STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

COMMUNITY MERCY HEALTH PARTNERS: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY MERCY HEALTH PARTNERS (EIN 31-0785684)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-11
IRS object ID
201633169349301508
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)
Return2016-11-11T09:00:32-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1312 Walnut Street Suite 300AddressLine1Txt
CityCincinnatiCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN310785684EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Community Mercy Health PartnersBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone9373287000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Medical Center DriveAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationOHStateAbbreviationCd
ZIP455031832ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWilliam KusnierzPersonNm
Person TitleRegion CFOPersonTitleTxt
Signature2016-10-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP00961884PTIN
Phone5136218300PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Springfield Regional Medical CenterBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1PAUL HILTZ PRESIDENT & CEOBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Medical Center DriveAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationOHStateAbbreviationCd
ZIP455031832ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$302,352,089GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COMMUNITY-MERCY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE MISSION OF COMMUNITY MERCY HEALTH PARTNERS 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.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2587TotalEmployeeCnt
Total Volunteers1000TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,147,691PYContributionsGrantsAmt
CY Contributions Grants$688,399CYContributionsGrantsAmt
PY Program Service Revenue$292,245,552PYProgramServiceRevenueAmt
CY Program Service Revenue$297,008,842CYProgramServiceRevenueAmt
PY Investment Income$5,106,471PYInvestmentIncomeAmt
CY Investment Income$1,818,989CYInvestmentIncomeAmt
PY Other Revenue$4,398,333PYOtherRevenueAmt
CY Other Revenue$2,835,859CYOtherRevenueAmt
PY Total Revenue$302,898,047PYTotalRevenueAmt
CY Total Revenue$302,352,089CYTotalRevenueAmt
PY Grants And Similar Paid$13,077PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$67,236CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$123,069,352PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$125,855,951CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$162,949,367PYOtherExpensesAmt
CY Other Expenses$163,912,823CYOtherExpensesAmt
PY Total Expenses$286,031,796PYTotalExpensesAmt
CY Total Expenses$289,836,010CYTotalExpensesAmt
PY Revenues Less Expenses$16,866,251PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,516,079CYRevenuesLessExpensesAmt
Total Assets BOY$379,218,112TotalAssetsBOYAmt
Total Assets EOY$408,504,569TotalAssetsEOYAmt
Total Liabilities BOY$167,266,291TotalLiabilitiesBOYAmt
Total Liabilities EOY$188,278,746TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$211,951,821NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$220,225,823NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF COMMUNITY MERCY HEALTH PARTNERS IS TO CARRY OUT THE MERCY HEALTH MISSION WITHIN OUR COMMUNITY BY PROVIDING SAFE, EFFECTIVE, PATIENT/RESIDENT CENTERED, TIMELY AND COST EFFICIENT CARE AND EDUCATION TO MEET THE HEALTH NEEDS OF ALL PEOPLE, ESPECIALLY THE POOR AND UNDER-SERVED. OUR COMMITMENT TO THIS HEALING MINISTRY WILL BE EVIDENCED BY EXCEPTIONAL CARE, COMPASSION, AND RESPECT FOR THE DIVERSE RELIGIOUS BELIEFS AND FAITH TRADITIONS OF THOSE WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$254,704,101ExpenseAmt
Grant$67,236GrantAmt
Revenue$297,008,842RevenueAmt
DescCOMMUNITY MERCY HEALTH PARTNERS IS COMMITTED TO DELIVERING EXCEPTIONAL CARE AND COMPASSION AS IT SEEKS TO MEET THE HEALTH CARE NEEDS OF ALL PEOPLE, ESPECIALLY THE POOR AND UNDER-SERVED. DURING 2015 COMMUNITY MERCY HEALTH PARTNERS PROVIDED $16,171,799 IN NET COMMUNITY BENEFITS REPRESENTING 5.6% OF TOTAL OPERATING EXPENSES.Desc
Total Program Service Expenses$254,704,101TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
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 SecYes (true)ReportInvestmentsOtherSecInd
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 HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
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 EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
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
Employee2587EmployeeCnt
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
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 (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PIUS KURIAN MD
CHAIR1.01.5Yes (X)Yes (X)$0$0$0
JOSEPH R JACKSON
VICE CHAIR1.01.5Yes (X)Yes (X)$0$0$0
WENDY H DOOLITTLE
Secretary1.01.5Yes (X)Yes (X)$0$0$0
JAMES N DOYLE
TRUSTEE1.01.5Yes (X)$0$0$0
MICHAEL S MCKEE MD
TRUSTEE (END 2/2015)1.01.5Yes (X)$0$0$0
RAVI C KHANNA MD
TRUSTEE1.01.5Yes (X)$0$0$0
MARK B ROBERTSON
TRUSTEE1.01.5Yes (X)$0$0$0
REV DARRYL L GRAYSON
TRUSTEE1.01.5Yes (X)$0$0$0
KATHLEEN M HUGHES
TRUSTEE1.01.5Yes (X)$0$0$0
WILLIAM H RAY
TRUSTEE1.02.5Yes (X)$0$0$0
SR CHERYL ERB RSM
TRUSTEE0.53.0Yes (X)$0$0$0
Surender NERAVETLA MD
TRUSTEE1.01.5Yes (X)$0$0$0
DEANNA L BROUGHER
TRUSTEE1.01.5Yes (X)$0$0$0
JOHN STARCHER JR
TRUSTEE, PRESIDENT/CEO CINCINNATI REGION, EVP OPERATIONS1.054.0Yes (X)$0$1,215,329$19,774
JOSEPH MORMAN MD
TRUSTEE1.01.5Yes (X)$0$0$0
PAUL HILTZ
President/CEO Springfield Region, SVP Mercy Health40.05.0Yes (X)$538,608$0$129,290
WILLIAM KUSNIERZ
VP, CFO & TREASURER40.01.5Yes (X)$0$355,291$43,444
GARY HAGENS
VP, COO - VPMA40.00$466,180$0$26,096Yes (X)
SHERRY NELSON
VP Chief Nursing Officer40.00$274,176$0$32,696Yes (X)
JENELLE ZELINSKI
DIRECTOR OF FINANCE40.00$195,921$0$6,122Yes (X)
PAMELA ALLEN
Director, Pharmacy40.00$185,174$0$19,758Yes (X)
MARIANNE POTINA
VP MISSION & VALUES40.00$186,695$0$27,389Yes (X)
MICHELLE ADKINS
DIRECTOR, CLINICAL SERVICES40.00$147,667$0$22,143Yes (X)
MARYANN MCQUARRIE
DIRECTOR, CLINICAL SERVICES40.00$150,926$0$15,454Yes (X)
SANA WAIKHOM MD
FORMER HCE0.040.0$0$158,460-$7,144Yes (X)
KATRINA ENGLISH
FORMER KEY EMPLOYEE0.056.5$0$415,896$70,176Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,145,347TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,144,976TotReportableCompRltdOrgAmt
Total Other Compensation$405,198TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K66IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$688,399RelatedOrganizationsAmt
Total Contributions$688,399TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621990$294,578,536$294,578,536
INCOME FROM JV'S AND PARTNERSHIPS900099$822,232$822,232
rental income from affiliates531120$1,098,004$1,098,004
Intercompany900099$510,070$510,070

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$297,008,842TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,028,404TotalRevenueColumnAmt
Exclusion$1,028,404ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$543,735SecuritiesAmt
Other$246,850OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$543,735SecuritiesAmt
Other$246,850OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$790,585TotalRevenueColumnAmt
Exclusion$790,585ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA722514$938,827$938,827
HITECH stimulus funds900099$891,695$891,695
Other Revenues900099$1,005,337$1,005,337

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,835,859OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$302,352,089TotalRevenueColumnAmt
Related Or Exempt Func Income$297,008,842RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,654,848ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$67,236TotalAmt
Program Services$67,236ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,467,046TotalAmt
Program Services$1,246,989ProgramServicesAmt
Management And General$220,057ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$102,307,311TotalAmt
Program Services$86,961,214ProgramServicesAmt
Management And General$15,346,097ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,721,312TotalAmt
Program Services$3,163,115ProgramServicesAmt
Management And General$558,197ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,422,274TotalAmt
Program Services$9,708,933ProgramServicesAmt
Management And General$1,713,341ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,938,008TotalAmt
Program Services$5,897,307ProgramServicesAmt
Management And General$1,040,701ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,755TotalAmt
Management And General$10,755ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,471TotalAmt
Management And General$6,471ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$75,379,502TotalAmt
Program Services$65,387,652ProgramServicesAmt
Management And General$9,991,850ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,274,812TotalAmt
Program Services$3,633,590ProgramServicesAmt
Management And General$641,222ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,172,452TotalAmt
Program Services$7,796,584ProgramServicesAmt
Management And General$1,375,868ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$756,249TotalAmt
Program Services$642,812ProgramServicesAmt
Management And General$113,437ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,947,916TotalAmt
Program Services$5,905,729ProgramServicesAmt
Management And General$1,042,187ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,672,753TotalAmt
Program Services$14,171,840ProgramServicesAmt
Management And General$2,500,913ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,211,339TotalAmt
Program Services$1,879,638ProgramServicesAmt
Management And General$331,701ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$37,047,314$37,047,314
state assessments$4,480,044$4,480,044
membership dues$502,581$427,194$75,387
Dietary & laboratory supplies$5,359,138$5,359,138

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,091,497TotalAmt
Program Services$927,772ProgramServicesAmt
Management And General$163,725ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$289,836,010TotalAmt
Program Services$254,704,101ProgramServicesAmt
Management And General$35,131,909ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$14,715,268BOYAmt
EOY$2,908,077EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$362,205BOYAmt
EOY$361,987EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$56,364,062BOYAmt
EOY$85,529,228EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,570,478BOYAmt
EOY$1,642,057EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,638,059BOYAmt
EOY$5,819,568EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY-$524,871BOYAmt
EOY$305,039EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$488,851,915LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$253,237,699LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$237,657,314BOYAmt
EOY$235,614,216EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$91,477,805BOYAmt
EOY$74,691,483EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,388,328BOYAmt
EOY$1,632,914EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$379,218,112BOYAmt
EOY$408,504,569EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,570,822BOYAmt
EOY$33,717,930EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$157,100,712BOYAmt
EOY$151,171,008EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,594,757BOYAmt
EOY$3,389,808EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$167,266,291BOYAmt
EOY$188,278,746EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$211,448,259BOYAmt
EOY$219,720,294EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$219,586BOYAmt
EOY$221,553EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$283,976BOYAmt
EOY$283,976EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$211,951,821BOYAmt
EOY$220,225,823EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$379,218,112BOYAmt
EOY$408,504,569EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$12,516,079ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,657,077NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$585,000OtherChangesInNetAssetsAmt
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 RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$10,873GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$1,775OtherActivitiesAmt
Total Lobbying Expenditures$12,648TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYLOBBYING 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 ACTIVITYLOBBYING 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 D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,020,388OtherCostOrOtherBasisAmt
Book Value$24,020,388BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$302,073,865OtherCostOrOtherBasisAmt
Depreciation$126,005,476DepreciationAmt
Book Value$176,068,389BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$160,150,586OtherCostOrOtherBasisAmt
Depreciation$127,232,223DepreciationAmt
Book Value$32,918,363BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,607,076OtherCostOrOtherBasisAmt
Book Value$2,607,076BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$235,614,216TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescMERCY HEALTH INVESTMENT MANAGEMENT PROGRAMDesc
Book Value$74,691,483BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$74,691,483TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Amt$3,389,808Amt
FieldValueIRS element (for citing)
Total Liability$3,389,808TotalLiabilityAmt
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 H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,705,309TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,515,665DirectOffsettingRevenueAmt
Net Community Benefit Expns$189,644NetCommunityBenefitExpnsAmt
Total Expense0.0007TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,786,152TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,768,457DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,017,695NetCommunityBenefitExpnsAmt
Total Expense0.0484TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$63,491,461TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$49,284,122DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,207,339NetCommunityBenefitExpnsAmt
Total Expense0.0490TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$517,854TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,917DirectOffsettingRevenueAmt
Net Community Benefit Expns$510,937NetCommunityBenefitExpnsAmt
Total Expense0.0018TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$876,119TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$876,119NetCommunityBenefitExpnsAmt
Total Expense0.0030TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$841,924TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$290,410DirectOffsettingRevenueAmt
Net Community Benefit Expns$551,514NetCommunityBenefitExpnsAmt
Total Expense0.0019TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,890TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,890NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,261,787TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$297,327DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,964,460NetCommunityBenefitExpnsAmt
Total Expense0.0068TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$65,753,248TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$49,581,449DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,171,799NetCommunityBenefitExpnsAmt
Total Expense0.0558TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,950TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,950NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$29,950TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,950NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$22,114,500BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$55,132,243ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$50,471,516CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$4,660,727MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Mercy Medical Office Condominium Association
Real Property Management0.4960.00.504
Northpark Condominium Association
Real Property Management0.550.00.45
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndCritical Access HospitalCriticalAccessHospitalInd
SPRINGFIELD REGIONAL MEDICAL CENTER
1100 Medical Center DriveSPRINGFIELDOH45504www.community-mercy.org1122AHRYes (X)Yes (X)Yes (X)
MERCY MEMORIAL HOSPITAL
2904 SCIOTO STREETURBANAOH43078www.community-mercy.org1121AHRYes (X)Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtStrategy AttachedStrategyAttachedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctMedical Indigency CriteriaMedicalIndigencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Notice DisplayedFAPNoticeDisplayedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndAsset Level CriteriaAssetLevelCriteriaInd
SPRINGFIELD REGIONAL MEDICAL CENTER
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)falseYes (true)Yes (true)Yes (X)www.mercy.com/corporate/community-benefit.aspxYes (X)Yes (true)13Yes (true)www.mercy.com/corporate/community-benefit.aspxfalsefalseYes (true)Yes (X)200.0400.0Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)www.mercy.comYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
MERCY MEMORIAL HOSPITAL
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)www.mercy.com/corporate/community-benefit.aspxYes (X)Yes (true)13Yes (true)www.mercy.com/corporate/community-benefit.aspxfalsefalseYes (true)Yes (X)200.0400.0Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)www.mercy.comYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalseYes (X)

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Springfield Regional Medical Center. SPRINGFIELD REGIONAL MEDICAL CENTER (SRMC) AND COMMUNITY REPRESENTATIVES WORKED TOGETHER TO GATHER DATA AND ANALYZE THE CURRENT HEALTH CARE NEEDS IN OUR REGION. A MEETING WAS HELD ON OCTOBER 22, 2012 TO REVIEW THE DATA WHICH INCLUDED THE FOLLOWING TOPICS: *GENERAL HEALTH STATUS *PREVALENCE OF DISEASE *LIFESTYLE CHOICES *EARLY DETECTION *IMMUNIZATION *ACCIDENT PREVENTION *CHILDREN'S HEALTH ATTENDEES INCLUDED REPRESENTATIVES FROM CLARK COUNTY COMBINED HEALTH DISTRICT (CCCHD), COMMUNITY HEALTH FOUNDATION, COMMUNITY MERCY HEALTH PARTNERS, HYDEN CONSULTING (RHC/MHS), ROCKING HORSE CENTER, AND THE SPRINGFIELD FOUNDATION. DISCUSSION LED TO THE INVITATION OF THE FOLLOWING ORGANIZATIONS TO JOIN THE COALITION: UNITED WAY OF CLARK, CHAMPAIGN AND MADISON COUNTIES; OHIO VALLEY MEDICAL CENTER; LOCAL DENTAL AND MEDICAL SOCIETIES; MENTAL HEALTH BOARD; UNITED SENIOR SERVICES/AREA AGENCY ON AGING; AND DAYTON CHILDREN'S/NATIONWIDE CHILDREN'S HOSPITALS (FOR DATA ON CLARK COUNTY PEDIATRICS). THE EPIDEMIOLOGIST AT CCCHD AND SPRINGFIELD REGIONAL MEDICAL CENTER STAFF WORKED TOGETHER TO GATHER ICD-9 DATA. SPRINGFIELD REGIONAL MEDICAL CENTER PARTICIPATED IN THE CLARK COUNTY COMMUNITY HEALTH ASSESSMENT THAT BEGAN IN OCTOBER 2012 AND ENDED IN JUNE 2013 AFTER TWELVE MEETINGS. A TEAM OF WRIGHT STATE UNIVERSITY RESEARCHERS REVIEWED CURRENT LITERATURE TO IDENTIFY EVIDENCE-BASED PRACTICES (EBP) THAT COULD BE USED TO REMEDY THE PRIORITY ISSUES. TASK FORCES RECONVENED IN APRIL 2013 WITH NINE (9) SUBSEQUENT MEETINGS TO REVIEW THE DATA AND PRIORITIZE THE NEEDS. A MEETING WAS HELD IN JUNE 2013 WITH ALL PARTNERS TO REVIEW AND APPROVE THE PRIORITY LIST. FEEDBACK COLLECTED FROM THIS MEETING WAS USED TO REFINE RESEARCH EFFORTS AND DEVELOP ACTION STEPS TO IMPLEMENT THE CHOSEN STRATEGIES. THIS INFORMATION WAS ORGANIZED INTO AN ACTION PLAN BY THE WRIGHT STATE TEAM AND DISTRIBUTED TO TASK FORCE PARTICIPANTS FOR REVIEW IN OCTOBER 2012.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - Springfield Regional Medical Center. OSU Extension Clark County Combined Health District SANOFI United Senior Services Mental Health Services Community Mercy Cancer Center Clark County Combined Health United Way of Clark, Champaign and Madison Counties Mental Health Services for Clark & Madison Counties, Inc. Clark County Combined Health District McKinley Hall Mental Health Services for Clark & Madison Counties, Inc. Catholic Central School System Clark County Sheriff's Office Clark County Coroner Department of Job & Family Services Clark County Probation office Adult Probation Clark State LPN Program Department of Job & Family Services Mental Health Services of Clark & Madison Counties Family & Youth Initiatives, New Carlisle, OH Community Health Foundation Hyden Consulting Cedarville University Pharmacy Program Mercy Med Assist Springfield News Sun
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Springfield Regional Medical Center. Springfield Regional Medical Center (SRMC) is addressing the significant needs identified in the most recently conducted CHNA as follows: Mental Health Wellbeing - Currently, SRMC is partnering in Clark County to work with the State in the area of medical Mental Health Homes and managed care so our focus in on prevention. MHRB advocates adoption of treatment overlay; the FQHC provides mental health services; there is an array of MH providers for adults and youth (Osterlin, Catholic Charities, Well Spring, Rocking Horse-and Medicaid is available through all providers); MHRB is beginning a focus on prevention using the Good Behavior Game (GBG) in local schools, which is also embedded in the local university's education program curriculum; A Trauma informed care initiative at SRMC; Crisis intervention training done by the board on a regular basis to first responders where focus is recognition and referral. Chronic Disease Management - A large portion of the city of Springfield is a Health Professionals Shortage Area (HPSA). The County does have an FQHC, but while it does have new physical capacity, the facility has dropped from four physicians to two with one of those two being the medical director. SRMC has worked with the FQHC, first by providing $150,000.00 to recruit and hire additional providers. SRMC and the FQHC have established a process for patients being discharged from the hospital with a diagnosis of diabetes and without a PCP, to schedule the first follow up appointment and become an established patient at the FQHC. This success of this program is proven by the zero readmission rate of these patients and a reduction in their A1C levels and overall improved health. In 2015 a process was begun to focus on patients discharged with a diagnosis of CHF, scheduling follow-up appointments and education to maintain a healthy lifestyle. A bariatric program, Springfield Weight Management Solutions was established to help with the problem of obesity which can severely affect quality of life. In addition to the social and psychological problems obesity is strongly associated with high blood pressure, arthritis, diabetes, heart and lung disease and a shortened life span. Substance Abuse - Clark County, like many communities in the country, is experiencing an increase in the use of heroin among other substance abuse trends. The community determined that the primary barrier to improving substance abuse prevention strategies is the overall lack of capacity in the County. To get to the point of targeting the highest priority strategies, the community first needs to build data collection and analysis capacity. Such capacity will enable the community to make a firm case for the need for more resources, then to obtain additional professionals, and to be able to prioritize and disseminate effective prevention interventions. In terms of community strengths, there is wide community support to follow the Strategic Prevention Framework and to pursue participation by the 12 partnering sectors recommended by the Substance Abuse and Mental Health Services Administration (SAMHSA). Additionally SRMC is part of the Drug Death Review Team whose purpose is to perform a multidisciplinary review of all unintentional drug deaths occurring in Clark County, identifying interventions to reduce the rate of drug deaths. Identified needs that are not being addressed specifically by SRMC Obesity - Implement a child health, multi-dimensional, school-wide, evidence-based program in Lincoln Elementary as a pilot program to determine what works then scale up to additional schools. The Obesity Task Force determined that a core criterion for their decision was prevention, and therefore their focus is on youth in schools, which also engages parents, via a multidimensional, school-wide, child health evidence-based program. Healthy Births - To identify and engage pregnant women in first trimester prenatal care. Partnering Agencies are Clark County Combined Health District including its WIC program, the Community Foundation, the Pregnancy Resource Center, Clark County Department of Job and Family Services, and Springfield's Women's Network. The gap analysis uncovered the need for better outreach to pregnant women to get them to the FQHC's OB program. A concerning proportion of pregnant women delay prenatal care, and this trend is especially evident among the growing Spanish speaking-only households, where it is not uncommon for pregnant women to get a confirmation of pregnancy at 4-6 months.
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - Springfield Regional Medical Center. The maximum amount that can be charged to FAP-eligible individuals for emergency care or other medically necessary care is based upon federal poverty levels stated in the hospital's financial assistance policy.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Mercy Memorial Hospital. Mercy Memorial Hospital, a critical access hospital, took part in the Regional Health Needs Assessment Project: Ohio's Critical Access Hospitals, North Central Region. The process relied on a data-driven, facilitated planning approach, and was conducted between November 2011 and May 2012 in four (4) half-day sessions. In addition, Mercy Memorial Hospital participated in the Champaign County Community Health Plan process beginning in November 2012 with six (6) meetings and concluding in June 2013. A team of Wright State University researchers reviewed current literature to identify evidence-based practices (EBP) that could be used to remedy the priority issues. Task forces reconvened in June and August of 2012 to review and determine the viability of the EBP. Feedback collected from this meeting was used to refine research efforts and develop action steps to implement the chosen strategies. This information was organized into an action plan by the Wright State team and distributed to task force participants for review in October 2012. A community health planning cycle was used to analyze the data in 5 steps: 1. Self-assessment 2. Build the partnership 3. Conduct planning Activities 4. Task forces 5. Evaluation A total of five meetings were held thereafter with Wright State consisting of the first steering meeting, two task force meetings (community and internal), and a second steering committee meeting to combine all the data. Active partners in this process included representatives from the Champaign County Mental Health/Suicide Coalition, County Health Commissioner, YMCA, Mercy Memorial Hospital, Drug Free Youth Coalition, Early Childhood Coordinating Committee, Family & Children First Council, Caring Kitchen, Mercy Well Child Pediatrics, local Cancer Association, Champaign County Board of Developmentally Delayed , Educational Services Center Office, Transitions Counseling, Home Health and area churches as well as the Administrators of local senior residential facilities, superintendents of Champaign County and Urbana City schools, North Lewisburg Township Trustees and the county's Medical Director. Seven meetings were held over a twelve month period beginning in October 2011 through November 2012.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - Mercy Memorial Hospital. Mercy Memorial Hospital's CHNA was conducted, in part, with the following hospital facilities, all part of the Ohio Critical Access Hospital group: Bucyrus & Galion Community Hospital, Conneaut & Geneva Medical Center, Hardin Memorial Hospital, Lodi Community Hospital, Mercy Allen Hospital, Mercy Willard Hospital, Morrow County Hospital and Wyandot Memorial Hospital
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - Mercy Memorial Hospital. Champaign County Commissioners OSU Extension Department Jobs & Family Services YMCA, Activate Champaign Champaign County Health District Sheriff Department SNS Wright State University Emergency Management Agency Urbana Police Department Consolidated Care, Inc. United Way Hondros
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Mercy Memorial Hospital. Mercy Memorial Hospital is addressing the significant needs identified in the most recently conducted CHNA as follows: Adult Mental Health - The goal to provide a safe room in the Emergency Department at Mercy Memorial Hospital has been met. The room is fully enclosed and specially designed to remove all potentially dangerous objects. There is a monitoring system that provides safety for the staff in the case of violent patients and also eliminates the need for a "sitter" which upholds the dignity of the patient. Nutrition and Exercise - A fitness center was opened for employees at Mercy Memorial Hospital in 2015 to promote wellness for employees. Employees are taking advantage to the fitness center noting the opportunity to use before or after work, eliminating an extra stop at a community gym and eliminating the cost of membership. The following employee wellness data is based on comparison of 2014 to 2015: * 3% decrease in metabolic syndrome * 9% decrease in hypertension (16% to 7%) * 2% increase in ideal HDL (37% to 39%) * 5% increase in participation & points earned (44%-49%) Chronic Disease Management: The Chronic Care Clinic at MMH, opened in May of 2015 provides post discharge, follow up appointments for patients without a primary care physician, medication reconciliation and support in finding a medical home. The recent reduction in readmissions in 2015 has been attributed to the clinic. Additionally a Vivitrol program through the Chronic Care Clinic began in May 2015. This program offers medication assistance treatment (MAT) to all clients at REACH (outpatient drug, alcohol & tobacco rehab program) Identified needs that are not being addressed specifically by Mercy Memorial Hospital: Youth Substance Abuse and Wellness: Other community agencies are specifically designed and better prepared to address this health need. MMH continues to support groups such as Champaign County Drug Free Youth Coalition, Champaign County Family and Children First Council, Triad Local Schools North Lewisburg, Ohio and Mercy Well Child Pediatrics, Urbana Ohio.
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - Mercy Memorial 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.
FieldValueIRS element (for citing)
Facility9FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Mercy Memorial Wound Care Center
1430 East US Highway 36UrbanaOH43078Wound Care Center
Springfield Regional Wound Care center
362 S Burnett RdSpringfieldOH45505Wound Care Center
Occupational Health Center-Springfield
2501 East High StreetSpringfieldOH45505Occupational Health Center
Occupational Health Center-Urbana
904 Scioto StUrbanaOH43078Occupational Health Center
Springfield Regional Cancer Center
148 W North StSpringfieldOH45503Cancer Center
Mercy Siena Retirement Community
6125 N Main StDaytonOH45415Skilled Nursing Facility
Community Mercy Home Medical Equipment
1702 N Limestone StSpringfieldOH45505Medical Equipment Supplier
Community Mercy Home Care Services of Springfield LLC
530 South Burnett RdSpringfieldOH45505Home Health Agency
McAuley Center
906 Scioto StreetUrbanaOH43078Skilled Nursing Facility

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6a Community benefit report prepared by related organizationMercy Health
Schedule H, Part I, Line 7g Subsidized Health ServicesCOMMUNITY MERCY HEALTH PARTNERS (CMHP) OPERATES THE MERCY WELL CHILD PEDIATRIC CLINIC. SERVICES ARE PROVIDED PRIMARILY BY A NURSE PRACTITIONER; HOWEVER, WE DO HAVE A STAFF PHYSICIAN (ON OUR PAYROLL) WHO PROVIDES ON-CALL COVERAGE AND LIMITED ON-SITE HOURS. THE AMOUNT OF SUBSIDIZED HEALTH SERVICES ATTRIBUTABLE TO A PHYSICIAN CLINIC IS $155,075.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceCOST 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 ActivitiesCOMMUNITY MERCY HEALTH PARTNERS (CMHP) 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 amountThe 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 uncollectable following a reasonable collection effort.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyThe 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 footnoteThe 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 13) 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 costsThe 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 assistancePatients 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- SPRINGFIELD REGIONAL MEDICAL CENTER: Line 16b URL: www.mercy.com; - MERCY MEMORIAL HOSPITAL: Line 16b URL: www.mercy.com;
Schedule H, Part VI, Line 2 Needs assessmentCOMMUNITY MERCY HEALTH PARTNERS (CMHP) HOSPITALS ASSESS AND CONTINUALLY RESPOND TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. CMHP HOSPITALS JOIN AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. MERCY HEALTH HOSPITALS INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. CMHP HOSPITALS RECOGNIZE THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. CMHP HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. CMHP'S COMMUNITY BENEFITS COMMITTEES MEET TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. CMHP HOSPITALS WORK CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES TO AVOID DUPLICATION.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceCommunity Mercy Health Partners (CMHP) posts its charity care policy, or a summary thereof, and financial assistance contact information in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. CMHP provides a copy of the policy, or a summary thereof, and financial assistance contact information to patients as part of the intake process and with discharge materials. Additionally, a copy of the policy or a summary along with financial assistance contact information is included in patient bills. CMHP discusses with the patient the availability of various government benefits, such as Medicaid or state programs, and assists the patient with qualification for such programs, where applicable. The Hospital Eligibility Link Program (HELP) is a free referral service provided by CMHP. The purpose of HELP is to assist patients in obtaining medical benefits through federal, state, and hospital programs. HELP representatives will provide the following services at no cost to the patient: * Explore eligibility under public assistance programs * File applications on patient's behalf * Schedule and attend appointments * Provide transportation when necessary * Provide medical documentation to Social Security Administration for disability claims. Through HELP, patients and their counselors look at what options are available. CMHP understands that not everyone can pay for healthcare services. HELP is here to offer options and assistance for those who are uninsured or underinsured. HELP is an extension of CHMP's mission to improve the health of our community with emphasis on the poor and underserved. Meeting the needs of those with limited resources has always been the heart of our mission. CMHP is proud to make our financial assistance information available to the public through our website, which can be found at www.community-mercy.org Other patient education information that is provided for eligibility of assistance is as follows: * A bilingual representative is available in our HELP Program. Two bilingual representatives are available in our customer service department. Each of these representatives are in our regional office in Cincinnati. * Staff training on Hospital Care Assurance Program (HCAP) and Hospital Financial Assistance (HFA) was provided in 2009 by a private auditing company. Training included a manual and in-depth information regarding the preparation of the cost report logs, accurate completion of the HCAP application, as well as an overview of the FAQ's provided by the Ohio Hospital Association. * Financial assistance counselors work with case managers to expedite the transfer of patients to extended care facilities. * Federal poverty guidelines are posted on our website as well as a copy of our charity application. * Consistent review of self pay patients for retroactive Medicaid coverage. * Services provided by vendor to reach out to patients in bad debt to screen for HCAP eligibility.
Schedule H, Part VI, Line 4 Community informationCommunity Mercy Health Partners's (CMHP) primary service area includes Clark and Champaign counties, which have a total population of approximately 209,700. According to the most recent Community Health Assessment reports from the two counties, residents of the CMHP primary service area are generally older, poorer and have worse health statistics than state and national averages. Unemployment has also risen in our community during the last several years, and we serve a growing number of uninsured and underinsured patients. CMHP owns two of the three hospitals in this geographic area. The third hospital (not owned by CMHP) is a limited-service for-profit hospital that specializes in outpatient and short-stay surgery, and it does not have an emergency department. Part of the city of Springfield has been federally designated as a medically underserved area. Other demographics of our service area include: * Percentage of adults who have not achieved at least a high school diploma is higher that both the state and national averages * Higher percentage of residents living in poverty than in the state and nationwide * Unemployment rate is higher than both the state and national rates * Median household income is below the state median and US median * The population of the service area consists of 3.3% non-English speaking people. * The population of the service area that is 65 years or older is 17%. * The occupation classification in the community consists of 29% blue collar, 51% white collar and 20% service and farm workers. The major health problems and/or leading causes of death in our service area are Cardiovascular disease, Diabetes, Emphysema and Cancer. Most of these are preventable through proper care and maintaining control of the illness/disease, as well as choosing healthier lifestyles. In our service area 28% of the population are smokers, 40% have high cholesterol, and 30-40% are overweight or at risk for becoming overweight.
Schedule H, Part VI, Line 5 Promotion of community healthCommunity Mercy Health Partners (CMHP) operates emergency rooms open to all regardless of ability to pay. In addition to providing emergency services, CMHP also provides minor emergency and urgent care services to all regardless of ability to pay. CMHP participates in Medicaid, Medicare, Champus and/or other government sponsored health programs. CMHP operates skilled nursing units, ICU, newborn nursery, wound care, diabetes management, outpatient pediatrics, substance abuse, prescription assistance and a critical access hospital. CMHP has an open medical staff with privileges available to all qualified physicians in the area. The majority of the governing body consists of independent persons representative of the community served by CMHP. CMHP participates in Medicaid, Medicare, CHAMPUS, and/or other government -sponsored health care programs. CMHP furthers its exempt purpose by providing the following community benefit programs in the communities in which it serves: Community Mercy Med Assist helps area residents who cannot afford their prescription medications. Community Mercy REACH offers outpatient treatment for chemical dependency by licensed professionals who have master's-level education. REACH also offers an innovative and effective smoking cessation program that incorporates exercise and nutrition/weight control to promote an overall healthy lifestyle. Mercy Well Child Pediatrics is a pediatric clinic that identifies and addresses potential health and developmental concerns in children. The clinic promotes quality pediatric care with a holistic approach to meet the health, social and emotional needs of children and families. Mercy Well Child Pediatrics serves children from infants to age 21, regardless of the families' income or insurance status. CMHP'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. Community groups and individuals are very supportive of CMHP. For the past decade, the Rocking Horse Center has been a key partner with CMHP in making basic healthcare more accessible, especially for the poor and underserved. Early in 2009, Rocking Horse was granted status as a Federally Qualified Health Center, which will provide higher levels of Medicaid reimbursement. In addition, CMHP and Rocking Horse collaborated to develop an ER referral process, to identify patients who did not have a medical home and to provide follow-up care.
Schedule H, Part VI, Line 6 Affiliated health care systemCommunity Mercy Health Partners (CMHP) is a member of Community Mercy Health Systems. CMHP is sponsored by the Sisters of Mercy and has been an integral part of the community since 1950. CMHP includes an acute care hospital and a critical care access hospital with approximately 641 licensed beds combined. Community Mercy Health System community benefit for 2015 per the audit footnote is as follows: Total 2015 Community Benefit: $18.6 Million Benefits to the Broader Community: $1.6 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $16.2 million Cost of Care for Those Who Could Not Afford to Pay: $0.3 million Support for Other Programs for Those Who are Poor: $0.4 million Community Benefit as Percent of Total Expense: 6.4 percent CMHP is a member of Mercy Health which 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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
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 PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN STARCHER JR
TRUSTEE, PRESIDENT/CEO CINCINNATI REGION, EVP OPERATIONS$0$727,193$0$356,655$0$131,481$0$11,886$0$7,888$0$1,235,103$0$0
PAUL HILTZ
President/CEO Springfield Region, SVP Mercy Health$379,152$0$104,239$0$55,217$0$100,960$0$28,330$0$667,898$0$0$0
WILLIAM KUSNIERZ
VP, CFO & TREASURER$0$252,225$0$40,115$0$62,951$0$29,537$0$13,907$0$398,735$0$0
KATRINA ENGLISH
FORMER KEY EMPLOYEE$0$297,710$0$76,338$0$41,848$0$43,748$0$26,428$0$486,072$0$0
GARY HAGENS
VP, COO - VPMA$344,951$0$51,122$0$70,107$0$13,250$0$12,846$0$492,276$0$0$0
SHERRY NELSON
VP Chief Nursing Officer$219,251$0$31,826$0$23,099$0$13,177$0$19,519$0$306,872$0$0$0
SANA WAIKHOM MD
FORMER HCE$0$134,449$0$3,000$0$21,011$0-$15,862$0$8,718$0$151,316$0$0
JENELLE ZELINSKI
DIRECTOR OF FINANCE$184,552$0$10,791$0$578$0$4,420$0$1,702$0$202,043$0$0$0
PAMELA ALLEN
Director, Pharmacy$172,375$0$9,123$0$3,676$0$9,333$0$10,425$0$204,932$0$0$0
MARIANNE POTINA
VP MISSION & VALUES$136,375$0$20,513$0$29,807$0$9,858$0$17,531$0$214,084$0$0$0
MICHELLE ADKINS
DIRECTOR, CLINICAL SERVICES$139,310$0$6,767$0$1,590$0$7,343$0$14,800$0$169,810$0$0$0
MARYANN MCQUARRIE
DIRECTOR, CLINICAL SERVICES$141,037$0$6,940$0$2,949$0$7,197$0$8,257$0$166,380$0$0$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4b 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: John Starcher, Jr. $111,779.
Schedule J, Part I, Line 4b Terms and conditions of the Cincinnati Market SERPThe Cincinnati Market SERP is a deferred compensation plan which provides employment continuation incentives to all executive council members. The plan is no longer accepting new participants and the cessation of contributions has occurred. Participants must complete a two tiered vesting provision. Participants must be vested under the base qualified plan and must count 24 months after termination during which they do not compete with Mercy Health Cincinnati LLC. Amounts includible as taxable compensation for listed individuals due to executive benefit plan participation in the reporting year were as follows: Paul Hiltz $0.
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: Paul Hiltz $0; Gary Hagens $18,066; Sherry Nelson $11,615; William Kusnierz $0; Katrina English $0; Marianne Potina $7,250.
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 4b Supplemental nonqualified retirement planThe Community Mercy Health Partners SERP plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the CMHP Committee. The plan is no longer accepting new participants and cessation of contributions has occurred. Participants vest the later of five years of active service or the second anniversary of his or her separation from service with the employer. Vesting occurs earlier for death or total disability. 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 were as follows: Gary Hagens $0; Katrina English $0; Marianne Potina $0.
Schedule J, Part I, Line 7 Non-fixed paymentsThe 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPRINGFIELD HEART SURGEONSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSURENDER NERAVETLA, M.D. (BOARD MEMBER) HAS A REPORTABLE OWNERSHIP INTERESTRelationshipDescriptionTxt
Transaction$924,047TransactionAmt
TransactionINDEPENDENT CONTRACTORTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part IV, Line 14a Consolidated audited financial statementsThe filing organization does not have separate, independent audited financial statements. The organization is included in Mercy Health's 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 2 Family/business relationships amongst interested personsJOSEPH R. JACKSON, JAMES N. DOYLE - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersCOMMUNITY MERCY HEALTH SYSTEM IS THE MEMBER OF COMMUNITY MERCY HEALTH PARTNERS.
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 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 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 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 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 15a Process to establish compensation of top management officialThe organization's formal process for determining total compensation for the CEO and 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. The Compensation & Evaluation Committee of the organization's Board of Trustees conducts an annual review of the compensation and performance of the CEO and other officers and key employees. In doing so, the Committee retains a qualified independent compensation consultant to conduct a competitive market analysis annually of the market ranges of base, incentive, and total cash compensation. The Committee utilizes that analysis and other appropriate information in connection with its annual review and adjustment of compensation ranges. It also reviews and recommends to the full board the threshold, target, and maximum incentive awards for which the listed individuals may be eligible, based upon the organization's performance results for community benefit, quality, and financial performance. The committee's recommendations concerning salary range adjustments and incentive awards go to the full board for approval. The committee, with full board approval, determines the adjustment to the ceo's base compensation and incentive award, within such established parameters. For the coo, cao, evp, and svp positions, adjustments and incentive awards are approved by the organization's ceo within such parameters. Adjustments and awards for other listed individuals are recommended by the supervising executive. Base salary adjustments and incentive awards are disclosed to the committee. A formal performance appraisal process is incorporated in the compensation adjustment and award process. It utilizes a multi-perspective approach and performance measures which are linked to the organization's long-term strategic plan, achievement of annual system objectives, and personal objectives.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesCompensation-related determinations are conducted in accordance with applicable requirements of the Internal Revenue Code and regulations to qualify for the presumption that the compensation is reasonable, including but not limited to approval by an authorized body composed of individuals who do not have a conflict of interest, obtaining and relying on appropriate data as to comparability, and concurrent documentation of the basis for the compensation determinations.
Form 990, Part VI, Line 19 Required documents available to the publicTHE CONFLICT OF INTEREST POLICY and financial statements are POSTED ON THE Mercy Health WEBSITE.
Form 990, Part IX, Line 11g Other FeesMedical Professional fees - Total Expense: 8767166, Program Service Expense: 8767166, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 970628, Program Service Expense: 825034, Management and General Expenses: 145594, Fundraising Expenses: ; Affiliate Purchased services - Total Expense: 42717462, Program Service Expense: 36309843, Management and General Expenses: 6407619, Fundraising Expenses: ; Other purchased services - Total Expense: 22924246, Program Service Expense: 19485609, Management and General Expenses: 3438637, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesIntercompany Eliminations - -402000; Equity Transfers - 5000; Other Adjustments - -188000;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SPRINGFIELD REGIONAL CANCER CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1148 W NORTH STREETAddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45502ZIPCd
FieldValueIRS element (for citing)
EIN352216018EIN
Primary ActivitiesCANCER CENTERPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd
Total Income$3,066,551TotalIncomeAmt
End Of Year Assets$8,173,458EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY MERCY HEALTH PARTNERSBusinessNameLine1Txt

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 StateLegalDomicileStateCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
CHP INSURANCE LTD
1701 Mercy Health PlaceCINCINNATIOH45237980621978INSURANCECJNAC Corporationfalse
NORTHPARKE MEDICAL COMMONS CONDO ASSN
333 N LIMESTONE STSPRINGFIELDOH45503311391230REAL PROPERTY MGMNTCommunity Mercy Health PartnersC CorporationYes (true)OH$0$00.55
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 OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
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 OrgYes (true)RentalOfFacilitiesToOthOrgInd
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 OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd