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THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO (EIN 31-0830955)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-13
IRS object ID
201423179349305762
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-13T16:01:37-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN310830955EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE SISTERS OF MERCY OF CLERMONT COUNTY OHIOBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSISTBusinessNameControlTxt
Phone5139815600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13000 Hospital DriveAddressLine1
CityBataviaCity
StateOHState
ZIP Code45103ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID NOWISKIPersonNm
Person TitleMARKET CFOPersonTitleTxt
Signature2014-10-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Form 990 IRS990

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

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL CLERMONTBusinessNameLine1

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

FieldValueIRS element (for citing)
Business Name Line1JEFFREY GRAHAMBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line13000 Hospital DriveAddressLine1
CityBataviaCity
StateOHState
ZIP Code45103ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$108,121,915GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.E-MERCY.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionMERCY HOSPITAL CLERMONT CARES FOR ANYONE WHO COMES TO US, REGARDLESS OF ABILITY TO PAY, OFFERING FREE CARE TO ANYONE WITHOUT INSURANCE EARNING UP TO TWICE THE FEDERAL POVERTY GUIDELINES (FPG) & DISCOUNTS TO THOSE EARNING UP TO FOUR TIMES THE FPG. THOSE WITH INSURANCE WHO EARN MORE CAN ALSO QUALIFY FOR DISCOUNTS.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee882TotalEmployeeCnt
Total Volunteers120TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$102,392PYContributionsGrantsAmt
CY Contributions Grants$13,137CYContributionsGrantsAmt
PY Program Service Revenue$103,771,335PYProgramServiceRevenueAmt
CY Program Service Revenue$105,337,413CYProgramServiceRevenueAmt
PY Investment Income-$33,048PYInvestmentIncomeAmt
CY Investment Income$70,153CYInvestmentIncomeAmt
PY Other Revenue$2,389,845PYOtherRevenueAmt
CY Other Revenue$2,701,212CYOtherRevenueAmt
PY Total Revenue$106,230,524PYTotalRevenueAmt
CY Total Revenue$108,121,915CYTotalRevenueAmt
PY Grants And Similar Paid$54,153PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$91,970CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$38,974,045PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$40,037,298CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$53,032,423PYOtherExpensesAmt
CY Other Expenses$52,516,594CYOtherExpensesAmt
PY Total Expenses$92,060,621PYTotalExpensesAmt
CY Total Expenses$92,645,862CYTotalExpensesAmt
PY Revenues Less Expenses$14,169,903PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,476,053CYRevenuesLessExpensesAmt
Total Assets BOY$52,629,985TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$13,572,301TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$39,057,684NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
MissionMERCY HOSPITAL CLERMONT EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$81,476,790ExpenseAmt
Grant$91,970GrantAmt
Revenue$105,337,413RevenueAmt
DescTHE PRIMARY EXEMPT PURPOSE OF MERCY HOSPITAL CLERMONT IS TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. MERCY HOSPITAL CLERMONT ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. IN 2013, MERCY HOSPITAL CLERMONT PROVIDED CHARITY CARE AT A COST OF $ 5,410,339 TO 10,254 INDIVIDUALS.Desc
Total Program Service Expenses$81,476,790TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsYes (true)TerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee882EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GERMAINE BENNETT
CHAIRMAN0.302.10Yes (X)Yes (X)$0$0$0
TIMOTHY INGRAM
VICE CHAIRMAN0.302.10Yes (X)Yes (X)$0$0$0
TODD GARDNER
TREASURER0.302.10Yes (X)Yes (X)$0$0$0
YOUSUF JAMAL AHMAD
PRESIDENT & SECRETARY, MERCY HEALTH CINCINNATI PRESIDENT & CEO1.0048.00Yes (X)Yes (X)$0$797,005$129,261
ANTHONY J ARETZ PHD
TRUSTEE0.302.10Yes (X)$0$0$0
ANTHONY J ASHER MD
TRUSTEE0.302.10Yes (X)$0$0$0
DANIEL GEEDING
TRUSTEE0.302.10Yes (X)$0$0$0
DONNA ZARING
TRUSTEE0.302.10Yes (X)$0$0$0
ED HERZIG MD
TRUSTEE0.3040.00Yes (X)$0$415,176$33,461
JAMES J MCGRAW JR
TRUSTEE0.302.10Yes (X)$0$0$0
JAMES MAY
TRUSTEE, CHP EVP & COO0.3043.40Yes (X)$0$1,794,878$45,028
KIMBERLY MAUER
TRUSTEE0.302.10Yes (X)$0$0$0
L RICHARD ROEDERSHEIMER MD
TRUSTEE0.3040.00Yes (X)$0$568,064$33,987
NEIL O'CONNOR
TRUSTEE0.302.10Yes (X)$0$0$0
REENA DHANDA PATIL MD
TRUSTEE0.302.10Yes (X)$0$0$0
SR MARJORIE BOSSE RSM
TRUSTEE0.303.10Yes (X)$0$0$0
SR MARY STANTON RSM
TRUSTEE0.302.10Yes (X)$0$0$0
DEBORAH BLOOMFIELD
SVP, MARKET CFO0.3042.70Yes (X)$0$561,858$93,793
JEFFREY GRAHAM
MARKET LEADER & PRESIDENT20.0020.00Yes (X)$0$414,883$51,633
PATRICK KOWALSKI
Market CFO0.3042.70Yes (X)$0$351,379$35,683
CLAIRE COMBS
SVP, CHIEF ADMINISTRATIVE OFFICER1.0043.00$0$445,036$61,973Yes (X)
GAYLE HEINTZELMAN
SITE ADMINISTRATOR40.000$310,850$0$44,251Yes (X)
LEE ANN LISKA
MHP CHIEF OPERATING OFFICER1.0043.00$0$326,978-$1,038Yes (X)
LEONARD M RANDOLPH JR MD
SVP, CHIEF MEDICAL OFFICER1.0043.00$0$511,985$67,552Yes (X)
MAGGIE LUND
SVP, DIV HUMAN RESOURCES1.0043.00$0$360,369$44,477Yes (X)
MICHAEL KRAMER
VP STRATEGIC PLANNING & BUS. DEVELOPMENT1.0043.00$0$269,446$37,199Yes (X)
PATRICIA SCHROER
VP MERCY HEALTH SERVICE LINES1.0043.00$0$284,674$43,235Yes (X)
ANITA SMITH
PHARMACIST40.000$126,935$0$7,987Yes (X)
CONNIE HOLMES
PHARMACIST40.000$132,273$0$26,260Yes (X)
SARA COVERT
RN ACUTE40.000$141,938$0$36,544Yes (X)
SHARON LONG
RN SHIFT SUPRVISOR W/E40.000$165,112$0$25,747Yes (X)
SUHA UMINA
PHARMACIST40.000$135,461$0$7,308Yes (X)
THOMAS URBAN
FORMER OFFICER0.0040.00$0$537,304$62,747Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,012,569TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,639,035TotReportableCompRltdOrgAmt
Total Other Compensation$887,088TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K22IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$12,326RelatedOrganizationsAmt
Government Grants$811GovernmentGrantsAmt
Total Contributions$13,137TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621990$105,055,377$105,055,377
RENTAL INCOME FROM AFFILIATES531120$227,756$227,756
INCOME FROM JV'S & PARTNERSHIPS621990$54,280$54,280
$0
$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$105,337,413TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,197TotalRevenueColumnAmt
Exclusion$25,197ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$44,956SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$44,956SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,956TotalRevenueColumnAmt
Exclusion$44,956ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA722210$360,040$360,040
VENDING MACHINES722210$36,449$36,449
HITECH STIMULUS FUNDS900099$2,213,393$2,213,393

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$91,330TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$91,330ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,701,212OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$108,121,915TotalRevenueColumnAmt
Related Or Exempt Func Income$105,337,413RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,771,365ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$50,100TotalAmt
Program Services$50,100ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$41,870TotalAmt
Program Services$41,870ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$355,101TotalAmt
Program Services$301,836ProgramServicesAmt
Management And General$53,265ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$32,327,572TotalAmt
Program Services$27,478,436ProgramServicesAmt
Management And General$4,849,136ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$602,055TotalAmt
Program Services$511,747ProgramServicesAmt
Management And General$90,308ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,374,772TotalAmt
Program Services$3,718,556ProgramServicesAmt
Management And General$656,216ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,377,798TotalAmt
Program Services$2,021,128ProgramServicesAmt
Management And General$356,670ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,500TotalAmt
Management And General$2,500ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,996,659TotalAmt
Program Services$23,761,236ProgramServicesAmt
Management And General$3,235,423ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,629,671TotalAmt
Program Services$2,235,220ProgramServicesAmt
Management And General$394,451ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,624,043TotalAmt
Program Services$3,080,437ProgramServicesAmt
Management And General$543,606ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$52,841TotalAmt
Program Services$44,915ProgramServicesAmt
Management And General$7,926ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$847,868TotalAmt
Program Services$720,688ProgramServicesAmt
Management And General$127,180ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,178,292TotalAmt
Program Services$2,701,548ProgramServicesAmt
Management And General$476,744ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$958,186TotalAmt
Program Services$814,458ProgramServicesAmt
Management And General$143,728ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEMBERSHIP DUES$124,328$105,679$18,649
MEDICAL SUPPLIES$12,680,406$12,680,406
OHIO FRANCHISE FEES$1,314,489$1,117,316$197,173

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$107,311TotalAmt
Program Services$91,214ProgramServicesAmt
Management And General$16,097ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$92,645,862TotalAmt
Program Services$81,476,790ProgramServicesAmt
Management And General$11,169,072ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$162,449BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,378,729BOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,484,956BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$33,701,454BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,066,361BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,836,036BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$52,629,985BOYAmt
EOY$0EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,891,980BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,680,321BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,572,301BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,057,684BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$39,057,684BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$52,629,985BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$15,476,053ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$29,688NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$54,563,425OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersYes (true)MailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$898GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$898TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2, FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationTHE 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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served10254PersonsServedCnt
Total Community Benefit Expns$7,500,894TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,090,555DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,410,339NetCommunityBenefitExpnsAmt
Total Expense0.05840TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served24700PersonsServedCnt
Total Community Benefit Expns$14,100,097TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,519,905DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,580,192NetCommunityBenefitExpnsAmt
Total Expense0.03860TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served34954PersonsServedCnt
Total Community Benefit Expns$21,600,991TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,610,460DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,990,531NetCommunityBenefitExpnsAmt
Total Expense0.09700TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served3609PersonsServedCnt
Total Community Benefit Expns$390,690TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$390,690NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served283PersonsServedCnt
Total Community Benefit Expns$8,524TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,524NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served57PersonsServedCnt
Total Community Benefit Expns$998TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$998NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Persons Served3949PersonsServedCnt
Total Community Benefit Expns$400,212TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$400,212NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Persons Served38903PersonsServedCnt
Total Community Benefit Expns$22,001,203TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,610,460DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,390,743NetCommunityBenefitExpnsAmt
Total Expense0.10120TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$146,317TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$146,317NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$146,317TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$146,317NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$10,016,410BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$28,150,668ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$21,541,866CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$6,608,802MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SISTERS OF MERCY OF CLERMONT COUNTY OHIOBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line13000 HOSPITAL DRIVEAddressLine1
CityBATAVIACity
StateOHState
ZIP Code45103ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.E-MERCY.COMWebsiteAddressTxt
State License1028StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SISTERS OF MERCY OF CLERMONT COUNTY OHIOBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.e-mercy.com/foundation-community-benefit.aspxOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLwww.mercy.comOtherWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (true)AllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment(1) - SISTERS OF MERCY OF CLERMONT COUNTY, OHIO: ALL OF THE INDIVIDUALS LISTED BELOW WERE IDENTIFIED FOR PARTICIPATION BECAUSE THEY POSSESSED CURRENT DATA OR INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. THE STAFF AND OFFICIALS WHO, BY VIRTUE OF THEIR OFFICE OR POSITION, ARE CONSIDERED TO HAVE EXPERTISE IN PUBLIC HEALTH ARE INDICATED BY AN ASTERISK (*) AFTER THEIR NAME. INDIVIDUALS CONTACTED: JUDY BENNINGTON*, ADMINISTRATOR ADAMS COUNTY HEALTH DEPARTMENT MARY ANN MIARS-PEERCY, EXECUTIVE DIRECTOR UNITED WAY OF SCIOTO COUNTY ALVIN NORRIS, EXECUTIVE DIRECTOR, ADAMS-BROWN COUNTIES ECONOMIC OPPORTUNITIES INC HAROLD VERMILLION*, HEALTH COMMISSIONER BROWN COUNTY HEALTH DEPARTMENT COLLEEN CHAMBERLAIN, ASSOCIATE DIRECTOR BROWN COUNTY ALCOHOL, DRUG ADDICTION, MENTAL HEALTH SERVICES BOARD DEBRA GORDON, AREA DIRECTOR UNITED WAY OF GREATER CINCINNATI JACKIE PHILLIPS*, HEALTH COMMISSIONER MIDDLETOWN CITY HEALTH DEPARTMENT MIKE SANDERS, EXECUTIVE DIRECTOR MIDDLETOWN AREA UNITED WAY JEFFERY DIVER, EXECUTIVE DIRECTOR, BUTLER COUNTY SUPPORTS TO ENCOURAGE LOW-INCOME FAMILIES JOHN GUIDUGLI, PRESIDENT AND CHIEF EXECUTIVE OFFICER HAMILTON COMMUNITY FOUNDATION DUANE GORDON, EXECUTIVE DIRECTOR MIDDLETOWN COMMUNITY FOUNDATION KAREN SCHERRA, CHIEF OPERATING OFFICER, CLERMONT COUNTY MENTAL HEALTH AND RECOVERY BOARD BILLIE KUNTZ, EXECUTIVE DIRECTOR CLERMONT COUNTY COMMUNITY SERVICES LISA JACKSON, VP MARKETING, DEVELOPMENT HEALTHSOURCE OF OHIO TIM INGRAM*, HEALTH COMMISSIONER HAMILTON COUNTY PUBLIC HEALTH ERIK STEWART, VICE PRESIDENT OF SYSTEM PERFORMANCE HAMILTON COUNTY MENTAL HEALTH AND RECOVERY SERVICES BOARD BARBARA TERRY, VICE PRESIDENT COMMUNITY IMPACT COMMUNITY/CHARITY UNITED WAY OF GREATER CINCINNATI, WILL PARR, AGENCY DIRECTOR CINCINNATI/HAMILTON COMMUNITY ACTION SHILOH TURNER, VICE PRESIDENT OF PROGRAMS GREATER CINCINNATI FOUNDATION H.A. MUSSER, PRESIDENT AND CHIEF EXECUTIVE OFFICER SANTA MARIA COMMUNITY SERVICES DR. JIM VANZANT*, HEALTH COMMISSIONER HIGHLAND COUNTY HEALTH DEPARTMENT JUNI FREY, EXECUTIVE DIRECTOR, PAINT VALLEY ALCOHOL, DRUG ADDICTION, MENTAL HEALTH SERVICES BOARD DUANE STANSBURY*, HEALTH COMMISSIONER WARREN COUNTY COMBINED HEALTH DISTRICT BRENT LAWYER, EXECUTIVE DIRECTOR MENTAL HEALTH AND RETARDATION SERVICES OF WARREN AND CLINTON COUNTIES KAREN HILL, DIRECTOR, AGING SERVICES WARREN COUNTY COMMUNITY SERVICES INC. JULIA RUPP, CHIEF OPERATING OFFICER COMMUNITY MENTAL HEALTH CENTER KAREN SNYDER, DIRECTOR DEARBORN COUNTY UNITED WAY MARK NEFF, COORDINATOR DEARBORN COUNTY COMMUNITY FOUNDATION DAVID WELSH, M.D.*, COUNTY HEALTH OFFICER RIPLEY COUNTY HEALTH DEPARTMENT SALLY MORRIS, EXECUTIVE DIRECTOR RIPLEY COUNTY COMMUNITY FOUNDATION JOHN JOY, DEAN SOUTHERN STATE COMMUNITY COLLEGE ERIC RADEMACHER, PHD, CO-DIRECTOR UNIVERSITY OF CINCINNATI, INSTITUTE FOR POLICY RESEARCH JOHN TAFARO, PRESIDENT CHATFIELD COLLEGE DIRECT SERVICE PROVIDER GROUP LEVEL ASSESSMENTS: BECKY BASFORD, CERTIFIED NURSE PRACTITIONER, ADAMS COUNTY REGIONAL MEDICAL CENTER (ACRMC) KRYS HESS, FOOD SERVICE SUPERVISOR, ADAMS COUNTY OHIO VALLEY SCHOOL DISTRICT (ACOVSD) CAROL MOTZA*, BOARD MEMBER HEALTH DEPARTMENT BRIAN MCCORD, SPORTS MEDICINE MANAGER, ADAMS COUNTY REGIONAL MEDICAL CENTER (ACRMC) WILL WEST, WAL-MART FARRAH JAQUEZ, ASSISTANT PROFESSOR UNIVERSITY OF CINCINNATI (UC) SHAY BEIGHLE, TEACHER NORTH ADAMS HIGH SCHOOL HOLLY JOHNSON, DIRECTOR, ADAMS COUNTY ECONOMIC DEVELOPMENT COUNCIL (ACEDC) MIKE CLINTON KAREN BALLENGEE, TREASURER MANCHESTER LOCAL SCHOOL DISTRICT (MLSD) ALVIS GEORGE, MANCHESTER LOCAL SCHOOL DISTRICT (MLSD), DANE CLARK, ASSEMBLY AND TEST MANAGER/BOARD OF TRUSTEES GENERAL ELECTRIC (GE)/ADAMS COUNTY REGIONAL MEDICAL CENTER JOYCE PORTER, DIRECTOR OF HUMAN RESOURCES AND RISK MANAGEMENT, ADAMS COUNTY REGIONAL MEDICAL CENTER (ACRMC) CHARLIE BESS, VOLUN"TEEN" COORDINATOR/BOARD MEMBER ADAMS COUNTY REGIONAL MEDICAL CENTER (ACRMC)/ADAMS COUNTY/OHIO VALLEY SCHOOL DISTRICT (ACOVSD) DELORA BLYMAIL, WORKFORCE CONNECTIONS OF ADAMS AND BROWN COUNTIES STEVE DUNKIN, EXECUTIVE DIRECTOR, BROWN COUNTY ALCOHOL, DRUG ADDICTION, MENTAL HEALTH BOARD MARY FRANCIS, DIRECTOR, ASSISTANCE FOR SUBSTANCE ABUSE PREVENTION CENTER ERIN HOLSTED, MSW, LICENSED SOCIAL WORKER WESTERN BROWN SCHOOL BASED HEALTH CENTER JOAN PHILLIPS, CHIEF EXECUTIVE OFFICE BROWN COUNTY HOSPITAL VENITA MILBURN, BROWN COUNTY HOSPITAL SUE BASTA, PHD, RN; CONTINUING EDUCATION HEALTH PROMOTION PROGRAMS, HEALTH-UC/UNIVERSITY OF CINCINNATI AREA HEALTH EDUCATION CENTER RAMONA APPLEGATE, ADAMS BROWN EARLY HEAD START/ ADAMS/BROWN COUNTY ECONOMIC OPPORTUNITIES, INC., BONITA HAAS, BSW, LICENSED SOCIAL WORKER; ASSISTANT DIRECTOR, ADAMS BROWN HIGH SCHOOL/EARLY HEAD START/ HELP ME GROW/ADAMS/BROWN COUNTY ECONOMIC OPPORTUNITIES, INC. JOAN GARRETT, PRE-K DIRECTOR, BOARD MEMBER BROWN COUNTY EDUCATIONAL SERVICE CENTER DAYNE MICHAEL, SUPERVISOR BROWN COUNTY EDUCATIONAL SERVICE CENTER MARGARET CLARK, JUDGE PROBATE JUVENILE COURT RANDY ALLMAN, DIRECTOR REGIONAL SERVICES, BROWN COUNTY RECOVERY SERVICES (TALBERT HOUSE) DAVID SHARP, DIRECTOR OF JOB/FAMILY SERVICES BROWN COUNTY RECOVERY SERVICES TAMMIE KELLER, BUSINESS MANAGER, BROWN COUNTY BOARD OF DEVELOPMENTAL DISABILITIES LINDA ONDRE, COORDINATOR FAMILY CHILDREN FIRST COUNCIL ANGIE DEVILBLISS, FACULTY SECRETARY SOUTHERN STATE COMMUNITY COLLEGE HEATHER WELLS, MSW, LICENSED SOCIAL WORKER/ COORDINATOR BUTLER COUNTY FAMILY CHILDREN FIRST COUNCIL BILL STALER, CHIEF EXECUTIVE OFFICER LIFESPAN MARC BELLIJARIO, CHIEF EXECUTIVE OFFICER PRIMARY HEALTH SOLUTIONS YVETTE DORSEY-BENSON*, DIRECTOR MIDDLETOWN HEALTH DEPARTMENT PROJECT CARRIE COREEN, BUTLER 211 ANGIE DUNCAN, DIRECTOR BUTLER COUNTY SUCCESS DAVID FOSTER, SUPPORT SERVICES DIRECTOR FAIRFIELD CITY SCHOOLS NINA ROSE, SENIOR HIGH STUDENTS AGAINST DRUNK DRIVING SPONSOR, FAIRFIELD CITY SCHOOLS SUSIE SHERIDAN, PRACTICE MANAGER PRIMARY HEALTH SOLUTIONS STEPHANIE JOHNSON, SCHOOL NURSE, TALAWANDA SCHOOL DISTRICT, BOARD, BUTLER COUNTY HEALTH DEPARTMENT AND OXFORD COLLEGE CORNER FREE CLINIC LINDA KIMBLE, EXECUTIVE DIRECTOR, SERVE CITY CARI WYNNE, SUPERVISOR EDUCATIONAL SERVICE CENTER - SUCCESS CARLA GROSSMAN, COUNSELOR MERCY CLERMONT MENTAL HEALTH BILLIE ELLIOT, LIFEPOINT SOLUTIONS DEB SPRADLIN, DIRECTOR OF BEHAVIORAL HEALTH SERVICES SISTERS OF MERCY CLERMONT MARTY LAMBERT*, HEALTH COMMISSIONER CLERMONT COUNTY HEALTH DISTRICT JULIANNE NESBIT*, ASSISTANT HEALTH COMMISSIONER CLERMONT COUNTY HEALTH DISTRICT KAREN BALON, LPN; HEALTH MANAGER CHILD FOCUS, INC. PEGGY HALEY, DIRECTOR MERCY CLERMONT OUTREACH LAURA METZLER, DIRECTOR OF COMMUNITY/VOLUNTEER IMPROVEMENT, AMERICAN CANCER SOCIETY MARTY GROVE, DIRECTOR OF NURSING CLINICAL SERVICES - EDUCATION, MERCY CLERMONT CHARLOTTE GOERING, MERCY CLERMONT ANN LANE, OFFICE MANAGER EMERGENCY ROOM MERCY CLERMONT IRENE BEHLING, DIRECTOR OF MISSION INTEGRATION MERCY CLERMONT CAROL MUHLENKAMP, DIRECTOR OF PATIENT CARE SERVICES NURSING - DEARBORN COUNTY HOSPITAL (DCH) STEPHANIE CRAIG, DIRECTOR OF EDUCATION AND RISK MANAGEMENT, EDUCATION/RISK ASSESSMENT DEARBORN COUNTY HOSPITAL MAYOR DONNIE HASTINGS, MAYOR, CITY OF AURORA TOM TALBOT, CHIEF EXECUTIVE OFFICE COMMUNITY MENTAL HEALTH CENTER, INC. BILL CUNNINGHAM, MAYOR OF LAWRENCEBURG KARL GALEY, SUPERINTENDENT LAWRENCEBURG SCHOOLS CECELIA SCUDDER, NURSING ADMINISTRATION DEARBORN COUNTY HOSPITAL ARN EDWARDS, LIFETIME RESOURCES LOIS FRANKLIN*, PUBLIC HEALTH NURSE DEARBORN COUNTY HEALTH DEPARTMENT (DCHD) DEBBIE FEHLING*, RN, HEALTH EDUCATOR DEARBORN COUNTY HEALTH DEPARTMENT (DCHD) BRENDA COLEMAN, VICE CHAIRPERSON ON BOARD HEALTH CARE ACCESS NOW NANCY CARTER*, RDH, MPH ASSISTANT DENTAL DIRECTOR CINCINNATI HEALTH DEPARTMENT SALLY STEWART, CHIEF EXECUTIVE OFFICER CROSSROAD HEALTH CENTER BILL EBELHAR, DIRECTOR OF OUTPATIENT COUNSELING CENTERPOINT HEALTH RANDY ALLMAN, PROGRAM DIRECTOR, TALBERT HOUSE SEAN KELLEY, DIRECTOR OF EXTERNAL RELATIONS THE HEALTH COLLABORATIVE MARY DAY, MANAGING LTC OMBUDSMAN PRO SENIORS, INC. SHANA TRENT, PRACTICE MANAGER THE HEALTHCARE CONNECTION SAUNDRA REGAN, PHD, RESEARCH SCIENTIST UNIVERSITY OF CINCINNATI FAMILY RESIDENCY JUDITH WARREN, EXECUTIVE DIRECTOR HEALTH CARE ACCESS NOW ANN BARNUM, OFFICER - SUBSTANCE USE DISORDERS HEALTH FOUNDATION OF GREATER CINCINNATI SENIOR PROGRAM, STEPHANIE MARSHALL, PROJECT MANAGER HEALTH CARE ACCESS NOW TIM INGRAM*, HEALTH COMMISSIONER HAMILTON COUNTY PUBLIC HEALTH TERRESA ADAMS, COMMUNITY SPECIALIST CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER DOLORES LINDSAY, CHIEF EXECUTIVE OFFICER THE HEALTHCARE CONNECTION - RESPONSE CONTINUES AT SCHEDULE H PART VI - ;
Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment(1) - SISTERS OF MERCY OF CLERMONT COUNTY, OHIO: ADAMS COUNTY REGIONAL MEDICAL CENTER ATRIUM MEDICAL CENTER DEARBORN COUNTY HOSPITAL FORT HAMILTON HOSPITAL LINDNER CENTER OF HOPE MARGARET MARY COMMUNITY HOSPITAL MCCULLOUGH-HYDE MEMORIAL HOSPITAL TRIHEALTH UC HEALTH MERCY HEALTH - ANDERSON HOSPITAL MERCY HEALTH - JEWISH HOSPITAL MERCY HEALTH - WEST HOSPITAL MERCY HEALTH - FAIRFIELD HOSPITAL ;
Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined(1) - SISTERS OF MERCY OF CLERMONT COUNTY, 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.;
FieldValueIRS element (for citing)
Facility11FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
EASTGATE MEDICAL CENTER
4415 Aicholtz RoadCINCINNATIOH45245OUTPATIENT SURGERY CENTER AND SPECIALISTS
MOUNT ORAB MEDICAL CENTER
154 Health Partners CircleMOUNT ORABOH45154IMAGING, DIAGNOSTIC AND LABORATORY SERVICES
CLERMONT OUTPATIENT REHABILITATION AND THERAPY
3000 HOSPITAL DRIVEBATAVIAOH45103OUTPATIENT REHAB AND THERAPY
OUTPATIENT SURGERY AT MERCY HOSPITAL CLERMONT
3000 HOSPITAL DRIVEBATAVIAOH45103AMBULATORY/OUTPATIENT SURGERY
CLERMONT HOSPITAL WOUND CARE CENTER
3000 HOSPITAL DRIVEBATAVIAOH45103WOUND CARE CENTER
CLERMONT HOSPITAL DIABETES CARE AND ENDOCRINOLOGY
3000 HOSPITAL DRIVEBATAVIAOH45103DIABETES TREATMENT CENTER
MERCY PHYSICAL THERAPY EASTGATE
4115 B AICHOLTZ ROAD SUITE 300CINCINNATIOH45245OUTPATIENT REHAB AND THERAPY
MERCY PHYSICAL THERAPY BETHEL
3088 ANGEL DRIVEBETHELOH45106OUTPATIENT REHAB AND THERAPY
IMAGING AND LAB SERVICES
201 OLD BAND ROADMILFORDOH45150RADIOLOGY/IMAGING SERVICES
CLERMONT HOSPITAL MENTAL & BEHAVIORAL HEALTH SERVICES
3000 HOSPITAL DRIVEBATAVIAOH45103MENTAL & BEHAVIORAL HEALTH CENTER
CLERMONT HOSPITAL PALLIATIVE CARE
3000 HOSPITAL DRIVEBATAVIAOH45103PALLIATIVE CARE CENTER

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6a, Community benefit report prepared by related organizationCATHOLIC HEALTH PARTNERS
Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistanceCOST OF CHARITY CARE WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. THE COST RELATED TO MEDICAID PATIENTS WAS DETERMINED USING THE HOSPITAL COST ACCOUNTING SYSTEM AND INCLUDED BOTH INPATIENTS AND OUTPATIENTS FOR TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PLANS. FOR SUBSIDIZED SERVICES THE HOSPITAL'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COST RELATED TO THE SPECIFIC SERVICE EXCLUDING TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PATIENTS. COSTS FOR CHARITY AND BAD DEBT ACCOUNTS ARE DEDUCTED USING A RATIO OF COST TO CHARGE SPECIFIC TO THAT SUBSIDIZED SERVICE. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS.
Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation0
Schedule H, Part II, Community Building ActivitiesMERCY HOSPITAL CLERMONT (MHC) PROVIDES COMMUNITY SUPPORT BY ASSISTING IN DISASTER PREPAREDNESS. PREPARING FOR DISASTER IS AN IMPORTANT ROLE FOR THE HOSPITAL TO ASSURE THE SAFETY AND HEALTH OF COMMUNITY RESIDENTS IN THE EVENT OF A NATURAL DISASTER, INDUSTRIAL ACCIDENT OR OTHER LARGE SCALE EMERGENCY.
Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amountTHE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HOSPITAL'S HISTORICAL COLLECTION EXPERIENCE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE. THE HOSPITAL'S CONCENTRATION OF CREDIT RISK RELATED TO NET PATIENT ACCOUNTS IS LIMITED DUE TO THE DIVERSITY OF PATIENTS AND PAYORS. NET PATIENT ACCOUNTS CONSIST OF AMOUNTS DUE FROM GOVERNMENTAL PROGRAMS (PRIMARILY MEDICARE AND MEDICAID), PRIVATE INSURANCE COMPANIES, MANAGED CARE PROGRAMS AND PATIENTS THEMSELVES. NET PATIENT SERVICE REVENUE FOR SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE IS RECOGNIZED BASED ON CONTRACTUAL RATES FOR SERVICES RENDERED. THE HOSPITAL RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). AMOUNTS RECOGNIZED ARE SUBJECT TO ADJUSTMENT UPON REVIEW BY THIRD-PARTY PAYORS. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. ANY DISCOUNTS APPLIED TO SELF-PAY PATIENTS WOULD BE DEEMED EITHER CHARITY OR A CONTRACTUAL ADJUSTMENT. BAD DEBT WOULD BE BASED ON THE BALANCE AFTER THE CHARITY OR CONTRACTUAL ADJUSTMENT THAT IS DEEMED UNCOLLECTABLE FOLLOWING A REASONABLE COLLECTION EFFORT.
Schedule H, Part III, Line 3, Bad Debt Expense MethodologyTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY DOES NOT PERMIT THE COST OF PATIENTS WHO ARE UNCOOPERATIVE OR UNABLE TO BE LOCATED TO BE RECLASSIFIED FROM BAD DEBT TO FINANCIAL ASSISTANCE. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY REQUIRES AN APPLICATION AND SUPPORTING DOCUMENTATION. THEREFORE, ZERO DOLLARS ARE BEING REPORTED ON PART III, LINE 3 AS AMOUNTS INCLUDED IN BAD DEBT THAT COULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE BAD DEBT EXPENSE AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 4, Bad debt expense - financial statement footnoteTHE HOSPITAL'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THE HOSPITAL ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, B. SIGNIFICANT ACCOUNTING POLICIES, NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGE 11) STATES NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HISTORICAL COLLECTION EXPERIENCE OF EACH REGIONAL AFFILIATE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED UPON PAST COLLECTION EXPERIENCE.
Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costsTHE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE MEDICARE LOSSES AS COMMUNITY BENEFIT. THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE MEDICARE AMOUNTS IN PART III.
Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistancePATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAYS AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY AS A LAST RESORT AND ONLY: WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT REFUSE TO DO SO; WHEN PATIENTS REFUSE TO WORK WITH THE ORGANIZATION TO DETERMINE IF THEY QUALIFY FOR FREE OR DISCOUNTED CARE VIA FEDERAL, STATE, LOCAL OR HOSPITAL ASSISTANCE PROGRAMS; WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL.
SCHEDULE H, PART V, SECTION B, LINE 3, 1: COMMUNITY SERVED BY NEEDS ASSESSMENT RESPONSE CONTINUEDABDA TALL, INTERPRETER/PATIENT ADVOCATE, THE HEALTHCARE CONNECTION LINCOLN HEIGHTS YOLANDA MAYWEATHER, INTERPRETER/PATIENT ADVOCATE, THE HEALTHCARE CONNECTION JOE CURRY, EXECUTIVE DIRECTOR, EVERYBODY RIDES METRO KIM SULLIVAN, CHIEF EXECUTIVE OFFICER/PRESIDENT, SINCERE HOME HEALTH CARE TIM SULLIVAN, SINCERE HOME HEALTH CARE RAY WATSON, COMMUNITY INVESTMENT PROGRAM OFFICER, THE GREATER CINCINNATI FOUNDATION MICHELLE DUFF, CASEWORKER, BIG BROTHERS BIG SISTERS KAREN MCDONALD-MYERS, EXECUTIVE DIRECTOR, BIG BROTHERS BIG SISTERS RITA EASDAY, SUPERINTENDENT, HILLSBORO CITY SCHOOLS TONY LONG, SUPERINTENDENT, SOUTHERN OHIO EDUCATIONAL SERVICES CENTER DANIELLE RATCLIFF, FCFC COORDINATOR, FAMILY AND CHILDREN FIRST JUNI FREY, EXECUTIVE DIRECTOR, PAINT VALLEY ALCOHOL, DRUG ADDICTION, MENTAL HEALTH DANA BERRYMAN, PARENT REPRESENTATIVE BONNIE CUMBERLAND, PARENT REPRESENTATIVE HEATHER GIBSON, PROJECT DIRECTOR, HELP ME GROW SHENA WEADE, DIRECTOR OF EARLY CHILDHOOD PROGRAMS, HIGHLAND COUNTY COMMUNITY ACTION ORGANIZATION/HEADSTART/EARLY HEAD START AMANDA ROBBINS, PARENT REPRESENTATIVE, HELP ME GROW MELODY ELLIOTT, DIRECTOR, FRS TRANSPORTATION JEHONA PREZA, COMMUNITY OUTREACH, MOLINA HEALTHCARE SUSAN ROADES, CASE MANAGER/SOCIAL SERVICE SUPERVISOR, HIGHLAND COUNTY JOB AND FAMILY SERVICES LISA HIGLEY, HEALTH CHECK/PREGNANCY RELATED SERVICES, HIGHLAND COUNTY JOB AND FAMILY SERVICES AMY WATSON, NURSE, JAC-CEN-DEL NURSE TONYA GEORGE, OFFICE MANAGER, HEALTH CENTERED CHIROPRACTIC PAT THOMAS*, HEALTH DEPARTMENT DIRECTOR, RIPLEY COUNTY HEALTH DEPARTMENT VICKY POWELL*, PUBLIC HEALTH NURSE, RIPLEY COUNTY HEALTH DEPARTMENT GAYLA VONDERHEIDE, DIRECTOR OF HEALTH SERVICES, BATESVILLE COMMUNITY SCHOOL APPIE THOMPSON, RN, MILAN COMMUNITY SCHOOLS TONY CZACK, MANAGER, ANYTIME FITNESS GERALYN LITZINGER, MANAGER OF OCCUPATIONAL HEALTH SERVICES, MARGARET MARY COMMUNITY HOSPITAL CINDY BLESSING, WELLNESS COORDINATOR/CHOICES DIRECTOR, CITY OF BATESVILLE BRENDA WETZLER, BOARD SECRETARY OSGOOD COMMUNITY FOUNDATION LAURA ROLF, COMMUNITY DEVELOPMENT DIRECTOR, BIG BROTHERS/BIG SISTERS OF GREATER CINCINNATI TRISH HUNTER, DIRECTOR OF SUPPORT SERVICES, MARGARET MARY COMMUNITY HOSPITAL KATHY COOLEY, RD, DIETITIAN, MARGARET MARY COMMUNITY HOSPITAL BONNIE PLOEGER, DIRECTOR OF INPATIENT CARE, MARGARET MARY COMMUNITY HOSPITAL KATHY NEWELL, CARDIOLOGY DIRECTOR, MARGARET MARY COMMUNITY HOSPITAL KEVIN KNEKELEN, NEACE LUKEN ANGELA HURLEY, WELLNESS DIRECTOR, SOUTHERN INDIANA YMCA AMY ERTEL, SCHOOL NURSE, SAINT LOUIS SCHOOL ANGIE JOHNSON, EXECUTIVE DIRECTOR, SOUTHERN INDIANA YMCA LINDA TUTTLE, MANAGER OF SOCIAL SERVICES DEPARTMENT, MARGARET MARY COMMUNITY HOSPITAL DELLA MENCHHOFER, OSGOOD COMMUNITY FOUNDATION DENISE ROARK, SCHOOL NURSE, MILAN ELEMENTARY DEBBIE BLANK, REPORTER, THE HERALD-TRIBUNE JEAN DORGAN, ABUSE RAPE CRISIS SHELTER JERRI LANGWORTHY, VOLUNTEER RESOURCE CENTER DIRECTOR/COMMUNITY BUILDING, WARREN COUNTY UNITED WAY KATHY MICHELICH, EDUCATOR AND DIRECTOR, OHIO STATE UNIVERSITY EXTENSION SUE MILLER, FAMILY SERVICES DIRECTOR, WARREN COUNTY COMMUNITY SERVICES SHARON MOELLER, SCHOOL NURSE/SAFETY OFFICER, WARREN COUNTY CAREER CENTER MARILYN SINGLETON, SITE MANAGER, TRIHEALTH SANDY SMOOT, COORDINATOR, FAMILY & CHILDREN FIRST COUNCIL DUANE STANSBURY*, HEALTH COMMISSIONER, HEALTH DISTRICT (HEALTH DEPARTMENT) JUDY WEBB, DIRECTOR, ELDERLY SERVICES PROGRAM, WARREN COUNTY COMMUNITY SERVICES THE FOCUS GROUP PARTICIPANTS, LISTED ABOVE, INCLUDED REPRESENTATIVES OF COMMUNITY, CONSUMER, AND EDUCATIONAL ORGANIZATIONS AS WELL AS SERVICE AND HEALTH PROVIDERS. THE STAKEHOLDER INTERVIEWS AND THE FOCUS GROUP PARTICIPANTS IDENTIFIED COMMUNITY NEEDS. FOR THE PRIORITIZING OF COMMUNITY HEALTH NEEDS, THE HOSPITAL CONVENED A ONE-TIME COMMITTEE AND INVITED COMMUNITY LEADERS FROM THE HOSPITAL'S SERVICE AREA TO PARTICIPATE IN DISCUSSING, EVALUATING, SCORING, AND PRIORITIZING THE HEALTH NEEDS IDENTIFIED THROUGH BOTH THE HCAN REPORT AND THE SUPPLEMENTAL DATA PROVIDED BY THE HOSPITAL. THE FOLLOWING COMMUNITY FORUMS WERE OPEN TO THE GENERAL PUBLIC. THEY WERE ALSO PROMOTED TO INTERVIEWEES AND FOCUS GROUP PARTICIPANTS AND THEIR ORGANIZATIONS, INCLUDING REPRESENTATIVES WHO WORK DAILY WITH LOW-INCOME RESIDENTS, PEOPLE WITH CHRONIC DISEASES, THE ELDERLY, YOUNG PEOPLE, DISABLED POPULATIONS, PEOPLE WITH MENTAL HEALTH AND/OR SUBSTANCE ABUSE, AND MINORITY POPULATIONS. AT EACH FORUM, CDS CONTAINING HCAN'S REPORT WERE GIVEN AWAY FOR PUBLIC DISSEMINATION. THE FORUMS WERE ORGANIZED BY HCAN AND THE ACTION RESEARCH CENTER, AND THE HOSPITAL WAS NOT PRIVY TO THEIR COMMUNICATIONS PLAN. NOT ALL PARTICIPANTS IN COMMUNITY FORUMS PROVIDED THEIR TITLES AND AFFILIATIONS. COMMUNITY FORUMS DESCRIPTION PREPARED ON JULY 2, 2012 BY ACTION RESEARCH CENTER TEAM MEMBERS AND HCAN STAFF & CONSULTANTS IN ORDER TO DISSEMINATE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND BEGIN THE CONVERSATION ABOUT NEXT STEPS, FIVE COMMUNITY FORUMS WERE ORGANIZED BY HCAN AND THE UNIVERSITY OF CINCINNATI ACTION RESEARCH CENTER. THE FORUMS WERE HELD AT ACCESSIBLE SITES ACROSS THE NINE COUNTY REGION: FORUM 1: ADAMS, BROWN, AND HIGHLAND COUNTIES, JUNE 11, 2012 LOCATION: BROWN COUNTY FAIRGROUNDS IN GEORGETOWN, OH 16 ATTENDEES: JIM SETTLES, RIPLEY; ROSE MERKOWITZ, WILMINGTON; JIM MERKOWITZ, WASHINGTON COURT HOUSE; STEVE DUNKIN, GEORGETOWN; DENISE NEU, GEORGETOWN; SHARON ASHLEY, BLUE CREEK; SAUNDRA STEVENS, WEST UNION; SHERRY STOUT, WINCHESTER; ELIZABETH PENDELL, PEEBLES; NANCY DARBY, WEST UNION; KATHY JELLEY, GEORGETOWN; PENNY CONDO, GEORGETOWN; AMY HABIG, HILLSBORO; CHERYL WILLIAMS, GEORGETOWN; BRIAN PECK, GEORGETOWN; AND MARY BAILEY, GEORGETOWN. FORUM 2: DEARBORN AND RIPLEY COUNTIES, JUNE 12, 2012 LOCATION: SOUTHEAST INDIANA YMCA IN BATESVILLE, IN 24 ATTENDEES: VICKY POWELL, BATESVILLE; TOM TALBOT, GREENDALE; KIM INSCHO, MMCH; FRANK GOODPASTER, OSGOOD; PAULA GOODPASTER, VERSAILLES; KIM LINKEL, BATESVILLE; LUREE KETCHAM, LAWRENCEBURG; RUTH WRIGHT, LAWRENCEBURG; JENNIFER MEHLON, BATESVILLE; DIANE RAVER, BATESVILLE; ASHLEY MORRIS, BATESVILLE; GERALYN LITZINGER, BATESVILLE; STEPHANIE CRAIG, LAWRENCEBURG; ANGIE JOHNSON, BATESVILLE; CONNIE DEBURGER, VERSAILLES; RAE LYNN DEANGELIS, LAWRENCEBURG; PAULA BRUNER, LAWRENCEBURG; JANE YORN, BATESVILLE; LISA WERNER, BATESVILLE; LAURA ROLF, LAWRENCEBURG; KATHY NEWELL, BATESVILLE; RICK FLEDDERMAN, RIPLEY; KATHY COOLEY, RIPLEY; AND RHONDA SAVAGE, BATESVILLE. FORUM 3: BUTLER AND WARREN COUNTIES, JUNE 25, 2012 LOCATION: MIAMI UNIVERSITY VOICE OF AMERICA LEARNING CENTER IN WEST CHESTER, OH 18 ATTENDEES: JENNIFER KRUGER, CITY OF HAMILTON; TERRY PURDUE, HAMILTON; JOYCE KACHELRIES, HAMILTON; JANE BARNES, HAMILTON; MIKE OBERDOESK, CINCINNATI; SHERRY SCHILLING, OXFORD; DAWN FAHNER, OXFORD; SUSAN LIPNICKEY, OXFORD; MARC BELLISARO, HAMILTON; HEATHER WELLS, HAMILTON; KAREN HILL, LEBANON; JUDY WEBB, LEBANON; SANDY SMOOT, LEBANON; SHARON KLEIN, OXFORD; PAT VAN OFLEN, FAIRFIELD; LYNN OSWALD, MASON; BRAD FARR, WEST CHESTER; AND BRENT LAWYER, LEBANON. FORUM 4: CLERMONT AND HAMILTON COUNTIES, JUNE 26, 2012 LOCATION: UNION TOWNSHIP CIVIC CENTER IN EASTGATE AREA 7 ATTENDEES: SUE MOTZ, MERCY HEALTH; HEIDI NYKOLAYKO WOODS, RECOVERY CENTER; GWEN FINEGAN, MERCY HEALTH; WENDY HESS, TRIHEALTH; IRENE BEHLING, MERCY HEALTH; GYASI C. CHISLEY, MERCY HEALTH; AND RUCHI BAWA, UC-CLERMONT.
SCHEDULE H, PART V, SECTION B, LINE 3, 2: COMMUNITY SERVED BY NEEDS ASSESSMENT RESPONSE CONTINUEDFORUM 5: HAMILTON COUNTY, JUNE 28, 2012 LOCATION: HEALTH FOUNDATION IN CINCINNATI, OH 20 ATTENDEES: COL OWENS, LEGAL AID SOCIETY; DONNA MARSH, MARSH MEDIA GROUP; ASHAKI WARREN; MONICA ROBERTS, HEALING CENTER CINCINNATI; TONY SAVICKI; MELISSA MAY; JOSH KAUFMANN, PROJECT ACCESS; TONDA FRANCIS, GREATER CINCINNATI HEALTH COUNCIL; LEE ANN LISKA, MERCY HEALTH; RICK STUMPF, UNIVERSITY OF CINCINNATI; DON ROHLING, MERCY HEALTH; MARY BETH MEYER, CENTER FOR RESPITE CARE; JEFF ARMADA, MERCY HEALTH; KATHY LORDO, HAMILTON COUNTY PUBLIC HEALTH; TIM INGRAM, HAMILTON COUNTY HEALTH COMMISSIONER; YOUSUF AHMAD, MERCY HEALTH; JILL GORLEY, ALZHEIMER'S ASSOCIATION; LIANNE HOWARD, CITY OF CINCINNATI; TORI AMES, CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER; LESLIE APPLEGATE, UNIVERSITY OF CINCINNATI. ALTHOUGH THESE FORUMS WERE INITIALLY DESIGNED TO INCLUDE COMMUNITY RESIDENTS, SERVICE PROVIDERS, AND HOSPITAL REPRESENTATIVES, THE MAJORITY OF ATTENDEES WERE SERVICE PROVIDERS AND HOSPITAL REPRESENTATIVES. EACH FORUM WAS HELD FOR 1.5 HOURS. AT EACH FORUM, THE SAME AGENDA WAS FOLLOWED. * WELCOME AND INTRODUCTION * KEY CHNA FINDINGS AND RECOMMENDATIONS (ACROSS NINE COUNTIES AND COUNTY SPECIFIC) * "IMAGINING THE FUTURE" EXERCISE (SMALL GROUP COUNTY SPECIFIC DISCUSSIONS ABOUT REPORT RECOMMENDATIONS) * WRAP UP AND NEXT STEPS OVERALL, THE ATTENDEES WERE INTERESTED IN HEARING THE RESULTS - BOTH NINE-COUNTY AND COUNTY-SPECIFIC. THEY WERE ENGAGED IN DISCUSSING NEXT STEPS. ATTENDEES OFFERED SPECIFIC SUGGESTIONS ABOUT HOW BEST TO MOVE FORWARD. BASED ON THE DISCUSSIONS AND INTEREST EXPRESSED BY ATTENDEES, THERE APPEARS TO BE A HIGH LEVEL OF WILLINGNESS AMONG ATTENDEES TO PARTNER WITH HOSPITALS AND OTHER COUNTY STAKEHOLDERS FOR THE DEVELOPMENT OF PRACTICAL COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE ATTENDEES WERE RATHER PASSIONATE AND READY TO MOBILIZE FOR ACTION PLANNING AND EXECUTION. ATTENDEES WERE INVITED TO INDICATE IF THEY WOULD BE INTERESTED IN FOLLOW-UP FOR FUTURE MEETINGS, ACTION PLANNING AND INFORMATION. THE MAJORITY OF ATTENDEES DID CONSENT FOR FUTURE FOLLOW-UP. THEREFORE, THE HOSPITALS WOULD HAVE A CORE GROUP OF COUNTY RESIDENTS AND PROVIDERS TO WORK WITH IN DEVELOPING THEIR RESPECTIVE COMMUNITY HEALTH IMPROVEMENT PLANS. GENERAL OVERALL THEMES FROM THE GROUP DISCUSSIONS ALL COUNTIES AGREED WITH AND IDENTIFIED THE NEED TO ESTABLISH A COLLABORATIVE HEALTH ADVISORY BOARD THAT INCLUDES CONSUMERS. ADAMS COUNTY WAS THE ONLY COUNTY WHO FELT THEY ALREADY HAD SUCH A BOARD WITH THEIR HEALTH AND WELLNESS COALITION. SOME OF THE COUNTIES DESCRIBED COALITIONS AND BOARDS ALREADY IN EXISTENCE THAT COULD BE EXAMINED AND POSSIBLY CONDENSED OR EXPANDED TO BETTER MEET COMMUNICATION AND RESOURCE NEEDS. ALL COUNTIES IDENTIFIED THE NEED TO MAKE SURE THAT COUNTY AND COMMUNITY RESOURCES ARE NOT ONLY IDENTIFIED, BUT SHARED WIDELY SOCOMMUNITY MEMBERS KNOW WHAT IS AVAILABLE. COORDINATION OF SERVICES (BEYOND MEDICAL HEALTH SERVICES) WAS STRESSED IN ALL FORUMS. SEVERAL GLAS AND FORUMS WERE VENUES OF DISCOVERY, AS PARTICIPANTS BECAME AWARE OF SERVICES IN THEIR COUNTY. ALL COUNTY GROUPS NOTED THE IMPORTANCE OF ASSESSING THE RESOURCES AVAILABLE (AND WHOM THEY SERVE), AS WELL AS COLLABORATING IN SPREADING AWARENESS OF THOSE RESOURCES. THE GROUPS ALSO AGREED THAT IT MADE SENSE TO COORDINATE EFFORTS TO ENSURE THAT THE PEOPLE OF THEIR COUNTIES WOULD HAVE ACCESS TO NEEDED SERVICES. PARTICIPANTS AT THE COMMUNITY FORUMS WERE ANXIOUS TO NETWORK AND WORK COLLABORATIVELY. THEY OFTEN REPRESENTED THE SERVICE PROVIDERS THAT ARE ALREADY STRETCHED THIN IN THEIR RESPECTIVE ROLES. AS THE WARREN COUNTY GROUP PUT IT, "WHO WILL TAKE THE LEAD IN COORDINATING THESE EFFORTS?" IN TERMS OF NEXT STEPS, SEVERAL COUNTY GROUPS FELT THAT FURTHER ASSESSMENT OF NEEDS OF VULNERABLE POPULATIONS WAS WARRANTED. FOR EXAMPLE, ADAMS COUNTY ATTENDEES IDENTIFIED THAT MORE INFORMATION ON CHILDREN AND THE ELDERLY WAS NEEDED. OTHER COUNTY GROUPS ALSO VOICED THAT CONTINUED IN-DEPTH NEEDS ASSESSMENTS WERE IMPORTANT TO DETERMINE NEEDS AND PRIORITIZATION. ONE GROUP, HOWEVER, SAID THAT IT'S TIME TO TAKE ACTION, RATHER THAN CONTINUING TO CONDUCT MORE ASSESSMENTS. ACCESS TO CARE DISCUSSIONS RAISED ISSUES OF TRANSPORTATION WITH SOME SUGGESTIONS FOR MOBILE HEALTH CARE (RIPLEY), ACCESS TO TRANSPORTATION (DEARBORN) AND REVISED HOURS OR WALK IN CLINICS, IN THE WARREN COUNTY SMALL GROUP DISCUSSION, ATTENDEES REITERATED THAT TRANSPORTATION IS A CHALLENGE WITHIN THEIR COUNTY. THEY STATED THAT THEY MUST TAKE ACTION TO ADDRESS TRANSPORTATION SINCE THEY HAVE KNOWN IT'S A PROBLEM AND CONTINUES TO BE A PROBLEM ACCORDING TO THE RESULTS OF THIS CHNA. THE LACK OF SPECIFIC TYPES OF PROVIDERS WAS NOTED IN MANY COUNTIES, ESPECIALLY OUTSIDE THE I-275 LOOP. PRIMARY CARE, DENTAL, MENTAL HEALTH AND SUBSTANCE ABUSE PRACTITIONERS ARE LACKING IN SEVERAL OF THE COUNTIES. SOME SUGGESTIONS WERE MADE FOR INCENTIVIZING PRACTITIONERS TO NOT ONLY WORK IN OUTLYING AREAS (CLERMONT), BUT TO AGREE TO CARE FOR THE UNDERINSURED AND UNINSURED (HAMILTON). PARTICIPANTS WERE AWARE THAT FUNDING IS PART OF THE EQUATION. SOME SUGGESTED THAT LOAN FORGIVENESS AND INTERNSHIPS MIGHT BE INCENTIVES FOR RECRUITMENT. PARTNERING WITH BUSINESS AND COMMUNITY LEADERS WAS BROUGHT UP BOTH IN DIRECT COLLABORATION AND IN GRANTS/ FUNDING FOR NEEDED PROGRAMS.
Schedule H, Part VI, Line 2, Needs assessment.THE HOSPITAL USES EXISTING COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS SUCH AS THE UNITED WAY OF GREATER CINCINNATI REPORT (THE STATE OF THE COMMUNITY - A REPORT ON THE SOCIO-ECONOMIC HEALTH OF THE GREATER CINCINNATI REGION) AND THE GREATER CINCINNATI HEALTH COUNCIL REPORT (INDICATORS OF HEALTHY COMMUNITIES). THE HOSPITAL ALSO USES DATA PROVIDED BY THE OHIO HOSPITAL ASSOCIATION. THE HOSPITAL ALSO UTILIZES HOSPITAL PERSONNEL AND PHYSICIANS WHO HAVE IDENTIFIED COMMUNITY NEEDS BASED ON ADMISSION/DISCHARGE AND OTHER HOSPITAL DATA. BASED ON THIS DATA AND INFORMATION, THE HOSPITAL ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. THE HOSPITAL RECOGNIZES THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. THE HOSPITAL INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. TO HELP FACILITATE THIS PLANNING PROCESS, THE HOSPITAL UTILIZES QUANTITATIVE PRIMARY MARKET RESEARCH AND THE ANALYSIS OF HEALTH CARE UTILIZATION DATA BASES. IN ADDITION, SERVICE USE IS FORECAST UTILIZING LICENSED POPULATION BASED SOFTWARE. THE HOSPITAL HAS DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT PLANNING, REPORTING, MONITORING AND IMPLEMENTATION OF COMMUNITY BENEFIT PROGRAMS AND SERVICES. THIS STAFF DEDICATED TO COMMUNITY BENEFIT EFFORTS OF THE HOSPITAL MEETS WITH THE REGIONAL COMMUNITY BENEFIT PLANNING COMMITTEE ON A MONTHLY BASIS AND WORKS CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES AND TO AVOID DUPLICATION. COMMUNITY BENEFIT ACTIVITIES AND PROGRAM EFFECTIVENESS ARE REPORTED TO THE REGIONAL BOARD BY THE HUMAN RESOURCE, MISSION AND COMMUNITY OUTREACH COMMITTEE OF THE REGIONAL BOARD.
Schedule H, Part VI, Line 3, Patient education of eligibility for assistance.MERCY HOSPITAL CLERMONT (MHC) 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. MHC 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. MHC 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 MHC. 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. MHC 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 MHC'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. MHC IS PROUD TO MAKE OUR FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE, WHICH CAN BE FOUND AT E-MERCY.COM. OTHER PATIENT EDUCATION INFORMATION THAT IS PROVIDED FOR ELIGIBILITY OF ASSISTANCE IS AS FOLLOWS: * A BILINGUAL REPRESENTATIVE IS AVAILABLE IN OUR OB CLINIC AT FAIRFIELD. TWO BILINGUAL REPRESENTATIVES ARE AVAILABLE IN OUR CUSTOMER SERVICE DEPARTMENT. * STAFF TRAINING ON HOSPITAL CARE ASSURANCE PROGRAM (HCAP) AND HOSPITAL FINANCIAL ASSISTANCE (HFA) WAS PROVIDED IN 2009 BY A PRIVATE AUDITING COMPANY. TRAINING INCLUDED A MANUAL AND IN-DEPTH INFORMATION REGARDING THE PREPARATION OF THE COST REPORT LOGS, ACCURATE COMPLETION OF THE HCAP APPLICATION AS WELL AS AN OVERVIEW OF THE FAQ'S PROVIDED BY THE OHIO HOSPITAL ASSOCIATION. * STAFF TRAINING PROVIDED BY SOCIAL SECURITY ADMINISTRATION TO ASSIST PATIENTS IN OBTAINING DISABILITY BENEFITS. * FINANCIAL ASSISTANCE COUNSELORS WORK WITH CASE MANAGERS TO EXPEDITE THE TRANSFER OF PATIENTS TO EXTENDED CARE FACILITIES. * FEDERAL POVERTY GUIDELINES ARE POSTED ON OUR WEBSITE AS WELL AS A COPY OF OUR CHARITY APPLICATION. * ALL THIRD PARTIES THAT WORK ON BEHALF OF THE ORGANIZATION TO COLLECT FEES (SUCH AS COLLECTION AGENCIES AND LAW FIRMS) ARE REQUIRED TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. * CONSISTENT REVIEW OF SELF PAY PATIENTS FOR RETROACTIVE MEDICAID COVERAGE. * SERVICES PROVIDED BY VENDOR TO REACH OUT TO PATIENTS IN BAD DEBT TO SCREEN FOR HCAP ELIGIBILITY.
Schedule H, Part VI, Line 4, Community information.MERCY HEALTH - CLERMONT HOSPITAL (MHC) SERVES A FOUR COUNTY GEOGRAPHIC AREA THAT INCLUDES THE FOLLOWING COUNTIES: CLERMONT, HAMILTON, BROWN AND ADAMS. THE POPULATION OF MHC'S PRIMARY SERVICE AREA IS APPROXIMATELY 166,620. OUR COMMUNITY IS CHANGING AND WE ALSO SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THERE ARE FOUR HOSPITALS IN THE COMMUNITY AND ALL FOUR ARE NOT-FOR-PROFIT HOSPITALS. MHC QUALIFIES FOR A DISPROPORTIONATE SHARE PAYMENT ON THEIR MEDICARE COST REPORT DUE TO THE LARGER THAN NORMAL SHARE OF MEDICAID PATIENT VOLUME SERVED BY THE HOSPITAL. THE DEMOGRAPHIC AREA SERVED BY MHC SERVES A POPULATION THAT INCLUDES A LITTLE MORE THAN 3% NON-ENGLISH SPEAKING PEOPLE. 9.37% OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES. THE AVERAGE FAMILY HOUSEHOLD INCOME OF THE COMMUNITY SERVED BY THE HOSPITAL IS $63,062. THE LARGEST ETHNIC GROUP IN THE COMMUNITY SERVED BY THE HOSPITAL IS GERMAN. APPROXIMATELY 19.5% OF THE POPULATION IS OF GERMAN DESCENT. THE OCCUPATION CLASSIFICATION IN THE COMMUNITY CONSISTS OF 28% BLUE COLLAR, 54.5% WHITE COLLAR AND 17% SERVICE & FARM WORKERS. THE PERCENTAGE OF THE POPULATION IN THE COMMUNITY OVER 65 YEARS OLD IS NEARLY 14%. THROUGH THE COMMUNITY NEEDS ASSESSMENT PROCESS, OBESITY, MENTAL HEALTH (INCLUDING SUBSTANCE ABUSE), SMOKING AND DIABETES WERE MAJOR HEALTH PROBLEMS IDENTIFIED IN THIS SERVICE AREA. EACH OF THESE MAY BE PREVENTABLE THROUGH PROPER CARE AND MAINTAINING CONTROL OF THE ILLNESS/DISEASE AS WELL AS LEADING HEALTHIER LIVES. MHC WORKS CLOSELY WITH LOCAL COMMUNITY AGENCIES AND HEALTH DEPARTMENTS TO ADDRESS HEALTH PROBLEMS AND MINIMIZE THE EFFECTS ON THOSE WHO SUFFER. IN 2013, MHC HAD 6,790 ADMISSIONS, 73,604 OUTPATIENT VISITS, AND 54,234 EMERGENCY ROOM VISITS.
Schedule H, Part VI, Line 5, Promotion of community healthTHE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, THE HOSPITAL PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. THROUGH THE HEALTH PARTNERSHIP PROGRAM AND THE MERCY CLINIC, THE HOSPITAL CONNECTS POOR AND LOW INCOME RESIDENTS WITH PRIMARY CARE PHYSICIANS IN THE COMMUNITY WHO VOLUNTEER THEIR SERVICES TO PROVIDE PRIMARY AND URGENT CARE SERVICES. THE HOSPITAL ALSO PROVIDES PHARMACEUTICAL SUPPORT FOR THESE POOR AND LOW INCOME RESIDENTS. THE HOSPITAL ALSO COLLABORATES WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS SUCH AS LINCOLN HEIGHTS HEALTH CENTER AND HEALTH SOURCE OF OHIO, AS WELL AS COMMUNITY AGENCIES SUCH AS HEALTH CARE ACCESS NOW, TO FURTHER ASSIST THE POOR AND MEDICALLY UNDERSERVED FIND A MEDICAL HOME IN THE COMMUNITY. MEDICAL SUPPLIES AND EQUIPMENT ARE DONATED TO LOCAL AGENCIES AS WELL AS TO AGENCIES WHICH SERVE OTHER COUNTRIES. THE HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY THE HOSPITAL. THE HOSPITAL SERVES AS A CLINICAL EXPERIENCE SITE FOR SURGICAL RESIDENTS AS WELL AS OTHER HEALTH CARE PROFESSIONALS SUCH AS NURSES, RESPIRATORY THERAPISTS, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS AND OTHERS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF THE HOSPITAL AS IS EVIDENCED BY THE LARGE NUMBER OF VOLUNTEERS. THE HOSPITAL RECEIVES GUIDANCE AND INPUT FROM ITS COMMUNITY ADVISORY COUNCIL.
Schedule H, Part VI, Line 6, Affiliated health care systemTHE HOSPITAL IS ONE OF THE COMMUNITY HOSPITALS THAT ARE PART OF MERCY HEALTH PARTNERS OF SOUTHWEST OHIO (MHP-SWO). ALL ARE ACUTE CARE HOSPITALS AND OHIO NON-PROFIT CORPORATIONS. THE HOSPITALS ARE SPONSORED BY THE SISTERS OF MERCY AND THE FRANCISCAN SISTERS OF THE POOR AND HAVE BEEN PART OF THE COMMUNITY SINCE THEY WERE FOUNDED IN THE FOLLOWING YEARS: THE JEWISH HOSPITAL 1850 LICENSED BEDS: 209 MERCY HOSPITAL MT. AIRY 1971 LICENSED BEDS: 548 MERCY HOSPITAL CLERMONT 1973 LICENSED BEDS: 148 MERCY HOSPITAL FAIRFIELD 1978 LICENSED BEDS: 209 MERCY HOSPITAL WESTERN HILLS 1982 LICENSED BEDS: 261 MERCY HOSPITAL ANDERSON 1984 LICENSED BEDS: 226 MERCY HEALTH - WEST HOSPITAL 2013 LICENSED BEDS: 250 EACH OF THE HOSPITALS WORK INDIVIDUALLY AND COLLECTIVELY TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS. IN ADDITION, MERCY FRANCISCAN AT ST. JOHN AND MERCY FRANCISCAN AT ST. RAPHAEL ARE TWO SOCIAL SERVICE AGENCIES THAT PROVIDE SHELTER, FOOD, EDUCATION, CLOTHES, AND HEALTH SERVICES TO CLIENTS IN ECONOMICALLY DEPRESSED NEIGHBORHOODS IN INNER CITY CINCINNATI AND HAMILTON. MHP-SWO IS THE SOLE SPONSOR FOR THESE AGENCIES. IN ADDITION, MHP-SWO INCLUDES SENIOR HEALTH AND HOUSING COMMUNITIES IN CINCINNATI, OHIO, HAMILTON, OHIO, LOUISVILLE KENTUCKY AND NEW ALBANY, INDIANA. THESE SENIOR HEALTH AND HOUSING FACILITIES PROVIDE COMMUNITY BENEFIT SERVICES FOR THEIR RESIDENTS AND THE COMMUNITIES THEY SERVE. MERCY HEALTH PARTNERS OF SOUTHWEST OHIO COMMUNITY BENEFIT FOR 2013 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2013 COMMUNITY BENEFIT: $104.5 MILLION BENEFITS TO THE BROADER COMMUNITY: $10.7 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $49.0 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $37.5 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $7.3 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 9.7 PERCENT MERCY HEALTH PARTNERS OF SOUTHWEST OHIO IS A MEMBER OF CATHOLIC HEALTH PARTNERS (CHP). CHP IS THE LARGEST HEALTH SYSTEM IN OHIO, THE STATE'S FOURTH LARGEST EMPLOYER AND ONE OF THE LARGEST CATHOLIC HEALTH SYSTEMS IN THE UNITED STATES. CHP IS SPONSORED BY PARTNERS IN CATHOLIC HEALTH MINISTRIES (PCHM). PCHM IS A PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH. CHP CONTINUES THE HEALTHCARE MINISTRIES BEGUN BY ITS FOUNDERS IN URBAN AND RURAL AREAS ACROSS OHIO, PENNSYLVANIA AND KENTUCKY MORE THAN 150 YEARS AGO. CHP PROVIDES INTEGRATED HEALTH SERVICES VIA ACUTE CARE HOSPITALS, PHYSICIAN PRACTICES, LONG-TERM CARE RESIDENCES, HOUSING SITES FOR THE ELDERLY, HOME HEALTH AGENCIES, HOSPICE PROGRAMS, OUTREACH SERVICES AND WELLNESS CENTERS. CHP HOSPITALS INCLUDE CRITICAL ACCESS FACILITIES THAT OFFER ESSENTIAL HEALTH SERVICES THAT OTHERWISE WOULD NOT BE AVAILABLE IN MANY COMMUNITIES. CHP'S MISSION CALLS IT TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES WITH SPECIAL EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. IN ADDITION TO PROVIDING PROGRAMS AND SERVICES DESIGNED TO ENHANCE THE HEALTH OF ENTIRE COMMUNITIES, CHP CARES FOR EVERYONE WHO COMES TO ITS FACILITIES, REGARDLESS OF THEIR ABILITY TO PAY. CHP'S HOME OFFICE IN CINCINNATI, OHIO PROVIDES SERVICES AND SUPPORT TO THE ENTIRE SYSTEM. ITS GOVERNANCE PRACTICES HAVE BEEN NATIONALLY RECOGNIZED FOR QUALITY. SYSTEM LEADERSHIP PROVIDES STRATEGIC VISION AND MANAGEMENT OVERSIGHT IN SUPPORT OF THE MINISTRY BY DIRECTING RESOURCES, PROVIDING ACCESS TO LOWER COST DEBT FINANCING, IMPROVING CLINICAL OUTCOMES AND REDUCING OPERATING COSTS. SYSTEM-WIDE COMMUNITY BENEFIT FOR 2013 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2013 COMMUNITY BENEFIT: $374.7 MILLION BENEFITS TO THE BROADER COMMUNITY: $73.5 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $150.9 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $122.0 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $28.3 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 9.8 PERCENT

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1NEW RICHMOND EXEMPTED VILLAGE SCHOOL DISTRICTBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1212 MARKET STREETAddressLine1
CityNEW RICHMONDCity
StateOHState
ZIP Code45157ZIPCode
FieldValueIRS element (for citing)
Recipient EIN316000901RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$15,000CashGrantAmt
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeOUTREACH SERVICESGrantTypeTxt
Recipient97RecipientCnt
Cash Grant$41,870CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2, Procedures for monitoring use of grant fundsFormAndLineReferenceDesc
ExplanationAN ADMINISTRATION OFFICIAL OF THE ENTITY APPROVES THE PAYMENT TO THE ORGANIZATION. THERE IS NO MONITORING OF THE USE OF FUNDS AFTER THE PAYMENT HAS BEEN MADE BY THE ENTITY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
YOUSUF JAMAL AHMAD
PRESIDENT & SECRETARY, MERCY HEALTH CINCINNATI PRESIDENT & CEO$0$512,272$0$255,097$0$29,636$0$105,601$0$23,660$0$926,266$0$0
JAMES MAY
TRUSTEE, CHP EVP & COO$0$734,698$0$262,703$0$797,477$0$10,200$0$34,828$0$1,839,906$0$0
L RICHARD ROEDERSHEIMER MD
TRUSTEE$0$288,340$0$246,333$0$33,391$0$19,796$0$14,191$0$602,051$0$0
ED HERZIG MD
TRUSTEE$0$364,434$0$27,821$0$22,921$0$19,697$0$13,764$0$448,637$0$0
THOMAS URBAN
FORMER OFFICER$0$408,591$0$112,776$0$15,937$0$47,753$0$14,994$0$600,051$0$0
DEBORAH BLOOMFIELD
SVP, MARKET CFO$0$440,469$0$111,266$0$10,123$0$79,508$0$14,285$0$655,651$0$0
PATRICK KOWALSKI
MARKET CFO$0$295,692$0$46,920$0$8,767$0$16,330$0$19,353$0$387,062$0$0
JEFFREY GRAHAM
MARKET LEADER & PRESIDENT$0$316,514$0$83,522$0$14,847$0$35,073$0$16,560$0$466,516$0$0
LEONARD M RANDOLPH JR MD
SVP, CHIEF MEDICAL OFFICER$0$390,631$0$95,655$0$25,699$0$46,413$0$21,139$0$579,537$0$0
CLAIRE COMBS
SVP, CHIEF ADMINISTRATIVE OFFICER$0$331,224$0$95,804$0$18,008$0$37,041$0$24,932$0$507,009$0$0
MAGGIE LUND
SVP, DIV HUMAN RESOURCES$0$274,444$0$74,122$0$11,803$0$36,703$0$7,774$0$404,846$0$0
LEE ANN LISKA
MHP CHIEF OPERATING OFFICER$0$212,151$0$109,647$0$5,180$0-$12,301$0$11,263$0$325,940$0$0
MICHAEL KRAMER
VP STRATEGIC PLANNING & BUS. DEVELOPMENT$0$218,436$0$50,293$0$717$0$18,392$0$18,807$0$306,645$0$0
PATRICIA SCHROER
VP MERCY HEALTH SERVICE LINES$0$158,147$0$82,342$0$44,185$0$35,823$0$7,412$0$327,909$0$0
GAYLE HEINTZELMAN
SITE ADMINISTRATOR$250,854$0$44,313$0$15,683$0$35,860$0$8,391$0$355,101$0$0$0
SHARON LONG
RN SHIFT SUPRVISOR W/E$164,241$0$150$0$721$0$19,656$0$6,091$0$190,859$0$0$0
SARA COVERT
RN ACUTE$116,390$0$25,225$0$323$0$20,584$0$15,960$0$178,482$0$0$0
CONNIE HOLMES
PHARMACIST$131,339$0$200$0$734$0$9,040$0$17,220$0$158,533$0$0$0

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a, Health or social club dues or initiation feesBECAUSE THE ORGANIZATION'S MISSION INCLUDES PROMOTING GOOD HEALTH FOR ALL, INCLUDING ITS OWN EMPLOYEES, THE ORGANIZATION PAYS PART OF THE MONTHLY DUES FOR MERCY HEALTHPLEX FACILITIES (RELATED ORGANIZATIONS), WHICH ARE HEALTH CLUBS. THE BENEFIT IS AVAILABLE TO ALL EMPLOYEES, NOT JUST EXECUTIVES. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE COMPENSATION AND WAS PROVIDED FOR THE FOLLOWING LISTED INDIVIDUALS: SHARON LONG, SUHA UMINA, AND CONNIE HOLMES.
Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensationTHE COMPENSATION OF JEFFREY GRAHAM, MARKET LEADER & PRESIDENT, IS DETERMINED BY MERCY HEALTH PARTNERS OF SOUTHWEST OHIO (MHPSWO), A RELATED TAX-EXEMPT ORGANIZATION. MHPSWO UTILIZES A COMPENSATION COMMITTEE, A WRITTEN EMPLOYMENT CONTRACT, AN INDEPENDENT COMPENSATION CONSULTANT, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MR. GRAHAM'S COMPENSATION.
Schedule J, Part I, Line 4a, Severance or change-of-control paymentSEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO LISTED INDIVIDUALS FOR SPECIFIED PERIODS. THE LISTED INDIVIDUALS EXECUTED RELEASES AND WAIVERS OF CLAIMS IN EXCHANGE FOR THE SEVERANCE BENEFITS. SALARY CONTINUATION AMOUNTS PROVIDED DURING THE REPORTING YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: PATRICIA SCHROER $36,565.
Schedule J, Part I, Line 4b, Supplemental nonqualified retirement planTHE MHP EXECUTIVE BENEFIT PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO ALL EXECUTIVE COUNCIL MEMBERS. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION. A BENEFIT IS CALCULATED FOR ANY INDIVIDUAL WHOSE COMPENSATION IS LIMITED IN THE QUALIFIED CASH BALANCE PLAN DUE TO INCOME WHICH EXCEEDS THE IRS MAXIMUM. THE BENEFIT IS BASED UPON FORM W-2 COMPENSATION AND IS EQUAL TO THE AMOUNT EXCLUDED FROM THE QUALIFIED PLAN. PARTICIPANTS MUST COMPLETE A TWO TIERED VESTING PROVISION. PARTICIPANTS MUST BE VESTED UNDER THE BASE QUALIFIED PLAN AND MUST COUNT 24 MONTHS AFTER TERMINATION DURING WHICH THEY DO NOT COMPETE WITH MERCY HEALTH PARTNERS OF SOUTHWEST OHIO. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO EXECUTIVE BENEFIT PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: YOUSUF JAMAL AHMAD $0; DEBORAH BLOOMFIELD $0; LEONARD RANDOLPH, JR. $0; MAGGIE LUND $0; JEFFREY GRAHAM $0; THOMAS URBAN $0.
SCHEDULE J, PART I, LINE 4B, TERMS AND CONDITIONS OF CHP EXECUTIVE RETENTION PLAN 457(F)THE CHP RETENTION PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST AND CEASE TO RECEIVE CREDITS AFTER 5 YEARS OF PLAN PARTICIPATION PROVIDED THEY REMAIN EMPLOYED. VESTING AND CESSATION OF CREDITS OCCUR EARLIER FOR DEATH OR TOTAL DISABILITY WHILE EMPLOYED, INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION, OR, FOR CERTAIN PARTICIPANTS, UPON BEING OFFERED A SPECIFIED PROMOTION. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS UPON VESTING. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JAMES MAY $593,585; CLAIRE COMBS $0.
SCHEDULE J, PART I, LINE 4B, TERMS AND CONDITIONS OF CHP SERPTHE CHP SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTIVELY. VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMINATION. PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDINGS. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JAMES MAY $154,309; THOMAS URBAN $0.
Schedule J, Part I, Line 7, Non-fixed paymentsTHE ORGANIZATION PROVIDES ANNUAL INCENTIVE COMPENSATION FOR LISTED INDIVIDUALS. THE ORGANIZATION'S BOARD OF TRUSTEES ESTABLISHES OBJECTIVE THRESHOLDS FOR QUALITY, COMMUNITY BENEFIT, AND FINANCIAL PERFORMANCE WHICH MUST BE ACHIEVED FOR INCENTIVES TO BE AWARDED. THE BOARD ALSO ESTABLISHES THRESHOLD, TARGET AND MAXIMUM LEVELS FOR INCENTIVE AWARDS. WITHIN THESE ESTABLISHED PARAMETERS, THE BOARD DETERMINES THE CEO'S INCENTIVE AWARD AND INCENTIVE AWARDS FOR OTHER LISTED INDIVIDUALS ARE DETERMINED BY THE LISTED INDIVIDUAL'S SUPERVISOR AND DISCLOSED TO THE BOARD. THE BOARD MAY AUTHORIZE MODIFIED INCENTIVE AWARDS WHEN APPROPRIATE IN ITS JUDGMENT.
SCHEDULE J, PART II, COLUMN (C), REPORTING NEGATIVE DEFERRED COMPENSATIONANNUAL ACTUARIALLY-DETERMINED CONTRIBUTIONS TO DEFINED BENEFIT PLANS, WHICH ARE BASED ON PRIOR PLAN CONTRIBUTIONS, CHANGES IN INTEREST RATES, THE PRESENT VALUE OF ACCRUED BENEFITS, AND OTHER DATA AND ASSUMPTIONS ABOUT THE FUTURE, MAY, FOR SOME PLAN PARTICIPANTS AND FOR SOME YEARS, RESULT IN NEGATIVE CONTRIBUTION AMOUNTS.

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidALL ASSETS AND LIABILITIES OF THE SISTERS OF MERCY OF CLERMONT COUNTY, OHIOAssetsDistriOrExpnssPaidDesc
Distribution2014-01-01DistributionDt
Fair Market Value Of Asset$42,185,359FairMarketValueOfAssetAmt
Method Of FMV DeterminationGAAPMethodOfFMVDeterminationTxt
EIN310830955EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY HEALTH - CLERMONT HOSPITAL LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line13000 HOSPITAL DRIVEAddressLine1
CityBATAVIACity
StateOHState
ZIP Code45103ZIPCode
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of SuccessorfalseDirectorOfSuccessorInd
Employee Of SuccessorYes (true)EmployeeOfSuccessorInd
Owner Of SuccessorfalseOwnerOfSuccessorInd
Receive CompensationfalseReceiveCompensationInd
Assets DistributedYes (true)AssetsDistributedInd
Required To Notify AGYes (true)RequiredToNotifyAGInd
Attorney General NotifiedYes (true)AttorneyGeneralNotifiedInd
Liabilities PaidYes (true)LiabilitiesPaidInd
Bonds OutstandingfalseBondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IV, LINE 12A, CONSOLIDATED AUDITED FINANCIAL STATEMENTSTHE FILING ORGANIZATION DOES NOT HAVE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN CATHOLIC HEALTH PARTNERS' CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH ARE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. CATHOLIC HEALTH PARTNERS' AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.
FORM 990, PART VI, LINE 15, COMPENSATION OF TOP MANAGEMENT OFFICIAL AND OTHER OFFICERSTHE COMPENSATION OF THE ORGANIZATION'S CEO OR TOP OFFICIAL, OFFICERS, AND KEY EMPLOYEES IS DETERMINED BY MERCY HEALTH PARTNERS SOUTHWEST OHIO, A RELATED TAX-EXEMPT ORGANIZATION.
Form 990, Part VI, Sec A, Line 6, Classes of members or stockholdersMERCY HEALTH PARTNERS OF SOUTHWEST OHIO IS THE SOLE MEMBER OF MERCY HOSPITAL CLERMONT.
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing bodyCATHOLIC HEALTH PARTNERS (CHP) ELECTS ALL BOARD MEMBERS WHO HAVE FULL VOTING RIGHTS.
Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholdersCERTAIN MATTERS REQUIRE APPROVAL OF THE CHP CORPORATE MEMBER, CHP GOVERNING BODY, OR CHP CEO. THE REGULATIONS OF THE ORGANIZATION DESCRIBE THE LEVEL OF APPROVAL REQUIRED FOR VARIOUS DECISIONS.
Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing bodyTHE FORM 990 IS PREPARED BY CHP'S TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN REVIEWED BY MANAGEMENT. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING.
Form 990, Part VI, Sec B, Line 12c, Conflict of interest policyEACH YEAR TRUSTEES MUST COMPLETE A CONFLICT OF INTEREST STATEMENT THAT IS SUBSEQUENTLY APPROVED BY THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE (ACRC) AT MHP AND THEN SENT TO CATHOLIC HEALTH PARTNERS FOR THEIR ACRC TO APPROVE. ANY CONFLICTS OF INTEREST THAT OCCUR DURING THE YEAR ARE REQUIRED TO BE BROUGHT TO THE ATTENTION OF THE ACRC AT MHP.
Form 990, Part VI, Sec C, Line 19, Required documents available to the publicTHE SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE.
Form 990, Part IX, Line 11g, Other ExpensesMEDICAL PROFESSIONAL - TOTAL EXPENSE: 5427180, PROGRAM SERVICE EXPENSE: 5427180, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONSULTING - TOTAL EXPENSE: 478613, PROGRAM SERVICE EXPENSE: 406821, MANAGEMENT AND GENERAL EXPENSES: 71792, FUNDRAISING EXPENSES: ; INTERCOMPANY - TOTAL EXPENSE: 2874797, PROGRAM SERVICE EXPENSE: 2443577, MANAGEMENT AND GENERAL EXPENSES: 431220, FUNDRAISING EXPENSES: ; OTHER - TOTAL EXPENSE: 4620052, PROGRAM SERVICE EXPENSE: 3927044, MANAGEMENT AND GENERAL EXPENSES: 693008, FUNDRAISING EXPENSES: ; MHS CORP ASSESSMENT - TOTAL EXPENSE: 13596017, PROGRAM SERVICE EXPENSE: 11556614, MANAGEMENT AND GENERAL EXPENSES: 2039403, FUNDRAISING EXPENSES: ;
Form 990 , Part XI, Line 9, Other changes in net assets or fund balancesELIMINATION OF INTERCOMPANY BALANCES - -12378066; FUND BALANCE TRANSFER TO LLC - -42185359;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (64 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxt
NWO INTEGRATED LABORATORIES MERCY LLC
2200 JEFFERSON AVENUETOLEDOOH43624341898285LABORATORY SERVICESOHNAN/A
TIFFIN AMBULATORY SURGICAL ASSOCIATES
45 ST LAWRENCE DRIVETIFFINOH44833371567866AMBULATORY SURGERY CENTEROHNAN/A
NEW VISION MEDICAL LAB LLC
750 W HIGH STREETLIMAOH45801341913433LAB SERVICESOHNAN/A
WEST CENTRAL OHIO GROUP LTD
801 MEDICAL DRIVELIMAOH45804341848147ORTHOPEDIC HOSPITALOHNAN/A
KIDNEY SERVICES OF WEST CENTRAL OHIO
750 W HIGH STREET SUITE 100LIMAOH45801061644264DIALYSIS CENTEROHNAN/A
WEST CENTRAL OHIO REGIONAL HEALTHCARE ALLIANCE LTD
2615 FORT AMANDA ROADLIMAOH45805341817078HEALTHCARE QUALITYOHNAN/A
ST ELIZABETH SOUTHWOODS IMAGING
250 DEBARTOLO PLACE BLDG BYOUNGSTOWNOH44512261626482DIAGNOSTIC IMAGINGOHNAN/A
ST ELIZABETH CARDIAC CATH LAB LLC
P O BOX 16008PITTSBURGHPA15242300023795LAB SERVICESPANAN/A
UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC
1044 BELMONT AVEYOUNGSTOWNOH44501262989686RADIATION THERAPYOHNAN/A
HMHPUSP SURGERY CENTERS LLC
15305 DALLAS PKWY STE 1600ADDISONTX75001271953122SURGERY CENTERTXNAN/A
OSC-HMHP LLC
6505 MARKET ST BLDG B STE 101BOARDMANOH44512010724836ORTHOPEDIC SURGERY CENTEROHNAN/A
LOURDES AMBULATORY SURGERY CENTER
225 MEDICAL CENTER DRIVEPADUCAHKY42003611258960SURGERY CENTERKYNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (27 entries)

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