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MERCY HEALTH NORTH LLC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MERCY HEALTH NORTH LLC (EIN 34-1344482)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-19
IRS object ID
201413239349300106
Schema version
2013v3.1
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)
Return2014-11-19T09:00:04-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1312 WALNUT STREET SUITE 300AddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341344482EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY HEALTH SYSTEM - NORTHERN REGIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone4192514000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 Jefferson AvenueAddressLine1
CityToledoCity
StateOHState
ZIP Code43604ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES PUFFENBERGERPersonNm
Person TitleMARKET CFOPersonTitleTxt
Signature2014-11-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP00961884PTIN
Phone5136218300PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MERCY HEALTH PARTNERSBusinessNameLine1

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

FieldValueIRS element (for citing)
Business Name Line1IMRAN ANDRABIBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 Jefferson AvenueAddressLine1
CityToledoCity
StateOHState
ZIP Code43604ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$197,227,777GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCYWEB.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE PRIMARY EXEMPT PURPOSE OF 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
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee945TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$239,175TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$225,740NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$19,899CYContributionsGrantsAmt
PY Program Service Revenue$173,706,431PYProgramServiceRevenueAmt
CY Program Service Revenue$194,726,406CYProgramServiceRevenueAmt
PY Investment Income-$3,057,426PYInvestmentIncomeAmt
CY Investment Income$532,360CYInvestmentIncomeAmt
PY Other Revenue$997,683PYOtherRevenueAmt
CY Other Revenue$1,949,112CYOtherRevenueAmt
PY Total Revenue$171,646,688PYTotalRevenueAmt
CY Total Revenue$197,227,777CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$89,565,119PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$125,989,408CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$87,470,431PYOtherExpensesAmt
CY Other Expenses$103,376,784CYOtherExpensesAmt
PY Total Expenses$177,035,550PYTotalExpensesAmt
CY Total Expenses$229,366,192CYTotalExpensesAmt
PY Revenues Less Expenses-$5,388,862PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$32,138,415CYRevenuesLessExpensesAmt
Total Assets BOY$113,033,855TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$47,545,390TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$65,488,465NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
MissionMERCY HEALTH PARTNERS EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$175,062,649ExpenseAmt
Grant$0GrantAmt
Revenue$171,575,027RevenueAmt
DescMERCY HEALTH PARTNERS PROVIDES SERVICES AND SUPPORT TO AFFILIATED HEALTH CARE FACILITIES, INCLUDING BUT NOT LIMITED TO: PROVIDING STRATEGIC LEADERSHIP, FOCUSING RESOURCES TO ASSURE THE HEALING MISSION, EFFECTIVELY MANAGING CARE, IMPROVING CLINICAL OUTCOMES AND REDUCING OPERATING COSTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$19,917,743ExpenseAmt
Grant$0GrantAmt
Revenue$23,151,379RevenueAmt
DescMERCY DEFIANCE HOSPITAL EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. MERCY DEFIANCE HOSPITAL ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. TOTAL CHARITY CARE PROVIDED WAS $92,496 SERVING 1,139 INDIVIDUALS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$194,980,392TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate 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 OutstandingYes (true)LoanOutstandingInd
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 OperationsYes (true)TerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee945EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
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
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRAVIS CRUMBusinessNameLine1
FieldValueIRS element (for citing)
Phone5136392800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 ELSINORE PLACEAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (41 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
ANDREA PRICE
PRESIDENT & CEO, MHP-NORTHERN MARKET50.007.00Yes (X)Yes (X)$549,282$0$38,123
CHARLES E GALLAGHER
CHAIRMAN1.003.00Yes (X)Yes (X)$0$0$0
DENISE M HASBROOK
VICE CHAIR1.003.00Yes (X)Yes (X)$0$0$0
MICHAEL P KILLIAN
TREASURER0.501.50Yes (X)Yes (X)$0$0$0
SR MILDRED ELY HM
SECRETARY0.501.50Yes (X)Yes (X)$0$0$0
ALLEN GASPAR MD
TRUSTEE0.5043.50Yes (X)$0$131,284$26,394
BRENT COUSINO
TRUSTEE0.501.50Yes (X)$0$0$0
BRIAN SMITH
TRUSTEE, CHP EVP NETWORKS2.0050.50Yes (X)$198,259$793,035-$51,781
CAROL BINTZ
TRUSTEE0.501.50Yes (X)$0$0$0
DENNIS G JOHNSON
TRUSTEE0.501.50Yes (X)$0$0$0
GARY SMITH
TRUSTEE0.501.50Yes (X)$0$0$0
GREGORY KASPER MD
TRUSTEE40.501.50Yes (X)$0$142,734$0
JOHN H HARRIS III
TRUSTEE0.502.00Yes (X)$0$0$0
JON M LEVINE
TRUSTEE0.501.50Yes (X)$0$0$0
KRISHNA RAGOTHAMAN MD
TRUSTEE0.5021.50Yes (X)$0$56,000$0
MARK RIDENOUR
TRUSTEE0.501.50Yes (X)$0$0$0
PAMELA HOWELL-BEACH
TRUSTEE0.501.50Yes (X)$0$0$0
PAUL BISHOP
TRUSTEE0.501.50Yes (X)$0$0$0
TED BARBER MD
TRUSTEE0.501.50Yes (X)$0$25,000$0
VERNELIS K ARMSTRONG
TRUSTEE0.501.50Yes (X)$0$0$0
JAMES PUFFENBERGER
CFO, MHP - NORTHERN MARKET50.006.50Yes (X)$47,927$0$1,584
ROBERT MOON
CFO, MHP - NORTHERN MARKET50.008.00Yes (X)$449,937$0$28,334
GARY GEORGE
SVP, HUMAN RESOURCES50.005.00$273,521$0$40,047Yes (X)
IMRAN ANDRABI MD
SVP & CHIEF PHYSICIAN EXECUTIVE OFFICER50.005.50$492,685$0$103,969Yes (X)
JACALYN LIEBOWITZ
SVP Nursing, Interim CEO St Charles Hospital1.0054.50$0$264,811$43,967Yes (X)
KATRINA ENGLISH
CHIEF LEGAL COUNSEL50.006.00$366,634$0$33,810Yes (X)
MICHELE MONTAGUE
COO, MERCY MEDICAL PARTNERS50.004.00$180,759$0$31,514Yes (X)
THOMAS ARQUILLA
SVP, BUSINESS DEVELOPMENT/STRATEGY50.005.00$344,333$0$92,326Yes (X)
ADNAN ALKHALILI MD
PHYSICIAN55.000$1,009,804$0$42,838Yes (X)
MOHAMMAD ALNSOUR MD
PHYSICIAN55.000$952,622$0$39,007Yes (X)
NASFAT SHEHADEH MD
PHYSICIAN55.000$1,003,661$0$42,109Yes (X)
SRIRAM PERNI MD
PHYSICIAN55.000$1,274,477$0$26,740Yes (X)
SUDHAKAR N PANGULUR MD
PHYSICIAN55.000$848,530$0$40,731Yes (X)
DAVID AROSE
FORMER KEY EMPLOYEE0.000.00$0$264,237$16,178Yes (X)
DENNIS SHERRY
FORMER KEY EMPLOYEE0.000.00$256,622$0$68,475Yes (X)
H TERRENCE SMITH
FORMER KEY EMPLOYEE0.000.00$396,871$0$4,141Yes (X)
JOSEPH GLASS
FORMER KEY EMPLOYEE0.000.00$180,988$0$39,056Yes (X)
SAMANTHA PLATZKE
FORMER OFFICER0.000.00$0$620,164$15,908Yes (X)
STEVEN L MICKUS
FORMER OFFICER0.000.00$0$2,854,836$27,664Yes (X)
TODD WARNER
FORMER OFFICER0.000.50$210,200$0$57,448Yes (X)
WILLIAM SUTTON
FORMER KEY EMPLOYEE0.0055.50$238,149$0-$18,066Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,275,261TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,152,101TotReportableCompRltdOrgAmt
Total Other Compensation$790,516TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K108IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$19,899AllOtherContributionsAmt
Total Contributions$19,899TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE621990$90,476,031$90,476,031
ADMINISTRATIVE & SUPPORT SERVICES FEE561499$104,159,040$103,919,865$239,175
EXEMPT FUNCTION RENTAL INCOME531120$91,335$91,335
$0
$0

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$194,726,406TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$511,913TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Exclusion$511,913ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$33,270SecuritiesAmt
Other-$12,823OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$33,270SecuritiesAmt
Other-$12,823OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,447TotalRevenueColumnAmt
Exclusion$20,447ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
HITECH STIMULUS FUNDS900099$1,219,761$1,219,761
$0
$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$729,351TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$729,351ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,949,112OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$197,227,777TotalRevenueColumnAmt
Related Or Exempt Func Income$194,487,231RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$239,175UnrelatedBusinessRevenueAmt
Exclusion$2,481,472ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,262,688TotalAmt
Program Services$2,610,150ProgramServicesAmt
Management And General$652,538ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$101,658,117TotalAmt
Program Services$86,409,399ProgramServicesAmt
Management And General$15,248,718ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,059,415TotalAmt
Program Services$3,450,503ProgramServicesAmt
Management And General$608,912ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,472,378TotalAmt
Program Services$9,751,521ProgramServicesAmt
Management And General$1,720,857ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,536,810TotalAmt
Program Services$4,706,416ProgramServicesAmt
Management And General$830,394ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$62,376TotalAmt
Management And General$62,376ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,194,474TotalAmt
Management And General$1,194,474ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,104,244TotalAmt
Program Services$28,330,757ProgramServicesAmt
Management And General$4,773,487ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,265,082TotalAmt
Program Services$1,075,320ProgramServicesAmt
Management And General$189,762ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,464,860TotalAmt
Program Services$2,095,131ProgramServicesAmt
Management And General$369,729ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$36,552,154TotalAmt
Program Services$31,069,331ProgramServicesAmt
Management And General$5,482,823ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,128,298TotalAmt
Program Services$10,309,053ProgramServicesAmt
Management And General$1,819,245ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$904,408TotalAmt
Program Services$768,747ProgramServicesAmt
Management And General$135,661ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$108,056TotalAmt
Program Services$92,632ProgramServicesAmt
Management And General$15,424ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$147,410TotalAmt
Program Services$125,298ProgramServicesAmt
Management And General$22,112ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,861,354TotalAmt
Program Services$4,132,148ProgramServicesAmt
Management And General$729,206ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,016,258TotalAmt
Program Services$1,713,819ProgramServicesAmt
Management And General$302,439ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEMBERSHIP DUES$883,916$751,329$132,587
MEDICAL SUPPLIES$6,737,462$6,737,462
STATE ASSESSMENTS$312,724$312,724

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$633,708TotalAmt
Program Services$538,652ProgramServicesAmt
Management And General$95,056ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$229,366,192TotalAmt
Program Services$194,980,392ProgramServicesAmt
Management And General$34,385,800ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$1,351,563BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,779,277BOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$62,601,946BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,112,501BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,868,825BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,379,723BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,331,596BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,489,326BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,822,224BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$113,033,855BOYAmt
EOY$0EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$24,433,649BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,111,741BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,545,390BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$65,488,465BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$65,488,465BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$113,033,855BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$32,138,415ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$108,142NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$33,458,192OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
CertificationYes (X)CertificationInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (6 entries)

EINEINOrganization TypeOrganizationTypeDescGoverning Document ListedGoverningDocumentListedIndSupported Org NotifiedSupportedOrgNotifiedIndUS OrganizedUSOrganizedIndSupportSupportAmt
MERCY ST CHARLES HOSPITAL
3444453733falseYes (true)Yes (true)$0
MERCY ST ANNE HOSPITAL
3115564013falseYes (true)Yes (true)$0
MERCY HOSPITAL OF TIFFIN
3444311743falseYes (true)Yes (true)$0
MERCY HOSPITAL OF WILLARD
3415771103falseYes (true)Yes (true)$0
MERCY ST VINCENT MEDICAL CENTER
3444282503falseYes (true)Yes (true)$0
MERCY DEFIANCE HOSPITAL
0207016353falseYes (true)Yes (true)$0
FieldValueIRS element (for citing)
Supported Organizations Total6SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersYes (true)MailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$28,307GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$0DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$7,281OtherActivitiesAmt
Total Lobbying Expenditures$35,588TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1iFormAndLineReferenceDesc
ExplanationLOBBYING 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.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2, FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationCATHOLIC 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.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 BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served1139PersonsServedCnt
Total Community Benefit Expns$758,409TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$665,913DirectOffsettingRevenueAmt
Net Community Benefit Expns$92,496NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served2861PersonsServedCnt
Total Community Benefit Expns$2,535,002TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,378,285DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,156,717NetCommunityBenefitExpnsAmt
Total Expense0.00500TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served4000PersonsServedCnt
Total Community Benefit Expns$3,293,411TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,044,198DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,249,213NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,675TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,637NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,459TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,459NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,275TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,275NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$42,409TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,371NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served4000PersonsServedCnt
Total Community Benefit Expns$3,335,820TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,044,236DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,291,584NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$6,519,060BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$6,563,266ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$7,413,091CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$849,825MedicareSurplusOrShortfallAmt

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

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1DEFIANCE CLINIC PROPERTIESBusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivitiesRENTALPrimaryActivitiesTxt
Org Profit Or Ownership0.49OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.51PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY DEFIANCE HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11404 E SECOND STREETAddressLine1
CityDEFIANCECity
StateOHState
ZIP Code43513ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.MERCYWEB.ORGWebsiteAddressTxt
State License1462StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MERCY DEFIANCE HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.mercyweb.orgOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLwww.mercy.comOtherWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (true)AllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment(1) - MERCY DEFIANCE HOSPITAL: THERE WERE OVER 30 KEY LEADERS FROM THE COMMUNITY THAT REPRESENTED PUBLIC HEALTH, LAW ENFORCEMENT, SCHOOLS, CHURCHES, LOCAL OFFICIALS, SOCIAL SERVICE AGENCIES AND OTHER VARIOUS COMMUNITY MEMBERS IN ATTENDANCE AT THE PUBLIC RELEASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. AT THE EVENT, PARTICIPANTS PARTICIPATED IN FOCUS GROUPS AND PRIORITIES WERE CHOSEN FOR DEFIANCE COUNTY TO FOCUS ON. LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING LOCAL DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUNITY EVENT, RELEASE OF THE DATA AND SETTING PRIORITIES. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS, WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS AND OVER-SAMPLED MINORITY POPULATIONS. IN ADDITION, THE ORGANIZATIONS THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS, SUCH AS FIRST CALL FOR HELP, FOUR COUNTY FAMILY CENTER, UNITED WAY OF DEFIANCE COUNTY, ETC. AMERICAN CANCER SOCIETY, AMY BOEHM (PH), EDUCATOR; AND JESSICA WEST (PH), EDUCATOR CENTER FOR CHILD & FAMILY ADVOCACY, ANNA MARSHALL, CASE MANAGER CITY OF DEFIANCE, DAVID PLANT, COUNCIL MEMBER COMMUNITY MEMORIAL HOSPITAL, JANE ZACHRICH, RN (PH), NURSE MANAGER DEFIANCE AREA YMCA, RICH SEWARD, DIRECTOR; AND KATELYN SAMPLES, MARKETING DIRECTOR DEFIANCE CITY SCHOOLS, JAY JERGER, ASSISTANT PRINCIPAL DEFIANCE COUNTY COMMISSIONERS, LAURA HOWELL, ADMINISTRATOR DEFIANCE COUNTY FAMILY AND CHILDREN FIRST COUNCIL, JULIE VOLL (PH), COORDINATOR DEFIANCE COUNTY GENERAL HEALTH DISTRICT, KIM MOSS (PH), COMMISSIONER; LAURA CORESSEL, RN (PH), DIRECTOR OF NURSING; AND STACY LUCAS, RN (PH), NURSE DEFIANCE COUNTY, ERIN SPIETH, JUVENILE PROBATION OFFICER DEFIANCE COUNTY SHERIFF, GARY PLOTTS, DEPUTY DEFIANCE DEVELOPMENT & VISITORS BUREAU, CINDY MACK, DIRECTOR DEFIANCE FIRST PRESBYTERIAN CHURCH AND DEFIANCE MINISTERIAL ASSOCIATION, ERIC PELTZ, PASTOR FOUR COUNTY BOARD OF ALCOHOL, DRUG ADDICTION & MENTAL HEALTH, LES MCCASLIN (PH), CEO; AND PAM PFLUM (PH), DIRECTOR OF QUALITY IMPROVEMENT FOUR COUNTY FAMILY CENTER, KATHY HELMKE (PH), DIRECTOR HELP ME GROW, JACKIE WILLIAMS, EARLY INTERVENTION CONTRACT MANAGER HICKSVILLE COMMUNITY SERVICE CENTER, PAULA FAIRCHILD (PH), STAFF MEMBER MAUMEE VALLEY GUIDANCE CENTER, CONNIE PLANSON (PH), PRESIDENT & CEO MERCY DEFIANCE CLINIC, JANET KOEPPLINGER, RN (PH), DIRECTOR OF NURSING MERCY DEFIANCE HOSPITAL, SONYA SELHORST, RN (PH), ADMINISTRATOR AND CHIEF NURSING OFFICER; AND FAITH SMITH (PH), DIRECTOR OF PR & MARKETING MIGRANT HEALTH PROMOTION, CARRIE DURBIN, DIRECTOR OF DEVELOPMENT & MARKETING PROMEDICA DEFIANCE REGIONAL HOSPITAL, GARY CATES (PH), PRESIDENT & CEO; DIANE SIMON (PH), TRAUMA COORDINATOR; SANDY GANG, RN (PH), CHIEF NURSING OFFICER; AND STEPHANIE SMALL (PH), PUBLIC RELATIONS SPECIALIST UNITED WAY OF DEFIANCE COUNTY, CARRIE WETSTEIN (PH), DIRECTOR VILLAGE OF HICKSVILLE, DIANE COLLINS, VILLAGE CLERK ;
Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment(1) - MERCY DEFIANCE HOSPITAL: COMMUNITY MEMORIAL HOSPITAL, 208 COLUMBUS STREET, HICKSVILLE, OH 43526 PROMEDICA DEFIANCE REGIONAL HOSPITAL, 1200 RALSTON AVENUE, DEFIANCE, OHIO 43512;
Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined(1) - MERCY DEFIANCE 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)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
MERCY DEFIANCE CLINIC
1400 E SECOND STREETDEFIANCEOH43512PHYSICIAN GROUP
MERCY NAPOLEAN CLINIC
1426 NORTH SCOTT STREETNAPOLEONOH43545FAMILY PRACTICE AND MEDICAL SPECIALIST SERVICES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6a, Community benefit report prepared by related organizationMERCY HEALTH PARTNERS
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 ALSO DETERMINED USING THE COST TO CHARGE RATIO USING WORKSHEET 2 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 FOR COMMERCIAL PATIENTS ONLY. 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 calculation0
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 AS 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 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 VI, Line 2, Needs assessment.MERCY DEFIANCE HOSPITAL ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. MERCY DEFIANCE HOSPITAL JOINS AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. THE HOSPITAL INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. MERCY DEFIANCE 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. MERCY DEFIANCE HOSPITAL HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. MERCY DEFIANCE HOSPITAL WORKS CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES AND TO AVOID DUPLICATION.
Schedule H, Part VI, Line 3, Patient education of eligibility for assistance.MERCY DEFIANCE 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. MERCY DEFIANCE 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. MERCY DEFIANCE 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 MERCY DEFIANCE. 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. MERCY DEFIANCE 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 MERCY DEFIANCE'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. MERCY DEFIANCE IS PROUD TO MAKE OUR FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE, WHICH CAN BE FOUND AT WWW.MERCYWEB.ORG.
Schedule H, Part VI, Line 4, Community information.MERCY DEFIANCE HOSPITAL SERVES A GEOGRAPHIC AREA PRIMARILY AROUND DEFIANCE COUNTY. THE POPULATION OF MERCY DEFIANCE HOSPITAL'S PRIMARY SERVICE AREA IS APPROXIMATELY 78,000. OUR COMMUNITY IS CHANGING AND WE ALSO SERVE AN UNINSURED AND UNDERINSURED POPULATION. THERE ARE 7 HOSPITALS WITHIN THE FIVE-COUNTY AREA AROUND DEFIANCE, INCLUDING MERCY DEFIANCE HOSPITAL. THE DEMOGRAPHIC AREA SERVED BY MERCY DEFIANCE HOSPITAL INCLUDES THE FOLLOWING STATISTICS: APPROXIMATELY 52% OF THE POPULATION IS BETWEEN THE AGES OF 25 AND 64, AND 14.6% IS AGE 65 OR OLDER. MEDIAN HOUSEHOLD INCOME IS $46,000, WITH 55% OF HOUSEHOLD INCOMES OF $50,000 OR LESS. (THESE STATISTICS FOR DEFIANCE COUNTY ARE FROM THE OHIO COUNTY PROFILES PREPARED BY THE OFFICE OF POLICY, RESEARCH AND STRATEGIC PLANNING OF THE OHIO DEPARTMENT OF DEVELOPMENT.) DEFIANCE COUNTY HAS A POPULATION OF APPROXIMATELY 39,000 ACCORDING TO OHIO COUNTY PROFILES PREPARED BY THE OFFICE OF POLICY, RESEARCH AND STRATEGIC PLANNING OF THE OHIO DEPARTMENT OF DEVELOPMENT. ACCORDING TO THE 2008-2012 AMERICAN COMMUNITY SURVEY, 11.7% OF ALL FAMILIES AND 14.6% OF ALL PEOPLE ARE BELOW THE FEDERAL POVERTY GUIDELINES. 16.4% OF INDIVIDUALS ARE ON MEDICAID OR OTHER ASSISTANCE, AND 10.3% OF THE POPULATION IS UNINSURED. IN THE COMMUNITY SERVED BY MERCY DEFIANCE HOSPITAL HEART DISEASE, CANCER, STROKE, LUNG DISEASES AND DIABETES ARE THE MAJOR HEALTH PROBLEMS AND/OR LEADING CAUSES OF DEATH. EACH OF THESE IS PREVENTABLE THROUGH PROPER CARE AND MAINTAINING CONTROL OF THE ILLNESS/DISEASE AS WELL AS LEADING HEALTHIER LIVES. MERCY DEFIANCE HOSPITAL WORKS CLOSELY WITH LOCAL COMMUNITY AGENCIES AND HEALTH DEPARTMENTS TO ADDRESS THESE PROBLEMS AND MINIMIZE THE EFFECTS ON THOSE WHO SUFFER.
Schedule H, Part VI, Line 5, Promotion of community healthMERCY DEFIANCE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, THE HOSPITAL ALSO PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. MERCY DEFIANCE HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA (WITH CERTAIN LIMITED EXCEPTIONS INVOLVING TRADITIONALLY EXCLUSIVE HOSPITAL-BASED SERVICES). THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY HOSPITAL. THE HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT -SPONSORED HEALTH CARE PROGRAMS.
Schedule H, Part VI, Line 6, Affiliated health care systemMERCY DEFIANCE HOSPITAL IS A MEMBER OF MERCY HEALTH PARTNERS-NORTHERN REGION AND AFFILIATED WITH ST. VINCENT MERCY MEDICAL CENTER, ST. CHARLES MERCY HOSPITAL, RIVERSIDE MERCY HOSPITAL, MERCY HOSPITAL TIFFIN, AND MERCY HOSPITAL WILLARD. ALL ARE OHIO NON-PROFIT CORPORATIONS. THE HOSPITAL IS SPONSORED BY THE SISTERS OF MERCY AND SISTERS OF CHARITY OF MONTREAL (GREY NUNS) AND IS AN INTEGRAL PART OF THE COMMUNITY. MERCY HEALTH PARTNERS-NORTHERN REGION COMMUNITY BENEFIT FOR 2013 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2013 COMMUNITY BENEFIT: $87.2 MILLION BENEFITS TO THE BROADER COMMUNITY: $19.3 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $32.0 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $23.0 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $12.9 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 9.8 PERCENT MERCY DEFIANCE HOSPITAL 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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 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
ANDREA PRICE
PRESIDENT & CEO, MHP-NORTHERN MARKET$539,043$0$0$0$10,239$0$8,171$0$29,952$0$587,405$0$0$0
BRIAN SMITH
TRUSTEE, CHP EVP NETWORKS$122,448$489,791$45,000$180,000$30,811$123,244$2,040-$66,124$2,460$9,843$202,759$736,754$0$0
ALLEN GASPAR MD
TRUSTEE$0$116,284$0$15,000$0$0$0$10,622$0$15,772$0$157,678$0$0
STEVEN L MICKUS
FORMER OFFICER$0$565,431$0$266,153$0$2,023,252$0$2,652$0$25,012$0$2,882,500$0$0
SAMANTHA PLATZKE
FORMER OFFICER$0$36,336$0$116,469$0$467,359$0-$6,961$0$22,869$0$636,072$0$0
TODD WARNER
FORMER OFFICER$202,017$0$0$0$8,183$0$34,206$0$23,242$0$267,648$0$0$0
ROBERT MOON
CFO, MHP - NORTHERN MARKET$139,894$0$75,000$0$235,043$0$4,489$0$23,845$0$478,271$0$0$0
H TERRENCE SMITH
FORMER KEY EMPLOYEE$88$0$0$0$396,783$0$4,141$0$0$0$401,012$0$0$0
JOSEPH GLASS
FORMER KEY EMPLOYEE$0$0$0$0$180,988$0$19,082$0$19,974$0$220,044$0$0$0
DAVID AROSE
FORMER KEY EMPLOYEE$0$220,323$0$41,542$0$2,372$0$7,959$0$8,219$0$280,415$0$0
WILLIAM SUTTON
FORMER KEY EMPLOYEE$213,747$0$0$0$24,402$0-$33,264$0$15,198$0$220,083$0$0$0
DENNIS SHERRY
FORMER KEY EMPLOYEE$243,294$0$0$0$13,328$0$44,913$0$23,562$0$325,097$0$0$0
THOMAS ARQUILLA
SVP, BUSINESS DEVELOPMENT/STRATEGY$333,925$0$0$0$10,408$0$67,993$0$24,333$0$436,659$0$0$0
IMRAN ANDRABI MD
SVP & CHIEF PHYSICIAN EXECUTIVE OFFICER$448,425$0$34,750$0$9,510$0$78,898$0$25,071$0$596,654$0$0$0
GARY GEORGE
SVP, HUMAN RESOURCES$259,929$0$0$0$13,592$0$31,109$0$8,938$0$313,568$0$0$0
MICHELE MONTAGUE
COO, MERCY MEDICAL PARTNERS$172,279$0$0$0$8,480$0$9,354$0$22,160$0$212,273$0$0$0
KATRINA ENGLISH
CHIEF LEGAL COUNSEL$274,046$0$15,508$0$77,080$0$14,054$0$19,756$0$400,444$0$0$0
JACALYN LIEBOWITZ
SVP NURSING, INTERIM CEO ST CHARLES HOSPITAL$0$232,860$0$15,000$0$16,951$0$25,907$0$18,060$0$308,778$0$0
NASFAT SHEHADEH MD
PHYSICIAN$937,351$0$48,000$0$18,310$0$19,612$0$22,497$0$1,045,770$0$0$0
ADNAN ALKHALILI MD
PHYSICIAN$983,994$0$25,000$0$810$0$20,900$0$21,938$0$1,052,642$0$0$0
MOHAMMAD ALNSOUR MD
PHYSICIAN$909,582$0$25,000$0$18,040$0$17,070$0$21,937$0$991,629$0$0$0
SRIRAM PERNI MD
PHYSICIAN$1,206,437$0$50,000$0$18,040$0$17,799$0$8,941$0$1,301,217$0$0$0
SUDHAKAR N PANGULUR MD
PHYSICIAN$844,966$0$0$0$3,564$0$24,352$0$16,379$0$889,261$0$0$0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensationTHE COMPENSATION OF ANDREA PRICE, PRESIDENT AND CEO, MHP-NORTHERN MARKET, IS DETERMINED BY CATHOLIC HEALTH PARTNERS (CHP), A RELATED TAX-EXEMPT ORGANIZATION. CHP UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MS. PRICE'S COMPENSATION.
Schedule J, Part I, Line 4a, Severance or change-of-control paymentSEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO LISTED INDIVIDUALS FOR SPECIFIED PERIODS. THE LISTED INDIVIDUALS EXECUTED RELEASES AND WAIVERS OF CLAIMS IN EXCHANGE FOR THE SEVERANCE BENEFITS. SALARY CONTINUATION AMOUNTS PROVIDED DURING THE YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: ROBERT MOON $233,849; SAMANTHA PLATZKE $464,048; STEVEN L. MICKUS $414,330; H. TERRENCE SMITH $396,783; JOSEPH GLASS $179,985.
Schedule J, Part I, Line 4b, Supplemental nonqualified retirement planTHE MERCY HEALTH PARTNERS (MHP) - NORTHERN REGION NONQUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN IS FOR CERTAIN HIGHLY COMPENSATED INDIVIDUALS AS DETERMINED BY THE BOARD OF TRUSTEES' EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE TO PROVIDE A BENEFIT TO REPLACE THE BENEFIT THESE PARTICIPANTS WOULD HAVE RECEIVED UNDER THE FORMULA OF THE APPLICABLE QUALIFIED PLAN PRIOR TO ITS AMENDMENT TO COMPLY WITH THE OMNIBUS BUDGET RECONCILIATION ACT OF 1993, AND PROVIDING A DEFERRED COMPENSATION PLAN OF 5% OF ANNUAL BASE SALARY TO RETAIN EXECUTIVES. PARTICIPANTS VEST IN THIS PLAN AND RECEIVE A BENEFIT UNDER THIS PLAN ONCE THEY HAVE SATISFIED BOTH OF THESE TWO CONDITIONS: (1) MEET THE VESTING REQUIREMENTS OF THE APPLICABLE QUALIFIED PLAN, AND (2) COMPLETE A 24-MONTH POST-EMPLOYMENT NON-COMPETE REQUIREMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: WILLIAM SUTTON $11,786; THOMAS ARQUILLA $0; IMRAN ANDRABI, MD $0; GARY GEORGE $0; MICHELE MONTAGUE $0; JACALYN LIEBOWITZ $0; KEVIN COOK $0; DENNIS SHERRY $0; TODD WARNER $0.
SCHEDULE J, PART I, LINE 4B, THE CHP EXECUTIVE RETENTION PLANTHE CATHOLIC HEALTH PARTNERS (CHP) EXECUTIVE 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: STEVEN L. MICKUS $683,149; KATRINA ENGLISH $0; IMRAN ANDRABI, MD $0, THOMAS ARQUILLA $0.
SCHEDULE J, PART I, LINE 4B, TERMS AND CONDITIONS OF THE CHP SERP PLANTHE CATHOLIC HEALTH PARTNERS (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 INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: BRIAN SMITH $129,575; STEVEN L. MICKUS $915,695; SAMANTHA PLATZKE $1,732; ANDREA PRICE $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 CEO RECOMMENDS INCENTIVE AWARDS FOR LISTED INDIVIDUALS TO THE BOARD'S EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE. THE BOARD COMMITTEE REVIEWS AND APPROVES OR MODIFIES THE CEO'S RECOMMENDATIONS.
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 YEARS, RESULT IN NEGATIVE CONTRIBUTION AMOUNTS.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUDHAKAR PANGULUR MDBusinessNameLine1
FieldValueIRS element (for citing)
Relationship With OrgRECRUITMENTRelationshipWithOrgTxt
Loan PurposePROFESSIONAL LIABILITY INSURANCELoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$45,318OriginalPrincipalAmt
Balance Due$24,925BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalfalseBoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$24,925TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE IMAGE GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Relationship DescriptionJON LEVINE (BOARD MEMBER) HAS A REPORTABLE OWNERSHIP INTEREST.RelationshipDescriptionTxt
Transaction$143,036TransactionAmt
TransactionINDEPENDENT CONTRACTORTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidALL ASSETS AND LIABILITIES OF MERCY HEALTH SYSTEM - NORTHERN REGIONAssetsDistriOrExpnssPaidDesc
Distribution2014-01-01DistributionDt
Fair Market Value Of Asset$50,234,635FairMarketValueOfAssetAmt
Method Of FMV DeterminationGAAPMethodOfFMVDeterminationTxt
EIN341344482EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY HEALTH NORTH LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 JEFFERSON AVENUEAddressLine1
CityTOLEDOCity
StateOHState
ZIP Code43604ZIPCode
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of SuccessorfalseDirectorOfSuccessorInd
Employee Of SuccessorYes (true)EmployeeOfSuccessorInd
Owner Of SuccessorfalseOwnerOfSuccessorInd
Receive CompensationfalseReceiveCompensationInd
Assets DistributedYes (true)AssetsDistributedInd
Required To Notify AGYes (true)RequiredToNotifyAGInd
Attorney General NotifiedYes (true)AttorneyGeneralNotifiedInd
Liabilities PaidYes (true)LiabilitiesPaidInd
Bonds OutstandingfalseBondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule N, Part I, Line 2b, Interested person is an employee or ind. contractor of successor org.FormAndLineReferenceDesc
ExplanationALL OFFICERS AND KEY EMPLOYEES OF MERCY HEALTH SYSTEM - NORTHERN REGION BECAME EMPLOYEES OF MERCY HEALTH NORTH LLC.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 15A, COMPENSATIONTHE COMPENSATION OF THE ORGANIZATION'S CEO OR TOP MANAGEMENT OFFICIAL IS DETERMINED BY CATHOLIC HEALTH PARTNERS, A RELATED TAX-EXEMPT ORGANIZATION.
Form 990, Part VI, Sec A, Line 6, Classes of members or stockholdersCATHOLIC HEALTH PARTNERS IS THE SOLE MEMBER OF MERCY HEALTH PARTNERS - NORTHERN REGION.
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing bodyCATHOLIC 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 stockholdersCERTAIN MATTERS REQUIRE APPROVAL OF THE 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 bodyTHE FORM 990 IS PREPARED BY THE CHP 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 policyFOR BOARD AND/OR SUBCOMMITTEE MEETINGS - ALL MUST FILE A CONFLICT OF INTEREST FORM. THE COMMITTEE CHAIR OR BOARD CHAIR IS NOTIFIED OF ANY CONFLICTS FOR ANY OF THE COMMITTEE MEMBERS OR BOT MEMBERS. AT THE BEGINNING OF ALL BOARD MEETINGS OR COMMITTEE MEETINGS, MEMBERS ARE REMINDED THAT THEY ARE TO NOTIFY THE CHAIR OF ANY CONFLICTS AND RECUSE THEMSELVES AS NECESSARY FROM THE DISCUSSION AND/OR VOTE. FOR KEY EMPLOYEES THEIR MANAGER IS NOTIFIED OF ANY CONFLICTS REPORTED ON THE COI FORM. IF A CONFLICT EXISTS, WE REQUIRE THE EMPLOYEE TO RECUSE THEMSELVES FROM THE ISSUE.
Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employeesCOMPENSATION IS REVIEWED ANNUALLY BY AN INDEPENDENT QUALIFIED CONSULTANT. THE EXECUTIVE VALUATION COMPENSATION COMMITTEE OF THE BOARD CONTEMPORANEOUSLY RECORDS THE DELIBERATION AND DECISION.
Form 990, Part VI, Sec C, Line 19, Required documents available to the publicTHE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE.
Form 990, Part IX, Line 11g, Other ExpensesMEDICAL PROFESSIONAL FEES - TOTAL EXPENSE: 1280996, PROGRAM SERVICE EXPENSE: 1280996, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; COLLECTIONS - TOTAL EXPENSE: 2620919, PROGRAM SERVICE EXPENSE: 2227781, MANAGEMENT AND GENERAL EXPENSES: 393138, FUNDRAISING EXPENSES: ; CONSULTING - TOTAL EXPENSE: 3049447, PROGRAM SERVICE EXPENSE: 2592030, MANAGEMENT AND GENERAL EXPENSES: 457417, FUNDRAISING EXPENSES: ; INTERCOMPANY PURCHASED SERVICES - TOTAL EXPENSE: 15955101, PROGRAM SERVICE EXPENSE: 13561836, MANAGEMENT AND GENERAL EXPENSES: 2393265, FUNDRAISING EXPENSES: ; OTHER PURCHASED SERVICES - TOTAL EXPENSE: 10197781, PROGRAM SERVICE EXPENSE: 8668114, MANAGEMENT AND GENERAL EXPENSES: 1529667, FUNDRAISING EXPENSES: ;
Form 990 , Part XI, Line 9, Other changes in net assets or fund balancesINTERCOMPANY ELIMINATION - 3613797; PENSION LIABILITY ADJUSTMENT - 1670000; POST RETIREMENT LIABILITY ADJUSTMENT - 190000; CAREPATH NET ASSET TRANSFERS - 16691246; EQUITY TRANSFERS - -4446000; OTHER CHANGES IN NET ASSETS - -942600; NET ASSET TRANSFER TO MERCY HEALTH NORTH LLC - -50234635;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MPE BILLING SERVICES LLC
2200 JEFFERSON AVENUETOLEDOOH43604264779623BILLING SERVICESOH$30,066,069$9,020,566MERCY HEALTH SYSTEM-NORTHERN REGION
MERCY EYE INSTITUTE LLC
2200 JEFFERSON AVENUETOLEDOOH43604320297989OPTOMETRY SERVICESOH$7,354,869$96,604MERCY HEALTH SYSTEM-NORTHERN REGION
MERCY RADIOLOGY GROUP
2200 JEFFERSON AVENUETOLEDOOH43604274431092RADIOLOGY SERVICESOH$12,035,271$1,624,938MERCY HEALTH SYSTEM-NORTHERN REGION
MERCY HOSPITAL OF DEFIANCE LLC
1404 E SECOND STREETDEFIANCEOH43512020701635HOSPITALOH$23,277,308$17,954,512MERCY HEALTH SYSTEM-NORTHERN REGION
MERCY MEDICAL PARTNERS NORTHERN REGION LLC
1400 E SECOND STREETDEFIANCEOH43512320350047HEALTH CAREOH$25,051,914-$4,640,606MERCY HEALTH SYSTEM-NORTHERN REGION

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (64 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
CATHOLIC HEALTH PARTNERS
615 ELSINORE PLACECINCINNATIOH45202311161086HEALTHCARE SYSTEM PARENTOH501(C)(3)11 - Type III - FINAfalse
CATHOLIC HEALTH PARTNERS FOUNDATION
615 ELSINORE PLACECINCINNATIOH45202201072726FUNDRAISINGOH501(C)(3)7CATHOLIC HEALTH PARTNERSfalse
CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT
615 ELSINORE PLACECINCINNATIOH45202208943658HUD PARENTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST
615 ELSINORE PLACECINCINNATIOH45202316046304RETIREMENT TRUSTOH501(C)(3)8CATHOLIC HEALTH PARTNERSfalse
COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
3700 KOLBE ROADLORAINOH44053270071694MARKET PARENTOH501(C)(3)11 - Type IICATHOLIC HEALTH PARTNERSfalse
COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
3700 KOLBE ROADLORAINOH44053340714704HOSPITALOH501(C)(3)3COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEMfalse
ALLEN MEDICAL CENTER
200 WEST LORAIN STOBERLINOH44074340864230HOSPITALOH501(C)(3)3COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEMfalse
COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION
3700 KOLBE ROADLORAINOH44053341504558FOUNDATIONOH501(C)(3)11 - Type III - FICOMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTERfalse
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROADLORAINOH44053341268828MEDICAL OFFICE RENTALOH501(C)(3)9COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTERfalse
ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN STOBERLINOH44074364504991MEDICAL OFFICE RENTALOH501(C)(3)11 - Type IIALLEN MEDICAL CENTERfalse
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
4600 MCAULEY PLACECINCINNATIOH45242311063783MARKET PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION
4600 MCAULEY PLACECINCINNATIOH45242311217563FOUNDATIONOH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY HOSPITALS WEST
2446 KIPLING AVENUECINCINNATIOH45239311091597HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY HOSPITAL ANDERSON
7500 STATE ROADCINCINNATIOH45255310537085HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
THE SISTERS OF MERCY OF HAMILTON OHIO
3000 MACK ROADFAIRFIELDOH45014310538532HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO
3000 HOSPITAL DRIVEBATAVIAOH45103310830955HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC
7010 ROWAN HILLS DRCINCINNATIOH45227311308729RETIREMENT HOMEOH501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY SACRED HEART INC
2120 PAYNE STREETLOUISVILLEKY40206611318326RETIREMENT HOMEKY501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY LONG TERM CARE INITIATIVE
4915 CHARLESTOWN RDNEW ALBANYIN47150311332491RETIREMENT HOMEIN501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREETCINCINNATIOH45210311222942LOW INCOME HOUSINGOH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY FRANCISCAN AT ST RAPHAEL INC
610 HIGH STREETHAMILTONOH45011202934871SERVICES TO THE POOROH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
COMMUNITY MERCY HEALTH SYSTEM
ONE S LIMESTONE STSPRINGFIELDOH45502300272454MARKET PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
COMMUNITY MERCY HEALTH PARTNERS
ONE S LIMESTONE STSPRINGFIELDOH45502310785684HOSPITALOH501(C)(3)3COMMUNITY MERCY HEALTH SYSTEMfalse
THE COMMUNITY MERCY FOUNDATION
1343 N FOUNTAIN BLVDSPRINGFIELDOH45504311443778FOUNDATIONOH501(C)(3)7COMMUNITY MERCY HEALTH SYSTEMfalse
C H HEALTH SERVICES COMPANY
ONE S LIMESTONE STSPRINGFIELDOH45502311181984HOSPITALOH501(C)(3)3COMMUNITY MERCY HEALTH SYSTEMfalse
CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE
1150 E HOME ROADSPRINGFIELDOH45503260698515MEDICAL INFORMATION EXCHANGEOH501(C)(3)9COMMUNITY MERCY HEALTH SYSTEMfalse
THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST
ONE S LIMESTONE STSPRINGFIELDOH45502346827136INDIGENT MEDICAL CAREOH501(C)(3)11 - Type INAfalse
MERCY HEALTH SYSTEM - NORTHERN REGION
2200 JEFFERSON AVENUETOLEDOOH43604341344482MARKET PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
MERCY PROPERTY HOLDINGS
2200 JEFFERSON AVENUETOLEDOOH43604300699825TITLE HOLDING COMPANYOH501(C)(2)N/AMERCY HEALTH SYSTEM - NORTHERN REGIONfalse
ST CHARLES MERCY HOSPITAL OF OREGON OHIO
2600 NAVARRE AVENUEOREGONOH43616344445373HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
RIVERSIDE MERCY HOSPITAL
3404 W SYLVANIA AVETOLEDOOH43623311556401HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY HOME CARE INC
2200 JEFFERSON AVENUETOLEDOOH43604341587572HOME HEALTHCAREOH501(C)(3)9MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY COLLEGE OF OHIO
2221 MADISON AVENUETOLEDOOH43604341726619MEDICAL COLLEGEOH501(C)(3)2MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY COLLEGE OF OHIO FOUNDATION INC
2221 MADISON AVENUETOLEDOOH43604141963204FOUNDATIONOH501(C)(3)11 - Type IMERCY COLLEGE OF OHIOfalse
MERCY HOSPITAL OF TIFFIN OHIO
45 ST LAWRENCE DRIVETIFFINOH44883344431174HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY TIFFIN HEALTH FOUNDATION
45 ST LAWRENCE DRIVETIFFINOH44883341499894FOUNDATIONOH501(C)(3)11 - Type III - FIMERCY HOSPITAL OF TIFFIN OHIOfalse
THE SISTERS OF MERCY OF WILLARD OHIO
110 EAST HOWARD STWILLARDOH44890341577110HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY HOSPITAL OF WILLARD FOUNDATION
110 EAST HOWARD STWILLARDOH44890113742347FOUNDATIONOH501(C)(3)11 - Type III - FITHE SISTERS OF MERCY OF WILLARD OHIOfalse
ST VINCENT MERCY MEDICAL CENTER
2213 CHERRY STREETTOLEDOOH43608344428250HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY FOUNDATION
2213 CHERRY STREETTOLEDOOH43608237393213FOUNDATIONOH501(C)(3)11 - Type III - FIST VINCENT MERCY MEDICAL CENTERfalse
LIFESTAR AMBULANCE INC
2200 JEFFERSON AVENUETOLEDOOH43604341354653MEDICAL TRANSPORTATIONOH501(C)(3)11 - Type IIMERCY HEALTH SYSTEM - NORTHERN REGIONfalse
RSM MEDICAL FOUNDATION
2200 JEFFERSON AVENUETOLEDOOH43624341693671HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
SIMON OUTREACH SERVICES
2600 NAVARRE AVENUEOREGONOH43616341383325MEDICAL OFFICE RENTALOH501(C)(3)11 - Type IIST CHARLES MERCY HOSPITAL OF OREGON OHIOfalse
FARLEY HEALTHCARE CORPORATION
2200 JEFFERSON AVENUETOLEDOOH43604341363204HEALTH SERVICESOH501(C)(3)9MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
ST RITA'S MEDICAL CENTER
730 W MARKET STREETLIMAOH45801341105619HOSPITALOH501(C)(3)3CATHOLIC HEALTH PARTNERSfalse
SRHC FOUNDATION
730 W MARKET STREETLIMAOH45801341368429FOUNDATIONOH501(C)(3)11 - Type III - FIST RITA'S MEDICAL CENTERfalse
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400LIMAOH45801341937267MEDICAL LAB SERVICESOH501(C)(3)11 - Type III - FIST RITA'S MEDICAL CENTERfalse
HUMILITY OF MARY HEALTH PARTNERS
1044 BELMONT AVENUEYOUNGSTOWNOH44501340505560HOSPITALOH501(C)(3)3CATHOLIC HEALTH PARTNERSfalse
THE ASSUMPTION VILLAGE
9800 N MARKET STREETNORTH LIMAOH44452341013695NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
HOSPICE OF THE VALLEY
5190 MARKET STREETYOUNGSTOWNOH44512341288745HOSPICE SERVICESOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
HUMILITY OF MARY DEVELOPMENT FOUNDATION
1044 BELMONT AVENUEYOUNGSTOWNOH44501341826978FOUNDATIONOH501(C)(3)11 - Type III - FIHUMILITY OF MARY HEALTH PARTNERSfalse
HUMILITY HOUSE
755 OHLTOWN ROADAUSTINTOWNOH44515341894783NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SEWARRENOH44484346556121FUNDRAISINGOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
MERCY HEALTH PARTNERS - LOURDES INC
1530 LONE OAK ROADPADUCAHKY42003610600313HOSPITALKY501(C)(3)3CATHOLIC HEALTH PARTNERSfalse
LOURDES FOUNDATION INC
1530 LONE OAK ROADPADUCAHKY42003611258960FOUNDATIONKY501(C)(3)7MERCY HEALTH PARTNERS - LOURDES INCfalse
LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROADPADUCAHKY42003610927805FUNDRAISINGKY501(C)(3)11 - Type III - FILOURDES FOUNDATION INCfalse
MARCUM AND WALLACE MEMORIAL HOSPITAL INC
60 MERCY COURTIRVINEKY40336610927491HOSPITALKY501(C)(3)3MERCY HEALTH PARTNERS - LOURDES INCfalse
MARCUM AND WALLACE HOSPITAL FOUNDATION INC
60 MERCY COURTIRVINEKY40336320026557FOUNDATIONKY501(C)(3)11 - Type III - FIMARCUM AND WALLACE MEMORIAL HOSPITAL INCfalse
MERCY HEALTH PARTNERS INC
615 ELSINORE PLACECINCINNATIOH45202731627534MARKET PARENTTN501(C)(3)11 - Type ICATHOLIC HEALTH PARTNERSfalse
MERCY HEALTH PARTNERS - NORTHEAST REGION INC
615 ELSINORE PLACECINCINNATIOH45202232813196MARKET PARENTPA501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
MERCY HOSPITAL OF WILKES-BARRE
746 JEFFERSON AVENUESCRANTONPA18510240795625HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY HEALTH CARE CENTER
746 JEFFERSON AVENUESCRANTONPA18510232322809HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
HEALTHSPAN PARTNERS
615 ELSINORE PLACECINCINNATIOH45202463055925MARKET PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
HEALTHSPAN INTEGRATED CARE
1001 LAKESIDE AVE SUITE 1200CLEVELANDOH44114340922268HMOOH501(C)(3)9HEALTHSPAN PARTNERSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxt
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
ST ELIZABETH SOUTHWOODS IMAGING
250 DEBARTOLO PLACE BLDG BYOUNGSTOWNOH44512261626482DIAGNOSTIC IMAGINGOHNAN/A
ST ELIZABETH CARDIAC CATH LAB LLC
P O BOX 16008PITTSBURGHPA15242300023795LAB SERVICESPANAN/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 DRIVEPADUCAHKY42003611258960SURGERY CENTERKYNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (27 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtLegal Domicile StateLegalDomicileStateCd
CHP INSURANCE LTD
615 ELSINORE PLACECINCINNATIOH45202980621978INSURANCECJNAC CORPORATION
SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST
615 ELSINORE PLACECINCINNATIOH45202310990309WORKERS COMPENSATION TRUSTNATRUSTMA
MHSWO HEALTH VENTURES INC
1 S LIMESTONE STSPRINGFIELDOH45502311072139PHYSICIAN PRACTICESNAC CORPORATIONOH
NORTHPARKE MEDICAL COMMONS CONDO ASSN
333 N LIMESTONE STSPRINGFIELDOH45503311391230REAL PROPERTY MGMNTNAC CORPORATIONOH
MERCY HEALTH AFFILIATES INC
2200 JEFFERSON AVENUETOLEDOOH43604341372633PHYSICIAN SERVICESNAC CORPORATIONOH
PHYSICIAN'S HEALTH COLLABORATIVE
2200 JEFFERSON AVENUETOLEDOOH43604203986844MEDICAL & HOSPITAL SERVICESNAC CORPORATIONOH
NORTHSIDE CORPORATION
2200 JEFFERSON AVENUETOLEDOOH43604341318438RESIDENT RENTALSNAC CORPORATIONOH
MERCY WORK SOLUTIONS
2200 JEFFERSON AVENUETOLEDOOH43604300066340WORKERS COMPENSATIONNAC CORPORATIONOH
MERCY HEALTH SYSTEM PHO
2200 JEFFERSON AVENUETOLEDOOH43604341778321MEDICAL SERVICESNAC CORPORATIONOH
PHYSICIAN MANAGED CARE INC
2200 JEFFERSON AVENUETOLEDOOH43604341565320HEALTH SERVICESNAC CORPORATIONOH
MCAULEY MANAGEMENT SERVICES INC
730 W MARKET STREETLIMAOH45801341379037PROPERTY RENTALNAC CORPORATIONOH
LIMA MEDICAL SUPPLIES INC
730 W MARKET STREETLIMAOH45801340944477MEDICAL EQUIPMENTNAC CORPORATIONOH
COMMUNITY HEALTH PARTNERS ENTERPRISES INC
3700 KOLBE ROADLORAINOH44053341455525HOLDING COMPANYNAC CORPORATIONOH
COMMUNITY HEALTH PARTNERS PHYSICIANS INC
3700 KOLBE ROADLORAINOH44053341803352PHYSICIAN PRACTICESNAC CORPORATIONOH
AMC PHYSICIANS INC
200 W LORAIN STREETOBERLINOH44074371439554PHYSICIAN SERVICESNAC CORPORATIONOH
MERCY HEALTH VENTURES INC
4600 MCAULEY PLACECINCINNATIOH45242311185477DIVERSIFIED ACTIVITIESNAC CORPORATIONOH
MERCY FRANCISCAN MEDICAL MANAGEMENT SERVICES
4600 MCAULEY PLACECINCINNATIOH45242311640789DIVERSIFIED ACTIVITIESNAC CORPORATIONOH
MERCY FRANCISCAN AT WINTON WOODS I INC
10290 MILL ROADCINCINNATIOH45231311658668LOW-INCOME HOUSINGNAC CORPORATIONOH
MERCY HEALTH MANAGEMENT INC
1530 LONE OAK ROADPADUCAHKY42003611086762MEDICAL OFFICESNAC CORPORATIONKY
HEALTH DYNAMICS INC
900 E OAK HILL AVENUEKNOXVILLETN37917621247729MEDICAL EQUIPMENT SALESNAC CORPORATIONTN
HEALTH VENTURES INC & SUBSIDIARIES
P O BOX 1788KNOXVILLETN37901621175587MEDICAL SERVICESNAC CORPORATIONTN
ANNE KILCAWLEY CHRISTMAN FOUNDATION
100 FEDERAL PLAZA EASTYOUNGSTOWNOH44503356735706BENEFICIAL TRUSTNATRUSTOH
RALPH EWE TRUST
270 PARK AVENUENEW YORKNY10017346866422BENEFICIAL TRUSTNATRUSTNY
ELIZABETH HINES CATES TRUST
PNC 1900 E 9TH STCLEVELANDOH44114346515678BENEFICIAL TRUSTNATRUSTOH
WILLIS PARK TRUST
PNC 1900 E 9TH STCLEVELANDOH44114346519904BENEFICIAL TRUSTNATRUSTOH
ERMA GIBSON BALDWIN TRUST
PNC 1900 E 9TH STCLEVELANDOH44114346515566BENEFICIAL TRUSTNATRUSTOH
HEALTHSPAN INC
225 PICTORIA DRCINCINNATIOH45246311431434INSURANCENAC CORPORATIONOH
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (true)DivRelatedOrganizationInd
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 OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST VINCENT MERCY MEDICAL CENTER
Q$57,462,636GAAP
ST CHARLES MERCY HOSPITAL OF OREGON OHIO
Q$16,631,525GAAP
RIVERSIDE MERCY HOSPITAL
Q$11,463,769GAAP
MERCY HOSPITAL OF TIFFIN OHIO
Q$5,202,202GAAP
MERCY HOSPITAL OF DEFIANCE
Q$2,867,826GAAP
THE SISTERS OF MERCY OF WILLARD OHIO
Q$2,230,534GAAP