COMMUNITY MERCY HEALTH SYSTEM: Form 990EZ, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY MERCY HEALTH SYSTEM (EIN 30-0272454)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-07
IRS object ID: 201713119349201331
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990-EZ
Schedule A

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-07T14:00:50-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt
Return Type	990EZ	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	300272454	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Community Mercy Health System	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COMM	BusinessNameControlTxt
Phone	9373287000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Medical Center Drive	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	455031832	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	William Kusnierz	PersonNm
Person Title	Region CFO	PersonTitleTxt
Signature	2017-11-07	SignatureDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990-EZ IRS990EZ

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Schedule B Not Required	Yes (X)	ScheduleBNotRequiredInd
Website Address	N/A	WebsiteAddressTxt
Organization501c3	Yes (X)	Organization501c3Ind
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Gross Receipts	$0	GrossReceiptsAmt
Contributions Gifts Grants Etc	$0	ContributionsGiftsGrantsEtcAmt
Program Service Revenue	$0	ProgramServiceRevenueAmt
Membership Dues	$0	MembershipDuesAmt
Investment Income	$0	InvestmentIncomeAmt
Sale Of Assets Gross	$0	SaleOfAssetsGrossAmt
Cost Or Other Basis Expense Sale	$0	CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets	$0	GainOrLossFromSaleOfAssetsAmt
Gaming Gross Income	$0	GamingGrossIncomeAmt
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Special Events Direct Expenses	$0	SpecialEventsDirectExpensesAmt
Special Events Net Income Loss	$0	SpecialEventsNetIncomeLossAmt
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry	$0	GrossProfitLossSlsOfInvntryAmt
Other Revenue Total	$0	OtherRevenueTotalAmt
Total Revenue	$0	TotalRevenueAmt
Grants And Similar Amounts Paid	$0	GrantsAndSimilarAmountsPaidAmt
Benefits Paid To Or For Members	$0	BenefitsPaidToOrForMembersAmt
Salaries Other Comp Empl Bnft	$0	SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct	$0	FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint	$0	OccupancyRentUtltsAndMaintAmt
Printing Publications Postage	$0	PrintingPublicationsPostageAmt
Other Expenses Total	$0	OtherExpensesTotalAmt
Total Expenses	$0	TotalExpensesAmt
Excess Or Deficit For Year	$0	ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY	$0	NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY	$0	NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Land And Buildings LandAndBuildingsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Primary Exempt Purpose	Support Community Mercy Health Partners	PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

Field	Value	IRS element (for citing)
Description Program Srvc Accom	Support Community Mercy Health Partners	DescriptionProgramSrvcAccomTxt
Grants And Allocations	$0	GrantsAndAllocationsAmt
Program Service Expenses	$0	ProgramServiceExpensesAmt

Field	Value	IRS element (for citing)
Total Program Service Expenses	$0	TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (18 entries)

TitleTitleTxt	Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt	CompensationCompensationAmt	Employee Benefit ProgramEmployeeBenefitProgramAmt	Expense Account Other AllwncExpenseAccountOtherAllwncAmt
PIUS KURIAN MD
CHAIR	0.500	$0	$0	$0
JOSEPH R JACKSON
VICE CHAIR	0.500	$0	$0	$0
WENDY H DOOLITTLE
SECRETARY	0.500	$0	$0	$0
JAMES N DOYLE
TRUSTEE (OFF 2/16)	0.500	$0	$0	$0
RAVI C KHANNA MD
TRUSTEE	0.500	$0	$0	$0
MARK B ROBERTSON
TRUSTEE	0.500	$0	$0	$0
REV DARRYL L GRAYSON
TRUSTEE	0.500	$0	$0	$0
KATHLEEN M HUGHES
TRUSTEE (OFF 7/16)	0.500	$0	$0	$0
WILLIAM H RAY
TRUSTEE	0.500	$0	$0	$0
SR CHERYL ERB RSM
Trustee	0.500	$0	$0	$0
BRIAN SMITH
TRUSTEE (BEGIN 5/16), EVP & COO, MERCY HEALTH	1.000	$0	$0	$0
Surender NERAVETLA MD
TRUSTEE	0.500	$0	$0	$0
DEANNA L BROUGHER
TRUSTEE	0.500	$0	$0	$0
JOHN STARCHER JR JD
Trustee, President & CEO Mercy Health (END 5/16)	0.500	$0	$0	$0
JOSEPH MORMAN MD
TRUSTEE	0.500	$0	$0	$0
PAUL HILTZ
Pres/CEO Springfield Region, SVP Mercy Health (END 12/16)	0.500	$0	$0	$0
WILLIAM KUSNIERZ
VP, CFO & Treasurer	0.500	$0	$0	$0
MATTHEW CALDWELL
Pres/CEO Springfield Region, SVP Mercy Health (BEGIN 12/16)	0.500	$0	$0	$0

Field	Value	IRS element (for citing)
Activities Not Previously Rpt	false	ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt	false	ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI	false	OrganizationHadUBIInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Organization Dissolved Etc	false	OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend	$0	DirectIndirectPltclExpendAmt
Form1120 Pol Filed	false	Form1120PolFiledInd
Made Loans To From Officers	false	MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911	$0	TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912	$0	TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955	$0	TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr	$0	TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization	$0	TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Travis Crum	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1701 Mercy Health Place	AddressLine1Txt
City	Cincinnati	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45237	ZIPCd

Field	Value	IRS element (for citing)
Phone	5139525000	PhoneNum

Field	Value	IRS element (for citing)
Foreign Financial Account	false	ForeignFinancialAccountInd
Foreign Office	false	ForeignOfficeInd
Donor Advised Fnds	false	DonorAdvisedFndsInd
Operate Hospital	false	OperateHospitalInd
Tanning Services Provided	false	TanningServicesProvidedInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
School Operating	false	SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type3 Func Int	Yes (X)	SupportingOrgType3FuncIntInd
Supported Organizations	1	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Community Mercy Health Partners	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
EIN	310785684	EIN
Organization Type	3	OrganizationTypeCd
Governing Document Listed	false	GoverningDocumentListedInd
Support	$0	SupportAmt
Other Support	$0	OtherSupportAmt

Field	Value	IRS element (for citing)
Supported Organizations Total	1	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	false	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (true)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (true)	OfficersCloseRelationshipInd
Supported Org Voice Investment	Yes (true)	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Appoint Elect Majority Officer	false	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (true)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name	The supporting organization is the parent organization of the supported organization, and the same board serves both. There is an historic and continuing relationship between the supporting and the supported organizations. The supporting organization had no activity in 2016.
Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies	The supporting and supported organization have the same board. Additionally, the supporting organization had no activity during the year.
Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities	The supporting and supported organization have the same board. Additionally, the supporting organization had no activity during the year.