2017-11-07T09:00:28-06:00 2016-12-31 990 2016-01-01 201072726 Mercy Health Foundation MERC 5139526000 1701 Mercy Health Place Cincinnati OH 45237 Michael Bezney Chairperson 2017-11-06 2016 2018-03-14 21:41:22Z Michael Bezney 1701 Mercy Health Place Cincinnati OH 45237 27327107 false X WWW.mercy.com X 2004 OH TO SUPPORT THE OPERATIONS OF MERCY HEALTH BY ENCOURAGING CHARITABLE GIVING AND EFFECTIVELY MANAGING GIFT RESOURCES. 9 6 47 300 0 0 21603706 21641624 0 4605010 4766526 686372 -357754 26895088 26050396 21185822 32384260 0 4654827 5675978 0 5089546 2651728 2905073 28492377 40965311 -1597289 -14914915 243931241 230384764 12377871 9847504 231553370 220537260 To carry out the charitable and educational purposes of Mercy Health by providing grants in support of programs that carry out its charitable mission. false false 32384260 32384260 0 MERCY HEALTH FOUNDATION AWARDED $32,384,260 IN GRANTS DURING 2016 TO PROGRAMS THAT ADDRESS THE HEALTHCARE NEEDS OF PERSONS WHO ARE POOR AND UNDERSERVED. 32384260 true true false true false false false false false true true true false false true true false true false false false true false false true false false true true true false false false false false false false false true false false false false true false false false true 0 0 47 true false false false false false true true false false false false X 9 6 false false false false true true true true true false false true true true true true true false false false X TRAVIS CRUM 5139525000 1701 Mercy Place CINCINNATI OH 45237 MICHAEL BEZNEY CHAIR, MERCY HEALTH SVP & GENERAL COUNSEL 1.0 54.0 X X 0 735043 174676 GERMAINE BENNETT VICE CHAIR 1.0 1.0 X X 0 0 0 TRAVIS CRUM TREASURER, VP CORP CONTROLLER - MERCY HEALTH 1.0 50.0 X X 0 278274 127540 ROGER LAGRECA Foundation President & CEO (END 8/16) 40.0 0.5 X X 0 333889 12622 JONATHAN LABBE FOUNDATION PRESIDENT & CEO (BEGIN 8/16) 40.0 1.0 X X 0 112569 28832 BRIAN CORBIN TRUSTEE 1.0 3.0 X 0 0 0 SR MARIE HARTMANN TRUSTEE 1.0 0 X 0 0 0 SR MARJORIE BOSSE RSM TRUSTEE 1.0 3.0 X 0 0 0 SR DORIS A GOTTEMOELLER RSM TRUSTEE 1.0 2.0 X 0 0 0 DAVID CULBERTSON TRUSTEE 1.0 1.0 X 0 0 0 KATHRYN WILLIAMS Lima Region Foundation Development Director 40.0 0 X 116034 0 -47423 Timothy Koder Toledo Region Foundation President 40.0 0 X 216436 0 51300 SCOTT PEMBER Lorain Region Foundation Director 40.0 0 X 165765 0 39220 ANN MARIE WELTY Cincinnati Region Foundation System Director 40.0 0 X 172173 0 17842 PAUL HOMICK YOUNGSTOWN Region FOUNDATION PRESIDENT 40.0 0 X 127514 0 13810 MICHAEL D CONNELLY JD FORMER OFFICER 0.0 50.0 X 0 2710245 117373 797922 4170020 535792 5 true true false 0 779695 5077325 2639147 13145457 799977 21641624 0 0 0 0 0 1967351 1967351 16800 16800 0 16800 16800 2799175 2799175 0 2799175 2799175 902157 779695 1276711 -374554 -374554 0 0 0 0 0 26050396 0 0 4408772 31546099 31546099 214161 214161 624000 624000 4674428 1981023 2693405 225077 95748 129329 443446 188642 254804 333027 141670 191357 750 750 62029 62029 1214866 0 516803 698063 71524 71524 259804 110521 149283 279859 119052 160807 178670 75720 102950 35764 15214 20550 6127 2597 3530 Dues, fees and subscriptions 269027 114444 154583 Bad debt 68556 68556 Taxes 17887 7609 10278 Sponsorships 154096 154096 286114 0 121712 164402 40965311 32384260 3491505 5089546 2722412 9973924 22029328 16276180 0 0 0 49193 49193 85000 428233 1274862 126596 1181891 1148266 209297365 192431057 0 8566052 10077911 243931241 230384764 6072824 3555104 6305047 6292400 12377871 9847504 X 96583902 93425700 75956162 67424659 59013306 59686901 231553370 220537260 243931241 230384764 X -14914915 6951447 -3052642 X false true X true false X 13559917 13649735 19335904 21603706 21641624 89790886 0 0 13559917 13649735 19335904 21603706 21641624 89790886 39967087 49823799 222952 305709 2740608 2814771 1984151 8068191 0 113283 104996 956573 1476823 902157 3553832 101412909 0 0.4913 0.4065 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - SPECIAL EVENT REVENUE, COLUMN A - 113283.0, COLUMN B - 104996.0, COLUMN C - 956573.0, COLUMN D - 1476823.0, COLUMN E - 902157.0, COLUMN F - 3553832.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 16125 false false false 16125 false Schedule C, Part II-B, Line 1 Description of activities reported on Line 1A through 1I The primary purpose for lobbying activities is to enhance Mercy Health's public position on legislative and regulatory issues that impact patient care throughout its healthcare system. Mercy Health focuses on public policy issues that extend its healing ministry to those who are poor and underserved in the communities it 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 $16,125 constitute issue-based lobbying support. 58795078 151892 685333 160225 59472078 59502707 202834 -36996 873467 58795078 59316954 92374 93379 0 59502707 55088741 2918149 2993064 1683000 0 0 59316954 70192544 1541931 1691129 0 18251929 84934 55088741 0.0587 0.805 0.1363 true false 678366 678366 511635 61208 450427 42526 32428 10098 42335 32960 9375 1148266 Mercy Health Investment Management Program 192431057 F 192431057 Other long-term liabilities 218400 Long-term debt 6074000 6292400 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE ENDOWMENT FUNDS ARE RESTRICTED FOR VARIOUS USES RELATED TO THE EXEMPT PURPOSES OF THE AFFILIATED ENTITIES SUPPORTED BY THE FOUNDATION. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE COMPANY (MERCY HEALTH AND AFFILIATED ENTITIES) COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2016 AND 2015, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2016 OR 2015. Central America and the Caribbean Ambulance for Bishop Joseph Sullivan Center of Health 10000 Check Central America and the Caribbean To support Children and Mother program 500000 check Central America and the Caribbean Caribbean hurricane relief services 30000 check Europe (Including Iceland and Greenland) To support the first House of Mercy in Dublin, Ireland 84000 wire transfer 3 0 false false false false false false A Night to Remember 401342 351948 49394 4500 40698 54040 14651 Panerathon 296680 223780 72900 49981 72933 24 983830 203967 779863 22728 40186 119089 155171 11803 690931 1681852 779695 902157 22728 40186 173570 195869 65843 778515 1276711 -374554 true Jewish Hospital LLC 4777 E Galbraith Rd Cincinnati OH 45236 271408630 501(c)(3) 5848158 mission support Mercy Health - St Vincent Medical Center LLC 2213 Cherry Street Toledo OH 43608 344428250 501(c)(3) 4057327 Mission Support Mercy Health - Anderson Hospital LLC 7500 State Road Cincinnati OH 45255 310537085 501(c)(3) 3434075 mission support Mercy Health - Lourdes Hospital LLC 1530 Lone Oak Road Paducah KY 42003 610600313 501(c)(3) 2572531 mission support Mercy Health - Regional Medical Center LLC 3700 Kolbe Road Lorain OH 44053 340714704 501(c)(3) 2250276 Mission support Mercy Health Youngstown LLC 1044 Belmont Avenue Youngstown OH 44501 340505560 501(c)(3) 3049796 Mission Support Mercy Health 1701 Mercy Health Place Cincinnati OH 45237 311161086 501(c)(3) 1700000 Behavioral Health Initiative Mercy Health Youngstown LLC 1044 Belmont Avenue Youngstown OH 44501 340505560 501(c)(3) 1005906 Mission support Northeast Ohio Medical University Foundation PO Box 95 Rootstown OH 44272 341264220 501(c)(3) 588852 10 physician scholarships Community Mercy Health Partners One South Limestone St Springfield OH 45502 310785684 501(c)(3) 530956 mission support Catholic Medical Mission Board 100 Wall St Floor 9 New York NY 10005 135602319 501(c)(3) 500000 Haiti Children & Mothers Mercy Health Physicians Cincinnati LLC 1701 Mercy Health Place Cincinnati OH 45237 311007881 501(c)(3) 418298 Project Home Network support Mercy Franciscan Social Ministries Inc 1800 Logan Street Cincinnati OH 45210 311222942 501(c)(3) 347761 Mission support Mercy Health 1701 Mercy Health Place Cincinnati OH 45237 311161086 501(c)(3) 300000 Leader and physician development program United Way of Greater Cincinnati 2400 Reading Road Cincinnati OH 45202 310537502 501(c)(3) 275000 Mission support Primary Health Solutions Inc 210 S Second St 2nd floor Hamilton OH 45011 311694200 501(c)(3) 250000 4 Dental chairs Mercy Health - West Hospital LLC 3300 Mercy Health Blvd Cincinnati OH 45211 311091597 501(c)(3) 248004 Capital improvements & mission support Mercy Franciscan Senior Health & Housing Services Inc 7010 Rowan Hills Drive Cincinnati OH 45227 311308729 501(c)(3) 244459 Capital improvements & mission support Mercy Health Physicians LLC 1701 Mercy Health Place Cincinnati OH 45237 463521617 501(c)(3) 244000 Hispanic primary care clinic support Mercy Health - Fairfield Hospital LLC 3000 Mack Road Fairfield OH 45014 310538532 501(c)(3) 232448 Capital improvements & mission support Cincinnati Sports Medicine Research Foundation 10663 MONTGOMERY RD Cincinnati OH 45242 311158604 501(c)(3) 200000 Research and education programs Mercy Health 1701 Mercy Health Place Cincinnati OH 45237 311161086 501(c)(3) 150489 Senior Outreach program Mercy Health - Regional Medical Center LLC 3700 Kolbe Road Lorain OH 44053 340714704 501(c)(3) 140383 Lorain Home Care Hospice program Strategies to End Homelessness Inc 2368 Victory Parkway Cincinnati OH 45206 208286347 501(c)(3) 100000 Reducing homelessness programs Cincinnati Children's Hospital Medical Center 3333 Burnet Ave Cincinnati OH 45229 310833936 501(c)(3) 84000 Infant mortality reduction program Mercy International Association 2300 Adeline Drive Burlingame CA 94010 461959457 501(c)(3) 84000 Mission support Xavier University 3800 Victory Parkway Cincinnati OH 45207 310537516 501(c)(3) 80000 18 nursing scholarships Mercy Health - Clermont Hospital LLC 3000 Hospital Drive Batavia OH 45103 310830955 501(c)(3) 75973 Capital improvements & mission support Urban League of Greater Cincinnati 3458 Reading Road Cincinnati OH 45229 310565428 501(c)(3) 75000 Mission support The Assumption Village 9800 Market Street North Lima OH 44452 340103695 501(c)(3) 73968 Capital improvements & mission support Childrens Theatre of Cincinnati 4015 Red Bank Road Cincinnati OH 45227 316026285 501(c)(3) 58333 Mission support Community Mercy Health Partners One South Limestone St Springfield OH 45502 310785684 501(c)(3) 56169 Mission support Mercy Neighborhood Ministries 1602 Madison Road Cincinnati OH 45206 311376693 501(c)(3) 50836 Bridges program support Center for Respite Care PO Box 29137 Cincinnati OH 45229 202544994 501(c)(3) 50000 Mission support Connecting Kids to Meals Inc PO Box 9363 Toledo OH 43697 341969461 501(c)(3) 50000 End child hunger program support Mercy College of Ohio Foundation Inc 2221 Madison Avenue Toledo OH 43604 141963204 501(c)(3) 50000 Capital improvements Mercy Education Collaborative 3036 Werk Rd Cincinnati OH 45211 311578537 501(c)(3) 50000 Student scholarships grant Hospice of Northwest Ohio 30000 East River Road Perrysburg OH 43551 341283188 501(c)(3) 46000 End of Life programs support Youngstown State University Foundation 1 University Plaza Youngstown OH 44555 346576610 501(c)(3) 45150 22 Nursing scholarships Lorain County Urban League 200 Middle Avenue Elyria OH 44035 341263379 501(c)(3) 42476 Internships for underprivileged students HM Housing Development Corp 3250 W Market St Akron OH 44333 251592420 501(c)(3) 40000 Housing for the Poor programs Someplace Safe Inc 1540 Tod Avenue Warren OH 44485 341255329 501(c)(3) 40000 Shelter upgrades Food for Thought Toledo Inc 316 Adams St Toledo OH 43604 263032624 501(c)(3) 39246 Children at risk of obesity program Hospice of the Valley Inc 5190 Market St Youngstown OH 44512 341288745 501(c)(3) 36410 Mission support Mercy College of Ohio 2221 Madison Avenue Toledo OH 43604 341726619 501(c)(3) 34700 18 Nursing scholarships Kent State University 1131 Michael Schwartz Center Kent OH 44242 346576307 501(c)(3) 31700 17 Nursing scholarships Mercy Memorial Hospital 1343 North Fountain Blvd Springfield OH 45504 310785684 501(c)(3) 30356 Mission support Catholic Relief Services 228 W Lexington St Baltimore MD 21201 135563422 501(c)(3) 30000 Caribbean hurricane relief program Mercy Health - Defiance Hospital LLC 1404 East Second St Defiance OH 43512 020701635 501(c)(3) 29620 Medical equipment purchases DePaul Cristo Rey High School 1133 Clifton Hills Avenue Cincinnati OH 45220 272417727 501(c)(3) 29000 Mission support Mercy Health - Willard Hospital LLC 1100 Neal Zick Road Willard OH 44890 341577110 501(c)(3) 28739 Capital improvements & mission support Mercy Health Cincinnati LLC 1701 Mercy Health Place Cincinnati OH 45237 311063783 501(c)(3) 27500 Mission support Health Policy Institute of Ohio 10 W Broad Street Columbus OH 43215 300186863 501(c)(3) 25000 Operating support grant REDI Cincinnati 3 East Fourth St Cincinnati OH 45202 472090230 501(c)(3) 25000 Internships for underprivileged students Sunshine Inc of Northwestern Ohio 7223 Maumee Western Rd Maumee OH 43537 344441627 501(c)(3) 25000 Community Homes for the disabled program Talbert House 2600 Victory Parkway Cincinnati OH 45206 310713350 501(c)(3) 25000 Mission support Tender Mercies 27 W 12th Street Cincinnati OH 45202 311137270 501(c)(3) 25000 Mission support Little Sisters of the Poor 930 D Wynn Road Oregon OH 43616 340901052 501(c)(3) 21165 Residential care of neediest elderly program Ability Center of Greater Toledo 5605 Monroe St Sylvania OH 43560 344428597 501(c)(3) 20000 Mission support St Vincent de Paul 1125 Bank Street Cincinnati OH 45214 300272954 501(c)(3) 20000 Charitable pharmacy diabetes mgmt program The Cincinnati Art Museum 935 Eden Park Drive Cincinnati OH 45202 310536653 501(c)(3) 20000 Mission support Timber Wolff Stables 7435 Berridge Road Whitehouse OH 43571 205528060 501(c)(3) 16350 Hippotherapy program Marcum and Wallace Memorial Hospital Inc 60 Mercy Court Irvine KY 40336 610927491 501(c)(3) 15949 3D Mammography project support Abercrumbie Group 10301 Giverny Blvd Cincinnati OH 45241 300520187 501(c)(3) 15000 Men of Honor Salute Partner Bethany House Services 1841 Fairmount Avenue Cincinnati OH 45214 311101401 501(c)(3) 15000 Mission support Black and White Cancer Survivors Ball PO Box 40598 Cincinnati OH 45240 461151149 501(c)(3) 15000 Mission support Humility House 755 Ohltown Road Austintown OH 44515 341894783 501(c)(3) 15000 Mission support Mercy Neighborhood Ministries 1602 Madison Road Cincinnati OH 45206 311376693 501(c)(3) 15000 Healthcare for the poor and seniors REELabilities Film Festival 3603 Victory Parkway Cincinnati OH 45229 310894923 501(c)(3) 15000 Mission support Toledo Day Nursery 2211 Jefferson Avenue Toledo OH 43604 344465880 501(c)(3) 15000 Daycare for disadvantaged families program Mercy Health - Tiffin Hospital LLC 45 St Lawrence Drive Tiffin OH 44883 344431174 501(c)(3) 14955 Capital improvements and mission support Cincinnati Eye Institute Foundation 1945 CEI Drive Cincinnati OH 45242 204418334 501(c)(3) 12500 Mission support Cortland Community Foundation 400 N High St Cortland OH 44410 202315884 501(c)(3) 12500 Capital improvements The Ohio University Foundation 010 Chubb Hall Athens OH 45701 316402269 501(c)(3) 12100 6 Nursing scholarships Chamberlain College of Nursing 75 Remittance Drive Chicago IL 60675 202452410 501(c)(3) 11400 5 nursing scholarships Mercy Health - St Anne Hospital LLC 3404 Sylvania Avenue Toledo OH 43623 311556401 501(c)(3) 10963 Mission support St Rita's Professional Services LLC 730 W Market Street Lima OH 45801 262788491 501(c)(3) 10479 Mission support Abercrumbie Group 10301 Giverny Blvd Cincinnati OH 45241 300520187 501(c)(3) 10000 Mission support Access Health Mahoning Valley 258 E Market St FL 2 Warren OH 44481 274576650 501(c)(3) 10000 Serve uninsured adults Catholic Charities 1933 Speilbusch Avenue Toledo OH 43604 344428254 501(c)(3) 10000 Tenant Readiness program EBE Hall of Fame 28276 Kensington Lane Perrysburg OH 43551 161702234 10000 Mission support Family and Child Abuse Prevention 2460 Cherry Street Toledo OH 43608 341375936 501(c)(3) 10000 Abuse identification program Give Back Cincinnati 312 Walnut Street Cincinnati OH 45202 311774381 501(c)(3) 10000 Mission support HM Housing Development Corp 3250 W Market St Akron OH 44333 251592420 501(c)(3) 10000 Capital improvements Catholic Medical Mission Board 100 Wall St Floor 9 New York NY 10005 135602319 501(c)(3) 10000 Ambulance for Haiti Leukemia and Lymphoma Society 4370 Glendale Milford Rd Cincinnati OH 45242 135644916 501(c)(3) 10000 Mission support Mount St Joseph University 5701 Delhi Road Cincinnati OH 45233 237179567 501(c)(3) 10000 Mission support Toledo Fire and Rescue Foundation 545 North Huron St Toledo OH 43604 464284552 501(c)(3) 10000 Catastrophic injury program support Traumatic Brain Injury Resource Center 7430 W Central Avenue Toledo OH 43617 471421039 501(c)(3) 10000 Mission support The University of Toledo Foundation 2801 W Bancroft Street Toledo OH 43606 346555110 501(c)(3) 9490 7 scholarships Stepping Stones 620 W Hurd Street Monroe MI 48162 383225114 501(c)(3) 8785 Hippotherapy program University of Akron Foundation PO Box 2260 Akron OH 44309 346575496 501(c)(3) 8350 3 Nursing scholarships Sunshine Inc of Northwestern Ohio 7223 Maumee Western Rd Maumee OH 43537 344441627 501(c)(3) 8130 Hippotherapy program ArtsWave 20 E Central Parkway Cincinnati OH 45202 310537138 501(c)(3) 7500 Mission support Millcreek Childrens Center 44 Essex Street Youngstown OH 44502 341202596 501(c)(3) 7500 Food and nutrition program Xavier University 3800 Victory Parkway Cincinnati OH 45207 310537516 501(c)(3) 7500 Mission support United Way of Youngstown and the Mahoning Valley 255 Watt Street Youngstown OH 44505 340714598 501(c)(3) 7013 Mission support Families Forward 2400 Reading Road Cincinnati OH 45202 330086043 501(c)(3) 7000 After school program support YEP Foundation 7162 Reading Road Cincinnati OH 45237 812839664 7000 Community diabetes workshops Absolute Fitness Solutions 7162 Reading Road Cincinnati OH 45237 270674785 5600 Diabetes workshops 86 3 SPRINGFIELD MARKET MED ASSIST PROGRAM 1170 79241 LOURDES HOSPITAL PATIENT MISSION FUND 460 21816 LOURDES HOSPITAL ASSOCIATE MISSION FUND 54 22212 LORAIN MARKET CARING FOR OUR OWN FUND 26 12790 NORTHERN MARKET CHARITABLE PHARMACY 461 26516 NORTHERN MARKET TRANSPORTATION SERVICES 1513 39059 NORTHERN MARKET FOOD PROGRAM 800 3897 NORTHERN MARKET FAMILY FUND 6 3018 LOURDES TRANSPORTATION SERVICES 217 5612 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Any organization receiving funds over $5,000 must complete an accompanied "Verification of Use of a Grant or Other Assistance from the Mercy Health Foundation" form. Organizations signing the form "Attest that the grant/assistance provided by the Foundation is being used for the purpose intended as stated in the request to the Foundation and that additional documentation to support usage of the grant/assistance as stated will be provided to the Foundation upon request." The Verification from must be submitted within 30 days of receiving the grant or assistance. Second notices are sent if the form is not returned within the allocated time frame. No additional grant or assistance will be provided until the form is signed and returned to the Foundation. To the extent additional information is required, requests will be made to the grantee. When the Foundation supports a Mercy Health initiative, the manager of the initiative is expected to attend a Foundation board meeting annually in-person during the course of the Foundation's support for the initiative. This attendance is to report the current year's status of the initiative, and plans for the following year if the Foundation is being asked to continue support or has already made a multi-year commitment. X X true true true true false false false false false false false MICHAEL BEZNEY CHAIR, MERCY HEALTH SVP & GENERAL COUNSEL 0 572688 0 50000 0 112355 0 137241 0 37435 0 909719 0 0 TRAVIS CRUM TREASURER, VP CORP CONTROLLER - MERCY HEALTH 0 276081 0 0 0 2193 0 98083 0 29457 0 405814 0 0 ROGER LAGRECA Foundation President & CEO (END 8/16) 0 179022 0 0 0 154867 0 2397 0 10225 0 346511 0 20885 MICHAEL D CONNELLY JD FORMER OFFICER 0 1267582 0 649043 0 793620 0 18550 0 98823 0 2827618 0 0 Timothy Koder Toledo Region Foundation President 213521 0 0 0 2915 0 30565 0 20735 0 267736 0 0 0 SCOTT PEMBER Lorain Region Foundation Director 164199 0 0 0 1566 0 15393 0 23827 0 204985 0 0 0 ANN MARIE WELTY Cincinnati Region Foundation System Director 166453 0 0 0 5720 0 10118 0 7724 0 190015 0 0 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: Travis Crum $0; Timothy Koder $0; Roger LaGreca $31,345; Scott Pember $0; Paul Homick $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 Tax indemnification and gross-up payments A tax indemnification benefit to cover the income tax incurred on moving expenses was paid to the following listed individual: Paul Homick. The entire benefit was treated as taxable compensation. Schedule J, Part I, Line 1a Housing allowance or residence for personal use A housing allowance was provided to the following listed individual as a result of employment by Mercy Health Foundation: Paul Homick. The entire amount was treated as taxable compensation. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Mercy Health Foundation relies upon Mercy Health to establish compensation of the organization's CEO/Executive Director. Mercy Health utilized a compensation committee, an independent compensation consultant, a compensation survey or study, and approval by board or compensation committee to establish the top management official's 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: Roger LaGreca $122,538. 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 DELEGATES. IT PROVIDES ANNUAL CREDITS OF A SPECIFICED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTFULLY. VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHNAGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMIATION. PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDINGS. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: MICHAEL BEZNEY $90,358; MICHAEL CONNELLY $373,341. X 22 11275 Market value X 1 580000 Opinions of experts X 15070 35695 Cost X Special event advertising/gift certificates 200 58444 Market value X Vacation and travel packages/sporting event tickets/golf fees and items 105 58401 Market value X Scholarships (2) and gift bag items (3) 5 9200 Cost X Home improvement packages/new linens/other donated items for special event sales 149 46962 Market value 1 false true false Schedule M, Part I Explanations of reporting method for number of contributions Art - Works of art - Number of items received Food inventory - Number of items received Other - Special event advertising/gift certificates For advertising, number of contributions (5). For gift certificates, number of items received (195). Other - Vacation and travel packages/sporting event tickets/golf fees and items For vacation and travel packages, number of contributions (34). For sporting event tickets and golf-related contributions, number of items received (71). Other - Scholarships (2) and gift bag items (3) Number of contributions Other - Home improvement packages/new linens/other donated items for special event sales For home improvement packages, number of contributions (1). For new linens, number of contributions (2). For other items, number of donated items (146). Real estate - Commercial - Number if contributions Form 990, Part VI, Line 15a Determining the compensation of the top management official The compensation of the top management official is determined by Mercy Health, a related tax-exempt organization. Form 990, Part VI, Line 6 Classes of members or stockholders MERCY HEALTH IS THE MEMBER OF MERCY HEALTH FOUNDATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Mercy Health elects all trustees who have full voting rights. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Certain matters require approval of Mercy Health, the Foundation's Corporate Member. The regulations of the organization 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 THE Mercy Health TAX DEPARTMENT AND REVIEWED BY MANAGEMENT and the current Foundation board. ONCE THE FORM 990 IS REVIEWED AND APPROVED 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 are covered by the Mercy Health conflict of interest policy, which requires disclosure on an annual basis. All potential conflicts of interest are reviewed by the Mercy health Corporate Compliance Officer. At the beginning of each board meeting all board members are requested to disclose any conflicts of interest. Board members determined to have a conflict of interest are prohibited from participating in deliberations and decision-making for the transaction in which the conflict exists. Form 990, Part VI, Line 19 Required documents available to the public The governing documents and financial statements are available upon request. The conflict of interest policy is posted on the Mercy Health website. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Other changes in net assets - -352642; Decrease in pledges receivable - -3291000; Changes in investment accounts - 591000; MERCY HEALTH 1701 Mercy Health Place CINCINNATI OH 45237 311161086 HEALTHCARE SYSTEM PARENT OH 501(c)(3) 3 NA false MERCY HEALTH FOUNDATION 1701 Mercy Health Place CINCINNATI OH 45237 201072726 FUNDRAISING OH 501(c)(3) 7 MERCY HEALTH false MERCY HEALTH RETIREMENT TRUST 1701 Mercy Health Place CINCINNATI OH 45237 316046304 RETIREMENT TRUST OH 501(c)(3) 7 MERCY HEALTH false COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS 3700 KOLBE ROAD LORAIN OH 44053 341268828 MEDICAL OFFICE RENTAL OH 501(c)(3) 10 MERCY HEALTH - REGIONAL MEDICAL CENTER LLC false ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING 200 WEST LORAIN ST OBERLIN OH 44074 364504991 MEDICAL OFFICE RENTAL OH 501(c)(3) 10 MERCY HEALTH - ALLEN HOSPITAL LLC false MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC 7010 ROWAN HILLS DR CINCINNATI OH 45227 311308729 RETIREMENT HOME OH 501(c)(3) 10 MERCY HEALTH CINCINNATI LLC false MERCY SACRED HEART INC 2120 PAYNE STREET LOUISVILLE KY 40206 611318326 RETIREMENT HOME KY 501(c)(3) 10 MERCY HEALTH CINCINNATI LLC false MERCY LONG TERM CARE INITIATIVE 4915 CHARLESTOWN RD NEW ALBANY IN 47150 311332491 RETIREMENT HOME IN 501(c)(3) 10 MERCY HEALTH CINCINNATI LLC false MERCY FRANCISCAN SOCIAL MINISTRIES INC 1800 LOGAN STREET CINCINNATI OH 45210 311222942 LOW INCOME HOUSING OH 501(c)(3) 7 MERCY HEALTH CINCINNATI LLC false COMMUNITY MERCY HEALTH SYSTEM 100 Medical Center Drive SPRINGFIELD OH 45504 300272454 MARKET PARENT OH 501(c)(3) Type III-FI MERCY HEALTH false COMMUNITY MERCY HEALTH PARTNERS 100 Medical Center Drive SPRINGFIELD OH 45504 310785684 HOSPITAL OH 501(c)(3) 3 COMMUNITY MERCY HEALTH SYSTEM false C H HEALTH SERVICES COMPANY 100 Medical Center Drive SPRINGFIELD OH 45504 311181984 HOSPITAL OH 501(c)(3) 3 COMMUNITY MERCY HEALTH SYSTEM false THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST 100 Medical Center Drive SPRINGFIELD OH 45504 346827136 INDIGENT MEDICAL CARE OH 501(c)(3) Type I NA false MERCY PROPERTY HOLDINGS 2200 JEFFERSON AVENUE TOLEDO OH 43604 300699825 TITLE HOLDING COMPANY OH 501(c)(2) MERCY HEALTH NORTH LLC false MERCY COLLEGE OF OHIO 2221 MADISON AVENUE TOLEDO OH 43604 341726619 MEDICAL COLLEGE OH 501(c)(3) 2 MERCY HEALTH NORTH LLC false MERCY COLLEGE OF OHIO FOUNDATION INC 2221 MADISON AVENUE TOLEDO OH 43604 141963204 FOUNDATION OH 501(c)(3) 7 MERCY COLLEGE OF OHIO false LIFESTAR AMBULANCE INC 2200 JEFFERSON AVENUE TOLEDO OH 43604 341354653 MEDICAL TRANSPORTATION OH 501(c)(3) 10 MERCY HEALTH NORTH LLC false SIMON OUTREACH SERVICES 2600 NAVARRE AVENUE OREGON OH 43616 341383325 MEDICAL OFFICE RENTAL OH 501(c)(3) 10 MERCY HEALTH - 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