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Mercy Long Term Care Initiative: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
Mercy Long Term Care Initiative (EIN 31-1332491)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-10-30
IRS object ID
201723039349301227
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-10-30T15:04:05-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311332491EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mercy Long Term Care InitiativeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone5139525000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 Mercy Health PlaceAddressLine1Txt
CityCincinnatiCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45237ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEric SmithPersonNm
Person TitleCFO Cincinnati RegionPersonTitleTxt
Signature2017-10-02SignatureDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Providence Retirement HomeBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Eric SmithBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 Mercy Health PlaceAddressLine1Txt
CityCincinnatiCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45237ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$0GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionPROVIDENCE RETIREMENT HOME IS A LONG-TERM CARE FACILITY OFFERING MULTI-LEVEL SERVICE. All long-term care operations ceased on October 1, 2013.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$4,111PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$4,077PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$8,188PYTotalRevenueAmt
CY Total Revenue$0CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$24,884PYOtherExpensesAmt
CY Other Expenses$0CYOtherExpensesAmt
PY Total Expenses$24,884PYTotalExpensesAmt
CY Total Expenses$0CYTotalExpensesAmt
PY Revenues Less Expenses-$16,696PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$0CYRevenuesLessExpensesAmt
Total Assets BOY$0TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
MissionPROVIDENCE RETIREMENT HOME EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$0ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescThe operating assets of the organization were sold on October 1 2013. All Long-Term care facility operations ceased as of that date.Desc
Total Program Service Expenses$0TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Travis CrumBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5139525000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 Mercy Health PLACEAddressLine1Txt
CityCincinnatiCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45237ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JAMES J MCGRAW JR
CHAIRMAN0.52.5Yes (X)Yes (X)$0$0$0
Janet Reid
VICE CHAIR0.51.0Yes (X)Yes (X)$0$0$0
JOHN STARCHER JR JD
BD PRES. & SECTRY, PRES. & CEO Mercy Health (END 5/16)0.553.5Yes (X)Yes (X)$0$1,685,517$43,882
MICHAEL W GARFIELD
Bd Pres. & SECTRY, SVP MERCY HEALTH, PRES. & CEO CINTI REGION (ELECTED 5/16)0.551.0Yes (X)Yes (X)$0$597,227$142,712
GERMAINE BENNETT
TRUSTEE0.52.5Yes (X)$0$0$0
SR MARJORIE BOSSE RSM
TRUSTEE0.53.5Yes (X)$0$0$0
TIMOTHY INGRAM
TRUSTEE0.52.5Yes (X)$0$0$0
KIMBERLY MAUER
TRUSTEE0.53.5Yes (X)$0$0$0
L RICHARD ROEDERSHEIMER MD
TRUSTEE (ENDED 3/16)0.540.0Yes (X)$0$383,723$35,592
EDWARD J VONDERBRINK
TRUSTEE0.52.0Yes (X)$0$0$0
DANIEL GEEDING
TRUSTEE0.52.5Yes (X)$0$0$0
ED HERZIG MD
TRUSTEE0.540.0Yes (X)$0$343,262$46,583
REENA DHANDA PATIL MD
TRUSTEE0.52.5Yes (X)$0$0$0
DONNA ZARING
TRUSTEE0.52.5Yes (X)$0$0$0
Howard BELL MD
TRUSTEE (ENDED 3/16)1.02.0Yes (X)$0$0$0
CHINEDUM NDUKWE
TRUSTEE0.51.0Yes (X)$0$0$0
EDWARD J BABBITT
TRUSTEE0.51.0Yes (X)$0$0$0
WILLIAM P BECKMEYER MD
TRUSTEE0.51.0Yes (X)$0$0$0
ANTHONY J ARETZ PHD
TRUSTEE (ENDED 6/16)0.51.5Yes (X)$0$0$0
TODD LUPTON
SVP & CFO, SOUTHERN DIVISION1.043.0Yes (X)$0$451,960$103,621
DAVID NOWISKI
FORMER OFFICER0.054.0$0$516,468$85,963Yes (X)
YOUSUF JAMAL AHMAD
FORMER OFFICER0.044.0$0$286,582$3,056Yes (X)
DEBORAH BLOOMFIELD
FORMER OFFICER0.050.0$0$610,123$295,519Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,874,862TotReportableCompRltdOrgAmt
Total Other Compensation$756,928TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
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FieldValueIRS element (for citing)
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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Real$0RealAmt
Personal$0PersonalAmt

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FieldValueIRS element (for citing)
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Exclusion$0ExclusionAmt

Fees For Services Other FeesForServicesOtherGrp

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Total Functional Expenses TotalFunctionalExpensesGrp

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Investments Other Securities InvestmentsOtherSecuritiesGrp

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Investments Program Related InvestmentsProgramRelatedGrp

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FieldValueIRS element (for citing)
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EOY$0EOYAmt

Total Assets TotalAssetsGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
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EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

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BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
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Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$233,240CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$58,243CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$291,483TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
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Current Tax Year Minus3 Years$12,026,856CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$99,896CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,111CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$21,889,952TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
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Current Tax Year Minus3 Years$12,085,099CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$99,896CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,111CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$22,181,435TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
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Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
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Total$0TotalAmt
FieldValueIRS element (for citing)
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Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
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Current Tax Year Minus3 Years$1,017CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$802CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$3,034TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
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Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
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Current Tax Year Minus3 Years$1,017CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$802CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$3,034TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$82,959CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,376CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$43,089CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,077CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$161,501TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,076,503CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,117,492CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$143,787CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,188CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$22,345,970TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9926PublicSupportCY509Pct
Public Support PY5090.9889PublicSupportPY509Pct
Investment Income CY0.0001InvestmentIncomeCYPct
Investment Income PY0.0001InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - CAFETERIA, COLUMN A - 1367.0, COLUMN B - 1951.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 3318.0; DESCRIPTION - PHONE & TV, COLUMN A - 16042.0, COLUMN B - 12189.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 28231.0; DESCRIPTION - OTHER OPERATING REVENUE, COLUMN A - 61619.0, COLUMN B - 13889.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 75508.0; DESCRIPTION - BEAUTY SHOP, COLUMN A - 10.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 10.0; DESCRIPTION - LAUNDRY, COLUMN A - 3911.0, COLUMN B - 3347.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 7258.0; DESCRIPTION - VENDING MACHINES, COLUMN A - 0.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 0.0; DESCRIPTION - GIFT SHOP, COLUMN A - 10.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 10.0; DESCRIPTION - MISCELLANEOUS REVENUE, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 43089.0, COLUMN D - 4077.0, COLUMN E - , COLUMN F - 47166.0;ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationTHE COMPANY [MERCY HEALTH PARTNERS 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN STARCHER JR JD
BD PRES. & SECTRY, PRES. & CEO Mercy Health (END 5/16)$0$1,206,522$0$225,000$0$253,995$0$16,731$0$27,151$0$1,729,399$0$0
MICHAEL W GARFIELD
Bd Pres. & SECTRY, SVP MERCY HEALTH, PRES. & CEO CINTI REGION (ELECTED 5/16)$0$546,274$0$10,000$0$40,953$0$117,343$0$25,369$0$739,939$0$0
L RICHARD ROEDERSHEIMER MD
TRUSTEE (ENDED 3/16)$0$314,011$0$34,099$0$35,613$0$16,339$0$19,253$0$419,315$0$0
ED HERZIG MD
TRUSTEE$0$251,921$0$68,409$0$22,932$0$30,100$0$16,483$0$389,845$0$0
DAVID NOWISKI
FORMER OFFICER$0$372,592$0$40,055$0$103,821$0$55,744$0$30,219$0$602,431$0$0
YOUSUF JAMAL AHMAD
FORMER OFFICER$0$0$0$0$0$286,582$0$3,056$0$0$0$289,638$0$0
DEBORAH BLOOMFIELD
FORMER OFFICER$0$607,452$0$0$0$2,671$0$269,415$0$26,104$0$905,642$0$0
TODD LUPTON
SVP & CFO, SOUTHERN DIVISION$0$441,204$0$0$0$10,756$0$74,857$0$28,764$0$555,581$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4b Terms and conditions of the Mercy Health SERP PlanThe 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 withholdings. Payment of the vested account balance in a lump sum occurs after termination of employment. Amounts includable as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: John Starcher, Jr., JD $230,539.
Schedule J, Part I, Line 4b Terms and conditions of the Mercy Health System SERPThe 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: David Nowiski $0; Deborah Bloomfield $0; Todd Lupton $0; Michael W. Garfield $0.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationThe compensation of Presidents John Starcher, Jr. JD, and Michael W. Garfield is determined by Mercy Health, a related tax-exempt organization. Mercy Health utilizes a compensation committee, a written employment contract, an independent compensation consultant, and approval by the board or compensation committee when determining Mr. Starcher's and Mr. Garfield's compensation.
Schedule J, Part I, Line 4a Severance or change-of-control paymentSeverance 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: Yousuf Jamal Ahmad $286,582.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planThe 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 includible as taxable compensation for listed individuals due to executive benefit plan participation in the reporting year were as follows: Yousuf Jamal Ahmad $0; Deborah Bloomfield $0.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15 POLICIESNO COMPENSATION WAS PAID TO ANY OFFICER OR KEY EMPLOYEE BY THE FILING ORGANIZATION.
Form 990, Part VI, Line 6 Classes of members or stockholdersMERCY HEALTH CINCINNATI LLC IS THE SOLE MEMBER OF MERCY LONG TERM CARE INITIATIVE DBA PROVIDENCE RETIREMENT HOME.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyMercy Health elects all board members who have full voting rights.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersCERTAIN MATTERS REQUIRE APPROVAL OF THE MERCY HEALTH CORPORATE MEMBER, THE MERCY HEALTH GOVERNING BODY, OR THE MERCY HEALTH CEO. 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 bodyThe Form 990 is prepared by MERCY HEALTH'S Tax Department and reviewed by management. 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 policyEach year trustees complete a conflict of interest statement that is subsequently approved by the audit & corporate responsibility committee (ACRC) at Mercy Health Cincinnati LLC and then sent to MERCY HEALTH for their ACRC to approve. Any conflicts of interest that occur during the year are required to be brought to the attention of the ACRC at Mercy Health Cincinnati LLC.
Form 990, Part VI, Line 19 Required documents available to the publicTHE SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE MERCY HEALTH WEBSITE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (32 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MERCY HEALTH
1701 Mercy Health PlaceCINCINNATIOH45237311161086HEALTHCARE SYSTEM PARENTOH501(c)(3)3NAfalse
MERCY HEALTH FOUNDATION
1701 Mercy Health PlaceCINCINNATIOH45237201072726FUNDRAISINGOH501(c)(3)7MERCY HEALTHfalse
MERCY HEALTH RETIREMENT TRUST
1701 Mercy Health PlaceCINCINNATIOH45237316046304RETIREMENT TRUSTOH501(c)(3)7MERCY HEALTHfalse
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROADLORAINOH44053341268828MEDICAL OFFICE RENTALOH501(c)(3)10MERCY HEALTH - REGIONAL MEDICAL CENTER LLCfalse
ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN STOBERLINOH44074364504991MEDICAL OFFICE RENTALOH501(c)(3)10MERCY HEALTH - ALLEN HOSPITAL LLCfalse
MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC
7010 ROWAN HILLS DRCINCINNATIOH45227311308729RETIREMENT HOMEOH501(c)(3)10MERCY HEALTH CINCINNATI LLCfalse
MERCY SACRED HEART INC
2120 PAYNE STREETLOUISVILLEKY40206611318326RETIREMENT HOMEKY501(c)(3)10MERCY HEALTH CINCINNATI LLCfalse
MERCY LONG TERM CARE INITIATIVE
4915 CHARLESTOWN RDNEW ALBANYIN47150311332491RETIREMENT HOMEIN501(c)(3)10MERCY HEALTH CINCINNATI LLCfalse
MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREETCINCINNATIOH45210311222942LOW INCOME HOUSINGOH501(c)(3)7MERCY HEALTH CINCINNATI LLCfalse
COMMUNITY MERCY HEALTH SYSTEM
100 Medical Center DriveSPRINGFIELDOH45504300272454MARKET PARENTOH501(c)(3)Type III-FIMERCY HEALTHfalse
COMMUNITY MERCY HEALTH PARTNERS
100 Medical Center DriveSPRINGFIELDOH45504310785684HOSPITALOH501(c)(3)3COMMUNITY MERCY HEALTH SYSTEMfalse
C H HEALTH SERVICES COMPANY
100 Medical Center DriveSPRINGFIELDOH45504311181984HOSPITALOH501(c)(3)3COMMUNITY MERCY HEALTH SYSTEMfalse
THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST
100 Medical Center DriveSPRINGFIELDOH45504346827136INDIGENT MEDICAL CAREOH501(c)(3)Type INAfalse
MERCY PROPERTY HOLDINGS
2200 JEFFERSON AVENUETOLEDOOH43604300699825TITLE HOLDING COMPANYOH501(c)(2)MERCY HEALTH NORTH LLCfalse
MERCY COLLEGE OF OHIO
2221 MADISON AVENUETOLEDOOH43604341726619MEDICAL COLLEGEOH501(c)(3)2MERCY HEALTH NORTH LLCfalse
MERCY COLLEGE OF OHIO FOUNDATION INC
2221 MADISON AVENUETOLEDOOH43604141963204FOUNDATIONOH501(c)(3)7MERCY COLLEGE OF OHIOfalse
LIFESTAR AMBULANCE INC
2200 JEFFERSON AVENUETOLEDOOH43604341354653MEDICAL TRANSPORTATIONOH501(c)(3)10MERCY HEALTH NORTH LLCfalse
SIMON OUTREACH SERVICES
2600 NAVARRE AVENUEOREGONOH43616341383325MEDICAL OFFICE RENTALOH501(c)(3)10MERCY HEALTH - ST CHARLES HOSPITAL LLCfalse
FARLEY HEALTHCARE CORPORATION
2200 JEFFERSON AVENUETOLEDOOH43604341363204HEALTH SERVICESOH501(c)(3)10MERCY HEALTH NORTH LLCfalse
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400LIMAOH45801341937267MEDICAL LAB SERVICESOH501(c)(3)3ST RITA'S MEDICAL CENTER LLCfalse
THE ASSUMPTION VILLAGE
9800 N MARKET STREETNORTH LIMAOH44452341013695NURSING HOMEOH501(c)(3)10MERCY HEALTH YOUNGSTOWN LLCfalse
HOSPICE OF THE VALLEY
5190 MARKET STREETYOUNGSTOWNOH44512341288745HOSPICE SERVICESOH501(c)(3)10MERCY HEALTH YOUNGSTOWN LLCfalse
HUMILITY HOUSE
755 OHLTOWN ROADAUSTINTOWNOH44515341894783NURSING HOMEOH501(c)(3)10MERCY HEALTH YOUNGSTOWN LLCfalse
ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SEWARRENOH44484346556121FUNDRAISINGOH501(c)(3)10MERCY HEALTH YOUNGSTOWN LLCfalse
LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROADPADUCAHKY42003610927805FUNDRAISINGKY501(c)(3)10MERCY HEALTH FOUNDATIONfalse
MARCUM AND WALLACE MEMORIAL HOSPITAL INC
60 MERCY COURTIRVINEKY40336610927491HOSPITALKY501(c)(3)3MERCY HEALTH PARTNERS - LOURDES INCfalse
MERCY HEALTH PARTNERS INC
1701 Mercy Health PlaceCINCINNATIOH45237731627534MARKET PARENTTN501(c)(3)3MERCY HEALTHfalse
MERCY HEALTH PARTNERS - NORTHEAST REGION INC
1701 Mercy Health PlaceCINCINNATIOH45237232813196MARKET PARENTPA501(c)(3)3MERCY HEALTHfalse
MERCY HOSPITAL OF WILKES-BARRE
746 JEFFERSON AVENUESCRANTONPA18510240795625HOSPITALPA501(c)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY HEALTH CARE CENTER
746 JEFFERSON AVENUESCRANTONPA18510232322809HOSPITALPA501(c)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
HEALTHSPAN PARTNERS
1701 Mercy Health PlaceCINCINNATIOH45237463055925MARKET PARENTOH501(c)(3)Type IIMERCY HEALTHfalse
HEALTHSPAN INTEGRATED CARE
1001 LAKESIDE AVE SUITE 1200CLEVELANDOH44114340922268HMOOH501(c)(3)10HEALTHSPAN PARTNERSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
Advanced Health Select LLC
1701 Mercy Health PlaceCincinnatiOH45237473666880Clinically-integrated networkOHNAN/A
NWO Integrated Laboratories Mercy LLC
2200 Jefferson AvenueToledoOH43624341898285Laboratory servicesOHNAN/A
Tiffin Ambulatory Surgical Associates
45 St Lawrence DriveTiffinOH44833371567866Ambulatory Surgery CenterOHNAN/A
New Vision Medical Lab LLC
750 W High StreetLimaOH45801341913433Lab ServicesOHNAN/A
West Central Ohio Group Ltd
801 Medical DriveLimaOH45804341848147Orthopedic HospitalOHNAN/A
Kidney Services of West Central Ohio
750 W High Street Suite 100LimaOH45801061644264Dialysis CenterOHNAN/A
West Central Ohio Regional Healthcare Alliance Ltd
2615 Fort Amanda RoadLimaOH45805341817078Healthcare qualityOHNAN/A
Urologic Oncology of Mahoning Valley LLC
1044 Belmont AveYoungstownOH44501262989686Radiation TherapyOHNAN/A
OSC-HMHP LLC
6505 Market St Bldg B Ste 101BoardmanOH44512010724836Orthopedic Surgery CenterOHNAN/A
Lourdes Ambulatory Surgery Center
225 Medical Center DrivePaducahKY42003205588350Surgery CenterKYNAN/A
Marshall County MRI LLC
615 Old Symsonia RoadBentonKY42025610601267MRI facilityKYNAN/A
Ensemble RCM LLC
1701 Mercy Health PlaceCincinnatiOH45237471202570Revenue cycle servicesOHNAN/A
Premium ASC Holdings LLC
5217 Maryland Way Suite 200BrentwoodTN37027451995066Surgery CenterTNNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile StateLegalDomicileStateCd
CHP INSURANCE LTD
1701 Mercy Health PlaceCINCINNATIOH45237980621978INSURANCECJNAC Corporationfalse
NORTHPARKE MEDICAL COMMONS CONDO ASSN
333 N LIMESTONE STSPRINGFIELDOH45503311391230REAL PROPERTY MGMNTNAC CorporationfalseOH
NORTHSIDE CORPORATION
2200 JEFFERSON AVENUETOLEDOOH43604341318438RESIDENT RENTALSNAC CorporationfalseOH
MERCY WORK SOLUTIONS
2200 JEFFERSON AVENUETOLEDOOH43604300066340WORKERS COMPENSATIONNAC CorporationfalseOH
MERCY HEALTH SYSTEM PHO
2200 JEFFERSON AVENUETOLEDOOH43604341778321MEDICAL SERVICESNAC CorporationfalseOH
MCAULEY MANAGEMENT SERVICES INC
730 W MARKET STREETLIMAOH45801341379037PROPERTY RENTALNAC CorporationfalseOH
LIMA MEDICAL SUPPLIES INC
730 W MARKET STREETLIMAOH45801340944477MEDICAL EQUIPMENTNAC CorporationfalseOH
COMMUNITY HEALTH PARTNERS ENTERPRISES INC
3700 KOLBE ROADLORAINOH44053341455525HOLDING COMPANYNAC CorporationfalseOH
AMC PHYSICIANS INC
200 W LORAIN STREETOBERLINOH44074371439554PHYSICIAN SERVICESNAC CorporationfalseOH
MERCY HEALTH VENTURES INC
1701 Mercy Health PlaceCINCINNATIOH45237311185477DIVERSIFIED ACTIVITIESNAC CorporationfalseOH
MERCY FRANCISCAN AT WINTON WOODS I INC
10290 MILL ROADCINCINNATIOH45231311658668LOW-INCOME HOUSINGNAC CorporationfalseOH
HEALTH VENTURES INC & SUBSIDIARIES
P O BOX 1788KNOXVILLETN37901621175587MEDICAL SERVICESNAC CorporationfalseTN
RALPH EWE TRUST
270 PARK AVENUENEW YORKNY10017346866422BENEFICIAL TRUSTNATrustfalseNY
ELIZABETH HINES CATES TRUST
PNC 1900 E 9TH STCLEVELANDOH44114346515678BENEFICIAL TRUSTNATrustfalseOH
WILLIS PARK TRUST
PNC 1900 E 9TH STCLEVELANDOH44114346519904BENEFICIAL TRUSTNATrustfalseOH
ERMA GIBSON BALDWIN TRUST
PNC 1900 E 9TH STCLEVELANDOH44114346515566BENEFICIAL TRUSTNATrustfalseOH
HEALTHSPAN INC
225 PICTORIA DRCINCINNATIOH45246311431434INSURANCENAC CorporationfalseOH
HEALTHSPAN SOLUTIONS INC
1701 Mercy Health PlaceCINCINNATIOH45237300810766CONSULTINGNAC CorporationfalseOH
HEALTHCARE SERVICES AND SUPPORT
1701 Mercy Health PlaceCINCINNATIOH45237812388652HEALTHCARE SERVICESNAC CorporationfalseOH
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd