued description below. Schedule H, Part V, Section B, Line 11 Facility A, 6 Facility A, 6 - CONTINUED: Mercy Health - St. Anne Hospital LLC. Continued description for Mercy Health - St. Anne Hospital LLC: Decrease Infant Mortality Implementation Activities: Goal: To reduce the incidence of low birth weight births and increase the number of children reaching the age of one among the high-risk pregnant population in Lucas County by using evidence-based strategies such as prenatal care, safe sleep environments and breastfeeding. 2018 Strategies and Outcomes: * Provided Healthy Connections - Pathways Program to reduce the incidence of low-birth-weight births among the high-risk population in Lucas County by promoting the following: 1) Early entry into prenatal care: In 2018, 415 women were served in the program and 197 babies were born. 2) Regular attendance at prenatal visits: In 2018, 81% regularly attended prenatal visits. 3) Birth weight of 5 lbs. 8 oz. or greater: In 2018, 81% of babies were born at a healthy birth weight. 4) Attendance of postpartum visit 21-56 days after delivery: In 2018, 59% attended postpartum visit. 5) Connecting the infant to a medical home and attending a one-month well visit: In 2018, 90% of babies connected to a medical home. * Offered Healthy Connections - Mother and Child Dependency Program to provide care coordination, needs assessment, advocacy, linkage with community resources, monitoring medication compliance, sober support, skill building, stress management, parenting support and transportation assistance. In 2018, 61 women were served by this program and 88% of the women completed the program and 12% dropped out, which exceeded the hospitals' goals in 2018. Of those women who stayed enrolled in the program, 93% of babies born tested negative to illicit drugs. Increase School Readiness Implementation Activities: Goal: Increase the proportion of children who are ready for school in all five domains of health development: physical development, social-emotional development, approaches to learning, language, and cognitive development. Increase the proportion of parents who use positive parenting and communicate with their doctors or other healthcare professionals about positive parenting. These goals are based on the Healthy People 2020 goals. 2018 Strategies and Outcomes: * Healthy Connections - Early Head Start (EHS) Home Visitation Program works to 1) promote healthy prenatal outcomes for pregnant women; 2) enhance the development of very young children; 3) promote healthy family functioning. In 2018, this program provided weekly 90-minute home visits to 59 children. * Healthy Connections - Help Me Grow Program is a home-visiting program for expectant or new parents to help them create a sturdy foundation for their child's future achievement. Home visitors conduct developmental screenings and develop an Individualized Family Service Plan for each family. Home visitors also refer families to helpful community resources. In 2018, this program served 285 families across Lucas, Wood, and Allen Counties. All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 11 Facility A, 7 Facility A, 7 - St. Vincent Mercy Children's Hospital. Increase Healthy Weight Status Implementation Activities: Goal: Reduce the number of residents in Lucas County with a weight classification of overweight or obese. Increase the knowledge of strategies to use to help maintain a healthy weight status. 2018 Strategies and Outcomes: * Implemented Healthy Connections- Kohl's Kids in Action Program to provide community-based health education with three major components to reduce the incidence of childhood obesity: 1) health-education outreach at community events; 2) print, radio and online public awareness/educational campaigns; 3) community-based health-education programs in local elementary schools and community centers. Beginning in 2018, the program was fully funded by the Mercy Health Toledo Foundation, and produced the following towards its goal: Event reach goal 62,309; Actual reach 76,773 through outreach events and 883 in classrooms * Offered a Group Lifestyle Balance program designed for patients whose medical conditions could be improved through healthy lifestyle changes and weight loss. The program consists of weekly 90-minute group medical visits for 12 weeks, followed by monthly visits for the remainder of a year. Patients targeted were expected to lose a minimum of 7% of body weight. In 2018, 36% of program participants achieved the goal of 7% body weight loss. Of the total program participants 36% also increased their physical activity to a minimum of 150 minutes weekly. Decrease Youth Mental Health Issues and Bullying Implementation Activities: Goal: Reduce the youth suicide rate, youth suicide attempts and bullying of youth in Lucas County 2018 Strategies and Outcomes: * Supported the initiatives of the Lucas County Suicide Prevention Coalition, partnering with many community partners including: ProMedica, University of Toledo, Mental Health and Recovery Services Board of Lucas County, Cenpatico, U.S. Department of Veteran Affairs, National Alliance on Mental Illness, Lutheran Social Services of Northwestern Ohio. In 2018, the hospital achieved the following while working towards their goals. 1) The current board has been built up to 6 active members. 2) The LCSPC initiated 2 additional grants in partnership with MHRSB for QPR (Question, Persuade, Refer) suicide prevention training. 3) In 2018 the program coordinator successfully completed QPR certification as a trainer and trained 250 persons in 3 corporations. * Expanded activities and programs of the Lucas County Suicide Prevention Coalition to include: a community loss team; suicide prevention programs and activities in public, charter and parochial high schools; developing the Student Ambassador Program with local high schools; building a collaborative relationship with University of Toledo for research; eliciting state support through the state coalition for funding and support; coordinating program activities and resources with other coalitions such as BRAVE coalition, Trauma coalition, Antibullying task force. In 2018, the following was accomplished in the pursuit of achieving their goals: 1) 5,475 persons were educated on suicide prevention with a goal of increasing awareness of warning signs and how to help someone at risk for suicide to access services. 2) 43 presentations were given at 25 middle schools and high schools. 3) 33 high school students were trained and are active as student ambassadors in area high schools. 4) The LCSPC participated in 44 community events to promote stigma busting activities and suicide prevention outreach. 5) Social marketing activities included over 29K social media viewers with an increase of 18% in social media viewers in 2018. * The hospital piloted the Adolescent Weight Management program by providing LISWs to provide mental health counseling to program participants. In 2018, 38 placements were made for inpatient psychiatric care. Continued description below. Schedule H, Part V, Section B, Line 11 Facility A, 8 Facility A, 8 - CONTINUED: St. Vincent Mercy Children's Hospital. Continued description for St. Vincent Mercy Children's Hospital: Decrease Infant Mortality Implementation Activities: Goal: To reduce the incidence of low birth weight births and increase the number of children reaching the age of one among the high-risk pregnant population in Lucas County by using evidence-based strategies such as prenatal care, safe sleep environments and breastfeeding. 2018 Strategies and Outcomes: * Provided Healthy Connections - Pathways Program to reduce the incidence of low-birth-weight births among the high-risk population in Lucas County by promoting the following: 1) Early entry into prenatal care: In 2018, 415 women were served in the program and 197 babies were born. 2) Regular attendance at prenatal visits: In 2018, 81% regularly attended prenatal visits. 3) Birth weight of 5 lbs. 8 oz. or greater: In 2018, 81% of babies were born at a healthy birth weight. 4) Attendance of postpartum visit 21-56 days after delivery: In 2018, 59% attended postpartum visit. 5) Connecting the infant to a medical home and attending a one-month well visit: In 2018, 90% of babies connected to a medical home. * Offered Healthy Connections - Mother and Child Dependency Program to provide care coordination, needs assessment, advocacy, linkage with community resources, monitoring medication compliance, sober support, skill building, stress management, parenting support and transportation assistance. In 2018, 61 women were served by this program and 88% of the women completed the program and 12% dropped out, which exceeded the hospitals' goals in 2018. Of those women who stayed enrolled in the program, 93% of babies born tested negative to illicit drugs. Increase School Readiness Implementation Activities: Goal: Increase the proportion of children who are ready for school in all five domains of health development: physical development, social-emotional development, approaches to learning, language, and cognitive development. Increase the proportion of parents who use positive parenting and communicate with their doctors or other healthcare professionals about positive parenting. These goals are based on the Healthy People 2020 goals. 2018 Strategies and Outcomes: * Healthy Connections - Early Head Start (EHS) Home Visitation Program works to 1) promote healthy prenatal outcomes for pregnant women; 2) enhance the development of very young children; 3) promote healthy family functioning. In 2018, this program provided weekly 90-minute home visits to 59 children. * Healthy Connections - Help Me Grow Program is a home-visiting program for expectant or new parents to help them create a sturdy foundation for their child's future achievement. Home visitors conduct developmental screenings and develop an Individualized Family Service Plan for each family. Home visitors also refer families to helpful community resources. In 2018, this program served 285 families across Lucas, Wood, and Allen Counties. Significant Needs Not Addressed by the Hospital DECREASE CHRONIC DISEASE - Mercy Health - Children's Hospital will not directly address this community need as other organizations in Lucas County are specifically designed and better prepared to respond to this need through resources and experience. We do not service or treat adult patients. Schedule H, Part V, Section B, Line 11 Facility A, 9 Facility A, 9 - Mercy Health - Tiffin Hospital LLC. Adult and Youth Mental Health Implementation Activities: Goal: Increase awareness of adult and youth mental health issues of Seneca County. 2018 Strategies and Outcomes: * Mercy Health Tiffin Hospital provided SBIRT educational materials and training to 24 ED and nursing staff in 2018. * Counseling services are available through Firelands Counseling and Recovery services. Mercy Health Tiffin Hospital provides a safe site for after hours. * Firelands Counseling and Recovery provides ongoing education and training for all emergency department personnel through the program Mental Health First Aid for Healthcare Workers. * In 2018, Mercy Health Tiffin Hospital tracked the number of referrals to the SBIRT program at Firelands Counseling and Recovery Services and provided education for adults and youth referred for counseling or addiction services by the hospital. They had the following results through the year: 1) Alcohol Pre-Screens: 12,703 (5,541 men and 7,162 women) participants. Of the total pre-screens, 225 (177 men and 70 women) brief interventions were held and 56 (42 men and 12 women) required referrals to treatment. 2) Drug screenings resulted in 11,970 participants with 70 brief interventions and 28 referrals to treatment. 3) Mood screenings resulted in 10,903 participants with 188 referrals to treatment. Preventive Health (Adult and Youth Nutrition) Implementation Activities: Goal: Focus on prevention of chronic illnesses, increase weight loss and increase knowledge of healthy nutrition in adults and youth of Seneca County. 2018 Strategies and Outcomes: * Mercy Health Tiffin Hospital continues to offer the Complete Health Improvement Program (CHIP) twice per year. The session is nine weeks and taught behavior changes and self-discovery learning tools. The program helped participants make lifestyle changes to reduce chronic disease. In 2018, 9 individuals participated in the program. Overall, participants incorporated healthier lifestyle habits, resulting in decrease in weight (5.9 lbs), fasting glucose (24.4%), triglycerides (14.44%) and cholesterol levels (11.6%). * Mercy Health Tiffin Hospital provided five community screening events in 2018 at minimal cost. The screening events included lab testing, PSA testing, dexa screening and blood pressure screening and delivers other health-related information. The hospital also provided mammograms free or at reduced cost for eligible women. 674 individuals were screened in 2018 and had the following results: 1) Blood Pressure (Total Individuals) - Normal 117, pre-hypertension 75, and hypertension 147 2) Bone Density (Total Individuals) - in range 121, out of range 43 3) Body Fat Analysis (Total Individuals) - ideal 56, out of range 69 4) Lung Function (Total Individuals) - normal 51, abnormal 8 5) The screening also noted a person with elevated PSA which resulted in a follow-up with a physician that later diagnosed the person with prostate cancer. * Mercy Health Tiffin Hospital offers dietitian services for people with a physician order. In 2018, there were 110 referrals for diabetes education by an educator and dietician. * Mercy Health Tiffin Hospital delivered 7 newsletters to local businesses called Mercy Health Watch. Tracking of mailings is provided by the Community Health Coordinator at Mercy Health Tiffin Hospital. All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 11 Facility A, 10 Facility A, 10 - Mercy Health - Willard Hospital LLC. Personal Wellness Implementation Activities: Goal: Reduce obesity by improving nutrition and exercise habits. 2018 Strategies and Outcomes: * In 2018, offered dietitian services to 55 individuals referred by a physician. * Conducted community health education and support groups, health fairs and screenings for our community. In 2018, individuals participated in various screenings and had the following results: 31 individuals were screened for body fat analysis - 6 were considered unhealthy and 25 considered healthy; 28 individuals were screened for bone density - 23 were in range and 5 were out of range; and 74 individuals were screened for blood pressure -33 were normal, 21 prehypertensive, and 20 hypertensive. * Partnered with Willard Hospital medical staff to give patients appropriate educational material regarding nutrition, fitness and weight control. This is also used to make referrals to the CHIP (Complete Health Improvement Program). In 2018, there were 8 participants. * Offered a monthly newsletter to local businesses, "Mercy Health Watch - Health Topics" and "Mercy Health Watch your corporate wellness program resource" including information on how to further develop their wellness programs. In 2018, there were 7 newsletters sent out to local businesses. * Continue to offer a migrant health-screen clinic twice a year. In 2018 there were 25 participants. * In 2018, 13 hospital employees mentored 150 kindergarten students through a program called Game On to help explain healthy eating and exercising. * In 2018, a total of 1000 free drug test kits were handed out to parents for at home testing. Mental Health/Substance Abuse Implementation Activities: Goal: Improve mental health and substance abuse awareness in Huron County. 2018 Strategies and Outcomes: * In 2018, 284 individuals were referred and received services through Firelands Counseling and Recovery Services in a clinic on the second floor of Willard Hospital. The hospital continues to work to improve its referral and tracking process, and offers a safe site for afterhours counseling in the Emergency Department. * Firelands Counseling provides SBIRT Program (Screening, Brief Intervention, Referral and Treatment) when appropriate in the Emergency Department and Primary Care at Mercy Health Willard. For 2018, the following were the results: 1) Alcohol Pre-Screens: 7,803 (3,268 male and 4,535 female). Of the total pre-screens, 243 (122 male and 121 female) screened "yes." 544 brief interventions were held (52 9 male and 15 female), and 40 required referrals (30 male and 10 female). 2) Drug Pre-Screens: 7,320. Of the total pre-screens, 149 screened "yes", 47 brief interventions were held, and 30 required referrals. 3) Mood/Depression Pre-Screens: 7,059. Of the total pre-screens, 7,147 screened "yes," 113 PHQ-9 screens were done, and 83 required referrals. All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 11 Facility A, 11 Facility A, 11 - Mercy Health - Defiance Hospital LLC. Decrease Obesity Implementation Activities: Goal: Reduce the percentages of overweight or obese adults and children in Defiance County by offering educational programs, healthy food options within Defiance Hospital, and using marketing materials to better brand the Good4You program. 2018 Strategies and Outcomes: * Maintained vending machines with increased healthy choices that were installed at Defiance Hospital in late 2016. The vendor has wide discretion in the variety of items offered for sale. Nutritional information was obtained and examined in 2018 for the wide variety of items, which may at various times be offered. Have introduced new choices from the vendor and have increased the number of healthy choices based on nutritional value by 10%. * In 2018, Defiance Hospital continued the maintenance and promotion of the walking path in cooperation with the adjacent Defiance County property. Increase Mental Health Services Implementation Activities: Goal: Through proven and promising best practices, effective programs will be better able to help achieve the Healthy People 2020 Mental Health and Mental Disorders objectives by improving mental health through prevention, and ensure access to appropriate, quality mental health services. 2018 Strategies and Outcomes: * Active involvement with the Four County L.O.S.S. (Local Outreach to Suicide Survivors) Teams. Mercy's volunteer participated in 6 monthly debriefings and responded to 6 deaths as a team member during 2018. * Screening Brief Intervention and referral to treatment Program was initiated at Mercy Health Emergency Department in January of 2018. In 2018, the SBIRT program completed 4,897 Alcohol Pre-Screenings with 17 referrals; 4,864 Drug Pre-Screenings with 7 referrals; 4,427 Mood PHQ-2 screenings with 29 referrals. Decrease Substance Abuse Implementation Activities: Goal: To increase community awareness of the problem of addiction and of the availability of effective treatment opportunities; Reduce the number of adults and children who are substance abusers. 2018 Strategies and Outcomes: * Continued participation in the Defiance County Drug Free Coalition, which is a 501(c)(3) organization that promotes a life style free from the abuse of alcohol and drugs. In 2018, a Defiance Hospital representative attended 2 of the quarterly meetings. Increase Injury Prevention Implementation Activities: Goal: To increase community awareness of preventable injury problems and to provide access to programs and practices available for injury prevention in order to decrease the number of preventable injuries. 2018 Strategies and Outcomes: * Defiance Hospital participates in the POWER Defiance County Coalition working to address this need. Defiance Hospital representatives attended four review sessions to select the goals for POWER Defiance County Coalition during 2019 - 2021. * The review sessions established three priorities for Defiance County: 1) Mental Health and Addiction (Includes adult and youth depression, suicide, youth and child bullying and youth substance abuse.) 2) Chronic Disease (Includes obesity, physical activity and heart disease) 3) Injury Prevention (Includes adult falls, adult drinking and driving, youth texting and driving and child safe sleep practices.) All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 11 Facility A, 12 Facility A, 12 - Mercy Health - St. Rita's Medical Center LLC. Exercise, Nutrition and Weight Implementation Activities: Goal: Reduce the incidence of overweight and obesity in our primary service areas. 2018 Strategies and Outcomes: * Sponsored programming, such as GoNoodle, that encourages an increase in physical activity in youth. In 2018, 15,256 kids participated in GoNoodle, and 500 participated in the Wapak Healthy Kids Days. * Encouraged schools to develop their own programs to increase physical activity and/or healthy eating (Veggie U, Activated School Challenge, etc.). By 2018, a total of 20 schools , including 6 new schools in 2018, have participated in the Activated School Challenge by developing their own programs addressing physical activity and/or healthy eating. In 2018, an additional 3 schools used the Veggie U program for classroom learning about healthy eating. * Encouraged an increase in participation in fitness events (5Ks, biking events, etc.). In 2018 there were 4,895 participants in fitness events developed and managed, or sponsored by St. Rita's. Event examples include the Putnam County Running Series, Delphos Running Series, Keeping Active Program at Bluffton Family Recreation, and 5k events. * Supported initiatives to increase physical activity options by partnering with community recreational facilities, parks and community development organizations. In 2018, the hospital provided $194,769 to support physical-activity initiatives for the community. Examples of those initiatives include support for Lima City Parks Playground Upgrade Project, Wapak YMCA Capital Project, Activate Allen County Collaborative, and Lima Abilities Baseball Field of Dreams. * Supported initiatives, including collaborating with community based groups, to improve access to healthier foods (Healthy Happens Here, farmers' markets, community gardens, etc.). In 2018, the hospital provided $119,075 to support healthy-food access initiatives for the community. * Educated community members about chronic-disease prevention and management, especially among the target population. In 2018, 6,855 individuals participated in health fairs for local organizations such as Ohio Northern University, Ford, and Kiwanis as well as, educational events such as the Cardiovascular Symposium and a presentation on diets related to Alzheimer's. Mental Health and Substance Abuse Implementation Activities: Goal: Improve mental health through prevention, early detection and by ensuring access to appropriate, quality mental health services; Reduce substance abuse in the primary service area to protect the health, safety and quality of life for all. 2018 Strategies and Outcomes: * Subsidized behavioral health services including inpatient psychiatric services and partial hospitalization program. In 2018, 1,665 patients were served by behavioral health services. * The Behavioral Access Center provided Intervention and management of crisis situations for inpatients and patients who arrive in the Emergency Department. In 2018, 3,840 patients were served by this center. * Mercy Health Physicians has continued providing access for their primary care patients to behavioral health specialists. * Provided integrated treatment for depression through participation on the Patient Intervention Treatment Team. In 2018, 28 patients were served by the Patient Intervention Treatment Team. * Mercy Health hospitals shifted its screening focus for early detection of depression to SBIRT screening. In 2018, 11,152 SBIRT screenings were conducted. * Provided educational events with schools to promote depression awareness and/or substance abuse prevention. In 2018, there were 15 educational events in collaboration with schools focusing on depression awareness and/or substance abuse prevention that had 4,675 students participate. * Promoted depression awareness in the community. In 2018, there were 10 educational events focusing on depression awareness and/or substance abuse prevention in the community. * Participated in and supported the recommendations of the St. Rita's Health Partners (SRHP) Opiate Addiction Task Force. In 2018, 1,179.1 pounds of discarded medications were collected through the Medication Take Back Program, including through Med Safe Boxes and a community take back day. * In 2018, educational sessions were provided for physicians and health professionals around opiate crisis and prescribing. As part of the SRHP Opiate Addiction Task Force, the hospital worked with the Physician Safety Advisory Committee to identify and collect data about patterns and provide physicians with resources and education when necessary. * Participated in community collaborative efforts to respond to the identified mental health and substance abuse needs of the community. In 2018, 456.5 hours (resulting in $70,875 dollars) were used to support the community collaborative efforts. * In 2017, St. Rita's implemented a Medical Withdrawal and Management Program through collaboration with Coleman Health Professionals to provide inpatient detox and linkage to outpatient services. In 2018, 32 patients were served. Continued description below. Schedule H, Part V, Section B, Line 11 Facility A, 13 Facility A, 13 - CONTINUED: Mercy Health - St. Rita's Medical Center LLC. Continued description for Mercy Health - St. Rita's Medical Center LLC (St. Rita's): Cancer Implementation Activities: Goal: Reduce the number of preventable disabilities and deaths caused by cancer within our primary service area through increased access to screening and other prevention programs. 2018 Strategies and Outcomes: * Provided access to clinically appropriate and advanced imaging techniques for early detection of cancers, including emphasis on: 1) Screening and diagnostic mammography - In 2018, 14,958 patients received mammography screenings at St. Rita's. 2) Lung screening for 30-pack/year smokers - In 2018, 536 patients received CT lung screenings based on the most recent guidelines for early detection. A clinic is set to open in 2019. * Participated in community collaborative efforts, including Mercy Health Physicians, to address cancer prevention, education, research and care, including health fairs and other initiatives. In 2018, 71 hours (or $1,610) and $19,000 were provided to support the community collaborative efforts. * Promoted community awareness of cancer resources and education through the Cancer Resource Center and St. Rita's Cancer Committee, Community Outreach and other related efforts. In 2018, 240 hours and $77,674 were committed. Maternal, Fetal and Infant Health Implementation Activities: Goal: Reduce the risk of infant mortality by improving the health and well-being of mothers and infants. 2018 Strategies and Outcomes: * Promoted higher participation in the existing antepartum program (childbirth education classes offered online or in classroom settings) through increased promotion and access, especially to target populations. In 2018, 372 individuals participated in St. Rita's antepartum program. * Promoted higher participation in the existing breastfeeding program through increased promotion and access, especially to target populations. Lactation consultants are available to new mothers at a weekly walk-in clinic. In 2018, 244 individuals participated in St. Rita's breastfeeding program. * Promoted tobacco cessation for women during pregnancy and preconception. St. Rita's is in process of developing a community collaborative in 2018. * Collaborated with community OB/GYN providers and community health agencies to promote early screening, coordination of care and access to needed resources. In 2017, St. Rita's assumed responsibility for Mother Infant and Early Childhood Home Visitation Program and Help Me Grow Program in Allen County. In 2018, the Home Visitation Program offered 640 home visits. * The hospital participates in a state-wide program, Ohio's First Steps for Healthy Babies, as part of the Ohio Department of Health and the Ohio Hospital Association objectives. St. Rita's is now a 4-star facility in 2018 instead of a Tier 2 facility as it was previously classified in 2017. St. Rita's submitted 7 of the 10 steps of the ODH initiative and are in progress of the final 3 steps. * Encouraged and supported mothers in their efforts to feed their infants breastmilk during the hospital stay. In 2018, 68% of mothers initiated feeding their infants breastmilk during the hospital stay. In total, 52% of infants were exclusively fed breastmilk during their hospital stay. Access to Health Implementation Activities: Goal: Improve education and access to appropriate services for health resources and care. 2018 Strategies and Outcomes: * Provided financial counseling services through a combination of the H.E.L.P program and services provided by Cardon to 7,226 individuals in 2018. * Enhanced Mercy Action prescription-assistance program to provide options for long-range support and to reach target populations. Pharmacy technicians work to find long term solutions for patients in need through the Medication Assistance program. In 2018, the Medication Assistance program aided 642 patients. * In 2018, the hospital provided transportation services to 5,026 to medical appointments using Mercy Express and Mercy Action. * Collaborated with community agencies to address barriers to access, including transportation. In 2018, 305 rides were subsidized by the $10,000 financial support of the Find a Ride Program. * In 2018, St. Rita's invested $320,989 of community-benefit dollars in educational opportunities for health professionals to further their education. All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 11 Facility A, 14 Facility A, 14 - Mercy Health - St. Elizabeth Health Center. Cancer Implementation Activities: Goal: Optimize outcomes and reduce the mortality rate of breast, colorectal, and lung cancer in the Mahoning Valley. 2018 Strategies and Outcomes: * Increase access to quality breast care for those residing in areas where mammography services are limited by providing convenient access that promotes screening, early detection and intervention. In 2018, Mercy Health Youngstown (MHY) exceeded its goal to increase by 3% the annual number of screening mammograms at JABCC and Joanie Abdu Mobile Van. In 2018, 8,580 screenings were performed, which was an increase of approximately 11% from 2017. * MHY had a call back rate for the screening population ranging from 6.3% to 8.28% across its screening locations, compared to a goal of less than 15%. This metric is an indicator of potential benign and malignant breast disease according to NCCN Benchmark of 5-15%. * To ensure provision of community outreach to African-American women and underserved, MHY continues to identify and report economic and geographic patient utilization based on payer mix and zip code analysis on an annual basis. Payer mix reported in 2018 is based on June to December 2017 for the Joanie Abdu Comprehensive Breast Care Center: 38.75% Medicare/16.16% Medicaid/ Health Exchange/Self-pay. Joanie Abdu Mobile Mammography Van: 42.08% Medicare/18.19% Medicaid/ Health Exchange/ Self-Pay. Provided service to 67 cities with highest utilization in Youngstown 26.68%/ Warren-17.10%. * In 2018, 71.4% of women 50-74 years of age who visit a MHY physician during the measurement period had a mammogram within the past 27 months, compared to a goal of 65% for 2018. * In 2018, a total of 329 breast cancers were reported and due to early detection and screening, those detected at Stage 1 increased from 120 in 2017 to 177 in 2018 while the total number at Stages II, III, & IV decreased from 131 to 114. * A total of 139 colon cancers were diagnosed in 2018 with increases in the numbers diagnosed at Stage III (24 in 2017 to 38 in 2018) and Stage IV (20 in 2017 to 27 in 2018). MHY primary care physicians continue to encourage patients to get appropriate colorectal cancer screenings. * In 2018, 63.3% of patients ages 50-75 who visit MHY primary care physicians had received appropriate screening for colorectal cancer, compared to a goal of 60%. * In 2018, we had increases in the number of lung cancers diagnosed at later stages. 180 Stage III & IV lung cancers were diagnosed versus 154 in 2017 and 77 Stage I & II lung cancers were diagnosed versus 53 in 2017. MHY continues efforts to improve these numbers through the MHY CT Lung Screening Program, Incidental Pulmonary Nodule Program and the Pulmonary Nodule Clinic. * To improve lung cancer screening in the community, 861 patients were screened in 2018 through MHY CT Lung Screening Program and Incidental Pulmonary Nodule Program with the utilization of the lung nodule patient navigator. * Opened the Pulmonary Nodule Clinic in April 2018 and enrolled 101 patients into the Incidental Pulmonary Nodule Program. * Continued working towards an increase in awareness of the need for lung cancer screenings through educational programs. In 2018, there were 6 attendees at educational programs. Diabetes Implementation Activities: Goal: Reduce incidences and complications of diabetes in Mahoning County and the surrounding area. 2018 Strategies and Outcomes: * Promote assessment, treatment, and teaching of diabetes self-management by increasing the number of physician referrals. The number of physician referrals for diabetes care had a goal to increase by 5% and the goal was met with an increase of approximately 8%. The actual number of referrals were 2,313 in 2017 to 2,495 in 2018. * Promote participation and completion of MHY Diabetes Education Classes to ensure improvement in diabetes control. In 2018, the completion rate of participants in Diabetes Self-Management classes was 83% (or 495 of 593 participants), compared to a goal of 82%. * Improved clinical outcomes related to the impact of diabetes education. In 2018, 86% of patients completing the Diabetes Self-Management classes (175 of 203) had a reduction in their HgbA1c as compared to their pre-class HgbA1c. In 2018, 2.9% of the participants had an average reduction in HbA1c that equals or exceeds the national average reduction of 0.8% - 1.0%. * Provided group and individual counseling in diabetes management to 1,596 patients in 2018. * Offer Pathway to Success program to MHY patients, with a goal that 90% of mothers who participate in program will give birth to babies less than 9 pounds, with no congenital anomalies. In 2018, 194 of 215 mothers (90%) gave birth to babies that met these standards. * Provided glucose meter strips and lancets for blood sugar management to those in need. In 2018, 39 patients on average per quarter were served through the grant funded test strip program, and 30,569 test strips and lancets were distributed. There was a significant improvement in this program in 2018. * In 2018, 101 people participated at a Diabetes Support Group in the community to promote lifestyle strategies and address concerns. * Conducted MHY Nutrition/Exercise Program, a collaboration between MHY Cardiac Rehabilitation and Diabetes Education Departments, for those who are underinsured. In 2018, 24 - 32 people participated in each of the first three quarters until the program ended in the fourth quarter. * Improved diabetes management by providing Diabetes Management Team program to 33 participants in 2018 located in MHY Ambulatory Care Center. * Provided access to healthy foods at farmer's markets in June - October months through the Fruit and Vegetable Prescription Program for persons in need who are at risk for chronic illness, including diabetes. The percent of Program vouchers utilized in 2018 was 66% (1819/2760). * Provided fitness activities to underserved areas in the community through Stepping Out Program. In 2018, there was attendance of 15,387 at activities provided by the Program. Several new sites were added in 2018, for a total of 12 sites. * Mercy Health Physicians groups will provide excellent diabetes care for their patients as evidenced by improved HgbA1c levels. In 2018, 75.5% of MHY physician patients age 18-75 years of age with diabetes had their most recent HgbA1c of 9.0% or less. * Provided a total of 251 diabetes medications (oral and insulin) through Prescription Assistance Program to 192 people in 2018. * Provided education and screening for diabetes risk at community public events with a focus on the underserved. In 2018, MHY screened 506 people at the Community Health Education/Know Your Numbers program, 355 people through our Hispanic Health Program, and 861 people through our Neighborhood Health Watch Program. * Provided screenings to the community to build personal awareness of diabetes and management to 222 people at St. Joe's at the Mall, and 366 people at the Mercy Health Day in 2018. Continued description below Schedule H, Part V, Section B, Line 11 Facility A, 15 Facility A, 15 - CONTINUED: Mercy Health - St. Elizabeth Health Center. Continued description for Mercy Health - St. Elizabeth Health Center: Substance Abuse - Drug and Alcohol Implementation Activities: Goal: Reduce the incidences of alcohol- and opiate-related deaths in the Mahoning Valley; Improve access and appropriate treatment for people with substance abuse disorders 2018 Strategies and Outcomes: * Mercy Health continued to support project DAWN by providing funding to ASAP (Alliance for Substance Abuse Prevention) which is a coalition led by the Trumbull County Mental Health and Recovery Board. In 2018, 337 people participated in project DAWN program, and 296 kits were distributed. * Achieved goal of opening the detox services with partner Neil Kennedy in September of 2018. Also, provided services to 76 patients during the year. * Trained and educated health care professional students, instructors, and community agencies to provide Screening, Brief Intervention and Referral to Treatment (SBIRT). An SBIRT grant was completed in October 2018. Staff utilized evidence based screening tools, nurses provide screening to patients, and social workers and students were trained and provided assistance with brief intervention and referral to treatment. In 2018, 480 health care professional students and 17 instructors were trained in SBIRT. Emergency department (ED) staff was trained at 4 emergency departments (EDs). 