2016-11-11T11:04:27-06:00 2015-12-31 440160260 BKD LLP 312 Walnut Street Suite 300 Cincinnati OH 45202 990 2015-01-01 610600313 Mercy Health Partners - Lourdes Inc MERC 2704442444 1530 Lone Oak Road Paducah KY 42003 Alan Archbold Market CFO 2016-10-12 true P00961884 5136218300 2015 2017-02-10 21:41:12Z X Lourdes Hospital Inc STEVEN GRINNELL 1530 Lone Oak Road Paducah KY 42003 237080115 false 0928 X www.lourdes-pad.org X 1962 KY Mercy Health Partners - Lourdes, Inc. extends the healing ministry of Jesus by improving the health of our communities with emphasis on people who are poor and under-served by demonstrating behaviors reflecting our core values of compassion, excellence, human dignity, justice, sacredness of life and service. X 17 12 1998 144 93608 0 2053357 1735143 209952641 225151210 5154128 1789167 8716056 8404595 225876182 237080115 0 0 92580795 98876087 0 0 106312786 117711891 198893581 216587978 26982601 20492137 214875796 0 43357046 0 171518750 0 Mercy Health Partners - Lourdes Inc. extends the healing ministry of Jesus by improving the health of our communities with emphasis on people who are poor and under-served. Lourdes Hospital, Inc. accomplishes this purpose by demonstrating behaviors reflecting our core values of compassion, excellence, human dignity, justice, sacredness of life and service. false false 190571126 0 225151210 MERCY HEALTH PARTNERS - LOURDES, INC. EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDERSERVED. LOURDES ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. PART OF OUR MISSION INCLUDES PROVIDING CHARITY CARE TO THOSE WHO CANNOT AFFORD MEDICAL SERVICES. LOURDES PROVIDED APPROXIMATELY $7.1 MILLION OF CHARITY CARE, INCLUDING UNREIMBURSED MEDICAID FOR 2015. 190571126 true true false true false false false false false false false false false false false true false true false false false false false false false false true true false false true false false false true false false true false false false true false true true true true false false true 163 0 true 1998 true true true false false false false false false false false false X 17 12 false false false false true true true true true false false true true true true true true true true true true KY X Travis Crum 5139525000 1701 Mercy Health Place Cincinnati OH 45237 STEVEN GRINNELL PRESIDENT/CEO KENTUCKY REGION, SVP MERCY HEALTH 40.0 4.0 X X 666505 0 113344 ROGER HARRIS CHAIR 1.0 0 X X 0 0 0 CHARLES J BOHLE DMD SECRETARY 1.0 0 X X 0 0 0 WILLIAM J JONES VICE CHAIR 1.0 1.0 X X 0 0 0 STEVEN PERKINS DIRECTOR 1.0 0 X 0 0 0 JOHN DURBIN DIRECTOR 1.0 0 X 0 0 0 SR CHERYL ERB RSM DIRECTOR 0.5 3.0 X 0 0 0 DOREEN HAHN DIRECTOR 1.0 0 X 0 0 0 SR MARJORIE RUDEMILLER RSM DIRECTOR 1.0 0.5 X 0 0 0 HELEN SIMS DIRECTOR 1.0 0 X 0 0 0 JAMES WURTZ DIRECTOR 1.0 0 X 0 0 0 DEBORAH EDMONDS DIRECTOR 1.0 0 X 0 0 0 Timothy Ranval MD DIRECTOR 1.0 0 X 341569 0 35154 REX SMITH DIRECTOR 1.0 0 X 0 0 0 CAROLINE KORTE DIRECTOR 1.0 0 X 0 0 0 JAMES O'ROURKE MD DIRECTOR 1.0 0 X 663129 0 39472 JOHN STARCHER JR DIRECTOR, PRESIDENT/CEO CINCINNATI REGION, EVP OPERATIONS 1.0 54.0 X 0 1215329 19774 MARK S THOMPSON CHIEF FINANCIAL OFFICER 30.0 10.0 X 375549 0 56882 JOSEPH PITTARD MD CHIEF MEDICAL OFFICER 40.0 0 X 510914 0 41189 JANET SIMERLY CHIEF NURSING OFFICER 40.0 0 X 236364 0 32208 JEFFREY JONES VP PROFESSIONAL SERVICES 40.0 0 X 195297 0 39386 KELLY NICHOLLS VP STRATEGIC DEVELOPMENT 40.0 0 X 235188 0 35459 LEE SYPHUS VP PHYSICIAN SERVICES 20.0 20.0 X 232551 0 45280 JEFFREY WALDO GENERAL COUNSEL 20.0 20.0 X 0 337679 37773 MARK DESMOND VP MISSION INTEGRATION 20.0 20.0 X 0 258016 30802 KIM LINDSEY VP KY REGION HR 20.0 20.0 X 178245 0 38189 C DAVID HOGANCAMP MD PHYSICIAN 40.0 0 X 783357 0 30894 JOEL DAVID TALLEY III MD PHYSICIAN 40.0 0 X 1052640 0 38643 MARK D LINEBERRY MD PHYSICIAN 40.0 0 X 888787 0 37972 SHANE HENDON DO PHYSICIAN 40.0 0 X 701863 0 37503 RONALD ANGLES DO PHYSICIAN 40.0 0 X 629886 0 38174 JENNIFER ADAMS FORMER KEY EMPLOYEE 0.0 0 X 157732 0 0 WILLIAM KUSNIERZ FORMER OFFICER 0.0 41.5 X 0 355291 43444 7849576 2166315 791542 104 true true false Purchase Anesthesia PSC 225 Medical Center Drive Suite 405 Paducah KY 42003 Medical Services 1586457 American Energy Assets 1560 Blake St Denver CO 80202 Medical Services 1110253 Western Kentucky Lithotripter PO Box 95333 Grapevine TX 76099 Medical Services 524550 NNA of Paducah LLC PO Box 10158 Atlanta GA 30392 Medical Services 466722 Medpartners Locum Temens PO Box 4729 Winter Park FL 327934729 Medical Services 421036 27 X 1735143 1735143 NET PATIENT SERVICE REVENUES 621990 219899673 219899673 RENTAL 621110 3136657 3136657 JOINT VENTURES 621990 2114880 2114880 0 0 0 0 225151210 1171837 1171837 0 0 595452 21878 595452 21878 617330 617330 CAFETERIA 722210 890165 890165 VENDING MACHINES 900099 52147 52147 HITECH STIMULUS FUNDS 900099 47005 47005 7415278 0 93608 7321670 8404595 237080115 225151210 93608 10100154 X 4111874 3495093 616781 76114493 64697319 11417174 3177601 2700961 476640 10243107 8706641 1536466 5229012 4444660 784352 26390 26390 50431482 43317191 7114291 0 4208918 3577580 631338 8715558 7408224 1307334 1068345 908093 160252 1881993 1599694 282299 8442895 7176461 1266434 1988864 1690534 298330 Medical Supplies 40288971 40288971 Dues & Subscriptions 565193 480414 84779 Other miscellaneous expenses 93282 79290 13992 0 0 0 0 216587978 190571126 26016852 0 5456958 39142400 164141 103420 0 0 4844221 467961 0 0 74459418 0 87974117 0 0 2366580 -103420 214875796 0 5396474 588505 0 -10689 37382756 0 43357046 0 X 171393507 125243 171518750 0 214875796 0 X 20492137 -3697571 -188313316 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 0 false true 8927 false false false 8927 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING ACTIVITIES PERFORMED INCLUDE BOTH THE USE OF VOLUNTEERS ENCOURAGED TO WRITE LETTERS TO PUBLIC OFFICIALS ON ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE TO PROVIDE HEALTH SERVICES TO THE COMMUNITIES SERVED, AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. PAID MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDUM, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS REGARDING ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE PROVIDING HEALTHCARE SERVICES TO ITS PATIENTS AND TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. PAID STAFF MEMBERS HAVE, ON LIMITED OCCASIONS, WRITTEN TO LEGISLATORS ON SUCH ISSUES. THE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE THE ORGANIZATION'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT OUR SYSTEM. THE ORGANIZATION FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND OUR HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES WE SERVE. TO CARRY OUT THESE EFFORTS, THE ORGANIZATION 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 ORGANIZATION'S FACILITIES WHERE THEY ARE TREATED. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING ACTIVITIES PERFORMED INCLUDE BOTH THE USE OF VOLUNTEERS ENCOURAGED TO WRITE LETTERS TO PUBLIC OFFICIALS ON ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE TO PROVIDE HEALTH SERVICES TO THE COMMUNITIES SERVED, AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. PAID MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDUM, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS REGARDING ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE PROVIDING HEALTHCARE SERVICES TO ITS PATIENTS AND TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. PAID STAFF MEMBERS HAVE, ON LIMITED OCCASIONS, WRITTEN TO LEGISLATORS ON SUCH ISSUES. THE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE THE ORGANIZATION'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT OUR SYSTEM. THE ORGANIZATION FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND OUR HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES WE SERVE. TO CARRY OUT THESE EFFORTS, THE ORGANIZATION 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 ORGANIZATION'S FACILITIES WHERE THEY ARE TREATED. RETIREMENT LIABILITIES OTHER LIABILITIES 0 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE COMPANY (MERCY HEALTH AND RELATED AFFILIATES) 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. true true X true X true X true true false true true 2673326 0 2673326 0.0123 33457084 29000929 4456155 0.0206 0 0.0 0 0 36130410 29000929 7129481 0.0329 437186 437186 0.0020 126463 126463 0.0006 4585783 3251342 1334441 0.0062 0 0.0 478654 478654 0.0022 0 0 5628086 3251342 2376744 0.0110 0 0 41758496 32252271 9506225 0.0439 0 0.0 0 0.0 2092 2092 0.0000 0 0.0 0 0.0 7956 7956 0.0000 0 0.0 479879 479879 0.0022 0 0.0 0 0 489927 0 489927 0.0023 false 12817560 0 74253535 74762226 -508691 X true true Lourdes Ambulatory Surgery Center Ambulatory Surgery Center 0.7645 0.0 0.2355 1 1 MERCY HEALTH PARTNERS - LOURDES INC 1530 LONE OAK ROAD PADUCAH KY 42003 www.elourdes.org 100304 X X X MERCY HEALTH PARTNERS - LOURDES INC 1 false false true X X X X X X X X 13 true false false true X www.elourdes.com X www.mercy.com/corporate X true 13 true www.elourdes.com, www.mercy.com false false true X 200.0 400.0 X true true X X X true X www.elourdes.org X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Mercy Health Partners - Lourdes Inc.. There were several methods employed to utilize community input to identify health needs. Twenty-one experts and leaders on a variety of health issues from the community were interviewed individually, eliciting their input on health needs. Several themes were identified and utilized as decisions were made about identifying and then prioritizing health needs. A survey was utilized eliciting 188 responses. The opportunity to participate was published in the local newspaper, published on the local Chamber of Commerce's website, on our own website, and internally through email. Specific needs were identified and considered in the identification of prioritized needs. Five focus groups were also performed throughout the community served to specifically receive data from those stakeholders directly affected by health needs in the community. They were specifically designed to obtain information from senior citizens, the African-American population, those with mental health issues, families, and public health officials. Individuals, organizations, and representatives of medically under served, low-income, and minority populations contacted: Director, Graves County Public Health Ex. Director, Paducah-McCracken County United Way Director, Purchase District Health Department Mayor, Mayfield, Kentucky Director, Paducah Cooperative Ministries Director, Graves County Food Pantry and Need Line Nurse Practitioner, Marshall County Public Health Director, St. Nicholas Clinic Associate Director, Purchase Area Sexual Assault Director, West Kentucky Allied Services Paducah Family Service Society Marshall County Hospital Paducah Community Services Coalition McCracken County Senior Citizen Center NAACP Interracial Women's Group Illness Management Recovery, Four Rivers Behavioral Family Services Society Focus Group Graves County Public Health Executive Director, Graves County Advocacy Program Executive Director, McCracken County Senior Citizen Ctr. McCracken County NAACP Executive Director, Heartland Cares (Clinic for HIV Positive Individuals) Executive Director, Four Rivers Behavioral Health Director, Area Agency on Aging Director, Food Distribution in Jackson Purchase Area Executive Director, Annie Gardner Foundation Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Lourdes Hospital. ACCESS TO PRIMARY CARE 1. Collaboration with Federally Qualified Health Clinic (FQHC) (Kentucky Cares) a. Working closely with FQHC through participation on St. Nicholas Clinic Foundation (SNCF) Board and the continued financial support for SNCF. b. Linked Emergency Department Care Manager with FQHC to maximize follow up primary care. c. Given the decreasing number of people eligible (based on criteria) for SNCF subsidy for care, work within SNCF Board about other ways the SNCF can provide access to/subsidy for care (potentially including dental, support for medications, etc.) 2. HEART USA (Healthcare Education and Registration Training, Inc.) a. Continue support for this program through in-kind facility support. Medications values at $4.15M (average retail value) provided to 1,352 people YTD through November. 3. Dental Program for Medicaid and Uninsured a. Facilitated a collaboration of community organizations (United Way, AHEC, Baptist, PDHD, Family Services, Kentucky Care, WKCTC, St. Nicholas Clinic Foundation) to investigate development of way to provide primary dental care to Medicaid and Uninsured adults. Consulted with CincySmiles and Purchase Dental Society. Ideas being further vetted. 4. School-based Clinic Program a. Two schools with high student/family poverty (one each in Paducah and McCracken County School Districts); partially subsidized including support from Mercy Outreach Grant Program. CANCER: EARLY DETECTION 1. Mobile Mammography Van a. Mobile Mammography van visited area 9/10-12/2014. We provided financial support for mileage and lodging. Plan and budget this service two times annually beginning 2015. 2. Tobacco Free Environment a.Continue to support all KHA and Kentucky Chamber of Commerce efforts and being an activist to support legislation that prohibits smoking in indoor workplaces and public places across the Commonwealth. b. Partnering with Kentucky Cancer Program to provide Smoking Cessation Classes at employers throughout Services Area. 3. Kentucky Colon Cancer Screening Program (KYCCSP) a. Colon Cancer Screening Programs throughout the year in collaboration with Purchase District Health Department and Mercy Gastroenterology. b. Providing educational session for all service area residents. INSUFFICIENT MENTAL (BEHAVIORAL) HEALTH SERVICES 1. CHP Behavioral Health Center of Excellence a. Renovated space and addition of Gero-psyche program will open in Q1, 2015. Partial Hospitalization, Day Treatment and Outpatient therapy program expanding as well. 2.Pilot Adolescent Behavioral Health Telemedicine Program A .Nothing developed as of yet. OBESITY 1. After School Running Program (partnership with Rehab Associates Foundations a. Two twelve week sessions of an after school running program (fall - 18 schools with 964 participants and spring - 20 schools with a similar number of participants) with a "Fun Run" at Nobel Park following each session and over 1,200 registrants combined. 2. Development of multi-use Park in Paducah focused on health and in particular healthy children and youth. a. The proposed park's location is bounded by Martin Luther King Dr. and Madison St. between 13th and 14th Streets. b. This is a collaboration with the City of Paducah Parks and Recreation, United Way, Lourdes Baptist, Purchase District Health Department and others who are seeking a potential grant of $400,000 from the Foundation for a Healthy Kentucky; Lourdes and Baptist Hospitals ($25,000 each) as well as the City of Paducah ($150,000) have committed a total of $200,000 in the required local matching support. "Needs not being addressed" Some issues that were identified in the Community Health Needs Assessment but have not been addressed are: * Prescription Drug Abuse; * Irresponsible Sexual Behavior; * Poor Dental Care; * Poorly Developed Partnerships between Regional and Local Hospitals * Adolescent Smoking Habits A "priority matrix" comprised of four weighted criteria were used to prioritize the needs resulting in the needs above not being among them: 1) size of population affected, 2) severity of health need, 3) ability to measure the outcome should the need be addressed and 4) community capacity to address the need. Using this priority matrix Lourdes Leadership Team determined the prioritized needs and a group of community stakeholders, using the same priority matrix, confirmed those needs. Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - Lourdes Hospital. The maximum amount that can be charged to FAP-eligible individuals for emergency or other medically necessary care is based upon federal poverty levels stated in the hospital's financial assistance policy. 22 Surgicare at Lourdes Medical Pavilion 225 Medical Center Drive Paducah KY 42003 Surgical Mercy Primary Care - Lyon County 97 Lakeshore Drive Kuttawa KY 42055 Primary care physicians Mercy Regional Heart and Lung 1532 Lone Oak Road Suite 445 Paducah KY 42003 Heart and Lung Services Mercy OBGYN 1532 Lone Oak Road Ste 245 Paducah KY 42003 OB/GYN Services Mercy Behavioral Health Specialists 1532 Lone Oak Road Suite 345 Paducah KY 42003 Behavioral Health Services Lourdes Wound Care Center 225 Medical Center Drive Ste 205 Paducah KY 42003 Wound Care Services Mercy Emergency Medicine Specialists 1530 Lone Oak Road Paducah KY 42003 Emergency Medicine Mercy Vascular Specialists 1532 Lone Oak Road Suite 405 Paducah KY 42003 Vascular Services Cardiology Associates of Paducah 1532 Lone Oak Rd Ste 415 Paducah KY 42003 Cardiology services Mercy Primary Care Reidland 6035 Kentucky Dam Road Paducah KY 42003 Primary Care Services Mercy Primary Care Paducah 1532 Lone Oak Road Suite 150 Paducah KY 42003 Primary Care Services Mercy General Surgery 1532 Lone Oak Road Ste 235 Paducah KY 42003 Surgical Mercy Primary Care Benton 83 Wellness Way Lane 2nd Floor Benton KY 42025 Primary Care Services Mercy Primary Care Marshall County 83 Wellness Way Lane 1st Floor Benton KY 42025 Primary Care Services Mercy Behavioral Health Specialists 1530 Lone Oak Road Paducah KY 42003 Behavioral Health Services Mercy Inpatient Medicine Specialists 1530 Lone Oak Road Paducah KY 42003 Inpatient Medicine Services Mercy Gastroenterology 1532 Lone Oak Road Suite 310 Paducah KY 42003 Gastroenterology Services Mercy Pediatrics 548 Lone Oak Road Paducah KY 42003 Pediatric Services School Based Clinic 5347 Benton Rd Paducah KY 42003 School Clinic School Based Clinic 301 Cumberland Ave Paducah KY 42003 School Clinic School Based Clinic 2200 South 28th St Paducah KY 42003 School Clinic Lourdes Pain Management Center - Murray 1710 Hwy 121 N Bypass Suite I Murray KY 42017 Pain Management Services Schedule H, Part I, Line 6a Community benefit report prepared by related organization Mercy Health Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance COST OF CHARITY CARE WAS CALCULATED WITH A COST-TO-CHARGE RATIO USING WORKSHEET 2. THE COST RELATED TO MEDICAID PATIENTS WAS DETERMINED USING THE HOSPITAL COST ACCOUNTING SYSTEM AND INCLUDED BOTH INPATIENTS AND OUTPATIENTS FOR TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PLANS. FOR SUBSIDIZED SERVICES THE HOSPITAL'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COST RELATED TO THE SPECIFIC SERVICE EXCLUDING TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PATIENTS. COSTS FOR CHARITY AND BAD DEBT ACCOUNTS ARE DEDUCTED USING A RATIO OF COST TO CHARGE SPECIFIC TO THAT SUBSIDIZED SERVICE. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS. Schedule H, Part II Community Building Activities A ROBUST ECONOMY POSITIVELY IMPACTS RESIDENTS BY INCREASING THE NUMBER OF RESIDENTS COVERED BY HEALTH INSURANCE AND IMPROVING THE CAPACITY OF THE COMMUNITY TO SUPPORT HEALTH SERVICES. LOURDES SUPPORTS A ROBUST ECONOMY IN THE COMMUNITY BY SUPPORTING WEST KENTUCKY COMMUNITY AND TECHNICAL COLLEGE WITH A NURSING SCHOLARSHIP TO STUDENTS PURSUING A CAREER IN NURSING. LOURDES ALSO SUPPORTS THE GREATER PADUCAH ECONOMIC DEVELOPMENT COUNCIL (GPEDC). GPEDC IS A NON-PROFIT ENTITY CHARGED WITH ATTRACTING NEW INVESTMENT AND CREATING NEW JOBS IN PADUCAH/MCCRACKEN COUNTY, KENTUCKY. GPEDC IS SUPPORTED BY INVESTORS FROM THE PRIVATE BUSINESS COMMUNITY AND LOCAL GOVERNMENT, WORKING IN HARMONY TO PROMOTE THE GROWTH OF PADUCAH AND MCCRACKEN COUNTY'S LOCAL ECONOMY. LOURDES PROVIDES COMMUNITY SUPPORT BY ASSISTING IN DISASTER PREPAREDNESS. PREPARING FOR DISASTERS IS AN IMPORTANT ROLE FOR THE HOSPITAL TO ASSURE THE SAFETY AND HEALTH OF COMMUNITY RESIDENTS IN THE EVENT OF A NATURAL DISASTER, INDUSTRIAL ACCIDENT OR OTHER LARGE SCALE EMERGENCY. LOURDES ADVOCATES FOR IMPROVING ACCESS TO HEALTH SERVICES FOR ALL RESIDENTS OF THE COMMUNITY, ESPECIALLY FOR THE POOR AND UNDERSERVED. LOURDES HELPS TO SUPPORT THE ST. NICHOLAS FAMILY CLINIC IN ORDER TO FURTHER ADDRESS THE HEALTH NEEDS OF THE POOR AND UNDERSERVED. WITHOUT CLINICS SUCH AS THESE, CERTAIN INDIVIDUALS IN THE COMMUNITY WOULD HAVE NO ACCESS TO HEALTHCARE. LOURDES ENSURES ACCESS TO HEALTH SERVICES BY RECRUITING AND PROVIDING TRANSITIONAL SUPPORT TO PHYSICIANS TO ATTRACT THEM TO THE COMMUNITY FOR SPECIALTIES WHERE THERE IS A DEMONSTRATED NEED. AN APPROPRIATE SUPPLY OF PHYSICIANS IS NECESSARY TO ENSURE THAT RESIDENTS HAVE ACCESS TO ADEQUATE AND TIMELY DIAGNOSIS AND TREATMENT FOR ALL HEALTH CONDITIONS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Net patient accounts are reduced by an allowance for doubtful receivables based upon the hospital's historical collection experience adjusted for current environmental risks and trends for each major payor source. Significant provision is made for self-pay patient accounts in the period of service based on past collection experience. The hospital's concentration of credit risk related to net patient accounts is limited due to the diversity of patients and payors. Net patient accounts consist of amounts due from governmental programs (primarily Medicare and Medicaid), private insurance companies, managed care programs and patients themselves. Net patient service revenue for services provided to patients who have third-party payor coverage is recognized based on contractual rates for services rendered. The hospital recognizes a significant amount of patient service revenue at the time services are rendered even though it does not assess the patient's ability to pay. As a result, the provision for bad debts is presented as a deduction from patient service revenue (net of contractual provisions and discounts). Amounts recognized are subject to adjustment upon review by third-party payors. For uninsured patients that do not qualify for charity care, the hospital recognizes revenue when services are provided. Based on historical experience, a significant portion of the hospital's uninsured patients will be unable or unwilling to pay for services provided. Thus, the hospital records a significant provision for bad debts related to uninsured patients in the period the services are provided. Any discounts applied to self-pay patients would be deemed either Charity or a contractual adjustment. Bad debt would be based on the balance after the charity or contractual adjustment that is deemed uncollectible following a reasonable collection effort. Schedule H, Part III, Line 3 Bad Debt Expense Methodology The hospital's financial assistance policy does not permit the cost of patients who are uncooperative or unable to be located to be reclassified from bad debt to financial assistance. The hospital's financial assistance policy requires an application and supporting documentation. Therefore, zero dollars are being reported on Part III, Line 3 as amounts included in bad debt that could be attributable to patients eligible under the hospital's financial assistance policy. The hospital follows the Catholic Health Association of the United States policy document, Community Benefit Program, A Revised Resource for Social Accountability ("CHA guidelines") for determining community benefit. The CHA guidelines recommend that hospitals not include bad debt expense as community benefit. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The hospital's audited financial statements do not contain a footnote that describes bad debt expense. The hospital elected to early adopt ASU 2011-07. Accordingly, bad debt expense is reflected as a deduction from revenue rather than an operating expense. Notes to Consolidated Financial Statements, B. Significant Accounting Policies, Net Patient accounts and Net Patient Service Revenue (page 10) states net patient accounts are reduced by an allowance for doubtful receivables based upon the historical collection experience of each regional affiliate adjusted for current environmental risks and trends for each major payor source. Significant provision is made for self-pay patient accounts in the period of service based upon past collection experience. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The hospital follows the Catholic Health Association of the United States policy document, Community Benefit Program, A Revised Resource for Social Accountability ("CHA guidelines") for determining community benefit. The CHA guidelines recommend that hospitals not include Medicare losses as community benefit. The hospital's cost accounting system was used to determine the Medicare amounts in Part III. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Patients known to qualify for charity care or financial assistance are not sent to a collection agency. The organization repeatedly offers patients access to financial help during their hospital stays and after, as well as with each billing notice. Bills are sent to a collection agency as a last resort and only: when patients have the ability to pay some portion of their healthcare expenses but refuse to do so; when patients refuse to work with the organization to determine if they qualify for free or discounted care via federal, state, local or hospital assistance programs; when the organization is unable to locate the patient or person responsible for the bill. Schedule H, Part V, Section B, Line 16b FAP Application website - MERCY HEALTH PARTNERS - LOURDES, INC. : Line 16b URL: www.elourdes.org; Schedule H, Part VI, Line 2 Needs assessment Lourdes Hospital assesses the needs of the community and the geographic area that it serves using a four step process. First, service area geography is determined by service line/department. This is accomplished through performing statistical analysis of services provided by Lourdes Hospital. Second, Lourdes Hospital gathers data on comparative services performed by competing hospitals/providers in the defined service area. This is primarily done by combining working fundamental knowledge of physicians, service line leaders, and directors with data from state databases, such as the Kentucky Hospital Association's Infosuite. Third, Lourdes Hospital assesses the population density and demographics (such as age, race, and employment trends) of the defined service area at a county and zip code level. This is performed by combining data from the US Census Bureau and Sg2's Market Demographics module. Last of all, the resulting data from the previous three steps is compared to white paper documents from reliable sources (such as Health Leaders Media and The Advisory Board Company) and third party datasets and calculators that identify national, state, and local healthcare trends. The third party datasets and calculators are licensed from Sg2 and The Advisory Board Company. Sg2's Analytics suite provides tools such as a Market Demand Forecast and an Organizational Demand Forecast, and The Advisory Board Company provides inpatient and outpatient Market Estimator tools, as well as various insightful calculators. By comparing research from the first three steps to healthcare trends from reputable healthcare research companies, Lourdes Hospital is able to determine the needs for healthcare services within the community. Lourdes Hospital has a dedicated staff to assist in the community benefit effort. Lourdes works closely with health and human service organizations in the area, partnering with some to provide services and to avoid duplication. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Brochures are available in all patient access areas which describe our HELP program. HELP provides assistance in qualifying for Medicaid, disability, social security, other government programs and charity. All self pay patients are referred to a financial counselor at the time of registration. The patients are notified about all financial assistance options available, including our charity care policy. An outside agency is used to discuss financial programs that are available to self pay patients who are seen in the Emergency Room during normal business hours. Additionally, a charity care application is included with every statement that is mailed to the patient. Our billing service also has copies of this form and will discuss charity when patients indicate that they are unable to pay their bill in full. Schedule H, Part VI, Line 4 Community information Lourdes Hospital, Inc. (Lourdes) serves a rural county geographic area featuring the following counties: McCracken, Graves and Marshall. The population of Lourdes' primary service area is approximately 133,931 in 2015 and is older, poorer and has worse health statistics than state and national averages. Our community is changing and we also serve a growing uninsured and underinsured population. There are four (4) hospitals in the primary service area community of which three (3) are not-for-profit hospitals. Multiple counties in our secondary service area have been federally designated as medically underserved areas or populations. The demographic area served by Lourdes serves the following ethnic and cultural groups: 2.4% Hispanic. 33.9% of residents are in households below the federal poverty guidelines. 34.85% of families are on Medicaid or other assistance. All counties reviewed maintain a basic 51% to 49% of females to males in the area. In the community served by Lourdes; Heart Disease, Cancer, Stroke and Chronic Obstructive Pulmonary Disease (COPD) Obesity, Diabetes are the major health problems and/or leading causes of death. Each of these is to some extent preventable through proper care and maintaining control of the illness/disease as well as leading healthier lives. Obesity and diabetes is a widespread pandemic in Western Kentucky. The Lourdes service area reflects a diabetes epidemic of approximately 11% of the population - and that does not count the hundreds in the region who have diabetes. The smoking rate in adults in the area is 28% of the population. The Kentucky Youth Tobacco Survey revealed that 9% of middle school and 27% of high school students use some form of tobacco. Kentucky is currently ranked worst in the nation for Youth ages 12-17 who smoke. In Kentucky, approximately one of every four pregnant women smokes. Lourdes works closely with local community agencies and health departments to address these problems and minimize the effects on those who suffer. Schedule H, Part VI, Line 5 Promotion of community health The mission of Mercy Health Partners - Lourdes, Inc. is to extend the healing ministry of Jesus by improving the health of our communities with emphasis on people who are poor and under served. Together, we commit to our six Core Values. 1) Compassion, our commitment to serve with mercy and tenderness. 2) Exellence, our commitment to be the best in the quality of our services and the stewardship of our resources. 3) Human Dignity, our commitment to value the diversity of all persons and to be respectful and inclusive of everyone. 4) Justice, our commitment to act with integrity, honesty and truthfulness. 5) Sacredness of Life, our commitment to reverence of all life and creation. 6) Service, our commitment to respond to those in need. We care for everyone who comes to us in need regardless of his or her ability to pay. Meeting the needs of people with limited resources has always been at the heart of our mission. Lourdes recognizes the difficulty unexpected medical problems can cause to a patient's finances. We provide help so that patients can obtain medical benefits from federal, state and hospital programs. Every patient who does not have insurance is eligible for discounts. We provide financial assistance to uninsured patients. Patients and their counselors look at what options are available. We understand that not everyone can pay for healthcare services. We are here to offer options and assistance for those who are uninsured or underinsured and to serve as patient advocates. Lourdes billing and collection policies are consistent with our mission and values. We treat all patients with dignity and respect from the bedside to the billing office. It's the right thing to do. Federal law echoes our mission. We care for every person who asks to be treated. We do so regardless of race, sex, creed, citizenship or ability to pay. We repeatedly offer patients access to financial help during their hospital stay and after, as well as with each billing notice. Charity care and discount policies are posted publicly throughout the registration areas and printed on each bill. There are also brochures with financial aid information. A majority of Lourdes' governing body is comprised of persons who reside in the organization's primary service area who are neither employees nor contractors of the organization, nor family members thereof. Lourdes extends medical staff privileges to all qualified physicians in its community for some or all of its departments. Lourdes applies surplus funds to improvements in patient care, medical education, and research. Lourdes operates an emergency room open to all persons regardless of ability to pay. In addition to providing emergency services, the Hospital also provides minor emergency and urgent care services to all regardless of ability to pay. Lourdes operates psychiatric, skilled nursing, renal dialysis, newborn nursery, and wound care departments. Lourdes participates in Medicaid, Medicare, CHAMPUS, and other government-sponsored health care programs. Lourdes's emergency department treats an increasing number of patients who use the facility for primary care needs. Patient demographics reflect the changing community. As in other communities, some area physicians place limits on their acceptance of Medicaid patients. In addition, some primary care physicians refer patients with after-hours needs directly to area emergency rooms. Schedule H, Part VI, Line 6 Affiliated health care system Mercy Health Partners - Lourdes, Inc. (Lourdes) is a member of the Mercy Health - Kentucky Region and is affiliated with the Marcum & Wallace Memorial Hospital in Irvine, KY. Both are Kentucky non-profit corporations. Lourdes is sponsored by Mercy Health and has been an integral part of the community since the 1950's. Lourdes is an acute care hospital with approximately 379 licensed beds. Mercy Health Partners - KY Region's community benefit for 2015 per the audit footnote is as follows: Total 2015 Community Benefit: $9.8 Million Benefits to the Broader Community: $1.2 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $3.8 million Cost of Care for Those Who Could Not Afford to Pay: $2.8 million Support for Other Programs for Those Who are Poor: $2.0 million Community Benefit as Percent of Total Expense: 4.1 percent Lourdes is a member of Mercy Health. Mercy Health is the largest health system in Ohio, the state's fourth largest employer and one of the largest Catholic health systems in the United States. Mercy Health is sponsored by Partners in Catholic Health Ministries (PCHM). PCHM is a public juridic person of the Roman Catholic Church. Mercy Health continues the healthcare ministries begun by its founders in urban and rural areas across Ohio and Kentucky more than 150 years ago. Mercy Health provides integrated health services via acute care hospitals, physician practices, long-term care residences, housing sites for the elderly, home health agencies, hospice programs, outreach services and wellness centers. Mercy Health hospitals include critical access facilities that offer essential health services that otherwise would not be available in many communities. Mercy Health's mission calls it to extend the healing ministry of Jesus by improving the health of the communities it serves with special emphasis on people who are poor and under-served. In addition to providing programs and services designed to enhance the health of entire communities, Mercy Health cares for everyone who comes to its facilities, regardless of their ability to pay. Mercy Health's home office in Cincinnati, Ohio provides services and support to the entire system. Its governance practices have been nationally recognized for quality. System leadership provides strategic vision and management oversight in support of the ministry by directing resources, providing access to lower cost debt financing, improving clinical outcomes and reducing operating costs. System-wide community benefit for 2015 per the audit footnote is as follows: Total 2015 Community Benefit: $321.2 Million Benefits to the Broader Community: $69.8 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $229.3 million Cost of Care for Those Who Could Not Afford to Pay: $3.6 million Support for Other Programs for Those Who are Poor: $ 18.5 million Community Benefit as Percent of Total Expense: 7.7 percent X X X X false true false false false false false true false STEVEN GRINNELL PRESIDENT/CEO KENTUCKY REGION, SVP MERCY HEALTH 368008 0 128592 0 169905 0 91451 0 21893 0 779849 0 0 0 Timothy Ranval MD DIRECTOR 259964 0 78384 0 3221 0 13250 0 21904 0 376723 0 0 0 JAMES O'ROURKE MD DIRECTOR 617480 0 42864 0 2785 0 13250 0 26222 0 702601 0 0 0 JOHN STARCHER JR DIRECTOR, PRESIDENT/CEO CINCINNATI REGION, EVP OPERATIONS 0 727193 0 356655 0 131481 0 11886 0 7888 0 1235103 0 0 WILLIAM KUSNIERZ FORMER OFFICER 0 252225 0 40115 0 62951 0 29537 0 13907 0 398735 0 0 MARK S THOMPSON CHIEF FINANCIAL OFFICER 281639 0 50761 0 43149 0 28544 0 28338 0 432431 0 0 0 JENNIFER ADAMS FORMER KEY EMPLOYEE 0 0 0 0 157732 0 0 0 0 0 157732 0 0 0 JOSEPH PITTARD MD CHIEF MEDICAL OFFICER 408545 0 40054 0 62315 0 13250 0 27939 0 552103 0 0 0 JANET SIMERLY CHIEF NURSING OFFICER 164753 0 45972 0 25639 0 21217 0 10991 0 268572 0 0 0 JEFFREY JONES VP PROFESSIONAL SERVICES 146853 0 25592 0 22852 0 17284 0 22102 0 234683 0 0 0 KELLY NICHOLLS VP STRATEGIC DEVELOPMENT 189518 0 34516 0 11154 0 16365 0 19094 0 270647 0 0 0 LEE SYPHUS VP PHYSICIAN SERVICES 182639 0 30066 0 19846 0 20006 0 25274 0 277831 0 0 0 JEFFREY WALDO GENERAL COUNSEL 0 249308 0 39202 0 49169 0 25841 0 11932 0 375452 0 0 MARK DESMOND VP MISSION INTEGRATION 0 190490 0 32520 0 35006 0 17425 0 13377 0 288818 0 0 KIM LINDSEY VP KY REGION HR 138011 0 22208 0 18026 0 16358 0 21831 0 216434 0 0 0 C DAVID HOGANCAMP MD PHYSICIAN 753106 0 3945 0 26306 0 13250 0 17644 0 814251 0 0 0 JOEL DAVID TALLEY III MD PHYSICIAN 1003604 0 40730 0 8306 0 13250 0 25393 0 1091283 0 0 0 MARK D LINEBERRY MD PHYSICIAN 755068 0 107413 0 26306 0 13250 0 24722 0 926759 0 0 0 SHANE HENDON DO PHYSICIAN 366727 0 273349 0 61787 0 13250 0 24253 0 739366 0 0 0 RONALD ANGLES DO PHYSICIAN 454376 0 141476 0 34034 0 13250 0 24924 0 668060 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: Steven Grinnell $78,334; Mark S. Thompson $0; Joseph Pittard, MD $14,026; Janet Simerly $0; Jeffrey Jones $0; Kelly Nicholls $0; Lee Syphus $0; Kim Lindsey $0; Jeffrey Waldo $0; Mark Desmond $10,123; William Kusnierz $0. Schedule J, Part II, Column (B)(iii) Section 457(b) plan contributions and distributions The amount in Part II column B(iii) for Jennifer Adams represents a Section 457(b) plan distribution of $157,732. Employee contributions to such plans are reported on Part II column B(i) as taxable compensation in the years made, and are also required to be disclosed in column B(iii) as other reportable compensation in the year distributed. This results in these employee contributions being reported as compensation on Form 990 Part VII column (D) and on Schedule J for multiple years, resulting in the double-counting of the employee contributions. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE MERCY HEALTH SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75% AND 100% IN THEIR ACCOUNTS AFTER 5, 6 AND 7 YEARS OF SERVICE, RESPECTIVELY. VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMINATION. PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDING. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR ARE AS FOLLOWS: Steven Grinnell $0; John Starcher, Jr. $111,779. Schedule J, Part I, Line 7 Non-fixed payments The organization provides annual incentive compensation for listed individuals. The organization's Board of Trustees establishes objective thresholds for quality, community benefit, and financial performance which must be achieved for incentives to be awarded. The Board also establishes threshold, target and maximum levels for incentive awards. Within these established parameters, the Board determines the CEO's incentive award and incentive awards for other listed individuals are determined by the listed individual's supervisor and disclosed to the Board. The Board may authorize modified incentive awards when appropriate in its judgment. SHANE HENDON MD EMPLOYMENT RECRUITMENT AGREEMENT X 185181 67788 false false true Ronald Angles Employments Recruitment Agreement X 62980 35632 false false true 103420 CECIL J SMITH FAMILY MEMBER OF JOHN DURBIN (BOARD MEMBER) 44768 EMPLOYMENT false VICKIE PITTARD FAMILY MEMBER OF JOSEPH PITTARD (KEY EMPLOYEE) 13094 EMPLOYMENT false CHANDA JONES FAMILY MEMBER OF JEFF JONES (KEY EMPLOYEE) 53460 EMPLOYMENT false All assets and liabilities of Mercy Health Partners - Lourdes, Inc. 2016-01-01 275873291 GAAP 610600313 Mercy Health -Lourdes Hospital LLC 1530 Lone Oak Road Paducah KY 42003 501(c)(3) false true false false true true true true false Schedule N, Part I, Line 2b Interested person is an employee or ind. contractor of successor org. All officers and key employees of Mercy Health Partners-Lourdes, Inc. became employees of Mercy Health-Lourdes Hospital LLC. Form 990, Part IV, Line 14a Consolidated audited financial statements The filing organization does not have separate, independent audited financial statements. The organization is included in the Mercy Health consolidated audited financial statements, which are prepared in accordance with Generally Accepted Accounting Principles. Mercy Health's Audit and Corporate Responsibility Committee has responsibility for oversight of the audit and the selection of an independent accountant. Form 990, Part VI, Line 6 Classes of members or stockholders MERCY HEALTH IS THE SOLE MEMBER OF MERCY HEALTH PARTNERS - LOURDES, INC Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Mercy Health elects all board members who have full voting rights. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Certain matters require approval of the Mercy Health Corporate Member, Mercy Health Governing body, or 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 body The Form 990 is prepared by Mercy Health's tax department and reviewed by an independent accounting firm. A copy of the Form 990 is then reviewed by Management. Once the Form 990 is reviewed by all applicable parties a copy of the final version is provided to all members of the governing body prior to filing. Form 990, Part VI, Line 12c Conflict of interest policy Annual compliance is monitored by sending out a conflict of interest questionnaire that must be returned by each officer, director and key employee. Any findings noted and recommendations are then brought before the ACRC for timely resolution. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE ORGANIZATION'S FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CEO IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACCOMPLISHING THE ORGANIZATION'S MISSION, TO RECOGNIZE PERFORMANCE AND TO OPERATE IN KEEPING WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. THE COMPENSATION AND EVALUATION COMMITTEE OF THE ORGANIZATION'S BOARD OF TRUSTEES CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION OF THE CEO. IN DOING SO, THE COMMITTEE RETAINS A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE MARKET RANGES OF BASE, INCENTIVE, AND TOTAL CASH COMPENSATION, AND TO PROVIDE ADVICE CONCERNING THE REASONABLENESS OF THE COMPENSATION OF THE CEO. THE COMMITTEE UTILIZES THAT ANALYSIS AND OTHER APPROPRIATE INFORMATION IN CONNECTION WITH ITS ANNUAL REVIEW AND RECOMMENDATIONS TO THE FULL BOARD FOR ADJUSTMENT OF THE CEO'S COMPENSATION. INFORMATION WHICH THE COMMITTEE MAY CONSIDER CAN INCLUDE, BUT IS NOT LIMITED TO, PERFORMANCE OF THE INDIVIDUAL, PERFORMANCE OF THE ORGANIZATION, AN INDIVIDUAL'S LENGTH OF SERVICE, CREDENTIALS AND EXPERIENCE, THE ELEMENTS OF TOTAL COMPENSATION AND SALARY HISTORY, THE ORGANIZATION'S COMPENSATION TARGETS, AND COMPARABILITY DATA, INCLUDING THE DATA PREPARED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE COMMITTEE. THE COMMITTEE INCORPORATES A FORMAL PERFORMANCE APPRAISAL PROCESS IN THE CEO'S COMPENSATION REVIEW. IT UTILIZES A MULTI-PERSPECTIVE APPROACH AND PERFORMANCE MEASURES WHICH ARE LINKED TO THE ORGANIZATION'S LONG TERM STRATEGIC PLAN, ACHEIVEMENT OF ANNUAL SYSTEM OBJECTIVES, AND PERSONAL OBJECTIVES. THE CEO IS NOT PRESENT WHEN THE COMMITTEE DISCUSSES AND ESTABLISHES HIS COMPENSATION. IN ADDITION, THE COMMITTEE DETERMINES IF THE THRESHOLD REQUIREMENTS FOR INCENTIVE AWARDS ARE MET, CONSISTING OF THE ORGANIZATION'S PERFORMANCE RESULTS FOR COMMUNITY BENEFIT, QUALITY AND FINANCIAL PERFORMANCE. THE COMMITTEE RECOMMENDS TO THE FULL BOARD THE CEO'S INCENTIVE AWARD AND THE INCENTIVE AWARD LEVELS FOR WHICH OTHER LISTED INDIVDUALS MAY BE ELIGIBLE. THE COMMITTEE'S REPORT, INCLUDING RECOMMENDATIONS CONCERNING SALARY RANGE ADJUSTMENTS AND INCENTIVE AWARDS AND THE BASIS FOR THE COMMITTEE'S DECISIONS GOES TO THE FULL BOARD FOR CONSIDERATION IN EXECUTIVE SESSION WHICH DOES NOT INCLUDE THE CEO OR OTHER OFFICERS OR KEY EMPLOYEES. THE BOARD DETERMINES THE ADJUSTMENTS AND AWARDS TO BE MADE FOR THE CEO AND THAT THE COMPENSATION IS REASONABLE, AND IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS BENEFIT. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE ORGANIZATION'S FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEES IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACCOMPLISHING THE ORGANIZATION'S MISSION, TO RECOGNIZE PERFORMANCE AND TO OPERATE IN KEEPING WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. Form 990, Part VI, Line 19 Required documents available to the public THE SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE MERCY HEALTH WEBSITE. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All other revenue - Total Revenue: 7415278, Related or Exempt Function Revenue: , Unrelated Business Revenue: 93608, Revenue Excluded from Tax Under Sections 512, 513, or 514: 7321670; Form 990, Part IX, Line 11g Other Fees MEDICAL PROFESSIONAL FEES - Total Expense: 3002878, Program Service Expense: 3002878, Management and General Expenses: , Fundraising Expenses: ; CONSULTING - Total Expense: 2132604, Program Service Expense: 1812713, Management and General Expenses: 319891, Fundraising Expenses: ; INTERCOMPANY - Total Expense: 4393355, Program Service Expense: 3734352, Management and General Expenses: 659003, Fundraising Expenses: ; OTHER - Total Expense: 13568820, Program Service Expense: 11533497, Management and General Expenses: 2035323, Fundraising Expenses: ; MHS CORP ASSESSMENT - Total Expense: 27333825, Program Service Expense: 23233751, Management and General Expenses: 4100074, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Fund balance transfers to affiliates - 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