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ASSUMPTION VILLAGE: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ASSUMPTION VILLAGE (EIN 34-1013695)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-09
IRS object ID
201603149349302450
Schema version
2015v2.1
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)
Return2016-11-09T14:03:51-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341013695EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Assumption VillageBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlASSUBusinessNameControlTxt
Phone3305490740PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19800 Market StreetAddressLine1Txt
CityNorth LimaCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44452ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMatthew LovePersonNm
Person TitleRegion CFOPersonTitleTxt
Signature2016-10-24SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Donald KlineBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19800 Market StreetAddressLine1Txt
CityNorth LimaCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44452ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,788,287GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.HMPartners.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1974FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE ASSUMPTION VILLAGE OFFERS BOTH ASSISTED LIVING AND LONG-TERM NURSING CARE FOR PATIENTS IN A COMFORTABLE AND WARM ATMOSPHERE. IT IS MEDICARE AND MEDICAID APPROVED.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee284TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,753PYContributionsGrantsAmt
CY Contributions Grants$13,229CYContributionsGrantsAmt
PY Program Service Revenue$12,576,155PYProgramServiceRevenueAmt
CY Program Service Revenue$13,583,645CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$244,461PYOtherRevenueAmt
CY Other Revenue$191,413CYOtherRevenueAmt
PY Total Revenue$12,826,369PYTotalRevenueAmt
CY Total Revenue$13,788,287CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,370,265PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,845,562CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,057,974PYOtherExpensesAmt
CY Other Expenses$6,630,283CYOtherExpensesAmt
PY Total Expenses$13,428,239PYTotalExpensesAmt
CY Total Expenses$14,475,845CYTotalExpensesAmt
PY Revenues Less Expenses-$601,870PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$687,558CYRevenuesLessExpensesAmt
Total Assets BOY$9,356,624TotalAssetsBOYAmt
Total Assets EOY$9,614,759TotalAssetsEOYAmt
Total Liabilities BOY$8,899,862TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,114,557TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$456,762NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,500,202NetAssetsOrFundBalancesEOYAmt
MissionThe Assumption Village extends the healing ministry of Jesus by improving the health of our communities with emphasis on people who are poor and underserved.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$12,440,029ExpenseAmt
Grant$0GrantAmt
Revenue$13,583,645RevenueAmt
DescTHE ASSUMPTION VILLAGE IS A LONG-TERM CARE FACILITY OFFERING MULTI-LEVEL SERVICES, INCLUDING INTERMEDIATE CARE, SKILLED NURSING CARE, ASSISTED LIVING, AND AN ALZHEIMER'S/DEMENTIA SPECIAL CARE UNIT. THE ASSUMPTION VILLAGE PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS.Desc
Total Program Service Expenses$12,440,029TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
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 EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
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
Employee284EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROBERT SHRODER
TRUSTEE, MERCY HEALTH YOUNGSTOWN PRESIDENT & CEO1.048.0Yes (X)Yes (X)$0$828,404$40,423
SR CAROLE ANNE GRISWOLD HM
SECRETARY1.03.0Yes (X)Yes (X)$0$0$0
BETTY JO LICATA
CHAIRPERSON1.02.0Yes (X)Yes (X)$0$0$0
BRIAN CORBIN
VICE CHAIRPERSON1.03.0Yes (X)Yes (X)$0$0$0
SHELLEY TAYLOR-ODILLE
TREASURER1.02.0Yes (X)Yes (X)$0$0$0
SR MARYANN GOLONKA HM
TRUSTEE1.02.0Yes (X)$0$0$0
SCOTT SCHULICK
TRUSTEE1.02.0Yes (X)$0$0$0
SAM KOOPERMAN
TRUSTEE1.02.0Yes (X)$0$0$0
MARTHA BUSHEY
TRUSTEE1.02.0Yes (X)$0$0$0
BRIAN SMITH
TRUSTEE, MERCY HEALTH EVP NETWORKS0.552.5Yes (X)$0$1,174,507$28,954
CONSUELO MENDEZ MD
TRUSTEE1.02.0Yes (X)$0$0$0
WENDY WEBB
TRUSTEE1.02.0Yes (X)$0$0$0
MATTHEW LOVE
MERCY HEALTH YOUNGSTOWN SVP & CFO1.042.0Yes (X)$0$558,498$97,181
ROBERTA HAGES
EXECUTIVE DIRECTOR LTC (To 11/1)20.020.0Yes (X)$0$136,152$13,341
MELESSA SCATTINO
Executive Director LTC (From 11/1)20.020.0Yes (X)$0$118,250$25,445
DONALD KLINE
Former officer0.050.0$0$671,750$183,722Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,487,561TotReportableCompRltdOrgAmt
Total Other Compensation$389,066TotalOtherCompensationAmt
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
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$13,229RelatedOrganizationsAmt
Total Contributions$13,229TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621990$13,564,704$13,564,704
LAB REVENUE621500$18,941$18,941