60,434 SBIRT screenings were completed in 2018 using screening tools available in EPIC and worked with urgent cares to provide screenings. * Drop boxes were installed at three EDs in 2017 and continue to be operational in 2018. * Provided education and prevention community outreach activities. In 2018, MHY worked in partnership with county drug recovery board and local coalitions and provided 5 events focusing on education and prevention activities. * With a goal of creating a seamless ED patient referral to treatment resources, MHY placed a Memorandum of Understanding (MOU) with five community agencies to expedite the process into treatment with the ED. * MHY started to provide peer recovery support programing in 2018. Initial meetings with patients include the first interaction during this hospital encounter. Education, prevention, placement, and verbal support are a few of the services provided to patients during initial contact. During 2018, there were a total of 891 initial contact with patient with the hospital system and from those initial contacts there were 204 referrals for the recovery support services. * Worked with the Mercy Health Foundation and secured grant funding for prevention services to be able to educate students and reduce drug use in youths. The total funding secured during 2018 was $120,000 which led to 1 school's K-5 (376 students) being educated in the classrooms by prevention services. MHY will continue to work towards additional funding and number of schools. * Partnered with Mercy Health's Oral Health program to work with students through their AOD education program during the summer of 2018. This program had 128 students participate. Infant Mortality Implementation Activities: Goal: Reduce infant mortality in the Mahoning Valley. 2018 Strategies and Outcomes: * In 2018, MHY offered the following programs to reduce incidence of preterm births, and low birth weight babies: 1) Resource Mothers Program - 9% (6 of 69) mothers who gave birth in 2018 had preterm births compared to a goal of 8%, and 6% of those mothers had babies with low birth weight which exceeded its goal of 8%. 2) CenteringPregnancy - 24.6% (17 of 69) mothers who gave birth in 2018 had preterm births in 2018, and 10.1% of those mothers had babies with low birth weight. 3) St. Elizabeth Boardman Hospital - 13.8% (421 of 3,047) mothers who gave birth in 2018 had preterm births and 11.7% of those mothers had babies with low birth weight. 4) St. Joseph Warren Hospital - 9% (102 of 1,134) mothers had preterm births and 8.7% of those mothers had babies with low birth weight. * Provided mentoring and support to pregnant women through Resource Mothers Program. In 2018, 451 mothers attended Resource Mothers support group activities. * Provided evidence based group model of care for pregnant mothers in Mercy Health's Women's Care Center. In 2018, 123 mothers participated in the CenteringPregnancy program at MHY, and 100% of participants attended all sessions. * Provided treatment to 49 patients at St. Elizabeth Boardman Hospital and 8 patients at St. Joseph Warren Hospital in 2018 with use of progesterone therapy for mothers who have had pre-term deliveries before 36 weeks. * Provided breast feeding support and education to inpatients to promote breast feeding. In 2018, 33% of mothers at St. Elizabeth Boardman Hospital and 36% of mothers at St. Joseph Warren Hospital exclusively breastfed. * In 2018, MHY provide electric breast pumps to 70 patients in need at St. Elizabeth Boardman Hospital and 59 patients in need at St. Joseph Warren Hospital. The pumps are provided as part of a grant program. * Provided breast feeding support through Trumbull County WIC Program. In 2018, 62.5% of WIC clients in Trumbull County breastfed. * Provided lactation consults to breast feeding mothers post discharge to 50 patients at St. Elizabeth Boardman Hospital and 67 patients at St. Joseph Warren Hospital in 2018. * Provided support and tracked the number of CenteringPregnancy mothers who initiate breast feeding at birth. In 2018, 84% of the 69 mothers breast fed at the time of discharge as compared to the goal of 81%. * Provided breast feeding support through support groups at MHY hospitals. In 2018, the number of women who attended a breast-feeding support group was 204 at St. Elizabeth Boardman Hospital, and 120 at St. Joseph Warren Hospital. * In 2018, MHY provided safe-sleep education and Halo Sleep Sacks to 100% of all 4,121 mothers at MHY hospitals prior to discharge, and to 100% of all mothers who participated in the CenteringPregnancy program in 2018. In addition, MHY Women's Service provided five safe sleep community education activities. * Provide Pack-n-Plays to mothers who do not have a safe place for their infant to sleep. In 2018, 9 pack-n-plays were provided to mothers when discharged at St. Elizabeth Boardman Hospital, 9 pack-n-plays were also provided to mothers discharged at St. Joseph Warren hospital, 25 pack-n-plays were provided to mothers who participated in the Resource Mothers Program, and 77 pack-n-plays to mothers who participated in the CenteringPregnancy program. * MHY consults neonatologist early to identify neonates at risk for neonatal abstinence syndrome (NAS) through use of Finnegan scoring and refer to Akron Children's Hospital Neonatal Intensive Care Unit (NICU) for treatment. In 2018, there were 14 NAS infants transferred to the NICU, which represented 22% of infants admitted to the NBN. * MHY consults hospitalist early to identify neonates at risk for neonatal abstinence syndrome (NAS) through use of Finnegan scoring and refer to Akron Children's Hospital Special Care Nursery (SCN) for treatment. In 2018, 9 (or 20%) NAS infants were transferred to the SCN. * MHY participates and collaborates in M/Y Baby's 1st Task Force (Mahoning County) and Infant Mortality Priority Group (Trumbull County). MHY's collaboration is reported quarterly at the MHY Community Benefit Committee meetings. All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 11 Facility A, 16 Facility A, 16 - Mercy Health - St. Elizabeth Boardman Health Center. Cancer Implementation Activities: Goal: Optimize outcomes and reduce the mortality rate of breast, colorectal, and lung cancer in the Mahoning Valley. 2018 Strategies and Outcomes: * Increase access to quality breast care for those residing in areas where mammography services are limited by providing convenient access that promotes screening, early detection and intervention. In 2018, Mercy Health Youngstown (MHY) exceeded its goal to increase by 3% the annual number of screening mammograms at JABCC and Joanie Abdu Mobile Van. In 2018, 8,580 screenings were performed, which was an increase of approximately 11% from 2017. * MHY had a call back rate for the screening population ranging from 6.3% to 8.28% across its screening locations, compared to a goal of less than 15%. This metric is an indicator of potential benign and malignant breast disease according to NCCN Benchmark of 5-15%. * To ensure provision of community outreach to African-American women and underserved, MHY continues to identify and report economic and geographic patient utilization based on payer mix and zip code analysis on an annual basis. For 2018, the most recent report available is based on 2017 statistics. 2018 data will be captured in the 2019 report. Payer mix June to December 2017 for the Joanie Abdu Comprehensive Breast Care Center: 38.75% Medicare/16.16% Medicaid/ Health Exchange/Self-pay. Joanie Abdu Mobile Mammography Van: 42.08% Medicare/18.19% Medicaid/ Health Exchange/ Self-Pay. Provided service to 67 cities with highest utilization in Youngstown 26.68%/ Warren-17.10%. * In 2018, 71.4% of women 50-74 years of age who visit a MHY physician during the measurement period had a mammogram within the past 27 months, compared to a goal of 65% for 2018. * In 2018, a total of 329 breast cancers were reported and due to early detection and screening, those detected at Stage 1 increased from 120 in 2017 to 177 in 2018 while the total number at Stages II, III, & IV decreased from 131 to 114. * A total of 139 colon cancers were diagnosed in 2018 with increases in the numbers diagnosed at Stage III (24 in 2017 to 38 in 2018) and Stage IV (20 in 2017 to 27 in 2018). MHY primary care physicians continue to encourage patients to get appropriate colorectal cancer screenings. * In 2018, 63.3% of patients ages 50-75 who visit MHY primary care physicians had received appropriate screening for colorectal cancer, compared to a goal of 60%. * In 2018, we had increases in the number of lung cancers diagnosed at later stages. 180 Stage III & IV lung cancers were diagnosed versus 154 in 2017 and 77 Stage I & II lung cancers were diagnosed versus 53 in 2017. MHY continues efforts to improve these numbers through the MHY CT Lung Screening Program, Incidental Pulmonary Nodule Program and the Pulmonary Nodule Clinic. * To improve lung cancer screening in the community, 861 patients were screened in 2018 through MHY CT Lung Screening Program and Incidental Pulmonary Nodule Program with the utilization of the lung nodule patient navigator. * Opened the Pulmonary Nodule Clinic in April 2018 and enrolled 101 patients into the Incidental Pulmonary Nodule Program. * Continued working towards an increase in awareness of the need for lung cancer screenings through educational programs. In 2018, there were 6 attendees at educational programs. Diabetes Implementation Activities: Goal: Reduce incidences and complications of diabetes in Mahoning County and the surrounding area. 2018 Strategies and Outcomes: * Promote assessment, treatment, and teaching of diabetes self-management by increasing the number of physician referrals. The number of physician referrals for diabetes care had a goal to increase by 5% and the goal was met with an increase of approximately 8%. The actual number of referrals were 2,313 in 2017 to 2,495 in 2018. * Promote participation and completion of MHY Diabetes Education Classes to ensure improvement in diabetes control. In 2018, the completion rate of participants in Diabetes Self-Management classes was 83% (or 495 of 593 participants), compared to a goal of 82%. * Improved clinical outcomes related to the impact of diabetes education. In 2018, 86% of patients completing the Diabetes Self-Management classes (175 of 203) had a reduction in their HgbA1c as compared to their pre-class HgbA1c. In 2018, 2.9% of the participants had an average reduction in HbA1c that equals or exceeds the national average reduction of 0.8% - 1.0%. * Provided group and individual counseling in diabetes management to 1,596 patients in 2018. * Offer Pathway to Success program to MHY patients, with a goal that 90% of mothers who participate in program will give birth to babies less than 9 pounds, with no congenital anomalies. In 2018, 194 of 215 mothers (90%) gave birth to babies that met these standards. * Provided glucose meter strips and lancets for blood sugar management to those in need. In 2018, 39 patients on average per quarter were served through the grant funded test strip program, and 30,569 test strips and lancets were distributed. There was a significant improvement in this program in 2018. * In 2018, 101 people participated at a Diabetes Support Group in the community to promote lifestyle strategies and address concerns. * Conducted MHY Nutrition/Exercise Program, a collaboration between MHY Cardiac Rehabilitation and Diabetes Education Departments, for those who are underinsured. In 2018, 24 - 32 people participated in each of the first three quarters until the program ended in the fourth quarter. * Improved diabetes management by providing Diabetes Management Team program to 33 participants in 2018 located in MHY Ambulatory Care Center. * Provided access to healthy foods at farmer's markets in June - October months through the Fruit and Vegetable Prescription Program for persons in need who are at risk for chronic illness, including diabetes. The percent of Program vouchers utilized in 2018 was 66% (1819/2760). * Provided fitness activities to underserved areas in the community through Stepping Out Program. In 2018, there was attendance of 15,387 at activities provided by the Program. Several new sites were added in 2018, for a total of 12 sites. * Mercy Health Physicians groups will provide excellent diabetes care for their patients as evidenced by improved HgbA1c levels. In 2018, 75.5% of MHY physician patients age 18-75 years of age with diabetes had their most recent HgbA1c of 9.0% or less. * Provided a total of 251 diabetes medications (oral and insulin) through Prescription Assistance Program to 192 people in 2018. * Provided education and screening for diabetes risk at community public events with a focus on the underserved. In 2018, MHY screened 506 people at the Community Health Education/Know Your Numbers program, 355 people through our Hispanic Health Program, and 861 people through our Neighborhood Health Watch Program. * Provided screenings to the community to build personal awareness of diabetes and management to 222 people at St. Joe's at the Mall, and 366 people at the Mercy Health Day in 2018. Continued description below. Schedule H, Part V, Section B, Line 11 Facility A, 17 Facility A, 17 - CONTINUED: Mercy Health - St. Elizabeth Boardman Health Center. Continued description for Mercy Health - St. Elizabeth Boardman Health Center: Substance Abuse - Drug and Alcohol Implementation Activities: Goal: Reduce the incidences of alcohol- and opiate-related deaths in the Mahoning Valley; Improve access and appropriate treatment for people with substance abuse disorders 2018 Strategies and Outcomes: * Mercy Health continued to support project DAWN by providing funding to ASAP (Alliance for Substance Abuse Prevention) which is a coalition led by the Trumbull County Mental Health and Recovery Board. In 2018, 337 people participated in project DAWN program, and 296 kits were distributed. * Achieved goal of opening the detox services with partner Neil Kennedy in September of 2018. Also, provided services to 76 patients during the year. * Trained and educated health care professional students, instructors, and community agencies to provide Screening, Brief Intervention and Referral to Treatment (SBIRT). An SBIRT grant was completed in October 2018. Staff utilized evidence based screening tools, nurses provide screening to patients, and social workers and students were trained and provided assistance with brief intervention and referral to treatment. In 2018, 480 health care professional students and 17 instructors were trained in SBIRT. Emergency department (ED) staff was trained at 4 emergency departments (EDs). 60,434 SBIRT screenings were completed in 2018 using screening tools available in EPIC and worked with urgent cares to provide screenings. * Drop boxes were installed at three EDs in 2017 and continue to be operational in 2018. * Provided education and prevention community outreach activities. In 2018, MHY worked in partnership with county drug recovery board and local coalitions and provided 5 events focusing on education and prevention activities. * With a goal of creating a seamless ED patient referral to treatment resources, MHY placed a Memorandum of Understanding (MOU) with five community agencies to expedite the process into treatment with the ED. * MHY started to provide peer recovery support programing in 2018. Initial meetings with patients include the first interaction during this hospital encounter. Education, prevention, placement, and verbal support are a few of the services provided to patients during initial contact. During 2018, there were a total of 891 initial contact with patient with the hospital system and from those initial contacts there were 204 referrals for the recovery support services. * Worked with the Mercy Health Foundation and secured grant funding for prevention services to be able to educate students and reduce drug use in youths. The total funding secured during 2018 was $120,000 which led to 1 school's K-5 (376 students) being educated in the classrooms by prevention services. MHY will continue to work towards additional funding and number of schools. * Partnered with Mercy Health's Oral Health program to work with students through their AOD education program during the summer of 2018. This program had 128 students participate. Infant Mortality Implementation Activities: Goal: Reduce infant mortality in the Mahoning Valley. 2018 Strategies and Outcomes: * In 2018, MHY offered the following programs to reduce incidence of preterm births, and low birth weight babies: 1) Resource Mothers Program - 9% (6 of 69) mothers who gave birth in 2018 had preterm births compared to a goal of 8%, and 6% of those mothers had babies with low birth weight which exceeded its goal of 8%. 2) CenteringPregnancy - 24.6% (17 of 69) mothers who gave birth in 2018 had preterm births in 2018, and 10.1% of those mothers had babies with low birth weight. 3) St. Elizabeth Boardman Hospital - 13.8% (421 of 3,047) mothers who gave birth in 2018 had preterm births and 11.7% of those mothers had babies with low birth weight. 4) St. Joseph Warren Hospital - 9% (102 of 1,134) mothers had preterm births and 8.7% of those mothers had babies with low birth weight. * Provided mentoring and support to pregnant women through Resource Mothers Program. In 2018, 451 mothers attended Resource Mothers support group activities. * Provided evidence based group model of care for pregnant mothers in Mercy Health's Women's Care Center. In 2018, 123 mothers participated in the CenteringPregnancy program at MHY, and 100% of participants attended all sessions. * Provided treatment to 49 patients at St. Elizabeth Boardman Hospital and 8 patients at St. Joseph Warren Hospital in 2018 with use of progesterone therapy for mothers who have had pre-term deliveries before 36 weeks. * Provided breast feeding support and education to inpatients to promote breast feeding. In 2018, 33% of mothers at St. Elizabeth Boardman Hospital and 36% of mothers at St. Joseph Warren Hospital exclusively breastfed. * In 2018, MHY provide electric breast pumps to 70 patients in need at St. Elizabeth Boardman Hospital and 59 patients in need at St. Joseph Warren Hospital. The pumps are provided as part of a grant program. * Provided breast feeding support through Trumbull County WIC Program. In 2018, 62.5% of WIC clients in Trumbull County breastfed. * Provided lactation consults to breast feeding mothers post discharge to 50 patients at St. Elizabeth Boardman Hospital and 67 patients at St. Joseph Warren Hospital in 2018. * Provided support and tracked the number of CenteringPregnancy mothers who initiate breast feeding at birth. In 2018, 84% of the 69 mothers breast fed at the time of discharge as compared to the goal of 81%. * Provided breast feeding support through support groups at MHY hospitals. In 2018, the number of women who attended a breast-feeding support group was 204 at St. Elizabeth Boardman Hospital, and 120 at St. Joseph Warren Hospital. * In 2018, MHY provided safe-sleep education and Halo Sleep Sacks to 100% of all 4,121 mothers at MHY hospitals prior to discharge, and to 100% of all mothers who participated in the CenteringPregnancy program in 2018. In addition, MHY Women's Service provided five safe sleep community education activities. * Provide Pack-n-Plays to mothers who do not have a safe place for their infant to sleep. In 2018, 9 pack-n-plays were provided to mothers when discharged at St. Elizabeth Boardman Hospital, 9 pack-n-plays were also provided to mothers discharged at St. Joseph Warren hospital, 25 pack-n-plays were provided to mothers who participated in the Resource Mothers Program, and 77 pack-n-plays to mothers who participated in the CenteringPregnancy program. * MHY consults neonatologist early to identify neonates at risk for neonatal abstinence syndrome (NAS) through use of Finnegan scoring and refer to Akron Children's Hospital Neonatal Intensive Care Unit (NICU) for treatment. In 2018, there were 14 NAS infants transferred to the NICU, which represented 22% of infants admitted to the NBN. * MHY consults hospitalist early to identify neonates at risk for neonatal abstinence syndrome (NAS) through use of Finnegan scoring and refer to Akron Children's Hospital Special Care Nursery (SCN) for treatment. In 2018, 9 (or 20%) NAS infants were transferred to the SCN. * MHY participates and collaborates in M/Y Baby's 1st Task Force (Mahoning County) and Infant Mortality Priority Group (Trumbull County). MHY's collaboration is reported quarterly at the MHY Community Benefit Committee meetings. All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 11 Facility A, 18 Facility A, 18 - Mercy Health - St. Joseph Health Center. Cancer Implementation Activities: Goal: Optimize outcomes and reduce the mortality rate of breast, colorectal, and lung cancer in the Mahoning Valley. 2018 Strategies and Outcomes: * Increase access to quality breast care for those residing in areas where mammography services are limited by providing convenient access that promotes screening, early detection and intervention. In 2018, Mercy Health Youngstown (MHY) exceeded its goal to increase by 3% the annual number of screening mammograms at JABCC and Joanie Abdu Mobile Van. In 2018, 8,580 screenings were performed, which was an increase of approximately 11% from 2017. * MHY had a call back rate for the screening population ranging from 6.3% to 8.28% across its screening locations, compared to a goal of less than 15%. This metric is an indicator of potential benign and malignant breast disease according to NCCN Benchmark of 5-15%. * To ensure provision of community outreach to African-American women and underserved, MHY continues to identify and report economic and geographic patient utilization based on payer mix and zip code analysis on an annual basis. For 2018, the most recent report available is based on 2017 statistics. 2018 data will be captured in the 2019 report. Payer mix June to December 2017 for the Joanie Abdu Comprehensive Breast Care Center: 38.75% Medicare/16.16% Medicaid/ Health Exchange/Self-pay. Joanie Abdu Mobile Mammography Van: 42.08% Medicare/18.19% Medicaid/ Health Exchange/ Self-Pay. Provided service to 67 cities with highest utilization in Youngstown 26.68%/ Warren-17.10%. * In 2018, 71.4% of women 50-74 years of age who visit a MHY physician during the measurement period had a mammogram within the past 27 months, compared to a goal of 65% for 2018. * In 2018, a total of 329 breast cancers were reported and due to early detection and screening, those detected at Stage 1 increased from 120 in 2017 to 177 in 2018 while the total number at Stages II, III, & IV decreased from 131 to 114. * A total of 139 colon cancers were diagnosed in 2018 with increases in the numbers diagnosed at Stage III (24 in 2017 to 38 in 2018) and Stage IV (20 in 2017 to 27 in 2018). MHY primary care physicians continue to encourage patients to get appropriate colorectal cancer screenings. * In 2018, 63.3% of patients ages 50-75 who visit MHY primary care physicians had received appropriate screening for colorectal cancer, compared to a goal of 60%. * In 2018, we had increases in the number of lung cancers diagnosed at later stages. 180 Stage III & IV lung cancers were diagnosed versus 154 in 2017 and 77 Stage I & II lung cancers were diagnosed versus 53 in 2017. MHY continues efforts to improve these numbers through the MHY CT Lung Screening Program, Incidental Pulmonary Nodule Program and the Pulmonary Nodule Clinic. * To improve lung cancer screening in the community, 861 patients were screened in 2018 through MHY CT Lung Screening Program and Incidental Pulmonary Nodule Program with the utilization of the lung nodule patient navigator. * Opened the Pulmonary Nodule Clinic in April 2018 and enrolled 101 patients into the Incidental Pulmonary Nodule Program. * Continued working towards an increase in awareness of the need for lung cancer screenings through educational programs. In 2018, there were 6 attendees at educational programs. Diabetes Implementation Activities: Goal: Reduce incidences and complications of diabetes in Mahoning County and the surrounding area. 2018 Strategies and Outcomes: * Promote assessment, treatment, and teaching of diabetes self-management by increasing the number of physician referrals. The number of physician referrals for diabetes care had a goal to increase by 5% and the goal was met with an increase of approximately 8%. The actual number of referrals were 2,313 in 2017 to 2,495 in 2018. * Promote participation and completion of MHY Diabetes Education Classes to ensure improvement in diabetes control. In 2018, the completion rate of participants in Diabetes Self-Management classes was 83% (or 495 of 593 participants), compared to a goal of 82%. * Improved clinical outcomes related to the impact of diabetes education. In 2018, 86% of patients completing the Diabetes Self-Management classes (175 of 203) had a reduction in their HgbA1c as compared to their pre-class HgbA1c. In 2018, 2.9% of the participants had an average reduction in HbA1c that equals or exceeds the national average reduction of 0.8% - 1.0%. * Provided group and individual counseling in diabetes management to 1,596 patients in 2018. * Offer Pathway to Success program to MHY patients, with a goal that 90% of mothers who participate in program will give birth to babies less than 9 pounds, with no congenital anomalies. In 2018, 194 of 215 mothers (90%) gave birth to babies that met these standards. * Provided glucose meter strips and lancets for blood sugar management to those in need. In 2018, 39 patients on average per quarter were served through the grant funded test strip program, and 30,569 test strips and lancets were distributed. There was a significant improvement in this program in 2018. * In 2018, 101 people participated at a Diabetes Support Group in the community to promote lifestyle strategies and address concerns. * Conducted MHY Nutrition/Exercise Program, a collaboration between MHY Cardiac Rehabilitation and Diabetes Education Departments, for those who are underinsured. In 2018, 24 - 32 people participated in each of the first three quarters until the program ended in the fourth quarter. * Improved diabetes management by providing Diabetes Management Team program to 33 participants in 2018 located in MHY Ambulatory Care Center. * Provided access to healthy foods at farmer's markets in June - October months through the Fruit and Vegetable Prescription Program for persons in need who are at risk for chronic illness, including diabetes. The percent of Program vouchers utilized in 2018 was 66% (1819/2760). * Provided fitness activities to underserved areas in the community through Stepping Out Program. In 2018, there was attendance of 15,387 at activities provided by the Program. Several new sites were added in 2018, for a total of 12 sites. * Mercy Health Physicians groups will provide excellent diabetes care for their patients as evidenced by improved HgbA1c levels. In 2018, 75.5% of MHY physician patients age 18-75 years of age with diabetes had their most recent HgbA1c of 9.0% or less. * Provided a total of 251 diabetes medications (oral and insulin) through Prescription Assistance Program to 192 people in 2018. * Provided education and screening for diabetes risk at community public events with a focus on the underserved. In 2018, MHY screened 506 people at the Community Health Education/Know Your Numbers program, 355 people through our Hispanic Health Program, and 861 people through our Neighborhood Health Watch Program. * Provided screenings to the community to build personal awareness of diabetes and management to 222 people at St. Joe's at the Mall, and 366 people at the Mercy Health Day in 2018. Continued description below. Schedule H, Part V, Section B, Line 11 Facility A, 19 Facility A, 19 - CONTINUED: Mercy Health - St. Joseph Health Center. Continued description for Mercy Health - St. Joseph Health Center: Substance Abuse - Drug and Alcohol Implementation Activities: Goal: Reduce the incidences of alcohol- and opiate-related deaths in the Mahoning Valley; Improve access and appropriate treatment for people with substance abuse disorders 2018 Strategies and Outcomes: * Mercy Health continued to support project DAWN by providing funding to ASAP (Alliance for Substance Abuse Prevention) which is a coalition led by the Trumbull County Mental Health and Recovery Board. In 2018, 337 people participated in project DAWN program, and 296 kits were distributed. * Achieved goal of opening the detox services with partner Neil Kennedy in September of 2018. Also, provided services to 76 patients during the year. * Trained and educated health care professional students, instructors, and community agencies to provide Screening, Brief Intervention and Referral to Treatment (SBIRT). An SBIRT grant was completed in October 2018. Staff utilized evidence based screening tools, nurses provide screening to patients, and social workers and students were trained and provided assistance with brief intervention and referral to treatment. In 2018, 480 health care professional students and 17 instructors were trained in SBIRT. Emergency department (ED) staff was trained at 4 emergency departments (EDs). 60,434 SBIRT screenings were completed in 2018 using screening tools available in EPIC and worked with urgent cares to provide screenings. * Drop boxes were installed at three EDs in 2017 and continue to be operational in 2018. * Provided education and prevention community outreach activities. In 2018, MHY worked in partnership with county drug recovery board and local coalitions and provided 5 events focusing on education and prevention activities. * With a goal of creating a seamless ED patient referral to treatment resources, MHY placed a Memorandum of Understanding (MOU) with five community agencies to expedite the process into treatment with the ED. * MHY started to provide peer recovery support programing in 2018. Initial meetings with patients include the first interaction during this hospital encounter. Education, prevention, placement, and verbal support are a few of the services provided to patients during initial contact. During 2018, there were a total of 891 initial contact with patient with the hospital system and from those initial contacts there were 204 referrals for the recovery support services. * Worked with the Mercy Health Foundation and secured grant funding for prevention services to be able to educate students and reduce drug use in youths. The total funding secured during 2018 was $120,000 which led to 1 school's K-5 (376 students) being educated in the classrooms by prevention services. MHY will continue to work towards additional funding and number of schools. * Partnered with Mercy Health's Oral Health program to work with students through their AOD education program during the summer of 2018. This program had 128 students participate. Infant Mortality Implementation Activities: Goal: Reduce infant mortality in the Mahoning Valley. 2018 Strategies and Outcomes: * In 2018, MHY offered the following programs to reduce incidence of preterm births, and low birth weight babies: 1) Resource Mothers Program - 9% (6 of 69) mothers who gave birth in 2018 had preterm births compared to a goal of 8%, and 6% of those mothers had babies with low birth weight which exceeded its goal of 8%. 2) CenteringPregnancy - 24.6% (17 of 69) mothers who gave birth in 2018 had preterm births in 2018, and 10.1% of those mothers had babies with low birth weight. 3) St. Elizabeth Boardman Hospital - 13.8% (421 of 3,047) mothers who gave birth in 2018 had preterm births and 11.7% of those mothers had babies with low birth weight. 4) St. Joseph Warren Hospital - 9% (102 of 1,134) mothers had preterm births and 8.7% of those mothers had babies with low birth weight. * Provided mentoring and support to pregnant women through Resource Mothers Program. In 2018, 451 mothers attended Resource Mothers support group activities. * Provided evidence based group model of care for pregnant mothers in Mercy Health's Women's Care Center. In 2018, 123 mothers participated in the CenteringPregnancy program at MHY, and 100% of participants attended all sessions. * Provided treatment to 49 patients at St. Elizabeth Boardman Hospital and 8 patients at St. Joseph Warren Hospital in 2018 with use of progesterone therapy for mothers who have had pre-term deliveries before 36 weeks. * Provided breast feeding support and education to inpatients to promote breast feeding. In 2018, 33% of mothers at St. Elizabeth Boardman Hospital and 36% of mothers at St. Joseph Warren Hospital exclusively breastfed. * In 2018, MHY provide electric breast pumps to 70 patients in need at St. Elizabeth Boardman Hospital and 59 patients in need at St. Joseph Warren Hospital. The pumps are provided as part of a grant program. * Provided breast feeding support through Trumbull County WIC Program. In 2018, 62.5% of WIC clients in Trumbull County breastfed. * Provided lactation consults to breast feeding mothers post discharge to 50 patients at St. Elizabeth Boardman Hospital and 67 patients at St. Joseph Warren Hospital in 2018. * Provided support and tracked the number of CenteringPregnancy mothers who initiate breast feeding at birth. In 2018, 84% of the 69 mothers breast fed at the time of discharge as compared to the goal of 81%. * Provided breast feeding support through support groups at MHY hospitals. In 2018, the number of women who attended a breast-feeding support group was 204 at St. Elizabeth Boardman Hospital, and 120 at St. Joseph Warren Hospital. * In 2018, MHY provided safe-sleep education and Halo Sleep Sacks to 100% of all 4,121 mothers at MHY hospitals prior to discharge, and to 100% of all mothers who participated in the CenteringPregnancy program in 2018. In addition, MHY Women's Service provided five safe sleep community education activities. * Provide Pack-n-Plays to mothers who do not have a safe place for their infant to sleep. In 2018, 9 pack-n-plays were provided to mothers when discharged at St. Elizabeth Boardman Hospital, 9 pack-n-plays were also provided to mothers discharged at St. Joseph Warren hospital, 25 pack-n-plays were provided to mothers who participated in the Resource Mothers Program, and 77 pack-n-plays to mothers who participated in the CenteringPregnancy program. * MHY consults neonatologist early to identify neonates at risk for neonatal abstinence syndrome (NAS) through use of Finnegan scoring and refer to Akron Children's Hospital Neonatal Intensive Care Unit (NICU) for treatment. In 2018, there were 14 NAS infants transferred to the NICU, which represented 22% of infants admitted to the NBN. * MHY consults hospitalist early to identify neonates at risk for neonatal abstinence syndrome (NAS) through use of Finnegan scoring and refer to Akron Children's Hospital Special Care Nursery (SCN) for treatment. In 2018, 9 (or 20%) NAS infants were transferred to the SCN. * MHY participates and collaborates in M/Y Baby's 1st Task Force (Mahoning County) and Infant Mortality Priority Group (Trumbull County). MHY's collaboration is reported quarterly at the MHY Community Benefit Committee meetings. All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 11 Facility A, 20 Facility A, 20 - Mercy Health - Regional Medical Center LLC. Exercise and Weight Status Implementation Activities: Goal: Increase both awareness of the importance of fruit and vegetable consumption as well as the actual consumption of fruits and vegetables among Lorain County youths and adults with a special emphasis on households with children under 18 who are at or below 185% of the Federal Poverty Level. 2018 Strategies and Outcomes: * Participate in the development of a regional strategy through The Center for Health Affairs: Member hospitals selected one initiative and will collaborate on the regional initiative through The Center for Health Affairs to increase awareness of fruit and vegetable consumption through the SNAP-Ed "Celebrate Your Plate" marketing campaign. The SNAP-Ed Program will measure consumption of fruits and vegetables purchases made with a card for households with children under 18 years old who are at or below 185% of the Federal Poverty Level. The Mercy Health Lorain Market continues to work with the Center for Health Affairs to make an impact on Celebrate Your Plate. We continue to collaborate in the community with the Lorain County Public Health to make an impact on the consumption of fruits and vegetables, working on eliminate food desserts in the city of Lorain. * Mercy continued to provide free or low-cost exercise classes throughout the community. Parish Nursing continues to have high participation for the free / low-cost exercise programs. There were 16,840 participants in 2018. Due to the shutdown of 7 churches and congregations that provided exercise programs at their locations and the cold winter, there were fewer attendees at classes in 2018. * Offered preventative health education programs for at-risk populations in the community with a goal of increasing the number of programs provided by Mercy by 10%. In 2018, 70 nutritional classes were available throughout the Parish Nursing program and continues to work towards this goal in 2019. However, the loss of those 7 churches continues to impact the program. Leading Cause of Death-Cancer Implementation Activities: Goal: Decrease the percent of lung and bronchus cancers diagnosed in late stage in Lorain County by 7% by 2019. 2018 Strategies and Outcomes: * The Hospital will continue to implement strategies, including establishing a lung nodule screening program with a nurse navigator component, to decrease the percentage of lung and bronchus cancers diagnosed in late stage in Lorain County from 74.6% to 67.6% by 2019. * In 2018, our Lung Nodule Program partnered with the Primary Care Physicians to refer to Dr. Charles Wehbe. He and the Nurse Navigator, Crystal Youngless, worked in 2018 towards ensuring that all patients were educated and had access to the Lung Nodule Program. In 2018, there were 581 lung node procedures. Access to Care Implementation Activities: Goal: Decrease the percentage of adults who do not have a personal doctor from 18% to 14% by 2019; Reduce barriers to access for care, especially for the poor and underserved. 2018 Strategies and Outcomes: * The hospital surpassed its 2018 goal to decrease the percentage of adults who do not have a personal doctor to 16%. During 2018, our actual percentage was 14% which achieves our overall goal to reach by 2019. * In 2018, the Parish Nursing Screenings and Occupational Health Screenings tracked all individuals that had insurance but did not choose to visit a Primary Care Physician. Their presence and collaboration allowed us to connect with 196 who needed a Primary Care physician and who made an appointment. * Through the MHP Primary Care Physician Initiative, 9,865 patients had or choose a Primary Care Physician in 2018. Preventive Health Implementation Activities: Goal: To increase the mammography rate on women 40+ in the southern (Oberlin, Wellington, Lagrange and Grafton) portion of Lorain County. 2018 Strategies and Outcomes: * The Mercy Health Lorain Region Angels and Amigas Program focuses on providing free mammograms for all, but specifically the Hispanic / Latina and African American population. * The Parish Nursing Program is focused in 107 churches and congregations throughout Lorain County. This program provides education to all. In 2018, there was an increased mammography utilization rate of women aged 40 and older in the area from prior year. This year we had a utilization rate of 50% as compared to 37% in 2017. * In 2018, the Hospital provided 12,329 mammogram screenings compared to 1,791 mammogram screenings in 2017. Our Mercy Health Allen Facility became a state authorized walk-in Mammogram provider. * In 2018, 62.0% of women aged 50 and older had a mammogram in the MHP Southern Lorain County Practices (Oberlin / Wellington / LaGrange) compared to 48.6% in 2017. Continued description below. Schedule H, Part V, Section B, Line 11 Facility A, 21 Facility A, 21 - CONTINUED: Mercy Health - Regional Medical Center LLC. Continued description for Mercy Health- Regional Medical Center LLC: Mental Health Implementation Activities: Goal: Increase the number of access points and use of those access points within Mercy for mental health patients throughout Lorain County. 2018 Strategies and Outcomes: * Mercy Health has Behavioral Health Clinicians to support the Primary Care initiative in caring for the mental needs of our patients. Mercy Health Physicians worked collaboratively to have a presence around behavioral health throughout Lorain County. Due to the demand, they hired an additional Clinical Psychologist enabling us to expand to 9 locations in 2018 compared to 6 in 2017. * In 2018, there were 3,679 visits to the Mercy Behavioral Health Clinicians at the access points outlined above. This was a significant increase compared to 2,801 visits in 2017. * The three Clinical Psychologist are established throughout our Primary Care Offices and our Pediatrician offices, also providing access to youth that are in need. Significant Needs Not Addressed by the Hospital USE OF ALCOHOL, TOBACCO, AND OTHER DRUG USE AMONG ADULTS Mercy will not directly address this community need as other organizations in Lorain County are specifically designed and better prepared to respond to this need through resources and experience. Mercy will support them as needed. Reducing the incidence of smoking among youths and adults and reducing the number of deaths from opiates/ heroin are both objectives being addressed through Lorain County's Health Improvement Plan (CHIP). Mercy has representation on the CHIP steering committee as well as on all individual health needs subcommittees, and is committed to fulfilling the goals set forth in the overall CHIP. Additionally, Mercy will continue to enforce its tobacco-free campuses policy, as well as promote smoking cessation programs for both employees and patients. Mercy, as a system, is developing a policy to address the epidemic of heroin overdoses in its communities. USE OF ALCOHOL, TOBACCO, AND OTHER DRUG USE AMONG YOUTH Mercy will not directly address this community need other organizations in Lorain County are specifically designed and better prepared both to respond to this need through resources and experience. Mercy will support them as needed. Reducing the incidence of smoking among youths and adults and reducing the number of deaths from opiates/ heroin are both objectives being addressed through Lorain County's CHIP. Mercy has representation on the CHIP steering committee as well as on all individual health needs subcommittees, and is committed to fulfilling the goals set forth in the overall CHIP. Additionally, Mercy will continue to enforce its tobacco free campuses policy, as well as promote smoking cessation programs for both employees and patients. Mercy, as a system, is developing a policy to address the epidemic of heroin overdoses in its communities. MATERNAL AND CHILD HEALTH Mercy will continue to support the underserved women and infants in Lorain County through its Resource Mothers Program. This program is specifically designed to respond to the critical need for preventive healthcare education and support services for low income, high-risk pregnant and parenting women and their families. The goal is to enhance birth outcomes, promote healthy behaviors and empower the parent by assisting then with connections to various community services. Targets for healthy birth weights and immunizations are being met for all births occurring through this program. Mercy's Resource Mother's program also supports those who can't afford necessities through its short-term and long-term client programs. While short-term clients have their needs met during one visit, long-term clients are brought into the program during pregnancy and remain until the baby reaches the age of one. The client meets with their resource mother monthly to review a care plan and goals, as well as learn about proper car seat instructions, pediatricians and other resources available to them. Clients on these programs receive items such as formula, diapers, wipes, clothing, bottles, food, cribs and other baby essentials. Reducing infant mortality is an objective being addressed through Lorain County's Health Improvement Plan (CHIP). Mercy has representation on the CHIP steering committee as well as all on individual health needs subcommittees, and is committed to fulfilling the goals set forth in the overall CHIP. Additionally, Mercy's Parish Nursing Program, obstetrics physicians, and birth and delivery department will continue to work with pregnant women as well as those who just gave birth on smoking cessation programs to promote a healthy environment for unborn babies and newborn infants. Schedule H, Part V, Section B, Line 11 Facility A, 22 Facility A, 22 - Mercy Health - Allen Hospital LLC. Exercise and Weight Status Implementation Activities: Goal: Increase both awareness of the importance of fruit and vegetable consumption as well as the actual consumption of fruits and vegetables among Lorain County youths and adults with a special emphasis on households with children under 18 who are at or below 185% of the Federal Poverty Level. 2018 Strategies and Outcomes: * Participate in the development of a regional strategy through The Center for Health Affairs: Member hospitals selected one initiative and will collaborate on the regional initiative through The Center for Health Affairs to increase awareness of fruit and vegetable consumption through the SNAP-Ed "Celebrate Your Plate" marketing campaign. The SNAP-Ed Program will measure consumption of fruits and vegetables purchases made with a card for households with children under 18 years old who are at or below 185% of the Federal Poverty Level. The Mercy Health Lorain Market continues to work with the Center for Health Affairs to make an impact on Celebrate Your Plate. We continue to collaborate in the community with the Lorain County Public Health to make an impact on the consumption of fruits and vegetables, working on eliminate food desserts in the city of Lorain. * Mercy continued to provide free or low-cost exercise classes throughout the community. Parish Nursing continues to have high participation for the free / low-cost exercise programs. There were 16,840 participants in 2018. Due to the shutdown of 7 churches and congregations that provided exercise programs at their locations and the cold winter, there were fewer attendees at classes in 2018. * Offered preventative health education programs for at-risk populations in the community with a goal of increasing the number of programs provided by Mercy by 10%. In 2018, 70 nutritional classes were available throughout the Parish Nursing program and continues to work towards this goal in 2019. However, the loss of those 7 churches continues to impact the program. Leading Cause of Death-Cancer Implementation Activities: Goal: Decrease the percent of lung and bronchus cancers diagnosed in late stage in Lorain County by 7% by 2019. 2018 Strategies and Outcomes: * The Hospital will continue to implement strategies, including establishing a lung nodule screening program with a nurse navigator component, to decrease the percentage of lung and bronchus cancers diagnosed in late stage in Lorain County from 74.6% to 67.6% by 2019. * In 2018, our Lung Nodule Program partnered with the Primary Care Physicians to refer to Dr. Charles Wehbe. He and the Nurse Navigator, Crystal Youngless, worked in 2018 towards ensuring that all patients were educated and had access to the Lung Nodule Program. In 2018, there were 581 lung node procedures. Access to Care Implementation Activities: Goal: Decrease the percentage of adults who do not have a personal doctor from 18% to 14% by 2019; Reduce barriers to access for care, especially for the poor and underserved. 2018 Strategies and Outcomes: * The hospital surpassed its 2018 goal to decrease the percentage of adults who do not have a personal doctor to 16%. During 2018, our actual percentage was 14% which achieves our overall goal to reach by 2019. * In 2018, the Parish Nursing Screenings and Occupational Health Screenings tracked all individuals that had insurance but did not choose to visit a Primary Care Physician. Their presence and collaboration allowed us to connect with 196 who needed a Primary Care physician and who made an appointment. * Through the MHP Primary Care Physician Initiative, 9,865 patients had or choose a Primary Care Physician in 2018. Preventive Health Implementation Activities: Goal: To increase the mammography rate on women 40+ in the southern (Oberlin, Wellington, Lagrange and Grafton) portion of Lorain County. 2018 Strategies and Outcomes: * The Mercy Health Lorain Region Angels and Amigas Program focuses on providing free mammograms for all, but specifically the Hispanic / Latina and African American population. * The Parish Nursing Program is focused in 107 churches and congregations throughout Lorain County. This program provides education to all. In 2018, there was an increased mammography utilization rate of women aged 40 and older in the area from prior year. This year we had a utilization rate of 50% as compared to 37% in 2017. * In 2018, the Hospital provided 12,329 mammogram screenings compared to 1,791 mammogram screenings in 2017. Our Mercy Health Allen Facility became a state authorized walk-in Mammogram provider. * In 2018, 62.0% of women aged 50 and older had a mammogram in the MHP Southern Lorain County Practices (Oberlin / Wellington / LaGrange) compared to 48.6% in 2017. Continued description below. Schedule H, Part V, Section B, Line 11 Facility A, 23 Facility A, 23 - CONTINUED: Mercy Health - Allen Hospital LLC. Continued description for Mercy Health - Allen Hospital LLC: Mental Health Implementation Activities: Goal: Increase the number of access points and use of those access points within Mercy for mental health patients throughout Lorain County. 2018 Strategies and Outcomes: * Mercy Health has Behavioral Health Clinicians to support the Primary Care initiative in caring for the mental needs of our patients. Mercy Health Physicians worked collaboratively to have a presence around behavioral health throughout Lorain County. Due to the demand, they hired an additional Clinical Psychologist enabling us to expand to 9 locations in 2018 compared to 6 in 2017. * In 2018, there were 3,679 visits to the Mercy Behavioral Health Clinicians at the access points outlined above. This was a significant increase compared to 2,801 visits in 2017. * The three Clinical Psychologist are established throughout our Primary Care Offices and our Pediatrician offices, also providing access to youth that are in need. Significant Needs Not Addressed by the Hospital USE OF ALCOHOL, TOBACCO, AND OTHER DRUG USE AMONG ADULTS Mercy will not directly address this community need as other organizations in Lorain County are specifically designed and better prepared to respond to this need through resources and experience. Mercy will support them as needed. Reducing the incidence of smoking among youths and adults and reducing the number of deaths from opiates/ heroin are both objectives being addressed through Lorain County's Health Improvement Plan (CHIP). Mercy has representation on the CHIP steering committee as well as on all individual health needs subcommittees, and is committed to fulfilling the goals set forth in the overall CHIP. Additionally, Mercy will continue to enforce its tobacco-free campuses policy, as well as promote smoking cessation programs for both employees and patients. Mercy, as a system, is developing a policy to address the epidemic of heroin overdoses in its communities. USE OF ALCOHOL, TOBACCO, AND OTHER DRUG USE AMONG YOUTH Mercy will not directly address this community need other organizations in Lorain County are specifically designed and better prepared both to respond to this need through resources and experience. Mercy will support them as needed. Reducing the incidence of smoking among youths and adults and reducing the number of deaths from opiates/ heroin are both objectives being addressed through Lorain County's CHIP. Mercy has representation on the CHIP steering committee as well as on all individual health needs subcommittees, and is committed to fulfilling the goals set forth in the overall CHIP. Additionally, Mercy will continue to enforce its tobacco free campuses policy, as well as promote smoking cessation programs for both employees and patients. Mercy, as a system, is developing a policy to address the epidemic of heroin overdoses in its communities. MATERNAL AND CHILD HEALTH Mercy will continue to support the underserved women and infants in Lorain County through its Resource Mothers Program. This program is specifically designed to respond to the critical need for preventive healthcare education and support services for low income, high-risk pregnant and parenting women and their families. The goal is to enhance birth outcomes, promote healthy behaviors and empower the parent by assisting then with connections to various community services. Targets for healthy birth weights and immunizations are being met for all births occurring through this program. Mercy's Resource Mother's program also supports those who can't afford necessities through its short-term and long-term client programs. While short-term clients have their needs met during one visit, long-term clients are brought into the program during pregnancy and remain until the baby reaches the age of one. The client meets with their resource mother monthly to review a care plan and goals, as well as learn about proper car seat instructions, pediatricians and other resources available to them. Clients on these programs receive items such as formula, diapers, wipes, clothing, bottles, food, cribs and other baby essentials. Reducing infant mortality is an objective being addressed through Lorain County's Health Improvement Plan (CHIP). Mercy has representation on the CHIP steering committee as well as all on individual health needs subcommittees, and is committed to fulfilling the goals set forth in the overall CHIP. Additionally, Mercy's Parish Nursing Program, obstetrics physicians, and birth and delivery department will continue to work with pregnant women as well as those who just gave birth on smoking cessation programs to promote a healthy environment for unborn babies and newborn infants. Schedule H, Part V, Section B, Line 11 Facility A, 24 Facility A, 24 - Jewish Hospital LLC. Breast Cancer Implementation Activities: Goal: Increase the number of people screened for breast cancer by 5% each year. 2018 Strategies and Outcomes: * The hospital has increased the number of patients screened for breast cancer by 35% and has met its original goal. * In 2018, 621 patients were provided with mammography screening compared to 459 in 2017. * Established a clinical protocol and navigation pathway that was fully functional. * Launched an internal marketing plan to provide education for physicians. In 2018, 621 individuals were reached through our newsletter marketing effort. Lung Cancer Implementation Activities: Goal: Increase the number of people screened for lung cancer by 5% each year. 2018 Strategies and Outcomes: * In 2018, Jewish continued its efforts in screening clients for lung cancer and having follow-up screenings if need be. Many of whom that were screened were first time participants for lung cancer screenings. * Offered smoking cessation classes. In 2018, 46 participants in smoking cessation classes, of which 22 participates quit smoking by their target date in 2018. This was a significant increase in participants (4) and the number of participants who quit by their target quit date (2) in 2017. * Provided education to physicians and develop an internal marketing plan. In 2018, 78 PCPs were educated. * In 2018, the hospital hosted or sponsored 13 outreach activities that took place to educate, motivate and engage the community. Access to Care Implementation Activities: Goal: By the end of the project period, we will increase the number of patients establishing a relationship with a primary care physician by creating a PCP for adults at Win Med FQHC in Bond Hill. 2018 Strategies and Outcomes: * Mercy began a Win Med FQHC in Bond Hill to offer more access to primary care physicians and demonstrate the value of offering additional resources for primary care in a primarily low-income population. In 2018, adult patients continued to enroll in the Win Med Clinic and 9 Mercy PCPs collaborated with Win Med in 2018. * The FQHC clinic was moved to a level one facility in July 2017. This status was maintained in 2018. * In 2018, 12 patients with pharmacy needs were enrolled in Win Med Clinic, and 629 patients were seen by Mercy pharmacists. * Established primary care services for adults at the FQHC in Bond Hill. In 2018, 650 adults who did not have a PCP visited Win Med FQHC. Significant Needs Not Addressed by the Hospital Mental Health - While mental health is not a direct focus of this CHIP, The Jewish Hospital will support other local organizations specifically designed and better prepared in both resource and experience to respond to this need. Additionally, The Jewish Hospital will participate in Mercy Health's system-wide efforts to increase behavioral health access and continue to enlist population-health strategies to provide excellent clinical care and better serve patients with mental health challenges. Among other initiatives, Mercy Health hospitals have Screening, Brief Intervention, and Referral to Treatment (SBIRT) technicians in our emergency departments to identify mental health problems and refer them to local resources. Mercy Health provides inpatient and outpatient mental health services in Hamilton and Warren counties. Substance Abuse - While substance abuse is not a direct focus of this CHIP, The Jewish Hospital will support other local organizations specifically designed and better prepared in both resource and experience to respond to this need. Additionally, The Jewish Hospital will participate in Mercy Health's system-wide efforts to address the opiate epidemic and continue to enlist population-health strategies to provide excellent clinical care and better serve patients with substance abuse challenges. Among other initiatives, Mercy Health hospitals have Screening, Brief Intervention, and Referral to Treatment (SBIRT) technicians in our emergency departments to identify substance use problems and refer them to local resources. Healthy Behaviors - While healthy behaviors is not a direct focus of this CHIP, The Jewish Hospital will support other local organizations specifically designed and better prepared both through resources and experience to respond to this need. The Collective Impact on Health initiative has identified healthy behaviors as a focus for the region. The broader Mercy Health system participates in this effort by providing both financial resources and advisory committee members. The Jewish Hospital will continue to be involved and enlist strategies that promote healthy eating, active living, healthy coping and smoking cessation as a matter of general clinical practice and good patient engagement. Additionally, the Bond Hill/Rose Lawn Community Impact Council of Mercy Health has plans for increasing exercise by a "Fit Fest" in August, 2018 and a "Virtual Supermarket" to address the food desert in these communities to be implemented in 2019. Schedule H, Part V, Section B, Line 11 Facility A, 25 Facility A, 25 - Mercy Health - West Hospital LLC. Access to Care Implementation Activities: Goal: Reduce by 5% the number of Queen City Emergency Department (ED) patients who do not have a medical home/primary care physician (PCP). 2018 Strategies and Outcomes: * Mercy Health has reduced the number of patients presenting without a PCP by 35% from 15,920 patients in 2017 to 10,345 patients in 2018. This has exceeded the hospital's goal of 5% reduction. * Provided a social work ED advocate to assist patients in establishing a medical home with a PCP. In 2018, 1,412 patients seen in the ED were matched or provided with a medical home. In 2018, West Hospital hired an advocate that secured 347 medical homes through the Health Partnership. * In 2018, the hospital pilot tested a transportation strategy, and 267 patients received transportation assistance through the program. * During 2018, met with PCPs to determine willingness and capacity to accept new patients and coordinate the transition. Worked towards launching an internal marketing plan to alert PCPs of this service. * In 2018, Mercy Health initiated a partnership with a charitable pharmacy to ensure patients presenting in the ED with unmet medication needs were able to get immediate and long-term access to necessary drugs. In 2018, 102 drug vouchers were provided. Health Behaviors Implementation Activities: Goal: Increase the number of patient visits to the Wellness Center by 10% annually to reduce the number of severe cardiac episodes due to increased knowledge and motivation. 2018 Strategies and Outcomes: * Assisted patients in establishing care with PCP. In 2018, 320 patients who had heart failure visited the clinic/Wellness Center. * Continued to assist patients with insurance enrollment. * Provided Heart Health Happy Hours. In 2018, there were 4 Heart Healthy Happy Hours. * Provided patients with 89 weight monitoring scales during 2018. Infant Mortality Implementation Activities: Goal: Reduce infant mortality by educating mothers with knowledge for ABC Sleep Compliance. Provide each new born with a sleep sack. 2018 Strategies and Outcomes: * In 2018, Hamilton County saw fewer infant deaths than ever before with 92 deaths and an infant mortality rate of 8.6 compared to 9.0 in 2013-2017. * All patients were screened for potential need for a safe sleep surface through the A (alone), B (back), and C (crib) program. In 2018, no patients needed safe sleep surfaces. * Provided families with identified needs, "ABC" sleep compliance equipment and supplies. In 2018, 816 babies received Sleep Sacks. * Provided clinical social workers to help patients navigate the system, enroll in insurance, financial planning and access to health care. The social workers had 242 encounters with patients in 2018. * PCPs and OB/GYNs were informed about ABC Sleep Education through 4 educational events in 2018. * Continued enforcement of OB nurses obtaining CE's regarding safe sleep practices during 2018. Significant Needs Not Addressed by the Hospital SUBSTANCE ABUSE - West Hospital conducted a thoughtful review of the community health needs and decided to focus on access to care, infant mortality and healthy behaviors as they represented the biggest opportunity for immediate and meaningful impact. While substance abuse is not a direct focus of this CHIP, West Hospital will support other local organizations specifically designed and better prepared in both resource and experience to respond to this need. Additionally, West Hospital will participate in Mercy Health's system-wide efforts to address the opiate epidemic and continue to enlist population health strategies to provide excellent clinical care and better serve patients with substance abuse challenges. Among other initiatives, Mercy Health hospitals have Screening, Brief Intervention, and Referral to Treatment (SBIRT) technicians in our emergency departments to identify substance use problems and refer them to local resources. Mercy Health also partners with BrightView, an outpatient addiction medicine practice based on clinical best practices and outcomes measures. DIABETES - West Hospital conducted a thoughtful review of the community health needs and decided to focus on access to care, infant mortality and healthy behaviors as they represented the biggest opportunity for immediate and meaningful impact. While diabetes is not a direct focus of this CHIP, West Hospital and the Mercy Health system as a whole continue to pursue clinical excellence in the provision of diabetes care. West Hospital will participate in Mercy Health's system-wide efforts to improve chronic disease management and continue to enlist population health strategies to better serve patients with diabetes. Mercy Health currently provides education classes and counseling for inpatient diabetic patients and the community at large. YMCA has a diabetes prevention program. West Hospital will continue to support local organizations in their focus on this critical community health need. Schedule H, Part V, Section B, Line 11 Facility A, 26 Facility A, 26 - Mercy Health - Anderson Hospital LLC. Substance Abuse Implementation Activities: Goal: Create an evidence based opiate withdrawal protocol based on the 11 parameter clinical opiate withdrawal scale appropriately use for patients admitted with medical illness, link to internal and external medication assisted therapy for opiate use disorder and rehabilitation. 2018 Strategies and Outcomes: * Continue to train physicians and nurses on medically assisted therapy for opiate withdrawal. * In 2018, 1,043 patients were enrolled in medically assisted treatments. * Provided marketing and outreach materials to help educate 1,139 patients and families in 2018. * The hospitals continue to seek out grand funding and opportunities for comprehensive staffing. Mental Health Implementation Activities: Goal: Augment identification of behavioral conditions prior to onset of chronicity, when problems are typically more severe and difficulty to treat (for patients, organizations and providers). 2018 Strategies and Outcomes: * The hospital continues to educate technicians, ED staff and providers on SBIRT protocol. In 2018, 18,789 patients were screened for depression, alcohol and drug use compared to 1,042 in 2017. * In 2018, 1,139 brief interventions took place compared to 872 in 2017, and 1,043 referrals to treatment for other levels of care, special services, etc. were issued. This was higher than the benchmarks set in prior years. * Provided marketing and outreach materials, and education to patients and families. In 2018, 1,139 patients and families were educated on mental health. * The hospitals continue to seek out grant funding and opportunities for comprehensive staffing. Access to Behavioral Health Services Implementation Activities: Goal: Augment access to behavioral healthcare (mental health and population health) by embedding behaviorists into the primary care setting. The hospital will seek to increase the number and patient visits for behavioral health consultants embedded in primary care, and increase the number and patient visits for psychiatrists embedded in primary care. 2018 Strategies and Outcomes: * In 2018, there were 8,289 visits for behavioral health consultants embedded in primary care, for which all were educated and served by Behavioral Health clinicians in 2018. * Mercy continues to provide education and outreach to primary care providers in both formal and informal settings to increase access and awareness. In 2018, there were 6,399 visits for psychiatrists embedded in primary care (compared to 4,358 in 2017), and 4,316 of those patients were served for psychiatry (compared to 3,103 in 2017). * A total of 115 medical providers were integrated in 2018. Smoking Cessation & Lung Cancer Implementation Activities: Goal: Improve the tobacco quit rate at end of smoking cessation program: * Goal for 2016: initially - 50%; 3 months after quit date - 30%; * Goal for 2017: initially - 52%; 3 month after quite date - 32%; * Goal for 2018: initially - 55%; 3 month after quite date - 35%; * Increase the number of lung screens completed by 5% each year. 2018 Strategies and Outcomes: * The hospital continues to offer daytime classes and/or one-on-one counseling for cessation with a focus to have participants quit by their target quit date and be ceased smokers at the 3-month date. * In 2018, 9 participants were referred to the Ohio Quit Line and 12 participants were coached by a Nurse Navigator. * Identified eligible participants for lung cancer screening. In 2018, there were 844 individuals who met the criteria and received lung cancer screening, 139 were identified as LRAD 3 or LRAD 4 (higher risk on scoring system) and 18 referred to a PCP. * Provided physician education to 6 PCP's during 2018. * During 2018, developed marketing and outreach programs for the population. Infant Mortality Implementation Activities: Goal: Reduce infant mortality by educating mothers with knowledge for ABC Sleep Compliance. Provide each new born with a sleep sack. 2018 Strategies and Outcomes: * In 2018, Hamilton County saw fewer infant deaths than ever before with 92 deaths and an infant mortality rate of 8.6 compared to 9.0 in 2013 - 2017. * All patients were screened for potential need for a safe sleep surface through the A (alone), B (back), and C (crib) program. Mothers in our care continued to receive sleep audits during 2018. * In 2018, 8 patients needed safe sleep surfaces. * Provide families with identified needs, "ABC" sleep compliance equipment and supplies. In 2018, 851 babies received Sleep Sacks. * In 2018, we continued to educate mothers on safe sleep. In addition, written materials were given to each mother upon admission in her binder and reviewed by the RN. * In 2018, continued ABC sleep education for PCPs. All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 11 Facility A, 27 Facility A, 27 - Mercy Health - Fairfield Hospital LLC. Smoking Cessation & Patient Education/Self-Care Implementation Activities: Goal: Improve the quit rate at the end of the smoking cessation program. 2018 Strategies and Outcomes: * Offered daytime classes and/or one-on-one counseling for cessation. In 2018, the hospital tripled its number of program participants from 9 in 2017 to 28 in 2018. 57% of the participants (16 of 28) quit by their initial quit date. This was a 13% increase from 2017, which had a 44% quit rate for their initial quit date. * 50% of the participants who quit by their initial date were smoke ceased at the 3-month date. * 23 participants were referred to the Ohio Quit Line, and 4 were coached by the Nurse Navigator in 2018. * Provided physician education and developed materials for distribution to the population. Lung Cancer Implementation Activities: Goal: Increase the number of lung cancer screenings by 5% each year. 2018 Strategies and Outcomes: * Identified eligible participants for lung cancer screening. In 2018, there were 205 individuals that were identified for screening. 104 individuals were identified as either LRAD 3 or LRAD 4 (higher risk on scoring system). * Provided physician education to 6 PCPs in 2018. * In 2018, developed marketing and outreach programs to distribute to the population. Infant Mortality Implementation Activities: Goal: Reduce infant mortality by educating mothers with knowledge for ABC Sleep Compliance. Provide each new born with a sleep sack. 2018 Strategies and Outcomes: * In 2018, Hamilton County saw fewer infant deaths than ever before with 92 deaths and an infant mortality rate of 8.6 compared to 9.0 in 2013-2017. * All patients were screened for potential need for a safe sleep surface through the A (alone), B (back), and C (crib) program. In 2018, 25 patients needed safe sleep surfaces and 1,508 babies received Sleep Sacks. * Continued to have clinical social workers help patients navigate the system, enroll in insurance, financial planning and access to health care. * In 2018, continued ABC sleep education for PCPs and continued to enforce that OB nurses obtain CE's regarding safe sleep practices. Significant Needs Not Addressed by the Hospital SUBSTANCE ABUSE - Fairfield Hospital conducted a thoughtful review of the community health needs and decided to focus on smoking, patient education, cancer and infant mortality as they represented the biggest opportunity for immediate and meaningful impact. While substance is not a direct focus of this CHIP, Fairfield Hospital will support other local organization specifically designed and better prepared in both resource and experience to respond to this need. Additionally, Fairfield Hospital will participate in Mercy Health's system-wide efforts to address the opiate epidemic and continue to enlist population health strategies to provide excellent clinical care and better serve patients with substance abuse challenges. Schedule H, Part V, Section B, Line 11 Facility A, 28 Facility A, 28 - Mercy Health - Clermont Hospital LLC. Substance Abuse Implementation Activities: Goal: Create an evidence based opiate withdrawal protocol based on the 11 parameter clinical opiate withdrawal scale appropriately use for patients admitted with medical illness, link to internal and external medication assisted therapy for opiate use disorder and rehabilitation. 2018 Strategies and Outcomes: * Continue to train physicians and nurses on medically assisted therapy for opiate withdrawal. * In 2018, 1,043 patients were enrolled in medically assisted treatments. * Provided marketing and outreach materials to help educate 1,139 patients and families in 2018. * The hospitals continue to seek out grand funding and opportunities for comprehensive staffing. Mental Health Implementation Activities: Goal: Augment identification of behavioral conditions prior to onset of chronicity, when problems are typically more severe and difficulty to treat (for patients, organizations and providers). 2018 Strategies and Outcomes: * The hospital continues to educate technicians, ED staff and providers on SBIRT protocol. In 2018, 18,789 patients were screened for depression, alcohol and drug use compared to 1,042 in 2017. * In 2018, 1,139 brief interventions took place compared to 872 in 2017, and 1,043 referrals to treatment for other levels of care, special services, etc. were issued. This was higher than the benchmarks set in prior years. * Provided marketing and outreach materials, and education to patients and families. In 2018, 1,139 patients and families were educated on mental health. * The hospitals continue to seek out grant funding and opportunities for comprehensive staffing. Access to Behavioral Health Services Implementation Activities: Goal: Augment access to behavioral healthcare (mental health and population health) by embedding behaviorists into the primary care setting. The hospital will seek to increase the number and patient visits for behavioral health consultants embedded in primary care, and increase the number and patient visits for psychiatrists embedded in primary care. 2018 Strategies and Outcomes: * In 2018, there were 8,289 visits for behavioral health consultants embedded in primary care, for which all were educated and served by Behavioral Health clinicians in 2018. * Mercy continues to provide education and outreach to primary care providers in both formal and informal settings to increase access and awareness. In 2018, there were 6,399 visits for psychiatrists embedded in primary care (compared to 4,358 in 2017), and 4,316 of those patients were served for psychiatry (compared to 3,103 in 2017). * A total of 115 medical providers were integrated in 2018. Smoking Cessation & Lung Cancer Implementation Activities: Goal: Improve the tobacco quit rate at end of smoking cessation program: * Goal for 2016: initially - 50%; 3 months after quit date - 30%; * Goal for 2017: initially - 52%; 3 month after quite date - 32%; * Goal for 2018: initially - 55%; 3 month after quite date - 35%; * Increase the number of lung screens completed by 5% each year. 2018 Strategies and Outcomes: * The hospital continues to offer daytime classes and/or one-on-one counseling for cessation with a focus to have participants quit by their target quit date and be ceased smokers at the 3-month date. * In 2018, 9 participants were referred to the Ohio Quit Line and 12 participants were coached by a Nurse Navigator. * Identified eligible participants for lung cancer screening. In 2018, there were 844 individuals who met the criteria and received lung cancer screening, 139 were identified as LRAD 3 or LRAD 4 (higher risk on scoring system) and 18 referred to a PCP. * Provided physician education to 6 PCP's during 2018. * During 2018, developed marketing and outreach programs for the population. Infant Mortality Implementation Activities: Goal: Reduce infant mortality by educating mothers with knowledge for ABC Sleep Compliance. Provide each new born with a sleep sack. 2018 Strategies and Outcomes: * In 2018, Hamilton County saw fewer infant deaths than ever before with 92 deaths and an infant mortality rate of 8.6 compared to 9.0 in 2013 - 2017. * All patients were screened for potential need for a safe sleep surface through the A (alone), B (back), and C (crib) program. Mothers in our care continued to receive sleep audits during 2018. * In 2018, 8 patients needed safe sleep surfaces. * Provide families with identified needs, "ABC" sleep compliance equipment and supplies. In 2018, 851 babies received Sleep Sacks. * In 2018, we continued to educate mothers on safe sleep. In addition, written materials were given to each mother upon admission in her binder and reviewed by the RN. * In 2018, continued ABC sleep education for PCPs. All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - Mercy Health Hospitals. Mercy Health's financial assistance policy requires a patient or family member to complete an application including gross income for a minimum of 3 months (up to 12 months) prior to the date of application or date of service. Proof of income is required with the exceptions of patients discharged to a skilled nursing facility, patients who are deceased with no estate, and patients who have documented homelessness. Third party income scoring may be used to verify income in situations where income verification is unable to be obtained through other methods. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - Mercy Health Hospitals. MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES PROOF THAT HEALTH SAVINGS ACCOUNT AND/OR MEDICAL SAVINGS ACCOUNT FUNDS BE DEPLETED PRIOR TO PROVIDING HEALTHCARE FINANCIAL ASSISTANCE. PATIENTS WHO LIVE IN THE COMMUNITY SERVED BY A MERCY HEALTH HOSPITAL WILL BE OFFERED HEALTHCARE FINANCIAL ASSISTANCE. FOR THOSE PATIENTS LIVING OUTSIDE OF THE GEOGRAPHIC AREA, EXTENUATING CIRCUMSTANCES MUST BE DOCUMENTED AND APPROVED BY THE PFS MANAGER. A LIST OF THE ZIP CODES OF THE COMMUNITY SERVED FOR EACH MERCY HEALTH HOSPITAL IS MAINTAINED IN A SEPARATE DOCUMENT AND READILY AVAILABLE VIA THE CONTACT LIST AT THE END OF THE POLICY LOCATED AT HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE. MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT TO APPLY FOR HEALTH INSURANCE COVERAGE AND/OR ENTER THE MARKETPLACE/EXCHANGE BEFORE FINANCIAL ASSISTANCE MAY BE EXTENDED. EXCEPTIONS TO THIS POLICY INCLUDE PATIENTS DISCHARGED TO A SKILLED NURSING FACILITY, PATIENTS WHO ARE DECEASED WITH NO ESTATE, AND PATIENTS WHO HAVE DOCUMENTED HOMELESSNESS. Schedule H, Part V, Section B, Line 5 Facility B, 1 Facility B, 1 - Mercy Health - Lourdes Hospital LLC. The hospital engaged a third party consultant, Comsult Associates, who prepared a comprehensive community health needs assessment. Input from persons representing the broad interest of the community was taken into account via stakeholder interviews, focus groups, community forums, and end-user surveys which included individuals with specific knowledge of or expertise in public health; the local health department; agencies with current data or information about the health needs of the community; and leaders, representatives and members of medically underserved, low income, and minority populations, and populations with chronic disease needs. Local and county health commissioners (or their delegates) identified critical health needs and community resources to meet these needs. Focus group participants provided input from a consumer perspective of various health care topics, including different insurance and payment options, prevalence of certain chronic diseases, perceptions of Lourdes Hospital, and lack of information, services, and support in the community. The combination of one-on-one interviews with health care providers, managers and leaders combined with the perceptions of the potential consumers provide an excellent insight into how the hospital can better serve its community. Additional detail can be found on the Mercy Health website at www.mercy.com/global/about-us/community-benefit Schedule H, Part V, Section B, Line 6a Facility B, 1 Facility B, 1 - Mercy Health - Lourdes Hospital LLC. Marshall County Hospital, Murray-Calloway County Hospital Schedule H, Part V, Section B, Line 11 Facility B, 1 Facility B, 1 - Mercy Health - Lourdes Hospital LLC. Cancer Implementation Activities: Goal: Enhance community opportunities for participation in educational programs and screening that promote healthy living and awareness of cancer risk factors. 2018 Strategies and Outcomes: * Lourdes Hospital provided lung cancer screenings throughout service area to 458 patients in 2018 which surpassed the goal of 450. * Lourdes Hospital provided skin cancer screenings throughout service area to 127 patients in 2018 which surpassed the goal of 110. * In 2018, several events were held to educate the community regarding colon cancer and offer free screenings, during these events 2,395 patients were screened as compared to the goal of 2,250. As part of the events, Lourdes Hospital provided the following: 1) Colon Health Press Release served 75 people 2) Colon Health Awareness Campaign served 400 people 3) Kentucky Cancer Program was present at The Colon Exhibit held on Lourdes Hospital campus. * Provided community breast cancer screenings throughout the service area to 6,557 patients which surpassed the goal of 6,500. * Lourdes Hospital began offering free smoking cessation series, beginning in June 2018, for those interested in quitting smoking. * The Purchase Area Health Connections coalition began in February 2014 with a grant from University of Kentucky's Center Community and Economic Development Initiative received by the Purchase District Health Department. The coalition began to gather in 2014 and since then has diligently worked to address the social determinants of health in our area. PAHC has had various accomplishments and is constantly working on new initiatives. * In partnership with Kentucky Cancer Program and Baptist Health Paducah, Lourdes Hospital sponsored an annual skin cancer screening. In 2018, 200 people were served. * Provided a breast health education session to 300 people, and a prostate cancer lunch and learn to 30 people in September 2018. Also sponsored a "How to self-exam your breast" Awareness campaign that served 850 people in 2018. * Hosted a Survivors Tea that served 100 people in 2018. * Four Mercy Health Women Health Center providers hosted a Health Happy Hour Event in November 2018, which served 150 people. Obesity and Diabetes Implementation Activities: Goal: Engage community with exercise opportunities and educational programs that promote healthy living and its impact on chronic illnesses 2018 Strategies and Outcomes: * Mercy physicians participate in Walk with a Doc event at local parks organized by the Local Public Health Department. This six-week program is for the beginner walker who wants to improve overall health and increase energy. Walks start at 10 minutes or less and gradually work up to 30-plus minutes. Health experts have found that about 30 minutes a day of regular moderate exercise is effective for improving health and reducing the risk of many diseases. * Collaborated with programs offered through community-based educational sessions to have the "Defeat Diabetes & Kidney Disease Awareness Health Fair"-Served 170 people in 2018. Providing prevention education, access to care and support for our vulnerable populations living with chronic illnesses in Mercy Health service area. Partnering agencies include Purchase Area Diabetes Coalition, Baptist Health, Fresenius Kidney Care, WKY Kidney Specialty Office. * Sponsored a fitness event in collaboration with Family Services Society, Inc., the Community's 7th Annual Lourdes Paducah Iron Mom Marathon, which served 840 people in 2018. * Served on the West Kentucky Planning Board and provides annual sponsorship to West Kentucky Senior Games to maintain and improve the physical, mental, and emotional health of all west Kentuckians age 50 years or older. In 2018, the Seniors Games served 200 people. * Continue to provide funds and volunteer hours toward construction for the Foundation for a Healthy Kentucky for the multi-use health park. The City of Paducah is working with a group of partners including the Healthy Paducah Chapter of the Purchase Area Connections for Health Coalition, United Way of Paducah-McCracken County, Baptist Health Paducah, Lourdes Hospital, Rotary Club of Paducah, Paducah Independent Schools, and the Purchase District Health Department. * Childhood Obesity Prevention Action Team formed a subcommittee from the Purchase Area Health Connection Coalition to combat childhood obesity. * Purchase Area Health Connections (PAHC) is hosting their 4th annual Health and Wellness Summit. Our focus for the health summit will be on healthy kids. Our speakers discuss the effects of lifestyle choices on children's' health. The vendors share information on services their organization offer in regards to physical activity, nutrition, or healthy lifestyle behaviors. * Sponsored "Kids Activity" at the community's 4th Annual Paducah One Walk, including 3 bounce houses in 2018. The event served 300 people. Mental Health Implementation Activities: Goal: Improve access to mental health services throughout collaborative partnerships. 2018 Strategies and Outcomes: * Participated in the Western Kentucky Mental Health Work Group which focuses efforts on suicide prevention, substance abuse prevention, and mental and behavioral health issues. The West KY Mental Health Workgroup was created this year in response to our growing mental health issues in our area. We are a sub-committee of the Purchase Area Health Coalition (PAHC) and report back to many of the county health coalitions. We are currently working on two initiatives during our regularly scheduled monthly meetings, Health Awareness Month and the Out of the Darkness Paducah Walk to Fight Suicide. * Work to improve access to resources in schools and communities and during 2018, sponsored 4 Gatekeeper (Question, Persuade and Refer) trainings for suicide prevention with 120 participants. * Participate in the Out of the Darkness Walks, which create a space for people to open-up about their own struggles or loss. This is a platform to change our culture's approach to mental health. * Provided a day camp for adolescents dealing with loss at Camp Robin. In 2018, the camp served 300 people by providing support for both patients and their families during times of transition, illness, death and grief. This includes therapeutic activities in a fun, safe environment, and is offered free to children and their parents or guardians in western Kentucky and southern Illinois. Campers were offered Animal Tales, a free lunch, arts and crafts, story- and letter-writing time and a memorial ceremony with a balloon send-off to end the day. * Lourdes devoted the month of April to celebrating everything we can do to transform our community into a place that cares about - and actively supports -- families and children. April is Child Abuse Prevention Month. Lourdes devoted the month of April to recognize Child Abuse Awareness Month. Community Pinwheel planting ceremony took place; community came together to plant 300 blue and silver pinwheels. "We Commit to Prevent" Child Abuse banner was also staked on Lourdes Main lawn with over 1,000 community/ Lourdes employee signatures. * In 2017, a Western Kentucky Mental Health Work Group was created by Mercy Health and Four Rivers Behavioral Health to create a more encompassing approach to limited mental health resources in Western Kentucky. This activity continued in 2018, and Lourdes Hospital supplied the Work Group with resources to advocate for stronger policies on a federal and state level. care. In 2018, creation of a work group base with community stakeholders helped further the mission. Continued description below. Schedule H, Part V, Section B, Line 11 Facility B, 2 Facility B, 2 - Continued: Mercy Health - Lourdes Hospital LLC. Continued description for Mercy Health - Lourdes Hospital LLC: Substance Abuse Implementation Activities: Goal: Provide community with resources to prevent and recognize substance abuse throughout service area. 2018 Strategies and Outcomes: * Provided substance abuse-prevention education to parents and youth through the Drug Alcohol Tobacco Don't Fit Conference. In 2018, high school students from 13 different high schools across the hospital service area were in attendance. The conference was planned over a year and Lourdes provided funding to assist in covering the youth presenter's fee. A substance abuse presenter came into Paducah Market from Boston, MA to speak to our service area adolescents on substance abuse. This conference also had break out session that provided cyber bullying and social media, dangers of e-cigarettes and how to say no to drugs. * The Robby's Voice event hosted middle school and high school students from across Graves County and Mayfield City. Served 3,000 people in 2018. A substance abuse presenter came into Paducah Market to speak to our service area adolescents on substance abuse. * Hosted the International Survivors of Suicide Loss Day to offer comfort and share stories of healing and hope. Served 75 people in 2018. * In 2018, the Not My Kid forum was organized to raise awareness on Western Kentucky drug trends, combating opioid epidemic and healthy mental health coping mechanisms in our community with a focus on adolescents and parents. * Sources of Strength was established in 2018 and is a best practice youth suicide prevention project designed to harness the power of peer social networks to change unhealthy norms and culture, ultimately preventing suicide, bullying, and substance abuse. The mission of Sources of Strength is to prevent suicide by increasing help seeking behaviors and promoting connections between peers and caring adults. Sources of Strength moves beyond a singular focus on risk factors by utilizing an upstream approach for youth suicide prevention. This upstream model strengthens multiple sources of support (protective factors) around young individuals so that when times get hard they have strengths to rely on. * In 2018, Opioid Epidemic Outreach Program held several trainings with the purpose of decreasing underage drinking, abuse of prescription drugs, and other substance abuse activity. These trainings included: 1) Overdose prevention trainings; 500 people attended the Narcan training. 2) 105 first responders trained in the "train the trainer" program with collaboration from Kentucky Harm Reduction Coalition of Louisville, KY. * Mercy Health funded 45 Narcan kits to the region in 2018. * Development and implementation of community-based data and planning groups to promote and maintain a competent workforce specializing in prevention awareness through the help of the newly created Kentucky Agency for Substance Abuse Policy, KY ASAP. The Kentucky Agency for Substance Abuse Policy, KY ASAP, was created to help manage local policies and prevention efforts that affect alcohol and substance abuse. Mercy Health sits on multiple ASAP coalitions and chairs two community groups. All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 13 Facility B, 1 Facility B, 1 - MERCY HEALTH HOSPITALS. MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT OR FAMILY MEMBER TO COMPLETE AN APPLICATION INCLUDING GROSS INCOME FOR A MINIMUM OF 3 MONTHS (UP TO 12 MONTHS) PRIOR TO THE DATE OF APPLICATION OR DATE OF SERVICE. PROOF OF INCOME IS REQUIRED WITH THE EXCEPTIONS OF PATIENTS DISCHARGED TO A SKILLED NURSING FACILITY, PATIENTS WHO ARE DECEASED WITH NO ESTATE, AND PATIENTS WHO HAVE DOCUMENTED HOMELESSNESS. THIRD PARTY INCOME SCORING MAY BE USED TO VERIFY INCOME IN SITUATIONS WHERE INCOME VERIFICATION IS UNABLE TO BE OBTAINED THROUGH OTHER METHODS. Schedule H, Part V, Section B, Line 13 Facility B, 1 Facility B, 1 - MERCY HEALTH HOSPITALS. MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES PROOF THAT HEALTH SAVINGS ACCOUNT AND/OR MEDICAL SAVINGS ACCOUNT FUNDS BE DEPLETED PRIOR TO PROVIDING HEALTHCARE FINANCIAL ASSISTANCE. PATIENTS WHO LIVE IN THE COMMUNITY SERVED BY A MERCY HEALTH HOSPITAL WILL BE OFFERED HEALTHCARE FINANCIAL ASSISTANCE. FOR THOSE PATIENTS LIVING OUTSIDE OF THE GEOGRAPHIC AREA, EXTENUATING CIRCUMSTANCES MUST BE DOCUMENTED AND APPROVED BY THE PFS MANAGER. A LIST OF THE ZIP CODES OF THE COMMUNITY SERVED FOR EACH MERCY HEALTH HOSPITAL IS MAINTAINED IN A SEPARATE DOCUMENT AND READILY AVAILABLE VIA THE CONTACT LIST AT THE END OF THE POLICY LOCATED AT HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE. MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT TO APPLY FOR HEALTH INSURANCE COVERAGE AND/OR ENTER THE MARKETPLACE/EXCHANGE BEFORE FINANCIAL ASSISTANCE MAY BE EXTENDED. EXCEPTIONS TO THIS POLICY INCLUDE PATIENTS DISCHARGED TO A SKILLED NURSING FACILITY, PATIENTS WHO ARE DECEASED WITH NO ESTATE, AND PATIENTS WHO HAVE DOCUMENTED HOMELESSNESS. Schedule H, Part V, Section B, Line 5 Facility C, 1 Facility C, 1 - Mercy Health - Marcum and Wallace Hospital LLC. The CHNA was conducted in collaboration with the Community Economic Development Initiative of Kentucky (CEDIK) at the University of Kentucky. CEDIK was primarily responsible for collecting all data for the CHNA. Hospital-specific data was obtained by direct request from the Kentucky Hospital Association, community secondary health data was obtained from the 2016 Robert Wood Johnson Foundation County Health Rankings, and community input was obtained through focus groups and survey conducted by CEDIK and the Mercy Health - Marcum and Wallace Memorial Hospital (MWMH) Community Steering Committee. The Community Steering Committee is a vital part to the CHNA. These individuals represent organizations and agencies from the service area. In particular, the individuals who were willing to volunteer enabled the hospital to get input from populations that were often not engaged in conversations about their health needs. Representatives included those serving the local health department, EMS, public housing, senior citizens and other healthcare providers and a representative of small businesses. The Community Steering Committee met twice as a group at MWMH in June 2016 and September 2016. CEDIK asked that hospital representatives not be present during any focus group discussions or debriefing with the Community Steering Committee. The Community Steering Committee's meeting in June was a focus group conversation. The information was used to identify the health needs of the community and help members better understand how to conduct a focus group on their own. Two members of the committee conducted their own focus groups. Two representatives of Interfaith Wellness, including a retired nurse that has served the community for many years and has the trust of the underserved population, facilitated a focus group during an August resident meeting at a public housing location. They used both the focus group questions and the survey to interview the participants. A community outreach employee for MWMH from Powell County held a focus group with the MWMH auxiliary to capture opinions from senior citizens. CEDIK facilitated a focus group at the Estill County Board of Education scheduled by a Community Steering Committee member. The attendees included teachers, board of education staff and Family Resource Youth Service Center directors who work with families and students in Estill County. This group focused on the health needs of children and families in the community as well as abilities or barriers to healthcare access. Finally, a survey was developed with MWMH staff and the Community Steering Committee that was then disseminated throughout the community in paper form, online, and through a mobile option. Each member of the steering committee was responsible for distributing and collecting surveys, as well as sharing the mobile link with coworkers and populations that they served. The surveys were available at MWMH, public health departments, the Interfaith Wellness Ministry, Estill County Schools and Carhartt, Inc. 215 surveys were completed and returned. Through both the focus groups and the surveys, questions were included that directly asked how the respondent believed that the hospital could address the health needs of the community. Specifically, there were four questions asked in the focus group. 1) What is your vision for a healthy community? 2) What is your perception of the hospital overall and of specific programs and services? 3) What can the hospital do to meet the health needs of the community? 4) Can you provide the hospital with any ideas about specific solutions they could employ that would address the health needs of the community? Combined input was received from local public health departments, social agencies, healthcare providers and local employers within the geographic service region, and included the Estill County Health Department Health Educator, Community Education Director at the Estill County Board of Education, EMS Director at Estill County EMS, Carhartt, Inc. Human Resources Director, members of Interfaith Wellness Ministries, members of the Family Resource Youth Service Center, and the Director of Housing Authority of Irvine. In September 2016, the Community Steering Committee met to review the results of the 215 surveys completed and input received from the community focus groups, compared the survey and focus group data to the various health data, and made recommendations to MWMH for CHNA health priorities to be addressed. ADDITIONAL DETAIL CAN BE FOUND ON THE MERCY HEALTH WEBSITE AT WWW.MERCY.COM/GLOBAL/ABOUT-US/COMMUNITY-BENEFIT Schedule H, Part V, Section B, Line 6b Facility C, 1 Facility C, 1 - Mercy Health - Marcum and Wallace Memorial Hospital LLC. The Community and Economic Development Initiative of Kentucky is a unit within the University of Kentucky's College of Agriculture, Food and Environment (CAFE). CAFE administration recognized the need for both an internal source of professional development and instruction for students and county extension agents, as well as an external reach to Kentucky communities with programming and research that focused on community and economic development. Schedule H, Part V, Section B, Line 11 Facility C, 1 Facility C, 1 - Mercy Health - Marcum and Wallace Hospital LLC. Substance Abuse Implementation Activities: Goal: Give the community resources to build awareness for preventing and recognizing substance abuse. 2018 Strategies and Outcomes: * MWMH partnered with community based organizations to promote substance-abuse prevention and education: 1) MWMH financially supported activities in the local school system that provided students with sober, after-prom events. 2) MWMH partnered with Estill County EMS and Estill County Schools to provide the Ghost Out Program to students. Ghost out is a Kentucky Office of highway Safety program that is designed to inform teems about tragedies that can occur while driving impaired. 3) MWMH continued their ongoing operations to increase awareness of substance-abuse-prevention and treatment resources in the service area. 4) MWMH representatives attended community events with the purpose of educating the community about the opiate crisis. Prescription Assistance Implementation Activities: Goal: Develop an Medication Therapy Management (MTM) program with a community registered pharmacist to provide integrated healthcare delivery to improve the health of people in rural communities. 2018 Strategies and Outcomes: * Develop an MTM program for at-risk and medically under-served population that provides 1) prescription-cost assistance 2) medication reconciliation 3) resources to increase medication adherence 4) resources to build patient understanding and 5) disease control. In 2018, 488 services were provided by the program. * Increased awareness of a 340B pharmacy program to give the at-risk population prescription assistance. In 2018, utilization of 340B pharmacy program for prescription assistance increased significantly from $47,509 in patient benefit in 2017 to $378,176 in patient benefit in 2018. Increase Specialty Physician Clinics Implementation Activities: Goal: Improve overall community health by increasing access to specialized care. 2018 Strategies and Outcomes: * Based on tracking of Mercy primary care clinic referrals, MWMH focused on identifying community need for defined specialists. In 2018, MWMH continued to support access to specialists in cardiology, orthopedics and general surgery for the service area that were added in 2017. * In 2018, the master facility plan was completed with revisions to continue through 2019. The goal of the master facility plan is to build more space to accommodate specialty services. After-Hours/Urgent Care Clinic Implementation Activities: Goal: Provide community access to after-hours/weekend care for non-emergency illnesses and injuries. 2018 Strategies and Outcomes: * Provided an after-hours/weekend clinic for patients who need treatment for non-emergency illnesses and injuries in Estill County. In 2018, a total of 2,757 patients were treated in the weekend clinic. * Investigated options for after-hours care in Lee and Powell counties, which have no hospital. In 2017, a weekend clinic (Saturdays only) was established in Lee County. In 2018, MWMH continued its support of the clinic and the clinic treated 200 patients. All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 13 Facility C, 1 Facility C, 1 - MERCY HEALTH HOSPITALS. MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT OR FAMILY MEMBER TO COMPLETE AN APPLICATION INCLUDING GROSS INCOME FOR A MINIMUM OF 3 MONTHS (UP TO 12 MONTHS) PRIOR TO THE DATE OF APPLICATION OR DATE OF SERVICE. PROOF OF INCOME IS REQUIRED WITH THE EXCEPTIONS OF PATIENTS DISCHARGED TO A SKILLED NURSING FACILITY, PATIENTS WHO ARE DECEASED WITH NO ESTATE, AND PATIENTS WHO HAVE DOCUMENTED HOMELESSNESS. THIRD PARTY INCOME SCORING MAY BE USED TO VERIFY INCOME IN SITUATIONS WHERE INCOME VERIFICATION IS UNABLE TO BE OBTAINED THROUGH OTHER METHODS. Schedule H, Part V, Section B, Line 13 Facility C, 1 Facility C, 1 - MERCY HEALTH HOSPITALS. MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES PROOF THAT HEALTH SAVINGS ACCOUNT AND/OR MEDICAL SAVINGS ACCOUNT FUNDS BE DEPLETED PRIOR TO PROVIDING HEALTHCARE FINANCIAL ASSISTANCE. PATIENTS WHO LIVE IN THE COMMUNITY SERVED BY A MERCY HEALTH HOSPITAL WILL BE OFFERED HEALTHCARE FINANCIAL ASSISTANCE. FOR THOSE PATIENTS LIVING OUTSIDE OF THE GEOGRAPHIC AREA, EXTENUATING CIRCUMSTANCES MUST BE DOCUMENTED AND APPROVED BY THE PFS MANAGER. A LIST OF THE ZIP CODES OF THE COMMUNITY SERVED FOR EACH MERCY HEALTH HOSPITAL IS MAINTAINED IN A SEPARATE DOCUMENT AND READILY AVAILABLE VIA THE CONTACT LIST AT THE END OF THE POLICY LOCATED AT HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE. MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT TO APPLY FOR HEALTH INSURANCE COVERAGE AND/OR ENTER THE MARKETPLACE/EXCHANGE BEFORE FINANCIAL ASSISTANCE MAY BE EXTENDED. EXCEPTIONS TO THIS POLICY INCLUDE PATIENTS DISCHARGED TO A SKILLED NURSING FACILITY, PATIENTS WHO ARE DECEASED WITH NO ESTATE, AND PATIENTS WHO HAVE DOCUMENTED HOMELESSNESS. Schedule H, Part V, Section B, Line 5 Facility D, 1 Facility D, 1 - Institute for Orthopaedic Surgery. The hospital contracted with a third-party consultant to facilitate a comprehensive community health needs assessment and collaborated with The Community Sustainability Advisory Committee Lima-Allen County Regional Planning Commission and Health People 2020/Allen County Health Department. Input from persons representing the broad interest of the community was taken into account via stakeholder interviews and end-user surveys which included individuals with specific knowledge of or expertise in public health; the local health department; agencies with current data or information about the health needs of the community; and leaders, representatives and members of medically underserved, low income, and minority populations, and populations with chronic disease needs. Community members from various groups, organizations, and sectors established the Community Sustainability Advisory Committee under the Lima-Allen County Regional Planning Commission. The Community Sustainability Advisory Committee was responsible for the implementation of the Healthy Communities Institute software, which was used as the basis for the Community Health Needs Assessment. The Healthy Communities Institute website provided a list of identified health conditions and related indicators for Allen County. The information for Auglaize and Putnam counties was analyzed under the same quartile system. The Community Sustainability Advisory Committee implemented the Healthy Communities Institute software to track numerous health indicators in Allen County. The members of the Community Sustainability Advisory Committee had input into the selection of indicators and benchmarks that were included by the Healthy Communities Institute. The Healthy Communities Institute software summarized data from secondary data sources. Additional detail can be found on the Mercy Health website at www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment. Schedule H, Part V, Section B, Line 6a Facility D, 1 Facility D, 1 - Institute for Orthopaedic Surgery. Mercy Health - St. Rita's Medical Center LLC Lima Memorial Hospital Schedule H, Part V, Section B, Line 6b Facility D, 1 Facility D, 1 - Institute for Orthopaedic Surgery. The Community Sustainability Advisory Committee Healthy People 2020 Bricker & Eckler LLP Quality Management Consulting Group Schedule H, Part V, Section B, Line 11 Facility D, 1 Facility D, 1 - The Institute for Orthopaedic Surgery. Mental Health and Substance Abuse Implementation Activities: Goal: Improve mental health through prevention, early detection and by ensuring access to appropriate, quality mental health services; Reduce substance abuse in the primary service area to protect the health, safety and quality of life for all. 2018 Strategies and Outcomes: * The hospital continues to maintain the practice of performing depression screenings on all patients and explore opportunities to expand screenings to affiliate partners. In 2018, the mental health screening questions were expanded to the inpatient nursing unit. All inpatients are screened and information regarding mental health resources is provided to patients as needed. * The Institute for Orthopaedic Surgery (IOS) maintains a list of current community resources for treatment options and performs an annual review of resource materials. This list has been expanded from the original version. The list was reviewed again in 2018, no new additions or deletions to the list in 2018. Notification of staff/patients for the availability of prescription drop boxes, prescription take-back days, and education opportunities are included. * An IOS pharmacist continues to participate in the St. Rita's Health Partners Opiate Addiction Task Force. * IOS continues to perform depression screenings on all high school physical students. In 2018, there were over 1,200 students screened. Approximately 16-20 students required additional screening and follow-up. The parents were informed if additional screening or follow-up was warranted. Significant Needs Not Addressed by the Hospital The Institute for Orthopaedic Surgery is an orthopaedic surgical specialty hospital that provides specialized services focused on acute recovery. Because of this, the prioritization team determined there is a limited ability to impact several of the prioritized health needs, including: * Exercise, Nutrition and Weight * Cancer * Maternal, Fetal and Infant Health * Access to Care Schedule H, Part V, Section B, Line 13 Facility D, 1 Facility D, 1 - Institute for Orthopaedic Surgery. IOS's financial assistance policy requires a patient or family member to complete an application including gross income for a minimum of 3 months (up to 12 months) prior to the date of application or date of service. Proof of income is required with the exceptions of patients discharged to a skilled nursing facility, patients who are deceased with no estate, and patients who have documented homelessness. Third party income scoring may be used to verify income in situations where income verification is unable to be obtained through other methods. Schedule H, Part V, Section B, Line 13 Facility D, 1 Facility D, 1 - Institute for Orthopaedic Surgery. IOS's financial assistance policy requires proof that Health Savings Account and/or Medical Savings Account funds be depleted prior to providing healthcare financial assistance. Patients who live in the community served by IOS (Allen county and counties contiguous to Allen county) will be offered healthcare financial assistance. For those patients living outside of the geographic area, extenuating circumstances must be documented and approved by the Administrative Director. IOS's financial assistance policy may require a patient to apply for health insurance coverage or enter the marketplace/exchange before financial assistance may be extended. Exceptions to this policy include patients discharged to a SNF, patients who are deceased with no estate, and patients who have documented homelessness. Schedule H, Part V, Section B, Line 13 Facility E, 1 Facility E, 1 - Mercy Health Hospitals. MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT OR FAMILY MEMBER TO COMPLETE AN APPLICATION INCLUDING GROSS INCOME FOR A MINIMUM OF 3 MONTHS (UP TO 12 MONTHS) PRIOR TO THE DATE OF APPLICATION OR DATE OF SERVICE. PROOF OF INCOME IS REQUIRED WITH THE EXCEPTIONS OF PATIENTS DISCHARGED TO A SKILLED NURSING FACILITY, PATIENTS WHO ARE DECEASED WITH NO ESTATE, AND PATIENTS WHO HAVE DOCUMENTED HOMELESSNESS. THIRD PARTY INCOME SCORING MAY BE USED TO VERIFY INCOME IN SITUATIONS WHERE INCOME VERIFICATION IS UNABLE TO BE OBTAINED THROUGH OTHER METHODS. Schedule H, Part V, Section B, Line 13 Facility E, 1 Facility E, 1 - Mercy Health Hospitals. MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES PROOF THAT HEALTH SAVINGS ACCOUNT AND/OR MEDICAL SAVINGS ACCOUNT FUNDS BE DEPLETED PRIOR TO PROVIDING HEALTHCARE FINANCIAL ASSISTANCE. PATIENTS WHO LIVE IN THE COMMUNITY SERVED BY A MERCY HEALTH HOSPITAL WILL BE OFFERED HEALTHCARE FINANCIAL ASSISTANCE. FOR THOSE PATIENTS LIVING OUTSIDE OF THE GEOGRAPHIC AREA, EXTENUATING CIRCUMSTANCES MUST BE DOCUMENTED AND APPROVED BY THE PFS MANAGER. A LIST OF THE ZIP CODES OF THE COMMUNITY SERVED FOR EACH MERCY HEALTH HOSPITAL IS MAINTAINED IN A SEPARATE DOCUMENT AND READILY AVAILABLE VIA THE CONTACT LIST AT THE END OF THE POLICY LOCATED AT HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE. MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT TO APPLY FOR HEALTH INSURANCE COVERAGE AND/OR ENTER THE MARKETPLACE/EXCHANGE BEFORE FINANCIAL ASSISTANCE MAY BE EXTENDED. EXCEPTIONS TO THIS POLICY INCLUDE PATIENTS DISCHARGED TO A SKILLED NURSING FACILITY, PATIENTS WHO ARE DECEASED WITH NO ESTATE, AND PATIENTS WHO HAVE DOCUMENTED HOMELESSNESS. 835 MERCY HEALTH - RED BANK PAIN MANAGEMENT CENTER 4760 RED BANK ROAD SUITE 104 CINCINNATI OH 45227 SPECIALTY LOCATIONS MERCY HEALTH - SWANTON LAB SERVICES 1 TURTLE CREEK SWANTON OH 43558 SPECIALTY LOCATIONS MERCY HEALTH - SWANTON FAMILY MEDICINE 1 TURTLE CREEK CIRCLE SUITE F SWANTON OH 43558 PRIMARY CARE DOCTORS MERCY HEALTH - TIFFIN HOSPITAL DIALYSIS 10 ST LAWRENCE TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY VASCULAR SPECIALISTS - CALDWELL MEDICAL CENTER 100 MEDICAL CENTER DRIVE PRINCETON KY 42445 SPECIALTY LOCATIONS MERCY HEALTH - COLUMBUS GROVE FAMILY MEDICINE 100 PROGRESSIVE DRIVE COLUMBUS GROVE OH 45830 PRIMARY CARE DOCTORS MERCY HEALTH - THE HEART AND VASCULAR INSTITUTE YOUNGSTOWN 1001 BELMONT AVE YOUNGSTOWN OH 44504 SPECIALTY LOCATIONS MERCY HEALTH - ST ELIZABETH YOUNGSTOWN HOSPITAL MEDICAL OFFICE BUILDING 1001 COVINGTON ST / 1044 BELMONT AV E YOUNGSTOWN OH 44510 MEDICAL CENTER MERCY HEALTH - YOUNGSTOWN ALLERGY CARE 1001 COVINGTON ST YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - YOUNGSTOWN DENTAL CARE 1001 COVINGTON ST YOUNGSTOWN OH 44510 SPECIALTY LOCATIONS MERCY HEALTH - YOUNGSTOWN GENERAL SURGERY 1001 COVINGTON ST YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - YOUNGSTOWN PULMONARY HEALTH & RESEARCH CENTER 1001 COVINGTON ST YOUNGSTOWN OH 44510 SPECIALTY LOCATIONS MERCY HEALTH - ST ELIZABETH INTERNAL MEDICINE 1001 COVINGTON STREET YOUNGSTOWN OH 44510 PRIMARY CARE DOCTORS MERCY HEALTH - YOUNGSTOWN MUSCULAR DYSTROPHYMULTIPLE SCLEROSIS 1001 COVINGTON STREET YOUNGSTOWN OH 44510 SPECIALTY LOCATIONS MERCY HEALTH - YOUNGSTOWN PEDIATRICS 1001 COVINGTON STREET YOUNGSTOWN OH 44510 SPECIALTY LOCATIONS MERCY HEALTH - YOUNGSTOWN WOMEN'S CENTER 1001 COVINGTON STREET YOUNGSTOWN OH 44510 SPECIALTY LOCATIONS MERCY HEALTH - YOUNGSTOWN WOMEN'S CENTER 1001 COVINGTON STREET YOUNGSTOWN OH 44510 SPECIALTY LOCATIONS MERCY HEALTH - PUTNAM COUNTY REHABILITATION AND THERAPY 101 PUTNAM PARKWAY OTTAWA OH 45875 SPECIALTY LOCATIONS MERCY HEALTH - WAPAKONETA IMAGING SERVICES 1015 SOUTH BLACKHOFF STREET SUITE D WAPAKONETA OH 45895 SPECIALTY LOCATIONS MERCY HEALTH - PERRYSBURG OBSTETRICS AND GYNECOLOGY 1021 SANDUSKY STREET SUITE E PERRYSBURG OH 43551 SPECIALTY LOCATIONS MERCY HEALTH - WASHINGTON ELEMENTARY FAMILY MEDICINE 1025 W 23RD STREET LORAIN OH 44052 SPECIALTY LOCATIONS JOANIE ABDU COMPREHENSIVE BREAST CARE CENTER 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS JOANIE ABDU COMPREHENSIVE BREAST CARE CENTER 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - DIABETES EDUCATION SERVICES ST ELIZABETH YOUNGSTOWN HOSPITAL 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - JOANIE ABDU COMPREHENSIVE BREAST CARE CENTER 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - ST ELIZABETH YOUNGSTOWN CONGESTIVE HEART FAILURE CLINIC 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - ST ELIZABETH YOUNGSTOWN HOSPITAL EMERGENCY DEPARTMENT 1044 BELMONT AVE YOUNGSTOWN OH 44501 EMERGENCY CARE MERCY HEALTH - ST ELIZABETH YOUNGSTOWN HOSPITAL LAB SERVICES 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - ST ELIZABETH YOUNGSTOWN HOSPITAL WOUND CARE CENTER 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART AND VASCULAR INSTITUTE ST ELIZABETH YOUNGSTOWN 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - YOUNGSTOWN JOINT CARE 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - YOUNGSTOWN PHARMACY 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - YOUNGSTOWN RESOURCE MOTHERS CENTER 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - YOUNGSTOWN SOCIAL WORK 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - YOUNGSTOWN STROKE CARE 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH HEPATOBILIARY AND PANCREATIC CENTER 1044 BELMONT AVE YOUNGSTOWN OH 44504 SPECIALTY LOCATIONS ST ELIZABETH YOUNGSTOWN HOSPITAL ACUTE REHAB 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS ST ELIZABETH YOUNGSTOWN HOSPITAL CANCER CENTER 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS ST ELIZABETH YOUNGSTOWN HOSPITAL CANCER CENTER 1044 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS ST ELIZABETH YOUNGSTOWN HOSPITAL ORTHOPAEDICS TRAUMA CARE 1044 BELMONT AVENUE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - GENERAL LAPAROSCOPIC AND VASCULAR SURGERY HARRISON 10450 NEW HAVEN RD HARRISON OH 45030 SPECIALTY LOCATIONS MERCY HEALTH - HARRISON LAB SERVICES 10450 NEW HAVEN ROAD HARRISON OH 45030 SPECIALTY LOCATIONS MERCY HEALTH - HARRISON MEDICAL CENTER 10450 NEW HAVEN ROAD HARRISON OH 45030 MEDICAL CENTER MERCY HEALTH - HARRISON MEDICAL CENTER ANTICOAGULATION CLINIC 10450 NEW HAVEN ROAD HARRISON OH 45030 SPECIALTY LOCATIONS MERCY HEALTH - HARRISON MEDICAL CENTER EMERGENCY DEPARTMENT 10450 NEW HAVEN ROAD HARRISON OH 45030 EMERGENCY CARE MERCY HEALTH - HARRISON MEDICAL CENTER OUTPATIENT REHABILITATION & THERAPY 10450 NEW HAVEN ROAD HARRISON OH 45030 SPECIALTY LOCATIONS MERCY HEALTH - HARRISON ORTHOPAEDICS AND SPINE 10450 NEW HAVEN ROAD HARRISON OH 45030 SPECIALTY LOCATIONS MERCY HEALTH - HARRISON PRIMARY CARE 10450 NEW HAVEN ROAD HARRISON OH 45030 PRIMARY CARE DOCTORS MERCY HEALTH - THE HEART INSTITUTE HARRISON 10450 NEW HAVEN ROAD SUITE 4 HARRISON OH 45030 SPECIALTY LOCATIONS MERCY HEALTH - VASCULAR AND ENDOVASCULAR SURGEONS 10450 NEW HAVEN ROAD SUITE 4 HARRISON OH 45030 SPECIALTY LOCATIONS MERCY HEALTH - EVENDALE FAMILY MEDICINE 10475 READING ROAD SUITE 405 CINCINNATI OH 45241 PRIMARY CARE DOCTORS MERCY HEALTH - LEE COUNTY PRIMARY CARE 1049 HWY 11 NORTH BEATTYVILLE KY 41311 PRIMARY CARE DOCTORS MERCY HEALTH - LIBERTY CENTER FAMILY MEDICINE 105 EAST STREET LIBERTY CENTER OH 43532 PRIMARY CARE DOCTORS MERCY HEALTH - LAGRANGE PRIMARY CARE 105 OPPORTUNITY WAY LAGRANGE OH 44050 PRIMARY CARE DOCTORS MERCY HEALTH - HORIZONS FAMILY MEDICINE 1050 ISAAC STREETS DRIVE SUITE 106 OREGON OH 43616 PRIMARY CARE DOCTORS MERCY HEALTH - OREGON SURGERY CENTER 1050 ISAAC STREETS DRIVE SUITE 131 OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - OREGON PODIATRY 1050 ISAACS DRIVE SUITE 122 OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - OREGON UROLOGY SPECIALISTS 1050 ISAACS DRIVE SUITE 126 OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - YOUNGSTOWN PRIMARY CARE 1053 BELMONT AVE YOUNGSTOWN OH 44501 PRIMARY CARE DOCTORS MERCY HEALTH - HARRISON INTERNAL MEDICINE 10541 HARRISON AVENUE HARRISON OH 45030 PRIMARY CARE DOCTORS MERCY HEALTH - CINCINNATI SPORTSMEDICINE AND ORTHOPAEDIC CENTER MONTGOMERY 10663 MONTOMGERY RD CINCINNATI OH 45242 SPECIALTY LOCATIONS THE JEWISH HOSPITAL - MERCY HEALTH ORTHOPAEDICS AND SPORTS REHABILITATION M ONTGOMERY 10663 MONTOMGERY ROAD SUITE 200 CINCINNATI OH 45242 SPECIALTY LOCATIONS MERCY HEALTH - VERMILION LAB SERVICES 1067 STATE ROUTE 60 VERMILION OH 44089 SPECIALTY LOCATIONS MERCY HEALTH - COLUMBIANA PEDIATRICS 107 ROTAL BIRKDALE SUITE A COLUMBIANA OH 44408 SPECIALTY LOCATIONS MERCY HEALTH - COLUMBIANA PODIATRY 107 ROYAL BIRKDALE DR SUITE A COLUMBIANA OH 44408 SPECIALTY LOCATIONS MERCY HEALTH - COLUMBIANA GENERAL SURGERY 107 ROYAL BIRKDALE DR SUITE D COLUMBIANA OH 44408 SPECIALTY LOCATIONS MERCY HEALTH - COLUMBIANA ORTHOPAEDICS 107 ROYAL BIRKDALE DR SUITE D COLUMBIANA OH 44408 SPECIALTY LOCATIONS MERCY HEALTH - COLUMBIANA IMAGING AND LAB SERVICES 107 ROYAL BIRKDALE SUITE A COLUMBIANA OH 44408 SPECIALTY LOCATIONS MERCY HEALTH - COLUMBIANA PRIMARY CARE 107 ROYAL BIRKDALE SUITE A COLUMBIANA OH 44408 PRIMARY CARE DOCTORS MERCY HEALTH - COLUMBIANA CHIROPRACTIC CARE 107 ROYAL BIRKDALE SUITE A COLUMBIANA OH 44408 OTHER MERCY HEALTH - COLUMBIANA RHEUMATOLOGY 107 ROYAL BIRKDALE SUITE A COLUMBIANA OH 44408 SPECIALTY LOCATIONS MERCY HEALTH - WAPAKONETA FAMILY MEDICINE 1100 DEFIANCE STREET WAPAKONETA OH 45895 PRIMARY CARE DOCTORS MERCY HEALTH - WAPAKONETA REHABILITATION AND THERAPY 1100 DEFIANCE STREET WAPAKONETA OH 45895 SPECIALTY LOCATIONS MERCY HEALTH - DIABETES EDUCATION PROGRAM WILLARD 1100 NEAL ZICK ROAD WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART INSTITUTE WILLARD 1100 NEAL ZICK ROAD WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD HOSPITAL ANTICOAGULATIONCOUMADIN CLINIC 1100 NEAL ZICK ROAD WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD HOSPITAL CARDIAC REHABILITATION 1100 NEAL ZICK ROAD WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD HOSPITAL EMERGENCY DEPARTMENT 1100 NEAL ZICK ROAD WILLARD OH 44890 EMERGENCY CARE MERCY HEALTH - WILLARD HOSPITAL IMAGING 1100 NEAL ZICK ROAD WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD HOSPITAL LABORATORY 1100 NEAL ZICK ROAD WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD HOSPITAL NEUROLOGY 1100 NEAL ZICK ROAD WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD HOSPITAL UROLOGY 1100 NEAL ZICK ROAD WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD PRIMARY CARE 1100 NEAL ZICK ROAD WILLARD OH 44890 PRIMARY CARE DOCTORS MERCY HEALTH - IRVINE PRIMARY CARE 1100 RICHMOND RD IRVINE KY 40336 PRIMARY CARE DOCTORS MERCY HEALTH - PERRYSBURG PRIMARY CARE 1103 VILLAGE SQUARE DR SUITE 100 PERRYSBURG OH 43551 PRIMARY CARE DOCTORS MERCY HEALTH - VILLAGE SQUARE PEDIATRICS 1103 VILLAGE SQUARE DR SUITE 202 PERRYSBURG OH 43551 PRIMARY CARE DOCTORS MERCY HEALTH - PERRYSBURG PAIN MEDICINE 1103 VILLAGE SQUARE DRIVE PERRYSBURG OH 43551 SPECIALTY LOCATIONS MERCY HEALTH - CLINTON STREET FAMILY MEDICINE 111 CLINTON STREET MAUMEE OH 43537 PRIMARY CARE DOCTORS MERCY HEALTH - CLINTON STREET WALK-IN FAMILY MEDICINE 111 CLINTON STREET MAUMEE OH 43537 SPECIALTY LOCATIONS MERCY HEALTH - ELYRIA IMAGING SERVICES 1120 E BROAD STREET ELYRIA OH 44035 SPECIALTY LOCATIONS MERCY HEALTH - ELYRIA ENDOSCOPY CENTER 1120 EAST BROAD STREET ELYRIA OH 44035 SPECIALTY LOCATIONS MERCY HEALTH - ELYRIA PRIMARY CARE 1120 EAST BROAD STREET ELYRIA OH 44035 PRIMARY CARE DOCTORS MERCY HEALTH - ELYRIA WALK-IN CARE 1120 EAST BROAD STREET ELYRIA OH 44035 SPECIALTY LOCATIONS MERCY HEALTH - HEART AND VASCULAR INSTITUTE ELYRIA 1120 EAST BROAD STREET SECOND FLOOR ELYRIA OH 44035 SPECIALTY LOCATIONS MERCY HEALTH - CLERMONT HOSPITAL WOMEN'S CENTER 1121 NORTHVIEW DRIVE HILLSBORO OH 45133 SPECIALTY LOCATIONS MERCY HEALTH - FOREST PARK INTERNAL MEDICINE AND PEDIATRICS 11550 WINTON ROAD CINCINNATI OH 45240 PRIMARY CARE DOCTORS MERCY HEALTH - FOREST PARK LAB SERVICES 11550 WINTON ROAD CINCINNATI OH 45240 SPECIALTY LOCATIONS MERCY HEALTH - LARKMOOR ELEMENTARY HEALTH CENTER 1201 NEBRASKA LORAIN OH 44052 SPECIALTY LOCATIONS MERCY HEALTH - SPRINGDALE OCCUPATIONAL HEALTH 12029 SHERATON LANE CINCINNATI OH 45246 SPECIALTY LOCATIONS MERCY HEALTH - TRI-COUNTY IMAGING 12037 SHERATON LANE CINCINNATI OH 45246 SPECIALTY LOCATIONS MERCY HEALTH - CINCINNATI SPORTSMEDICINE AND ORTHOPAEDIC CENTER TRI-COUNTY 12115 SHERATON LANE CINCINNATI OH 45246 SPECIALTY LOCATIONS MERCY HEALTH - MOBILE INTENSIVE CARE UNIT 1215 BELMONT AVENUE YOUNGSTOWN OH 44501 OTHER MERCY HEALTH - PERRYSBURG IMAGING AND LAB SERVICES 12621 ECKEL JUNCTION ROAD PERRYSBURG OH 43551 SPECIALTY LOCATIONS MERCY HEALTH - PERRYSBURG MEDICAL CENTER 12621 ECKEL JUNCTION ROAD PERRYSBURG OH 43551 EMERGENCY CARE MERCY HEALTH - PERRYSBURG CANCER CENTER 12623 ECKEL JUNCTION ROAD PERRYSBURG OH 43551 SPECIALTY LOCATIONS MERCY HEALTH PERRYSBURG CANCER CENTER 12623 ECKEL JUNCTION ROAD PERRYSBURG OH 43551 SPECIALTY LOCATIONS MERCY HEALTH PERRYSBURG OTHOPAEDICS AND SPORTS MEDICINE 12623 ECKEL JUNCTION ROAD PERRYSBURG OH 43551 SPECIALTY LOCATIONS MERCY HEALTH - TRI-COUNTY FAMILY MEDICINE 129 W KEMPER RD SPRINGDALE OH 45246 PRIMARY CARE DOCTORS MERCY HEALTH - WARREN COMMUNITY CARE 1296 TOD AVENUE NW WARREN OH 44485 PRIMARY CARE DOCTORS MERCY HEALTH - WARREN MINOR EMERGENCY SERVICES 1296 TOD AVENUE NW WARREN OH 44485 EMERGENCY CARE MERCY HEALTH - WARREN OUTPATIENT PHYSICAL THERAPY 1296 TOD AVENUE NW WARREN OH 44485 SPECIALTY LOCATIONS MERCY HEALTH - WARREN IMAGING AND LAB SERVICES 1296 TOD AVENUE NW WARREN OH 44485 SPECIALTY LOCATIONS MERCY HEALTH - BEHAVIORAL HEALTH INSTITUTE WARREN 1296 TOD PLACE NW WARREN OH 44485 SPECIALTY LOCATIONS MERCY HEALTH - TRUMBULL COUNTY PRESCRIPTION ASSISTANCE 1296 TOD PLACE NW WARREN OH 44485 OTHER MERCY HEALTH - WARREN MEDICAL CENTER 1296 TOD PLACE NW WARREN OH 44485 MEDICAL CENTER MERCY CARDIOLOGY ASSOCIATES - LIVINGSTON COUNTY HOSPITAL 131 SALEM DRIVE SALEM KY 42078 SPECIALTY LOCATIONS MERCY HEALTH - YOUNGSTOWN NEUROLOGY 1340 BELMONT AVE SUITE 2100 YOUNGSTOWN OH 44504 SPECIALTY LOCATIONS MERCY HEALTH - PERRYSBURG OUTPATIENT REHABILITATION AND THERAPY 13415 ECKEL JUNCTION RD PERRYSBURG OH 43551 SPECIALTY LOCATIONS MERCY HEALTH - PLEASANT HILL ACADEMY HEALTH CENTER 1350 NORTH BEND ROAD CINCINNATI OH 45224 SPECIALTY LOCATIONS MERCY HEALTH - ARROWHEAD OCCUPATIONAL THERAPY 1360 ARROWHEAD MAUMEE OH 43537 SPECIALTY LOCATIONS MERCY HEALTH - ARROWHEAD PAIN MEDICINE 1360 ARROWHEAD DRIVE MAUMEE OH 43537 SPECIALTY LOCATIONS MERCY HEALTH - ARROWHEAD ORTHOPAEDICS AND SPORTS MEDICINE 1360 ARROWHEAD ROAD MAUMEE OH 43537 SPECIALTY LOCATIONS MERCY HEALTH - ARROWHEAD SURGERY CENTER 1360 ARROWHEAD ROAD SUITE A MAUMEE OH 43537 SPECIALTY LOCATIONS MERCY HEALTH - MINERAL RIDGE PRIMARY CARE 1360 N CANFIELD-NILES RD MINERAL RIDGE OH 44440 PRIMARY CARE DOCTORS MERCY HEALTH - DEFIANCE CLINIC AMBULATORY SURGERY CLINIC 1400 E SECOND STREET DEFIANCE OH 43512 SPECIALTY LOCATIONS MERCY HEALTH - DEFIANCE CLINIC 1400 E SECOND STREET DEFIANCE OH 43512 CLINIC MERCY HEALTH - DEFIANCE CLINIC AUDIOLOGY AND HEARING AIDS 1400 E SECOND STREET DEFIANCE OH 43512 OTHER MERCY HEALTH - DEFIANCE CLINIC COUNSELORS 1400 E SECOND STREET DEFIANCE OH 43512 SPECIALTY LOCATIONS MERCY HEALTH - DEFIANCE CLINIC DIAGNOSTIC TESTING 1400 E SECOND STREET DEFIANCE OH 43512 SPECIALTY LOCATIONS MERCY HEALTH - DEFIANCE CLINIC HEMATOLOGY ONCOLOGY AND INFUSION CENTER 1400 E SECOND STREET DEFIANCE OH 43512 SPECIALTY LOCATIONS MERCY HEALTH - DEFIANCE CLINIC LABORATORY 1400 E SECOND STREET DEFIANCE OH 43512 SPECIALTY LOCATIONS MERCY HEALTH - DEFIANCE CLINIC OPTICAL SHOP 1400 E SECOND STREET DEFIANCE OH 43512 SPECIALTY LOCATIONS MERCY HEALTH - DEFIANCE CLINIC PAIN MANAGEMENT 1400 E SECOND STREET DEFIANCE OH 43512 SPECIALTY LOCATIONS MERCY HEALTH - DEFIANCE CLINIC PHARMACY 1400 E SECOND STREET DEFIANCE OH 43512 SPECIALTY LOCATIONS MERCY HEALTH - DEFIANCE CLINIC REHABILITATION 1400 E SECOND STREET DEFIANCE OH 43512 SPECIALTY LOCATIONS MERCY HEALTH - DEFIANCE CLINIC WORKMED 1400 E SECOND STREET DEFIANCE OH 43512 SPECIALTY LOCATIONS MERCY HEALTH - DEFIANCE CLINIC WOUND CARE 1400 E SECOND STREET DEFIANCE OH 43512 SPECIALTY LOCATIONS MERCY HEALTH - DEFIANNCE URGENT CARE 1400 E SECOND STREET DEFIANCE OH 43512 URGENT CARE MERCY HEALTH - DEFIANCE HOSPITAL ANTICOAGULATIONCOUMADIN CLINIC 1404 E SECOND STREET DEFIANCE OH 43512 SPECIALTY LOCATIONS MERCY HEALTH - DEFIANCE HOSPITAL EMERGENCT DEPARTMENT 1404 E SECOND STREET DEFIANCE OH 43512 EMERGENCY CARE MERCY HEALTH - DEFIANCE HOSPITAL SLEEP CENTER 1404 E SECOND STREET DEFIANCE OH 43512 SPECIALTY LOCATIONS MERCY HEALTH - DIABETES EDUCATION PROGRAM DEFIANCE 1404 E SECOND STREET DEFIANCE OH 43512 SPECIALTY LOCATIONS MERCY HEALTH - NAPOLEAN CLINIC 1426 NORTH SCOTT STREET NAPOLEON OH 43545 CLINIC MERCY HEALTH - NAPOLEON WALK-IN CLINIC 1426 NORTH SCOTT STREET NAPOLEON OH 43545 SPECIALTY LOCATIONS MERCY HEALTH - PARKMAN PRIMARY CARE 1455 PARKMAN RD NW WARREN OH 44485 PRIMARY CARE DOCTORS MERCY HEALTH - HEART AND VASCULAR INSTITUTE AVON 1480 CENTER ROAD SUITE A AVON OH 44011 SPECIALTY LOCATIONS MERCY HEALTH - AVON GENERAL SURGERY 1480 CENTER ROAD SUITE B AVON OH 44011 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART INSTITUTE MT ORAB 150 HEALTH PARTNERS CIRCLE MT ORAB OH 45154 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD OCCUPATIONAL HEALTH 1509 S CONWELL AVE WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD WALK-IN CARE 1509 S CONWELL AVE WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD REHABILITATION AND THERAPY 1510 CONWELL AVE WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD REHABILITATION AND WELLNESS CENTER 1510 S CONWELL AVE WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - LOURDES HOSPITAL OUTPATIEND REHABILITATION 1528 LONE OAK ROAD SUITE 100 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - LOURDES HOSPITAL EMERGENCY DEPARTMENT 1530 LONE OAK ROAD PADUCAH KY 42003 EMERGENCY CARE MERCY HEALTH - LOURDES LAB SERVICES 1530 LONE OAK ROAD PADUCAH KY 42003 SPECIALTY LOCATIONS RAY AND KAY ECKSTEIN HOSPICE CARE CENTER AT MERCY HEALTH 1530 LONE OAK ROAD PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - LOURDES BIRTHING CENTER 1530 LONE OAK ROAD SECOND FLOOR PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - BEHAVIORAL HEALTH INPATIENT SERVICES 1530 LONE OAK ROAD SIXTH FLOOR PADUCAH KY 42003 SPECIALTY LOCATIONS RAY AND KAY ECKSTEIN HEART AND VASCULAR INSTITUTE AT MERCY HEALTH 1532 LONE OAK ROAD PADUCAH KY 42003 SPECIALTY LOCATIONS LOURDES MARSHALL NEMER PAVILION - BORDERS COMMUNITY ROOM 1532 LONE OAK ROAD FIRST FLOOR BY M AIN ENTERANCE PADUCAH KY 42003 OTHER MERCY HEALTH - LOURDES HOSPITAL OUTPATIENT INFUSION THERAPY (OPIT) 1532 LONE OAK ROAD SUITE 130 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH NEUROSURGERY 1532 LONE OAK ROAD SUITE 143 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH NEUROLOGY 1532 LONE OAK ROAD SUITE 150 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH WOMEN'S IMAGING CENTER 1532 LONE OAK ROAD SUITE 210 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH WOMEN'S IMAGING CENTER 1532 LONE OAK ROAD SUITE 210 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH GENERAL SURGERY 1532 LONE OAK ROAD SUITE 235 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH OBSTETRICS AND GYNECOLOGY 1532 LONE OAK ROAD SUITE 245 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH UROLOGY 1532 LONE OAK ROAD SUITE 310 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - BEHAVIORAL HEALTH OUTPATIENT SERVICES 1532 LONE OAK ROAD SUITE 345 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - HEART AND VASCULAR INSTITUTE CARIOLOGY 1532 LONE OAK ROAD SUITE 415 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH PAIN MEDICINE 1532 LONE OAK ROAD SUITE 430 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - HEART AND VASCULAR INSTITUTE CARDIOTHORACIC SURGERY 1532 LONE OAK ROAD SUITE 445 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - MT ORAB MEDICAL CENTER 154 HEALTH PARTNERS CIRCLE MOUNT ORAB OH 45154 MEDICAL CENTER MERCY HEALTH - MT ORAB MEDICAL CENTER EMERGENCY DEPARTMENT 154 HEALTH PARTNERS CIRCLE MOUNT ORAB OH 45154 EMERGENCY CARE MERCY HEALTH - ORTHOPAEDICS AND SPORTS REHABILITATION DOWNTOWN 1555 CENTRAL PARKWAY CINCINNATI OH 45214 SPECIALTY LOCATIONS MERCY HEALTH - HENRY COUNTY FAMILY MEDICINE 1600 E RIVERWIEW AVE SUITE 101 NAPOLEON OH 43545 PRIMARY CARE DOCTORS MERCY HEALTH HENRY COUNTY ORTHOPAEDICS AND SPORTS MEDICINE 1600 E RIVERWIEW AVE SUITE 101 NAPOLEON OH 43545 SPECIALTY LOCATIONS MERCY HEALTH - VERMILION PRIMARY CARE 1607 STATE ROUTE 60 SUITE 6 VERMILION OH 44089 PRIMARY CARE DOCTORS MERCY HEALTH - MAUMEE FAMILY MEDICINE AND PEDIATRICS 1657 HOLLAND ROAD SUITE A HOLLAND OH 43537 SPECIALTY LOCATIONS MERCY HEALTH - MAUMEE PRIMARY CARE 1657 HOLLAND ROAD SUITE A HOLLAND OH 43537 PRIMARY CARE DOCTORS MERCY HEALTH - MURRAY PAIN MANAGEMENT CENTER 1710 HWY 121 NORTH BYPASS SUITE 1 MURRAY KY 42071 SPECIALTY LOCATIONS MERCY HEALTH - THRIFT STORE 1724 HENDERSON DRIVE LORAIN OH 44052 OTHER MERCY HEALTH - MT WASHINGTON SCHOOL HEALTH CENTER 1730 MEARS AVENUE CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART INSTITUTE WHYOMING 175 WEST GALBRAITH ROAD CINCINNATI OH 45216 SPECIALTY LOCATIONS MERCY HEALTH - ADAMS COUNTY FAMILY MEDICINE 17862 STATE ROUTE 247 SEAMAN OH 45679 PRIMARY CARE DOCTORS MERCY HEALTH - DELPHOS OCCUPATIONAL HEALTH 1800 E FIFHT STREET DELPHOS OH 45833 SPECIALTY LOCATIONS MERCY HEALTH - DELPHOS URGENT CARE 1800 EAST FIFTH DELPHOS OH 45833 URGENT CARE HEART SPECIALISTS OF ST RITA'S - DELPHOS 1800 EAST FIFTH STREET DELPHOS OH 45833 SPECIALTY LOCATIONS MERCY HEALTH - DELPHOS IMAGING AND LAB SERVICES 1800 EAST FIFTH STREET DELPHOS OH 45833 SPECIALTY LOCATIONS MERCY HEALTH - DELPHOS REHABILITATION AND THERAPY 1800 EAST FIFTH STREET DELPHOS OH 45833 SPECIALTY LOCATIONS MERCY HEALTH - DELPHOS FAMILY MEDICINE 1800 EAST FIFTH STREET SUITE 1 DELPHOS OH 45833 PRIMARY CARE DOCTORS MERCY HEALTH - LORAIN OCCUPATIONAL HEALTH 1800 LIVINGSTON AVE SUITE B LORAIN OH 44052 SPECIALTY LOCATIONS MERCY HEALTH - SOUTH DIXIE OCCUPATIONAL HEALTH 1875 SOUTH DIXIE HIGHWAY LIMA OH 45804 SPECIALTY LOCATIONS MERCY HEALTH - NORTHERN OHIO IMAGING CENTER 1900 WEST RIVER ROAD NORTH ELYRIA OH 44035 SPECIALTY LOCATIONS MERCY HEALTH - WARREN MATERNAL FETAL MEDICINE 1930 NILES-CORTLAND RD WARREN OH 44484 SPECIALTY LOCATIONS MERCY HEALTH - HOWLAND IMAGING AND LAB SERVICES 1932 NILES CORTLAND ROAD WARREN OH 44483 SPECIALTY LOCATIONS MERCY HEALTH - HOWLAND MEDICAL CENTER 1932 NILES-CORTLAND ROAD WARREN OH 44484 MEDICAL CENTER MERCY HEALTH - HOWLAND ORTHOPAEDICS AND SPORTS MEDICINE 1932 NILES-CORTLAND ROAD WARREN OH 44485 SPECIALTY LOCATIONS MERCY HEALTH - HOWLAND EAR NOSE AND THROAT 1932 NILES-CORTLAND ROAD NE WARREN OH 44484 SPECIALTY LOCATIONS MERCY HEALTH - HOWLAND OUTPATIENT REHABILITATION AND THERAPY 1932 NILES-CORTLAND ROAD NE WARREN OH 44483 SPECIALTY LOCATIONS MERCY HEALTH - HOWLAND PHYSICAL MEDICINE & REHABILITATION 1932 NILES-CORTLAND ROAD NE WARREN OH 44483 SPECIALTY LOCATIONS MERCY HEALTH - HOWLAND PRIMARY CARE 1932 NILES-CORTLAND ROAD NE WARREN OH 44484 PRIMARY CARE DOCTORS MERCY HEALTH - HOWLAND GENERAL SURGERY 1934 NILES-CORTLAND ROAD WARREN OH 44483 SPECIALTY LOCATIONS MERCY HEALTH - HOWLAND PAIN MEDICINE 1934 NILES-CORTLAND ROAD WARREN OH 44483 SPECIALTY LOCATIONS MERCY HEALTH - HOWLAND NEUROLOGY 1950 NILES-CORTLAND RD NE WARREN OH 44483 SPECIALTY LOCATIONS MERCY HEALTH - HOWLAND PLASTIC & RECONSTRUCTIVE SURGERY 1950 NILES-CORTLAND RD NE STE 9 WARREN OH 44483 SPECIALTY LOCATIONS MERCY HEALTH - HOWLAND URGENT CARE 1950 NILES-CORTLAND ROAD NE WARREN OH 44483 URGENT CARE MERCY HEALTH - WARREN OCCUPATIONAL HEALTH 1950 NILES-CORTLAND ROAD SUITE 2 WARREN OH 44485 SPECIALTY LOCATIONS MERCY HEALTH - RESOURCE MOTHERS 1957 COOPER FOSTER PARK ROAD LORAIN OH 44053 OTHER HEART SPECIALISTS OF ST RITA'S - JOINT TOWNSHIP 200 ST CLAIR AVENUE SAINT MARYS OH 45885 SPECIALTY LOCATIONS MERCY HEALTH - ALLEN HOSPITAL IMAGING AND LAB SERVICES 200 W LORAIN STREET OBERLIN OH 44074 SPECIALTY LOCATIONS MERCY HEALTH - ALLEN HOSPITAL SLEEP CENTER 200 W LORAIN STREET OBERLIN OH 44074 SPECIALTY LOCATIONS MERCY REHABILITATION SERVICES OBERLIN 200 W LORAIN STREET OBERLIN OH 44074 SPECIALTY LOCATIONS MERCY HEALTH - ALLEN HOSPITAL EMERGENCY DEPARTMENT 200 WEST LORAIN STREET OBERLIN OH 44074 EMERGENCY CARE MERCY HEALTH - MILFORD IMAGING & LAB SERVICES 201 OLD BANK ROAD MILFORD OH 45150 SPECIALTY LOCATIONS MERCY HEALTH - MILFORD FAMILY MEDICINE 201 OLD BANK ROAD SUITE 100 MILFORD OH 45150 PRIMARY CARE DOCTORS MERCY HEALTH - MILFORD FAMILY MEDICINE 201 OLD BANK ROAD SUITE 103 MILFORD OH 45150 PRIMARY CARE DOCTORS MERCY HEALTH - NEW WASHINGTON PRIMARY CARE 202 W MANSFIELD STREET NEW WASHINGTON OH 44854 PRIMARY CARE DOCTORS MERCY HEALTH - PEMBERVILLE PRIMARY CARE 20311 PEMBERVILLE ROAD PEMBERVILLE OH 43450 PRIMARY CARE DOCTORS MERCY HEALTH - BLUFFTON FAMILY MEDICINE 204 North Main Street BLUFFTON OH 45817 PRIMARY CARE DOCTORS MERCY HEALTH - BLUFFTON IMAGING AND LAB SERVICES 204 North Main Street BLUFFTON OH 45817 SPECIALTY LOCATIONS MERCY HEALTH - CLERMONT PULMONARY SLEEP AND CRITICAL CARE 2055 HOSPITAL DRIVE SUITE 200 BATAVIA OH 45103 SPECIALTY LOCATIONS MERCY HEALTH - CLERMONT SLEEP MEDICINE 2055 HOSPITAL DRIVE SUITE 200 BATAVIA OH 45103 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART INSTITUTE CLERMONT 2055 HOSPITAL DRIVE SUITE 340 BATAVIA OH 45103 SPECIALTY LOCATIONS MERCY HEALTH - EAST NEUROLOGY 2055 HOSPITAL DRIVE SUITE 355 BATAVIA OH 45103 SPECIALTY LOCATIONS MERCY HEALTH - GENERAL AND LAPAROSCOPIC SURGERY CLERMONT 2055 HOSPITAL DRIVE SUITE 355 BATAVIA OH 45103 SPECIALTY LOCATIONS MERCY HEALTH - WESTLAKE OCCUPATIONAL HEALTH 2116 DOVER CENTER ROAD WESTLAKE OH 44145 SPECIALTY LOCATIONS MERCY HEALTH - SPRINGDALE FAMILY MEDICINE 212 WEST SHARON ROAD CINCINNATI OH 45246 PRIMARY CARE DOCTORS MERCY HEALTH - AVONDALE ITNERNAL MEDICINE 2135 DANA AVENUE SUITE 400 CINCINNATI OH 45207 PRIMARY CARE DOCTORS MERCY HEALTH - WILLARD GENERAL SURGEONS 218 MYRTLE AVE WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD OBSTETRICS AND GYNECOLOGY 218 MYRTLE AVE WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD ONCOLOGYHEMATOLOGY 218 MYRTLE AVE WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD ONCOLOGYHEMATOLOGY 218 MYRTLE AVE WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S WESTSIDE IMAGING AND LAB SERVICES 2195 ALLENTOWN ROAD LIMA OH 45805 SPECIALTY LOCATIONS MERCY HEALTH - WESTSIDE URGENT CARE 2195 ALLENTOWN ROAD LIMA OH 45805 URGENT CARE MERCY HEALTH - JEFFERSON AVENUE FAMILY MEDICINE 2200 JEFFERSON AVENUE TOLEDO OH 43604 PRIMARY CARE DOCTORS MERCY HEALTH - JEFFERSON AVENUE LAB SERVICES 2200 JEFFERSON AVENUE TOLEDO OH 43604 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN INFECTIOUS DISEASE 221 W 21ST SUITE 1 LORAIN OH 44052 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S HOSPITAL EMERGENCY DEPARTMENT 2213 CHERRY STREET TOLEDO OH 43608 EMERGENCY CARE MERCY HEALTH - ST VINCENT ANTICOAGULATIONCOUMADIN CLINIC 2213 CHERRY STREET TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - ST VINCENT EEG LAB 2213 CHERRY STREET TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - ST VINCENT IMAGING 2213 CHERRY STREET TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - ST VINCENT LABORATORY 2213 CHERRY STREET TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - ST VINCENT MEDICAL CENTER EMERGENCY DEPARTMENT 2213 CHERRY STREET TOLEDO OH 43608 EMERGENCY CARE MERCY HEALTH - ST VINCENT NEONATOLOGY 2213 CHERRY STREET TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - ST VINCENT OCCUPATIONAL HEALTH 2213 CHERRY STREET TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - ST VINCENT PHARMACY 2213 CHERRY STREET TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - ST VINCENT WOMEN'S CARE 2213 CHERRY STREET TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - ST VINCENT WOMEN'S CARE 2213 CHERRY STREET TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - ST VINCENT WOUND CARE & HYPERBARIC CENTER 2213 CHERRY STREET ACC BUILDING TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - ST VINCENT WALK-IN PRIMARY CARE 2213 CHERRY STREET AMBULATORY CARE CENTER MAIN FLOOR TOLEDO OH 43608 PRIMARY CARE DOCTORS MERY HEALTH - ST VINCENT OUTPATEINT REHABILITATION AND THERAPY 2213 CHERRY STREET FIRST FLOOR MAIN HOSPITAL TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - ST VINCENT SPECIALTY CLINIC 2213 CHERRY STREET SUITE 200 ACC TOLEDO OH 43608 CLINIC MERCY HEALTH - ST VINCENT MATERNAL FETAL MEDICINE 2213 CHERRY STREET SUITE 309 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - FRANKLIN AVENUE LAB SERVICES 2213 FRANKLIN AVE TOLEDO OH 43620 SPECIALTY LOCATIONS MERCY HEALTH - FRANKLIN AVENUE PHARMACY 2213 FRANKLIN AVE TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - FRANKLIN AVENUE CENTER OBSTETRICS & GYNECOLOGY 2213 FRANKLIN STREET FIRST FLOOR TOLEDO OH 43620 SPECIALTY LOCATIONS MERCY HEALTH - FRANKLIN AVENUE INTERNAL MEDICINE 2213 FRANKLIN STREET SECOND FLOOR TOLEDO OH 43620 PRIMARY CARE DOCTORS MERCY HEALTH - FRANKLIN AVENUE PEDIATRICS 2213 FRANKLIN STREET THIRD FLOOR TOLEDO OH 43620 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S HOSPITAL PULMONARY & SLEEP CENTER 2222 CHERRY ST SUITE 2900 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S HOSPITAL PULMONARY & SLEEP CENTER 2222 CHERRY ST SUITE 2900 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - DIABETES EDUCATION PROGRAM ST VINCENT 2222 CHERRY STREET TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - ST VINCENT MEDICAL OFFICE BUILDING #2 LAB SERVICES 2222 CHERRY STREET TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART & VASCULAR INSTITUTE CARDIOVASCULAR SURGERY 2222 CHERRY STREET SUITE 1250 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART AND VASCULAR INSTITUTE ST VINCENT 2222 CHERRY STREET SUITE 1250 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - INFECTIOUS DISEASE 2222 CHERRY STREET SUITE 1400 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - RESPIRATORY 2222 CHERRY STREET SUITE 1400 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S HOSPITAL GASTROENTEROLOGY 2222 CHERRY STREET SUITE 1600 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S HOSPITAL SURGERY 2222 CHERRY STREET SUITE 1800 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S HOSPITAL UROLOGY 2222 CHERRY STREET SUITE 1800 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S MYELO CLINIC 2222 CHERRY STREET SUITE 1800 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S HOSPITAL NEPHROLOGY 2222 CHERRY STREET SUITE 2300 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S HOSPITAL NEUROLOGY 2222 CHERRY STREET SUITE 2300 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S HOSPITAL PEDIATRIC GENETICS 2222 CHERRY STREET SUITE 2300 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - CHILRDREN'S HOSPITAL DIABETES CARE AND ENDOCRINOLOGY 2222 CHERRY STREET SUITE 2300 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - CHILRDRENS HOSPITAL SPECIALTY CLINIC 2222 CHERRY STREET SUITE 2300 TOLEDO OH 43608 CLINIC MERCY HEALTH - CHILDREN'S HOSPITAL INFECTIOUS DISEASE 2222 CHERRY STREET SUITE 2600 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S HOSPITAL PEDIATRIC DEVELOPMENT 2222 CHERRY STREET SUITE 2600 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S HOSPITAL HEART SPECIALISTS 2222 CHERRY STREET SUITE 2800 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S HOSPITAL HEMATOLOGY AND ONCOLOGY 2222 CHERRY STREET SUITE 2800 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - NEUROSCIENCE INSTITUTE 2222 CHERRY STREET SUITE M200 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - TOLEDO PHYSICAL MEDICINE AND REHABILITATION 2222 CHERRY STREET SUITE M200 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - ST VINCENT MEDICAL CENTER PAIN MANAGEMENT 2222 CHERRY STREET SUITE M800 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH MEDICAL ONCOLOGY AND HEMATOLOGY 224 MEDICAL CENTER DRIVE SUITE 301 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH FAMILY MEDICINE 224 MEDICAL CENTER DRIVE SUITE 302 PADUCAH KY 42003 PRIMARY CARE DOCTORS MERCY HEALTH - COLUMBIANA COUNTY PRIMARY CARE 225 E STATE ROUTE 14 COLUMBIANA OH 44408 PRIMARY CARE DOCTORS MERCY HEALTH - COLUMBIANA EAR NOSE AND THROAT 225 E STATE ROUTE 14 COLUMBIANA OH 44408 SPECIALTY LOCATIONS MERCY HEALTH - ST ELIZABETH HEART AND VASCULAR CENTER - COLUMBIANA 225 EAST STATE ROUTE 14 COLUMBIANA OH 44408 SPECIALTY LOCATIONS MERCY HEALTH- PADUCAH LAB SERVICES 225 MEDICAL CENTER DRIVE PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH URGENT CARE 225 MEDICAL CENTER DRIVE SUITE 101 PADUCAH KY 42003 URGENT CARE MERCY HEALTH - PADUCAH OUTPATIENT SURGERY CENTER 225 MEDICAL CENTER DRIVE SUITE 105 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH INTERNAL MEDICINE 225 MEDICAL CENTER DRIVE SUITE 201 PADUCAH KY 42003 PRIMARY CARE DOCTORS MERCY HEALTH - PADUCAH WOUND CARE AND HYPERBARIC MEDICINE 225 MEDICAL CENTER DRIVE SUITE 205 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH EAR NOSE AND THROAT 225 MEDICAL CENTER DRIVE SUITE 303 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH FAMILY MEDICINE 225 MEDICAL CENTER DRIVE SUITE 304 PADUCAH KY 42003 PRIMARY CARE DOCTORS MERCY HEALTH - PADUCAH GASTROENTEROLOGY 225 MEDICAL CENTER DRIVE SUITE 308 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - HEART AND VASCULAR INSTITUTE VALVE CLINIC 225 MEDICAL CENTER DRIVE SUITE 402 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH MAMMOGRAPHY 225 MEDICAL CENTER DRIVE SUITE 404 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PADUCAH MAMMOGRAPHY 225 MEDICAL CENTER DRIVE SUITE 404 PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - HOME CARE MAYFIELD 225 WEST WATER STREET MAYFIELD KY 42066 SPECIALTY LOCATIONS MERCY HEALTH - HOSPICE MAYFIELD 225 WEST WATER STREET MAYFIELD KY 42066 SPECIALTY LOCATIONS MERCY HEALTH - GENERAL AND LAPAROSCOPIC SURGERY ADAMS COUNTY 230 MEDICAL CENTER DRIVE SEAMAN OH 45679 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART INSTITUTE ADAMS COUNTY 230 MEDICAL CENTER DRIVE SEAMAN OH 45679 SPECIALTY LOCATIONS MERCY HEALTH - WELLINGTON ORTHOPAEDIC AND SPORTS MEDICINE ADAMS COUNTY 230 MEDICAL CENTER DRIVE SEAMAN OH 45679 SPECIALTY LOCATIONS MERCY HEALTH - PALM ELEMENTARY HEALTH CENTER 2319 EAST 34TH ST LORAIN OH 44055 SPECIALTY LOCATIONS HOSPICE OF THE VALLEY - COLUMBIANA COUNTY 2388 B SOUTHEAST BLVD COLUMBIANA OH 44408 SPECIALTY LOCATIONS MERCY HEART AND VASCULAR INSTITUTE - HEART FAILURE & VALVE CLINIC ST VINCEN T 2400 CHERRY ST TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - ST VINCENT ORTHOPAEDICS AND SPORTS MEDICINE 2409 CHERRY STREET SUITE 10 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - GYNECOLOGIC ONCOLOGY 2409 CHERRY STREET SUITE 307 TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN PRIMARY CARE 2495 W MARKET STREET TIFFIN OH 44883 PRIMARY CARE DOCTORS MERCY HEALTH - PLYMOUTH PRIMARY CARE 25 SPRING STREET PLYMOUTH OH 44865 PRIMARY CARE DOCTORS MERCY HEALTH - FOUNDATION - MAHONING VALLEY 250 DEBARTOLO PLACE BOARDMAN OH 44512 OTHER MERCY HEALTH - SOUTHWOODS MEDICAL BUILDING 250 DEBARTOLO PLACE BOARDMAN OH 44512 MEDICAL CENTER MERCY HEALTH - WARRN RESOURCE MOTHERS CENTER 258 EAST MARKET STREET 201 202 WARREN OH 44481 SPECIALTY LOCATIONS MERCY HEALTH - ACUTE REHABILITATION 2600 NAVARRE AVENUE OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - BEHAVIORAL HEALTH CENTER ST CHARLES 2600 NAVARRE AVENUE OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - ST CHARLES HOSPITAL - EEG LAB 2600 NAVARRE AVENUE OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - ST CHARLES HOSPITAL ANTICOAGULATION SERVICE 2600 NAVARRE AVENUE OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - ST CHARLES HOSPITAL CARDIAC REHABILITATION 2600 NAVARRE AVENUE OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - ST CHARLES HOSPITAL EMERGENCY DEPARTMENT 2600 NAVARRE AVENUE OREGON OH 43616 EMERGENCY CARE MERCY HEALTH - ST CHARLES HOSPITAL IMAGING 2600 NAVARRE AVENUE OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - ST CHARLES HOSPITAL LABORATORY 2600 NAVARRE AVENUE OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - ST CHARLES HOSPITAL PHARMACY 2600 NAVARRE AVENUE OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - ST CHARLES OCCUPATIONAL HEALTH 2600 NAVARRE AVENUE OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - ST CHARLES PAIN MEDICINE 2600 NAVARRE AVENUE OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - ST CHARLES WOUND CARE CENTER 2600 NAVARRE AVENUE OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEART AND VASCULAR INSTITUTE HEART FAILURE & VALVE CLINIC ST CHARLES 2600 NAVARRE AVENUE OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - ST CHARLES SLEEP CENTER 2600 NAVARRE AVENUE NORTH BUILDING OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN HOSPITAL WOUND CARE 27 ST LAWRENCE DRIVE SUITE 201A TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN NEUROLOGY SPECIALISTS 27 ST LAWRENCE DRIVE SUITE 201A TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN PAIN MEDICINE 27 ST LAWRENCE DRIVE SUITE 201A TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN GI 27 ST LAWRENCE DRIVE SUITE 202 TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN SURGERY 27 ST LAWRENCE DRIVE SUITE 203 TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN HOSPITAL PHARMACY ANTICOAGULATIONCOUMADIN CLINIC 27 ST LAWRENCE DR TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN UROLOGY 27 ST LAWRENCE DR SUITE 204 TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - OXFORD ORTHOPAEDICS AND SPINE 270 S LOCUST STREET OXFORD OH 45056 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART INSTITUTE OXFORD 270 S LOCUST STREET OXFORD OH 45056 SPECIALTY LOCATIONS MERCY HEALTH - WELLINGTON ORTHOPAEDIC AND SPORTS MEDICINE OXFORD 270 S LOCUST STREET OXFORD OH 45056 SPECIALTY LOCATIONS MERCY HEALTH - OXFORD PRIMARY CARE 270 SOUTH LOCUST ST OXFORD OH 45056 PRIMARY CARE DOCTORS MERCY HEALTH - ST CHARLES FAMILY MEDICINE 2702 NAVARRE AVE STE 206 OREGON OH 43616 PRIMARY CARE DOCTORS MERCY HEALTH - MAUMEE BAY OBSTETRICS & GYNECOLOGY 2702 NAVARRE AVENUE SUITE 305 OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - ST CHARLES WOMEN'S CARE 2702 NAVARRE SUITE 101 OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - ST CHARLES WOMEN'S CARE 2702 NAVARRE SUITE 101 OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - MAUMEE BAY ORTHOPAEDICS AND SPORTS MEDICINE 2702 NAVARRE SUITE 102 OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - GREAT LAKES GASTROENTEROLOGY 2702 NAVARRE SUITE 320 OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - OREGON WALK-IN FAMILY MEDICINE 2735 NAVARRE AVENUE SUITE 101 OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - REJUVENATION SPA 2745 FORT AMANDA ROAD LIMA OH 45806 OTHER MERCY HEALTH - SHAWNEE FAMILY MEDICINE 2745 FORT AMANDA ROAD LIMA OH 45805 PRIMARY CARE DOCTORS MERCY HEALTH - POINT SHORELAND FAMILY MEDICINE 2755 SHORELAND AVE TOLEDO OH 43611 PRIMARY CARE DOCTORS MERCY HEALTH - POINT SHORELAND IMAGING SERVICES 2755 SHORELAND AVE TOLEDO OH 43611 SPECIALTY LOCATIONS MERCY HEALTH - POINT SHORELAND LAB SERVICES 2755 SHORELAND AVE TOLEDO OH 43611 SPECIALTY LOCATIONS MERCY HEALTH - HOME MEDICAL EQUIPMENT 2801 SALT SPRINGS ROAD YOUNGSTOWN OH 44509 SPECIALTY LOCATIONS MERCY HEALTH - NAVARRE OBSTETRICS AND GYNECOLOGY 2815 DUSTIN ROAD SUITE C OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - STARBRIGHT LAB SERVICES 2855 STARBRIGHT BOULEVARD PERRYSBURG OH 43551 SPECIALTY LOCATIONS MERCY HEALTH - STARBRIGHT PRIMARY CARE 2855 STARBRIGHT BOULEVARD PERRYSBURG OH 43551 PRIMARY CARE DOCTORS MERCY HEALTH - FAIRFIELD NEUROLOGY 2960 MACK ROAD SUITE 201 FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - TRI-COUNTY EAR NOSE AND THROAT 2960 MACK ROAD SUITE 205 CINCINNATI OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD EAR NOSE AND THROAT 2960 MACK ROAD SUITE 208 FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD HOSPITAL WOUND CARE CENTER 2990 MACK ROAD FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD OB CLINIC 2990 MACK ROAD SUITE 110 FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH PHYSICIANS 300 W MARKET STREET LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - BEHAVIORAL HEALTH INSTITUTE 3000 HOSPITAL DRIVE BATAVIA OH 45103 SPECIALTY LOCATIONS MERCY HEALTH - CLERMONT HOSPITAL EMERGENCY DEPARTMENT 3000 HOSPITAL DRIVE BATAVIA OH 45103 EMERGENCY CARE MERCY HEALTH - CLERMONT HOSPITAL OUTPATIENT REHABILITATION & THERAPY 3000 HOSPITAL DRIVE BATAVIA OH 45103 SPECIALTY LOCATIONS MERCY HEALTH - CARDIOVASCULAR AND THORACIC SURGEONS 3000 MACK ROAD FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD HOSPITAL ACUTE REHABILITATION UNIT 3000 MACK ROAD FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD HOSPITAL ANTICOAGULATION CLINIC 3000 MACK ROAD FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD HOSPITAL EMERGENCY DEPARTMENT 3000 MACK ROAD FAIRFIELD OH 45014 EMERGENCY CARE MERCY HEALTH - FAIRFIELD HOSPITAL FAMILY BIRTHING CENTER 3000 MACK ROAD FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD VEIN THERPY 3000 MACK ROAD SUITE 100 FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART INSTITUTE FAIRFIELD 3000 MACK ROAD SUITE 100 FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD INFECTIOUS DISEASE 3000 MACK ROAD SUITE 120 FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD PULMONARY SLEEP AND CRITICAL CARE 3000 MACK ROAD SUITE 120 FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD BREAST SURGERY 3000 MACK ROAD SUITE 2531 FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD BREAST SURGERY 3000 MACK ROAD SUITE 2531 FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD HOSPITAL SLEEP CENTER 3000 MACK ROAD THIRD FLOOR FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD SLEEP MEDICINE 3000 MACK ROAD THIRD FLOOR FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - CLERMONT HOSPITAL ANTICOAGULATION CLINIC 3020 HOSPITAL DRIVE SUITE 100 CINCINNATI OH 45103 SPECIALTY LOCATIONS MERCY HEALTH - CLERMONT HOSPITAL WOUND CARE CENTER 3020 HOSPITAL DRIVE SUITE 130 BATAVIA OH 45103 SPECIALTY LOCATIONS MERCY HEALTH - WEST TOLEDO PODIATRY 3030 W SYLVANIA AVENUE SUITE 105 TOLEDO OH 43613 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD HOSPITAL OUTPATIENT REHABILITATION & THERAPY 3050 MACK ROAD SUITE 110 FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD ORTHOPAEDICS AND SPINE 3050 MACK ROAD SUITE 200 FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - WEIGHT MANAGEMENT SOLUTIONS FAIRFIELD 3050 MACK ROAD SUITE 205 FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD HEALTHPLEX LAB SERVICES 3050 MACK ROAD SUITE 305 FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD GENERAL AND LAPAROSCOPIC SURGERY 3050 MACK ROAD SUITE 310 FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - VASCULAR AND ENDOVASCULAR SURGEONS 3050 MACK ROAD SUITE 310 FAIRFIELD OH 45014 SPECIALTY LOCATIONS MERCY HEALTH - SYLVANIA IMAGING SERVICES 3100 KING ROAD TOLEDO OH 43617 SPECIALTY LOCATIONS MERCY HEALTH - SYLVANIA LAB SERVICES 3100 KING ROAD TOLEDO OH 43617 SPECIALTY LOCATIONS MERCY HEALTH - SYLVANIA MEDICAL CENTER EMERGENCY DEPARTMENT 3100 KING ROAD TOLEDO OH 43617 EMERGENCY CARE MERCY HEALTH - ELMORE ANTICOAGULATION SERVICES 3105 SOUTH STATE ROUTE 51 ELMORE OH 43416 SPECIALTY LOCATIONS MERCY HEALTH - ELMORE IMAGING AND LAB SERVICES 3105 SOUTH STATE ROUTE 51 ELMORE OH 43416 SPECIALTY LOCATIONS MERCY HEALTH - ELMORE LAB SERVICES 3105 SOUTH STATE ROUTE 51 ELMORE OH 43416 SPECIALTY LOCATIONS MERCY HEALTH - MIDTOWN SLEEP CENTER 3125 PARISA DRIVE PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - QUEEN CITY MEDICAL CENTER 3131 QUEEN CITY AVENUE CINCINNATI OH 45238 MEDICAL CENTER MERCY HEALTH - QUEEN CITY MEDICAL CENTER EMERGENCY DEPARTMENT 3131 QUEEN CITY AVENUE CINCINNATI OH 45238 EMERGENCY CARE MERCY HEALTH - QUEEN CITY MEDICAL CENTER OUTPATIENT REHABILITATION & THERAP Y 3131 QUEEN CITY AVENUE CINCINNATI OH 45238 SPECIALTY LOCATIONS MERCY HEALTH - OBERLIN INVASIVE CARDIOLOGY 319 WEST LORAIN STREET OBERLIN OH 44074 SPECIALTY LOCATIONS MERCY HEALTH - OBERLIN PEDIATRICS 319 WEST LORAIN STREET OBERLIN OH 44074 SPECIALTY LOCATIONS MERCY HEALTH - OBERLIN PRIMARY CARE 319 WEST LORAIN STREET OBERLIN OH 44074 PRIMARY CARE DOCTORS MERCY HEALTH - OBERLIN WALK-IN CARE 319 WEST LORAIN STREET OBERLIN OH 44074 SPECIALTY LOCATIONS MERCY SURGERY CENTER (OBERLIN) 319 WEST LORAIN STREET OBERLIN OH 44074 SPECIALTY LOCATIONS MERCY HEALTH - UNOH FAMILY MEDICINE 3224 JARVIS DRIVE LIMA OH 45807 PRIMARY CARE DOCTORS MERCY HEALTH - CINCINNATI SPORTSMEDICINE AND ORTHPAEDIC CENTER CRESTVIEW HI LLS 328 THOMAS MORE PKWY CRESTVIEW HILLS KY 41017 SPECIALTY LOCATIONS MERCY HEALTH - ORTHOPAEDICS AND SPORTS REHABILITATION CRESTVIEW HILLS 328 THOMAS MORE PKWY CRESTVIEW HILLS KY 41017 SPECIALTY LOCATIONS MERCY HEALTH - WICK PRIMARY CARE AT YOUNGSTOWN STATE UNIVERSITY 330 WICK AVENUE YOUNGSTOWN OH 44503 PRIMARY CARE DOCTORS MERCY HEALTH - CARDIOVASCULAR AND THORACIC SURGEONS 3300 MERCY HEALTH BLVD CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - WEST HOSPITAL EMERGENCY DEPARTMENT 3300 MERCY HEALTH BLVD CINCINNATI OH 45211 EMERGENCY CARE MERCY HEALTH - WEST HOSPITAL FAMILY BIRTHING CENTER 3300 MERCY HEALTH BLVD CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - WEST HOSPITAL SLEEP CENTER 3300 MERCY HEALTH BLVD CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - WEST HOSPITAL WOMEN'S CENTER 3300 MERCY HEALTH BLVD CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - WEST HOSPITAL WOMEN'S CENTER 3300 MERCY HEALTH BLVD CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - WEST MOB LAB SERVICES 3300 MERCY HEALTH BLVD SUITE 170 CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - GENERAL LAPAROSCOPIC AND VASCULAR SURGERY WEST 3300 MERCY HEALTH BLVD SUITE 2010 CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - WEST HOSPITAL OUTPATIENT REHABILITATION & THERAPY 3300 MERCY HEALTH BLVD SUITE 550 CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - WEST HOSPITAL ANTICOAGULATION CLINIC 3300 MERCY HEALTH BLVD FIRST FLOOR CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - WEST HOSPITAL ACUTE REHABILITATION UNIT 3300 MERCY HEALTH BOULEVARD CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - WEST PULMONARY SLEEP AND CRITICAL CARE 3301 MERCY HEALTH BLVD STE 300 CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - MONFORT HEIGHTS FAMILY MEDICINE 3301 MERCY HEALTH BLVD STE 340 CINCINNATI OH 45211 PRIMARY CARE DOCTORS MERCY HEALTH - WEST ORTHOPAEDICS AND SPINE 3301 MERCY HEALTH BLVD STE 450 CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART INSTITUTE WEST 3301 MERCY HEALTH BLVD SUITE 125 CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - MONFORT HEIGHTS GYNECOLOGY 3301 MERCY HEALTH BLVD SUITE 210 CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH PELVIC FLOOR CENTER 3301 MERCY HEALTH BLVD SUITE 285 CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - SLEEP MEDICINE WEST 3301 MERCY HEALTH BLVD SUITE 300 CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - WEST INFECTIOUS DISEASE 3301 MERCY HEALTH BLVD SUITE 300 CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - MONFORT HEIGHTS ENDOCRINOLOGY AND DIABETES 3301 MERCY HEALTH BLVD SUITE 340 CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - WEST INTERNAL MEDICINE AND PEDIATRICS 3301 MERCY HEALTH BLVD SUITE 445 CINCINNATI OH 45211 PRIMARY CARE DOCTORS MERCY HEALTH - WEST PAIN MEDICINE 3301 MERCY HEALTH BLVD SUITE 445 CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - WEST EAR NOSE AND THROAT 3301 MERCY HEALTH BLVD SUITE 500 CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - VASCULAR AND ENDOVASCULAR SURGEONS 3301 MERCY HEALTH BLVD SUITE 285 CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - WEST OB CLINIC 3301 MERCY HEALTH BOULEVARD CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - WEST HOSPITAL WOUND CARE AND OSTOMY CENTER 3310 MERCY HEALTH BLVD SUITE 110 CINCINNATI OH 45211 SPECIALTY LOCATIONS MERCY HEALTH - WHITE OAK PRIMARY CARE 3310 MERCY HEALTH BLVD SUITE 210 CINCINNATI OH 45211 PRIMARY CARE DOCTORS MERCY HEALTH - PALLIATIVE CARE ST ANNE 3404 W SYLVANIA AVENUE TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - ST ANNE HOPSITAL PHARMACY 3404 W SYLVANIA AVENUE TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - ST ANNE HOSPITAL - EEG LAB 3404 W SYLVANIA AVENUE TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - ST ANNE HOSPITAL EMERGENCY DEPARTMENT 3404 W SYLVANIA AVENUE TOLEDO OH 43623 EMERGENCY CARE MERCY HEALTH - ST ANNE HOSPITAL IMAGING SERVICES 3404 W SYLVANIA AVENUE TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - ST ANNE HOSPITAL LABORATORY 3404 W SYLVANIA AVENUE TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - ST ANNE HOSPITAL PHARMACY ANTICOAGULATIONCOUMADIN CLINIC 3404 W SYLVANIA AVENUE TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - ST ANNE WOMEN'S CARE 3404 W SYLVANIA AVENUE TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - ST ANNE WOMEN'S CARE 3404 W SYLVANIA AVENUE TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - ST ANNE WOUND CARE CENTER 3404 W SYLVANIA AVENUE TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEART AND VASCULAR INSTITUTE - ST ANNE 3404 W SYLVANIA AVENUE TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - ST ANNE CANCER CENTER 3404 W SYLVANIA AVENUE SECOND FLOOR TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - VIENNA PRIMARY CARE 341 YOUNGSTOWN-KINGSVILLE ROAD VIENNA OH 44473 PRIMARY CARE DOCTORS MERCY HEALTH - WEST PARK FAMILY MEDICINE 3425 EXECUTIVE PARKWAY SUITE 100 TOLEDO OH 45606 PRIMARY CARE DOCTORS MERCY HEALTH - WESTFIELD OBSTETRICS AND GYNECOLOGY 3425 EXECUTIVE PARKWAY SUITE 200 TOLEDO OH 43606 SPECIALTY LOCATIONS MERCY HEALTH - WESTFIELD LAB SERVICES 3425 EXECUTIVE PARKWAY SUITE 215 TOLEDO OH 43606 SPECIALTY LOCATIONS MERCY HEALTH - HOME CARE LORAIN 3500 KOLBE ROAD LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - NEW LIFE HOSPICE 3500 KOLBE ROAD LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S HOSPITAL AUTISM SERVICES 3521 BRIARFIELD BLVD MAUMEE OH 43537 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S HOSPITAL AUTISM SERVICES 3521 BRIARFIELD BLVD MAUMEE OH 43537 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN PULMONOLOGY 3600 KOLBE RD SUITE 109 LORAIN OH 44053 SPECIALTY LOCATIONS MERCY GASTROENTEROLOGY CENTER 3600 KOLBE ROAD SUITE 019 LORAIN OH 44035 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN OUTPATIENT PHARMACY 3600 KOLBE ROAD SUITE 102 LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN TB CLINIC 3600 KOLBE ROAD SUITE 103 LORAIN OH 44053 OTHER MERCY HEALTH - LORAIN LAB SERVICES 3600 KOLBE ROAD SUITE 104 LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN PEDIATRICS 3600 KOLBE ROAD SUITE 105 LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN FAMILY MEDICINE 3600 KOLBE ROAD SUITE 106 LORAIN OH 44052 PRIMARY CARE DOCTORS MERCY HEALTH - LORAIN WALK-IN CARE 3600 KOLBE ROAD SUITE 106 LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN MEDICATION MANAGEMENT 3600 KOLBE ROAD SUITE 108 LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN DIABETES EDUCATION 3600 KOLBE ROAD SUITE 15 LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN VASCULAR AND INTERVENTIONAL RADIOLOGY 3600 KOLBE ROAD SUITE 200 LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN GENERAL SURGERY 3600 KOLBE ROAD SUITE 203 LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN UROLOGY 3600 KOLBE ROAD SUITE 203 LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN INTERNAL MEDICINE 3600 KOLBE ROAD SUITE 205 LORAIN OH 44053 PRIMARY CARE DOCTORS MERCY HEALTH - LORAIN GASTROENTEROLOGY 3600 KOLBE ROAD SUITE 206 LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN OBSTETRICS AND GYNECOLOGY 3600 KOLBE ROAD SUITE 209 LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - HEART AND VASCULAR INSTITUTE LORAIN 3600 KOLBE ROAD SUITE 223 LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN CARDIOTHORACIC SURGERY AND ENDOCRINOLOGY 3600 KOLBE ROAD SUITE 227 LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN CARDIOVASCULAR 3600 KOLBE ROAD SUITE 227 LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN PRIMARY CARE AND SPECIALISTS 3600 KOLBE ROAD SUITE 227 LORAIN OH 44053 PRIMARY CARE DOCTORS MERCY HEALTH - CANFIELD PRIMARY CARE 3660 STUTZ DRIVE CANFIELD OH 44406 PRIMARY CARE DOCTORS MERCY HEALTH - STUTZ PRIMARY CARE 3685 STUTZ DRIVE SUITE 101 CANFIELD OH 44406 PRIMARY CARE DOCTORS MERCY HEALTH - LORAIN HOSPITAL EMERGENCY DEPARTMENT 3700 KOLBE ROAD LORAIN OH 44053 EMERGENCY CARE MERCY HEALTH - LORAIN HOSPITAL WOMEN'S CENTER 3700 KOLBE ROAD LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - LORAIN PHYSICAL MEDICINE AND REHABILITATION 3700 KOLBE ROAD LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - VEARD FAMILY BIRTHING CENTER 3700 KOLBE ROAD LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - WOODLEY RD SLEEP DISORDERS CENTER 3829 WOODLEY ROAD BUILDING A TOLEDO OH 43606 SPECIALTY LOCATIONS MERCY HEALTH - OREGON CLINIC 3841 NAVARRE AVE TOLEDO OH 43616 CLINIC MERCY HEALTH - OREGON LAB AND IMAGING SERVICES 3851 NAVARRE AVENUE SUITE 100 OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - OREGON OUTPATIENT REHABILITATION AND THERAPY 3851 NAVARRE AVENUE SUITE 100 OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - BAY MEADOWS FAMILY MEDICINE 3851 NAVARRE AVENUE SUITE 200 OREGON OH 43616 PRIMARY CARE DOCTORS MERCY HEALTH - SUNFOREST COURT LAB SERVICES 3900 SUNFOREST CT SUITE 120 TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - SUNFOREST ORTHOPAEDICS AND SPORTS MEDICINE 3900 SUNFOREST CT SUITE 240 TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - SUNFOREST PRIMARY CARE 3900 SUNFOREST CT SUITE 240 TOLEDO OH 43623 PRIMARY CARE DOCTORS MERCY HEALTH - NORTH RIDGEVILLE OCCUPATIONAL HEALTH 39263 CENTER RIDGE ROAD NORTH RIDGEVILLE OH 44039 SPECIALTY LOCATIONS MERCY HEALTH - NORTH RIGEVILLE OUTPATIENT REHABILITATION AND THERAPY 39263 CENTER RIDGE ROAD NORTH RIDGEVILLE OH 44039 SPECIALTY LOCATIONS MERCY HEALTH - SUNFOREST OUTPATIENT REHABILITATION AND THERAPY 3930 SUNFOREST COURT SUITE 100 TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - WEIGHT MANAGEMENT SOLUTIONS 3930 SUNFOREST COURT SUITE 100 TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - CHILDREN'S HOSPITAL PEDIATRIC THERAPY 3930 SUNFOREST COURT SUITE 200 TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - NEUROSCIENCE INSTITUTE NEUROLOGY 3949 SUNFOREST CT STE 105 TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - COLD SPRING FAMILY MEDICINE 3955 ALEXANDRIA PIKE COLD SPRING KY 41076 PRIMARY CARE DOCTORS MERCY HEALTH - TIFFIN CANCER CENTER 40 FAIR LANE TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN CANCER CENTER 40 FAIR LANE TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN HOME CARE 40 FAIR LANE TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - CARDIOVASCULAR AND THORACIC SURGEONS ROOKWOOD 4030 SMITH ROAD SUITE 300 CINCINNATI OH 45209 SPECIALTY LOCATIONS MERCY HEALTH - VASCULAR AND ENDOVASCULAR SURGEONS 4030 SMITH ROAD SUITE 300 CINCINNATI OH 45209 SPECIALTY LOCATIONS MERCY HEALTH - VEINSOLUTIONS 4030 SMITH ROAD SUITE 300 CINCINNATI OH 45209 SPECIALTY LOCATIONS THE JEWISH HOSPITAL - MERCY HEALTH ORTHOPAEDICS AND SPORTS REHABILITATION R OOKWOOD 4101 EDWARDS RD SUITE 201 CINCINNATI OH 45209 SPECIALTY LOCATIONS MERCY HEALTH - ROOKWOOD LAB SERVICES 4101 EDWARDS ROAD NORWOOD OH 45209 SPECIALTY LOCATIONS MERCY HEALTH - ROOKWOOD MEDICAL CENTER 4101 EDWARDS ROAD NORWOOD OH 45209 MEDICAL CENTER MERCY HEALTH - ROOKWOOD MEDICAL CENTER EMERGENCY DEPARTMENT 4101 EDWARDS ROAD NORWOOD OH 45209 EMERGENCY CARE MERCY HEALTH - ROOKWOOD MEDICAL CENTER ANTICOAGULATION CLINIC 4101 EDWARDS ROAD SUITE 142 NORWOOD OH 45209 SPECIALTY LOCATIONS MERCY HEALTH - CINCINNATI SPORTSMEDICINE AND ORTHPAEDIC CENTER ROOKWOOD 4101 EDWARDS ROAD 2ND FLOOR CINCINNATI OH 45209 SPECIALTY LOCATIONS MERCY HEALTH - ROOKWOOD INTERNAL MEDICINE AND PEDIATRICS 4101 EDWARDS ROAD 2ND FLOOR CINCINNATI OH 45209 PRIMARY CARE DOCTORS MERCY HEALTH - THE HEART INSTITUTE ROOKWOOD 4101 EDWARDS ROAD 2ND FLOOR CINCINNATI OH 45209 SPECIALTY LOCATIONS MERCY CANCER CENTER 41201 SCHADDEN ROAD ELYRIA OH 44035 SPECIALTY LOCATIONS MERCY HEALTH - CANCER CENTER 41201 SCHADDEN ROAD ELYRIA OH 44035 SPECIALTY LOCATIONS MERCY HEALTH - SYLVANIA FAMILY MEDICINE 4126 HOLLAND SYLVANIA RD SUITE 220 TOLEDO OH 43623 PRIMARY CARE DOCTORS MERCY HEALTH - SYLVANIA OBSTETRICS AND GYNECOLOGY 4126 HOLLAND SYLVANIA RD SUITE 220 TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - SYLVANIA PAIN MEDICINE 4126 HOLLAND SYLVANIA RD SUITE 220 TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - WOMEN'S HEALTH PHYSICIANS AND MIDWIVES 4126 HOLLAND SYLVANIA RD SUITE 220 TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - SYLVANIA PEDIATRICS 4126 HOLLAND SYLVANIA ROAD SUITE 22 0 TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - SYLVANIA RADIATION ONCOLOGY 4126 NORTH HOLLAND-SYLVANIA ROAD SU ITE 175 TOLEDO OH 43623 SPECIALTY LOCATIONS MERCY HEALTH - DRY RIDGE FAMILY MEDICINE 4130 DRY RIDGE ROAD CINCINNATI OH 45252 PRIMARY CARE DOCTORS MERCY HEALTH - CANFIELD SURGERY 4147 WESTFORD DRIVE CANFIELD OH 44406 SPECIALTY LOCATIONS MERCY HEALTH - ST ELIZABETH YOUNGSTOWN HOSPITAL OCCUPATIONAL THERAPY 420 CAROLINE STREET YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - ST ELIZABETH YOUNGSTOWN HOSPITAL PHYSICAL THERAPY 420 CAROLINE STREET YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - ST ELIZABETH YOUNGSTOWN HOSPITAL SPEECH THERAPY 420 CAROLINE STREET YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - YOUNGSTOWN OUTPATIENT REHABILITATION AND THERAPY 420 CAROLINE STREET YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD HOSPITAL ORTHOPAEDICS AND SPORTS REHABILITATION OX FORD 421 S LOCUST STREET SUITE 103 OXFORD OH 45056 SPECIALTY LOCATIONS MERCY HEALTH - CORTLAND PRIMARY CARE 421 S HIGH ST CORTLAND OH 44410 PRIMARY CARE DOCTORS MERCY HEALTH - SPENCERVILLE FAMILY MEDICINE 424 EAST 4TH STREET SPENCERVILLE OH 45887 PRIMARY CARE DOCTORS MERCY HEALTH - THE HEART INSTITUTE EAST LIVERPOOL 425 WEST FIFTH STREET EAST LIVERPOOL OH 43920 SPECIALTY LOCATIONS MERCY HEALTH - CLEVES PRIMARY CARE 4320 HAMILTON CLEVES ROAD CLEVES OH 45002 PRIMARY CARE DOCTORS MERCY HEALTH - TIFFIN OCCUPATIONAL HEALTH 437 W MARKET STREET TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN PEDIATRICS 439 W MARKET STREET TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - EASTGATE SURGERY CENTER 4415 A AICHOLTZ ROAD CINCINNATI OH 45245 SPECIALTY LOCATIONS MERCY HEALTH - EASTGATE OCCUPATIONAL HEALTH 4415 B AICHOLTZ ROAD SUITE 100 CINCINNATI OH 45245 SPECIALTY LOCATIONS MERCY HEALTH - EASTGATE ORTHOPAEDICS AND SPINE 4440 GLEN-ESTE WITHAMSVILLE RD CINCINNATI OH 45245 SPECIALTY LOCATIONS MERCY HEALTH - WELLINGTON ORTHOPAEDIC AND SPORTS MEDICINE EASTGATE 4440 GLEN-ESTE WITHAMSVILLE RD CINCINNATI OH 45245 SPECIALTY LOCATIONS MERCY HEALTH - CLERMONT HOSPITAL ORTHOPAEDICS AND SPORTS REHABILITATION SAR DINIA 4440 GLEN-ESTE WITHAMSVILLE RD SUIT E B CINCINNATI OH 45245 SPECIALTY LOCATIONS MERCY HEALTH - BOARDMAN OCCUPATIONAL HEALTH 45 MCCLURG RD BOARDMAN OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - ST ELIZABETH BOARDMAN OUTPATIENT REHABILITATION AND THERAPY 45 MCCLURG RD BOARDMAN OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - ST ELIZABETH BOARDMAN ANTICOAGULATION CLINIC 45 MCCLURG ROAD BOARDMAN OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART INSTITUTE TIFFIN 45 ST LAWRENCE DRIVE TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN HOSPITAL CARDIAC REHABILITATION 45 ST LAWRENCE DRIVE TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN HOSPITAL EMERGENCY DEPARTMENT 45 ST LAWRENCE DRIVE TIFFIN OH 44884 EMERGENCY CARE MERCY HEALTH - TIFFIN HOSPITAL IMAGING 45 ST LAWRENCE DRIVE TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN HOSPITAL LABORATORY 45 ST LAWRENCE DRIVE TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN HOSPITAL PHARMACY 45 ST LAWRENCE DRIVE TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN HOSPITAL SURGERY DEPARTMENT 45 ST LAWRENCE DRIVE TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN SLEEP CENTER 45 ST LAWRENCE DRIVE TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - YOUNGSTOWN SURGICAL WEIGHT LOSS 452 BROADWAY AVENUE YOUNGSTOWN OH 44504 SPECIALTY LOCATIONS MERCY HEALTH - OAKLEY PRIMARY CARE 4631 RIDGE AVENUE SUITE B CINCINNATI OH 45209 PRIMARY CARE DOCTORS MERCY HEALTH - CHRUCH HILL WALK-IN CARE 4694 BELMONT AVE YOUNGSTOWN OH 44505 SPECIALTY LOCATIONS MERCY HEALTH - CHURCH HILL PRIMARY CARE 4694 BELMONT AVE YOUNGSTOWN OH 44505 PRIMARY CARE DOCTORS MERCY HEALTH - BLUE ASH FAMILY MEDICINE 4700 EAST GALBRAITH RD SUITE 202 CINCINNATI OH 45236 PRIMARY CARE DOCTORS THE JEWISH HOSPITAL - MERCY HEALTH WOMEN'S CENTER 4700 EAST GALBRAITH RD SUITE 100 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD MOHS SURGERY 4700 EAST GALBRAITH RD SUITE 201 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD VEIN THERPY 4700 EAST GALBRAITH RD SUITE 201 CINCINNATI OH 45236 SPECIALTY LOCATIONS THE JEWISH HOSPITAL - MERCY HEALTH BREAST CENTER 4700 EAST GALBRAITH ROAD SUITE 100 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - BREAST SURGERY KENWOOD 4700 EAST GALBRAITH ROAD SUITE 102 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - GYNECOLOGY KENWOOD 4700 EAST GALBRAITH ROAD SUITE 102 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD BREAST SURGERY 4700 EAST GALBRAITH ROAD SUITE 102 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD DERMATOLOGY 4700 EAST GALBRAITH ROAD SUITE 105 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - BLUE ASH NEUROLOGY AND SPINE 4701 CREEK ROAD SUITE 110 CINCINNATI OH 45242 SPECIALTY LOCATIONS MERCY HEALTH - WELLINGTON ORTHOPAEDIC AND SPORTS MEDICINE BLUE ASH 4701 CREEK ROAD SUITE 110 CINCINNATI OH 45242 SPECIALTY LOCATIONS THE JEWISH HOSPITAL - MERCY HEALTH ORTHOPAEDICS AND SPORTS REHABILITATION B LUE ASH 4701 CREEK ROAD SUITE 110A CINCINNATI OH 45242 SPECIALTY LOCATIONS MERCY HEALTH - AMHERST OUTPATIENT REHABILITATION AND THERAPY 47160 HOLLSTEIN DR AMHERST OH 44001 SPECIALTY LOCATIONS THE JEWISH HOSPITAL - MERCY HEALTH ANTICOAGULATION CLINIC 4750 E Galbraith Road Suite 104 Cincinnati OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - INFECTIOUS DISEASE KENWOOD 4750 E GALBRAITH ROAD SUITE 210 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD RHEUMATOLOGY 4750 E GALBRAITH RD SUITE 210 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD ORTHOPAEDICS AND SPINE 4750 EAST GALBRAITH RD SUITE 105 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - EAST GALBRAITH INTERNAL MEDICINE 4750 EAST GALBRAITH ROAD CINCINNATI OH 45236 PRIMARY CARE DOCTORS THE JEWISH HOSPITAL - MERCY HEALTH IMAGING CENTER 4750 EAST GALBRAITH ROAD CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD NEUROSURGERY AND SPINE 4750 EAST GALBRAITH ROAD SUITE 105 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD PAIN MEDICINE 4750 EAST GALBRAITH ROAD SUITE 105 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD LAB SERVICES 4750 EAST GALBRAITH ROAD SUITE 106 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD INTERNAL MEDICINE 4750 EAST GALBRAITH ROAD SUITE 111 CINCINNATI OH 45236 PRIMARY CARE DOCTORS MERCY HEALTH - KENWOOD COLON AND RECTAL SURGERY 4750 EAST GALBRAITH ROAD SUITE 207 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD PLASTIC AND RECONSTRUCTIVE SURGERY 4750 EAST GALBRAITH ROAD SUITE 207 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD SURGICAL ONCOLOGY AND GENERAL SURGERY 4750 EAST GALBRAITH ROAD SUITE 207 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD SURGICAL ONCOLOGY AND GENERAL SURGERY 4750 EAST GALBRAITH ROAD SUITE 207 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD SURGICAL ONCOLOGY AND GENERAL SURGERY 4750 EAST GALBRAITH ROAD SUITE 207 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - WEIGHT MANAGEMENT SOLUTIONS KENWOOD 4750 EAST GALBRAITH ROAD SUITE 207 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD FAMILY MEDICINE 4750 EAST GALBRAITH ROAD SUITE 210 CINCINNATI OH 45236 PRIMARY CARE DOCTORS MERCY HEALTH - KENWOOD INTERNAL MEDICINE 4750 EAST GALBRAITH ROAD SUITE 210 CINCINNATI OH 45236 PRIMARY CARE DOCTORS MERCY HEALTH - KENWOOD EAR NOSE AND THROAT 4750 EAST GALBRAITH ROAD SUITE 215 CINCINNATI OH 45236 SPECIALTY LOCATIONS THE JEWISH HOSPITAL - MERCY HEALTH OUTPATIENT REHABILITATION & THERAPY 4760 EAST GALBRAITH ROAD SUITE 118 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD INTERNAL MEDICINE 4760 EAST GALBRAITH ROAD SUITE 203 CINCINNATI OH 45236 PRIMARY CARE DOCTORS MERCY HEALTH - THE HEART INSTITUTE KENWOOD 4760 EAST GALBRAITH ROAD SUITE 205 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD PULMONARY AND CRITICAL CARE 4760 EAST GALBRAITH ROAD SUITE 206 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD GENERAL AND LAPAROSCOPIC SURGERY 4760 EAST GALBRAITH ROAD SUITE 207 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - KENWOOD ENDOCRINOLOGY CHOLESTEROL AND DIABETES 4760 EAST GALBRAITH ROAD SUITE 212 CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - OSTEOPOROSIS AND BONE HEALTH SERVICES 4760 EAST GALBRAITH ROAD SUITE 212 CINCINNATI OH 45236 OTHER MERCY HEALTH - CARDIOVASCULAR AND THORACIC SURGEONS KENWOOD 4777 EAST GALBRAITH ROAD CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - VASCULAR AND ENDOVASCULAR SURGEONS 4777 EAST GALBRAITH ROAD CINCINNATI OH 45236 SPECIALTY LOCATIONS THE JEWISH HOSPITAL - MERCY HEALTH ACUTE REHABILITATION UNIT 4777 EAST GALBRAITH ROAD CINCINNATI OH 45236 SPECIALTY LOCATIONS THE JEWISH HOSPITAL - MERCY HEALTH BRAIN TUMOR CENTER 4777 EAST GALBRAITH ROAD CINCINNATI OH 45236 SPECIALTY LOCATIONS THE JEWISH HOSPITAL - MERCY HEALTH EMERGENCY DEPARTMENT 4777 EAST GALBRAITH ROAD CINCINNATI OH 45236 EMERGENCY CARE THE JEWISH HOSPITAL - MERCY HEALTH WOUND CARE CENTER 4777 EAST GALBRAITH ROAD CINCINNATI OH 45236 SPECIALTY LOCATIONS THE JEWISH HOSPITAL - MERCY HEALTH BLOOD CANCER CENTER 4777 EAST GALBRAITH ROAD 3RD FLOOR CINCINNATI OH 45236 SPECIALTY LOCATIONS MERCY HEALTH - GEORGETOWN FAMILY MEDICINE 4881 STATE ROUTE 125 GEORGETOWN OH 45121 PRIMARY CARE DOCTORS MERCY HEALTH - ARROWHEAD IMAGING AND LAB SERVICES 500 THE BOULEVARD MAUMEE OH 43537 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN OBSTETRICS AND GYNECOLOGY 500 WEST MARKET STREET TIFFIN OH 44883 SPECIALTY LOCATIONS HOSPICE OF THE VELLEY - TRUMBULL COUNTY 5000 EAST MARKET STREET UNIT 19 WARREN OH 44484 SPECIALTY LOCATIONS MERCY HEALTH - ARROWHEAD OCCUPATIONAL HEALTH 502 THE BOULEVARD MAUMEE OH 43537 SPECIALTY LOCATIONS MERCY HEALTH - SHEFFIELD VILLAGE OBSTETRICS AND GYNECOLOGY 5054 WATERFORD DRIVE SHEEFIELD VILLAGE OH 44035 SPECIALTY LOCATIONS MERCY HEALTH - SHEFFIELD VILLAGE SURGERY AND GASTROENTEROLOGY 5077 WATERFRONT DR SUITE 305 SHEFFIELD VILLAGE OH 44035 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD INTERNAL MEDICINE 5150 SANDY LANE FAIRFIELD OH 45014 PRIMARY CARE DOCTORS MERCY HEALTH - FAIRFIELD RHEUMATOLOGY 5150 SANDY LANE FAIRFIELD OH 45014 SPECIALTY LOCATIONS HOSPICE OF THE VALLEY - MAHONING COUNTY 5190 MARKET STREET BOARDMAN OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - DEERFIELD ENDOCRINOLOGY CHOLESTEROL AND DIABETES 5232 SOCIALVILLE-FOSTER ROAD MASON OH 45040 SPECIALTY LOCATIONS MERCY HEALTH - DEERFIELD FAMILY MEDICINE AND SPECIALISTS 5232 SOCIALVILLE-FOSTER ROAD MASON OH 45040 PRIMARY CARE DOCTORS MERCY HEALTH - DEERFIELD LAB SERVICES 5232 SOCIALVILLE-FOSTER ROAD MASON OH 45040 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART INSTITUTE DEERFIELD 5232 SOCIALVILLE-FOSTER ROAD MASON OH 45040 SPECIALTY LOCATIONS MERCY HEALTH - CINCINNATI SPORTSMEDICINE AND ORTHOPAEDIC CENTER MASON 5236 SOCIALVILLE FOSTER RD MASON OH 45040 SPECIALTY LOCATIONS MERCY HEALTH - MASON ORTHOPAEDICS AND SPINE 5236 SOCIALVILLE FOSTER RD MASON OH 45040 SPECIALTY LOCATIONS THE JEWISH HOSPITAL - MERCY HEALTH ORTHOPAEDICS AND SPORTS REHABILITATION M ASON 5236 SOCIALVILLE FOSTER RD SUITE B MASON OH 45040 SPECIALTY LOCATIONS EXCEL SPORTS MEDICINE & REHABILITATION - NEW CARLISLE 524 NORTH DAYTON LAKEVIEW ROAD NEW CARLISLE OH 45344 SPECIALTY LOCATIONS MERCY HEALTH - STRUTHERS PRIMARY CARE 53 STATE ST STRUTHERS OH 44471 PRIMARY CARE DOCTORS MERCY HEALTH - YOUNGSTOWN NEUROSURGERY 540 PARMALEE AVENUE YOUNGSTOWN OH 44510 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART AND VASCULAR INSTITUTE PARMALEE 540 PARMALEE AVENUE STE 510 YOUNGSTOWN OH 44510 SPECIALTY LOCATIONS MERCY HEALTH - TIFFIN REHABILITATION AND THERAPY 541 W MARKET STREET TIFFIN OH 44883 SPECIALTY LOCATIONS MERCY HEALTH - SENIOR WELLNESS CENTER 545 INDIANA AVENUE TOLEDO OH 43608 SPECIALTY LOCATIONS MERCY HEALTH - MIDTOWN PEDIATRICS 548 LONE OAK ROAD PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART INSTITUTE BRIDGETOWN 5525 MARIE AVENUE CINCINNATI OH 45248 SPECIALTY LOCATIONS MERCY HEALTH - WESTSIDE GENERAL LAPAROSCOPIC AND VASCULAR SURGERY 5525 MARIE AVENUE CINCINNATI OH 45248 SPECIALTY LOCATIONS MERCY HEALTH - WESTSIDE INTERNAL MEDICINE 5525 MARIE AVENUE CINCINNATI OH 45248 PRIMARY CARE DOCTORS MERCY HEALTH - AUSTINTOWN MEDICAL OFFICE BUILDING 5533 MAHONING AVENUE YOUNGSTOWN OH 44515 MEDICAL CENTER MERCY HEALTH - AUSTINTOWN OUTPATIENT REHABILITATION AND THERAPY 5533 MAHONING AVENUE YOUNGSTOWN OH 44515 SPECIALTY LOCATIONS MERCY HEALTH - AUSTINTOWN PRIMARY CARE 5533 MAHONING AVENUE YOUNGSTOWN OH 44515 PRIMARY CARE DOCTORS MERCY HEALTH - AUSTINTOWN SURGERY 5533 MAHONING AVENUE YOUNGSTOWN OH 44515 SPECIALTY LOCATIONS MERCY HEALTH - SALEM GENERAL SURGERY 564 E SECOND STREET SALEM OH 44460 SPECIALTY LOCATIONS MERCY HEALTH - SALEM LAB SERVICES 564 E SECOND STREET SALEM OH 44460 SPECIALTY LOCATIONS MERCY HEALTH - SALEM PRIMARY CARE 564 E SECOND STREET SALEM OH 44460 PRIMARY CARE DOCTORS MERCY HEALTH - OREGON HEALTH CENTER 5665 SEAMAN RD OREGON OH 43616 SPECIALTY LOCATIONS MERCY HEALTH - AMHERST SLEEP CENTER 576 NORTH LEAVITT ROAD AMHERST OH 44001 SPECIALTY LOCATIONS MERCY HEALTH - AMHERST PRIMARY CARE 578 NORTH LEAVITT ROAD AMHERST OH 44001 PRIMARY CARE DOCTORS MERCY HEALTH - SYLVANIA PHYSICAL MEDICINE AND REHABILITATION 5800 MONROE STREET BLDG A SUITE 1-1 0 SYLVANIA OH 43560 SPECIALTY LOCATIONS MERCY HEALTH - LIMA WEST FAMILY MEDICINE 582 NORTH CABLE RD LIMA OH 45805 PRIMARY CARE DOCTORS MERCY HEALTH - OAK POINT LAB SERVICES 5940 OAK POINT RD LORAIN OH 44053 SPECIALTY LOCATIONS MERCY HEALTH - OAK POINT PRIMARY CARE 5940 OAK POINT RD LORAIN OH 44053 PRIMARY CARE DOCTORS MERCY HEALTH - COLERAIN INTERNAL MEDICINE 5944 COLERAIN AVENUE CINCINNATI OH 45239 PRIMARY CARE DOCTORS MERCY HEALTH - RENAISSANCE PLACE FAMILY PRACTICE 5965 RENAISSANCE PLACE TOLEDO OH 43623 PRIMARY CARE DOCTORS MERCY HEALTH - MARCUM AND WALLACE MEMORIAL HOSPITAL EMERGENCY DEPARTMENT 60 MERCY COURT IRVINE KY 40336 EMERGENCY CARE MERCY HEALTH - EASTGATE MEDICAL CENTER 601 IVY GATEWAY CINCINNATI OH 45245 MEDICAL CENTER MERCY HEALTH - EASTGATE FAMILY MEDICINE 601 IVY GATEWAY SUITE 2100 CINCINNATI OH 45245 PRIMARY CARE DOCTORS MERCY HEALTH - EASTGATE MEDICAL CENTER LAB SERVICES 601 IVY GATEWAY SUITE 2100 CINCINNATI OH 45245 SPECIALTY LOCATIONS HEART SPECIALISTS OF ST RITA'S - GLANDORF 601 STATE ROUTE 224 GLANDORF OH 45875 SPECIALTY LOCATIONS MERCY HEALTH - PUTNAM COUNTY EMERGENCY SERVICES 601 STATE ROUTE 224 GLANDORF OH 45848 EMERGENCY CARE MERCY HEALTH - PUTNAM COUNTY IMAGING AND LAB SERVICES 601 STATE ROUTE 224 GLANDORF OH 45848 SPECIALTY LOCATIONS MERCY HEALTH - PUTNAM COUNTY OCCUPATIONAL HEALTH 601 STATE ROUTE 224 GLANDORF OH 45848 SPECIALTY LOCATIONS MERCY HEALTH - GLANDORF FAMILY MEDICINE 601 US 224 GLANDORF OH 45848 PRIMARY CARE DOCTORS MERCY HEALTH - REIDLAND FAMILY MEDICINE 6035 KENTUCKY DAM ROAD PADUCAH KY 42003 PRIMARY CARE DOCTORS MERCY HEALTH - ADA FAMILY MEDICINE 604 WEST NORTH AVENUE ADA OH 45810 PRIMARY CARE DOCTORS MERCY HEALTH - ADA IMAGING AND LAB SERVICES 604 WEST NORTH AVENUE ADA OH 45810 SPECIALTY LOCATIONS MERCY HEALTH - OAK HILLS INTERNAL MEDICINE 6045 BRIDGETOWN ROAD CINCINNATI OH 45248 PRIMARY CARE DOCTORS MERCY HEALTH - WEST HOSPITAL ORTHOPAEDICS AND SPORTS REHABILITATION BRIDGET OWN 6045 BRIDGETOWN ROAD CINCINNATI OH 45248 SPECIALTY LOCATIONS MERCY HEALTH - CINCINNATI SPORTSMEDICINE AND ORTHOPAEDIC CENTER BRIDGETOWN 6045 BRIDGETOWN ROAD SUITE 4 CINCINNATI OH 45248 SPECIALTY LOCATIONS MERCY HEALTH - WELLINGTON ORTHOPAEDIC AND SPORTS MEDICINE BRIDGETOWN 6045 BRIDGETOWN ROAD SUITE 4 CINCINNATI OH 45248 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART INSTITUTE LAWRENCEBURG 606 WILSON CREEK ROAD SUITE 410 LAWRENCEBURG IN 47025 SPECIALTY LOCATIONS MERCY HEALTH - TALSMAN PRIMARY CARE 61 TALSMAN DRIVE CANFIELD OH 44406 PRIMARY CARE DOCTORS MERCY HEALTH - THE HEART AND VASCULAR INSTITUTE WARREN 611 EASTLAND AVE SE SUITE 301 WARREN OH 44484 SPECIALTY LOCATIONS MERCY HEALTH - NORTH RIDGEVILLE PRIMARY CARE 6115 EMERALD STREET NORTH RIDGEVILLE OH 44039 PRIMARY CARE DOCTORS MERCY HEALTH - MT ORAB FAMILY MEDICINE 621 MAIN STREET MT ORAB OH 45154 PRIMARY CARE DOCTORS MERCY HEALTH - AUSTINTOWN IMAGING AND LAB SERVICES 6252 MAHONING AVENUE AUSTINTOWN OH 44515 SPECIALTY LOCATIONS MERCY HEALTH - AUSTINTOWN MEDICAL CENTER 6252 MAHONING AVENUE AUSTINTOWN OH 44515 MEDICAL CENTER MERCY HEALTH - AUSTINTOWN MEDICAL CENTER 6252 MAHONING AVENUE AUSTINTOWN OH 44515 EMERGENCY CARE MERCY HEALTH - AUSTINTOWN RADIATION ONCOLOGY 6262 MAHONING AVENUE AUSTINTOWN OH 44515 SPECIALTY LOCATIONS MERCY HEALTH - AUSTINTOWN RADIATION ONCOLOGY 6262 MAHONING AVENUE AUSTINTOWN OH 44515 SPECIALTY LOCATIONS MERCY HEALTH - GREENWHICH PRIMARY CARE 65 W MAIN STREET GREENWICH OH 44837 PRIMARY CARE DOCTORS MERCY HEALTH - DENT CROSSING FAMILY MEDICINE 6507 HARRISON AVENUE SUITE N CINCINNATI OH 45247 PRIMARY CARE DOCTORS MERCY HEALTH - RHEUMATOLOGY WEST 6540 WINTON ROAD CINCINNATI OH 45224 SPECIALTY LOCATIONS MERCY HEALTH - WINTON LAB SERVICES 6540 WINTON ROAD CINCINNATI OH 45224 SPECIALTY LOCATIONS MERCY HEALTH - WINTON ROAD GENERAL AND LAPAROSCOPIC SURGERY 6540 WINTON ROAD CINCINNATI OH 45224 SPECIALTY LOCATIONS MERCY HEALTH - WINTON ROAD PRIMARY CARE 6540 WINTON ROAD CINCINNATI OH 45224 PRIMARY CARE DOCTORS MERCY HEALTH - POLAND IMAGING SERVICES 6615 CLINGAN RD SUITE F POLAND OH 44514 SPECIALTY LOCATIONS ST JOSEPH WARREN HOSPITAL RADIATION ONCOLOGY 666 EASTLAND AVENUE SE WARREN OH 44483 SPECIALTY LOCATIONS ST JOSEPH WARREN HOSPITAL RADIATION ONCOLOGY 666 EASTLAND AVENUE SE WARREN OH 44483 SPECIALTY LOCATIONS MERCY HEALTH - ST JOSEPH WARREN HOSPITAL MEDICAL ONCOLOGY 667 EASTLAND AVE SE WARREN OH 44484 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART AND VASCULAR INSTITUTE EASTLAND 667 EASTLAND AVE SE WARREN OH 44484 SPECIALTY LOCATIONS MERCY HEALTH - ST JOSEPH WARREN HOSPITAL SURGERY 667 EASTLAND AVE SE WARREN OH 44484 SPECIALTY LOCATIONS MERCY HEALTH - ST JOSEPH WARREN HOSPITAL CANCER CENTER 667 EASTLAND AVE WARREN OH 44484 SPECIALTY LOCATIONS MERCY HEALTH - ST JOSEPH WARREN HOSPITAL CANCER CENTER 667 EASTLAND AVE WARREN OH 44484 SPECIALTY LOCATIONS MERCY HEALTH - DIABETES EDUCATION SERVICES STJOSEPH WARREN HOSPITAL 667 EASTLAND AVENUE SE WARREN OH 44484 SPECIALTY LOCATIONS MERCY HEALTH - ST JOSEPH WARREN HOSPITAL EMERGENCY DEPARTMENT 667 EASTLAND AVENUE SE WARREN OH 44484 EMERGENCY CARE MERCY HEALTH - ST JOSEPH WARREN HOSPITAL WOUND CARE CENTER 667 EASTLAND AVENUE SE WARREN OH 44484 SPECIALTY LOCATIONS MERCY HEALTH - ST JOSEPH WARREN HOSPITAL LAB SERVICES 667 EASTLAND AVENUE SE WARREN OH 44484 SPECIALTY LOCATIONS ST JOSEPH WARREN HOSPITAL MEDICAL ONCOLOGY 667 EASTLAND AVENUE SE WARREN OH 44484 SPECIALTY LOCATIONS MERCY HEALTH - ST JOSEPH WARREN HOSPITAL WOMEN'S CENTER 668 EASTLAND AVENUE SE WARREN OH 44484 SPECIALTY LOCATIONS MERCY HEALTH - ST JOSEPH WARREN HOSPITAL WOMEN'S CENTER 668 EASTLAND AVENUE SE WARREN OH 44484 SPECIALTY LOCATIONS MERCY HEALTH - SAYLER PARK SCHOOL HEALTH CENTER 6700 HOME CITY AVENUE CINCINNATI OH 45233 SPECIALTY LOCATIONS MERCY HEALTH - SPRINGDALE FAMILY MEDICINE AT LIBERTY FALLS 6770 CINCINNATI DAYTON RD STE 100 LIBERTY TOWNSHIP OH 45044 PRIMARY CARE DOCTORS MERCY HEALTH - LIBERTY FALLS SLEEP CENTER 6770 CINCINNATI DAYTON ROAD STE 204 LIBERTY TOWNSHIP OH 45044 SPECIALTY LOCATIONS MERCY HEALTH - LIBERTY FALLS PEDIATRICS 6770 CINCINNATI DAYTON ROAD SUITE 1 05 LIBERTY TOWNSHIP OH 45044 SPECIALTY LOCATIONS MERCY HEALTH - RHEUMATOLOGY LIBERTY TOWNSHIP 6770 CINCINNATI-DAYTON RD STE 105 LIBERTY TOWNSHIP OH 45044 SPECIALTY LOCATIONS MERCY HEALTH - LIBERTY FALLS MEDICAL CENTER 6770 CINCINNATI-DAYTON ROAD LIBERTY TOWNSHIP OH 45044 MEDICAL CENTER MERCY HEALTH - LIBERTY FALLS MEDICAL CENTER OUTPATIENT REHABILITATION & THE RAPY 6770 CINCINNATI-DAYTON ROAD LIBERTY TOWNSHIP OH 45044 SPECIALTY LOCATIONS MERCY HEALTH - LIBERTY FALLS IMAGING AND LAB SERVICES 6770 CINCINNATI-DAYTON ROAD SUITE 1 07 LIBERTY TOWNSHIP OH 45044 SPECIALTY LOCATIONS MERCY HEALTH - SPRING VALLEY OBSTERTRICS AND GYNECOLOGY 6855 SPRING VALLEY DRIVE SUITE 125 HOLLAND OH 43528 SPECIALTY LOCATIONS MERCY HEALTH - SPRING VALLEY PEDIATRICS 6855 SPRING VALLEY DRIVE SUITE 125 HOLLAND OH 43528 SPECIALTY LOCATIONS MERCY HEALTH - BOARDMAN SLEEP CENTER 7000 SOUTH AVENUE SUITE 4 BOARDMAN OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - BOARDMAN WOUND CARE CENTER 7010 SOUTH AVENUE 1 2 BOARDMAN OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - HOME CARE METROPOLIS 704 EAST 5TH STREET METROPOLIS IL 62960 SPECIALTY LOCATIONS MERCY HEALTH - HOSPICE METROPOLIS 704 EAST 5TH STREET METROPOLIS IL 62960 SPECIALTY LOCATIONS MERCY HEALTH - SARDINIA FAMILY MEDICINE 7109 BACHMAN ROAD SARDINIA OH 45171 PRIMARY CARE DOCTORS MERCY HEALTH - WELLINGTON ORTHOPAEDIC AND SPORTS MEDICINE SARDINIA 7109 BACHMAN ROAD SARDINIA OH 45171 SPECIALTY LOCATIONS MERCY HEALTH - CLERMONT HOSPITAL ORTHOPAEDICS AND SPORTS REHABILITATION EAS TGATE 7109 BACHMAN ROAD SUITE B SARDINIA OH 45171 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART AND VASCULAR INSTITUTE POLAND 715 EAST WESTERN RESERVE ROAD YOUNGSTOWN OH 44514 SPECIALTY LOCATIONS ST RITA'S AUXILIARY CONFERENCE CENTER 718 W MARKET STREET LIMA OH 45801 OTHER MERCY HEALTH - BETHEL OUTPATIENT REHABILITATION & THERAPY 720 W PLANE STREET SUITE 110 BETHEL OH 45106 SPECIALTY LOCATIONS MERCY HEALTH - WAUSEON PAIN MEDICINE 725 S SHOOP AVENUE SUITE 203 WAUSEON OH 43567 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S IMAGING 730 W MARKET STREET LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S MEDICAL CENTER EMERGENCY DEPARTMENT 730 W MARKET STREET LIMA OH 45801 EMERGENCY CARE MERCY HEALTH - ST RITA'S MEDICATION MANAGEMENT 730 W MARKET STREET LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S OUTPATIENT EXPRESS IMAGING AND LAB SERVICES 730 W MARKET STREET LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S CARDIOLOGY 730 W MARKET STREET 2K TOWER LIMA OH 45801 SPECIALTY LOCATIONS HOSPITALISTS OF ST RITA'S 730 W MARKET STREET 3RD FLOOR NURSI NG ADMINISTRATION LIMA OH 45801 OTHER MERCY HEALTH - ST RITA'S PHARMACY 730 WEST MARKET STREET LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD FAMILY MEDICINE 741-A WESSEL DRIVE FAIRFIELD OH 45014 PRIMARY CARE DOCTORS MERCY HEALTH - SILVERTON PAIDEIA ACADEMY HEALTH CENTER 7451 MONTGOMERY ROAD CINCINNATI OH 45230 SPECIALTY LOCATIONS MERCY HEALTH - POWELL COUNTY PRIMARY CARE 749 IRVINE RD CLAY COUNTY KY 40312 PRIMARY CARE DOCTORS MERCY HEALTH - ANDERSON HOSPITAL OUTPATIENT REHABILITATION & THERAPY 7495 STATE ROAD SUITE 100 CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON NEUROLOGY 7495 STATE ROAD SUITE 200 CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON HOSPITAL SLEEP CENTER 7495 STATE ROAD SUITE 375 CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S KIDNEY & HYPERTENSION 750 W HIGH STREET SUITE 150 LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S INTERNAL MEDICINE 750 WEST HIGH STREET LIMA OH 45801 PRIMARY CARE DOCTORS MERCY HEALTH - ANDERSON HOSPITAL ACUTE REHABILITATION UNIT 7500 STATE ROAD CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON HOSPITAL EMERGENCY DEPARTMENT 7500 STATE ROAD CINCINNATI OH 45255 EMERGENCY CARE MERCY HEALTH - ANDERSON HOSPITAL FAMILY BIRTHING CENTER 7500 STATE ROAD CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - CARDIOVASCULAR AND THORACIC SURGEONS ANDERSON 7500 STATE ROAD CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - VASCULAR AND ENDOVASCULAR SURGEONS 7500 STATE ROAD CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON HOSPITAL WOMEN'S CENTER 7502 STATE ROAD CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON HOSPITAL WOMEN'S CENTER 7502 STATE ROAD CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - GENERAL AND LAPAROSCOPIC SURGERY ANDERSON 7502 STATE ROAD SUITE 1180 CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART INSTITUTE ANDERSON 7502 STATE ROAD SUITE 2210 CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - WEIGHT MANAGEMENT SOLUTIONS ANDERSON 7502 STATE ROAD SUITE 2210 CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON SLEEP MEDICINE 7502 STATE ROAD SUITE 2290 CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON FAMILY MEDICINE 7502 STATE ROAD SUITE 3310 CINCINNATI OH 45255 PRIMARY CARE DOCTORS MERCY HEALTH - LAMBERTVILLE LAB SERVICES 7561 SECOR RD LAMBERTVILLE MI 48144 SPECIALTY LOCATIONS MERCY HEALTH - LAMBERTVILLE WALK-IN FAMILY MEDICINE 7561 SECOR RD LAMBERTVILLE MI 48144 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON ORTHOPAEDICS AND SPINE 7575 FIVE MILE ROAD CINCINNATI OH 45230 SPECIALTY LOCATIONS MERCY HEALTH - WELLINGTON ORTHOPAEDIC AND SPORTS MEDICINE ANDERSON 7575 FIVE MILE ROAD CINCINNATI OH 45230 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON HOSPITAL ORTHOPAEDICS AND SPORTS REHABILITATION AND ERSON 7575 FIVE MILE ROAD SUITE B CINCINNATI OH 45230 SPECIALTY LOCATIONS MERCY HEALTH - LAMBERTVILLE FAMILY MEDICINE 7581 SECOR RD LAMBERTVILLE MI 48144 PRIMARY CARE DOCTORS MERCY HEALTH - WEST SYLVANIA IMAGING AND LAB SERVICES 7640 W SYLVANIA AVE SUITE A-1 SYLVANIA OH 43560 SPECIALTY LOCATIONS MERCY HEALTH - WEST SYLVANIA ORTHOPAEDICS AND SPORTS MEDICINE 7640 W SYLVANIA AVE SUITE A-1 TOLEDO OH 43560 SPECIALTY LOCATIONS MERCY HEALTH - SYLVANIA CARDIAC REHABILITATION 7640 W SYLVANIA AVE SUITE B-1 TOLEDO OH 43560 SPECIALTY LOCATIONS MERCY HEALTH - MASON AREA MEDICAL ASSOCIATES 770 READING ROAD SUITE A MASON OH 45040 PRIMARY CARE DOCTORS MERCY HEALTH - ST RITA'S EAR NOSE AND THROAT 770 W HIGH STREET SUITE 460 LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - BHI ST RITA'S PSYCHIARTY 770 W HIGH STREET LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S NEUROSCIENCE AND REHABILITATION CENTER 770 W HIGH STREET SUITE 160B LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S PULMONARY 770 W HIGH STREET SUITE 240 LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S UROLOGY 770 W HIGH STREET SUITE 350 LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S RHEUMATOLOGY 770 WEST HIGH STREET LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S WOMEN'S WELLNESS CENTER IMAGING 770 WEST HIGH STREET LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - HOME MEDICAL EQUIPMENT LIMA 770 WEST NORTH STREET LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON IMAGING 7755 FIVE MILE ROAD CINCINNATI OH 45246 SPECIALTY LOCATIONS MERCY HEALTH - WEST CHESTER PRIMARY CARE AND PEDIATRICS 7777 UNIVERSITY DR SUITE D WEST CHESTER OH 45069 PRIMARY CARE DOCTORS MERCY HEALTH - MARWOOD PRIMARY CARE 80 MARWOOD CIRCLE BOARDMAN OH 44512 PRIMARY CARE DOCTORS MERCY HEALTH - ANDERSON CLINIC 8000 FIVE MILE ROAD CINCINNATI OH 45255 CLINIC MERCY HEALTH - ANDERSON OB CLINIC 8000 FIVE MILE ROAD SUITE 105 CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON PULMONARY SLEEP AND CRITICAL CARE 8000 FIVE MILE ROAD SUITE 205 CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON HOPSITAL ANTICOAGULATION CLINIC 8000 FIVE MILE ROAD SUITE 213 CINCINNATI OH 45230 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON PRIMARY CARE 8000 FIVE MILE ROAD SUITE 250 CINCINNATI OH 45230 PRIMARY CARE DOCTORS MERCY HEALTH - EAST OBSTETRICS AND GYNECOLOGY 8000 FIVE MILE ROAD SUITE 250 CINCINNATI OH 45255 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON DERMATOLOGY 8000 FIVE MILE ROAD SUITE 260 CINCINNATI OH 45230 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON ENDOCRINOLOGY CHOLESTEROL AND DIABETES 8000 FIVE MILE ROAD SUITE 260 CINCINNATI OH 45230 SPECIALTY LOCATIONS MERCY HEALTH - ANDERSON HILLS INTERNAL MEDICINE 8000 FIVE MILE ROAD SUITE 305 CINCINNATI OH 45230 PRIMARY CARE DOCTORS MERCY HEALTH - ANDERSON INFECTIOUS DISEASE 8000 FIVE MILE ROAD SUITE 305 CINCINNATI OH 45230 SPECIALTY LOCATIONS MERCY HEALTH - ALLISON RADIATION ONCOLOGY 803 W MARKET STREET SUITE 100 LIMA OH 45805 SPECIALTY LOCATIONS MERCY HEALTH - ALLISON RADIATION ONCOLOGY 803 W MARKET STREET SUITE 100 LIMA OH 45805 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S CANCER CENTER 803 W MARKET STREET SUITE 200 LIMA OH 45805 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S CANCER CENTER 803 W MARKET STREET SUITE 200 LIMA OH 45805 SPECIALTY LOCATIONS MERCY HEALTH - FOREST HILLS FAMILY MEDICINE 8094 BEECHMONT AVENUE CINCINNATI OH 45255 PRIMARY CARE DOCTORS MERCY HEALTH - LIMA DERMATOLOGY 825 W MARKET STREET SUITE 260 LIMA OH 45805 SPECIALTY LOCATIONS MERCY HEALTH - LIMA FAMILY MEDICINE 825 WEST MARKET STREET SUITE 205 LIMA OH 45805 PRIMARY CARE DOCTORS MERCY HEALTH - KENWOOD PRIMARY CARE AND PEDIATRICS 8250 KENWOOD PRIMARY CARE AND PEDIA TRICS CINCINNATI OH 45236 PRIMARY CARE DOCTORS MERCY HEALTH - MARSHALL LAB SERVICES 83 WELLNESS WAY BENTON KY 42025 SPECIALTY LOCATIONS MERCY UROLOGY - BENTON 83 WELLNESS WAY BENTON KY 42025 SPECIALTY LOCATIONS MERCY HEALTH - MARSHALL FAMILY MEDICINE INTERNAL MEDICINE AND PEDIATRICS 83 WELLNESS WAY FIRST FLOOR BENTON KY 42025 PRIMARY CARE DOCTORS MERCY CARDIOLOGY ASSOCIATES - BENTON 83 WELLNESS WAY SECOND FLOOR BENTON KY 42025 SPECIALTY LOCATIONS MERCY HEALTH - MARSHALL FAMILY MEDICINE INTERNAL MEDICINE AND PEDIATRICS 83 WELLNESS WAY SECOND FLOOR BENTON KY 42025 PRIMARY CARE DOCTORS MERCY HEALTH - MARSHALL WOUND CARE 83 WELLNESS WAY SUITE 5 BENTON KY 42025 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD SLEEP CENTER 830 MAPLEWOOD STREET WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S REHABILITATION AND THERAPY 830 W HIGH STREET SUITE 150 LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S WEIGHT MANAGEMENT SOLUTIONS 830 W HIGH STREET SUITE 150 LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S WOUND AND OSTOMY CARE 830 W HIGH STREET SUITE 250 LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S PEDIATRIC ENDOCRINOLOGY 830 W HIGH STREET SUITE 307 LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S GENERAL SURGERY 830 W HIGH STREET SUITE 360 LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - ST RITA'S SLEEP CENTER 830 WEST HIGH STREET SUITE 350 LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - BOARDMAN ORTHOPAEDICS AND REHABILITATION 835 MCKAY COURT BOARDMAN OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - WELLIGTON PRIMARY CARE 840 PATRIOT DRIVE WELLINGTON OH 44090 PRIMARY CARE DOCTORS MERCY HEALTH - WELLINGTON LAB SERVICES 840 PATRIOT DRIVE WELLINGTON OH 44090 SPECIALTY LOCATIONS MERCY HEALTH - ST ELIZABETH BOARDMAN CANCER CENTER 8401 MARKET STREET BOARDMAN OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - ST ELIZABETH BOARDMAN CANCER CENTER 8401 MARKET STREET BOARDMAN OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - ST ELIZABETH BOARDMAN HOSPITAL EMERGENCY DEPARTMENT 8401 MARKET STREET BOARDMAN OH 44512 EMERGENCY CARE MERCY HEALTH - BOARDMAN DIABETES CARE AND ENDOCRINOLOGY 8423 MARKET ST BOARDMAN OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - BOARDMAN EAR NOSE AND THROAT 8423 MARKET ST BOARDMAN OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - BOARDMAN PRIMARY CARE 8423 MARKET ST BOARDMAN OH 44512 PRIMARY CARE DOCTORS MERCY HEALTH - BOARDMAN SURGERY 8423 MARKET ST BOARDMAN OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - BOARDMAN PLASTIC AND RECONSTRUCTIVE SURGERY 8423 MARKET ST SUITE 205 BOARDMAN OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - BOARDMAN MATERNAL FETAL MEDICINE 8423 Market Street Boardman OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - BOARDMAN MEDICL OFFICE BUILDING 8423 MARKET STREET BOARDMAN OH 44512 MEDICAL CENTER MERCY HEALTH - BOARDMAN NEUROLOGY 8423 MARKET STREET BOARDMAN OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - DIABETES EDUCATION SERVICES ST ELIZABETH BOARDMAN HOSPITAL 8501 MARKET STREET YOUNGSTOWN OH 44512 SPECIALTY LOCATIONS MERCY HEALTH - AMBERLY PRIMARY CARE 8599 RIDGE ROAD CINCINNATI OH 45236 PRIMARY CARE DOCTORS MERCY HEALTH - HOWLAND SLEEP CENTER 8600 EAST MARKET ST SUITE 5 WARREN OH 44484 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART INSTITUTE HAMILTON 870 NW WASHINGTON BLVD SUITE D HAMILTON OH 45013 SPECIALTY LOCATIONS MERCY HEALTH - WELLINGTON ORTHOPAEDIC AND SPINE WEST CHESTER 8737 UNION CENTER BOULEVARD WEST CHESTER OH 45069 SPECIALTY LOCATIONS MERCY HEALTH - WEST CHESTER ORTHOPAEDIC AND SPINE 8737 UNION CENTER BOULEVARD WEST CHESTER OH 45069 SPECIALTY LOCATIONS MERCY HEALTH - FAIRFIELD HOSPITAL ORTHOPAEDICS AND SPORTS REHABILITATION WE ST CHESTER 8737 UNION CENTER BOULEVARD SUITE B WEST CHESTER OH 45069 SPECIALTY LOCATIONS MERCY HEALTH - WEST CHESTER FAMILY MEDICINE 8859 BROOKDSIDE AVE SUITE 101 WEST CHESTER OH 45069 PRIMARY CARE DOCTORS HEART SPECIALISTS OF ST RITA'S - CELINA 900 HAVEMANN ROAD SUITE D CELINA OH 45822 SPECIALTY LOCATIONS MERCY HEALTH SPECIALTY PHYSICIANS 900 HAVEMANN ROAD SUITE D CELINA OH 45822 SPECIALTY LOCATIONS MERCY HEALTH - CELINA MEDICAL ONCOLOGY 900 HAVERMANN ROAD CELINA OH 45822 SPECIALTY LOCATIONS MERCY HEALTH - CELINA MEDICAL ONCOLOGY 900 HAVERMANN ROAD CELINA OH 45822 SPECIALTY LOCATIONS MERCY HEALTH - SOUTH BOUNDARY PRIMARY CARE 900 W SOUTH BOUNDARY SUITE 9A PERRYSBURG OH 43551 PRIMARY CARE DOCTORS MERCY HEALTH - HOME CARE PADUCAH 911 JOE CLIFTON DRIVE LOURDES NORTH PLAZA PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - HOSPICE PADUCAH 911 JOE CLIFTON DRIVE LOURDES NORTH PLAZA PADUCAH KY 42003 SPECIALTY LOCATIONS MERCY HEALTH - PULMONARY SLEEP AND CRITICAL CARE MASON 9313 MASON MONTGOMERY RD SUITE 250 MASON OH 45040 SPECIALTY LOCATIONS MERCY HEALTH - MASON FAMILY MEDICINE 9313 SOUTH MASON MONTGOMERY RD STE 250 MASON OH 45040 PRIMARY CARE DOCTORS MERCY HEALTH - MASON SLEEP MEDICINE 9313 SOUTH MASON MONTGOMERY RD SUIT E 250 MASON OH 45040 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART AND VASCULAR INSTITUTE BELMONT REHABILITATION 932 BELMONT AVE YOUNGSTOWN OH 44501 SPECIALTY LOCATIONS MERCY HEALTH - NORTH LIMA CHIROPRACTIC CARE 9471 MARKET STREET SUITE A NORTH LIMA OH 44452 OTHER MERCY HEALTH - NORTH LIMA ORTHOPAEDICS 9471 MARKET STREET SUITE A NORTH LIMA OH 44452 SPECIALTY LOCATIONS MERCY HEALTH - NORTH LIMA PEDIATRICS 9471 MARKET STREET SUITE A NORTH LIMA OH 44452 SPECIALTY LOCATIONS MERCY HEALTH - NORTH LIMA PODIATRY 9471 MARKET STREET SUITE A NORTH LIMA OH 44452 SPECIALTY LOCATIONS MERCY HEALTH - NORTH LIMA PRIMARY CARE 9471 MARKET STREET SUITE A NORTH LIMA OH 44452 PRIMARY CARE DOCTORS MERCY HEALTH - NORTH LIMA RHEUMATOLOGY 9471 MARKET STREET SUITE A NORTH LIMA OH 44452 SPECIALTY LOCATIONS MERCY HEATH - NORTH LIMA IMAGING AND LAB SERVICES 9471 MARKET STREET SUITE A NORTH LIMA OH 44452 SPECIALTY LOCATIONS MERCY HEALTH - TRI-COUNTY LAB SERVICES 9582 PRINCETON-GLENDALE ROAD CINCINNATI OH 45011 SPECIALTY LOCATIONS MERCY HEALTH - HOME INFUSION LIMA 959 WEST NORTH STREET LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - HOSPICE LIMA 959 WEST NORTH STREET LIMA OH 45805 SPECIALTY LOCATIONS MERCY HEALTH HOME CARE - LIMA 959 WEST NORTH STREET LIMA OH 45801 SPECIALTY LOCATIONS MERCY HEALTH - EASTSIDE URGENT CARE 967 BELLEFONTAINE AVENUE LIMA OH 45804 URGENT CARE MERCY HEALTH - ST RITA'S EASTSIDE IMAGING AND LAB SERVICES 967 BELLEFONTAINE AVENUE LIMA OH 45804 SPECIALTY LOCATIONS MERCY HEALTH - NORTH LIMA GENERAL SURGERY 9741 MARKET STREET SUITE B NORTH LIMA OH 44452 SPECIALTY LOCATIONS MERCY HEALTH - HOME CARE 979 TIBBETTS-WICK ROAD SUITE A GIRARD OH 44420 SPECIALTY LOCATIONS HOSPICE OF THE VALLEY - HOSPICE HOUSE 9803 SHARROTT ROAD YOUNGSTOWN OH 44514 SPECIALTY LOCATIONS MERCY HEALTH - WILLARD CITY SCHOOL ONE FLASHES AVENUE WILLARD OH 44890 SPECIALTY LOCATIONS MERCY HEALTH - THE HEART AND VASCULAR INSTITUTE COLUMBIANA 107 ROYAL BIRKDALE DRIVE SUITE D COLUMBIANA OH 44408 SPECIALTY LOCATIONS Schedule H, Part V, Section B, Line 9 Implementation Strategy MERCY HEALTH HOSPITALS' IMPLEMENTATION STRATEGIES FOR PLAN YEAR 2017-2019 WERE APPROVED BY THE RESPECTIVE BOARDS NO LATER THAN MAY 15, 2017. THE IMPLEMENTATION STRATEGIES WERE ADOPTED BY THE HOSPITALS IN 2017. Schedule H, Part V, Section B Line 16g Mercy Health hospitals implemented new policies and procedures in January 2016 to meet the notification requirements outlined under the final IRC Section 501(r) regulations. Training materials were revised, new scripting was developed, and training sessions were held for applicable Revenue Cycle employees which required competency sign-off for those who completed the training. Procedures initially implemented included offering a copy of the plain language summary (PLS) to patients as part of the intake process. Individuals were notified about the Financial Assistance Policy (FAP) by receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or other measures reasonably calculated to attract patients' attention. As a result of an annual internal review, it was determined that the PLS of Mercy Health's Healthcare FAP was not being offered to all patients at intake during 2018. Immediately upon recognition of the minor oversight, Mercy Health began taking steps to offer a copy of the PLS to all patients who visit the hospital facilities by adding scripting to notify patients of the availability of financial assistance and offering a copy of the PLS to the patient intake process. In addition, Mercy added new language to the Consent for Treatment, Payment, and Health Care Operations (Consent) form required to be signed by all patients, including a copy of the PLS attached as an addendum to the Consent to certify that the patient is aware of Mercy Health's FAP and a copy of the PLS was offered. Additional training has also been provided to all applicable staff. Mercy Health widely publicized its FAP, the FAP Application, and the PLS on the organization's website, includes a conspicuous written notice about the FAP on patients' billing statements, posts conspicuous public displays in the Emergency Department and Registration areas of the hospitals, and notifies members of the community about availability of the FAP. Mercy Health will continue to perform an internal audit on a regular and continuous basis at least once per year to ensure compliance. We do not believe the minor oversight to be considered "willful or egregious" and Mercy Health has performed internal research to identify how the minor oversight occurred and taken additional steps to ensure compliance going forward. Schedule H, Part I, Line 7g Subsidized Health Services $11,169,240 of costs attributable to physician clinics was included as subsidized health services in 2018. These clinics provide community benefit by improving access to physician services for the poor and underserved. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 194816 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Cost of financial assistance at cost was calculated with a cost to charge ratio using worksheet 2. The cost related to Medicaid patients was determined using Mercy Health's cost accounting system and included both inpatients and outpatients for traditional Medicaid and Medicaid managed care plans. For subsidized services Mercy Health's cost accounting system 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 ration of cost to charge specific to that subsidized service. Costs for other programs reflect the direct and indirect costs of providing those programs. Schedule H, Part II Community Building Activities Mercy Health addresses various community concerns including health improvement, poverty, workforce development, and access to health care. Mercy Health hospitals conduct community health education and support groups, health fairs and screenings for the communities served. Mercy Health hospitals work with state and local leadership to address community needs and provide healthcare services to the poor and underserved. Mercy Health hospitals provide programs to improve the physical surroundings and housing in the communities served. Inadequate housing has a negative impact on the health of residents in the area by leading to violence in the neighborhoods. A robust economy positively impacts residents covered by health insurance and improves the capacity of the community to support health services. Social support services such as HELP (Hospital Eligibility Link Program) are also important to support the ability of residents to gain and retain employment and therefore access to health insurance and improved access to health services. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON MERCY HEALTH'S HISTORICAL COLLECTION EXPERIENCE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE. MERCY HEALTH'S CONCENTRATION OF CREDIT RISK RELATED TO NET PATIENT ACCOUNTS IS LIMITED DUE TO THE DIVERSITY OF PATIENTS AND PAYORS. NET PATIENT ACCOUNTS CONSIST OF AMOUNTS DUE FROM GOVERNMENTAL PROGRAMS (PRIMARILY MEDICARE AND MEDICAID), PRIVATE INSURANCE COMPANIES, MANAGED CARE PROGRAMS AND PATIENTS THEMSELVES. NET PATIENT SERVICE REVENUE FOR SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE IS RECOGNIZED BASED ON CONTRACTUAL RATES FOR SERVICES RENDERED. MERCY HEALTH RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). AMOUNTS RECOGNIZED ARE SUBJECT TO ADJUSTMENT UPON REVIEW BY THIRD-PARTY PAYORS. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, MERCY HEALTH RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF MERCY HEALTH'S ININSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, MERCY HEALTH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. ANY DISCOUNTS APPLIED TO SELF-PAY PATIENTS WOULD BE DEEMED EITHER CHARITY OR A CONTRACTUAL ADJUSTMENT. BAD DEBT WOULD BE BASED ON THE BALANCE AFTER THE CHARITY OR CONTRACTUAL ADJUSTMENT THAT IS DEEMED UNCOLLECTABLE FOLLOWING A REASONABLE COLLECTION EFFORT. Schedule H, Part III, Line 3 Bad Debt Expense Methodology MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY DOES NOT PERMIT THE COST OF PATIENTS WHO ARE UNCOOPERATIVE OR UNABLE TO BE LOCATED TO BE RECLASSIFIED FROM FINANCIAL ASSISTANCE TO BAD DEBT. MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES AN APPLICATION AND SUPPORTING DOCUMENTATION. THEREFORE, ZERO DOLLARS ARE BEING REPORTED ON PART III, LINE 3 AS AMOUNTS INCLUDED IN BAD DEBT THAT COULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE BAD DEBT EXPENSE AS COMMUNITY BENEFIT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote MERCY HEALTH'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. MERCY HEALTH ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AS AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, B. SIGNIFICANT ACCOUNTING POLICIES, NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGE 13) STATES NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HISTORICAL COLLECTION EXPERIENCE OF EACH REGIONAL AFFILIATE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED UPON PAST COLLECTION EXPERIENCE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MERCY HEALTH FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE MEDICARE LOSSES AS COMMUNITY BENEFIT. MERCY HEALTH'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE MEDICARE AMOUNTS IN PART III. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAYS AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY AS A LAST RESORT AND ONLY: WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT REFUSE TO DO SO; WHEN PATIENTS REFUSE TO WORK WITH THE ORGANIZATION TO DETERMINE IF THEY QUALIFY FOR FREE OR DISCOUNTED CARE VIA FEDERAL, STATE, LOCAL OR HOSPITAL ASSISTANCE PROGRAMS; WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL. Schedule H, Part V, Section B, Line 16a FAP website A - Mercy Health - St. Vincent Medical Center LLC: Line 16a URL: https://www.mercy.com/patient-resources/financial-assistance; B - Mercy Health - Lourdes Hospital LLC: Line 16a URL: HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; C - Mercy Health - Marcum and Wallace Hospital LLC: Line 16a URL: HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; D - Institute for Orthopaedic Surgery: Line 16a URL: https://www.ioshospital.com/orthopaedics/hospitalBillingFinancialAssistancePolicy.aspx; E - Mercy Health Perrysburg Hospital: Line 16a URL: https://www.mercy.com/patient-resources/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - Mercy Health - St. Vincent Medical Center LLC: Line 16b URL: https://www.mercy.com/patient-resources/financial-assistance; B - Mercy Health - Lourdes Hospital LLC: Line 16b URL: HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; C - Mercy Health - Marcum and Wallace Hospital LLC: Line 16b URL: HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; D - Institute for Orthopaedic Surgery: Line 16b URL: https://www.ioshospital.com/ORTHOPAEDICS/HOSPITALBILLINGFINANCIALASSISTANCEAPPLICATION.ASPX; E - Mercy Health Perrysburg Hospital: Line 16b URL: https://www.mercy.com/patient-resources/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - Mercy Health - St. Vincent Medical Center LLC: Line 16c URL: https://www.mercy.com/patient-resources/financial-assistance; B - Mercy Health - Lourdes Hospital LLC: Line 16c URL: HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; C - Mercy Health - Marcum and Wallace Hospital LLC: Line 16c URL: HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; D - Institute for Orthopaedic Surgery: Line 16c URL: https://www.ioshospital.com/orthopaedics/hospitalBillingFinancialAssistancePlain.aspx; E - Mercy Health Perrysburg Hospital: Line 16c URL: https://www.mercy.com/patient-resources/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment MERCY HEALTH HOSPITALS ASSESS AND CONTINUALLY RESPOND TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. MERCY HEALTH HOSPITALS JOIN AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. MERCY HEALTH HOSPITALS INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. MERCY HEALTH HOSPITALS RECOGNIZE THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. MERCY HEALTH HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. MERCY HEALTH'S COMMUNITY BENEFITS COMMITTEES MEET TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. MERCY HEALTH HOSPITALS WORK CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES TO AVOID DUPLICATION. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance MERCY HEALTH HOSPITALS POST THEIR 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. MERCY HEALTH HOSPITALS PROVIDE 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. MERCY HEALTH HOSPITALS DISCUSS WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. THE HOSPITAL ELIGIBILITY LINK PROGRAM (HELP) IS A FREE REFERRAL SERVICE PROVIDED BY MERCY HEALTH HOSPITALS. 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. MERCY HEALTH HOSPITALS UNDERSTAND 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 MERCY HEALTH'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. MERCY HEALTH IS PROUD TO MAKE OUR FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE, WHICH CAN BE FOUND AT WWW.MERCY.COM. OTHER PATIENT EDUCATION INFORMATION THAT IS PROVIDED FOR ELIGIBILITY OF ASSISTANCE IS AS FOLLOWS: *BILINGUAL REPRESENTATIVES ARE AVAILABLE IN OUR CUSTOMER SERVICE DEPARTMENTS. *STAFF TRAINING ON HOSPITAL CARE ASSURANCE PROGRAM (HCAP) AND HOSPITAL FINANCIAL ASSISTANCE (HFA) WAS PROVIDED. 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. *STAFF TRAINING PROVIDED BY SOCIAL SECURITY ADMINISTRATION TO ASSIST PATIENTS IN OBTAINING DISABILITY BENEFITS. *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. *ALL THIRD PARTIES THAT WORK ON BEHALF OF THE ORGANIZATION TO COLLECT FEES (SUCH AS COLLECTION AGENCIES AND LAW FIRMS) ARE REQUIRED TO FOLLOW MERCY HEALTH'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. *CONSISTENT REVIEW OF SELF PAY PATIENTS FOR RETROACTIVE MEDICAID COVERAGE. *SERVICES PROVIDED BY VENDOR TO REACH OUT TO PATIENTS IN BAD DEBT TO SCREEN FOR HCAP ELIGIBILITY. Schedule H, Part VI, Line 4 Community information THE COMMUNITY FOR EACH HOSPITAL IN THE MERCY HEALTH SYSTEM IS DEFINED BOTH BY MISSION AND GEOGRAPHY. THE GEOGRAPHIC COMMUNITY IS DEFINED BY EACH HOSPITAL'S IMMEDIATELY CONTIGUOUS AREAS AS WELL AS BY THE BROADER SURROUNDING COUNTIES/REGIONS WHERE THE MAJORITY OF DISCHARGED PATIENTS RESIDE. ADDITIONALLY, THE COMMUNITY INCLUDES PATIENTS WHO REQUIRE THE EXPERTISE AND SPECIALIZED SERVICES OF A MERCY HEALTH HOSPITAL. ADDITIONAL DETAIL REGARDING THE COMMUNITY FOR EACH HOSPITAL IN THE MERCY HEALTH SYSTEM CAN BE FOUND IN EACH HOSPITAL'S CHNA AT THE FOLLOWING LINK: HTTPS://WWW.MERCY.COM/ABOUT-US/MISSION/GIVING-BACK/COMMUNITY-HEALTH-NEEDS-ASSESSMENT ADDITIONAL DETAIL REGARDING THE COMMUNITY FOR INSTITUTE FOR ORTHOPAEDIC SURGERY CAN BE FOUND IN THE HOSPITAL'S CHNA AT THE FOLLOWING LINK: https://www.ioshospital.com/orthopaedics/pdfs/2016communityhealthneedsassessment.pdf Schedule H, Part VI, Line 5 Promotion of community health MERCY HEALTH HOSPITALS OPERATE EMERGENCY ROOMS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, MERCY HEALTH HOSPITALS ALSO PROVIDE MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. MERCY HEALTH HOSPITALS OPERATE TRAUMA SERVICES, AIR AMBULANCE SERVICES, DISEASE MANAGEMENT, WOUND CARE, SPECIALTY CLINICS, DEVELOPMENTAL THERAPY, HOSPICE, HOME CARE, CRISIS INTERVENTION, BEHAVIORAL SERVICES AND SUBSTANCE ABUSE SERVICES. MERCY HEALTH HOSPITALS HAVE OPEN MEDICAL STAFFS WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITIES SERVED BY MERCY HEALTH HOSPITALS. THE MERCY HEALTH BOARD AND ITS MARKET GOVERNING BOARDS ARE COMPOSED OF MEMBERS OF THE COMMUNITIES SERVED WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF MERCY HEALTH. BOARD MEMBERS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO MERCY HEALTH AND ITS AFFILIATED HOSPITALS IN FULFILLING ITS MISSION OF PROVIDING HEALTHCARE SERVICES TO THE POOR AND UNDER SERVED. MERCY HEALTH HOSPITALS ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. MERCY HEALTH HOSPITALS PROVIDE RESIDENCY PROGRAMS AND OTHER TRAINING PROGRAMS. MERCY HEALTH HOSPITALS PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. MERCY HEALTH HOSPITAL'S EMERGENCY DEPARTMENTS TREAT 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 MERCY HEALTH. MERCY HEALTH FORGES COLLABORATIVE RELATIONSHIPS WITH THE FEDERALLY QUALIFIED HEALTH CENTERS IN ITS COMMUNITIES. Schedule H, Part VI, Line 6 Affiliated health care system Mercy Health is the largest health system in Ohio, the state's fourth largest employer, and one of the largest Catholic health systems in the United States. Mercy Health is sponsored by Partners in Catholic Health Ministries (PCHM). PCHM is a public juridic person of the Roman Catholic Church. Mercy Health continues the healthcare ministries, begun by its founders more than 150 years ago, in urban and rural areas across Ohio and Kentucky. Mercy Health provides integrated health services via acute care hospitals, physician practices, long-term care residences, housing sites for the elderly, home health agencies, hospice programs, outreach services and wellness centers. Mercy Health hospitals include critical access facilities that offer essential health services that otherwise would not be available in many communities. Mercy Health's mission calls it to extend the healing ministry of Jesus by improving the health of the communities it serves with special emphasis on people who are poor and under-served. In addition to providing programs and services designed to enhance the health of entire communities, Mercy Health cares for everyone who comes to its facilities, regardless of their ability to pay. Mercy Health's home office in Cincinnati, Ohio provides services and support to the entire system. Its governance practices have been nationally recognized for quality. System leadership provides strategic vision and management oversight in support of the ministry by directing resources, providing access to lower cost debt financing, improving clinical outcomes and reducing operating costs. System-wide community benefit for 2018 per the audit footnote is as follows: Total 2018 Community Benefit: $421.7 Million Benefits to the Broader Community: $80.6 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $302.1 million Cost of Care for Those Who Could Not Afford to Pay: $19.7 million Support for Other Programs for Those Who are Poor: $19.4 million Community Benefit as Percent of Total Expense: 9.0 percent. true HEALTHY MOMS & BABES 2270 Banning Rd Ste 200 Cincinnati OH 45239 311155292 501(c)(3) 105000 MISSION SUPPORT AMERICAN CANCER SOCIETY 250 Williams St NW Atlanta GA 30303 131788491 501(c)(3) 7500 MISSION SUPPORT AMERICAN HEART ASSOCIATION 7272 Greenville Ave Dallas TX 75231 135613797 501(c)(3) 27716 MISSION SUPPORT BLACK AND WHITE CANCER SURVIVORS FDN PO Box 40598 Cincinnati OH 45240 461151149 501(c)(3) 22150 MISSION SUPPORT MERCY NEIGHBORHOOD MINISTRIES INC 1602 madison Rd 2nd Fl Cincinnati OH 45206 311376693 501(c)(3) 45000 MISSION SUPPORT BONDHILL ROSELAWN COLLAB 4721 Reading Rd Cincinnati OH 45237 814591025 501(c)(3) 40000 MISSION SUPPORT CENTRAL CITY MINISTRIES OF TOLEDO 1119 W Bancroft St Toledo OH 43606 341622445 501(c)(3) 10000 MISSION SUPPORT COMM FDN OF WEST CHESTER LIB 8366 Princet-Glend Rd W Chester OH 45069 311661966 501(c)(3) 5300 MISSION SUPPORT FAMILIES FORWARD 2400 Reading Rd Ste 122 Cincinnati OH 45202 310536684 501(c)(3) 10000 MISSION SUPPORT FOREST HILLS FOUNDATION FOR EDUCATION 7496 Beechmont Ave Cincinnati OH 45255 260486111 501(c)(3) 10000 MISSION SUPPORT GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES 1501 Madison Rd 2nd Fl Cincinnati OH 45206 310802647 501(c)(3) 7500 MISSION SUPPORT JUVENILE DIABETES RESEARCH FOUNDATION 26 Broadway 14th Fl New York NY 10004 231907729 501(c)(3) 10000 MISSION SUPPORT LEADERSHIP TOLEDO 316 Adams St Toledo OH 43604 341197734 501(c)(3) 8000 MISSION SUPPORT LETS PLAY SOCCER 530 Northland Blvd Cincinnati OH 45240 273538741 501(c)(3) 10000 MISSION SUPPORT LIBERTY LEADERSHIP DEVELOPMENT 3982 Powell Rd Ste 156 Powell OH 43065 262184937 23500 MISSION SUPPORT LPGA FOUNDATION 100 International Golf Dr Daytona Beach FL 32124 593085528 501(c)(3) 10000 MISSION SUPPORT MAYERSON JCC 8485 Ridge Rd Cincinnati OH 45236 310536986 501(c)(3) 25000 MISSION SUPPORT MAYFIELD EDUCATION AND RESEARCH FUND 3825 Edwards Rd ite 300 Cincinnati OH 45209 310921099 501(C)(3) 10000 MISSION SUPPORT ONECITY AGAINST HEROIN INC 990 Reading Rd Mason OH 45040 822282576 501(c)(3) 5500 MISSION SUPPORT PADUCAH AREA CHAMBER OF COMMERCE 401 kentucky Ave Paducah KY 42003 610210420 501(c)(3) 12500 MISSION SUPPORT PADUCAH JUNIOR COLLEGE PO Box 7380 Paducah KY 42002 616001156 501(c)(3) 16667 MISSION SUPPORT THINK PINK 3042 Montavesta Rd Lexington KY 40502 272363778 501(c)(3) 6500 MISSION SUPPORT ROBBYS VOICE 3417 Crosswind Ct Medina OH 44256 455547643 501(c)(3) 22500 MISSION SUPPORT SUSAN G KOMEN NW OH 3100 W Central Ave Ste 235 Toledo OH 43606 752845063 501(c)(3) 15000 MISSION SUPPORT YMCA OF GREATER TOLEDO 1500 N Superior St 2nd Fl Toledo OH 43604 344428262 501(c)(3) 5500 MISSION SUPPORT ZERO PROSTATE CANCER PO Box 320821 Alexandria VA 22320 593400922 501(c)(3) 7500 MISSION SUPPORT DEPAUL CRISTO REY HIGH SCHOOL 1133 Clifton Hills Ave Cincinnati OH 45220 272417727 501(c)(3) 38500 MISSION SUPPORT ACCESS HEALTH MAHONING VALLEY 258 E Market St Fl 2 Warren OH 44481 274576650 501(c)(3) 12500 MISSION SUPPORT MERCY HEALTH FOUNDATION 1701 Mercy Health Pl Cincinnati OH 45237 201072726 501(c)(3) 5764755 MISSION SUPPORT 28 1 Individual Support 157 26271 FMV Baby supplies Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Special initiatives funded by Mercy Health are required to report back to Mercy Health on an annual basis. There is no formal requirement for monitoring the use of the funds for all other grants paid. X X X X X X true true X X X X X X true true false false false false false true false JOHN STARCHER JR JD PRESIDENT & CEO BSMH 1477740 0 0 0 1730152 250 11290 0 36556 0 3255738 250 0 0 MICHAEL BEZNEY JD BOARD ASST. SECRETARY (END 08/18); CHIEF LEGAL OFFICER & GENERAL COUNSEL 648700 0 0 0 530789 250 13050 0 37598 0 1230137 250 0 0 DEBORAH BLOOMFIELD PhD CPA TREASURER & CFO 717725 0 0 0 459162 250 162232 0 26684 0 1365803 250 118634 0 Christine Lay JD Secretary (BEG 09/18) 0 294078 0 95940 0 347693 0 33820 0 13699 0 785230 0 0 JANE CROWLEY FORMER EVP & CHIEF TRANSFORMATION OFFICER 0 0 0 0 1775024 0 0 0 8471 0 1783495 0 0 0 PAUL HILTZ FORMER PRESIDENT/CEO SPRINGFIELD REGION, SVP MERCY HEALTH 0 0 0 0 323551 0 57643 0 21776 0 402970 0 0 0 REV JOSEPH CARDONE SVP, MISSION & VALUES INTEGRATION (END KEY 12/17) 285995 0 111806 0 37639 0 153066 0 13899 0 602405 0 0 0 THOMAS GOLIAS CHIEF MANAGED CARE OFFICER (END KEY 12/17) 371273 0 95954 0 16679 0 76990 0 26405 0 587301 0 0 0 SANDRA D MACKEY CHIEF MARKETING OFFICER (END KEY 12/17) 350806 0 142800 0 199167 0 100740 0 30825 0 824338 0 0 0 DONALD KLINE SVP MERCY HEALTH, PRES. & CEO YOUNGSTOWN REGION (END 08/18); PRES GREAT LAKES GROUP (BEG 09/18) 595179 0 0 0 575468 0 132990 0 32220 0 1335857 0 466200 0 JEFFREY COPELAND SVP, BUSINESS DEVELOPMENT (END KEY 08/18) 461192 0 263210 0 218853 0 111754 0 30547 0 1085556 0 0 0 REBECCA SYKES SVP, CIO (END KEY 08/18) 232608 0 0 0 1115233 0 8455 0 11348 0 1367644 0 0 0 JEROME JUDD SVP TREASURY & INVESTMENTS 423128 0 209228 0 99997 0 96371 0 24448 0 853172 0 60973 0 JOSEPH GAGE JR SVP, CHIEF HUMAN RESOURCES OFFICER 447550 0 239580 0 685322 0 147814 0 33534 0 1553800 0 167298 0 BRIAN SMITH EVP, COO, Mercy Health 902131 0 0 0 749423 250 -43277 0 38042 0 1646319 250 0 0 ROBERT BAXTER PRESIDENT/CEO TOLEDO & LIMA REGIONS, SVP MERCY HEALTH (END 08/18) 623993 0 0 0 115927 0 124538 0 38290 0 902748 0 82555 0 EDWIN OLEY PRESIDENT/CEO LORAIN REGION, SVP MERCY HEALTH (END KEY 08/18) 455918 0 194593 0 199855 0 37556 0 21835 0 909757 0 0 0 ANTON DECKER Chief Clinical Officer (END KEY 08/18) 669984 0 0 0 406531 0 153126 0 32918 0 1262559 0 41192 0 JUDSON IVY PRES & CEO ENSEMBLE RMC LLC 751109 0 0 0 396766 0 169311 0 43344 0 1360530 0 0 0 MICHAEL W GARFIELD SVP MERCY HEALTH, PRES. & CEO CINCINNATI REGION (END 08/18); PRES MID-AMERICAN GROUP (BEG 09/18) 644533 0 0 0 585098 0 13050 0 30528 0 1273209 0 398167 0 MATTHEW CALDWELL SVP MERCY HEALTH, PRES/CEO SPRINGFIELD REGION (END KEY 08/18) 0 449852 0 198000 0 37099 0 181002 0 30763 0 896716 0 0 DAVID A CANNADY CHIEF STRATEGY OFFICER 470056 0 224000 0 253796 250 267397 0 29916 0 1245165 250 0 0 MICHAEL YUNGMANN SVP MERCY HEALTH, PRES/CEO KENTUCKY REGION (END KEY 08/18) 461555 0 212019 0 31189 0 185481 0 30700 0 920944 0 0 0 Alethea Williams-Carlson Chief Information Officer (BEG 09/18) 0 429848 0 131508 0 648558 0 88427 0 21756 0 1320097 0 32739 Mark Nantz Chief Administrative Officer, PRES ATLANTIC GROUP (BEG 09/18) 0 723711 0 219430 0 1517309 0 109945 0 27213 0 2597608 0 81973 Samuel Ross MD Chief Community Health Officer (BEG 09/18) 0 635777 0 198632 0 951109 0 16500 0 20781 0 1822799 0 0 Jeffrey Oak Chief Enterprise Risk Officer (Beg 09/18) 0 416389 0 125649 0 692480 0 58195 0 21706 0 1314419 0 29093 Wael Haidar MD Chief Clinical Officer (Beg 09/18) 0 705837 0 285249 0 788233 0 128500 0 27900 0 1935719 0 0 Andrea Mazzoccoli SVP, Chief Nursing Officer (Beg 09/18) 0 436140 0 137324 0 599977 0 77688 0 22081 0 1273210 0 38978 JOEL DAVID TALLEY III MD PHYSICIAN 784266 0 690389 0 21509 0 21932 0 32561 0 1550657 0 0 0 ZOHEIR ABDELBAKI MD PHYSICIAN 928208 0 553522 0 3140 0 13050 0 33504 0 1531424 0 0 0 CRAIG A NICHOLSON MD PHYSICIAN 908264 0 811932 0 22552 0 13050 0 33504 0 1789302 0 0 0 SAMEH AREBI PHYSICIAN 1161052 0 334865 0 23764 0 14581 0 27063 0 1561325 0 0 0 FAIQ AKHTER PHYSICIAN 1374100 0 20000 0 25432 0 13590 0 31171 0 1464293 0 0 0 Schedule J, Part I, Line 4b Terms and conditions of the Cincinnati Market SERP The Cincinnati Market SERP is a deferred compensation plan which provides employment continuation incentives to all executive council members. The plan is no longer accepting new participants and the cessation of contributions has occurred. Participants must complete a two tiered vesting provision. Participants must be vested under the base qualified plan and must count 24 months after termination during which they do not compete with Mercy Health Cincinnati LLC. Amounts includable as taxable compensation for listed individuals due to executive benefit plan participation in the reporting year were as follows: Deborah Bloomfield $0; Paul Hiltz $0. Schedule J, Part I, Line 4b Terms and conditions of the Lima Market SERP THE LIMA MARKET 457(F) PLAN PROVIDES A FLEXIBLE BENEFIT ALLOWANCE TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. THIS ALLOWANCEMAY BE ALLOCATED AMONG VARIOUS INSURANCE AND DEFERRED COMPENSATION BENEFIT OPTIONS. THE PLAN IS NO LONGER ACCEPTING NEW PARTICIANTS AND THE CESSATION OF CONTRIBUTIONS HAS OCCURRED. AMOUNTS INCLUDIBLE IN TAXABLE COMPENSATION FOR LISTED PARTICIPATING INDIVIDUALS IN THE REPORTING YEAR WERE AS FOLLOWS: BRIAN SMITH $0. Schedule J, Part I, Line 4b Terms and conditions of the Northern Market SERP The Northern Market nonqualified supplemental employee retirement plan is for certain highly compensated individuals as determined by the Board of Trustees' Executive Evaluation and Compensation Committee. The plan is no longer accepting new participants and the cessation of contributions has occurred. Participants vest in this plan and receive a benefit under this plan once they have satisfied both of these two conditions: (1) meet the vesting requirements of the applicable qualified plan, and (2) complete a 24-month post-employment non-compete requirement. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Rev. Joseph Cardone $0. Schedule J, Part I, Line 4b Terms and conditions of the Mercy Health System SERP The Mercy Health System SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution 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: Robert Baxter $92,788; Deborah Bloomfield $133,340; David Cannady $0; Rev. Joseph Cardone $0; Anton Decker $46,298; Michael Garfield $433,783; Thomas Golias $0; Judson Ivy $0; Jerome Judd $68,531; Edwin Oley $92,337; Donald Kline $52,634; Sandra Mackey $0; Michael Yungmann $0; Matthew Caldwell $0. Schedule J, Part I, Line 4b Terms and conditions of the Youngstown Market SERP The Youngstown Market SERP Plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the Mercy Health Youngstown LLC Board of trustees or its delegate. The plan is no longer accepting new participants and cessation of contributions has occurred. Participants vest 100% in their accounts after three years of service, except for participants who had attained at least ten years of service at plan inception, who had immediate vesting. Vesting occurs earlier upon death or total disability. Payments are made during employment for required tax withholding. The vested account balance is paid as a lump sum after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Donald Kline $0. Schedule J, Part II, Column (C) REPORTING NEGATIVE DEFERRED COMPENSATION ANNUAL ACTUARIALLY-DETERMINED CONTRIBUTIONS TO DEFINED BENEFIT PLANS, WHICH ARE BASED ON PRIOR PLAN CONTRIBUTIONS, CHANGES IN INTEREST RATES, THE PRESENT VALUE OF ACCRUED BENEFITS, AND OTHER DATA AND ASSUMPTIONS ABOUT THE FUTURE, MAY, FOR SOME PLAN PARTICIPANTS AND FOR SOME PLAN YEARS, RESULT IN NEGATIVE CONTRIBUTION AMOUNTS. Schedule J, Part I, Line 1a First-class or charter travel Employer provided air travel for personal use was provided to one officer. The entire benefit was treated as taxable compensation. Schedule J, Part I, Line 1a Travel for companions Travel for companions was provided to two board members, two officers, six key employees, and one former key employee. The entire benefit was treated as taxable compensation. Schedule J, Part I, Line 1a Tax indemnification and gross-up payments A tax indemnification benefit to cover the income tax incurred on moving expenses was paid to two key employees. The entire benefit was treated as taxable compensation. Schedule J, Part I, Line 1a Housing allowance or residence for personal use Employer provided housing was provided for one officer. The entire benefit was treated as taxable compensation. A Allen County Ohio Series 2010CD 346400019 01757LDW3 2010-05-04 195000000 Finance cost of hospital facilites and pay cost of issuance of Series 2010C and 2010D false false false B HLTH EDUC & HOUSNG FACILITY BD KNOX CNTY TN 621220275 499523VL9 2008-05-13 375000000 ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP HOSPITAL FACILITIES AND PAY SERIES 2008 BONDS ISSUE COSTS true false false C COUNTY OF LORAIN OHIO Series 2006 346001704 543583HR2 2006-05-04 450000000 ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP HOSPITAL FACILITIES AND PAY SERIES 2006 BONDS ISSUE COSTS true false false D Allen County Ohio Series 2010A & 2010B 346400019 01757LCT1 2010-05-04 502270474 Refinance tax-exempt bond debt, pay Series 2010A and 2010B issue cost, finance hospital facilities true false false A 17260598 0 195000000 0 0 0 1115779 163874 0 193720347 0 0 2012 false false true true B 75340140 0 375000000 0 0 0 1651981 621407 0 96722660 276003952 0 2010 true false true true C 450000000 0 450000000 0 0 0 3484159 7901897 0 438613944 0 0 2007 false false true true D 224375000 190465000 502270474 0 0 0 5112739 0 0 149378773 347778962 0 2012 true false true true A false true true true false 0.0052 0.0 0.0052 false true 0.0 true true B false true true true false 0.0001 0.0 0.0001 false true 0.1127 true true C false true true true false 0.0001 0.0 0.0001 false true 0.0 true true D false true true true false 0.0014 0.0 0.0014 false true 0.0 true true A false false false true true false false false true B false false false true true false false false true C false false false true true false false false true D false false false true false false false false true A true B true C true D true Schedule K, Part IV, Line 2c COLUMN A Issuer name: Allen County, Ohio Series 2010C/D The calculation for computing no rebate due was performed on 01/23/2014 Schedule K, Part IV, Line 2c COLUMN B Issuer name: HLTH EDUC & HOUSNG FACILITY BD KNOX CNTY TN The calculation for computing no rebate due was performed on 07/17/2013 Schedule K, Part IV, Line 2c COLUMN C Issuer name: COUNTY OF LORAIN, OHIO Series 2006 The calculation for computing no rebate due was performed on 07/07/2011 Schedule K, Part IV, Line 2c COLUMN D Issuer name: Allen County, Ohio Series 2010A & 2010B The calculation for computing no rebate due was performed on 01/17/2014 Schedule K, Part IV, Line 2c COLUMN A Issuer name: County of Allen, Ohio Series 2011 The calculation for computing no rebate due was performed on 01/23/2014 Schedule K, Part IV, Line 2c COLUMN B Issuer name: County of Allen, Ohio Series 2012A/B The calculation for computing no rebate due was performed on 08/14/2015 Schedule K, Part IV, Line 2c COLUMN C Issuer name: COUNTY OF LORAIN, OHIO (Series 2003) The calculation for computing no rebate due was performed on 01/21/2009 A County of Allen Ohio Series 2011 346400019 2011-09-30 87426265 Refund portion of Series 2001A bonds and pay Series 2011 issuance costs. false false false B County of Allen Ohio Series 2012AB 346400019 01757LER3 2012-05-10 390675321 Acquire, construct, renovate hospital, refund Series 2001A bond, pay Series 2012A/B costs. false false false C COUNTY OF LORAIN OHIO (Series 2003) 346001704 543583HE1 2003-10-09 327700000 REFINANCE PRIOR TAX-EXEMPT BOND DEBT AND PAY THE COSTS OF ISSUING SERIES 2003 BONDS true false false D County of Lorain Ohio Series 2013A 346001704 543583HD3 2013-10-01 7943000 Deemed reissuance as a result of sale of 4 long-term care facilities. false false false A 87470000 0 87426265 0 0 0 217815 0 0 0 87208450 0 2002 true false true true B 14896499 0 390675321 0 0 0 3031393 0 0 172154863 215489065 0 2013 true true true true C 327700000 0 327700000 0 0 0 2788900 7553724 0 0 317357376 0 1997 true false true true D 512518 0 7943000 0 0 0 0 0 0 0 7943000 0 2013 true false true true A 0.0 0.0 0.0 B false true true true false 0.0003 0.0 0.0003 false true 0.0 true true C 0.0 0.0 0.0 D false false false false 0.0 0.0 0.0 false false true A false false true true true false false false true B false false false true true false false false true C false false true true true false false false true D false true true false true false false false true A true B true C true D true A County of Lorain Ohio Series 2013B 346400019 01757LER3 2013-12-31 14001000 Deemed reissuance as a result of sale of Laurel Lake Retirement Community false false false B Allen County Ohio Series 2015 346400019 01757LFF8 2015-04-29 259071713 Refund portion of Series 2010A bonds and pay Series 2015A and 2015B issuance costs. false false false C Allen County Ohio Series 2017 346400019 01757LGF7 2017-12-21 638997712 REIMBURSE/FINANCE THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING AND EQUIPING HOSPITAL FACILITIES. false false false D Virginia Small Business Financing Authority Series 2013B 541300845 2013-07-11 40740000 Refund VA Small Business Financing Authority Bonds previously issued for benefit of BSHSI Series '10 false false false A 0 0 14001000 0 0 0 0 0 0 0 14001000 0 2013 true false true true B 0 0 259071713 0 0 0 0 0 0 200853138 58218575 0 2016 true false true true C 0 0 638997712 0 0 232747000 0 0 0 200015284 0 280002502 true true false true D 0 0 40740000 0 0 0 0 0 0 0 0 0 2013 true false true true A false false false false 0.0 0.0 0.0 false false true B false true true true false 0.0022 0.0 0.0022 false false true C false true true true false 0.0001 0.0 0.0001 false false true D false false false false 0.0 0.0 false false true A false true true false false false false false true B false true true false true false false false true C false true true false true false false false true D false false false false true false false false true A true B true C true D true A South Carolina Jobs-Economic Development Authority Series 2017 570960018 2017-11-01 69925000 Refund SC Jobs Economic Devel. Authority bonds previously issued for benefit of BSHSI Series 2008A false false false A 0 0 69925000 0 0 0 0 0 0 0 0 0 2017 true false true true A false false false false 0.0 0.0 false false true A false false false true true false false false true A true Perrin Group Holdings Inc Reportable Ownership by Key Employee Judson Ivy 8951066 Purchase Agreement false Clayton Smith Family Member of Brian Smith, Key Employee 47757 Compensation false Derek Smith Family Member of Brian Smith, Key Employee 48538 Compensation false Bernard Smith Family Member of Sr. Carol Anne Smith, Board Member 433300 Compensation false X 1 1065695 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Real estate - Commercial - Number of items received Form 990, Part VI, Line 4 Significant changes to organizational documents The Mercy Health Bylaws were amended to a Code of Regulations in preparation for the System's merger with Bon Secours Health System, Inc. The Regulations note the change of Mercy Health's Corporate Member from its PJP (Partner in Catholic Health Ministries) to Bon Secours Mercy Health, Inc. ("BSMH"). BSMH is the sole member of Mercy Health. The Regulations included updates to the Reserved Powers of the new PJP, Bon Secours Mercy Ministries and the Corporate Member, BSMH. The updated Regulations also provide for the updated membership of the Mercy Health Board post- merger. Form 990, Part VI, Line 6 Classes of members or stockholders Bon Secours Mercy Ministries is a public juridic person under the Canon Law of the Catholic Church which, by decree dated December 14, 2018, has been erected as a public juridic person of pontifical right to succeed to certain of the healthcare activities of the Founding Organizations whose members are: Sisters of Bon Secours USA, the Sisters of Humility of Mary, and the Sisters of Mercy of the Americas, South Central Community. No person may be appointed or continue to serve as a Member of the Mercy Health Corporate Member unless that person is a Catholic in good standing. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The Mercy Health Corporate Member has the right to elect or remove trustees. All members of the board of trustees have full voting rights. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE Mercy Health Corporate Member has CERTAIN INHERENT RIGHTS TO APPROVE DECISIONS OF THE GOVERNING BODY. Certain matters require approval of the Mercy Health Corporate Member, Mercy Health Governing body, or Mercy Health CEO. Mercy Health's Regulations describe the level of approval required for various decisions. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY MERCY HEALTH'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 & COMPLIANCE COMMITTEE FOR APPROVAL. ADDITIONALLY, THE HUMAN RESOURCES COMMITTEE REVIEWS ALL COMPENSATION RELATED SCHEDULES AND DISCLOSURES. BOTH THE AUDIT & COMPLIANCE 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. Form 990, Part VI, Line 12c Conflict of interest policy ALL BOARD MEMBERS, COMMITTEE MEMBERS AND MEMBERS OF MANAGEMENT ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. PRIOR TO THE START OF ALL BOARD AND COMMITTEE MEETINGS MEMBERS ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. Form 990, Part VI, Line 15a Process to establish compensation of top management official The organization's formal process for determining total compensation for the CEO and other officers and key employees follows a board-approved Compensation Philosophy that 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. Compensation decisions are made by independent persons, are based on appropriate comparability data, and are concurrently documented. The Human Resources Committee, comprised of independent members of the organization's board of trustees, conducts an annual review of the compensation of the CEO and other executive officers and key employees who constitute disqualified persons. In doing so, the Committee retains a qualified independent compensation consultant to conduct competitive market analysis of the market ranges of base, incentive, total cash compensation, and total remuneration. The compensation consultant provides an opinion concerning the reasonableness of the compensation of the CEO and the officers and key employees reviewed by the Committee. The Committee utilizes that analysis and other appropriate information in connection with its annual review and recommendation of the CEO's compensation and its determination of compensation ranges for other reviewed officers and key employees. The Committee determines that the CEO's compensation and the compensation of reviewed officers and key employees within these ranges is reasonable and within the Compensation Philosophy. Information which the Committee may consider can include but is not limited to the performance of an individual, behavioral feedback, the performance of the organization, an individual's length of service, credentials and experience, the importance of retaining the individual, the elements of total compensation and salary history, the organization's compensation targets, and comparability data, including the data prepared by the independent consultant and reviewed with the Committee. The Committee incorporates a formal performance appraisal process in the CEO's compensation review. 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. The CEO is not present when the Committee discusses and establishes his compensation. In addition, the Committee determines if the threshold requirements for incentive awards are met, consisting of the organization's performance results for community benefit, quality, and financial performance. The Committee recommends to the full board the CEO's salary adjustment and incentive award as well as the incentive award levels for which other listed individuals may be eligible. The Committee's report concerning salary range adjustments, incentive awards and the basis for the Committee's decisions goes to the full board for consideration in executive session which does not include the CEO or other officers or key employees. The full board reviews the CEO's performance and determines the salary adjustments and incentive award to be made for the CEO. For the COO, EVP, SVP and market CEO positions, salary adjustments and incentive awards are approved by the organization's CEO within such board and Committee-approved parameters and disclosed to the Committee. Salary adjustments and incentive awards for other positions reviewed by the Committee are approved by the independent supervising executive within such parameters, with market board review when appropriate, and disclosed to the Committee. As with the CEO, all listed individuals undergo a formal performance appraisal utilizing 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. Incentive awards are subject to repayment if the organization must restate financial reports due to material noncompliance with the organization's Code of Responsibility and Standards of Reasonable Conduct. Form 990, Part VI, Line 15b Process to establish compensation of other employees Please refer to the Line 15A response directly above which describes the process used for both the top management official and for the other officers and key employees. Form 990, Part VI, Line 19 Required documents available to the public The System-wide conflict of interest policy and financial statements are posted on the Mercy Health website (www.mercy.com). Form 990, Part VIII, Line 2f Other Program Service Revenue Rent - Total Revenue: 10564667, Related or Exempt Function Revenue: 10309074, Unrelated Business Revenue: 255593, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; EPIC Billing - Total Revenue: 10352, Related or Exempt Function Revenue: 10352, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Payment Innovation - Total Revenue: 10013640, Related or Exempt Function Revenue: 10013640, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Intercompany - Total Revenue: 49744646, Related or Exempt Function Revenue: 49744646, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Intercompany Insurance - Total Revenue: 2189175, Related or Exempt Function Revenue: 2189175, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Intercompany Interest - Total Revenue: 9778294, Related or Exempt Function Revenue: 9778294, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Intercompany Other Op - Total Revenue: 6507766, Related or Exempt Function Revenue: 6507766, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Intercompany Rent - Total Revenue: 3046250, Related or Exempt Function Revenue: 3046250, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue HITECH - Stimulus Funds - Total Revenue: -1341451, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -1341451; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Health Club/Fitness Center Dues - Total Revenue: 97702, Related or Exempt Function Revenue: , Unrelated Business Revenue: 97702, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Employment Costs - Total Expense: 12928545, Program Service Expense: 10989263, Management and General Expenses: 1939282, Fundraising Expenses: ; Contract & Consulting - Total Expense: 48528234, Program Service Expense: 41248999, Management and General Expenses: 7279235, Fundraising Expenses: ; Other Purchased Services - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 33100181, Fundraising Expenses: ; Actuarial - Total Expense: 65500, Program Service Expense: , Management and General Expenses: 65500, Fundraising Expenses: ; Maintenance & Service Agreements - Total Expense: 82196768, Program Service Expense: 69867253, Management and General Expenses: 12329515, Fundraising Expenses: ; Purchased Services - Intercompany - Total Expense: 45129857, Program Service Expense: 38360378, Management and General Expenses: 6769479, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Medical Professional Fees - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Assessments - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 35407504, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Discontinued Operations - -1151947; Elimination of Intercompany Balances - -28216569; Equity Transfers - -XXX-XX-XXXX; Change in Pension Liability - -53767331; Pension Liability Adjustments - 2367478; Impairment of Assets - -1619317; Other Changes in Unrestricted Net Assets - 13452; Unrealized SWAP Income - 5515320; Fund Balance Change at BOY - Entity Transfers - -4124710; Net Assets Released from Restriction - 1758; Related Organization Loan Adjustment - -XXX-XX-XXXX; Contract Adjustment - 760091; Grant Balance Adjustment - 10000; Related Party Invoice - 4721; Reserve Adjustment - 6154650; SWAP Amortization - -1023842; Schedule J, Part I, Line 1a Health or social club dues or initiation fees Because the organization's mission includes promoting good health for all, including its own employees, the organization pays part of the monthly dues for Mercy Healthplex facilities (related organizations which are health clubs). The benefit is available to all employees, not just executives. The benefit was provided to one key employee and one highest compensated employee. The entire benefit was treated as taxable compensation. Schedule J, Part I, Line 1a Personal services Legal and tax return preparation services were provided for one officer. The entire benefit was treated as taxable compensation. Schedule J, Part I, Line 4a Severance or change-of-control payment Severance Benefits consisting of continuation of base salary and insurance benefits were provided to listed individuals for specified periods. The listed individuals executed releases and waivers of claims in exchange for the severance benefits. Salary continuation amounts provided during the reporting year to listed individuals were as follows: Paul Hiltz $318,355, Jane Crowley $372,713, and Rebecca Sykes $249,510. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The Mercy Health 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 withholding. 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: Michael Bezney $195,630; Jeffrey Copeland $160,294; Jane Crowley $1,402,000; Joseph Gage, Jr. $380,517; Brian Smith $291,540; John Starcher, Jr. JD $925,931; Rebecca Sykes $845,591. Schedule J, Part I, Line 7 Non-fixed payments The organization provides annual incentive compensation for listed individuals. The organization's Board of Trustees establishes objective thresholds for quality, community benefit, and financial performance which must be achieved for incentives to be awarded. The Board also establishes threshold, target and maximum levels for incentive awards. Within these established parameters, the Board determines the CEO's incentive award and incentive awards for other listed individuals are determined by the listed individual's supervisor and disclosed to the Board. The Board may authorize modified incentive awards when appropriate in its judgment. Mercy Health North LLC 2200 Jefferson Avenue Toledo OH 43604 341344482 Market Parent OH 21185409 228294837 Mercy Health Mercy Health Physicians - North LLC 2200 Jefferson Avenue Toledo OH 43604 264779623 Physician Practice OH 119998759 11851890 Mercy Health Physicians LLC Mercy Health - Defiance Hospital LLC 1404 East Second Street Defiance OH 43512 020701635 Hospital OH 35698116 15875911 Mercy Health North LLC Mercy Medical Partners Northern Region LLC 2200 Jefferson Avenue Toledo OH 43604 320350047 Clinic OH 24758064 15852799 Mercy Health North LLC Mercy Health - St Charles Hospital LLC 2600 Navarre Avenue Toledo OH 43616 344445373 Hospital OH 142134000 96881561 Mercy Health North LLC Mercy Health - St Anne Hospital LLC 3404 W Sylvania Avenue Toledo OH 43623 311556401 Hospital OH 127711372 100328255 Mercy Health North LLC Mercy Health - Tiffin Hospital LLC 45 St Lawrence Drive Tiffin OH 44883 344431174 Hospital OH 79881368 56818404 Mercy Health North LLC Mercy Health - Willard Hospital LLC 110 East Howard Street Willard OH 44890 341577110 Hospital OH 27013201 33834767 Mercy Health North LLC Mercy Health - St Vincent Medical Center LLC 2213 Cherry Street Toledo OH 43608 344428250 Hospital OH 519655312 374342883 Mercy Health North LLC Mercy Health - St Rita's Medical Center LLC 730 W Market Street Lima OH 45801 341105619 Hospital OH 441391723 931468529 Mercy Health Mercy Health Physicians Lima LLC 730 W Market Street Lima OH 45801 262788491 Physician Practice OH 65714516 7024283 Mercy Health Physicians LLC LACPSt Rita's Medical Center LLC 730 W Market Street Lima OH 45801 262878453 Ambulance Service OH 3563147 4062932 St Rita's Medical Center LLC Mercy Health Youngstown LLC 1044 Belmont Avenue Youngstown OH 44501 340505560 Hospital OH 767381621 754392220 Mercy Health Mercy Health Physicians Youngstown LLC 1044 Belmont Avenue Youngstown OH 44501 320306944 Physician Practice OH 78090977 26106650 Mercy Health Physicians LLC HMHP Care Network LLC 1044 Belmont Avenue Youngstown OH 44501 455434581 Health Delivery Network OH 433241 0 Mercy Health Youngstown LLC Mercy Health Lorain LLC 3700 Kolbe Avenue Lorain OH 44053 270071694 Market Parent OH 7145693 7870663 Mercy Health Mercy Health - 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Fairfield Hospital LLC 3000 Mack Road Fairfield OH 45014 310538532 Hospital OH 276504932 135026378 Mercy Health Cincinnati LLC Mercy Health - Clermont Hospital LLC 3000 Hospital Drive Batavia OH 45103 310830955 Hospital OH 122338103 57906414 Mercy Health Cincinnati LLC Mercy Health Physicians LLC 1701 Mercy Health Place Cincinnati OH 45237 463521617 Physician Practice OH 0 0 Mercy Health Mercy Health Select LLC 1701 Mercy Health Place Cincinnati OH 45237 454482083 ACO OH 15824908 24016880 Mercy Health Health Select Services LLC 1701 Mercy Health Place Cincinnati OH 45237 473682702 PHSO OH 2524769 8478752 Mercy Health Mercy Health - Lourdes Hospital LLC 1530 Lone Oak Road Paducah KY 42003 610600313 Hospital KY 211377666 247090822 Mercy Health Mercy Health Physicians Kentucky LLC 1530 Lone Oak Road Paducah KY 42003 263807038 Physician Practice KY 69613835 34000987 Mercy Health Physicians LLC Lourdes Medical Pavilion LLC 1530 Lone Oak Road Paducah KY 42003 611334329 Medical office building rental KY 2546407 10076739 Mercy Health - 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ST CHARLES HOSPITAL LLC true NEW VISION MEDICAL LABORATORIES INC 750 W HIGH ST STE 400 LIMA OH 45801 341937267 MEDICAL LAB SERVICES OH 501(c)(3) 3 ST RITA'S MEDICAL CENTER LLC true THE ASSUMPTION VILLAGE 9800 N MARKET STREET NORTH LIMA OH 44452 341013695 NURSING HOME OH 501(c)(3) 10 MERCY HEALTH YOUNGSTOWN LLC true HOSPICE OF THE VALLEY 5190 MARKET STREET YOUNGSTOWN OH 44512 341288745 HOSPICE SERVICES OH 501(c)(3) 10 MERCY HEALTH YOUNGSTOWN LLC true HUMILITY HOUSE 755 OHLTOWN ROAD AUSTINTOWN OH 44515 341894783 NURSING HOME OH 501(c)(3) 10 MERCY HEALTH YOUNGSTOWN LLC true ST JOSEPH HEALTH CENTER AUXILIARY 677 EASTLAND SE WARREN OH 44484 346556121 FUNDRAISING OH 501(c)(3) 10 MERCY HEALTH YOUNGSTOWN LLC true LOURDES HOSPITAL AUXILIARY GIFT SHOP 1530 LONE OAK ROAD PADUCAH KY 42003 610927805 FUNDRAISING KY 501(c)(3) 10 MERCY HEALTH FOUNDATION true HEALTHSPAN PARTNERS 1701 Mercy Health Place CINCINNATI OH 45237 463055925 MARKET PARENT OH 501(c)(3) Type II MERCY HEALTH true HEALTHSPAN INTEGRATED CARE 1701 Mercy Health Place CIncinnati OH 45237 340922268 HMO OH 501(c)(3) 10 HEALTHSPAN PARTNERS true Bon Secours Mercy Health Inc 1701 Mercy Health Place CINCINNATI OH 45237 521301088 HEALTHCARE SYSTEM PARENT MD 501(c)(3) NA false Bon Secours New York Health System Inc 2975 Independence Avenue Bronx NY 10463 912135196 Local System Parent Org. NY 501(c)(3) Type I Bon Secours Mercy Health Inc false Bon Secours Kentucky Health System Inc St Christopher Dr Ashland KY 41101 611356024 Local System Parent Org. KY 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health S 2000 West Baltimore Street Baltimore MD 21223 800728893 Local System Parent Org. MD 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours St Francis Health System Inc 1 St Francis Drive Greenville SC 29601 582504528 Local System Parent Org. SC 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Hampton Roads Health System 7007 Harbour View Blvd Portsmouth VA 23435 521538513 Local System Parent Org. VA 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Richmond Health System 8580 Magellan Parkway Richmond VA 23227 521988421 Local System Parent Org. VA 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Baltimore Health System Foundation Inc 26 North Fulton Avenue Baltimore MD 21223 383843816 Grant Making Foundation MD 501(c)(3) Type III-FI Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health S false The Bon Secours of Maryland Foundation Inc (dba Bon Secours Community Work 26 North Fulton Avenue Baltimore MD 21223 521732800 Grant Making Foundation MD 501(c)(3) Type III-FI Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health S false Mary Immaculate Foundation 7007 Harbour View Blvd Suffolk VA 23435 311644734 Fundraising VA 501(c)(3) Type III-FI Mary Immaculate Hospital false Bon Secours DePaul Health Foundation 7007 Harbour View Blvd Suffolk VA 23435 541843876 Fundraising VA 501(c)(3) 7 Bon Secours DePaul Medical Center false Bon Secours Maryview Foundation 7007 Harbour View Blvd Suffolk VA 23435 521694731 Fundraising VA 501(c)(3) 7 Bon Secours Hampton Roads Health System false Our Lady of Bellefonte Hospital Inc 1000 St Christopher Dr Ashland KY 41101 611356023 Health Care KY 501(c)(3) 3 Bon Secours Kentucky Health System false Bon Secours Hospital Baltimore Inc 2000 West Baltimore Street Baltimore MD 21223 520591555 Health Care MD 501(c)(3) 3 Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health S false St Francis Hospital Inc One St Francis Drive Greenville SC 29601 582504530 Health Care SC 501(c)(3) 3 Bon Secours St Francis Health System Inc false Mary Immaculate Hospital Inc 7007 Harbour View Blvd Suffolk VA 23435 540548200 Health Care VA 501(c)(3) 3 Bon Secours Mercy Health Inc false Bon Secours - DePaul Medical Center Inc 7007 Harbour View Blvd Suffolk VA 23435 541820093 Health Care VA 501(c)(3) 3 Bon Secours Hampton Roads Health System false Maryview Hospital 7007 Harbour View Blvd Portsmouth VA 23707 540506463 Health Care VA 501(c)(3) 3 Bon Secours Hampton Roads Health System false Bon Secours - Memorial Regional Medical Center Inc 8580 Magellan Parkway Richmond VA 23227 541744931 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System false Bon Secours - St Mary's Hospital of Richmond Inc 8580 Magellan Parkway Richmond VA 23227 540793767 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System false Bon Secours - Richmond Community Hospital 8580 Magellan Parkway Richmond VA 23227 540647482 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System false Bon Secours - St Francis Medical Center Inc 8580 Magellan Parkway Richmond VA 23227 311716973 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System false Bon Secours Kentucky Health System Foundation Inc St Christopher Dr Ashland KY 41101 611381952 Grant Making Foundation KY 501(c)(3) 7 Bon Secours Kentucky Health System false Bon Secours Baltimore Development Inc 26 North Fulton Avenue Baltimore MD 21223 760785344 Community Housing MD 501(c)(3) 7 Unity Properties Inc false Unity Properties Inc 26 North Fulton Avenue Baltimore MD 21223 521857768 Low Income Housing MD 501(c)(3) 7 Bon Secours of Maryland Foundation false Bon Secours - 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