2014-11-13T16:01:58-06:00 2013-12-31 440160260 BKD LLP 312 WALNUT STREET SUITE 300 CINCINNATI OH 45202 990 2013-01-01 310538532 THE SISTERS OF MERCY OF HAMILTON OHIO SIST 5139815600 3000 Mack Road Fairfield OH 45014 DAVID NOWISKI MARKET CFO 2014-10-31 true P00961884 5136218300 2013 2015-11-30 17:44:51Z X MERCY HOSPITAL FAIRFIELD THOMAS URBAN 3000 Mack Road Fairfield OH 45014 244965500 false 0928 X WWW.E-MERCY.COM X 1903 OH MERCY HOSPITAL FAIRFIELD CARES FOR ANYONE WHO COMES TO US, REGARDLESS OF ABILITY TO PAY, OFFERING FREE CARE TO ANYONE WITHOUT INSURANCE EARNING UP TO TWICE THE FEDERAL POVERTY GUIDELINES (FPG) & DISCOUNTS TO THOSE EARNING UP TO FOUR TIMES THE FPG. THOSE WITH INSURANCE WHO EARN MORE CAN ALSO QUALIFY FOR DISCOUNTS. X 17 13 1700 200 0 0 402455 756203 231205078 237807602 764097 1702173 4156039 4390798 236527669 244656776 141300 245260 0 0 82991366 84931877 0 0 0 117499153 115694683 200631819 200871820 35895850 43784956 145807705 0 60871662 0 84936043 0 MERCY HOSPITAL FAIRFIELD EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. false false 177731995 245260 237807602 THE PRIMARY EXEMPT PURPOSE OF MERCY HOSPITAL FAIRFIELD 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. MERCY HOSPITAL FAIRFIELD ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. IN 2013 MERCY HOSPITAL FAIRFIELD PROVIDED CHARITY CARE AT A COST OF $7,391,651 TO 9,964 INDIVIDUALS. 177731995 true true false true false false false false false false false false false false true false true false false false false false false false false true true true false true false false false false false false false false false false true false false true false false false false true 0 0 1700 true false false false false false false false false false false X 17 13 false false false false true true true true true false false true true true true true true false false false X TRAVIS CRUM 5136392800 615 ELSINORE PLACE CINCINNATI OH 45202 GERMAINE BENNETT CHAIRMAN 0.30 2.10 X X 0 0 0 TIMOTHY INGRAM VICE CHAIRMAN 0.30 2.10 X X 0 0 0 TODD GARDNER TREASURER 0.30 2.10 X X 0 0 0 YOUSUF JAMAL AHMAD PRESIDENT & SECRETARY, MERCY HEALTH CINCINNATI PRESIDENT & CEO 1.00 48.00 X X 0 797005 129261 ANTHONY J ARETZ PHD TRUSTEE 0.30 2.10 X 0 0 0 ANTHONY J ASHER MD TRUSTEE 0.30 2.10 X 0 0 0 DANIEL GEEDING TRUSTEE 0.30 2.10 X 0 0 0 DONNA ZARING TRUSTEE 0.30 2.10 X 0 0 0 ED HERZIG MD TRUSTEE 0.30 40.00 X 0 415176 33461 JAMES J MCGRAW JR TRUSTEE 0.30 2.10 X 0 0 0 JAMES MAY TRUSTEE, CHP EVP & COO 0.30 43.40 X 0 1794878 45028 KIMBERLY MAUER TRUSTEE 0.30 2.10 X 0 0 0 L RICHARD ROEDERSHEIMER MD TRUSTEE 0.30 40.00 X 0 568064 33987 NEIL O'CONNOR TRUSTEE 0.30 2.10 X 0 0 0 REENA DHANDA PATIL MD TRUSTEE 0.30 2.10 X 0 0 0 SR MARJORIE BOSSE RSM TRUSTEE 0.30 3.10 X 0 0 0 SR MARY STANTON RSM TRUSTEE 0.30 2.10 X 0 0 0 DEBORAH BLOOMFIELD SVP, MARKET CFO 0.30 42.70 X 0 561858 93793 PATRICK KOWALSKI Market CFO 0.30 42.70 X 0 351379 35683 THOMAS URBAN MARKET LEADER & PRESIDENT 40.00 0.00 X 537304 0 62747 CLAIRE COMBS SVP, CHIEF ADMINISTRATIVE OFFICER 1.00 43.00 X 0 445036 61973 JOHN KENNEDY MD VP MEDICAL AFFAIRS 40.00 0 X 326845 0 32171 LEE ANN LISKA MHP CHIEF OPERATING OFFICER 1.00 43.00 X 0 326978 -1038 LEONARD M RANDOLPH JR MD SVP, CHIEF MEDICAL OFFICER 1.00 43.00 X 0 511985 67552 MAGGIE LUND SVP, DIV HUMAN RESOURCES 1.00 43.00 X 0 360369 44477 MICHAEL KRAMER VP STRATEGIC PLANNING & BUS. DEVELOPMENT 1.00 43.00 X 0 269446 37199 PATRICIA DAVIS-HAGENS VP NURSING & OPERATIONS 40.00 0 X 368122 0 36455 PATRICIA SCHROER VP MERCY HEALTH SERVICE LINES 1.00 43.00 X 0 284674 43235 BRENDA VANDEVENTER DIRECTOR OF NURSING 40.00 0 X 157186 0 32444 CRAIG SCHMIDT DIRECTOR, ANCILLARY SERVICES 40.00 0 X 138932 0 21654 JASON NIEMANN DIRECTOR OF PHARMACY 40.00 0 X 163046 0 22424 JOHN MCMAKEN LEAD PHARMACIST 40.00 0 X 145035 0 31346 KRISTINA ODOM DIRECTOR, RISK MANAGEMENT 40.00 0 X 135851 0 11787 DANIEL ROTH MD FORMER KEY EMPLOYEE 0.00 40.00 X 0 493933 76762 1972321 7180781 952401 44 true true false 0 609540 146663 756203 NET PATIENT SERVICE REVENUE 621990 236677170 236677170 RENTAL INCOME FROM AFFILIATES 531120 1130432 1130432 0 0 0 0 0 0 0 237807602 414832 414832 0 0 0 0 0 1004414 282927 1004414 282927 1287341 1287341 0 0 384141 308724 75417 75417 HITECH STIMULUS FUNDS 900099 3078275 3078275 VENDING MACHINES 900099 35535 35535 CAFETERIA 722210 980680 980680 220891 0 0 220891 4315381 244656776 237807602 0 6092971 X 245260 245260 0 0 0 1363644 1159097 204547 0 67809274 57637883 10171391 1387577 1179440 208137 9493502 8069477 1424025 4877880 4146198 731682 0 0 2500 2500 0 0 0 48761923 42447709 6314214 0 0 6095754 5181391 914363 0 0 8101753 6886490 1215263 127128 108059 19069 0 0 2780332 2363282 417050 0 8751135 7438465 1312670 1183103 1005638 177465 OHIO FRANCHISE FEES 3164803 3164803 MEDICAL SUPPLIES 36543257 36543257 182995 155546 27449 0 200871820 177731995 23139825 0 0 205519 28304064 0 0 0 0 2755141 4679223 0 0 81627034 0 24322729 0 0 0 0 3913995 0 145807705 0 15548652 0 0 45323010 0 60871662 0 X 84936043 84936043 0 145807705 0 X 43784956 677156 -129398155 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true false false true 0 false true 1532 false false false 1532 false Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i LOBBYING ACTIVITIES PERFORMED INCLUDE BOTH THE USE OF VOLUNTEERS ENCOURAGED TO WRITE LETTERS TO PUBLIC OFFICIALS ON ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE TO PROVIDE HEALTH SERVICES TO THE COMMUNITIES SERVED, AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. PAID MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDUM, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS REGARDING ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE PROVIDING HEALTHCARE SERVICES TO ITS PATIENTS AND TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. PAID STAFF MEMBERS HAVE, ON LIMITED OCCASIONS, WRITTEN TO LEGISLATORS ON SUCH ISSUES. THE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE THE ORGANIZATION'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT OUR SYSTEM. THE ORGANIZATION FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND OUR HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES WE SERVE. TO CARRY OUT THESE EFFORTS, THE ORGANIZATION PARTNERS WITH EXPERT CONSULTANTS AND PROFESSIONAL TRADE ASSOCIATIONS TO BUILD AWARENESS AND EXECUTE SPECIFIC STRATEGIES THAT WILL YIELD A FAVORABLE OUTCOME FOR PATIENT CARE IN THE ORGANIZATION'S FACILITIES WHERE THEY ARE TREATED. 0 0 0 0 0 0 0 0 X Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote THE COMPANY [CATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES] COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2013 AND 2012, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2013 OR 2012. true true X true X true X true true true false true true 9964 9275881 1884230 7391651 0.03680 21930 24562304 14395049 10167255 0.05060 0 0.00000 0 31894 33838185 16279279 17558906 0.08740 10 5471 321133 321133 0.00160 3 1665 550048 550048 0.00270 1 131 16872 16872 0.00000 0 0.00000 12 1459 247046 247046 0.00120 26 8726 1135099 0 1135099 0.00550 26 40620 34973284 16279279 18694005 0.09290 0 0.00000 0 0.00000 126670 126670 0.00060 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 126670 0 126670 0.00060 false 16439017 0 53644499 46664651 6979848 X true true 1 1 THE SISTERS OF MERCY OF HAMILTON OHIO 3000 MACK ROAD FAIRFIELD OH 45014 WWW.E-MERCY.COM 1033 X X X THE SISTERS OF MERCY OF HAMILTON OHIO 1 true X X X X X X X X X 13 true true true X www.e-mercy.com/foundation-community-benefit.aspx X www.mercy.com X X X X X X X X X true false true true 200 true 400 true X X X X true true X X X X X X true false X X X X true X false false Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment (1) - THE SISTERS OF MERCY OF HAMILTON OHIO: ALL OF THE INDIVIDUALS LISTED BELOW WERE IDENTIFIED FOR PARTICIPATION BECAUSE THEY POSSESSED CURRENT DATA OR INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. THE STAFF AND OFFICIALS WHO, BY VIRTUE OF THEIR OFFICE OR POSITION, ARE CONSIDERED TO HAVE EXPERTISE IN PUBLIC HEALTH ARE INDICATED BY AN ASTERISK (*) AFTER THEIR NAME. INDIVIDUALS CONTACTED: JUDY BENNINGTON*, ADMINISTRATOR, ADAMS COUNTY HEALTH DEPARTMENT MARY ANN MIARS-PEERCY, EXECUTIVE DIRECTOR, UNITED WAY OF SCIOTO COUNTY ALVIN NORRIS, EXECUTIVE DIRECTOR, ADAMS-BROWN COUNTIES ECONOMIC OPPORTUNITIES INC HAROLD VERMILLION*, HEALTH COMMISSIONER, BROWN COUNTY HEALTH DEPARTMENT COLLEEN CHAMBERLAIN, ASSOCIATE DIRECTOR, BROWN COUNTY ALCOHOL, DRUG ADDICTION, MENTAL HEALTH SERVICES BOARD DEBRA GORDON, AREA DIRECTOR, UNITED WAY OF GREATER CINCINNATI JACKIE PHILLIPS*, HEALTH COMMISSIONER, MIDDLETOWN CITY HEALTH DEPARTMENT MIKE SANDERS, EXECUTIVE DIRECTOR, MIDDLETOWN AREA UNITED WAY JEFFERY DIVER, EXECUTIVE DIRECTOR, BUTLER COUNTY SUPPORTS TO ENCOURAGE LOW-INCOME FAMILIES JOHN GUIDUGLI, PRESIDENT AND CHIEF EXECUTIVE OFFICER, HAMILTON COMMUNITY FOUNDATION DUANE GORDON, EXECUTIVE DIRECTOR, MIDDLETOWN COMMUNITY FOUNDATION KAREN SCHERRA, CHIEF OPERATING OFFICER, CLERMONT COUNTY MENTAL HEALTH AND RECOVERY BOARD BILLIE KUNTZ, EXECUTIVE DIRECTOR, CLERMONT COUNTY COMMUNITY SERVICES LISA JACKSON, VP MARKETING, DEVELOPMENT, HEALTHSOURCE OF OHIO TIM INGRAM*, HEALTH COMMISSIONER, HAMILTON COUNTY PUBLIC HEALTH ERIK STEWART, VICE PRESIDENT OF SYSTEM PERFORMANCE, HAMILTON COUNTY MENTAL HEALTH AND RECOVERY SERVICES BOARD BARBARA TERRY, VICE PRESIDENT COMMUNITY IMPACT, COMMUNITY/CHARITY UNITED WAY OF GREATER CINCINNATI WILL PARR, AGENCY DIRECTOR, CINCINNATI/HAMILTON COMMUNITY ACTION SHILOH TURNER, VICE PRESIDENT OF PROGRAMS, GREATER CINCINNATI FOUNDATION H.A. MUSSER, PRESIDENT AND CHIEF EXECUTIVE OFFICER, SANTA MARIA COMMUNITY SERVICES DR. JIM VANZANT*, HEALTH COMMISSIONER, HIGHLAND COUNTY HEALTH DEPARTMENT JUNI FREY, EXECUTIVE DIRECTOR, PAINT VALLEY ALCOHOL, DRUG ADDICTION, MENTAL HEALTH SERVICES BOARD DUANE STANSBURY*, HEALTH COMMISSIONER, WARREN COUNTY COMBINED HEALTH DISTRICT BRENT LAWYER, EXECUTIVE DIRECTOR, MENTAL HEALTH AND RETARDATION SERVICES OF WARREN AND CLINTON COUNTIES KAREN HILL, DIRECTOR, AGING SERVICES, WARREN COUNTY COMMUNITY SERVICES INC. JULIA RUPP, CHIEF OPERATING OFFICER, COMMUNITY MENTAL HEALTH CENTER KAREN SNYDER, DIRECTOR, DEARBORN COUNTY UNITED WAY MARK NEFF, COORDINATOR, DEARBORN COUNTY COMMUNITY FOUNDATION DAVID WELSH, M.D.*, COUNTY HEALTH OFFICER, RIPLEY COUNTY HEALTH DEPARTMENT SALLY MORRIS, EXECUTIVE DIRECTOR, RIPLEY COUNTY COMMUNITY FOUNDATION JOHN JOY, DEAN, SOUTHERN STATE COMMUNITY COLLEGE ERIC RADEMACHER, PHD, CO-DIRECTOR UNIVERSITY OF CINCINNATI, INSTITUTE FOR POLICY RESEARCH JOHN TAFARO, PRESIDENT CHATFIELD COLLEGE DIRECT SERVICE PROVIDER GROUP LEVEL ASSESSMENTS: BECKY BASFORD, CERTIFIED NURSE PRACTITIONER, ADAMS COUNTY REGIONAL MEDICAL CENTER (ACRMC) KRYS HESS, FOOD SERVICE SUPERVISOR, ADAMS COUNTY OHIO VALLEY SCHOOL DISTRICT (ACOVSD) CAROL MOTZA*, BOARD MEMBER, HEALTH DEPARTMENT BRIAN MCCORD, SPORTS MEDICINE MANAGER, ADAMS COUNTY REGIONAL MEDICAL CENTER (ACRMC) WILL WEST, WAL-MART FARRAH JAQUEZ, ASSISTANT PROFESSOR, UNIVERSITY OF CINCINNATI (UC) SHAY BEIGHLE, TEACHER, NORTH ADAMS HIGH SCHOOL HOLLY JOHNSON, DIRECTOR, ADAMS COUNTY ECONOMIC DEVELOPMENT COUNCIL (ACEDC) MIKE CLINTON KAREN BALLENGEE, TREASURER, MANCHESTER LOCAL SCHOOL DISTRICT (MLSD) ALVIS GEORGE, MANCHESTER LOCAL SCHOOL DISTRICT (MLSD) DANE CLARK, ASSEMBLY AND TEST MANAGER/BOARD OF TRUSTEES, GENERAL ELECTRIC (GE)/ADAMS COUNTY REGIONAL MEDICAL CENTER JOYCE PORTER, DIRECTOR OF HUMAN RESOURCES AND RISK MANAGEMENT, ADAMS COUNTY REGIONAL MEDICAL CENTER (ACRMC) CHARLIE BESS, VOLUN"TEEN" COORDINATOR/BOARD MEMBER, ADAMS COUNTY REGIONAL MEDICAL CENTER (ACRMC)/ADAMS COUNTY/OHIO VALLEY SCHOOL DISTRICT (ACOVSD) DELORA BLYMAIL, WORKFORCE CONNECTIONS OF ADAMS AND BROWN COUNTIES STEVE DUNKIN, EXECUTIVE DIRECTOR, BROWN COUNTY ALCOHOL, DRUG ADDICTION, MENTAL HEALTH BOARD MARY FRANCIS, DIRECTOR, ASSISTANCE FOR SUBSTANCE ABUSE PREVENTION CENTER ERIN HOLSTED, MSW, LICENSED SOCIAL WORKER, WESTERN BROWN SCHOOL BASED HEALTH CENTER JOAN PHILLIPS, CHIEF EXECUTIVE OFFICE, BROWN COUNTY HOSPITAL VENITA MILBURN, BROWN COUNTY HOSPITAL SUE BASTA, PHD, RN; CONTINUING EDUCATION HEALTH PROMOTION PROGRAMS, HEALTH-UC/UNIVERSITY OF CINCINNATI AREA HEALTH EDUCATION CENTER RAMONA APPLEGATE, ADAMS BROWN EARLY HEAD START/ADAMS/BROWN COUNTY ECONOMIC OPPORTUNITIES, INC. BONITA HAAS, BSW, LICENSED SOCIAL WORKER; ASSISTANT DIRECTOR, ADAMS BROWN HIGH SCHOOL/EARLY HEAD START/HELP ME GROW/ADAMS/BROWN COUNTY ECONOMIC OPPORTUNITIES, INC. JOAN GARRETT, PRE-K DIRECTOR, BOARD MEMBER, BROWN COUNTY EDUCATIONAL SERVICE CENTER DAYNE MICHAEL, SUPERVISOR, BROWN COUNTY EDUCATIONAL SERVICE CENTER MARGARET CLARK, JUDGE PROBATE JUVENILE COURT RANDY ALLMAN, DIRECTOR REGIONAL SERVICES, BROWN COUNTY RECOVERY SERVICES (TALBERT HOUSE) DAVID SHARP, DIRECTOR OF JOB/FAMILY SERVICES, BROWN COUNTY RECOVERY SERVICES TAMMIE KELLER, BUSINESS MANAGER, BROWN COUNTY BOARD OF DEVELOPMENTAL DISABILITIES LINDA ONDRE, COORDINATOR, FAMILY CHILDREN FIRST COUNCIL ANGIE DEVILBLISS, FACULTY SECRETARY, SOUTHERN STATE COMMUNITY COLLEGE HEATHER WELLS, MSW, LICENSED SOCIAL WORKER/ COORDINATOR, BUTLER COUNTY FAMILY CHILDREN FIRST COUNCIL BILL STALER, CHIEF EXECUTIVE OFFICER LIFESPAN MARC BELLIJARIO, CHIEF EXECUTIVE OFFICER, PRIMARY HEALTH SOLUTIONS YVETTE DORSEY-BENSON*, DIRECTOR, MIDDLETOWN HEALTH DEPARTMENT PROJECT CARRIE COREEN, BUTLER 211 ANGIE DUNCAN, DIRECTOR BUTLER COUNTY SUCCESS DAVID FOSTER, SUPPORT SERVICES DIRECTOR, FAIRFIELD CITY SCHOOLS NINA ROSE, SENIOR HIGH STUDENTS AGAINST DRUNK DRIVING SPONSOR, FAIRFIELD CITY SCHOOLS SUSIE SHERIDAN, PRACTICE MANAGER, PRIMARY HEALTH SOLUTIONS STEPHANIE JOHNSON, SCHOOL NURSE, TALAWANDA SCHOOL DISTRICT, BOARD, BUTLER COUNTY HEALTH DEPARTMENT AND OXFORD COLLEGE CORNER FREE CLINIC LINDA KIMBLE, EXECUTIVE DIRECTOR, SERVE CITY CARI WYNNE, SUPERVISOR, EDUCATIONAL SERVICE CENTER - SUCCESS CARLA GROSSMAN, COUNSELOR, MERCY CLERMONT MENTAL HEALTH BILLIE ELLIOT, LIFEPOINT SOLUTIONS DEB SPRADLIN, DIRECTOR OF BEHAVIORAL HEALTH SERVICES, SISTERS OF MERCY CLERMONT MARTY LAMBERT*, HEALTH COMMISSIONER, CLERMONT COUNTY HEALTH DISTRICT JULIANNE NESBIT*, ASSISTANT HEALTH COMMISSIONER, CLERMONT COUNTY HEALTH DISTRICT KAREN BALON, LPN; HEALTH MANAGER, CHILD FOCUS, INC. PEGGY HALEY, DIRECTOR MERCY CLERMONT OUTREACH LAURA METZLER, DIRECTOR OF COMMUNITY/VOLUNTEER IMPROVEMENT, AMERICAN CANCER SOCIETY MARTY GROVE, DIRECTOR OF NURSING CLINICAL SERVICES - EDUCATION, MERCY CLERMONT CHARLOTTE GOERING, MERCY CLERMONT ANN LANE, OFFICE MANAGER EMERGENCY ROOM, MERCY CLERMONT IRENE BEHLING, DIRECTOR OF MISSION INTEGRATION, MERCY CLERMONT CAROL MUHLENKAMP, DIRECTOR OF PATIENT CARE SERVICES, NURSING - DEARBORN COUNTY HOSPITAL (DCH) STEPHANIE CRAIG, DIRECTOR OF EDUCATION AND RISK MANAGEMENT, EDUCATION/RISK ASSESSMENT DEARBORN COUNTY HOSPITAL MAYOR DONNIE HASTINGS, MAYOR, CITY OF AURORA TOM TALBOT, CHIEF EXECUTIVE OFFICE, COMMUNITY MENTAL HEALTH CENTER, INC. BILL CUNNINGHAM, MAYOR OF LAWRENCEBURG KARL GALEY, SUPERINTENDENT, LAWRENCEBURG SCHOOLS CECELIA SCUDDER, NURSING ADMINISTRATION, DEARBORN COUNTY HOSPITAL ARN EDWARDS, LIFETIME RESOURCES LOIS FRANKLIN*, PUBLIC HEALTH NURSE, DEARBORN COUNTY HEALTH DEPARTMENT (DCHD) DEBBIE FEHLING*, RN, HEALTH EDUCATOR, DEARBORN COUNTY HEALTH DEPARTMENT (DCHD) BRENDA COLEMAN, VICE CHAIRPERSON ON BOARD, HEALTH CARE ACCESS NOW NANCY CARTER*, RDH, MPH ASSISTANT DENTAL DIRECTOR, CINCINNATI HEALTH DEPARTMENT SALLY STEWART, CHIEF EXECUTIVE OFFICER, CROSSROAD HEALTH CENTER BILL EBELHAR, DIRECTOR OF OUTPATIENT COUNSELING, CENTERPOINT HEALTH RANDY ALLMAN, PROGRAM DIRECTOR, TALBERT HOUSE SEAN KELLEY, DIRECTOR OF EXTERNAL RELATIONS, THE HEALTH COLLABORATIVE MARY DAY, MANAGING LTC OMBUDSMAN, PRO SENIORS, INC. SHANA TRENT, PRACTICE MANAGER, THE HEALTHCARE CONNECTION SAUNDRA REGAN, PHD, RESEARCH SCIENTIST, UNIVERSITY OF CINCINNATI FAMILY RESIDENCY JUDITH WARREN, EXECUTIVE DIRECTOR, HEALTH CARE ACCESS NOW ANN BARNUM, OFFICER - SUBSTANCE USE DISORDERS, HEALTH FOUNDATION OF GREATER CINCINNATI SENIOR PROGRAM STEPHANIE MARSHALL, PROJECT MANAGER, HEALTH CARE ACCESS NOW TIM INGRAM*, HEALTH COMMISSIONER, HAMILTON COUNTY PUBLIC HEALTH TERRESA ADAMS, COMMUNITY SPECIALIST, CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER DOLORES LINDSAY, CHIEF EXECUTIVE OFFICER, THE HEALTHCARE CONNECTION - RESPONSE CONTINUES AT SCHEDULE H PART VI - ; Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment (1) - THE SISTERS OF MERCY OF HAMILTON OHIO: ADAMS COUNTY REGIONAL MEDICAL CENTER ATRIUM MEDICAL CENTER DEARBORN COUNTY HOSPITAL FORT HAMILTON HOSPITAL LINDNER CENTER OF HOPE MARGARET MARY COMMUNITY HOSPITAL MCCULLOUGH-HYDE MEMORIAL HOSPITAL TRIHEALTH UC HEALTH MERCY HEALTH - ANDERSON HOSPITAL MERCY HEALTH - JEWISH HOSPITAL MERCY HEALTH - WEST HOSPITAL MERCY HEALTH - CLERMONT HOSPITAL; Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined (1) - THE SISTERS OF MERCY OF HAMILTON, OHIO: 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.; 11 FAIRFIELD HOSPITAL DIABETES CARE AND ENDOCRINOLOGY 3000 MACK ROAD FAIRFIELD OH 45014 DIABETES TREATMENT CENTER FAIRFIELD WEIGHT MANAGEMENT SOLUTIONS 3050 MACK ROAD SUITE 205 FAIRFIELD OH 45014 WEIGHT MANAGEMENT CENTER AMBULATORY SURGERY CENTER AT FAIRFIELD 2990 MACK ROAD FAIRFIELD OH 45014 AMBULATORY/OUTPATIENT SURGERY MERCY PHYSICAL THERAPY - SPRINGDALE 12029 SHERATON LANE CINCINNATI OH 45246 OUTPATIENT REHAB AND THERAPY MERCY HEALTH - TRI-COUNTY IMAGING 12029 SHERATON LANE CINCINNATI OH 45246 RADIOLOGY/IMAGING CENTER FAIRFIELD HOSPITAL WOUND CARE CENTER 3000 MACK ROAD FAIRFIELD OH 45014 WOUND CARE CENTER FAIRFIELD OUTPATIENT REHABILITATION AND THERAPY 3000 MACK ROAD FAIRFIELD OH 45014 OUTPATIENT REHAB AND THERAPY MERCY HEALTH - LIBERTY FALLS MEDICAL CENTER 6770 CINCINNATI-DAYTON ROAD LIBERTY TOWNSHIP OH 45044 RADIOLOGY, CARDIOLOGY, VEIN THERAPY, PHYSICIAN OFFICES FAIRFIELD INPATIENT REHABILITATION AND THERAPY 3000 MACK ROAD FAIRFIELD OH 45014 INPATIENT REHAB AND THERAPY FAIRFIELD HOSPITAL PALLIATIVE CARE 3000 MACK ROAD FAIRFIELD OH 45014 PALLIATIVE CARE CENTER FAIRFIELD PAIN MEDICINE CENTER 3050 MACK ROAD SUITE 310 FAIRFIELD OH 45014 PAIN MEDICINE CENTER Schedule H, Part I, Line 6a, Community benefit report prepared by related organization CATHOLIC HEALTH PARTNERS Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance COST OF CHARITY CARE WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. THE COST RELATED TO MEDICAID PATIENTS WAS DETERMINED USING THE HOSPITAL COST ACCOUNTING SYSTEM AND INCLUDED BOTH INPATIENTS AND OUTPATIENTS FOR TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PLANS. FOR SUBSIDIZED SERVICES THE HOSPITAL'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COST RELATED TO THE SPECIFIC SERVICE EXCLUDING TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PATIENTS. COSTS FOR CHARITY AND BAD DEBT ACCOUNTS ARE DEDUCTED USING A RATIO OF COST TO CHARGE SPECIFIC TO THAT SUBSIDIZED SERVICE. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS. Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation 0 Schedule H, Part I, Line 7g, Subsidized Health Services THE AMOUNT OF SUBSIDIZED HEALTH SERVICE REPORTED ON LINE 7G INCLUDES $54,143 RELATED TO THE OB & NEWBORN CLINIC. Schedule H, Part II, Community Building Activities MERCY HOSPITAL FAIRFIELD (MHF) PROVIDES COMMUNITY SUPPORT BY ASSISTING IN DISASTER PREPAREDNESS. PREPARING FOR DISASTER IS AN IMPORTANT ROLE FOR THE HOSPITAL TO ASSURE THE SAFETY AND HEALTH OF COMMUNITY RESIDENTS IN THE EVENT OF A NATURAL DISASTER, INDUSTRIAL ACCIDENT OR OTHER LARGE SCALE EMERGENCY. AT MHF DONATIONS ARE MADE TO COMMUNITY GROUPS. Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HOSPITAL'S HISTORICAL COLLECTION EXPERIENCE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE. THE HOSPITAL'S CONCENTRATION OF CREDIT RISK RELATED TO NET PATIENT ACCOUNTS IS LIMITED DUE TO THE DIVERSITY OF PATIENTS AND PAYORS. NET PATIENT ACCOUNTS CONSIST OF AMOUNTS DUE FROM GOVERNMENTAL PROGRAMS (PRIMARILY MEDICARE AND MEDICAID), PRIVATE INSURANCE COMPANIES, MANAGED CARE PROGRAMS AND PATIENTS THEMSELVES. NET PATIENT SERVICE REVENUE FOR SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE IS RECOGNIZED BASED ON CONTRACTUAL RATES FOR SERVICES RENDERED. THE HOSPITAL RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). AMOUNTS RECOGNIZED ARE SUBJECT TO ADJUSTMENT UPON REVIEW BY THIRD-PARTY PAYORS. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. ANY DISCOUNTS APPLIED TO SELF-PAY PATIENTS WOULD BE DEEMED EITHER CHARITY OR A CONTRACTUAL ADJUSTMENT. BAD DEBT WOULD BE BASED ON THE BALANCE AFTER THE CHARITY OR CONTRACTUAL ADJUSTMENT THAT IS DEEMED UNCOLLECTABLE FOLLOWING A REASONABLE COLLECTION EFFORT. Schedule H, Part III, Line 3, Bad Debt Expense Methodology THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY DOES NOT PERMIT THE COST OF PATIENTS WHO ARE UNCOOPERATIVE OR UNABLE TO BE LOCATED TO BE RECLASSIFIED FROM BAD DEBT TO FINANCIAL ASSISTANCE. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY REQUIRES AN APPLICATION AND SUPPORTING DOCUMENTATION. THEREFORE, ZERO DOLLARS ARE BEING REPORTED ON PART III, LINE 3 AS AMOUNTS INCLUDED IN BAD DEBT THAT COULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE BAD DEBT EXPENSE AS COMMUNITY BENEFIT. Schedule H, Part III, Line 4, Bad debt expense - financial statement footnote THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THE HOSPITAL ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, B. SIGNIFICANT ACCOUNTING POLICIES, NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGE 11) STATES NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HISTORICAL COLLECTION EXPERIENCE OF EACH REGIONAL AFFILIATE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED UPON PAST COLLECTION EXPERIENCE. Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costs THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE MEDICARE LOSSES AS COMMUNITY BENEFIT. THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE MEDICARE AMOUNTS IN PART III. Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAYS AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY AS A LAST RESORT AND ONLY: WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT REFUSE TO DO SO; WHEN PATIENTS REFUSE TO WORK WITH THE ORGANIZATION TO DETERMINE IF THEY QUALIFY FOR FREE OR DISCOUNTED CARE VIA FEDERAL, STATE, LOCAL OR HOSPITAL ASSISTANCE PROGRAMS; WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL. SCHEDULE H, PART V, SECTION B, LINE 3, 1: COMMUNITY SERVED BY NEEDS ASSESSMENT RESPONSE CONTINUED ABDA TALL, INTERPRETER/PATIENT ADVOCATE, THE HEALTHCARE CONNECTION LINCOLN HEIGHTS YOLANDA MAYWEATHER, INTERPRETER/PATIENT ADVOCATE, THE HEALTHCARE CONNECTION JOE CURRY, EXECUTIVE DIRECTOR, EVERYBODY RIDES METRO KIM SULLIVAN, CHIEF EXECUTIVE OFFICER/PRESIDENT, SINCERE HOME HEALTH CARE TIM SULLIVAN, SINCERE HOME HEALTH CARE RAY WATSON, COMMUNITY INVESTMENT PROGRAM OFFICER, THE GREATER CINCINNATI FOUNDATION MICHELLE DUFF, CASEWORKER, BIG BROTHERS BIG SISTERS KAREN MCDONALD-MYERS, EXECUTIVE DIRECTOR, BIG BROTHERS BIG SISTERS RITA EASDAY, SUPERINTENDENT, HILLSBORO CITY SCHOOLS TONY LONG, SUPERINTENDENT, SOUTHERN OHIO EDUCATIONAL SERVICES CENTER DANIELLE RATCLIFF, FCFC COORDINATOR, FAMILY AND CHILDREN FIRST JUNI FREY, EXECUTIVE DIRECTOR, PAINT VALLEY ALCOHOL, DRUG ADDICTION, MENTAL HEALTH DANA BERRYMAN, PARENT REPRESENTATIVE BONNIE CUMBERLAND, PARENT REPRESENTATIVE HEATHER GIBSON, PROJECT DIRECTOR, HELP ME GROW SHENA WEADE, DIRECTOR OF EARLY CHILDHOOD PROGRAMS, HIGHLAND COUNTY COMMUNITY ACTION ORGANIZATION/HEADSTART/EARLY HEAD START AMANDA ROBBINS, PARENT REPRESENTATIVE, HELP ME GROW MELODY ELLIOTT, DIRECTOR, FRS TRANSPORTATION JEHONA PREZA, COMMUNITY OUTREACH, MOLINA HEALTHCARE SUSAN ROADES, CASE MANAGER/SOCIAL SERVICE SUPERVISOR, HIGHLAND COUNTY JOB AND FAMILY SERVICES LISA HIGLEY, HEALTH CHEK/PREGNANCY RELATED SERVICES, HIGHLAND COUNTY JOB AND FAMILY SERVICES AMY WATSON, NURSE, JAC-CEN-DEL NURSE TONYA GEORGE, OFFICE MANAGER, HEALTH CENTERED CHIROPRACTIC PAT THOMAS*, HEALTH DEPARTMENT DIRECTOR, RIPLEY COUNTY HEALTH DEPARTMENT VICKY POWELL*, PUBLIC HEALTH NURSE, RIPLEY COUNTY HEALTH DEPARTMENT GAYLA VONDERHEIDE, DIRECTOR OF HEALTH SERVICES, BATESVILLE COMMUNITY SCHOOL APPIE THOMPSON, RN, MILAN COMMUNITY SCHOOLS TONY CZACK, MANAGER, ANYTIME FITNESS GERALYN LITZINGER, MANAGER OF OCCUPATIONAL HEALTH SERVICES, MARGARET MARY COMMUNITY HOSPITAL CINDY BLESSING, WELLNESS COORDINATOR/CHOICES DIRECTOR, CITY OF BATESVILLE BRENDA WETZLER, BOARD SECRETARY OSGOOD COMMUNITY FOUNDATION LAURA ROLF, COMMUNITY DEVELOPMENT DIRECTOR, BIG BROTHERS/BIG SISTERS OF GREATER CINCINNATI TRISH HUNTER, DIRECTOR OF SUPPORT SERVICES, MARGARET MARY COMMUNITY HOSPITAL KATHY COOLEY, RD, DIETITIAN, MARGARET MARY COMMUNITY HOSPITAL BONNIE PLOEGER, DIRECTOR OF INPATIENT CARE, MARGARET MARY COMMUNITY HOSPITAL KATHY NEWELL, CARDIOLOGY DIRECTOR, MARGARET MARY COMMUNITY HOSPITAL KEVIN KNEKELEN, NEACE LUKEN ANGELA HURLEY, WELLNESS DIRECTOR, SOUTHERN INDIANA YMCA AMY ERTEL, SCHOOL NURSE, SAINT LOUIS SCHOOL ANGIE JOHNSON, EXECUTIVE DIRECTOR, SOUTHERN INDIANA YMCA LINDA TUTTLE, MANAGER OF SOCIAL SERVICES DEPARTMENT, MARGARET MARY COMMUNITY HOSPITAL DELLA MENCHHOFER, OSGOOD COMMUNITY FOUNDATION DENISE ROARK, SCHOOL NURSE, MILAN ELEMENTARY DEBBIE BLANK, REPORTER, THE HERALD-TRIBUNE JEAN DORGAN, ABUSE RAPE CRISIS SHELTER JERRI LANGWORTHY, VOLUNTEER RESOURCE CENTER DIRECTOR/COMMUNITY BUILDING, WARREN COUNTY UNITED WAY KATHY MICHELICH, EDUCATOR AND DIRECTOR, OHIO STATE UNIVERSITY EXTENSION SUE MILLER, FAMILY SERVICES DIRECTOR, WARREN COUNTY COMMUNITY SERVICES SHARON MOELLER, SCHOOL NURSE/SAFETY OFFICER, WARREN COUNTY CAREER CENTER MARILYN SINGLETON, SITE MANAGER, TRIHEALTH SANDY SMOOT, COORDINATOR, FAMILY & CHILDREN FIRST COUNCIL DUANE STANSBURY*, HEALTH COMMISSIONER, HEALTH DISTRICT (HEALTH DEPARTMENT) JUDY WEBB, DIRECTOR, ELDERLY SERVICES PROGRAM, WARREN COUNTY COMMUNITY SERVICES THE FOCUS GROUP PARTICIPANTS, LISTED ABOVE, INCLUDED REPRESENTATIVES OF COMMUNITY, CONSUMER, AND EDUCATIONAL ORGANIZATIONS AS WELL AS SERVICE AND HEALTH PROVIDERS. THE STAKEHOLDER INTERVIEWS AND THE FOCUS GROUP PARTICIPANTS IDENTIFIED COMMUNITY NEEDS. FOR THE PRIORITIZING OF COMMUNITY HEALTH NEEDS, THE HOSPITAL CONVENED A ONE-TIME COMMITTEE AND INVITED COMMUNITY LEADERS FROM THE HOSPITAL'S SERVICE AREA TO PARTICIPATE IN DISCUSSING, EVALUATING, SCORING, AND PRIORITIZING THE HEALTH NEEDS IDENTIFIED THROUGH BOTH THE HCAN REPORT AND THE SUPPLEMENTAL DATA PROVIDED BY THE HOSPITAL. THE FOLLOWING COMMUNITY FORUMS WERE OPEN TO THE GENERAL PUBLIC. THEY WERE ALSO PROMOTED TO INTERVIEWEES AND FOCUS GROUP PARTICIPANTS AND THEIR ORGANIZATIONS, INCLUDING REPRESENTATIVES WHO WORK DAILY WITH LOW-INCOME RESIDENTS, PEOPLE WITH CHRONIC DISEASES, THE ELDERLY, YOUNG PEOPLE, DISABLED POPULATIONS, PEOPLE WITH MENTAL HEALTH AND/OR SUBSTANCE ABUSE, AND MINORITY POPULATIONS. AT EACH FORUM, CDS CONTAINING HCAN'S REPORT WERE GIVEN AWAY FOR PUBLIC DISSEMINATION. THE FORUMS WERE ORGANIZED BY HCAN AND THE ACTION RESEARCH CENTER, AND THE HOSPITAL WAS NOT PRIVY TO THEIR COMMUNICATIONS PLAN. NOT ALL PARTICIPANTS IN COMMUNITY FORUMS PROVIDED THEIR TITLES AND AFFILIATIONS. COMMUNITY FORUMS DESCRIPTION PREPARED ON JULY 2, 2012 BY ACTION RESEARCH CENTER TEAM MEMBERS AND HCAN STAFF & CONSULTANTS IN ORDER TO DISSEMINATE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND BEGIN THE CONVERSATION ABOUT NEXT STEPS, FIVE COMMUNITY FORUMS WERE ORGANIZED BY HCAN AND THE UNIVERSITY OF CINCINNATI ACTION RESEARCH CENTER. THE FORUMS WERE HELD AT ACCESSIBLE SITES ACROSS THE NINE COUNTY REGION: FORUM 1: ADAMS, BROWN, AND HIGHLAND COUNTIES, JUNE 11, 2012 LOCATION: BROWN COUNTY FAIRGROUNDS IN GEORGETOWN, OH 16 ATTENDEES: JIM SETTLES, RIPLEY; ROSE MERKOWITZ, WILMINGTON; JIM MERKOWITZ, WASHINGTON COURT HOUSE; STEVE DUNKIN, GEORGETOWN; DENISE NEU, GEORGETOWN; SHARON ASHLEY, BLUE CREEK; SAUNDRA STEVENS, WEST UNION; SHERRY STOUT, WINCHESTER; ELIZABETH PENDELL, PEEBLES; NANCY DARBY, WEST UNION; KATHY JELLEY, GEORGETOWN; PENNY CONDO, GEORGETOWN; AMY HABIG, HILLSBORO; CHERYL WILLIAMS, GEORGETOWN; BRIAN PECK, GEORGETOWN; AND MARY BAILEY, GEORGETOWN. FORUM 2: DEARBORN AND RIPLEY COUNTIES, JUNE 12, 2012 LOCATION: SOUTHEAST INDIANA YMCA IN BATESVILLE, IN 24 ATTENDEES: VICKY POWELL, BATESVILLE; TOM TALBOT, GREENDALE; KIM INSCHO, MMCH; FRANK GOODPASTER, OSGOOD; PAULA GOODPASTER, VERSAILLES; KIM LINKEL, BATESVILLE; LUREE KETCHAM, LAWRENCEBURG; RUTH WRIGHT, LAWRENCEBURG; JENNIFER MEHLON, BATESVILLE; DIANE RAVER, BATESVILLE; ASHLEY MORRIS, BATESVILLE; GERALYN LITZINGER, BATESVILLE; STEPHANIE CRAIG, LAWRENCEBURG; ANGIE JOHNSON, BATESVILLE; CONNIE DEBURGER, VERSAILLES; RAE LYNN DEANGELIS, LAWRENCEBURG; PAULA BRUNER, LAWRENCEBURG; JANE YORN, BATESVILLE; LISA WERNER, BATESVILLE; LAURA ROLF, LAWRENCEBURG; KATHY NEWELL, BATESVILLE; RICK FLEDDERMAN, RIPLEY; KATHY COOLEY, RIPLEY; AND RHONDA SAVAGE, BATESVILLE. FORUM 3: BUTLER AND WARREN COUNTIES, JUNE 25, 2012 LOCATION: MIAMI UNIVERSITY VOICE OF AMERICA LEARNING CENTER IN WEST CHESTER, OH 18 ATTENDEES: JENNIFER KRUGER, CITY OF HAMILTON; TERRY PURDUE, HAMILTON; JOYCE KACHELRIES, HAMILTON; JANE BARNES, HAMILTON; MIKE OBERDOESK, CINCINNATI; SHERRY SCHILLING, OXFORD; DAWN FAHNER, OXFORD; SUSAN LIPNICKEY, OXFORD; MARC BELLISARO, HAMILTON; HEATHER WELLS, HAMILTON; KAREN HILL, LEBANON; JUDY WEBB, LEBANON; SANDY SMOOT, LEBANON; SHARON KLEIN, OXFORD; PAT VAN OFLEN, FAIRFIELD; LYNN OSWALD, MASON; BRAD FARR, WEST CHESTER; AND BRENT LAWYER, LEBANON. FORUM 4: CLERMONT AND HAMILTON COUNTIES, JUNE 26, 2012 LOCATION: UNION TOWNSHIP CIVIC CENTER IN EASTGATE AREA 7 ATTENDEES: SUE MOTZ, MERCY HEALTH; HEIDI NYKOLAYKO WOODS, RECOVERY CENTER; GWEN FINEGAN, MERCY HEALTH; WENDY HESS, TRIHEALTH; IRENE BEHLING, MERCY HEALTH; GYASI C. CHISLEY, MERCY HEALTH; AND RUCHI BAWA, UC-CLERMONT. - RESPONSE CONTINUES AT 2: COMMUNITY SERVED BY NEEDS ASSESSMENT RESPONSE CONTINUATION - SCHEDULE H, PART V, SECTION B, LINE 3, 2: COMMUNITY SERVED BY NEEDS ASSESSMENT RESPONSE CONTINUED FORUM 5: HAMILTON COUNTY, JUNE 28, 2012 LOCATION: HEALTH FOUNDATION IN CINCINNATI, OH 20 ATTENDEES: COL OWENS, LEGAL AID SOCIETY; DONNA MARSH, MARSH MEDIA GROUP; ASHAKI WARREN; MONICA ROBERTS, HEALING CENTER CINCINNATI; TONY SAVICKI; MELISSA MAY; JOSH KAUFMANN, PROJECT ACCESS; TONDA FRANCIS, GREATER CINCINNATI HEALTH COUNCIL; LEE ANN LISKA, MERCY HEALTH; RICK STUMPF, UNIVERSITY OF CINCINNATI; DON ROHLING, MERCY HEALTH; MARY BETH MEYER, CENTER FOR RESPITE CARE; JEFF ARMADA, MERCY HEALTH; KATHY LORDO, HAMILTON COUNTY PUBLIC HEALTH; TIM INGRAM, HAMILTON COUNTY HEALTH COMMISSIONER; YOUSUF AHMAD, MERCY HEALTH; JILL GORLEY, ALZHEIMER'S ASSOCIATION; LIANNE HOWARD, CITY OF CINCINNATI; TORI AMES, CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER; LESLIE APPLEGATE, UNIVERSITY OF CINCINNATI. ALTHOUGH THESE FORUMS WERE INITIALLY DESIGNED TO INCLUDE COMMUNITY RESIDENTS, SERVICE PROVIDERS, AND HOSPITAL REPRESENTATIVES, THE MAJORITY OF ATTENDEES WERE SERVICE PROVIDERS AND HOSPITAL REPRESENTATIVES. EACH FORUM WAS HELD FOR 1.5 HOURS. AT EACH FORUM, THE SAME AGENDA WAS FOLLOWED. * WELCOME AND INTRODUCTION * KEY CHNA FINDINGS AND RECOMMENDATIONS (ACROSS NINE COUNTIES AND COUNTY SPECIFIC) * "IMAGINING THE FUTURE" EXERCISE (SMALL GROUP COUNTY SPECIFIC DISCUSSIONS ABOUT REPORT RECOMMENDATIONS) * WRAP UP AND NEXT STEPS OVERALL, THE ATTENDEES WERE INTERESTED IN HEARING THE RESULTS - BOTH NINE-COUNTY AND COUNTY-SPECIFIC. THEY WERE ENGAGED IN DISCUSSING NEXT STEPS. ATTENDEES OFFERED SPECIFIC SUGGESTIONS ABOUT HOW BEST TO MOVE FORWARD. BASED ON THE DISCUSSIONS AND INTEREST EXPRESSED BY ATTENDEES, THERE APPEARS TO BE A HIGH LEVEL OF WILLINGNESS AMONG ATTENDEES TO PARTNER WITH HOSPITALS AND OTHER COUNTY STAKEHOLDERS FOR THE DEVELOPMENT OF PRACTICAL COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE ATTENDEES WERE RATHER PASSIONATE AND READY TO MOBILIZE FOR ACTION PLANNING AND EXECUTION. ATTENDEES WERE INVITED TO INDICATE IF THEY WOULD BE INTERESTED IN FOLLOW-UP FOR FUTURE MEETINGS, ACTION PLANNING AND INFORMATION. THE MAJORITY OF ATTENDEES DID CONSENT FOR FUTURE FOLLOW-UP. THEREFORE, THE HOSPITALS WOULD HAVE A CORE GROUP OF COUNTY RESIDENTS AND PROVIDERS TO WORK WITH IN DEVELOPING THEIR RESPECTIVE COMMUNITY HEALTH IMPROVEMENT PLANS. GENERAL OVERALL THEMES FROM THE GROUP DISCUSSIONS ALL COUNTIES AGREED WITH AND IDENTIFIED THE NEED TO ESTABLISH A COLLABORATIVE HEALTH ADVISORY BOARD THAT INCLUDES CONSUMERS. ADAMS COUNTY WAS THE ONLY COUNTY WHO FELT THEY ALREADY HAD SUCH A BOARD WITH THEIR HEALTH AND WELLNESS COALITION. SOME OF THE COUNTIES DESCRIBED COALITIONS AND BOARDS ALREADY IN EXISTENCE THAT COULD BE EXAMINED AND POSSIBLY CONDENSED OR EXPANDED TO BETTER MEET COMMUNICATION AND RESOURCE NEEDS. ALL COUNTIES IDENTIFIED THE NEED TO MAKE SURE THAT COUNTY AND COMMUNITY RESOURCES ARE NOT ONLY IDENTIFIED, BUT SHARED WIDELY SOCOMMUNITY MEMBERS KNOW WHAT IS AVAILABLE. COORDINATION OF SERVICES (BEYOND MEDICAL HEALTH SERVICES) WAS STRESSED IN ALL FORUMS. SEVERAL GLAS AND FORUMS WERE VENUES OF DISCOVERY, AS PARTICIPANTS BECAME AWARE OF SERVICES IN THEIR COUNTY. ALL COUNTY GROUPS NOTED THE IMPORTANCE OF ASSESSING THE RESOURCES AVAILABLE (AND WHOM THEY SERVE), AS WELL AS COLLABORATING IN SPREADING AWARENESS OF THOSE RESOURCES. THE GROUPS ALSO AGREED THAT IT MADE SENSE TO COORDINATE EFFORTS TO ENSURE THAT THE PEOPLE OF THEIR COUNTIES WOULD HAVE ACCESS TO NEEDED SERVICES. PARTICIPANTS AT THE COMMUNITY FORUMS WERE ANXIOUS TO NETWORK AND WORK COLLABORATIVELY. THEY OFTEN REPRESENTED THE SERVICE PROVIDERS THAT ARE ALREADY STRETCHED THIN IN THEIR RESPECTIVE ROLES. AS THE WARREN COUNTY GROUP PUT IT, "WHO WILL TAKE THE LEAD IN COORDINATING THESE EFFORTS?" IN TERMS OF NEXT STEPS, SEVERAL COUNTY GROUPS FELT THAT FURTHER ASSESSMENT OF NEEDS OF VULNERABLE POPULATIONS WAS WARRANTED. FOR EXAMPLE, ADAMS COUNTY ATTENDEES IDENTIFIED THAT MORE INFORMATION ON CHILDREN AND THE ELDERLY WAS NEEDED. OTHER COUNTY GROUPS ALSO VOICED THAT CONTINUED IN-DEPTH NEEDS ASSESSMENTS WERE IMPORTANT TO DETERMINE NEEDS AND PRIORITIZATION. ONE GROUP, HOWEVER, SAID THAT IT'S TIME TO TAKE ACTION, RATHER THAN CONTINUING TO CONDUCT MORE ASSESSMENTS. ACCESS TO CARE DISCUSSIONS RAISED ISSUES OF TRANSPORTATION WITH SOME SUGGESTIONS FOR MOBILE HEALTH CARE (RIPLEY), ACCESS TO TRANSPORTATION (DEARBORN) AND REVISED HOURS OR WALK IN CLINICS, IN THE WARREN COUNTY SMALL GROUP DISCUSSION, ATTENDEES REITERATED THAT TRANSPORTATION IS A CHALLENGE WITHIN THEIR COUNTY. THEY STATED THAT THEY MUST TAKE ACTION TO ADDRESS TRANSPORTATION SINCE THEY HAVE KNOWN IT'S A PROBLEM AND CONTINUES TO BE A PROBLEM ACCORDING TO THE RESULTS OF THIS CHNA. THE LACK OF SPECIFIC TYPES OF PROVIDERS WAS NOTED IN MANY COUNTIES, ESPECIALLY OUTSIDE THE I-275 LOOP. PRIMARY CARE, DENTAL, MENTAL HEALTH AND SUBSTANCE ABUSE PRACTITIONERS ARE LACKING IN SEVERAL OF THE COUNTIES. SOME SUGGESTIONS WERE MADE FOR INCENTIVIZING PRACTITIONERS TO NOT ONLY WORK IN OUTLYING AREAS (CLERMONT), BUT TO AGREE TO CARE FOR THE UNDERINSURED AND UNINSURED (HAMILTON). PARTICIPANTS WERE AWARE THAT FUNDING IS PART OF THE EQUATION. SOME SUGGESTED THAT LOAN FORGIVENESS AND INTERNSHIPS MIGHT BE INCENTIVES FOR RECRUITMENT. PARTNERING WITH BUSINESS AND COMMUNITY LEADERS WAS BROUGHT UP BOTH IN DIRECT COLLABORATION AND IN GRANTS/ FUNDING FOR NEEDED PROGRAMS. Schedule H, Part VI, Line 2, Needs assessment. THE HOSPITAL USES EXISTING COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS SUCH AS THE UNITED WAY OF GREATER CINCINNATI REPORT (THE STATE OF THE COMMUNITY - A REPORT ON THE SOCIO-ECONOMIC HEALTH OF THE GREATER CINCINNATI REGION) AND THE GREATER CINCINNATI HEALTH COUNCIL REPORT (INDICATORS OF HEALTHY COMMUNITIES). THE HOSPITAL ALSO USES DATA PROVIDED BY THE OHIO HOSPITAL ASSOCIATION. THE HOSPITAL ALSO UTILIZES HOSPITAL PERSONNEL AND PHYSICIANS WHO HAVE IDENTIFIED COMMUNITY NEEDS BASED ON ADMISSION/DISCHARGE AND OTHER HOSPITAL DATA. BASED ON THIS DATA AND INFORMATION, THE HOSPITAL ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. THE HOSPITAL RECOGNIZES 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. THE HOSPITAL INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. TO HELP FACILITATE THIS PLANNING PROCESS, THE HOSPITAL UTILIZES QUANTITATIVE PRIMARY MARKET RESEARCH AND THE ANALYSIS OF HEALTH CARE UTILIZATION DATA BASES. IN ADDITION, SERVICE USE IS FORECAST UTILIZING LICENSED POPULATION BASED SOFTWARE. THE HOSPITAL HAS DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT PLANNING, REPORTING, MONITORING AND IMPLEMENTATION OF COMMUNITY BENEFIT PROGRAMS AND SERVICES. THIS STAFF DEDICATED TO COMMUNITY BENEFIT EFFORTS OF THE HOSPITAL MEETS WITH THE REGIONAL COMMUNITY BENEFIT PLANNING COMMITTEE ON A MONTHLY BASIS AND WORKS CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES AND TO AVOID DUPLICATION. COMMUNITY BENEFIT ACTIVITIES AND PROGRAM EFFECTIVENESS ARE REPORTED TO THE REGIONAL BOARD BY THE HUMAN RESOURCE, MISSION AND COMMUNITY OUTREACH COMMITTEE OF THE REGIONAL BOARD. Schedule H, Part VI, Line 3, Patient education of eligibility for assistance. MERCY HOSPITAL FAIRFIELD (MHF) 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. MHF 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. MHF 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 MHF. 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. MHF 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 MHF'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. MHF IS PROUD TO MAKE OUR FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE, WHICH CAN BE FOUND AT E-MERCY.COM. OTHER PATIENT EDUCATION INFORMATION THAT IS PROVIDED FOR ELIGIBILITY OF ASSISTANCE IS AS FOLLOWS: * A BILINGUAL REPRESENTATIVE IS AVAILABLE IN OUR OB CLINIC AT FAIRFIELD. TWO BILINGUAL REPRESENTATIVES ARE AVAILABLE IN OUR CUSTOMER SERVICE DEPARTMENT. * 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. * STAFF TRAINING PROVIDED BY SOCIAL SECURITY ADMINISTRATION TO ASSIST PATIENTS IN OBTAINING DISABILITY BENEFITS. * 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. * ALL THIRD PARTIES THAT WORK ON BEHALF OF THE ORGANIZATION TO COLLECT FEES (SUCH AS COLLECTION AGENCIES AND LAW FIRMS) ARE REQUIRED TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. * 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 information. MERCY HEALTH - FAIRFIELD HOSPITAL (MHF) PRIMARILY SERVES A TWO-COUNTY GEOGRAPHIC AREA THAT INCLUDES THE FOLLOWING COUNTIES: BUTLER AND HAMILTON. THE POPULATION OF MHF'S PRIMARY SERVICE AREA IS APPROXIMATELY 394,000. OUR COMMUNITY IS CHANGING AND WE ALSO SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THERE ARE TWO HOSPITALS IN THE COMMUNITY AND BOTH ARE NOT-FOR-PROFIT HOSPITALS. MHF QUALIFIES FOR A DISPROPORTIONATE SHARE PAYMENT ON THEIR MEDICARE COST REPORT DUE TO THE LARGER THAN NORMAL SHARE OF MEDICAID PATIENT VOLUME SERVED BY THE HOSPITAL. THE DEMOGRAPHIC AREA SERVED BY MHF SERVES A POPULATION THAT INCLUDES APPROXIMATELY 7.4% NON-ENGLISH SPEAKING PEOPLE. 10.13% OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES. THE AVERAGE FAMILY HOUSEHOLD INCOME OF THE COMMUNITY SERVED BY THE HOSPITAL IS $67,989. THE LARGEST ETHNIC GROUP IN THE COMMUNITY SERVED BY THE HOSPITAL IS GERMAN. APPROXIMATELY 21.8% OF THE POPULATION IS OF GERMAN DESCENT. THE OCCUPATION CLASSIFICATION IN THE COMMUNITY CONSISTS OF 20.8% BLUE COLLAR, 61.45% WHITE COLLAR AND 18% SERVICE & FARM WORKERS. THE PERCENTAGE OF THE POPULATION IN THE COMMUNITY OVER 65 YEARS OLD IS JUST OVER 13%. THROUGH THE COMMUNITY NEEDS ASSESSMENT PROCESS, OBESITY, MENTAL HEALTH (INCLUDING SUBSTANCE ABUSE), HEART DISEASE, DIABETES AND CANCER WERE MAJOR HEALTH PROBLEMS IDENTIFIED IN THIS SERVICE AREA. EACH OF THESE MAY BE PREVENTABLE THROUGH PROPER CARE AND MAINTAINING CONTROL OF THE ILLNESS/DISEASE AS WELL AS LEADING HEALTHIER LIVES. MHF WORKS CLOSELY WITH LOCAL COMMUNITY AGENCIES AND HEALTH DEPARTMENTS TO ADDRESS HEALTH PROBLEMS AND MINIMIZE THE EFFECTS ON THOSE WHO SUFFER. IN 2013, MHF HAD 15,688 ADMISSIONS, 123,073 OUTPATIENT VISITS, AND 56,482 EMERGENCY ROOM VISITS. Schedule H, Part VI, Line 5, Promotion of community health THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, THE HOSPITAL PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. THROUGH THE HEALTH PARTNERSHIP PROGRAM AND THE MERCY CLINIC, THE HOSPITAL CONNECTS POOR AND LOW INCOME RESIDENTS WITH PRIMARY CARE PHYSICIANS IN THE COMMUNITY WHO VOLUNTEER THEIR SERVICES TO PROVIDE PRIMARY AND URGENT CARE SERVICES. THE HOSPITAL ALSO PROVIDES PHARMACEUTICAL SUPPORT FOR THESE POOR AND LOW INCOME RESIDENTS. THE HOSPITAL ALSO COLLABORATES WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS SUCH AS LINCOLN HEIGHTS HEALTH CENTER AND HEALTH SOURCE OF OHIO AS WELL AS COMMUNITY AGENCIES SUCH AS HEALTH CARE ACCESS NOW TO FURTHER ASSIST THE POOR AND MEDICALLY UNDERSERVED TO FIND A MEDICAL HOME IN THE COMMUNITY. MEDICAL SUPPLIES AND EQUIPMENT ARE DONATED TO LOCAL AGENCIES AS WELL AS TO AGENCIES WHICH SERVE OTHER COUNTRIES. THE HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY THE HOSPITAL. THE HOSPITAL SERVES AS A CLINICAL EXPERIENCE SITE FOR SURGICAL RESIDENTS AS WELL AS OTHER HEALTH CARE PROFESSIONALS SUCH AS NURSES, RESPIRATORY THERAPISTS, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS AND OTHERS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF THE HOSPITAL AS IS EVIDENCED BY THE LARGE NUMBER OF VOLUNTEERS. THE HOSPITAL RECEIVES GUIDANCE AND INPUT FROM ITS COMMUNITY ADVISORY COUNCIL. Schedule H, Part VI, Line 6, Affiliated health care system THE HOSPITAL IS ONE OF THE COMMUNITY HOSPITALS THAT ARE PART OF MERCY HEALTH PARTNERS OF SOUTHWEST OHIO (MHP-SWO). ALL ARE ACUTE CARE HOSPITALS AND OHIO NON-PROFIT CORPORATIONS. THE HOSPITALS ARE SPONSORED BY THE SISTERS OF MERCY AND THE FRANCISCAN SISTERS OF THE POOR AND HAVE BEEN PART OF THE COMMUNITY SINCE THEY WERE FOUNDED IN THE FOLLOWING YEARS: THE JEWISH HOSPITAL 1850 LICENSED BEDS: 209 MERCY HOSPITAL MT. AIRY 1971 LICENSED BEDS: 548 MERCY HOSPITAL CLERMONT 1973 LICENSED BEDS: 148 MERCY HOSPITAL FAIRFIELD 1978 LICENSED BEDS: 209 MERCY HOSPITAL WESTERN HILLS 1982 LICENSED BEDS: 261 MERCY HOSPITAL ANDERSON 1984 LICENSED BEDS: 226 MERCY HEALTH - WEST HOSPITAL 2013 LICENSED BEDS: 250 EACH OF THE HOSPITALS WORK INDIVIDUALLY AND COLLECTIVELY TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS. IN ADDITION, MERCY FRANCISCAN AT ST. JOHN AND MERCY FRANCISCAN AT ST. RAPHAEL ARE TWO SOCIAL SERVICE AGENCIES THAT PROVIDE SHELTER, FOOD, EDUCATION, CLOTHES, AND HEALTH SERVICES TO CLIENTS IN ECONOMICALLY DEPRESSED NEIGHBORHOODS IN INNER CITY CINCINNATI AND HAMILTON. MHP-SWO IS THE SOLE SPONSOR FOR THESE AGENCIES. IN ADDITION, MHP-SWO INCLUDES SENIOR HEALTH AND HOUSING COMMUNITIES IN CINCINNATI, OHIO, HAMILTON, OHIO, LOUISVILLE KENTUCKY AND NEW ALBANY, INDIANA. THESE SENIOR HEALTH AND HOUSING FACILITIES PROVIDE COMMUNITY BENEFIT SERVICES FOR THEIR RESIDENTS AND THE COMMUNITIES THEY SERVE. MERCY HEALTH PARTNERS OF SOUTHWEST OHIO COMMUNITY BENEFIT FOR 2013 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2013 COMMUNITY BENEFIT: $104.5 MILLION BENEFITS TO THE BROADER COMMUNITY: $10.7 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $49.0 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $37.5 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $7.3 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 9.7 PERCENT MERCY HEALTH PARTNERS OF SOUTHWEST OHIO IS A MEMBER OF CATHOLIC HEALTH PARTNERS (CHP). CHP 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. CHP IS SPONSORED BY PARTNERS IN CATHOLIC HEALTH MINISTRIES (PCHM). PCHM IS A PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH. CHP CONTINUES THE HEALTHCARE MINISTRIES BEGUN BY ITS FOUNDERS IN URBAN AND RURAL AREAS ACROSS OHIO, PENNSYLVANIA AND KENTUCKY MORE THAN 150 YEARS AGO. CHP 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. CHP HOSPITALS INCLUDE CRITICAL ACCESS FACILITIES THAT OFFER ESSENTIAL HEALTH SERVICES THAT OTHERWISE WOULD NOT BE AVAILABLE IN MANY COMMUNITIES. CHP'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, CHP CARES FOR EVERYONE WHO COMES TO ITS FACILITIES, REGARDLESS OF THEIR ABILITY TO PAY. CHP'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 2013 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2013 COMMUNITY BENEFIT: $374.7 MILLION BENEFITS TO THE BROADER COMMUNITY: $73.5 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $150.9 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $122.0 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $28.3 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 9.8 PERCENT true FAIRFIELD CITY SCHOOLS 211 DONALD DRIVE FAIRFIELD OH 45014 316000798 501(C)(3) 120000 EDUCATIONAL AND EXTRACURRICULAR PROGRAM SUPPORT ANTHONY MUNOZ FOUNDATION 8919 ROSSASH ROAD CINCINNATI OH 45236 300009110 501(C)(3) 10000 MISSION SUPPORT 2 0 Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds AN ADMINISTRATION OFFICIAL OF THE ENTITY APPROVES THE PAYMENT TO THE ORGANIZATION. THERE IS NO MONITORING OF THE USE OF FUNDS AFTER THE PAYMENT HAS BEEN MADE BY THE ENTITY. X true true true true false false false false false true false YOUSUF JAMAL AHMAD PRESIDENT & SECRETARY, MERCY HEALTH CINCINNATI PRESIDENT & CEO 0 512272 0 255097 0 29636 0 105601 0 23660 0 926266 0 0 JAMES MAY TRUSTEE, CHP EVP & COO 0 734698 0 262703 0 797477 0 10200 0 34828 0 1839906 0 0 L RICHARD ROEDERSHEIMER MD TRUSTEE 0 288340 0 246333 0 33391 0 19796 0 14191 0 602051 0 0 ED HERZIG MD TRUSTEE 0 364434 0 27821 0 22921 0 19697 0 13764 0 448637 0 0 DEBORAH BLOOMFIELD SVP, MARKET CFO 0 440469 0 111266 0 10123 0 79508 0 14285 0 655651 0 0 THOMAS URBAN MARKET LEADER & PRESIDENT 408591 0 112776 0 15937 0 47753 0 14994 0 600051 0 0 0 PATRICK KOWALSKI MARKET CFO 0 295692 0 46920 0 8767 0 16330 0 19353 0 387062 0 0 DANIEL ROTH MD FORMER KEY EMPLOYEE 0 399264 0 85877 0 8792 0 52382 0 24380 0 570695 0 0 LEONARD M RANDOLPH JR MD SVP, CHIEF MEDICAL OFFICER 0 390631 0 95655 0 25699 0 46413 0 21139 0 579537 0 0 CLAIRE COMBS SVP, CHIEF ADMINISTRATIVE OFFICER 0 331224 0 95804 0 18008 0 37041 0 24932 0 507009 0 0 MAGGIE LUND SVP, DIV HUMAN RESOURCES 0 274444 0 74122 0 11803 0 36703 0 7774 0 404846 0 0 LEE ANN LISKA MHP CHIEF OPERATING OFFICER 0 212151 0 109647 0 5180 0 -12301 0 11263 0 325940 0 0 MICHAEL KRAMER VP STRATEGIC PLANNING & BUS. DEVELOPMENT 0 218436 0 50293 0 717 0 18392 0 18807 0 306645 0 0 PATRICIA SCHROER VP MERCY HEALTH SERVICE LINES 0 158147 0 82342 0 44185 0 35823 0 7412 0 327909 0 0 PATRICIA DAVIS-HAGENS VP NURSING & OPERATIONS 304940 0 59749 0 3433 0 18905 0 17550 0 404577 0 0 0 JOHN KENNEDY MD VP MEDICAL AFFAIRS 325264 0 0 0 1581 0 6554 0 25617 0 359016 0 0 0 JOHN MCMAKEN LEAD PHARMACIST 144105 0 400 0 530 0 13377 0 17969 0 176381 0 0 0 JASON NIEMANN DIRECTOR OF PHARMACY 146441 0 13845 0 2760 0 9276 0 13148 0 185470 0 0 0 BRENDA VANDEVENTER DIRECTOR OF NURSING 141119 0 14341 0 1726 0 14605 0 17839 0 189630 0 0 0 CRAIG SCHMIDT DIRECTOR, ANCILLARY SERVICES 125742 0 11678 0 1512 0 7731 0 13923 0 160586 0 0 0 Schedule J, Part I, Line 1a, Health or social club dues or initiation fees BECAUSE THE ORGANIZATION'S MISSION INCLUDES PROMOTING GOOD HEALTH FOR ALL, INCLUDING ITS OWN EMPLOYEES, THE ORGANIZATION PAYS PART OF THE MONTHLY DUES FOR MERCY HEALTHPLEX FACILITIES (RELATED ORGANIZATIONS), WHICH ARE HEALTH CLUBS. THE BENEFIT IS AVAILABLE TO ALL EMPLOYEES, NOT JUST EXECUTIVES. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE COMPENSATION AND WAS PROVIDED FOR THE FOLLOWING LISTED INDIVIDUALS: THOMAS URBAN, PATRICIA DAVIS-HAGENS, JOHN KENNEDY, BRENDA VANDEVENTER, CRAIG SCHMIDT, AND KRISTINA ODOM. Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensation THE COMPENSATION OF THOMAS URBAN, MARKET LEADER & PRESIDENT, IS DETERMINED BY CATHOLIC HEALTH PARTNERS (CHP), A RELATED TAX-EXEMPT ORGANIZATION. CHP UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MR. URBAN'S COMPENSATION. Schedule J, Part I, Line 4a, Severance or change-of-control payment SEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO LISTED INDIVIDUALS FOR SPECIFIED PERIODS. THE LISTED INDIVIDUALS EXECUTED RELEASES AND WAIVERS OF CLAIMS IN EXCHANGE FOR THE SEVERANCE BENEFITS. SALARY CONTINUATION AMOUNTS PROVIDED DURING THE REPORTING YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: PATRICIA SCHROER $36,565. Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan THE MHP EXECUTIVE BENEFIT PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO ALL EXECUTIVE COUNCIL MEMBERS. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION. A BENEFIT IS CALCULATED FOR ANY INDIVIDUAL WHOSE COMPENSATION IS LIMITED IN THE QUALIFIED CASH BALANCE PLAN DUE TO INCOME WHICH EXCEEDS THE IRS MAXIMUM. THE BENEFIT IS BASED UPON FORM W-2 COMPENSATION AND IS EQUAL TO THE AMOUNT EXCLUDED FROM THE QUALIFIED PLAN. ADDITIONAL CONTRIBUTIONS ARE MADE ON AN ANNUAL BASIS WHICH ARE A PERCENTAGE OF BASE COMPENSATION. 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 PARTNERS OF SOUTHWEST OHIO. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO EXECUTIVE BENEFIT PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: THOMAS URBAN $0; YOUSUF JAMAL AHMAD $0; DEBORAH BLOOMFIELD $0; LEONARD RANDOLPH JR, MD $0; MAGGIE LUND $0; DANIEL ROTH, MD $0. SCHEDULE J, PART I, LINE 4B, TERMS AND CONDITIONS OF CHP SERP THE CHP SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTIVELY. VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMINATION. PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDINGS. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JAMES MAY $154,309; THOMAS URBAN $0. SCHEDULE J, PART I, LINE 4B, TERMS AND CONDITIONS OF CHP EXECUTIVE RETENTION PLAN 457(F) THE CHP RETENTION PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES 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 AND CEASE TO RECEIVE CREDITS AFTER 5 YEARS OF PLAN PARTICIPATION PROVIDED THEY REMAIN EMPLOYED. VESTING AND CESSATION OF CREDITS OCCUR EARLIER FOR DEATH OR TOTAL DISABILITY WHILE EMPLOYED, INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION, OR FOR CERTAIN PARTICIPANTS, UPON BEING OFFERED A SPECIFIED PROMOTION. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS UPON VESTING. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JAMES MAY $593,585; CLAIRE COMBS $0. Schedule J, Part I, Line 7, Non-fixed payments THE ORGANIZATION PROVIDES ANNUAL INCENTIVE COMPENSATION FOR LISTED INDIVIDUALS. THE ORGANIZATION'S BOARD OF TRUSTEES ESTABLISHES OBJECTIVE THRESHOLDS FOR QUALITY, COMMUNITY BENEFIT, AND FINANCIAL PERFORMANCE WHICH MUST BE ACHIEVED FOR INCENTIVES TO BE AWARDED. THE BOARD ALSO ESTABLISHES THRESHOLD, TARGET AND MAXIMUM LEVELS FOR INCENTIVE AWARDS. WITHIN THESE ESTABLISHED PARAMETERS, THE BOARD DETERMINES THE CEO'S INCENTIVE AWARD AND INCENTIVE AWARDS FOR OTHER LISTED INDIVIDUALS ARE DETERMINED BY THE LISTED INDIVIDUAL'S SUPERVISOR AND DISCLOSED TO THE BOARD. THE BOARD MAY AUTHORIZE MODIFIED INCENTIVE AWARDS WHEN APPROPRIATE IN ITS JUDGMENT. SCHEDULE J, PART II, COLUMN (C), REPORTING NEGATIVE DEFERRED COMPENSATION ANNUAL ACTUARIALLY-DETERMINED CONTRIBUTIONS TO DEFINED BENEFIT PLANS, WHICH ARE BASED ON PRIOR PLAN CONTRIBUTIONS, CHANGES IN INTEREST RATES, THE PRESENT VALUE OF ACCRUED BENEFITS, AND OTHER DATA AND ASSUMPTIONS ABOUT THE FUTURE, MAY, FOR SOME PLAN PARTICIPANTS AND FOR SOME YEARS, RESULT IN NEGATIVE CONTRIBUTION AMOUNTS. ALL ASSETS AND LIABILITIES OF THE SISTERS OF MERCY OF HAMILTON OHIO 2014-01-01 95532031 GAAP 310538532 MERCY HEALTH - FAIRFIELD HOSPITAL LLC 3000 MACK ROAD FAIRFIELD OH 45014 501(C)(3) false true false false true true true true false Schedule N, Part I, Line 2b, Interested person is an employee or ind. contractor of successor org. ALL OFFICERS AND KEY EMPLOYEES OF THE SISTERS OF MERCY OF HAMILTON OHIO BECAME EMPLOYEES OF MERCY HEALTH - FAIRFIELD HOSPITAL LLC. FORM 990, PART IV, LINE 12A, CONSOLIDATED AUDITED FINANCIAL STATEMENTS THE FILING ORGANIZATION DOES NOT HAVE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN CATHOLIC HEALTH PARTNERS' CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH ARE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. CATHOLIC HEALTH PARTNERS' AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. FORM 990, PART VI, LINE 15B, PROCESS TO DETERMINE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED BY MERCY HEALTH PARTNERS OF SOUTHWEST OHIO, A RELATED TAX-EXEMPT ORGANIZATION. Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders MERCY HEALTH PARTNERS OF SOUTHWEST OHIO IS THE SOLE MEMBER OF MERCY HOSPITAL FAIRFIELD. Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body CATHOLIC HEALTH PARTNERS (CHP) ELECTS ALL BOARD MEMBERS WHO HAVE FULL VOTING RIGHTS. Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders CERTAIN MATTERS REQUIRE THE APPROVAL OF CHP CORPORATE MEMBER, CHP GOVERNING BODY OR CHP CEO. THE REGULATIONS OF THE ORGANIZATION DESCRIBE THE LEVEL OF APPROVAL REQUIRED FOR VARIOUS DECISIONS. Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body THE FORM 990 IS PREPARED BY CHP'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, Sec B, Line 12c, Conflict of interest policy EACH YEAR TRUSTEES COMPLETE A CONFLICT OF INTEREST STATEMENT THAT IS SUBSEQUENTLY APPROVED BY THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE (ACRC) AT MHP AND THEN SENT TO CHP FOR THEIR ACRC TO APPROVE. ANY CONFLICTS OF INTEREST THAT OCCUR DURING THE YEAR ARE REQUIRED TO BE BROUGHT TO THE ATTENTION OF THE ACRC AT MHP. Form 990, Part VI, Sec C, Line 19, Required documents available to the public THE SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE. Form 990, Part IX, Line 11g, Other Expenses MEDICAL PROFESSIONAL FEES - TOTAL EXPENSE: 6667165, PROGRAM SERVICE EXPENSE: 6667165, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONSULTING - TOTAL EXPENSE: 193582, PROGRAM SERVICE EXPENSE: 164545, MANAGEMENT AND GENERAL EXPENSES: 29037, FUNDRAISING EXPENSES: ; INTERCOMPANY - TOTAL EXPENSE: 4402037, PROGRAM SERVICE EXPENSE: 3741731, MANAGEMENT AND GENERAL EXPENSES: 660306, FUNDRAISING EXPENSES: ; OTHER - TOTAL EXPENSE: 9086868, PROGRAM SERVICE EXPENSE: 7723838, MANAGEMENT AND GENERAL EXPENSES: 1363030, FUNDRAISING EXPENSES: ; MHS ASSESSMENT - TOTAL EXPENSE: 28412271, PROGRAM SERVICE EXPENSE: 24150430, MANAGEMENT AND GENERAL EXPENSES: 4261841, FUNDRAISING EXPENSES: ; Form 990 , Part XI, Line 9, Other changes in net assets or fund balances ELIMINATION OF INTERCOMPANY BALANCES - -33866124; FUND BALANCE TRANSFER TO LLC - -95532031; CATHOLIC HEALTH PARTNERS 615 ELSINORE PLACE CINCINNATI OH 45202 311161086 HEALTHCARE SYSTEM PARENT OH 501(C)(3) 11 - Type III - FI NA false CATHOLIC HEALTH PARTNERS FOUNDATION 615 ELSINORE PLACE CINCINNATI OH 45202 201072726 FUNDRAISING OH 501(C)(3) 7 CATHOLIC HEALTH PARTNERS false CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT 615 ELSINORE PLACE CINCINNATI OH 45202 208943658 HUD PARENT OH 501(C)(3) 9 CATHOLIC HEALTH PARTNERS false CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST 615 ELSINORE PLACE CINCINNATI OH 45202 316046304 RETIREMENT TRUST OH 501(C)(3) 8 CATHOLIC HEALTH PARTNERS false COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM 3700 KOLBE ROAD LORAIN OH 44053 270071694 MARKET PARENT OH 501(C)(3) 11 - Type II CATHOLIC HEALTH PARTNERS false COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER 3700 KOLBE ROAD LORAIN OH 44053 340714704 HOSPITAL OH 501(C)(3) 3 COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM false ALLEN MEDICAL CENTER 200 WEST LORAIN ST OBERLIN OH 44074 340864230 HOSPITAL OH 501(C)(3) 3 COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM false COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION 3700 KOLBE ROAD LORAIN OH 44053 341504558 FOUNDATION OH 501(C)(3) 11 - Type III - FI COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER false COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS 3700 KOLBE ROAD LORAIN OH 44053 341268828 MEDICAL OFFICE RENTAL OH 501(C)(3) 9 COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER false ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING 200 WEST LORAIN ST OBERLIN OH 44074 364504991 MEDICAL OFFICE RENTAL OH 501(C)(3) 11 - Type II ALLEN MEDICAL CENTER false MERCY HEALTH PARTNERS OF SOUTHWEST OHIO 4600 MCAULEY PLACE CINCINNATI OH 45242 311063783 MARKET PARENT OH 501(C)(3) 11 - Type III - FI CATHOLIC HEALTH PARTNERS false MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION 4600 MCAULEY PLACE CINCINNATI OH 45242 311217563 FOUNDATION OH 501(C)(3) 7 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false MERCY HOSPITALS WEST 2446 KIPLING AVENUE CINCINNATI OH 45239 311091597 HOSPITAL OH 501(C)(3) 3 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false MERCY HOSPITAL ANDERSON 7500 STATE ROAD CINCINNATI OH 45255 310537085 HOSPITAL OH 501(C)(3) 3 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false THE SISTERS OF MERCY OF HAMILTON OHIO 3000 MACK ROAD FAIRFIELD OH 45014 310538532 HOSPITAL OH 501(C)(3) 3 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO 3000 HOSPITAL DRIVE BATAVIA OH 45103 310830955 HOSPITAL OH 501(C)(3) 3 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC 7010 ROWAN HILLS DR CINCINNATI OH 45227 311308729 RETIREMENT HOME OH 501(C)(3) 9 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false MERCY SACRED HEART INC 2120 PAYNE STREET LOUISVILLE KY 40206 611318326 RETIREMENT HOME KY 501(C)(3) 9 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false MERCY LONG TERM CARE INITIATIVE 4915 CHARLESTOWN RD NEW ALBANY IN 47150 311332491 RETIREMENT HOME IN 501(C)(3) 9 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false MERCY FRANCISCAN SOCIAL MINISTRIES INC 1800 LOGAN STREET CINCINNATI OH 45210 311222942 LOW INCOME HOUSING OH 501(C)(3) 7 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false MERCY FRANCISCAN AT ST RAPHAEL INC 610 HIGH STREET HAMILTON OH 45011 202934871 SERVICES TO THE POOR OH 501(C)(3) 7 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false COMMUNITY MERCY HEALTH SYSTEM ONE S LIMESTONE ST SPRINGFIELD OH 45502 300272454 MARKET PARENT OH 501(C)(3) 11 - Type III - FI CATHOLIC HEALTH PARTNERS false COMMUNITY MERCY HEALTH PARTNERS ONE S LIMESTONE ST SPRINGFIELD OH 45502 310785684 HOSPITAL OH 501(C)(3) 3 COMMUNITY MERCY HEALTH SYSTEM false THE COMMUNITY MERCY FOUNDATION 1343 N FOUNTAIN BLVD SPRINGFIELD OH 45504 311443778 FOUNDATION OH 501(C)(3) 7 COMMUNITY MERCY HEALTH SYSTEM false C H HEALTH SERVICES COMPANY ONE S LIMESTONE ST SPRINGFIELD OH 45502 311181984 HOSPITAL OH 501(C)(3) 3 COMMUNITY MERCY HEALTH SYSTEM false CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE 1150 E HOME ROAD SPRINGFIELD OH 45503 260698515 MEDICAL INFORMATION EXCHANGE OH 501(C)(3) 9 COMMUNITY MERCY HEALTH SYSTEM false THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST ONE S LIMESTONE ST SPRINGFIELD OH 45502 346827136 INDIGENT MEDICAL CARE OH 501(C)(3) 11 - Type I NA false MERCY HEALTH SYSTEM - NORTHERN REGION 2200 JEFFERSON AVENUE TOLEDO OH 43604 341344482 MARKET PARENT OH 501(C)(3) 11 - Type III - FI CATHOLIC HEALTH PARTNERS false MERCY PROPERTY HOLDINGS 2200 JEFFERSON AVENUE TOLEDO OH 43604 300699825 TITLE HOLDING COMPANY OH 501(C)(2) N/A MERCY HEALTH SYSTEM - NORTHERN REGION false ST CHARLES MERCY HOSPITAL OF OREGON OHIO 2600 NAVARRE AVENUE OREGON OH 43616 344445373 HOSPITAL OH 501(C)(3) 3 MERCY HEALTH SYSTEM - NORTHERN REGION false RIVERSIDE MERCY HOSPITAL 3404 W SYLVANIA AVE TOLEDO OH 43623 311556401 HOSPITAL OH 501(C)(3) 3 MERCY HEALTH SYSTEM - NORTHERN REGION false MERCY HOME CARE INC 2200 JEFFERSON AVENUE TOLEDO OH 43604 341587572 HOME HEALTHCARE OH 501(C)(3) 9 MERCY HEALTH SYSTEM - NORTHERN REGION false MERCY COLLEGE OF OHIO 2221 MADISON AVENUE TOLEDO OH 43604 341726619 MEDICAL COLLEGE OH 501(C)(3) 2 MERCY HEALTH SYSTEM - NORTHERN REGION false MERCY COLLEGE OF OHIO FOUNDATION INC 2221 MADISON AVENUE TOLEDO OH 43604 141963204 FOUNDATION OH 501(C)(3) 11 - Type I MERCY COLLEGE OF OHIO false MERCY HOSPITAL OF TIFFIN OHIO 45 ST LAWRENCE DRIVE TIFFIN OH 44883 344431174 HOSPITAL OH 501(C)(3) 3 MERCY HEALTH SYSTEM - NORTHERN REGION false MERCY TIFFIN HEALTH FOUNDATION 45 ST LAWRENCE DRIVE TIFFIN OH 44883 341499894 FOUNDATION OH 501(C)(3) 11 - Type III - FI MERCY HOSPITAL OF TIFFIN OHIO false THE SISTERS OF MERCY OF WILLARD OHIO 110 EAST HOWARD ST WILLARD OH 44890 341577110 HOSPITAL OH 501(C)(3) 3 MERCY HEALTH SYSTEM - NORTHERN REGION false MERCY HOSPITAL OF WILLARD FOUNDATION 110 EAST HOWARD ST WILLARD OH 44890 113742347 FOUNDATION OH 501(C)(3) 11 - Type III - FI THE SISTERS OF MERCY OF WILLARD OHIO false ST VINCENT MERCY MEDICAL CENTER 2213 CHERRY STREET TOLEDO OH 43608 344428250 HOSPITAL OH 501(C)(3) 3 MERCY HEALTH SYSTEM - NORTHERN REGION false MERCY FOUNDATION 2213 CHERRY STREET TOLEDO OH 43608 237393213 FOUNDATION OH 501(C)(3) 11 - Type III - FI ST VINCENT MERCY MEDICAL CENTER false LIFESTAR AMBULANCE INC 2200 JEFFERSON AVENUE TOLEDO OH 43604 341354653 MEDICAL TRANSPORTATION OH 501(C)(3) 11 - Type II MERCY HEALTH SYSTEM - NORTHERN REGION false RSM MEDICAL FOUNDATION 2200 JEFFERSON AVENUE TOLEDO OH 43624 341693671 HOSPITAL OH 501(C)(3) 3 MERCY HEALTH SYSTEM - NORTHERN REGION false SIMON OUTREACH SERVICES 2600 NAVARRE AVENUE OREGON OH 43616 341383325 MEDICAL OFFICE RENTAL OH 501(C)(3) 11 - Type II ST CHARLES MERCY HOSPITAL OF OREGON OHIO false FARLEY HEALTHCARE CORPORATION 2200 JEFFERSON AVENUE TOLEDO OH 43604 341363204 HEALTH SERVICES OH 501(C)(3) 9 MERCY HEALTH SYSTEM - NORTHERN REGION false ST RITA'S MEDICAL CENTER 730 W MARKET STREET LIMA OH 45801 341105619 HOSPITAL OH 501(C)(3) 3 CATHOLIC HEALTH PARTNERS false SRHC FOUNDATION 730 W MARKET STREET LIMA OH 45801 341368429 FOUNDATION OH 501(C)(3) 11 - Type III - FI ST RITA'S MEDICAL CENTER false NEW VISION MEDICAL LABORATORIES INC 750 W HIGH ST STE 400 LIMA OH 45801 341937267 MEDICAL LAB SERVICES OH 501(C)(3) 11 - Type III - FI ST RITA'S MEDICAL CENTER false HUMILITY OF MARY HEALTH PARTNERS 1044 BELMONT AVENUE YOUNGSTOWN OH 44501 340505560 HOSPITAL OH 501(C)(3) 3 CATHOLIC HEALTH PARTNERS false THE ASSUMPTION VILLAGE 9800 N MARKET STREET NORTH LIMA OH 44452 341013695 NURSING HOME OH 501(C)(3) 9 HUMILITY OF MARY HEALTH PARTNERS false HOSPICE OF THE VALLEY 5190 MARKET STREET YOUNGSTOWN OH 44512 341288745 HOSPICE SERVICES OH 501(C)(3) 9 HUMILITY OF MARY HEALTH PARTNERS false HUMILITY OF MARY DEVELOPMENT FOUNDATION 1044 BELMONT AVENUE YOUNGSTOWN OH 44501 341826978 FOUNDATION OH 501(C)(3) 11 - Type III - FI HUMILITY OF MARY HEALTH PARTNERS false HUMILITY HOUSE 755 OHLTOWN ROAD AUSTINTOWN OH 44515 341894783 NURSING HOME OH 501(C)(3) 9 HUMILITY OF MARY HEALTH PARTNERS false ST JOSEPH HEALTH CENTER AUXILIARY 677 EASTLAND SE WARREN OH 44484 346556121 FUNDRAISING OH 501(C)(3) 9 HUMILITY OF MARY HEALTH PARTNERS false MERCY HEALTH PARTNERS - LOURDES INC 1530 LONE OAK ROAD PADUCAH KY 42003 610600313 HOSPITAL KY 501(C)(3) 3 CATHOLIC HEALTH PARTNERS false LOURDES FOUNDATION INC 1530 LONE OAK ROAD PADUCAH KY 42003 611258960 FOUNDATION KY 501(C)(3) 7 MERCY HEALTH PARTNERS - LOURDES INC false LOURDES HOSPITAL AUXILIARY GIFT SHOP 1530 LONE OAK ROAD PADUCAH KY 42003 610927805 FUNDRAISING KY 501(C)(3) 11 - Type III - FI LOURDES FOUNDATION INC false MARCUM AND WALLACE MEMORIAL HOSPITAL INC 60 MERCY COURT IRVINE KY 40336 610927491 HOSPITAL KY 501(C)(3) 3 MERCY HEALTH PARTNERS - LOURDES INC false MARCUM AND WALLACE HOSPITAL FOUNDATION INC 60 MERCY COURT IRVINE KY 40336 320026557 FOUNDATION KY 501(C)(3) 11 - Type III - FI MARCUM AND WALLACE MEMORIAL HOSPITAL INC false MERCY HEALTH PARTNERS INC 615 ELSINORE PLACE CINCINNATI OH 45202 731627534 MARKET PARENT TN 501(C)(3) 11 - Type I CATHOLIC HEALTH PARTNERS false MERCY HEALTH PARTNERS - NORTHEAST REGION INC 615 ELSINORE PLACE CINCINNATI OH 45202 232813196 MARKET PARENT PA 501(C)(3) 11 - Type III - FI CATHOLIC HEALTH PARTNERS false MERCY HOSPITAL OF WILKES-BARRE 746 JEFFERSON AVENUE SCRANTON PA 18510 240795625 HOSPITAL PA 501(C)(3) 3 MERCY HEALTH PARTNERS - NORTHEAST REGION INC false MERCY HEALTH CARE CENTER 746 JEFFERSON AVENUE SCRANTON PA 18510 232322809 HOSPITAL PA 501(C)(3) 3 MERCY HEALTH PARTNERS - NORTHEAST REGION INC false HEALTHSPAN PARTNERS 615 ELSINORE PLACE CINCINNATI OH 45202 463055925 MARKET PARENT OH 501(C)(3) 11 - Type III - FI CATHOLIC HEALTH PARTNERS false HEALTHSPAN INTEGRATED CARE 1001 LAKESIDE AVE SUITE 1200 CLEVELAND OH 44114 340922268 HMO OH 501(C)(3) 9 HEALTHSPAN PARTNERS false NWO INTEGRATED LABORATORIES MERCY LLC 2200 JEFFERSON AVENUE TOLEDO OH 43624 341898285 LABORATORY SERVICES OH NA N/A TIFFIN AMBULATORY SURGICAL ASSOCIATES 45 ST LAWRENCE DRIVE TIFFIN OH 44833 371567866 AMBULATORY SURGERY CENTER OH NA N/A NEW VISION MEDICAL LAB LLC 750 W HIGH STREET LIMA OH 45801 341913433 LAB SERVICES OH NA N/A WEST CENTRAL OHIO GROUP LTD 801 MEDICAL DRIVE LIMA OH 45804 341848147 ORTHOPEDIC HOSPITAL OH NA N/A KIDNEY SERVICES OF WEST CENTRAL OHIO 750 W HIGH STREET SUITE 100 LIMA OH 45801 061644264 DIALYSIS CENTER OH NA N/A WEST CENTRAL OHIO REGIONAL HEALTHCARE ALLIANCE LTD 2615 FORT AMANDA ROAD LIMA OH 45805 341817078 HEALTHCARE QUALITY OH NA N/A ST ELIZABETH SOUTHWOODS IMAGING 250 DEBARTOLO PLACE BLDG B YOUNGSTOWN OH 44512 261626482 DIAGNOSTIC IMAGING OH NA N/A ST ELIZABETH CARDIAC CATH LAB LLC P O BOX 16008 PITTSBURGH PA 15242 300023795 LAB SERVICES PA NA N/A UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC 1044 BELMONT AVE YOUNGSTOWN OH 44501 262989686 RADIATION THERAPY OH NA N/A HMHPUSP SURGERY CENTERS LLC 15305 DALLAS PKWY STE 1600 ADDISON TX 75001 271953122 SURGERY CENTER TX NA N/A OSC-HMHP LLC 6505 MARKET ST BLDG B STE 101 BOARDMAN OH 44512 010724836 ORTHOPEDIC SURGERY CENTER OH NA N/A LOURDES AMBULATORY SURGERY CENTER 225 MEDICAL CENTER DRIVE PADUCAH KY 42003 611258960 SURGERY CENTER KY NA N/A CHP INSURANCE LTD 615 ELSINORE PLACE CINCINNATI OH 45202 980621978 INSURANCE CJ NA C CORPORATION SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST 615 ELSINORE PLACE CINCINNATI OH 45202 310990309 WORKERS COMPENSATION TRUST MA NA TRUST MHSWO HEALTH VENTURES INC 1 S LIMESTONE ST SPRINGFIELD OH 45502 311072139 PHYSICIAN PRACTICES OH NA C CORPORATION NORTHPARKE MEDICAL COMMONS CONDO ASSN 333 N LIMESTONE ST SPRINGFIELD OH 45503 311391230 REAL PROPERTY MGMNT OH NA C CORPORATION MERCY HEALTH AFFILIATES INC 2200 JEFFERSON AVENUE TOLEDO OH 43604 341372633 PHYSICIAN SERVICES OH NA C CORPORATION PHYSICIAN'S HEALTH COLLABORATIVE 2200 JEFFERSON AVENUE TOLEDO OH 43604 203986844 MEDICAL & HOSPITAL SERVICES OH NA C CORPORATION NORTHSIDE CORPORATION 2200 JEFFERSON AVENUE TOLEDO OH 43604 341318438 RESIDENT RENTALS OH NA C CORPORATION MERCY WORK SOLUTIONS 2200 JEFFERSON AVENUE TOLEDO OH 43604 300066340 WORKERS COMPENSATION OH NA C CORPORATION MERCY HEALTH SYSTEM PHO 2200 JEFFERSON AVENUE TOLEDO OH 43604 341778321 MEDICAL SERVICES OH NA C CORPORATION PHYSICIAN MANAGED CARE INC 2200 JEFFERSON AVENUE TOLEDO OH 43604 341565320 HEALTH SERVICES OH NA C CORPORATION MCAULEY MANAGEMENT SERVICES INC 730 W MARKET STREET LIMA OH 45801 341379037 PROPERTY RENTAL OH NA C CORPORATION LIMA MEDICAL SUPPLIES INC 730 W MARKET STREET LIMA OH 45801 340944477 MEDICAL EQUIPMENT OH NA C CORPORATION COMMUNITY HEALTH PARTNERS ENTERPRISES INC 3700 KOLBE ROAD LORAIN OH 44053 341455525 HOLDING COMPANY OH NA C CORPORATION COMMUNITY HEALTH PARTNERS PHYSICIANS INC 3700 KOLBE ROAD LORAIN OH 44053 341803352 PHYSICIAN PRACTICES OH NA C CORPORATION AMC PHYSICIANS INC 200 W LORAIN STREET OBERLIN OH 44074 371439554 PHYSICIAN SERVICES OH NA C CORPORATION MERCY HEALTH VENTURES INC 4600 MCAULEY PLACE CINCINNATI OH 45242 311185477 DIVERSIFIED ACTIVITIES OH NA C CORPORATION MERCY FRANCISCAN MEDICAL MANAGEMENT SERVICES 4600 MCAULEY PLACE CINCINNATI OH 45242 311640789 DIVERSIFIED ACTIVITIES OH NA C CORPORATION MERCY FRANCISCAN AT WINTON WOODS I INC 10290 MILL ROAD CINCINNATI OH 45231 311658668 LOW-INCOME HOUSING OH NA C CORPORATION MERCY HEALTH MANAGEMENT INC 1530 LONE OAK ROAD PADUCAH KY 42003 611086762 MEDICAL OFFICES KY NA C CORPORATION HEALTH DYNAMICS INC 900 E OAK HILL AVENUE KNOXVILLE TN 37917 621247729 MEDICAL EQUIPMENT SALES TN NA C CORPORATION HEALTH VENTURES INC & SUBSIDIARIES P O BOX 1788 KNOXVILLE TN 37901 621175587 MEDICAL SERVICES TN NA C CORPORATION ANNE KILCAWLEY CHRISTMAN FOUNDATION 100 FEDERAL PLAZA EAST YOUNGSTOWN OH 44503 356735706 BENEFICIAL TRUST OH NA TRUST RALPH EWE TRUST 270 PARK AVENUE NEW YORK NY 10017 346866422 BENEFICIAL TRUST NY NA TRUST ELIZABETH HINES CATES TRUST PNC 1900 E 9TH ST CLEVELAND OH 44114 346515678 BENEFICIAL TRUST OH NA TRUST WILLIS PARK TRUST PNC 1900 E 9TH ST CLEVELAND OH 44114 346519904 BENEFICIAL TRUST OH NA TRUST ERMA GIBSON BALDWIN TRUST PNC 1900 E 9TH ST CLEVELAND OH 44114 346515566 BENEFICIAL TRUST OH NA TRUST HEALTHSPAN INC 225 PICTORIA DR CINCINNATI OH 45246 311431434 INSURANCE OH NA C CORPORATION false false true false true false false false false false false false false false true true false false true