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,583,645TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
BEAUTY/BARBER SHOP812900$56,786$56,786
CAFETERIA722210$8,633$8,633
LAUNDRY812300$2,098$2,098

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$123,896TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$123,896ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$191,413OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,788,287TotalRevenueColumnAmt
Related Or Exempt Func Income$13,583,645RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$191,413ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,657,451TotalAmt
Program Services$4,808,834ProgramServicesAmt
Management And General$848,617ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total-$23,393TotalAmt
Program Services-$19,884ProgramServicesAmt
Management And General-$3,509ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,804,956TotalAmt
Program Services$1,534,213ProgramServicesAmt
Management And General$270,743ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$406,548TotalAmt
Program Services$345,566ProgramServicesAmt
Management And General$60,982ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$48,396TotalAmt
Management And General$48,396ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,008,218TotalAmt
Program Services$2,558,810ProgramServicesAmt
Management And General$449,408ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$455,946TotalAmt
Program Services$387,554ProgramServicesAmt
Management And General$68,392ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$449,431TotalAmt
Program Services$382,017ProgramServicesAmt
Management And General$67,414ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,903TotalAmt
Program Services$8,418ProgramServicesAmt
Management And General$1,485ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$315,698TotalAmt
Program Services$268,343ProgramServicesAmt
Management And General$47,355ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$488,691TotalAmt
Program Services$415,387ProgramServicesAmt
Management And General$73,304ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total-$20,750TotalAmt
Program Services-$17,637ProgramServicesAmt
Management And General-$3,113ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEMBERSHIP DUES$24,793$21,074$3,719
Medical Supplies$619,602$619,602
DIETARY SUPPLIES$546,203$546,203

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$684,152TotalAmt
Program Services$581,529ProgramServicesAmt
Management And General$102,623ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,475,845TotalAmt
Program Services$12,440,029ProgramServicesAmt
Management And General$2,035,816ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$800BOYAmt
EOY$800EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY-$403,613BOYAmt
EOY-$28,989EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,555,937BOYAmt
EOY$1,075,575EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$18,107BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,400EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,843,066LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,277,093LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,185,393BOYAmt
EOY$8,565,973EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,356,624BOYAmt
EOY$9,614,759EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,693,442BOYAmt
EOY$1,324,681EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,206,420BOYAmt
EOY$6,789,876EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,899,862BOYAmt
EOY$8,114,557EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$456,762BOYAmt
EOY$1,500,202EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$456,762BOYAmt
EOY$1,500,202EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,356,624BOYAmt
EOY$9,614,759EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$687,558ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1,730,998OtherChangesInNetAssetsAmt
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$80,785CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,201CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,759CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,753CurrentTaxYearMinus1YearAmt
Current Tax Year$13,229CurrentTaxYearAmt
Total$127,727TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,325,373CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,542,132CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,136,454CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,576,155CurrentTaxYearMinus1YearAmt
Current Tax Year$13,583,645CurrentTaxYearAmt
Total$63,163,759TotalAmt

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)
Current Tax Year Minus4 Years$12,406,158CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,543,333CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,163,213CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,581,908CurrentTaxYearMinus1YearAmt
Current Tax Year$13,596,874CurrentTaxYearAmt
Total$63,291,486TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
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)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$63,291,486PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,629CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$887CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$118CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$3,634TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,629CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$887CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$118CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$3,634TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$111,243CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$194,374CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$175,424CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$244,461CurrentTaxYearMinus1YearAmt
Current Tax Year$191,413CurrentTaxYearAmt
Total$916,915TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,520,030CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,738,594CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,338,755CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,826,369CurrentTaxYearMinus1YearAmt
Current Tax Year$13,788,287CurrentTaxYearAmt
Total$64,212,035TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9857PublicSupportCY509Pct
Public Support PY5090.9866PublicSupportPY509Pct
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 - OTHER EXCLUDED REVENUE, COLUMN A - 111243.0, COLUMN B - 194374.0, COLUMN C - 175424.0, COLUMN D - 244461.0, COLUMN E - 191413.0, COLUMN F - 916915.0;ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$440,000OtherCostOrOtherBasisAmt
Book Value$440,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,359,419OtherCostOrOtherBasisAmt
Depreciation$6,845,155DepreciationAmt
Book Value$7,514,264BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$564,390OtherCostOrOtherBasisAmt
Depreciation$294,685DepreciationAmt
Book Value$269,705BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,471,558OtherCostOrOtherBasisAmt
Depreciation$2,137,253DepreciationAmt
Book Value$334,305BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,699OtherCostOrOtherBasisAmt
Book Value$7,699BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,565,973TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescNOTES PAYABLE TO AFFILIATEDesc
Amt$6,789,876Amt
FieldValueIRS element (for citing)
Total Liability$6,789,876TotalLiabilityAmt
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 AND AFFILIATED ENTITIES) COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2015 AND 2014, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2015 OR 2014.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 (4 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
ROBERT SHRODER
TRUSTEE, MERCY HEALTH YOUNGSTOWN PRESIDENT & CEO$0$444,365$0$191,646$0$192,393$0$20,034$0$20,389$0$868,827$0$0
BRIAN SMITH
TRUSTEE, MERCY HEALTH EVP NETWORKS$0$640,481$0$222,291$0$311,735$0-$8,809$0$37,763$0$1,203,461$0$0
DONALD KLINE
Former officer$0$462,002$0$117,396$0$92,352$0$156,558$0$27,164$0$855,472$0$0
MATTHEW LOVE
MERCY HEALTH YOUNGSTOWN SVP & CFO$0$384,630$0$69,409$0$104,459$0$72,223$0$24,958$0$655,679$0$28,646

Supplemental Information Detail SupplementalInformationDetail (7 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 includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Robert Shroder $98,548; Brian Smith $133,357.
Schedule J, Part I, Line 4b Terms and conditions of the Lima Market SERPTHE 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 $42,146.
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: Matthew Love $0; Donald Kline $0.
Schedule J, Part II, Column (C) Reporting negative deferred compensationAnnual 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 3 Arrangement used to establish the top management official's compensationThe compensation of Robert Shroder, President and CEO of Mercy Health Youngstown LLC, is determined by Mercy Health, a related tax-exempt organization. Mercy Health utilizes a compensation committee, an independent compensation consultant, a compensation survey, and approval by board or compensation committee when determining Mr. Shroder'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 year to listed individuals were as follows: Roberta Hages $10,149.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planThe 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 are as follows: Matthew Love $62,867; Donald Kline $0.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15 CompensationTHE COMPENSATION OF THE CEO OR TOP MANAGEMENT OFFICIAL IS DETERMINED BY MERCY HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION OF OFFICERS OR KEY EMPLOYEES IS DETERMINED BY MERCY HEALTH YOUNGSTOWN LLC, A RELATED TAX-EXEMPT ORGANIZATION.
Form 990, Part VI, Line 6 Classes of members or stockholdersMERCY HEALTH YOUNGSTOWN LLC IS THE SOLE MEMBER OF THE ASSUMPTION VILLAGE.
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, 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 final version is provided to all members of the Governing Body prior to filing.
Form 990, Part VI, Line 12c Conflict of interest policyAll 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 required 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 publicTHE SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE MERCY HEALTH WEBSITE.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueOTHER REVENUE - Total Revenue: 123896, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 123896;
Form 990, Part IX, Line 11g Other FeesMedical Professional Fee - Total Expense: 12163, Program Service Expense: 12163, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 14775, Program Service Expense: 12559, Management and General Expenses: 2216, Fundraising Expenses: ; Intercompany - Total Expense: 143739, Program Service Expense: 122178, Management and General Expenses: 21561, Fundraising Expenses: ; Affiliate Assessment - Total Expense: 1276092, Program Service Expense: 1084678, Management and General Expenses: 191414, Fundraising Expenses: ; Other - Total Expense: 1561449, Program Service Expense: 1327232, Management and General Expenses: 234217, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesEquity transfer from affiliate - 1730998;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (36 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)(33NAfalse
MERCY HEALTH FOUNDATION
1701 Mercy Health PlaceCINCINNATIOH45237201072726FUNDRAISINGOH501(c)(37MERCY HEALTHfalse
MERCY HEALTH RETIREMENT TRUST
1701 Mercy Health PlaceCINCINNATIOH45237316046304RETIREMENT TRUSTOH501(c)(37MERCY HEALTHfalse
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROADLORAINOH44053341268828MEDICAL OFFICE RENTALOH501(c)(39MERCY HEALTH - REGIONAL MEDICAL CENTER LLCfalse
ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN STOBERLINOH44074364504991MEDICAL OFFICE RENTALOH501(c)(3Type IIMERCY HEALTH - ALLEN HOSPITAL LLCfalse
MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC
7010 ROWAN HILLS DRCINCINNATIOH45227311308729RETIREMENT HOMEOH501(c)(39MERCY HEALTH CINCINNATI LLCfalse
MERCY SACRED HEART INC
2120 PAYNE STREETLOUISVILLEKY40206611318326RETIREMENT HOMEKY501(c)(39MERCY HEALTH CINCINNATI LLCfalse
MERCY LONG TERM CARE INITIATIVE
4915 CHARLESTOWN RDNEW ALBANYIN47150311332491RETIREMENT HOMEIN501(c)(39MERCY HEALTH CINCINNATI LLCfalse
MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREETCINCINNATIOH45210311222942LOW INCOME HOUSINGOH501(c)(37MERCY HEALTH CINCINNATI LLCfalse
MERCY FRANCISCAN AT ST RAPHAEL INC
610 HIGH STREETHAMILTONOH45011202934871SOCIAL SERVICESOH501(c)(37MERCY HEALTH CINCINNATI LLCfalse
COMMUNITY MERCY HEALTH SYSTEM
ONE S LIMESTONE STSPRINGFIELDOH45502300272454MARKET PARENTOH501(c)(3MERCY HEALTHfalse
COMMUNITY MERCY HEALTH PARTNERS
ONE S LIMESTONE STSPRINGFIELDOH45502310785684HOSPITALOH501(c)(33COMMUNITY MERCY HEALTH SYSTEMfalse
C H HEALTH SERVICES COMPANY
ONE S LIMESTONE STSPRINGFIELDOH45502311181984HOSPITALOH501(c)(33COMMUNITY MERCY HEALTH SYSTEMfalse
CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE
1150 E HOME ROADSPRINGFIELDOH45503260698515MEDICAL INFORMATION EXCHANGEOH501(c)(39COMMUNITY MERCY HEALTH SYSTEMfalse
THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST
ONE S LIMESTONE STSPRINGFIELDOH45502346827136INDIGENT MEDICAL CAREOH501(c)(3Type INAfalse
MERCY PROPERTY HOLDINGS
2200 JEFFERSON AVENUETOLEDOOH43604300699825TITLE HOLDING COMPANYOH501(c)(2MERCY HEALTH NORTH LLCfalse
MERCY HOME CARE INC
2200 JEFFERSON AVENUETOLEDOOH43604341587572HOME HEALTHCAREOH501(c)(39MERCY HEALTH NORTH LLCfalse
MERCY COLLEGE OF OHIO
2221 MADISON AVENUETOLEDOOH43604341726619MEDICAL COLLEGEOH501(c)(32MERCY HEALTH NORTH LLCfalse
MERCY COLLEGE OF OHIO FOUNDATION INC
2221 MADISON AVENUETOLEDOOH43604141963204FOUNDATIONOH501(c)(3Type IMERCY COLLEGE OF OHIOfalse
LIFESTAR AMBULANCE INC
2200 JEFFERSON AVENUETOLEDOOH43604341354653MEDICAL TRANSPORTATIONOH501(c)(3Type IIMERCY HEALTH NORTH LLCfalse
SIMON OUTREACH SERVICES
2600 NAVARRE AVENUEOREGONOH43616341383325MEDICAL OFFICE RENTALOH501(c)(3Type IIMERCY HEALTH - ST CHARLES HOSPITAL LLCfalse
FARLEY HEALTHCARE CORPORATION
2200 JEFFERSON AVENUETOLEDOOH43604341363204HEALTH SERVICESOH501(c)(39MERCY HEALTH NORTH LLCfalse
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400LIMAOH45801341937267MEDICAL LAB SERVICESOH501(c)(3Type IIST RITA'S MEDICAL CENTER LLCfalse
THE ASSUMPTION VILLAGE
9800 N MARKET STREETNORTH LIMAOH44452341013695NURSING HOMEOH501(c)(39MERCY HEALTH YOUNGSTOWN LLCfalse
HOSPICE OF THE VALLEY
5190 MARKET STREETYOUNGSTOWNOH44512341288745HOSPICE SERVICESOH501(c)(39MERCY HEALTH YOUNGSTOWN LLCfalse
HUMILITY HOUSE
755 OHLTOWN ROADAUSTINTOWNOH44515341894783NURSING HOMEOH501(c)(39MERCY HEALTH YOUNGSTOWN LLCfalse
ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SEWARRENOH44484346556121FUNDRAISINGOH501(c)(39MERCY HEALTH YOUNGSTOWN LLCfalse
MERCY HEALTH PARTNERS - LOURDES INC
1530 LONE OAK ROADPADUCAHKY42003610600313HOSPITALKY501(c)(33MERCY HEALTHfalse
LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROADPADUCAHKY42003610927805FUNDRAISINGKY501(c)(3MERCY HEALTH FOUNDATIONfalse
MARCUM AND WALLACE MEMORIAL HOSPITAL INC
60 MERCY COURTIRVINEKY40336610927491HOSPITALKY501(c)(33MERCY HEALTH PARTNERS - LOURDES INCfalse
MERCY HEALTH PARTNERS INC
1701 Mercy Health PlaceCINCINNATIOH45237731627534MARKET PARENTTN501(c)(3Type IMERCY HEALTHfalse
MERCY HEALTH PARTNERS - NORTHEAST REGION INC
1701 Mercy Health PlaceCINCINNATIOH45237232813196MARKET PARENTPA501(c)(3MERCY HEALTHfalse
MERCY HOSPITAL OF WILKES-BARRE
746 JEFFERSON AVENUESCRANTONPA18510240795625HOSPITALPA501(c)(33MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY HEALTH CARE CENTER
746 JEFFERSON AVENUESCRANTONPA18510232322809HOSPITALPA501(c)(33MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
HEALTHSPAN PARTNERS
1701 Mercy Health PlaceCINCINNATIOH45237463055925MARKET PARENTOH501(c)(3Type IIMERCY HEALTHfalse
HEALTHSPAN INTEGRATED CARE
1001 LAKESIDE AVE SUITE 1200CLEVELANDOH44114340922268HMOOH501(c)(39HEALTHSPAN PARTNERSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 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
HMHPUSP Surgery Centers LLC
15305 Dallas Pkwy Ste 1600AddisonTX75001271953122Surgery CenterTXNAN/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

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 DYNAMICS INC
900 E OAK HILL AVENUEKNOXVILLETN37917621247729MEDICAL EQUIPMENT SALESNAC CorporationfalseTN
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
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
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 SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd