MERCY HEALTH-ST CHARLES HOSPITAL LLC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MERCY HEALTH-ST CHARLES HOSPITAL LLC (EIN 34-4445373)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-19
IRS object ID: 201413239349300701
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-19T09:01:20-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	312 WALNUT STREET SUITE 300	AddressLine1
City	CINCINNATI	City
State	OH	State
ZIP Code	45202	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	344445373	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST CHARLES MERCY HOSPITAL OF OREGON OHIO	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	STCH	BusinessNameControlTxt
Phone	4196967200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 Navarre Avenue	AddressLine1
City	Oregon	City
State	OH	State
ZIP Code	43616	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES PUFFENBERGER	PersonNm
Person Title	MARKET CFO	PersonTitleTxt
Signature	2014-11-04	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
PTIN	P00961884	PTIN
Phone	5136218300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Final Return	Yes (X)	FinalReturnInd

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY ST CHARLES HOSPITAL	BusinessNameLine1

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

Field	Value	IRS element (for citing)
Business Name Line1	JEFFREY DEMPSEY	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 Navarre Avenue	AddressLine1
City	Oregon	City
State	OH	State
ZIP Code	43616	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$130,766,445	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MERCYWEB.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	THE PRIMARY EXEMPT PURPOSE OF MERCY ST. CHARLES HOSPITAL IS TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. MERCY ST. CHARLES HOSPITAL ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE.	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1397	TotalEmployeeCnt
Total Volunteers	250	TotalVolunteersCnt
Total Gross UBI	$623,518	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$265,692	PYContributionsGrantsAmt
CY Contributions Grants	$114,403	CYContributionsGrantsAmt
PY Program Service Revenue	$151,504,074	PYProgramServiceRevenueAmt
CY Program Service Revenue	$122,812,705	CYProgramServiceRevenueAmt
PY Investment Income	$4,604,919	PYInvestmentIncomeAmt
CY Investment Income	$6,345,660	CYInvestmentIncomeAmt
PY Other Revenue	$2,534,445	PYOtherRevenueAmt
CY Other Revenue	$1,493,677	CYOtherRevenueAmt
PY Total Revenue	$158,909,130	PYTotalRevenueAmt
CY Total Revenue	$130,766,445	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$76,130,531	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$62,218,932	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$71,427,400	PYOtherExpensesAmt
CY Other Expenses	$61,260,090	CYOtherExpensesAmt
PY Total Expenses	$147,557,931	PYTotalExpensesAmt
CY Total Expenses	$123,479,022	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,351,199	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,287,423	CYRevenuesLessExpensesAmt
Total Assets BOY	$190,143,411	TotalAssetsBOYAmt
Total Assets EOY	$0	TotalAssetsEOYAmt
Total Liabilities BOY	$32,056,515	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$158,086,896	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$0	NetAssetsOrFundBalancesEOYAmt
Mission	MERCY ST. CHARLES HOSPITAL EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. VALUES: - MERCY HEALTH PARTNERS DEMONSTRATES BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. TOGETHER WE COMMIT TO: - COMPASSION: OUR COMMITMENT TO SERVE WITH MERCY AND TENDERNESS. - EXCELLENCE: OUR COMMITMENT TO BE THE BEST IN THE QUALITY OF OUR SERVICES AND THE STEWARDSHIP OF OUR RESOURCES. - HUMAN DIGNITY: OUR COMMITMENT TO VALUE THE DIVERSITY OF ALL PERSONS AND TO BE RESPECTFUL AND INCLUSIVE OF EVERYONE. - JUSTICE: OUR COMMITMENT TO ACT WITH INTEGRITY, HONESTY AND TRUTHFULNESS. - SACREDNESS OF LIFE: OUR COMMITMENT TO REVERENCE ALL LIFE AND CREATION. - SERVICE: OUR COMMITMENT TO RESPOND TO THOSE IN NEED.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$107,758,753	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$122,189,187	RevenueAmt
Desc	THE PRIMARY EXEMPT PURPOSE OF ST. CHARLES MERCY HOSPITAL 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. ST. CHARLES MERCY 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 $4,286,766 SERVING 11,560 INDIVIDUALS.	Desc
Total Program Service Expenses	$107,758,753	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	Yes (true)	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1397	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TRAVIS CRUM	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	5136392800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	615 ELSINORE PLACE	AddressLine1
City	CINCINNATI	City
State	OH	State
ZIP Code	45202	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANDREA PRICE
PRESIDENT & CEO, MHP-NORTHERN MARKET	1.00	56.00	Yes (X)	Yes (X)	$0	$549,282	$38,123
CHARLES E GALLAGHER
CHAIRMAN	1.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
DENISE M HASBROOK
VICE CHAIR	1.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL P KILLIAN
TREASURER	0.50	1.50	Yes (X)	Yes (X)	$0	$0	$0
SR MILDRED ELY HM
SECRETARY	0.50	1.50	Yes (X)	Yes (X)	$0	$0	$0
ALLEN GASPAR MD
TRUSTEE	0.50	43.50	Yes (X)		$0	$131,284	$26,394
BRENT COUSINO
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
BRIAN SMITH
TRUSTEE, CHP EVP NETWORKS	2.00	50.50	Yes (X)		$0	$991,294	-$51,781
CAROL BINTZ
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
DENNIS G JOHNSON
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
GARY SMITH
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
GREGORY KASPER MD
TRUSTEE	0.50	41.50	Yes (X)		$0	$142,734	$0
JOHN H HARRIS III
TRUSTEE	0.50	2.00	Yes (X)		$0	$0	$0
JON M LEVINE
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
KRISHNA RAGOTHAMAN MD
TRUSTEE	20.50	1.50	Yes (X)		$56,000	$0	$0
MARK RIDENOUR
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
PAMELA HOWELL-BEACH
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
PAUL BISHOP
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
TED BARBER MD
TRUSTEE	0.50	1.50	Yes (X)		$0	$25,000	$0
VERNELIS K ARMSTRONG
TRUSTEE	0.50	1.50	Yes (X)		$0	$0	$0
JACALYN LIEBOWITZ
SVP Nursing, Interim CEO St Charles Hospital	50.00	5.50		Yes (X)	$264,811	$0	$43,967
JAMES PUFFENBERGER
CFO, MHP - NORTHERN MARKET	0.50	56.00		Yes (X)	$0	$47,927	$1,584
ROBERT GOSPODAREK
PRESIDENT & CEO, ST CHARLES MERCY HOSPITAL	55.00	1.00		Yes (X)	$278,474	$0	$53,038
ROBERT MOON
CFO, MHP - NORTHERN MARKET	1.00	57.00		Yes (X)	$0	$449,937	$28,334
GARY GEORGE
SVP, HUMAN RESOURCES	1.00	54.00			$0	$273,521	$40,047	Yes (X)
IMRAN ANDRABI MD
SVP & CHIEF PHYSICIAN EXECUTIVE OFFICER	1.00	54.50			$0	$492,685	$103,969	Yes (X)
JEFFREY DEMPSEY
VICE PRESIDENT OF OPERATIONS	55.00	1.00			$166,313	$0	$40,526	Yes (X)
JUDITH ZBIERAJEWSKI
VICE PRESIDENT - PATIENT CARE & CNO	55.00	0			$155,198	$0	$16,826	Yes (X)
KATRINA ENGLISH
CHIEF LEGAL COUNSEL	1.00	55.00			$0	$366,634	$33,810	Yes (X)
KEVIN COOK
PRESIDENT & CEO, MSVMC & METRO HOSPITALS	2.00	52.00			$0	$219,088	$56,406	Yes (X)
MICHELE MONTAGUE
COO, MERCY MEDICAL PARTNERS	1.00	53.00			$0	$180,759	$31,514	Yes (X)
THOMAS ARQUILLA
SVP, BUSINESS DEVELOPMENT/STRATEGY	1.00	54.00			$0	$344,333	$92,326	Yes (X)
HISHAM BASSIOUNI
Patient Assessment Specialist	55.00	0			$182,778	$0	$31,720		Yes (X)
JAMES BRUE
PHYSICIAN	55.00	0			$212,428	$0	$38,699		Yes (X)
NADA TALEB
Physician	55.00	0			$248,721	$0	$12,821		Yes (X)
PHYLLIS ENDICOTT
Patient Assessment Specialist	55.00	0			$134,322	$0	$24,704		Yes (X)
SALVADOR MASCARENHAS
Patient Assessment Specialist	55.00	0			$146,874	$0	$27,901		Yes (X)
CATHLEEN NELSON
FORMER OFFICER	0.00	55.00			$0	$243,654	$3,116			Yes (X)
DAVID AROSE
FORMER KEY EMPLOYEE	0.00	0.00			$0	$264,237	$16,178			Yes (X)
DENNIS SHERRY
FORMER KEY EMPLOYEE	0.00	0.00			$0	$256,622	$68,475			Yes (X)
H TERRENCE SMITH
FORMER KEY EMPLOYEE	0.00	0.00			$0	$396,871	$4,141			Yes (X)
JOSEPH GLASS
FORMER KEY EMPLOYEE	0.00	0.00			$0	$180,988	$39,056			Yes (X)
JULIE GEORGOFF
FORMER KEY EMPLOYEE	0.00	0.00			$0	$158,156	$35,858			Yes (X)
RAND C HERMANN
FORMER KEY EMPLOYEE	0.00	0.00			$0	$211,827	$46,727			Yes (X)
SAMANTHA PLATZKE
FORMER OFFICER	0.00	0.00			$0	$620,164	$15,908			Yes (X)
STEVEN L MICKUS
FORMER OFFICER	0.00	0.00			$0	$2,854,836	$27,664			Yes (X)
TODD WARNER
FORMER OFFICER	0.00	0.50			$0	$210,200	$57,448			Yes (X)
WILLIAM SUTTON
FORMER KEY EMPLOYEE	0.00	55.50			$0	$238,149	-$18,066			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,845,919	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,850,182	TotReportableCompRltdOrgAmt
Total Other Compensation	$987,433	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	36	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$96,445	RelatedOrganizationsAmt
All Other Contributions	$17,958	AllOtherContributionsAmt
Total Contributions	$114,403	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621990	$120,082,961	$120,082,961
EXEMPT FUNCTION RENTAL INCOME	531120	$529,619	$529,619
FITNESS CENTER	713940	$271,375	$174,285	$97,090
PHARMACY	446110	$1,813,240	$1,402,322	$410,918
INCOME FROM JV'S AND PARTNERSHIPS	900099	$115,510	$0	$115,510

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$122,812,705	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,129,798	TotalRevenueColumnAmt
Exclusion	$1,129,798	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,196,162	SecuritiesAmt
Other	$19,700	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,196,162	SecuritiesAmt
Other	$19,700	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,215,862	TotalRevenueColumnAmt
Exclusion	$5,215,862	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722210	$549,052	$549,052
HITECH STIMULUS FUNDS	900099	$933,456	$933,456
		$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,169	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,169	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,493,677	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$130,766,445	TotalRevenueColumnAmt
Related Or Exempt Func Income	$122,189,187	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$623,518	UnrelatedBusinessRevenueAmt
Exclusion	$7,839,337	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,075,153	TotalAmt
Program Services	$860,122	ProgramServicesAmt
Management And General	$215,031	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$46,186,916	TotalAmt
Program Services	$39,312,637	ProgramServicesAmt
Management And General	$6,874,279	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,032,069	TotalAmt
Program Services	$2,577,259	ProgramServicesAmt
Management And General	$454,810	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,535,425	TotalAmt
Program Services	$7,255,111	ProgramServicesAmt
Management And General	$1,280,314	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,389,369	TotalAmt
Program Services	$2,880,964	ProgramServicesAmt
Management And General	$508,405	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,740,708	TotalAmt
Program Services	$25,849,417	ProgramServicesAmt
Management And General	$3,891,291	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,826,380	TotalAmt
Program Services	$4,952,423	ProgramServicesAmt
Management And General	$873,957	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,104,413	TotalAmt
Program Services	$2,638,751	ProgramServicesAmt
Management And General	$465,662	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$47,995	TotalAmt
Program Services	$40,796	ProgramServicesAmt
Management And General	$7,199	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$492,067	TotalAmt
Program Services	$418,257	ProgramServicesAmt
Management And General	$73,810	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,592,608	TotalAmt
Program Services	$4,753,717	ProgramServicesAmt
Management And General	$838,891	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$618,721	TotalAmt
Program Services	$525,913	ProgramServicesAmt
Management And General	$92,808	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEMBERSHIP/DUES	$144,039	$122,433	$21,606
STATE ASSESSMENT	$2,120,383	$2,120,383
SERVICE CONTRACTS	$814,710	$692,504	$122,206
MEDICAL SUPPLIES	$12,758,066	$12,758,066

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$123,479,022	TotalAmt
Program Services	$107,758,753	ProgramServicesAmt
Management And General	$15,720,269	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,620,699	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$16,925,781	BOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$219,902	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,471,276	BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	-$215,426	BOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$0	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$0	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$40,340,262	BOYAmt
EOY	$0	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$123,628,353	BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,152,564	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$190,143,411	BOYAmt
EOY	$0	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,470,980	BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,585,535	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,056,515	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$158,086,896	BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$158,086,896	BOYAmt
EOY	$0	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$190,143,411	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,287,423	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,483,603	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$168,857,922	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (true)	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$1,309	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$1,309	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITIES PERFORMED INCLUDE BOTH THE USE OF VOLUNTEERS ENCOURAGED TO WRITE LETTERS TO PUBLIC OFFICIALS ON ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE TO PROVIDE HEALTH SERVICES TO THE COMMUNITIES SERVED, AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. PAID MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDUM, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS REGARDING ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE PROVIDING HEALTHCARE SERVICES TO ITS PATIENTS AND TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. PAID STAFF MEMBERS HAVE, ON LIMITED OCCASIONS, WRITTEN TO LEGISLATORS ON SUCH ISSUES. THE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE THE ORGANIZATION'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT OUR SYSTEM. THE ORGANIZATION FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND OUR HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES WE SERVE. TO CARRY OUT THESE EFFORTS, THE ORGANIZATION PARTNERS WITH EXPERT CONSULTANTS AND PROFESSIONAL TRADE ASSOCIATIONS TO BUILD AWARENESS AND EXECUTE SPECIFIC STRATEGIES THAT WILL YIELD A FAVORABLE OUTCOME FOR PATIENT CARE IN THE ORGANIZATION'S FACILITIES WHERE THEY ARE TREATED.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$0	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt
Total Liability	$0	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	THE COMPANY [CATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES] COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2013 AND 2012, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2013 OR 2012.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	11560	PersonsServedCnt
Total Community Benefit Expns	$6,543,901	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,257,135	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,286,766	NetCommunityBenefitExpnsAmt
Total Expense	0.03470	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	28284	PersonsServedCnt
Total Community Benefit Expns	$26,232,969	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,634,426	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,598,543	NetCommunityBenefitExpnsAmt
Total Expense	0.01290	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	39844	PersonsServedCnt
Total Community Benefit Expns	$32,776,870	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,891,561	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,885,309	NetCommunityBenefitExpnsAmt
Total Expense	0.04760	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	5678	PersonsServedCnt
Total Community Benefit Expns	$125,199	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,250	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$119,949	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	217	PersonsServedCnt
Total Community Benefit Expns	$56,398	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$56,398	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	12645	PersonsServedCnt
Total Community Benefit Expns	$1,609,121	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$692,293	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$916,828	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	344	PersonsServedCnt
Total Community Benefit Expns	$33,449	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,449	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	18884	PersonsServedCnt
Total Community Benefit Expns	$1,824,167	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$697,543	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,126,624	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	58728	PersonsServedCnt
Total Community Benefit Expns	$34,601,037	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,589,104	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,011,933	NetCommunityBenefitExpnsAmt
Total Expense	0.05680	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,827	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,827	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$184,771	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$184,771	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$213,598	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$213,598	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$12,159,777	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$37,943,525	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$30,872,185	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$7,071,340	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST CHARLES MERCY HOSPITAL OF OREGON OH	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 Navarre Avenue	AddressLine1
City	OREGON	City
State	OH	State
ZIP Code	43616	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.MERCYWEB.ORG	WebsiteAddressTxt
State License	1223	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST CHARLES MERCY HOSPITAL OF OREGON OH	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.mercyweb.org	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	www.mercy.com	OtherWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (true)	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment	(1) - ST. CHARLES MERCY HOSPITAL OF OREGON, OHIO: THERE WERE OVER 150 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 LUCAS COUNTY TO FOCUS ON. IMMEDIATELY AFTER THIS EVENT, HEALTHY LUCAS COUNTY BEGAN A STRATEGIC PLANNING PROCESS WHICH WAS CONDUCTED BY THREE COMMUNITY WORKGROUPS; DATA SURVEILLANCE, RESOURCE ASSESSMENT, AND GAP ANALYSIS AND STRATEGIC PLANNING. THE HEALTHY LUCAS COUNTY DATA SURVEILLANCE WORKGROUP MET TO REVIEW THE RESULTS OF THE 2011 LUCAS COUNTY HEALTH ASSESSMENT PROJECT FOR THREE SPECIFIC POPULATION GROUPS; ADULTS (AGES 19-75 YEARS), YOUTH (GRADES 6-12), AND CHILDREN (AGES 0-5 AND 6-11 YEARS). IN ADDITION, THE PARTICIPANTS SHARED INFORMATION ABOUT CURRENT GAPS AND EMERGING NEEDS CONCERNING THE HEALTH OF LUCAS COUNTY RESIDENTS AND CURRENT AND FUTURE PROGRAMS AND SERVICES TO ADDRESS THESE NEEDS BASED ON THEIR PERSONAL AND AGENCY EXPERIENCES. 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 TOLEDO-LUCAS COUNTY CARENET, TOLEDO-LUCAS COUNTY COMMISSION ON MINORITY HEALTH, UNITED WAY OF GREATER TOLEDO, ETC. DR. JOAN GRIFFITH, PEDIATRICIAN, UNIVERSITY OF TOLEDO MEDICAL CENTER MEREDITH MORAN DR. FRANCIS ROGALSKI, PEDIATRICIAN, MERCY CHILDREN'S HOSPITAL AMERICAN CANCER SOCIETY, ANDREW MARIANI (PH), HEALTH INITIATIVES REPRESENTATIVE/HEALTH PROMOTIONS COORDINATOR EXCHANGE CLUB, GENNIE STULTS, PROGRAM SPECIALIST GRACE COMMUNITY CENTER, ELAINE PAGE, EXECUTIVE DIRECTOR LUCAS COUNTY EDUCATIONAL SERVICE CENTER, SANDRA FRISCH, SUPERINTENDENT LUCAS COUNTY FAMILY COUNCIL, HELEN NWAUWA (PH), HOME VISITING AND TRAINING COORDINATOR LUCAS COUNTY HELP ME GROW, KRISTI HANNAN (PH), HELP ME GROW PROJECT COORDINATOR LUCAS COUNTY JOB & FAMILY SERVICES, CAROL REHM, ASSOCIATE DIRECTOR LUCAS COUNTY JUVENILE COURT, DAN POMPA, JUVENILE COURT ADMINISTRATOR MENTAL HEALTH RECOVERY SERVICES BOARD OF LUCAS COUNTY, ROBERT KASPRZAK (PH), MANAGER OF PREVENTION/INTERVENTION; AND DAVE SCHLAUDECKER (PH), TRUSTEE MERCY, GLORIA ENK, RN (PH), MANAGER, COMMUNITY HEALTH AFFAIRS; AND JULIE MAJO (PH), COORDINATOR, CHILD HEALTH ADVOCACY MERCY CHILDREN'S HOSPITAL, MICHELLE LAVER, SOCIAL WORK INTERN MERCY ST. VINCENT MEDICAL CENTER, KATHY OKULEY (PH), PROGRAM COORDINATOR; AND SHAKELA WATKINS (PH), ASSISTANT GRANTS MANAGER OHIO DEPARTMENT OF HEALTH, JAN MEYER, PROGRAM CONSULTANT PARISH NURSE ASSOCIATION (AKA NORTHWEST OHIO CONGREGATIONAL NURSE ASSOCIATION), CATHY HUNTER, RN (PH) PROMEDICA HEALTH SYSTEM, DEBBIE FAUBLE (PH), COMMUNITY SERVICES COORDINATOR; AND GAYE MARTIN (PH), MANAGER, COMMUNITY RELATIONS AND ADVOCACY PROMEDICA ST. LUKE'S HOSPITAL, SUSAN RYAN, CERTIFIED TOBACCO TREATMENT SPECIALIST TOLEDO COMMUNITY FOUNDATION, ANGELA KWALLEK EVANS, PROGRAM OFFICER TOLEDO LUCAS COUNTY CARENET, JAN RUMA (PH), VICE PRESIDENT, HOSPITAL COUNCIL OF NORTHWEST OHIO TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, BARBARA GUNNING, PHD (PH), DIRECTOR OF HEALTH SERVICES; CAROL HADDIX (PH), TEEN PREGNANCY PREVENTION COORDINATOR; AND STU KERR (PH), TOBACCO PROGRAM COORDINATOR TOLEDO PUBLIC SCHOOL NURSES, ANN CIPRIANI (PH), HEALTH SERVICES COORDINATOR TOLEDO PUBLIC SCHOOL BOARD, BOB VASQUEZ, BOARD MEMBER PRESIDENT UNITED WAY OF GREATER TOLEDO, KATE SOMMERFIELD, AREA DIRECTOR UNIVERSITY OF TOLEDO, NANCY BROWN-SCHOTT, ASSISTANT PROFESSOR; JOSEPH DAKE, PHD (PH), PROFESSOR; LISA KOVACH, PHD (PH), ASSOCIATE PROFESSOR OF EDUCATION; ABRAHAM LEE, PHD, ASSOCIATE PROFESSOR, PHYSICAL THERAPY REHABILITATION SCIENCES; KATHY VASQUEZ, ASSOCIATE VICE PRESIDENT, GOVERNMENTAL RELATIONS; AND FAITH YINGLING (PH), ADJUNCT ASSISTANT PROFESSOR (ALSO DIRECTOR OF WELLNESS AT BOWLING GREEN STATE UNIVERSITY) YMCA LIVE WELL TOLEDO, SARAH BUCHER (PH), DIRECTOR OF HEALTHY LIVING YWCA, TAMMI MATTHEW, DIRECTOR YWCA CHILD CARE RESOURCE & REFERRAL ;
Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment	(1) - ST. CHARLES MERCY HOSPITAL OF OREGON, OHIO: MERCY, 2200 JEFFERSON AVENUE, TOLEDO, OHIO 43604 MERCY CHILDREN'S HOSPITAL, 2222 CHERRY STREET, MOB#2, TOLEDO, OHIO 43608 MERCY ST. VINCENT MEDICAL CENTER, 2213 CHERRY STREET, TOLEDO, OHIO 43608 PROMEDICA HEALTH SYSTEM, 2142 N. COVE BLVD., TOLEDO, OHIO 43606 PROMEDICA ST. LUKE'S HOSPITAL, 5901 MONCLOVA RD., MAUMEE, OHIO 43537 RIVERSIDE MERCY HOSPITAL DBA MERCY ST. ANNE HOSPITAL, 3404 W. SYLVANIA AVE., TOLEDO, OH 43623 ;
Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined	(1) - ST. CHARLES MERCY HOSPITAL OF OREGON, OHIO: 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.;

Field	Value	IRS element (for citing)
Facility	20	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
POINT PLACE RADIOLOGY
6101 NORTH SUMMIT	TOLEDO	OH	43611	OUTPATIENT TESTING
MERCY INTEGRATED LABS
119 Clinton Street	MAUMEE	OH	43537	LAB DRAW SITE
HUSAIN & GUVENDI
1050 ISAACS DRIVE STE 131	OREGON	OH	43616	PHYSICIAN OFFICE
MERCY CENTER FOR HEALTH PROMOTION
1001 ISAACS STS DRIVE	OREGON	OH	43616	WELLNESS CENTER
MERCY INTEGRATED LABORATORY
2222 CHERRY ST	TOLEDO	OH	43608	LABORATORY
MERCY WOMEN'S CENTER
2702 NAVARRE SUITE 101	OREGON	OH	43616	OUTPATIENT TESTING
NAVARRE FAMILY PRACTICE
1020 VARLAND	TOLEDO	OH	43605	PHYSICIAN OFFICE
MERCY MEDICAL PLAZA
1021 SANDUSKY STE D E F	PERRYSBURG	OH	43551	PHYSICIAN OFFICES
MERCY DIAGNOSTICS
3105 S STATE RT 51	ELMORE	OH	43416	OUTPATIENT LAB DRAW SITE
MAUMEE BAY OBGYN
2702 NAVARRE AVE STE 102	OREGON	OH	43616	PHYSICIAN OFFICE
MERCY INTEGRATED LABS
1850 Eastgate Road	TOLEDO	OH	43614	LAB DRAW SITE
DR DABOUL
3355 GLENDALE AVE	TOLEDO	OH	43614	PHYSICIAN OFFICE
BAY MEADOWS FAMILY MEDICINE
2815 DUSTIN RD	OREGON	OH	43616	PHYSICIAN OFFICE
DR BEEKS
2702 NAVARRE SUITE 102	OREGON	OH	43616	PHYSICIAN OFFICE
BAY MEADOWS - DR MACNAMARA
2815 DUSTIN	OREGON	OH	43616	PHYSICIAN OFFICE
POINT PLACE CARE & REHAB
6101 NORTH SUMMIT	TOLEDO	OH	43611	REHAB FACILITY
HORIZONS FAMILY PRACTICE
2741 NAVARRE AVE	OREGON	OH	43616	PHYSICIAN OFFICE
ASSOCIATED IMAGING
3830 Woodley Road Suite A	TOLEDO	OH	43606	OUTPATIENT TESTING
MERCY ST CHARLES PSYCHIATRIC HEALTH
2600 NAVARRE AVENUE	OREGON	OH	43616	PSYCHIATRIC HEALTH CENTER
MERCY OCCUPATIONAL HEALTH AT MERCY ST CHARLES HOSPITAL
2600 NAVARRE AVENUE	OREGON	OH	43616	OCCUPATIONAL HEALTH CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a, Community benefit report prepared by related organization	MERCY HEALTH PARTNERS
Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance	COST OF CHARITY CARE WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. THE COST RELATED TO MEDICAID PATIENTS WAS 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 calculation	0
Schedule H, Part I, Line 7g, Subsidized Health Services	$20,235 OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES IN 2013.
Schedule H, Part II, Community Building Activities	MERCY ST. CHARLES PROVIDES PROGRAMS TO IMPROVE THE PHYSICAL SURROUNDINGS AND HOUSING IN THE COMMUNITY. INADEQUATE HOUSING HAS A NEGATIVE IMPACT ON THE HEALTH OF RESIDENTS IN THE AREA BY LEADING TO VIOLENCE IN THE NEIGHBORHOODS. A ROBUST ECONOMY POSITIVELY IMPACTS RESIDENTS COVERED BY HEALTH INSURANCE AND IMPROVES THE CAPACITY OF THE COMMUNITY TO SUPPORT HEALTH SERVICES. MERCY ST. CHARLES HOSPITAL SUPPORTS A ROBUST ECONOMY IN THE COMMUNITY BY SUPPORTING HOSPITAL COUNCIL, CANCER SOCIETY, EAST TOLEDO FAMILY CENTER, RED CROSS, SUNOCO COMMUNITY ADVISORY COMMITTEE, ROTARY CLUB, AND OTHER COMMUNITY ORGANIZATIONS. SOCIAL SUPPORT SERVICES SUCH AS HELP (HOSPITAL ELIGIBILITY LINK PROGRAM) ARE ALSO IMPORTANT TO SUPPORT THE ABILITY OF RESIDENTS TO GAIN AND RETAIN EMPLOYMENT AND THEREFORE ACCESS TO HEALTH INSURANCE AND IMPROVED ACCESS TO HEALTH SERVICES. MERCY ST. CHARLES PROVIDES CAB VOUCHERS FOR PEOPLE NEEDING TRANSPORTATION TO MEDICAL SERVICES. MERCY ST. CHARLES HOSPITAL WORKS COOPERATIVELY WITH THE UNITED WAY TO ADDRESS COMMUNITY ISSUES THAT IMPACT THE HEALTH OF THE COMMUNITY, SUCH AS MEETING BASIC NEEDS AND ADDRESSING CARDIOVASCULAR DISEASE, CANCER, AND CHRONIC DISEASES. MERCY ST. CHARLES HOSPITAL ALSO SUPPORTS PROGRAMS TO ADDRESS EMPLOYMENT ISSUES WITH HIGH SCHOOL STUDENTS BY PROVIDING VOLUNTEER ACTIVITIES FOR THE STUDENTS WHICH IMPROVE THE SKILLS AND EMPLOYABILITY OF RESIDENTS. MERCY ST. CHARLES ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. MERCY ST. CHARLES SERVES AS A CLINICAL EXPERIENCE SITE FOR NURSING AND OTHER ALLIED HEALTH STUDENTS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF MERCY ST. CHARLES HOSPITAL. COMMUNITY GROUPS USE THE FACILITY FOR THEIR MEETINGS. MERCY ST. CHARLES FORGES COLLABORATIVE RELATIONSHIPS WITH THE NEIGHBORHOOD HEALTH ASSOCIATION, A FEDERALLY QUALIFIED HEALTH CENTER. MERCY ST. CHARLES PROVIDES PRIMARY CARE TO THE UNDERSERVED IN EAST TOLEDO AT THE NAVARRE PARK FAMILY CARE CENTER. MERCY ST. CHARLES PROVIDES MOBILE HEALTH VAN SERVICES TO SENIORS, PARISHES, SCHOOLS AND MIGRANTS. MERCY ST. CHARLES PROVIDES PHARMACY VOUCHERS TO ASSIST WITH MEDICATION EXPENSES. MERCY ST. CHARLES PROVIDES CARDIAC REHAB SERVICES TO PATIENTS NEEDING OUTPATIENT CARE. MERCY ST. CHARLES PROVIDES TOBACCO PREVENTION TO YOUTH AND ADULTS.
Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount	THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HOSPITAL'S HISTORICAL COLLECTION EXPERIENCE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE. THE HOSPITAL'S CONCENTRATION OF CREDIT RISK RELATED TO NET PATIENT ACCOUNTS IS LIMITED DUE TO THE DIVERSITY OF PATIENTS AND PAYORS. NET PATIENT ACCOUNTS CONSIST OF AMOUNTS DUE FROM GOVERNMENTAL PROGRAMS (PRIMARILY MEDICARE AND MEDICAID), PRIVATE INSURANCE COMPANIES, MANAGED CARE PROGRAMS AND PATIENTS THEMSELVES. NET PATIENT SERVICE REVENUE FOR SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE IS RECOGNIZED BASED ON CONTRACTUAL RATES FOR SERVICES RENDERED. THE HOSPITAL RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). AMOUNTS RECOGNIZED ARE SUBJECT TO ADJUSTMENT UPON REVIEW BY THIRD-PARTY PAYORS. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. ANY DISCOUNTS APPLIED TO SELF-PAY PATIENTS WOULD BE DEEMED EITHER CHARITY OR A CONTRACTUAL ADJUSTMENT. BAD DEBT WOULD BE BASED ON THE BALANCE AFTER THE CHARITY OR CONTRACTUAL ADJUSTMENT THAT IS DEEMED UNCOLLECTABLE FOLLOWING A REASONABLE COLLECTION EFFORT.
Schedule H, Part III, Line 3, Bad Debt Expense Methodology	THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY DOES NOT PERMIT THE COST OF PATIENTS WHO ARE UNCOOPERATIVE OR UNABLE TO BE LOCATED TO BE RECLASSIFIED FROM BAD DEBT TO FINANCIAL ASSISTANCE. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY REQUIRES AN APPLICATION AND SUPPORTING DOCUMENTATION. THEREFORE, ZERO DOLLARS ARE BEING REPORTED ON PART III, LINE 3 AS AMOUNTS INCLUDED IN BAD DEBT THAT COULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE BAD DEBT EXPENSE AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 4, Bad debt expense - financial statement footnote	THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THE HOSPITAL ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, B. SIGNIFICANT ACCOUNTING POLICIES, NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGE 11) STATES NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HISTORICAL COLLECTION EXPERIENCE OF EACH REGIONAL AFFILIATE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED UPON PAST COLLECTION EXPERIENCE.
Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costs	THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE MEDICARE LOSSES AS COMMUNITY BENEFIT. THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE MEDICARE AMOUNTS IN PART III.
Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance	PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAYS AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY AS A LAST RESORT AND ONLY: WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT REFUSE TO DO SO; WHEN PATIENTS REFUSE TO WORK WITH THE ORGANIZATION TO DETERMINE IF THEY QUALIFY FOR FREE OR DISCOUNTED CARE VIA FEDERAL, STATE, LOCAL OR HOSPITAL ASSISTANCE PROGRAMS; WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL.
Schedule H, Part VI, Line 2, Needs assessment.	MERCY ST. CHARLES HOSPITAL ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. MERCY ST. CHARLES JOINS AN EXISTING COMMUNITY BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. MERCY ST. CHARLES HOSPITAL INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. MERCY ST. CHARLES 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; DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. MERCY ST. CHARLES HOSPITAL HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. MERCY ST. CHARLES' COMMUNITY BENEFITS COMMITTEE MEETS QUARTERLY TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. MERCY ST. CHARLES 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 ST CHARLES HOSPITAL 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. THE HOSPITAL 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. THE HOSPITAL 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 THE HOSPITAL. 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. THE HOSPITAL 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 THE HOSPITAL'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 ST CHARLES HOSPITAL 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 ST CHARLES HOSPITAL SERVES A FIVE COUNTY GEOGRAPHIC AREA FEATURING THE FOLLOWING COUNTIES: LUCAS, OTTAWA, SANDUSKY, SENECA, AND WOOD IN OHIO. THE POPULATION OF MERCY ST CHARLES HOSPITAL'S PRIMARY SERVICE AREA IS APPROXIMATELY 240,000 AND IS OLDER, POORER AND HAS WORSE HEALTH STATISTICS THAN STATE AND NATIONAL AVERAGES. OUR COMMUNITY IS CHANGING AND WE ALSO SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THERE ARE 8 HOSPITALS IN THE COMMUNITY OF WHICH SEVEN ARE NOT-FOR-PROFIT HOSPITALS. NONE HAVE BEEN FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA OR POPULATION. THE DEMOGRAPHIC AREA SERVED BY MERCY ST CHARLES HOSPITAL SERVES THE FOLLOWING ETHNIC AND CULTURAL GROUPS: CAUCASIAN (75%), BLACK (13%), HISPANIC (6%), ASIAN (1%), AMERICAN-INDIAN (LESS THAN 1%), SOME OTHER RACE (2%), TWO OR MORE RACES (3%). 15% OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES. 20% OF FAMILIES ARE ON MEDICAID OR OTHER ASSISTANCE. IN THE COMMUNITY SERVED BY MERCY ST CHARLES HOSPITAL HEART DISEASE, CANCER, AND STROKE 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. THE SMOKING RATE IS 24% OF THE ADULT POPULATION. MERCY ST CHARLES HOSPITAL WORKS CLOSELY WITH LOCAL COMMUNITY AGENCIES AND HEALTH DEPARTMENTS TO ADDRESS THESE PROBLEMS AND MINIMIZE THE EFFECTS ON THOSE WHO SUFFER. IN 2013, MERCY ST CHARLES HOSPITAL HAD 9,135 ADMISSIONS, 137,143 OUTPATIENT VISITS, AND 36,696 EMERGENCY ROOM VISITS.
Schedule H, Part VI, Line 5, Promotion of community health	MERCY ST CHARLES 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. THE HOSPITAL OPERATES PSYCHIATRIC, SKILLED NURSING, NEWBORN NURSERY, WOUND CARE, AND DIABETES MANAGEMENT DEPARTMENTS. MERCY ST CHARLES 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. THE HOSPITAL'S EMERGENCY DEPARTMENT TREATS AN INCREASING NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS.
Schedule H, Part VI, Line 6, Affiliated health care system	MERCY ST. CHARLES HOSPITAL IS A MEMBER OF MERCY HEALTH PARTNERS-NORTHERN REGION AND AFFILIATED WITH ST. VINCENT MERCY MEDICAL CENTER, ST. ANNE MERCY HOSPITAL, MERCY DEFIANCE HOSPITAL, MERCY HOSPITAL TIFFIN, AND MERCY HOSPITAL WILLARD. ALL ARE OHIO NON-PROFIT CORPORATIONS. MERCY ST. CHARLES HOSPITAL IS SPONSORED BY THE SISTERS OF MERCY AND SISTERS OF CHARITY OF MONTREAL (GREY NUNS) AND HAS BEEN AN INTEGRAL PART OF THE COMMUNITY SINCE 1953. THE HOSPITAL IS AN ACUTE CARE HOSPITAL WITH APPROXIMATELY 390 LICENSED BEDS. 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 ST CHARLES 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

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANDREA PRICE
PRESIDENT & CEO, MHP-NORTHERN MARKET	$0	$539,043	$0	$0	$0	$10,239	$0	$8,171	$0	$29,952	$0	$587,405	$0	$0
BRIAN SMITH
TRUSTEE, CHP EVP NETWORKS	$0	$612,239	$0	$225,000	$0	$154,055	$0	-$64,084	$0	$12,303	$0	$939,513	$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	$0	$202,017	$0	$0	$0	$8,183	$0	$34,206	$0	$23,242	$0	$267,648	$0	$0
CATHLEEN NELSON
FORMER OFFICER	$0	$85,118	$0	$0	$0	$158,536	$0	-$18,494	$0	$21,610	$0	$246,770	$0	$0
ROBERT GOSPODAREK
PRESIDENT & CEO, ST CHARLES MERCY HOSPITAL	$116,177	$0	$0	$0	$162,297	$0	$27,505	$0	$25,533	$0	$331,512	$0	$0	$0
ROBERT MOON
CFO, MHP - NORTHERN MARKET	$0	$139,894	$0	$75,000	$0	$235,043	$0	$4,489	$0	$23,845	$0	$478,271	$0	$0
JACALYN LIEBOWITZ
SVP NURSING, INTERIM CEO ST CHARLES HOSPITAL	$232,860	$0	$15,000	$0	$16,951	$0	$25,907	$0	$18,060	$0	$308,778	$0	$0	$0
H TERRENCE SMITH
FORMER KEY EMPLOYEE	$0	$88	$0	$0	$0	$396,783	$0	$4,141	$0	$0	$0	$401,012	$0	$0
JOSEPH GLASS
FORMER KEY EMPLOYEE	$0	$0	$0	$0	$0	$180,988	$0	$19,082	$0	$19,974	$0	$220,044	$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	$0	$213,747	$0	$0	$0	$24,402	$0	-$33,264	$0	$15,198	$0	$220,083	$0	$0
DENNIS SHERRY
FORMER KEY EMPLOYEE	$0	$243,294	$0	$0	$0	$13,328	$0	$44,913	$0	$23,562	$0	$325,097	$0	$0
RAND C HERMANN
FORMER KEY EMPLOYEE	$0	$61,784	$0	$0	$0	$150,043	$0	$28,839	$0	$17,888	$0	$258,554	$0	$0
JULIE GEORGOFF
FORMER KEY EMPLOYEE	$0	$157,675	$0	$0	$0	$481	$0	$13,629	$0	$22,229	$0	$194,014	$0	$0
THOMAS ARQUILLA
SVP, BUSINESS DEVELOPMENT/STRATEGY	$0	$333,925	$0	$0	$0	$10,408	$0	$67,993	$0	$24,333	$0	$436,659	$0	$0
IMRAN ANDRABI MD
SVP & CHIEF PHYSICIAN EXECUTIVE OFFICER	$0	$448,425	$0	$34,750	$0	$9,510	$0	$78,898	$0	$25,071	$0	$596,654	$0	$0
GARY GEORGE
SVP, HUMAN RESOURCES	$0	$259,929	$0	$0	$0	$13,592	$0	$31,109	$0	$8,938	$0	$313,568	$0	$0
KEVIN COOK
PRESIDENT & CEO, MSVMC & METRO HOSPITALS	$0	$213,612	$0	$0	$0	$5,476	$0	$43,858	$0	$12,548	$0	$275,494	$0	$0
JEFFREY DEMPSEY
VICE PRESIDENT OF OPERATIONS	$159,179	$0	$0	$0	$7,134	$0	$17,579	$0	$22,947	$0	$206,839	$0	$0	$0
JUDITH ZBIERAJEWSKI
VICE PRESIDENT - PATIENT CARE & CNO	$77,691	$0	$0	$0	$77,507	$0	-$3,591	$0	$20,417	$0	$172,024	$0	$0	$0
MICHELE MONTAGUE
COO, MERCY MEDICAL PARTNERS	$0	$172,279	$0	$0	$0	$8,480	$0	$9,354	$0	$22,160	$0	$212,273	$0	$0
KATRINA ENGLISH
CHIEF LEGAL COUNSEL	$0	$274,046	$0	$15,508	$0	$77,080	$0	$14,054	$0	$19,756	$0	$400,444	$0	$0
NADA TALEB
PHYSICIAN	$248,089	$0	$0	$0	$632	$0	$12,469	$0	$352	$0	$261,542	$0	$0	$0
JAMES BRUE
PHYSICIAN	$210,410	$0	$0	$0	$2,018	$0	$11,414	$0	$27,285	$0	$251,127	$0	$0	$0
HISHAM BASSIOUNI
PATIENT ASSESSMENT SPECIALIST	$182,668	$0	$0	$0	$110	$0	$7,905	$0	$23,815	$0	$214,498	$0	$0	$0
SALVADOR MASCARENHAS
PATIENT ASSESSMENT SPECIALIST	$146,416	$0	$0	$0	$458	$0	$20,377	$0	$7,524	$0	$174,775	$0	$0	$0
PHYLLIS ENDICOTT
PATIENT ASSESSMENT SPECIALIST	$134,142	$0	$0	$0	$180	$0	$17,437	$0	$7,267	$0	$159,026	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4a, Severance or change-of-control payment	SEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO LISTED INDIVIDUALS FOR SPECIFIED PERIODS. THE LISTED INDIVIDUALS EXECUTED RELEASES AND WAIVERS OF CLAIMS IN EXCHANGE FOR THE SEVERANCE BENEFITS. SALARY CONTINUATION AMOUNTS PROVIDED DURING THE YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: ROBERT GOSPODAREK $156,855; JUDITH ZBIERAJEWSKI $74,158; ROBERT MOON $233,849; CATHLEEN NELSON $155,390; STEVEN L. MICKUS $414,330; H. TERRENCE SMITH $396,783; RAND HERMANN $144,792; SAMANTHA PLATZKE $464,048; JOSEPH GLASS $179,985.
Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan	THE 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; JEFFREY DEMPSEY $0; KEVIN COOK $0; GARY GEORGE $0; THOMAS ARQUILLA $0; IMRAN ANDRABI, MD $0; MICHELE MONTAGUE $0; JACALYN LIEBOWITZ $0; DENNIS SHERRY $0; TODD WARNER $0.
SCHEDULE J, PART I, LINE 4B, THE CHP SERP PLAN	THE 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 4B, THE CHP EXECUTIVE RETENTION PLAN	THE 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.
Schedule J, Part I, Line 7, Non-fixed payments	THE ORGANIZATION PROVIDES ANNUAL INCENTIVE COMPENSATION FOR LISTED INDIVIDUALS. THE ORGANIZATION'S BOARD OF TRUSTEES ESTABLISHES OBJECTIVE THRESHOLDS FOR QUALITY, COMMUNITY BENEFIT, AND FINANCIAL PERFORMANCE WHICH MUST BE ACHIEVED FOR INCENTIVES TO BE AWARDED. THE BOARD ALSO ESTABLISHES THRESHOLD, TARGET AND MAXIMUM LEVELS FOR INCENTIVE AWARDS. WITHIN THESE ESTABLISHED PARAMETERS, THE 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 COMPENSATION	ANNUAL ACTUARIALLY-DETERMINED CONTRIBUTIONS TO DEFINED BENEFIT PLANS, WHICH ARE BASED ON PRIOR PLAN CONTRIBUTIONS, CHANGES IN INTEREST RATES, THE PRESENT VALUE OF ACCRUED BENEFITS, AND OTHER DATA AND ASSUMPTIONS ABOUT THE FUTURE, MAY, FOR SOME PLAN PARTICIPANTS AND FOR SOME YEARS, RESULT IN NEGATIVE CONTRIBUTION AMOUNTS.

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

Field	Value	IRS element (for citing)
Assets Distri Or Expnss Paid	ALL ASSETS AND LIABILITIES OF ST. CHARLES HOSPITAL OF OREGON, OHIO	AssetsDistriOrExpnssPaidDesc
Distribution	2014-01-01	DistributionDt
Fair Market Value Of Asset	$166,547,200	FairMarketValueOfAssetAmt
Method Of FMV Determination	GAAP	MethodOfFMVDeterminationTxt
EIN	344445373	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY HEALTH - ST CHARLES HOSPITAL LLC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 NAVARRE AVENUE	AddressLine1
City	OREGON	City
State	OH	State
ZIP Code	43616	ZIPCode

Field	Value	IRS element (for citing)
IRC Section	501(C)(3)	IRCSectionTxt

Field	Value	IRS element (for citing)
Director Of Successor	false	DirectorOfSuccessorInd
Employee Of Successor	Yes (true)	EmployeeOfSuccessorInd
Owner Of Successor	false	OwnerOfSuccessorInd
Receive Compensation	false	ReceiveCompensationInd
Assets Distributed	Yes (true)	AssetsDistributedInd
Required To Notify AG	Yes (true)	RequiredToNotifyAGInd
Attorney General Notified	Yes (true)	AttorneyGeneralNotifiedInd
Liabilities Paid	Yes (true)	LiabilitiesPaidInd
Bonds Outstanding	false	BondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule N, Part I, Line 2b, Interested person is an employee or ind. contractor of successor org.	FormAndLineReferenceDesc
Explanation	ALL OFFICERS AND KEY EMPLOYEES OF ST. CHARLES HOSPITAL OF OREGON, OHIO BECAME EMPLOYEES OF MERCY HEALTH - ST. CHARLES HOSPITAL LLC.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART IV, LINE 20B, CONSOLIDATED AUDITED FINANCIAL STATEMENTS	THE FILING ORGANIZATION DOES NOT HAVE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN CATHOLIC HEALTH PARTNERS' CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH ARE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. CATHOLIC HEALTH PARTNERS' AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.
Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders	MERCY HEALTH PARTNERS - NORTHERN IS THE SOLE MEMBER OF ST. CHARLES MERCY HOSPITAL OF OREGON, OHIO.
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body	CATHOLIC HEALTH PARTNERS (CHP) ELECTS ALL BOARD MEMBERS WHO HAVE FULL VOTING RIGHTS.
Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders	CERTAIN MATTERS REQUIRE 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 body	THE FORM 990 IS PREPARED BY CHP'S TAX DEPARTMENT AND IS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS REVIEWED BY MANAGEMENT. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING.
Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy	FOR BOARD AND/OR SUBCOMMITTEE MEETINGS - ALL BOARD/SUBCOMMITTEE MEMBERS 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 BOARD OF TRUSTEE 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 15a, Process to establish compensation of top management official	THE ORGANIZATION'S FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACCOMPLISHING THE ORGANIZATION'S MISSION, TO RECOGNIZE PERFORMANCE, AND TO OPERATE IN KEEPING WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. THE COMPENSATION COMMITTEE OF THE REGIONAL BOARD OF TRUSTEES CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION AND PERFORMANCE OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES. IN DOING SO, THE COMMITTEE RETAINS A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT COMPETITIVE MARKET ANALYSIS ANNUALLY OF THE MARKET RANGES OF BASE, INCENTIVE AND TOTAL CASH COMPENSATION. THE COMMITTEE UTILIZES THAT ANALYSIS AND OTHER APPROPRIATE INFORMATION IN CONNECTION WITH ITS ANNUAL REVIEW AND ADJUSTMENT OF COMPENSATION RANGES. IT ALSO REVIEWS AND RECOMMENDS TO THE FULL BOARD THE THRESHOLD AND MAXIMUM INCENTIVE AWARDS FOR WHICH THE LISTED INDIVIDUALS MAY BE ELIGIBLE, BASED UPON THE ORGANIZATION'S PERFORMANCE RESULTS FOR COMMUNITY BENEFIT, QUALITY AND FINANCIAL PERFORMANCE. THE COMMITTEE'S RECOMMENDATIONS CONCERNING SALARY RANGE ADJUSTMENTS AND INCENTIVE AWARDS GO TO THE FULL BOARD FOR APPROVAL. THE COMMITTEE, WITH FULL BOARD APPROVAL, DETERMINES THE ADJUSTMENT TO THE CEO'S BASE COMPENSATION AND INCENTIVE AWARD, WITHIN SUCH ESTABLISHED PARAMETERS. FOR THE COO, CAO, EVP, AND SVP POSITIONS, ADJUSTMENTS AND INCENTIVE AWARDS ARE APPROVED BY THE ORGANIZATION'S CEO WITHIN SUCH PARAMETERS. ADJUSTMENTS AND AWARDS FOR OTHER LISTED INDIVIDUALS ARE RECOMMENDED BY THE SUPERVISING EXECUTIVE. BASE SALARY ADJUSTMENTS AND SALARY AWARDS ARE DISCLOSED TO THE COMMITTEE. A FORMAL PERFORMANCE APPRAISAL PROCESS IS INCORPORATED IN THE COMPENSATION ADJUSTMENT AND AWARD PROCESS. IT UTILIZES A MULTI-PERSPECTIVE APPROACH AND PERFORMANCE MEASURES WHICH ARE LINKED TO THE ORGANIZATION'S LONG-TERM STRATEGIC PLAN, ACHIEVEMENT OF ANNUAL SYSTEM OBJECTIVES, AND PERSONAL OBJECTIVES. COMPENSATION-RELATED DETERMINATIONS ARE CONDUCTED IN ACCORDANCE WITH APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE AND REGULATIONS TO QUALIFY FOR THE PRESUMPTION THAT THE COMPENSATION IS REASONABLE, INCLUDING, BUT NOT LIMITED TO, APPROVAL BY AN AUTHORIZED BODY COMPOSED OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST, OBTAINING AND RELYING ON APPROPRIATE DATA AS TO COMPARABILITY, AND CONCURRENT DOCUMENTATION OF THE BASIS FOR THE COMPENSATION DETERMINATIONS.
Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees	PLEASE REFER TO THE LINE 15A RESPONSE WHICH DESCRIBES THE PROCESS USED FOR BOTH THE MANAGEMENT OFFICIAL AND FOR OTHER OFFICERS AND KEY EMPLOYEES
Form 990, Part VI, Sec C, Line 19, Required documents available to the public	THE SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE.
Form 990, Part IX, Line 11g, Other Expenses	INTERCOMPANY ALLOCATIONS - TOTAL EXPENSE: 18030943, PROGRAM SERVICE EXPENSE: 15326302, MANAGEMENT AND GENERAL EXPENSES: 2704641, FUNDRAISING EXPENSES: ; REGIONAL LAB ALLOCATION - TOTAL EXPENSE: 2358674, PROGRAM SERVICE EXPENSE: 2004873, MANAGEMENT AND GENERAL EXPENSES: 353801, FUNDRAISING EXPENSES: ; MEDICAL AND PROFESSIONAL FEES - TOTAL EXPENSE: 3798765, PROGRAM SERVICE EXPENSE: 3798765, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OTHER PURCHASE SERVICES - TOTAL EXPENSE: 5434088, PROGRAM SERVICE EXPENSE: 4618975, MANAGEMENT AND GENERAL EXPENSES: 815113, FUNDRAISING EXPENSES: ; CONSULTING - TOTAL EXPENSE: 118238, PROGRAM SERVICE EXPENSE: 100502, MANAGEMENT AND GENERAL EXPENSES: 17736, FUNDRAISING EXPENSES: ;
Form 990 , Part XI, Line 9, Other changes in net assets or fund balances	DEFINED BENEFIT PENSION PLANS ADJUSTMENT - 2296998; POST-RETIREMENT MEDICAL PLANS ADJUSTMENT - 499000; OTHER CHANGES IN FUND BALANCE - -3793000; EQUITY TRANSFERS TO AFFILIATES - -1313720; NET ASSETS TRANSFER TO LLC - -XXX-XX-XXXX;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (64 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
CATHOLIC HEALTH PARTNERS
615 ELSINORE PLACE	CINCINNATI	OH	45202	311161086	HEALTHCARE SYSTEM PARENT	OH	501(C)(3)	11 - Type III - FI	NA	false
CATHOLIC HEALTH PARTNERS FOUNDATION
615 ELSINORE PLACE	CINCINNATI	OH	45202	201072726	FUNDRAISING	OH	501(C)(3)	7	CATHOLIC HEALTH PARTNERS	false
CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT
615 ELSINORE PLACE	CINCINNATI	OH	45202	208943658	HUD PARENT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS	false
CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST
615 ELSINORE PLACE	CINCINNATI	OH	45202	316046304	RETIREMENT TRUST	OH	501(C)(3)	8	CATHOLIC HEALTH PARTNERS	false
COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
3700 KOLBE ROAD	LORAIN	OH	44053	270071694	MARKET PARENT	OH	501(C)(3)	11 - Type II	CATHOLIC HEALTH PARTNERS	false
COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
3700 KOLBE ROAD	LORAIN	OH	44053	340714704	HOSPITAL	OH	501(C)(3)	3	COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM	false
ALLEN MEDICAL CENTER
200 WEST LORAIN ST	OBERLIN	OH	44074	340864230	HOSPITAL	OH	501(C)(3)	3	COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM	false
COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION
3700 KOLBE ROAD	LORAIN	OH	44053	341504558	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER	false
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROAD	LORAIN	OH	44053	341268828	MEDICAL OFFICE RENTAL	OH	501(C)(3)	9	COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER	false
ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN ST	OBERLIN	OH	44074	364504991	MEDICAL OFFICE RENTAL	OH	501(C)(3)	11 - Type II	ALLEN MEDICAL CENTER	false
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
4600 MCAULEY PLACE	CINCINNATI	OH	45242	311063783	MARKET PARENT	OH	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS	false
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION
4600 MCAULEY PLACE	CINCINNATI	OH	45242	311217563	FOUNDATION	OH	501(C)(3)	7	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
MERCY HOSPITALS WEST
2446 KIPLING AVENUE	CINCINNATI	OH	45239	311091597	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
MERCY HOSPITAL ANDERSON
7500 STATE ROAD	CINCINNATI	OH	45255	310537085	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
THE SISTERS OF MERCY OF HAMILTON OHIO
3000 MACK ROAD	FAIRFIELD	OH	45014	310538532	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO
3000 HOSPITAL DRIVE	BATAVIA	OH	45103	310830955	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC
7010 ROWAN HILLS DR	CINCINNATI	OH	45227	311308729	RETIREMENT HOME	OH	501(C)(3)	9	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
MERCY SACRED HEART INC
2120 PAYNE STREET	LOUISVILLE	KY	40206	611318326	RETIREMENT HOME	KY	501(C)(3)	9	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
MERCY LONG TERM CARE INITIATIVE
4915 CHARLESTOWN RD	NEW ALBANY	IN	47150	311332491	RETIREMENT HOME	IN	501(C)(3)	9	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREET	CINCINNATI	OH	45210	311222942	LOW INCOME HOUSING	OH	501(C)(3)	7	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
MERCY FRANCISCAN AT ST RAPHAEL INC
610 HIGH STREET	HAMILTON	OH	45011	202934871	SERVICES TO THE POOR	OH	501(C)(3)	7	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO	false
COMMUNITY MERCY HEALTH SYSTEM
ONE S LIMESTONE ST	SPRINGFIELD	OH	45502	300272454	MARKET PARENT	OH	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS	false
COMMUNITY MERCY HEALTH PARTNERS
ONE S LIMESTONE ST	SPRINGFIELD	OH	45502	310785684	HOSPITAL	OH	501(C)(3)	3	COMMUNITY MERCY HEALTH SYSTEM	false
THE COMMUNITY MERCY FOUNDATION
1343 N FOUNTAIN BLVD	SPRINGFIELD	OH	45504	311443778	FOUNDATION	OH	501(C)(3)	7	COMMUNITY MERCY HEALTH SYSTEM	false
C H HEALTH SERVICES COMPANY
ONE S LIMESTONE ST	SPRINGFIELD	OH	45502	311181984	HOSPITAL	OH	501(C)(3)	3	COMMUNITY MERCY HEALTH SYSTEM	false
CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE
1150 E HOME ROAD	SPRINGFIELD	OH	45503	260698515	MEDICAL INFORMATION EXCHANGE	OH	501(C)(3)	9	COMMUNITY MERCY HEALTH SYSTEM	false
THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST
ONE S LIMESTONE ST	SPRINGFIELD	OH	45502	346827136	INDIGENT MEDICAL CARE	OH	501(C)(3)	11 - Type I	NA	false
MERCY HEALTH SYSTEM - NORTHERN REGION
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341344482	MARKET PARENT	OH	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS	false
MERCY PROPERTY HOLDINGS
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	300699825	TITLE HOLDING COMPANY	OH	501(C)(2)	N/A	MERCY HEALTH SYSTEM - NORTHERN REGION	false
ST CHARLES MERCY HOSPITAL OF OREGON OHIO
2600 NAVARRE AVENUE	OREGON	OH	43616	344445373	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION	false
RIVERSIDE MERCY HOSPITAL
3404 W SYLVANIA AVE	TOLEDO	OH	43623	311556401	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION	false
MERCY HOME CARE INC
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341587572	HOME HEALTHCARE	OH	501(C)(3)	9	MERCY HEALTH SYSTEM - NORTHERN REGION	false
MERCY COLLEGE OF OHIO
2221 MADISON AVENUE	TOLEDO	OH	43604	341726619	MEDICAL COLLEGE	OH	501(C)(3)	2	MERCY HEALTH SYSTEM - NORTHERN REGION	false
MERCY COLLEGE OF OHIO FOUNDATION INC
2221 MADISON AVENUE	TOLEDO	OH	43604	141963204	FOUNDATION	OH	501(C)(3)	11 - Type I	MERCY COLLEGE OF OHIO	false
MERCY HOSPITAL OF TIFFIN OHIO
45 ST LAWRENCE DRIVE	TIFFIN	OH	44883	344431174	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION	false
MERCY TIFFIN HEALTH FOUNDATION
45 ST LAWRENCE DRIVE	TIFFIN	OH	44883	341499894	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	MERCY HOSPITAL OF TIFFIN OHIO	false
THE SISTERS OF MERCY OF WILLARD OHIO
110 EAST HOWARD ST	WILLARD	OH	44890	341577110	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION	false
MERCY HOSPITAL OF WILLARD FOUNDATION
110 EAST HOWARD ST	WILLARD	OH	44890	113742347	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	THE SISTERS OF MERCY OF WILLARD OHIO	false
ST VINCENT MERCY MEDICAL CENTER
2213 CHERRY STREET	TOLEDO	OH	43608	344428250	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION	false
MERCY FOUNDATION
2213 CHERRY STREET	TOLEDO	OH	43608	237393213	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	ST VINCENT MERCY MEDICAL CENTER	false
LIFESTAR AMBULANCE INC
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341354653	MEDICAL TRANSPORTATION	OH	501(C)(3)	11 - Type II	MERCY HEALTH SYSTEM - NORTHERN REGION	false
RSM MEDICAL FOUNDATION
2200 JEFFERSON AVENUE	TOLEDO	OH	43624	341693671	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION	false
SIMON OUTREACH SERVICES
2600 NAVARRE AVENUE	OREGON	OH	43616	341383325	MEDICAL OFFICE RENTAL	OH	501(C)(3)	11 - Type II	ST CHARLES MERCY HOSPITAL OF OREGON OHIO	false
FARLEY HEALTHCARE CORPORATION
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341363204	HEALTH SERVICES	OH	501(C)(3)	9	MERCY HEALTH SYSTEM - NORTHERN REGION	false
ST RITA'S MEDICAL CENTER
730 W MARKET STREET	LIMA	OH	45801	341105619	HOSPITAL	OH	501(C)(3)	3	CATHOLIC HEALTH PARTNERS	false
SRHC FOUNDATION
730 W MARKET STREET	LIMA	OH	45801	341368429	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	ST RITA'S MEDICAL CENTER	false
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400	LIMA	OH	45801	341937267	MEDICAL LAB SERVICES	OH	501(C)(3)	11 - Type III - FI	ST RITA'S MEDICAL CENTER	false
HUMILITY OF MARY HEALTH PARTNERS
1044 BELMONT AVENUE	YOUNGSTOWN	OH	44501	340505560	HOSPITAL	OH	501(C)(3)	3	CATHOLIC HEALTH PARTNERS	false
THE ASSUMPTION VILLAGE
9800 N MARKET STREET	NORTH LIMA	OH	44452	341013695	NURSING HOME	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS	false
HOSPICE OF THE VALLEY
5190 MARKET STREET	YOUNGSTOWN	OH	44512	341288745	HOSPICE SERVICES	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS	false
HUMILITY OF MARY DEVELOPMENT FOUNDATION
1044 BELMONT AVENUE	YOUNGSTOWN	OH	44501	341826978	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	HUMILITY OF MARY HEALTH PARTNERS	false
HUMILITY HOUSE
755 OHLTOWN ROAD	AUSTINTOWN	OH	44515	341894783	NURSING HOME	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS	false
ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SE	WARREN	OH	44484	346556121	FUNDRAISING	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS	false
MERCY HEALTH PARTNERS - LOURDES INC
1530 LONE OAK ROAD	PADUCAH	KY	42003	610600313	HOSPITAL	KY	501(C)(3)	3	CATHOLIC HEALTH PARTNERS	false
LOURDES FOUNDATION INC
1530 LONE OAK ROAD	PADUCAH	KY	42003	611258960	FOUNDATION	KY	501(C)(3)	7	MERCY HEALTH PARTNERS - LOURDES INC	false
LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROAD	PADUCAH	KY	42003	610927805	FUNDRAISING	KY	501(C)(3)	11 - Type III - FI	LOURDES FOUNDATION INC	false
MARCUM AND WALLACE MEMORIAL HOSPITAL INC
60 MERCY COURT	IRVINE	KY	40336	610927491	HOSPITAL	KY	501(C)(3)	3	MERCY HEALTH PARTNERS - LOURDES INC	false
MARCUM AND WALLACE HOSPITAL FOUNDATION INC
60 MERCY COURT	IRVINE	KY	40336	320026557	FOUNDATION	KY	501(C)(3)	11 - Type III - FI	MARCUM AND WALLACE MEMORIAL HOSPITAL INC	false
MERCY HEALTH PARTNERS INC
615 ELSINORE PLACE	CINCINNATI	OH	45202	731627534	MARKET PARENT	TN	501(C)(3)	11 - Type I	CATHOLIC HEALTH PARTNERS	false
MERCY HEALTH PARTNERS - NORTHEAST REGION INC
615 ELSINORE PLACE	CINCINNATI	OH	45202	232813196	MARKET PARENT	PA	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS	false
MERCY HOSPITAL OF WILKES-BARRE
746 JEFFERSON AVENUE	SCRANTON	PA	18510	240795625	HOSPITAL	PA	501(C)(3)	3	MERCY HEALTH PARTNERS - NORTHEAST REGION INC	false
MERCY HEALTH CARE CENTER
746 JEFFERSON AVENUE	SCRANTON	PA	18510	232322809	HOSPITAL	PA	501(C)(3)	3	MERCY HEALTH PARTNERS - NORTHEAST REGION INC	false
HEALTHSPAN PARTNERS
615 ELSINORE PLACE	CINCINNATI	OH	45202	463055925	MARKET PARENT	OH	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS	false
HEALTHSPAN INTEGRATED CARE
1001 LAKESIDE AVE SUITE 1200	CLEVELAND	OH	44114	340922268	HMO	OH	501(C)(3)	9	HEALTHSPAN PARTNERS	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt
NWO INTEGRATED LABORATORIES MERCY LLC
2200 JEFFERSON AVENUE	TOLEDO	OH	43624	341898285	LABORATORY SERVICES	OH	NA	N/A
TIFFIN AMBULATORY SURGICAL ASSOCIATES
45 ST LAWRENCE DRIVE	TIFFIN	OH	44833	371567866	AMBULATORY SURGERY CENTER	OH	NA	N/A
NEW VISION MEDICAL LAB LLC
750 W HIGH STREET	LIMA	OH	45801	341913433	LAB SERVICES	OH	NA	N/A
WEST CENTRAL OHIO GROUP LTD
801 MEDICAL DRIVE	LIMA	OH	45804	341848147	ORTHOPEDIC HOSPITAL	OH	NA	N/A
KIDNEY SERVICES OF WEST CENTRAL OHIO
750 W HIGH STREET SUITE 100	LIMA	OH	45801	061644264	DIALYSIS CENTER	OH	NA	N/A
WEST CENTRAL OHIO REGIONAL HEALTHCARE ALLIANCE LTD
2615 FORT AMANDA ROAD	LIMA	OH	45805	341817078	HEALTHCARE QUALITY	OH	NA	N/A
ST ELIZABETH SOUTHWOODS IMAGING
250 DEBARTOLO PLACE BLDG B	YOUNGSTOWN	OH	44512	261626482	DIAGNOSTIC IMAGING	OH	NA	N/A
ST ELIZABETH CARDIAC CATH LAB LLC
P O BOX 16008	PITTSBURGH	PA	15242	300023795	LAB SERVICES	PA	NA	N/A
UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC
1044 BELMONT AVE	YOUNGSTOWN	OH	44501	262989686	RADIATION THERAPY	OH	NA	N/A
HMHPUSP SURGERY CENTERS LLC
15305 DALLAS PKWY STE 1600	ADDISON	TX	75001	271953122	SURGERY CENTER	TX	NA	N/A
OSC-HMHP LLC
6505 MARKET ST BLDG B STE 101	BOARDMAN	OH	44512	010724836	ORTHOPEDIC SURGERY CENTER	OH	NA	N/A
LOURDES AMBULATORY SURGERY CENTER
225 MEDICAL CENTER DRIVE	PADUCAH	KY	42003	611258960	SURGERY CENTER	KY	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (27 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Legal Domicile StateLegalDomicileStateCd
CHP INSURANCE LTD
615 ELSINORE PLACE	CINCINNATI	OH	45202	980621978	INSURANCE	CJ	NA	C CORPORATION
SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST
615 ELSINORE PLACE	CINCINNATI	OH	45202	310990309	WORKERS COMPENSATION TRUST		NA	TRUST	MA
MHSWO HEALTH VENTURES INC
1 S LIMESTONE ST	SPRINGFIELD	OH	45502	311072139	PHYSICIAN PRACTICES		NA	C CORPORATION	OH
NORTHPARKE MEDICAL COMMONS CONDO ASSN
333 N LIMESTONE ST	SPRINGFIELD	OH	45503	311391230	REAL PROPERTY MGMNT		NA	C CORPORATION	OH
MERCY HEALTH AFFILIATES INC
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341372633	PHYSICIAN SERVICES		NA	C CORPORATION	OH
PHYSICIAN'S HEALTH COLLABORATIVE
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	203986844	MEDICAL & HOSPITAL SERVICES		NA	C CORPORATION	OH
NORTHSIDE CORPORATION
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341318438	RESIDENT RENTALS		NA	C CORPORATION	OH
MERCY WORK SOLUTIONS
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	300066340	WORKERS COMPENSATION		NA	C CORPORATION	OH
MERCY HEALTH SYSTEM PHO
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341778321	MEDICAL SERVICES		NA	C CORPORATION	OH
PHYSICIAN MANAGED CARE INC
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341565320	HEALTH SERVICES		NA	C CORPORATION	OH
MCAULEY MANAGEMENT SERVICES INC
730 W MARKET STREET	LIMA	OH	45801	341379037	PROPERTY RENTAL		NA	C CORPORATION	OH
LIMA MEDICAL SUPPLIES INC
730 W MARKET STREET	LIMA	OH	45801	340944477	MEDICAL EQUIPMENT		NA	C CORPORATION	OH
COMMUNITY HEALTH PARTNERS ENTERPRISES INC
3700 KOLBE ROAD	LORAIN	OH	44053	341455525	HOLDING COMPANY		NA	C CORPORATION	OH
COMMUNITY HEALTH PARTNERS PHYSICIANS INC
3700 KOLBE ROAD	LORAIN	OH	44053	341803352	PHYSICIAN PRACTICES		NA	C CORPORATION	OH
AMC PHYSICIANS INC
200 W LORAIN STREET	OBERLIN	OH	44074	371439554	PHYSICIAN SERVICES		NA	C CORPORATION	OH
MERCY HEALTH VENTURES INC
4600 MCAULEY PLACE	CINCINNATI	OH	45242	311185477	DIVERSIFIED ACTIVITIES		NA	C CORPORATION	OH
MERCY FRANCISCAN MEDICAL MANAGEMENT SERVICES
4600 MCAULEY PLACE	CINCINNATI	OH	45242	311640789	DIVERSIFIED ACTIVITIES		NA	C CORPORATION	OH
MERCY FRANCISCAN AT WINTON WOODS I INC
10290 MILL ROAD	CINCINNATI	OH	45231	311658668	LOW-INCOME HOUSING		NA	C CORPORATION	OH
MERCY HEALTH MANAGEMENT INC
1530 LONE OAK ROAD	PADUCAH	KY	42003	611086762	MEDICAL OFFICES		NA	C CORPORATION	KY
HEALTH DYNAMICS INC
900 E OAK HILL AVENUE	KNOXVILLE	TN	37917	621247729	MEDICAL EQUIPMENT SALES		NA	C CORPORATION	TN
HEALTH VENTURES INC & SUBSIDIARIES
P O BOX 1788	KNOXVILLE	TN	37901	621175587	MEDICAL SERVICES		NA	C CORPORATION	TN
ANNE KILCAWLEY CHRISTMAN FOUNDATION
100 FEDERAL PLAZA EAST	YOUNGSTOWN	OH	44503	356735706	BENEFICIAL TRUST		NA	TRUST	OH
RALPH EWE TRUST
270 PARK AVENUE	NEW YORK	NY	10017	346866422	BENEFICIAL TRUST		NA	TRUST	NY
ELIZABETH HINES CATES TRUST
PNC 1900 E 9TH ST	CLEVELAND	OH	44114	346515678	BENEFICIAL TRUST		NA	TRUST	OH
WILLIS PARK TRUST
PNC 1900 E 9TH ST	CLEVELAND	OH	44114	346519904	BENEFICIAL TRUST		NA	TRUST	OH
ERMA GIBSON BALDWIN TRUST
PNC 1900 E 9TH ST	CLEVELAND	OH	44114	346515566	BENEFICIAL TRUST		NA	TRUST	OH
HEALTHSPAN INC
225 PICTORIA DR	CINCINNATI	OH	45246	311431434	INSURANCE		NA	C CORPORATION	OH

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd