ALLEN MEDICAL CENTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ALLEN MEDICAL CENTER (EIN 34-0864230)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-13
- IRS object ID
- 201443179349305074
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-13T15:00:24-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 312 WALNUT STREET SUITE 300 | AddressLine1 |
| City | CINCINNATI | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 340864230 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLEN MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALLE | BusinessNameControlTxt |
| Phone | 4407751211 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 W Lorain Street | AddressLine1 |
| City | Oberlin | City |
| State | OH | State |
| ZIP Code | 440741077 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT TONKINSON | PersonNm |
| Person Title | MARKET CFO | PersonTitleTxt |
| Signature | 2014-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00961884 | PTIN |
| Phone | 5136218300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Final Return | Yes (X) | FinalReturnInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY ALLEN HOSPITAL | BusinessNameLine1 |
Principal Ofcr Business Address PrincipalOfcrBusinessAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUSAN BOWERS PRESIDENT | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 W Lorain Street | AddressLine1 |
| City | Oberlin | City |
| State | OH | State |
| ZIP Code | 440741077 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $24,026,941 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCYONLINE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1959 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | ALLEN MEDICAL CENTER EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 269 | TotalEmployeeCnt |
| Total Volunteers | 80 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $130,263 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,227 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,104,555 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,815,130 | CYProgramServiceRevenueAmt |
| PY Investment Income | $626 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,014 | CYInvestmentIncomeAmt |
| PY Other Revenue | $177,603 | PYOtherRevenueAmt |
| CY Other Revenue | $195,570 | CYOtherRevenueAmt |
| PY Total Revenue | $24,413,047 | PYTotalRevenueAmt |
| CY Total Revenue | $24,026,941 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,993,521 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,027,395 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,942,479 | PYOtherExpensesAmt |
| CY Other Expenses | $10,805,676 | CYOtherExpensesAmt |
| PY Total Expenses | $21,936,000 | PYTotalExpensesAmt |
| CY Total Expenses | $21,833,071 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,477,047 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,193,870 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,693,325 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,469,219 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,224,106 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE PRIMARY EXEMPT PURPOSE OF ALLEN MEDICAL CENTER 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. ALLEN MEDICAL CENTER ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $19,927,715 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $23,815,130 | RevenueAmt |
| Desc | THE PRIMARY EXEMPT PURPOSE OF ALLEN MEDICAL CENTER 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. ALLEN MEDICAL CENTER ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. TOTAL COMMUNITY BENEFIT PROVIDED IN 2013 WAS $1,798,000, SERVING APPROXIMATELY 11,600 INDIVIDUALS. | Desc |
| Total Program Service Expenses | $19,927,715 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | Yes (true) | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 269 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Travis Crum | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5136392800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 Elsinore Place | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| CATHY E DIETLIN PHD | |||||||||
| SECRETARY | 0.50 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARCIA MILLER | |||||||||
| VICE CHAIRMAN/TREASURER | 0.50 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RANDALL FORTIN | |||||||||
| CHAIRMAN | 0.50 | 5.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ALEXANDER F ZOLLI MD | |||||||||
| BOARD MEMBER | 0.50 | 41.50 | Yes (X) | $0 | $106,500 | $0 | |||
| ANGELA WU | |||||||||
| BOARD MEMBER | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN SMITH | |||||||||
| BOARD MEMBER, CHP EVP NETWORKS | 0.50 | 52.00 | Yes (X) | $0 | $991,294 | -$51,781 | |||
| CHARLES BUTREY MD | |||||||||
| BOARD MEMBER | 0.50 | 40.00 | Yes (X) | $0 | $514,734 | $32,820 | |||
| DOUGLAS B WILBER | |||||||||
| BOARD MEMBER | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| EDWIN OLEY | |||||||||
| BOARD MEMBER, PRESIDENT - COMMUNITY RMC | 8.00 | 42.00 | Yes (X) | $0 | $366,135 | $57,029 | |||
| ERIC JENKINS MD | |||||||||
| BOARD MEMBER | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| GAIL STUMPHAUZER | |||||||||
| BOARD MEMBER | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| GEORGIA NEWMAN MD | |||||||||
| BOARD MEMBER | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| JEANNE COUGHLIN | |||||||||
| BOARD MEMBER | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| MARIO M SERTICH MD | |||||||||
| BOARD MEMBER | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| MAUD W DE LA PORTE | |||||||||
| BOARD MEMBER | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| REV BRIAN D BURKE | |||||||||
| BOARD MEMBER | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT FISHER | |||||||||
| BOARD MEMBER | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| ROD BRAYE | |||||||||
| BOARD MEMBER | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| SANDRA L HODGE | |||||||||
| BOARD MEMBER | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| SR DOROTHY THUM RSM | |||||||||
| BOARD MEMBER | 0.50 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| SR JANE PANK HM | |||||||||
| BOARD MEMBER | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| SR MARIE RUEGG HM | |||||||||
| BOARD MEMBER | 0.50 | 4.75 | Yes (X) | $0 | $0 | $0 | |||
| STEPHANIE MERCADO | |||||||||
| BOARD MEMBER | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT TONKINSON JR | |||||||||
| CFO & COO | 5.00 | 45.00 | Yes (X) | $0 | $300,299 | $14,640 | |||
| SUSAN BOWERS | |||||||||
| PRESIDENT | 48.00 | 2.00 | Yes (X) | $198,140 | $0 | $15,764 | |||
| JOSEPH SOBER | |||||||||
| VP ALLEN HOSPITAL & REGIONAL ANCILLARY SVCS | 20.00 | 30.00 | $198,301 | $0 | $42,152 | Yes (X) | |||
| SHANNON GOLDSMITH | |||||||||
| PHYSICIAN | 50.00 | 0 | $232,795 | $0 | $14,544 | Yes (X) | |||
| VAMSEE K AMIRNENI | |||||||||
| PHYSICIAN | 50.00 | 0 | $211,637 | $0 | $2,272 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $840,873 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,278,962 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $127,440 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $15,227 | AllOtherContributionsAmt |
| Total Contributions | $15,227 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621990 | $23,545,559 | $23,545,559 |
| VENDOR/PURCHASE DISCOUNTS | 900099 | $1,355 | $1,355 |
| AMBULANCE SERVICE | 621910 | $268,216 | $268,216 |
| $0 | |||
| $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,815,130 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14 | TotalRevenueColumnAmt |
| Exclusion | $14 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,000 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $1,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,000 | TotalRevenueColumnAmt |
| Exclusion | $1,000 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| ANSWERING SERVICE | 561499 | $1,446 | $1,446 |
| GIFT SHOP | 453220 | $14,730 | $14,730 |
| MEDICAL STAFF DUES | 900099 | $3,700 | $3,700 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $175,694 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $175,694 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $195,570 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,026,941 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,815,130 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $196,584 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,890,383 | TotalAmt |
| Program Services | $8,890,383 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,348 | TotalAmt |
| Program Services | $300,346 | ProgramServicesAmt |
| Management And General | $53,002 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,248,317 | TotalAmt |
| Program Services | $1,061,069 | ProgramServicesAmt |
| Management And General | $187,248 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $535,347 | TotalAmt |
| Program Services | $455,045 | ProgramServicesAmt |
| Management And General | $80,302 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,914,220 | TotalAmt |
| Program Services | $1,627,087 | ProgramServicesAmt |
| Management And General | $287,133 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,792 | TotalAmt |
| Management And General | $28,792 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,143,875 | TotalAmt |
| Program Services | $2,672,294 | ProgramServicesAmt |
| Management And General | $471,581 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,746 | TotalAmt |
| Program Services | $324,484 | ProgramServicesAmt |
| Management And General | $57,262 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $759,280 | TotalAmt |
| Program Services | $645,388 | ProgramServicesAmt |
| Management And General | $113,892 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $460,667 | TotalAmt |
| Program Services | $391,567 | ProgramServicesAmt |
| Management And General | $69,100 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,683 | TotalAmt |
| Program Services | $9,081 | ProgramServicesAmt |
| Management And General | $1,602 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $886,479 | TotalAmt |
| Program Services | $753,507 | ProgramServicesAmt |
| Management And General | $132,972 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $394,175 | TotalAmt |
| Program Services | $335,049 | ProgramServicesAmt |
| Management And General | $59,126 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $2,220,993 | $1,887,844 | $333,149 |
| STATE MEDICAID ASSESSMENT PAYMENTS | $403,470 | $403,470 | |
| MEMBERSHIP DUES | $60,802 | $51,682 | $9,120 |
| BANK FEES | $8,683 | $7,380 | $1,303 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,811 | TotalAmt |
| Program Services | $112,039 | ProgramServicesAmt |
| Management And General | $19,772 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,833,071 | TotalAmt |
| Program Services | $19,927,715 | ProgramServicesAmt |
| Management And General | $1,905,356 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,672,083 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,369,871 | BOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,277 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$72,251 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,367,868 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,265,477 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,693,325 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,199,219 | BOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,469,219 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,224,106 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,224,106 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,693,325 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,193,870 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $105,164 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$26,523,140 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (true) | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | Yes (true) | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $475 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $475 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i | FormAndLineReferenceDesc |
| Explanation | LOBBYING ACTIVITIES PERFORMED INCLUDE BOTH THE USE OF VOLUNTEERS ENCOURAGED TO WRITE LETTERS TO PUBLIC OFFICIALS ON ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE TO PROVIDE HEALTH SERVICES TO THE COMMUNITIES SERVED, AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. PAID MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDUM, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS REGARDING ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE PROVIDING HEALTHCARE SERVICES TO ITS PATIENTS AND TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. PAID STAFF MEMBERS HAVE, ON LIMITED OCCASIONS, WRITTEN TO LEGISLATORS ON SUCH ISSUES. THE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE THE ORGANIZATION'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT OUR SYSTEM. THE ORGANIZATION FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND OUR HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES WE SERVE. TO CARRY OUT THESE EFFORTS, THE ORGANIZATION PARTNERS WITH EXPERT CONSULTANTS AND PROFESSIONAL TRADE ASSOCIATIONS TO BUILD AWARENESS AND EXECUTE SPECIFIC STRATEGIES THAT WILL YIELD A FAVORABLE OUTCOME FOR PATIENT CARE IN THE ORGANIZATION'S FACILITIES WHERE THEY ARE TREATED. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | THE COMPANY [CATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES] COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2013 AND 2012, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2013 OR 2012. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3544 | PersonsServedCnt |
| Total Community Benefit Expns | $921,747 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $921,747 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04220 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8104 | PersonsServedCnt |
| Total Community Benefit Expns | $876,433 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $876,433 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04010 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 11648 | PersonsServedCnt |
| Total Community Benefit Expns | $1,798,180 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,798,180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08230 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 11648 | PersonsServedCnt |
| Total Community Benefit Expns | $1,798,180 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,798,180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08230 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,362,444 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $6,956,224 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,322,276 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $633,948 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLEN MEDICAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 W LORAIN ST | AddressLine1 |
| City | OBERLIN | City |
| State | OH | State |
| ZIP Code | 44074 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MERCYONLINE.ORG | WebsiteAddressTxt |
| State License | 1219 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLEN MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.mercyonline.org | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.mercy.com | OtherWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (true) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment | (1) - ALLEN MEDICAL CENTER: MERCY ALLEN HOSPITAL, AS A CRITICAL ACCESS HOSPITAL, DETERMINED THAT, IN ANTICIPATION OF PREPARING THIS ASSESSMENT, IT WOULD BE EFFICIENT AND EFFECTIVE TO PARTICIPATE IN THE OHIO DEPARTMENT OF HEALTH'S REGIONAL HEALTH ASSESSMENT PROJECT FOR CRITICAL ACCESS HOSPITALS CONDUCTED BY OHIO UNIVERSITY'S VOINOVICH SCHOOL OF LEADERSHIP AND PUBLIC AFFAIRS. ADDITIONALLY, MERCY, ALONG WITH THE THREE GENERAL HEALTH DISTRICTS AND OTHER LEADING HEALTH AND SOCIAL SERVICE AGENCIES IN LORAIN COUNTY, PARTICIPATED IN THE LORAIN COUNTY, OHIOHEALTH ASSESSMENT PROJECT, WHICH LOOKED AT HEALTH NEEDS ACROSS LORAIN COUNTY WITH A SPECIFIC BREAKOUT FOR RURAL LORAIN COUNTY. MERCY ALLEN IS CONTINUING TO WORK WITH THE HEALTH DISTRICTS AND OTHER AGENCIES IN LORAIN COUNTY TO DEVELOP A COUNTY-WIDE COMMUNITY HEALTH IMPROVEMENT PLAN. A TOTAL OF 34 ADDITIONAL ENGAGEMENT SESSIONS WERE CONDUCTED OVER A 6 WEEK PERIOD WITH OUTREACH DIRECTLY TARGETING URBAN AREAS, SUBURBAN COMMUNITIES AND RURAL AREAS OF LORAIN COUNTY. THE ATTENDANCE AT THE SESSIONS WAS A MIXTURE OF BOTH PERSONNEL AND RESIDENTS. THE INTENT OF THESE COMMUNITY FORUMS WAS TO PROVIDE FACTUAL INTERPRETATION OF THE RESULTS FROM THE RECENT LORAIN COUNTY, OHIO HEALTH ASSESSMENT PROJECT TO COMMUNITY STAKEHOLDERS IN ORDER TO DEVELOP A SHARED UNDERSTANDING OF THE INFORMATION; IDENTIFY AREAS OF PROGRESS FOR THE COMMUNITY; IDENTIFY KEY ISSUES STILL FACING LORAIN COUNTY AND DISCOVER AREAS NEEDING IMPROVEMENT THAT WOULD EITHER IMPACT LARGE NUMBERS OF PEOPLE OR ADDRESS DISPARITIES BETWEEN GROUPS OF PEOPLE. ORGANIZATIONS AVON HEALTH COMMITTEE AMHERST CITY SCHOOLS / ADMINISTRATIVE TEAM MEETING BLACK RIVER REMEDIAL ACTION PLAN BUILD A BETTER COMMUNITY COMMITTEE (B2C2) CITY OF NORTH RIDGEVILLE DEPARTMENT LEADERS CITY OF OBERLIN MANAGEMENT TEAM CITY OF WELLINGTON ADMINISTRATION CLEARVIEW SCHOOLS COLUMBIA SCHOOLS COMMUNITIES THAT CARE COUNTY GUIDANCE COUNSELORS COUNTY HIGH SCHOOL PRINCIPALS FAMILY PLANNING SERVICE GRAFTON VILLAGE COUNCIL MEETING KEYSTONE BOARD OF EDUCATION LC BOARD OF DEVELOPMENTAL DISABILITIES SERVICE & SUPPORT ADMINISTRATION MEETING LORAIN COUNTY MATERNAL & CHILD HEALTH CONSORTIUM LIVE HEALTHY LORAIN COUNTY LIVE HEALTHY LORAIN COUNTY PARTNERS LIVE HEALTHY OBERLIN LORAIN CITY CONTINUUM OF CARE LORAIN COUNTY CHILDREN & FAMILIES COUNCIL LORAIN COUNTY GENERAL HEALTH DISTRICT LORAIN COUNTY GENERAL HEALTH DISTRICT VOLUNTEER TRAINING DAY LORAIN COUNTY PREVENTION CONNECTION LORAIN COUNTY SUPERINTENDENT'S MEETING METRO PARKS KEY LEADERS OBERLIN CITY SCHOOLS / ADMINISTRATION MEETING OHIO STATE HIGHWAY PATROL POLICE CHIEFS SAFE COMMUNITY COALITION SCHOOL NURSE MEETING WELLINGTON VILLAGE ADMINISTRATION IN ORDER TO DEVELOP A 3-YEAR PLAN TO ADDRESS COMMUNITY HEALTH NEEDS BEGINNING IN 2014, MERCY ALLEN TOOK THE RESULTS OF THE OHIO DEPARTMENT OF HEALTH REGIONAL ASSESSMENT PROJECT AND ENGAGED KEY STAKEHOLDERS IN THE COMMUNITY TO VERIFY THE IDENTIFIED NEEDS AND THEN PRIORITIZE THE KEY NEEDS OF LORAIN COUNTY. THE PUBLIC SERVICES INSTITUTE (PSI) OF LORAIN COUNTY COMMUNITY COLLEGE WAS COMMISSIONED BY MERCY AND ELYRIA MEMORIAL HOSPITAL (EMH) TO CONDUCT AND ANALYZE THE RESULTS OF KEY COMMUNITY STAKEHOLDERS. THE INTENT OF THE STAKEHOLDER INTERVIEWS WAS TO PRIORITIZE THE HEALTH NEEDS, TAKING INTO ACCOUNT THE SEVERITY OF THE PROBLEM SIZE OF POPULATIONS AFFECTED, COMMUNITY CAPACITY TO ADDRESS AND AVAILABILITY OF DATA TO TRACK AND MONITOR OUTCOMES. THOSE ORGANIZATIONS WITH KNOWLEDGE OF SOUTHERN LORAIN COUNTY WERE ASKED TO PRIORITIZE THE NEEDS FROM THE OHIO DEPARTMENT OF HEALTH REGIONAL ASSESSMENT PROJECT. IN-DEPTH INTERVIEWS WERE CONDUCTED WITH KEY INDIVIDUALS WHO REPRESENTED A CROSS SECTION OF COMMUNITY LEADERS INCLUDING HEALTH CARE PROVIDERS, FUNDING ENTITIES, NOT-FOR-PROFIT HEALTH AND SOCIAL SERVICE PROVIDERS, SCHOOLS, FAITH-BASED ORGANIZATIONS, PHILANTHROPY AND OTHERS. WHILE ABOUT HALF OF THE ORGANIZATIONS SERVED ALL OF LORAIN COUNTY, THE OTHERS SERVED SMALLER AREAS WITHIN THE COUNTY SUCH AS AN INDIVIDUAL CITY, A PORTION OF THE COUNTY OR A SPECIFIC SCHOOL DISTRICT WITHIN THE COUNTY. ADDITIONALLY, MANY OF THOSE INTERVIEWED ALSO PROVIDE SERVICES INTO AREAS SURROUNDING LORAIN COUNTY, INCLUDING WESTERN CUYAHOGA COUNTY, HURON COUNTY AND ERIE COUNTY. A NUMBER OF ORGANIZATIONS REPRESENTED IN THE STAKEHOLDER INTERVIEWS SERVE LOW INCOME RESIDENTS EXCLUSIVELY, BUT OTHER SEGMENTS OF THE POPULATION WERE REPRESENTED, INCLUDING SENIORS, MINORITY POPULATIONS, SINGLE PARENTS, PREGNANT FEMALES, YOUTH, MENTAL ILLNESS, IMMIGRANT LABORERS, FAMILIES WHO HAVE EXPERIENCED DOMESTIC VIOLENCE, CHRONIC DISEASE NEEDS, RELIGIOUS CONGREGATIONS AND THE GENERAL PUBLIC. RESPONSE CONTINUED IN PART VI SUPPLEMENTAL INFORMATION; |
| Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment | (1) - ALLEN MEDICAL CENTER: THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS DONE IN CONJUNCTION WITH COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER AND UNIVERSITY HOSPITALS ELYRIA MEDICAL CENTER (FORMERLY EMH REGIONAL MEDICAL CENTER). ; |
| Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined | (1) - ALLEN MEDICAL CENTER: THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS BASED UPON FEDERAL POVERTY LEVELS STATED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.; |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE BINDER BUILDING | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 105 Opportunity Way | AddressLine1 |
| City | LAGRANGE | City |
| State | OH | State |
| ZIP Code | 44050 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | MEDICAL OFFICE BUILDING LEASED TO CHP PHYSICIANS, INC. | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6a, Community benefit report prepared by related organization | CATHOLIC HEALTH PARTNERS |
| Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance | COST OF FINANCIAL ASSISTANCE 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 FINANCIAL ASSISTANCE AND BAD DEBT ACCOUNTS ARE DEDUCTED USING A RATIO OF COST TO CHARGE SPECIFIC TO THAT SUBSIDIZED SERVICE. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS. |
| Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation | 0 |
| Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount | THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HOSPITAL'S HISTORICAL COLLECTION EXPERIENCE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE. THE HOSPITAL'S CONCENTRATION OF CREDIT RISK RELATED TO NET PATIENT ACCOUNTS IS LIMITED DUE TO THE DIVERSITY OF PATIENTS AND PAYORS. NET PATIENT ACCOUNTS CONSIST OF AMOUNTS DUE FROM GOVERNMENTAL PROGRAMS (PRIMARILY MEDICARE AND MEDICAID), PRIVATE INSURANCE COMPANIES, MANAGED CARE PROGRAMS AND PATIENTS THEMSELVES. NET PATIENT SERVICE REVENUE FOR SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE IS RECOGNIZED BASED ON CONTRACTUAL RATES FOR SERVICES RENDERED. THE HOSPITAL RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). AMOUNTS RECOGNIZED ARE SUBJECT TO ADJUSTMENT UPON REVIEW BY THIRD-PARTY PAYORS. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. ANY DISCOUNTS APPLIED TO SELF-PAY PATIENTS WOULD BE DEEMED EITHER CHARITY OR A CONTRACTUAL ADJUSTMENT. BAD DEBT WOULD BE BASED ON THE BALANCE AFTER THE CHARITY OR CONTRACTUAL ADJUSTMENT THAT IS DEEMED UNCOLLECTABLE FOLLOWING A REASONABLE COLLECTION EFFORT. |
| Schedule H, Part III, Line 3, Bad Debt Expense Methodology | THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY DOES NOT PERMIT THE COST OF PATIENTS WHO ARE UNCOOPERATIVE OR UNABLE TO BE LOCATED TO BE RECLASSIFIED FROM BAD DEBT TO FINANCIAL ASSISTANCE. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY REQUIRES AN APPLICATION AND SUPPORTING DOCUMENTATION. THEREFORE, ZERO DOLLARS ARE BEING REPORTED ON PART III, LINE 3 AS AMOUNTS INCLUDED IN BAD DEBT THAT COULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE BAD DEBT EXPENSE AS COMMUNITY BENEFIT. |
| Schedule H, Part III, Line 4, Bad debt expense - financial statement footnote | THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THE HOSPITAL ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, B. SIGNIFICANT ACCOUNTING POLICIES, NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGE 11) STATES NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HISTORICAL COLLECTION EXPERIENCE OF EACH REGIONAL AFFILIATE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED UPON PAST COLLECTION EXPERIENCE. |
| Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costs | THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE MEDICARE LOSSES AS COMMUNITY BENEFIT. THE HOSPITAL'S COST TO CHARGE RATIO WAS USED TO DETERMINE THE MEDICARE AMOUNTS IN PART III. |
| Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance | PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAYS AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY AS A LAST RESORT AND ONLY: WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT REFUSE TO DO SO; WHEN PATIENTS REFUSE TO WORK WITH THE ORGANIZATION TO DETERMINE IF THEY QUALIFY FOR FREE OR DISCOUNTED CARE VIA FEDERAL, STATE, LOCAL OR HOSPITAL ASSISTANCE PROGRAMS; WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL. |
| SCHEDULE H, PART V, SECTION B, LINE 3, CONTINUATION OF RESPONSE TO SCHEDULE H PART V LINE 3 | ORGANIZATION/ DESCRIPTION/ POPULATION SERVED/ GEOGRAPHIC SCOPE AMERICAN RED CROSS, LORAIN COUNTY/ PROVIDES RELIEF TO VICTIMS OF DISASTERS AND HELPS PEOPLE PREVENT, PREPARE FOR AND RESPOND TO EMERGENCIES/ GENERAL POPULATION/ LORAIN COUNTY BOARD OF MENTAL HEALTH/ MENTAL HEALTH SERVICES PROVIDER/ ADULTS WITH MENTAL ILLNESS (SEVERE OR MODERATE); CHILDREN WITH EMOTIONAL DISTURBANCES/ LORAIN COUNTY CHILD CARE RESOURCE CENTER/ A CHILD CARE AND EARLY EDUCATION RESOURCE AND REFERRAL AGENCY THAT SERVES FAMILIES, PROFESSIONALS AND LOCAL COMMUNITIES/ LOW INCOME/ LORAIN, ERIE, HURON, SENECA AND SANDUSKY COUNTIES CHURCH OF THE OPEN DOOR/ CAMPUSES IN ELYRIA AND AVON LAKE WHOSE WEEKLY ATTENDANCE AVERAGES OVER 1,500 PEOPLE/ ELDERLY ADULTS AND YOUNG FAMILIES/ LORAIN COUNTY, BUT PRIMARILY NORTHERN PORTION CORNERSTONE AMONG WOMEN/ PROVIDES FREE HELP, INFORMATION AND SUPPORT TO WOMEN DEALING WITH UNPLANNED PREGNANCIES, POST-ABORTION SYNDROME AND LIFESTYLE DISTRESS AT LOCATIONS IN LORAIN AND ELYRIA/ LOW INCOME WOMEN/ LORAIN COUNTY AND WESTERN CUYAHOGA COUNTY ELYRIA CITY HEALTH DEPARTMENT/ RESPONSIBLE FOR PROMOTING GOOD HEALTH FOR ALL RESIDENTS OF THE CITY OF ELYRIA/ LOW INCOME, SINGLE PARENTS, PREGNANT FEMALES, GENERAL POPULATION/ CITY OF ELYRIA GENESIS HOUSE/ BATTERED WOMEN'S SHELTER/ PEOPLE EXPERIENCING DOMESTIC VIOLENCE/ PRIMARILY LORAIN COUNTY HAVEN HOUSE/ PROVIDES EMERGENCY HOUSING, MEALS, SUPPORT AND CRISIS-COUNSELING TO FAMILIES WITH CHILDREN/ MOSTLY INDIVIDUALS IN POVERTY/PRIMARILY LORAIN COUNTY LAGRANGE UNITED METHODIST CHURCH/ LOCATED IN SOUTHERN PART OF LORAIN COUNTY/ AGING POPULATION; FAMILIES/ PARTS OF SOUTHERN LORAIN COUNTY LORAIN CITY HEALTH DEPARTMENT/ RESPONSIBLE FOR PREVENTING DISEASE, PROMOTING HEALTHY LIVING AND PROTECTING THE ENVIRONMENT FOR THE CITIES OF LORAIN AND AVON LAKE/ ENTIRE COMMUNITY/ CITY OF LORAIN AND UNDER CONTRACT TO THE CITY OF AVON LAKE LORAIN COUNTY BOARD OF DEVELOPMENTAL DISABILITIES/ ASSISTS THOSE WITH DEVELOPMENTAL DISABILITIES THROUGH EARLY INTERVENTION PROGRAMS, SUPPORTED EMPLOYMENT AND ADULT OPPORTUNITY AND VOCATIONAL CENTERS/ OVER 2000 RESIDENTS WITH DEVELOPMENTAL DISABILITIES/ LORAIN COUNTY LORAIN COUNTY CATHOLIC CHARITIES/ CENTER IN LORAIN OFFERS ASSISTANCE IN MEETING BASIC NEEDS SUCH AS FOOD, CLOTHING AND SHELTER; CENTER IN ELYRIA OFFERS SOCIAL SERVICES TO INDIVIDUALS AND FAMILIES/ EVERYONE, INCLUDING PREGNANT WOMEN AND ELDERLY/ LORAIN COUNTY LORAIN COUNTY COMMUNITY ACTION AGENCY/ ESTABLISHED TO HELP WITH AMERICA'S WAR OF POVERTY, RESIDENTS IN NEED ARE PROVIDED HELP VIA HEAD START, HOME WEATHERIZATION AND ENERGY ASSISTANCE PROGRAMS/ LOW AND MODERATE INCOME UP TO 200% OF POVERTY LEVEL/ LORAIN COUNTY LORAIN COUNTY FREE CLINIC/ COORDINATES COMMUNITY RESOURCES FOR LOW-INCOME AND UNINSURED RESIDENTS OF LORAIN COUNTY, PROVIDING COMPREHENSIVE HEALTHCARE AT MINIMAL OR NO COST/ ADULTS 19-65 - 20% AFRICAN AMERICAN; 18% HISPANIC /LORAIN COUNTY AND EASTERN ERIE COUNTY LORAIN COUNTY GENERAL HEALTH DISTRICT/ RESPONSIBLE FOR PREVENTING DISEASE AND PROMOTING HEALTH IN LORAIN COUNTY OUTSIDE THE CITIES OF LORAIN, ELYRIA AND AVON LAKE/ SCHOOL AGE AND PRE-SCHOOL CHILDREN; ADULT POPULATION; GENERAL POPULATION/ ALL TOWNSHIPS AND VILLAGES IN LORAIN COUNTY AND CITIES OF AMHERST, AVON, NORTH RIDGEVILLE, OBERLIN AND SHEFFIELD LAKE LORAIN COUNTY HEALTH AND DENTISTRY/ FEDERALLY FUNDED COMMUNITY HEALTH CENTER THAT SERVES THE UNDERSERVED IN LORAIN AND SURROUNDING COMMUNITIES; A SITE IN ELYRIA IS SCHEDULED TO OPEN IN 2013/ LOW-INCOME; UNINSURED, INCLUDING MEDICARE/ HISTORICALLY HAS BEEN CITY OF LORAIN (MAINLY 44052 AND 44055), BUT ALSO GETTING MORE RESIDENTS FROM CITY OF ELYRIA MIGRANT AND IMMIGRATION SERVICES/ RURAL IMMIGRANTS AND FARM WORKERS/ STATEWIDE AND RURAL MT. OLIVET CMA CHURCH/ PARISH LOCATED IN ELYRIA/350 CHURCH MEMBERS MONTHLY/ LORAIN COUNTY OBERLIN COMMUNITY SERVICES/ COMMUNITY ORGANIZATION THAT PROVIDES DIRECT ASSISTANCE, REFERRALS, OUTREACH AND EDUCATIONAL SUPPORT TO THOSE NEEDING HELP TO MEET BASIC NEEDS/ LOW INCOME/ SOUTHERN LORAIN COUNTY, INCLUDING OBERLIN AND WELLINGTON PATHWAYS COUNSELING & GROWTH CENTER/ NON-PROFIT THAT PROVIDES MENTAL HEALTH COUNSELING SERVICES/ MEDICAID-RELATED CLIENTS; THE LOWER MIDDLE CLASS/ PRIMARILY LORAIN COUNTY PASTOR AT OBERLIN HOUSE OF THE LORD FELLOWSHIP (PENTECOSTAL CHURCH)/ CHAIR OF RELIGION DEPARTMENT AND ASSOCIATE PROFESSOR OF RELIGION AND AFRICAN-AMERICAN STUDIES AT OBERLIN COLLEGE/ PREDOMINANTLY AFRICAN-AMERICAN WITH CAUCASIAN AND LATINO MEMBERSHIP/ CONGREGATION INCLUDES LORAIN COUNTY AND OUTSIDE AREAS SACRED HEART CHAPEL/ OLDEST AND LARGEST HISPANIC CATHOLIC PARISH IN OHIO; FOUNDED IN 1952/ ELDERLY AND YOUTH OF PUERTO RICAN AND MEXICAN DECENT/ LORAIN COUNTY THE ALCOHOL & DRUG ADDICTION SERVICES BOARD OF LORAIN COUNTY (ADAS)/ GOVERNMENT AGENCY RESPONSIBLE FOR THE DELIVERY OF ALCOHOL AND OTHER DRUG ADDICTION EDUCATION, PREVENTION AND TREATMENT FOR LORAIN COUNTY RESIDENTS/ FAMILIES; INDIVIDUALS; ADOLESCENTS AND SCHOOL-AGED YOUTH/ LORAIN COUNTY THE NORD CENTER/ PROVIDES BEHAVIORAL HEALTH SERVICES FOR LORAIN COUNTY/ SEVERELY EMOTIONALLY DISABLED CHILDREN AND SEVERELY MENTALLY DISABLED ADULTS/ PRIMARILY LORAIN COUNTY THE NORD FAMILY FOUNDATION/ FOUNDATION THAT DISTRIBUTES OVER $4M ANNUALLY TO QUALIFIED CHARITABLE ORGANIZATIONS IN LORAIN AND CUYAHOGA COUNTIES/ GENERAL PUBLIC; LOW AND MODERATE INCOME RESIDENTS AND ECONOMICALLY DISADVANTAGED, INDIRECTLY/60% TO LORAIN COUNTY; REMAINING 40% TO OTHER COMMUNITIES ACROSS THE COUNTRY THE URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROGRAM/ SERVES ONE OF OHIO'S LARGEST HISPANIC COMMUNITIES AS WELL AS LARGE AFRICAN-AMERICAN POPULATION BY ENSURING THEY HAVE AFFORDABLE ACCESS TO PROGRAMS THAT TREAT ALCOHOL, TOBACCO AND DRUG ABUSE/ PRIMARILY AFRICAN-AMERICAN & HISPANIC/ LORAIN COUNTY UNITED WAY OF GREATER LORAIN COUNTY/ IMPROVES THE LIVES OF LORAIN COUNTY RESIDENTS BY DISCOVERING NEEDS AND CREATING SOLUTIONS AROUND EDUCATION, INCOME AND HEALTH/ MIDDLE SCHOOL STUDENTS AND LOW WAGE WORKERS WITH FAMILIES AT THE 200% POVERTY LEVELS/ LORAIN COUNTY AND VERMILION IN ERIE COUNTY WELLINGTON OFFICE ON AGING/ PROVIDES SERVICE TO ADULTS AGED 60+ WHICH PROMOTE DIGNITY AND QUALITY OF LIFE/ OLDER ADULTS AGED 60+/ PRIMARILY RESIDENTS OF WELLINGTON |
| Schedule H, Part VI, Line 2, Needs assessment. | IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B, COMMUNITY HEALTH PARTNERS MERCY ALLEN HOSPITAL (KNOWN AS MERCY) CONTINUALLY ASSESSES AND RESPONDS TO CHANGING NEEDS THROUGH BEING AN ACTIVE PARTICIPANT IN THE COMMUNITY IT SERVES. MERCY INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. MERCY RECOGNIZES THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. MERCY'S COMMUNITY BENEFIT PLANNING INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. MERCY ALSO PARTNERS WITH MANY OF THE HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE COMMUNITY TO ENSURE PROPER SERVICES ARE PROVIDED, COORDINATE EFFORTS AND AVOID DUPLICATION. ADDITIONALLY, MEMBERS OF MERCY'S LEADERSHIP TEAM SERVE ON BOARDS OF THESE ORGANIZATIONS TO HEAR THE NEEDS OF THE POPULATIONS SERVED BY THESE ORGANIZATIONS, PROVIDE INSIGHT AND OFFER ASSISTANCE. MERCY ALSO PROVIDES GRASSROOTS SERVICES SUCH AS ITS RESOURCE MOTHERS PROGRAM, WHICH ASSISTS LOW-INCOME PREGNANT WOMEN AND NEW MOTHERS, AND PARISH NURSING, WHICH REACHES OUT TO LOW-INCOME RESIDENTS THROUGH THEIR CHURCHES BY OFFERING SCREENING AND HEALTH EDUCATION. THESE PROGRAMS ARE ACTIVE IN THE COMMUNITY AND DIRECTLY ASSIST RESIDENTS OF THESE COMMUNITIES. THESE PROGRAMS NOT ONLY PROVIDE IMMEDIATE SUPPORT TO THE RESIDENTS, BUT ARE ALSO FLEXIBLE TO ADAPT TO NEW NEEDS AS THEY ARISE. |
| Schedule H, Part VI, Line 3, Patient education of eligibility for assistance. | ALLEN MEDICAL CENTER POSTS ITS CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE HOSPITAL PROVIDES A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A COPY OF THE POLICY OR A SUMMARY ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED IN PATIENT BILLS. THE HOSPITAL DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. THE HOSPITAL ELIGIBILITY LINK PROGRAM (HELP) IS A FREE REFERRAL SERVICE PROVIDED BY ALLEN MEDICAL CENTER. THE PURPOSE OF HELP IS TO ASSIST PATIENTS IN OBTAINING MEDICAL BENEFITS THROUGH FEDERAL, STATE, AND HOSPITAL PROGRAMS. HELP REPRESENTATIVES WILL PROVIDE THE FOLLOWING SERVICES AT NO COST TO THE PATIENT: * EXPLORE ELIGIBILITY UNDER PUBLIC ASSISTANCE PROGRAMS * FILE APPLICATIONS ON PATIENT'S BEHALF * SCHEDULE AND ATTEND APPOINTMENTS * PROVIDE TRANSPORTATION WHEN NECESSARY * PROVIDE MEDICAL DOCUMENTATION TO SOCIAL SECURITY ADMINISTRATION FOR DISABILITY CLAIMS. THROUGH HELP, PATIENTS AND THEIR COUNSELORS LOOK AT WHAT OPTIONS ARE AVAILABLE. THE HOSPITAL UNDERSTANDS THAT NOT EVERYONE CAN PAY FOR HEALTHCARE SERVICES. HELP IS HERE TO OFFER OPTIONS AND ASSISTANCE FOR THOSE WHO ARE UNINSURED OR UNDERINSURED. HELP IS AN EXTENSION OF THE HOSPITAL'S MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITY WITH EMPHASIS ON THE POOR AND UNDERSERVED. MEETING THE NEEDS OF THOSE WITH LIMITED RESOURCES HAS ALWAYS BEEN THE HEART OF OUR MISSION. |
| Schedule H, Part VI, Line 4, Community information. | FOR THE PURPOSES OF THE HEALTH ASSESSMENT, MERCY ALLEN HOSPITAL (MERCY ALLEN) CONSIDERS SOUTHERN LORAIN COUNTY AND THE CITY OF WAKEMAN IN HURON COUNTY IN OHIO AS ITS PRIMARY SERVICE AREA (PSA), SPECIFICALLY THE CITIES OF WELLINGTON (44090), OBERLIN (44074), ELYRIA (44035), AND WAKEMAN (44889). PATIENT DISCHARGE DATA FOR 2011 FROM THE OHIO HOSPITAL ASSOCIATION INDICATES THAT NEARLY 73% OF INPATIENTS SERVED BY MERCY ALLEN WERE RESIDENTS OF THE PSA. HOWEVER, SINCE OVER 85% OF INPATIENTS SERVED BY MERCY ALLEN WERE RESIDENTS OF LORAIN COUNTY, THE NEEDS OF THE ENTIRE COUNTY WERE ALSO TAKEN INTO CONSIDERATION. ACCORDING TO CENSUS 2010 DATA, THE PSA HAD 94,149 RESIDENTS, WITH NEARLY 74% BEING ADULTS OVER THE AGE OF 19, 14% BEING YOUTHS BETWEEN 10 AND 19 AND THE REMAINING 12% BEING ADOLESCENTS UNDER THE AGE OF 9. THE MAJORITY OF RESIDENTS WERE CAUCASIAN (83.4%), FOLLOWED BY AFRICAN-AMERICANS (10.9%). HOWEVER, THE CITY OF ELYRIA ACCOUNTED FOR 85% OF THE TOTAL AFRICAN-AMERICAN RESIDENTS IN THE PSA, AS THE REMAINING AREA IS MOSTLY RURAL AND PREDOMINANTLY CAUCASIANS. THE MEAN HOUSEHOLD (HH) INCOME IN THE PSA WAS $57,192. AGAIN, THIS IS DUE TO THE CITY OF ELYRIA (WHERE THE MEAN HH INCOME IS $52,793) COMPRISING 71% OF THE TOTAL HHS IN THE PSA. THE MEAN HH INCOME FOR THE REMAINING PORTION OF THE PSA IS $67,999. THE POVERTY STATUS REPORTS FROM AMERICAN FACT FINDER SHOWS THAT ALMOST 11% OF THE 80,715 FAMILIES IN LORAIN COUNTY LIVE BELOW THE POVERTY LEVEL AND WHEN YOU LOOK AT FAMILIES WITH CHILDREN UNDER 18 YEARS, THE NUMBER JUMPS TO 18% OF THE 38,305 FAMILIES. THIS IS A LARGER PROBLEM FOR THE AFRICAN AMERICAN COMMUNITY (37% OF THE 5,739 FAMILIES WITH AN AFRICAN AMERICAN HOUSEHOLDER), OF WHICH THERE IS A LARGER COMMUNITY OF WITHIN THE CITY OF LORAIN. THERE ARE 3 ACUTE HOSPITALS AND 1 LONG-TERM ACUTE CARE HOSPITAL IN LORAIN COUNTY, AND ALL 4 ARE NON-PROFIT HOSPITALS. THE SOUTHERN PORTION OF LORAIN COUNTY, WHICH IS SERVED BY MERCY ALLEN COMMUNITY HOSPITAL CONTAINS WELLINGTON, WHICH HAS A HEALTH PROFESSIONALS SHORTAGE AREA (HPSA) DESIGNATION. BASED ON 2010 CENSUS DATA, APPROXIMATELY 9% OF THE HOUSEHOLDS IN LORAIN COUNTY SPEAK A PRIMARY LANGUAGE OTHER THAN ENGLISH. APPROXIMATELY 11% OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES. THE UNEMPLOYMENT RATE FOR THE CITY OF LORAIN (9.7%) IS ALSO ESTIMATED TO BE HIGHER THAN LORAIN COUNTY (6.4%). ACCORDING TO A 2008 COUNTY PROFILE BY THE OHIO DEPARTMENT OF JOB AND FAMILY SERVICES, 14.1% OF RESIDENTS ARE ON MEDICAID. ACCORDING TO THE LORAIN COUNTY, OHIO HEALTH ASSESSMENT PROJECT, WHICH WAS THE BASIS FOR MERCY'S COMMUNITY NEEDS ASSESSMENT REPORT, 20% OF ADULTS IN LORAIN COUNTY COULD NOT SEE A DOCTOR WHEN NEEDED DUE TO COST. ALSO, 14% OF ADULTS IN THE CITY OF LORAIN AND 16% IN THE CITY OF ELYRIA DID NOT HAVE HEALTH CARE COVERAGE AS OPPOSED TO ONLY 10% OF THE ENTIRE COUNTY'S ADULTS. |
| Schedule H, Part VI, Line 5, Promotion of community health | BETWEEN BOTH MERCY ALLEN HOSPITAL (MAH) AND MERCY REGIONAL MEDICAL CENTER (MRMC), ALMOST $24M IN COMMUNITY BENEFITS WAS PROVIDED IN 2013. THIS WAS NOT ONLY ACHIEVED THROUGH CHARITY CARE THAT WAS PROVIDED, BUT ALSO ADDITIONAL SERVICES AND PROGRAMS WHICH BENEFITTED BOTH THE POOR AND COMMUNITY-AT-LARGE. CURRENTLY, BOTH MRMC AND MAH ARE WORKING WITH LOCAL AGENCIES, INCLUDING THE LOCAL HEALTH DEPARTMENTS, TO DEVELOP A COMMUNITY-WIDE COMMUNITY NEEDS IMPLEMENTATION PLAN. MERCY'S FACILITIES AND SERVICES ARE AVAILABLE TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. IN 2013, MERCY PROVIDED ALMOST $24 MILLION IN COMMUNITY BENEFIT, WITH ALMOST $9 MILLION OF THAT BEING DEVOTED TO CHARITY CARE AND OVER $11 MILLION BEING DEVOTED TO MEDICAID LOSS. IN ADDITION, MERCY ALSO PROVIDES ITS HOSPITAL ELIGIBILITY LINK PROGRAM (HELP), WHICH OFFERS MERCY PATIENTS FREE CARE AND DISCOUNTS AS WELL AS EXPLORES PATIENT'S ELIGIBILITY FOR STATE AND HOSPITAL ASSISTANCE PROGRAMS. MERCY FURTHERS ITS EXEMPT PURPOSE BY PROVIDING THE FOLLOWING SERVICES IN THE COMMUNITIES IT SERVES, REGARDLESS OF ABILITY TO PAY: OUTPATIENT DIABETIC EDUCATION, OUTPATIENT PALLIATIVE CARE, HEALTH MINISTRY AND FAMILY OUTREACH. IT IS MERCY'S GOAL TO HELP PREVENT AND MANAGE MAJOR DISEASES AFFECTING ITS COMMUNITY. MERCY'S HEALTH MINISTRY AND FAMILY OUTREACH PROGRAMS HAVE SUCCESSFULLY UTILIZED HEALTH SCREENINGS AND INTENSE MENTORING, TO IDENTIFY HEALTH CONCERNS AND GET FOLLOW-UP CARE FOR RESIDENTS IN THE COMMUNITY. THESE OUTREACH PROGRAMS HAVE BEEN SUCCESSFUL IN MANAGING AND IDENTIFYING CHRONIC DISEASES BEFORE THEY BECOME TOO SERIOUS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY THE HOSPITAL AS WELL AS OF COMMUNITY ORGANIZATIONS WHICH REPRESENT DIVERSE POPULATIONS. MERCY ENGAGES IN THE TRAINING AND EDUCATION OF ITS HEALTH CARE PROFESSIONALS, AS WELL AS PROVIDING A RESIDENCY PROGRAM IN PODIATRY. MERCY SERVES AS A CLINICAL EXPERIENCE SITE FOR OTHER HEALTH PROFESSIONALS, WITH DEPARTMENTS OFFERING CLINICAL EXPERIENCE INCLUDING: NURSING, PHARMACY, RESPIRATORY, THERAPIES (PHYSICAL, OCCUPATIONAL AND SPEECH). |
| Schedule H, Part VI, Line 6, Affiliated health care system | ALLEN MEDICAL CENTER IS A MEMBER OF CATHOLIC HEALTH PARTNERS AND IS AFFILIATED WITH COMMUNITY HEALTH PARTNERS (AKA MERCY REGIONAL MEDICAL CENTER). ALL ARE OHIO NON-PROFIT CORPORATIONS. COMMUNITY HEALTH PARTNERS IS SPONSORED BY THE SISTERS OF THE HUMILITY OF MARY AND HAS BEEN AN INTEGRAL PART OF THE COMMUNITY SINCE 1860. COMMUNITY HEALTH PARTNERS IS AN ACUTE CARE HOSPITAL WITH APPROXIMATELY 328 LICENSED BEDS. COMMUNITY HEALTH PARTNERS COMMUNITY BENEFIT FOR 2013 PER THE AUDIT FOOTNOTE (INCLUDING CHP AND ALLEN) IS AS FOLLOWS: TOTAL 2013 COMMUNITY BENEFIT: $23.8 MILLION BENEFITS TO THE BROADER COMMUNITY $1.4 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID $11.3 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY $8.8 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR $2.3 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 9.4 PERCENT AMC IS A MEMBER OF CATHOLIC HEALTH PARTNERS (CHP). CHP IS THE LARGEST HEALTH SYSTEM IN OHIO, THE STATE'S FOURTH LARGEST EMPLOYER AND ONE OF THE LARGEST CATHOLIC HEALTH SYSTEMS IN THE UNITED STATES. CHP IS SPONSORED BY PARTNERS IN CATHOLIC HEALTH MINISTRIES (PCHM). PCHM IS A PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH. CHP CONTINUES THE HEALTHCARE MINISTRIES BEGUN BY ITS FOUNDERS IN URBAN AND RURAL AREAS ACROSS OHIO, PENNSYLVANIA AND KENTUCKY MORE THAN 150 YEARS AGO. CHP PROVIDES INTEGRATED HEALTH SERVICES VIA ACUTE CARE HOSPITALS, PHYSICIAN PRACTICES, LONG-TERM CARE RESIDENCES, HOUSING SITES FOR THE ELDERLY, HOME HEALTH AGENCIES, HOSPICE PROGRAMS, OUTREACH SERVICES AND WELLNESS CENTERS. CHP HOSPITALS INCLUDE CRITICAL ACCESS FACILITIES THAT OFFER ESSENTIAL HEALTH SERVICES THAT OTHERWISE WOULD NOT BE AVAILABLE IN MANY COMMUNITIES. CHP'S MISSION CALLS IT TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES WITH SPECIAL EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. IN ADDITION TO PROVIDING PROGRAMS AND SERVICES DESIGNED TO ENHANCE THE HEALTH OF ENTIRE COMMUNITIES, CHP CARES FOR EVERYONE WHO COMES TO ITS FACILITIES, REGARDLESS OF THEIR ABILITY TO PAY. CHP'S HOME OFFICE IN CINCINNATI, OHIO PROVIDES SERVICES AND SUPPORT TO THE ENTIRE SYSTEM. ITS GOVERNANCE PRACTICES HAVE BEEN NATIONALLY RECOGNIZED FOR QUALITY. SYSTEM LEADERSHIP PROVIDES STRATEGIC VISION AND MANAGEMENT OVERSIGHT IN SUPPORT OF THE MINISTRY BY DIRECTING RESOURCES, PROVIDING ACCESS TO LOWER COST DEBT FINANCING, IMPROVING CLINICAL OUTCOMES AND REDUCING OPERATING COSTS. SYSTEM-WIDE COMMUNITY BENEFIT FOR 2013 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2013 COMMUNITY BENEFIT: $374.7 MILLION BENEFITS TO THE BROADER COMMUNITY $73.5 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID $150.9 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY $122.0 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR $28.3 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 9.8 PERCENT |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN SMITH | ||||||||||||||
| BOARD MEMBER, CHP EVP NETWORKS | $0 | $612,239 | $0 | $225,000 | $0 | $154,055 | $0 | -$64,084 | $0 | $12,303 | $0 | $939,513 | $0 | $0 |
| EDWIN OLEY | ||||||||||||||
| BOARD MEMBER, PRESIDENT - COMMUNITY RMC | $0 | $351,514 | $0 | $0 | $0 | $14,621 | $0 | $40,376 | $0 | $16,653 | $0 | $423,164 | $0 | $0 |
| CHARLES BUTREY MD | ||||||||||||||
| BOARD MEMBER | $0 | $413,398 | $0 | $91,588 | $0 | $9,748 | $0 | $9,674 | $0 | $23,146 | $0 | $547,554 | $0 | $0 |
| SUSAN BOWERS | ||||||||||||||
| PRESIDENT | $188,148 | $0 | $0 | $0 | $9,992 | $0 | $7,582 | $0 | $8,182 | $0 | $213,904 | $0 | $0 | $0 |
| ROBERT TONKINSON JR | ||||||||||||||
| CFO & COO | $0 | $209,719 | $0 | $10,000 | $0 | $80,580 | $0 | $0 | $0 | $14,640 | $0 | $314,939 | $0 | $0 |
| JOSEPH SOBER | ||||||||||||||
| VP ALLEN HOSPITAL & REGIONAL ANCILLARY SVCS | $174,090 | $0 | $15,000 | $0 | $9,211 | $0 | $19,395 | $0 | $22,757 | $0 | $240,453 | $0 | $0 | $0 |
| VAMSEE K AMIRNENI | ||||||||||||||
| PHYSICIAN | $151,845 | $0 | $59,456 | $0 | $336 | $0 | $1,468 | $0 | $804 | $0 | $213,909 | $0 | $0 | $0 |
| SHANNON GOLDSMITH | ||||||||||||||
| PHYSICIAN | $163,339 | $0 | $54,446 | $0 | $15,010 | $0 | $0 | $0 | $14,544 | $0 | $247,339 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan | THE COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM NONQUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN IS AN EXECUTIVE RETENTION PLAN FOR CERTAIN HIGHLY COMPENSATED INDIVIDUALS, AS DETERMINED BY THE BOARD OF TRUSTEES' EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE. THE PLAN PURPOSE IS TO PROVIDE A BENEFIT TO REPLACE THE BENEFIT THESE PARTICIPANTS WOULD HAVE RECEIVED UNDER THE APPLICABLE QUALIFIED PLAN PRIOR TO ITS AMENDMENT TO COMPLY WITH THE OMNIBUS BUDGET RECONCILIATION ACT OF 1993. IT PROVIDES A DEFERRED COMPENSATION BENEFIT OF 3% TO 5% OF ANNUAL BASE SALARY. PARTICIPANTS VEST AND RECEIVE PLAN BENEFITS ONCE TWO CONDITIONS ARE SATISFIED: (1) MEET THE VESTING REQUIREMENTS OF THE APPLICABLE QUALIFIED PLAN, AND (2) COMPLETE A 24-MONTH POST-EMPLOYMENT NON-COMPETE REQUIREMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED PARTICIPATING INDIVIDUALS IN THE REPORTING YEAR ARE AS FOLLOWS: EDWIN M. OLEY $0; SUSAN BOWERS $0. |
| SCHEDULE J, PART I, LINE 4B, THE CHP SERP PLAN | THE CATHOLIC HEALTH PARTNERS (CHP) SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTIVELY, VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMINATION, PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDINGS. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: BRIAN SMITH $129,575. |
| Schedule J, Part I, Line 7, Non-fixed payments | THE ORGANIZATION PROVIDES ANNUAL INCENTIVE COMPENSATION FOR LISTED INDIVIDUALS. THE ORGANIZATION'S BOARD OF TRUSTEES ESTABLISHES OBJECTIVE THRESHOLDS FOR QUALITY, COMMUNITY BENEFIT, AND FINANCIAL PERFORMANCE WHICH MUST BE ACHIEVED FOR INCENTIVES TO BE AWARDED. THE BOARD ALSO ESTABLISHES THRESHOLD, TARGET AND MAXIMUM LEVELS FOR INCENTIVE AWARDS. WITHIN THESE ESTABLISHED PARAMETERS, THE BOARD DETERMINES THE CEO'S INCENTIVE AWARD. INCENTIVE AWARDS FOR OTHER LISTED INDIVIDUALS ARE DETERMINED BY THE LISTED INDIVIDUAL'S SUPERVISOR AND DISCLOSED TO THE BOARD. THE BOARD MAY AUTHORIZE MODIFIED INCENTIVE AWARDS WHEN APPROPRIATE IN ITS JUDGMENT. |
| SCHEDULE J, PART II, COLUMN (C), REPORTING NEGATIVE DEFERRED COMPENSATION | ANNUAL ACTUARIALLY-DETERMINED CONTRIBUTIONS TO DEFINED BENEFIT PLANS, WHICH ARE BASED ON PRIOR PLAN CONTRIBUTIONS, CHANGES IN INTEREST RATES, THE PRESENT VALUE OF ACCRUED BENEFITS, AND OTHER DATA AND ASSUMPTIONS ABOUT THE FUTURE, MAY, FOR SOME PLAN PARTICIPANTS AND FOR SOME YEARS, RESULT IN NEGATIVE CONTRIBUTION AMOUNTS. |
Schedule N IRS990ScheduleN
Liquidation Of Assets Table LiquidationOfAssetsTableGrp
Liquidation Of Assets Detail LiquidationOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | ALL ASSETS AND LIABILITIES OF ALLEN MEDICAL CENTER | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2014-01-01 | DistributionDt |
| Fair Market Value Of Asset | $26,523,140 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | GAAP | MethodOfFMVDeterminationTxt |
| EIN | 340864230 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH - ALLEN HOSPITAL LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 W LORAIN STREET | AddressLine1 |
| City | OBERLIN | City |
| State | OH | State |
| ZIP Code | 440741077 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(C)(3) | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | false | DirectorOfSuccessorInd |
| Employee Of Successor | Yes (true) | EmployeeOfSuccessorInd |
| Owner Of Successor | false | OwnerOfSuccessorInd |
| Receive Compensation | false | ReceiveCompensationInd |
| Assets Distributed | Yes (true) | AssetsDistributedInd |
| Required To Notify AG | Yes (true) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (true) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (true) | LiabilitiesPaidInd |
| Bonds Outstanding | false | BondsOutstandingInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule N, Part I, Line 2b, Interested person is an employee or ind. contractor of successor org. | FormAndLineReferenceDesc |
| Explanation | ALL OFFICERS AND KEY EMPLOYEES OF ALLEN MEDICAL CENTER BECAME EMPLOYEES OF MERCY HEALTH - ALLEN HOSPITAL LLC. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART IV, LINE 20B, AUDITED FINANCIAL STATEMENTS | THE FILING ORGANIZATION DOES NOT HAVE SEPARATE INDIVIDUAL AUDITED FINANCIAL STATEMENTS; HOWEVER, THE ORGANIZATION IS INCLUDED IN CATHOLIC HEALTH PARTNERS' COMBINED AUDITED FINANCIAL STATEMENTS WHICH ARE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. CATHOLIC HEALTH PARTNERS' AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. |
| Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders | COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM (HOLDING COMPANY) IS THE SOLE MEMBER OF ALLEN MEDICAL CENTER. |
| Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body | CATHOLIC HEALTH PARTNERS ELECTS ALL MEMBERS WHO HAVE FULL VOTING RIGHTS. |
| Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders | CERTAIN MATTERS REQUIRE APPROVAL OF THE CHP CORPORATE MEMBER, CHP GOVERNING BODY, OR CHP CEO. THE REGULATIONS OF THE ORGANIZATION DESCRIBE THE LEVEL OF APPROVAL REQUIRED FOR VARIOUS DECISIONS. |
| Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body | THE FORM 990 IS PREPARED BY CATHOLIC HEALTH PARTNER'S TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN REVIEWED BY MANAGEMENT. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES, A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. |
| Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy | ALL BOARD MEMBERS ARE COVERED BY THE CATHOLIC HEALTH PARTNERS CONFLICT OF INTEREST POLICY WHICH REQUIRES DISCLOSURE ON AN ANNUAL BASIS. ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE CATHOLIC HEALTH PARTNERS CORPORATE COMPLIANCE OFFICER. AT THE BEGINNING OF EACH BOARD MEETING ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. BOARD MEMBERS DETERMINED TO HAVE A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISION-MAKING FOR THE TRANSACTION IN WHICH THE CONFLICT EXISTS. |
| Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management official | THE ORGANIZATION'S FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACCOMPLISHING THE ORGANIZATION'S MISSION, TO RECOGNIZE PERFORMANCE, AND TO OPERATE IN KEEPING WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. THE COMPENSATION COMMITTEE OF THE REGIONAL BOARD OF TRUSTEES CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION AND PERFORMANCE OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES. IN DOING SO, THE COMMITTEE RETAINS A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT (SULLIVAN, COTTER, & ASSOCIATES, INC.) TO CONDUCT A COMPETITIVE MARKET ANALYSIS ANNUALLY OF THE MARKET RANGES OF BASE, INCENTIVE, AND TOTAL CASH COMPENSATION. THE COMMITTEE UTILIZES THAT ANALYSIS AND OTHER APPROPRIATE INFORMATION IN CONNECTION WITH ITS ANNUAL REVIEW AND ADJUSTMENT OF COMPENSATION RANGES. IT ALSO REVIEWS AND RECOMMENDS TO THE FULL BOARD THE THRESHOLD AND MAXIMUM INCENTIVE AWARDS FOR WHICH THE LISTED INDIVIDUALS MAY BE ELIGIBLE, BASED UPON THE ORGANIZATION'S PERFORMANCE RESULTS FOR COMMUNITY BENEFIT, QUALITY, AND FINANCIAL PERFORMANCE. THE DIVISIONAL CEO RECOMMENDS THE REGIONAL CEO'S COMPENSATION, AND THE REGIONAL CEO RECOMMENDS COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. THE COMMITTEE REVIEWS AND APPROVES OR ADJUSTS THE RECOMMENDED ADJUSTMENTS TO THE CEO, OFFICERS, AND KEY EMPLOYEES' BASE COMPENSATION AND INCENTIVE AWARD, WITHIN SUCH ESTABLISHED PARAMETERS. A FORMAL PERFORMANCE APPRAISAL PROCESS IS INCORPORATED IN THE COMPENSATION ADJUSTMENT AND AWARD PROCESS. IT UTILIZES A MULTI-PERSPECTIVE APPROACH AND PERFORMANCE MEASURES WHICH ARE LINKED TO THE ORGANIZATION'S ACHIEVEMENT OF TEAM AND INDIVIDUAL PERFORMANCE. COMPENSATION-RELATED DETERMINATIONS ARE CONDUCTED IN ACCORDANCE WITH APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. AND REGULATIONS TO QUALIFY FOR THE PRESUMPTION THAT THE COMPENSATION IS REASONABLE, INCLUDING BUT NOT LIMITED TO APPROVAL BY AN AUTHORIZED BODY COMPOSED OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST, OBTAINING AND RELYING ON APPROPRIATE DATA AS TO COMPARABILITY, AND CONCURRENT DOCUMENTATION OF THE BASIS FOR THE COMPENSATION DETERMINATIONS. |
| Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees | PLEASE REFER TO THE LINE 15A RESPONSE DIRECTLY ABOVE WHICH DESCRIBES THE PROCESS USED FOR BOTH THE TOP MANAGEMENT OFFICIAL AND FOR OTHER KEY EMPLOYEES. |
| Form 990, Part VI, Sec C, Line 19, Required documents available to the public | THE SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE. |
| Form 990, Part IX, Line 11g, Other Expenses | MEDICAL PROFESSIONAL FEE - TOTAL EXPENSE: 1159142, PROGRAM SERVICE EXPENSE: 985271, MANAGEMENT AND GENERAL EXPENSES: 173871, FUNDRAISING EXPENSES: ; OTHER PURCHASED SERVICES - TOTAL EXPENSE: 1984733, PROGRAM SERVICE EXPENSE: 1687023, MANAGEMENT AND GENERAL EXPENSES: 297710, FUNDRAISING EXPENSES: ; |
| Form 990 , Part XI, Line 9, Other changes in net assets or fund balances | FUND BALANCE TRANSFER - -26523140; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (64 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CATHOLIC HEALTH PARTNERS | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 311161086 | HEALTHCARE SYSTEM PARENT | OH | 501(C)(3) | 11 - Type III - FI | NA | false |
| CATHOLIC HEALTH PARTNERS FOUNDATION | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 201072726 | FUNDRAISING | OH | 501(C)(3) | 7 | CATHOLIC HEALTH PARTNERS | false |
| CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 208943658 | HUD PARENT | OH | 501(C)(3) | 9 | CATHOLIC HEALTH PARTNERS | false |
| CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 316046304 | RETIREMENT TRUST | OH | 501(C)(3) | 8 | CATHOLIC HEALTH PARTNERS | false |
| COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM | ||||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 270071694 | MARKET PARENT | OH | 501(C)(3) | 11 - Type II | CATHOLIC HEALTH PARTNERS | false |
| COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER | ||||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 340714704 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM | false |
| ALLEN MEDICAL CENTER | ||||||||||
| 200 WEST LORAIN ST | OBERLIN | OH | 44074 | 340864230 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM | false |
| COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION | ||||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 341504558 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER | false |
| COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS | ||||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 341268828 | MEDICAL OFFICE RENTAL | OH | 501(C)(3) | 9 | COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER | false |
| ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING | ||||||||||
| 200 WEST LORAIN ST | OBERLIN | OH | 44074 | 364504991 | MEDICAL OFFICE RENTAL | OH | 501(C)(3) | 11 - Type II | ALLEN MEDICAL CENTER | false |
| MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | ||||||||||
| 4600 MCAULEY PLACE | CINCINNATI | OH | 45242 | 311063783 | MARKET PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION | ||||||||||
| 4600 MCAULEY PLACE | CINCINNATI | OH | 45242 | 311217563 | FOUNDATION | OH | 501(C)(3) | 7 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY HOSPITALS WEST | ||||||||||
| 2446 KIPLING AVENUE | CINCINNATI | OH | 45239 | 311091597 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY HOSPITAL ANDERSON | ||||||||||
| 7500 STATE ROAD | CINCINNATI | OH | 45255 | 310537085 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| THE SISTERS OF MERCY OF HAMILTON OHIO | ||||||||||
| 3000 MACK ROAD | FAIRFIELD | OH | 45014 | 310538532 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO | ||||||||||
| 3000 HOSPITAL DRIVE | BATAVIA | OH | 45103 | 310830955 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC | ||||||||||
| 7010 ROWAN HILLS DR | CINCINNATI | OH | 45227 | 311308729 | RETIREMENT HOME | OH | 501(C)(3) | 9 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY SACRED HEART INC | ||||||||||
| 2120 PAYNE STREET | LOUISVILLE | KY | 40206 | 611318326 | RETIREMENT HOME | KY | 501(C)(3) | 9 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY LONG TERM CARE INITIATIVE | ||||||||||
| 4915 CHARLESTOWN RD | NEW ALBANY | IN | 47150 | 311332491 | RETIREMENT HOME | IN | 501(C)(3) | 9 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY FRANCISCAN SOCIAL MINISTRIES INC | ||||||||||
| 1800 LOGAN STREET | CINCINNATI | OH | 45210 | 311222942 | LOW INCOME HOUSING | OH | 501(C)(3) | 7 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY FRANCISCAN AT ST RAPHAEL INC | ||||||||||
| 610 HIGH STREET | HAMILTON | OH | 45011 | 202934871 | SERVICES TO THE POOR | OH | 501(C)(3) | 7 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| COMMUNITY MERCY HEALTH SYSTEM | ||||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 300272454 | MARKET PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| COMMUNITY MERCY HEALTH PARTNERS | ||||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 310785684 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY MERCY HEALTH SYSTEM | false |
| THE COMMUNITY MERCY FOUNDATION | ||||||||||
| 1343 N FOUNTAIN BLVD | SPRINGFIELD | OH | 45504 | 311443778 | FOUNDATION | OH | 501(C)(3) | 7 | COMMUNITY MERCY HEALTH SYSTEM | false |
| C H HEALTH SERVICES COMPANY | ||||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 311181984 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY MERCY HEALTH SYSTEM | false |
| CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE | ||||||||||
| 1150 E HOME ROAD | SPRINGFIELD | OH | 45503 | 260698515 | MEDICAL INFORMATION EXCHANGE | OH | 501(C)(3) | 9 | COMMUNITY MERCY HEALTH SYSTEM | false |
| THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST | ||||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 346827136 | INDIGENT MEDICAL CARE | OH | 501(C)(3) | 11 - Type I | NA | false |
| MERCY HEALTH SYSTEM - NORTHERN REGION | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341344482 | MARKET PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| MERCY PROPERTY HOLDINGS | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 300699825 | TITLE HOLDING COMPANY | OH | 501(C)(2) | N/A | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| ST CHARLES MERCY HOSPITAL OF OREGON OHIO | ||||||||||
| 2600 NAVARRE AVENUE | OREGON | OH | 43616 | 344445373 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| RIVERSIDE MERCY HOSPITAL | ||||||||||
| 3404 W SYLVANIA AVE | TOLEDO | OH | 43623 | 311556401 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY HOME CARE INC | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341587572 | HOME HEALTHCARE | OH | 501(C)(3) | 9 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY COLLEGE OF OHIO | ||||||||||
| 2221 MADISON AVENUE | TOLEDO | OH | 43604 | 341726619 | MEDICAL COLLEGE | OH | 501(C)(3) | 2 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY COLLEGE OF OHIO FOUNDATION INC | ||||||||||
| 2221 MADISON AVENUE | TOLEDO | OH | 43604 | 141963204 | FOUNDATION | OH | 501(C)(3) | 11 - Type I | MERCY COLLEGE OF OHIO | false |
| MERCY HOSPITAL OF TIFFIN OHIO | ||||||||||
| 45 ST LAWRENCE DRIVE | TIFFIN | OH | 44883 | 344431174 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY TIFFIN HEALTH FOUNDATION | ||||||||||
| 45 ST LAWRENCE DRIVE | TIFFIN | OH | 44883 | 341499894 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | MERCY HOSPITAL OF TIFFIN OHIO | false |
| THE SISTERS OF MERCY OF WILLARD OHIO | ||||||||||
| 110 EAST HOWARD ST | WILLARD | OH | 44890 | 341577110 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY HOSPITAL OF WILLARD FOUNDATION | ||||||||||
| 110 EAST HOWARD ST | WILLARD | OH | 44890 | 113742347 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | THE SISTERS OF MERCY OF WILLARD OHIO | false |
| ST VINCENT MERCY MEDICAL CENTER | ||||||||||
| 2213 CHERRY STREET | TOLEDO | OH | 43608 | 344428250 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY FOUNDATION | ||||||||||
| 2213 CHERRY STREET | TOLEDO | OH | 43608 | 237393213 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | ST VINCENT MERCY MEDICAL CENTER | false |
| LIFESTAR AMBULANCE INC | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341354653 | MEDICAL TRANSPORTATION | OH | 501(C)(3) | 11 - Type II | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| RSM MEDICAL FOUNDATION | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43624 | 341693671 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| SIMON OUTREACH SERVICES | ||||||||||
| 2600 NAVARRE AVENUE | OREGON | OH | 43616 | 341383325 | MEDICAL OFFICE RENTAL | OH | 501(C)(3) | 11 - Type II | ST CHARLES MERCY HOSPITAL OF OREGON OHIO | false |
| FARLEY HEALTHCARE CORPORATION | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341363204 | HEALTH SERVICES | OH | 501(C)(3) | 9 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| ST RITA'S MEDICAL CENTER | ||||||||||
| 730 W MARKET STREET | LIMA | OH | 45801 | 341105619 | HOSPITAL | OH | 501(C)(3) | 3 | CATHOLIC HEALTH PARTNERS | false |
| SRHC FOUNDATION | ||||||||||
| 730 W MARKET STREET | LIMA | OH | 45801 | 341368429 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | ST RITA'S MEDICAL CENTER | false |
| NEW VISION MEDICAL LABORATORIES INC | ||||||||||
| 750 W HIGH ST STE 400 | LIMA | OH | 45801 | 341937267 | MEDICAL LAB SERVICES | OH | 501(C)(3) | 11 - Type III - FI | ST RITA'S MEDICAL CENTER | false |
| HUMILITY OF MARY HEALTH PARTNERS | ||||||||||
| 1044 BELMONT AVENUE | YOUNGSTOWN | OH | 44501 | 340505560 | HOSPITAL | OH | 501(C)(3) | 3 | CATHOLIC HEALTH PARTNERS | false |
| THE ASSUMPTION VILLAGE | ||||||||||
| 9800 N MARKET STREET | NORTH LIMA | OH | 44452 | 341013695 | NURSING HOME | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| HOSPICE OF THE VALLEY | ||||||||||
| 5190 MARKET STREET | YOUNGSTOWN | OH | 44512 | 341288745 | HOSPICE SERVICES | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| HUMILITY OF MARY DEVELOPMENT FOUNDATION | ||||||||||
| 1044 BELMONT AVENUE | YOUNGSTOWN | OH | 44501 | 341826978 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | HUMILITY OF MARY HEALTH PARTNERS | false |
| HUMILITY HOUSE | ||||||||||
| 755 OHLTOWN ROAD | AUSTINTOWN | OH | 44515 | 341894783 | NURSING HOME | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| ST JOSEPH HEALTH CENTER AUXILIARY | ||||||||||
| 677 EASTLAND SE | WARREN | OH | 44484 | 346556121 | FUNDRAISING | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| MERCY HEALTH PARTNERS - LOURDES INC | ||||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | 610600313 | HOSPITAL | KY | 501(C)(3) | 3 | CATHOLIC HEALTH PARTNERS | false |
| LOURDES FOUNDATION INC | ||||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | 611258960 | FOUNDATION | KY | 501(C)(3) | 7 | MERCY HEALTH PARTNERS - LOURDES INC | false |
| LOURDES HOSPITAL AUXILIARY GIFT SHOP | ||||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | 610927805 | FUNDRAISING | KY | 501(C)(3) | 11 - Type III - FI | LOURDES FOUNDATION INC | false |
| MARCUM AND WALLACE MEMORIAL HOSPITAL INC | ||||||||||
| 60 MERCY COURT | IRVINE | KY | 40336 | 610927491 | HOSPITAL | KY | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - LOURDES INC | false |
| MARCUM AND WALLACE HOSPITAL FOUNDATION INC | ||||||||||
| 60 MERCY COURT | IRVINE | KY | 40336 | 320026557 | FOUNDATION | KY | 501(C)(3) | 11 - Type III - FI | MARCUM AND WALLACE MEMORIAL HOSPITAL INC | false |
| MERCY HEALTH PARTNERS INC | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 731627534 | MARKET PARENT | TN | 501(C)(3) | 11 - Type I | CATHOLIC HEALTH PARTNERS | false |
| MERCY HEALTH PARTNERS - NORTHEAST REGION INC | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 232813196 | MARKET PARENT | PA | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| MERCY HOSPITAL OF WILKES-BARRE | ||||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | 240795625 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY HEALTH CARE CENTER | ||||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | 232322809 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| HEALTHSPAN PARTNERS | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 463055925 | MARKET PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| HEALTHSPAN INTEGRATED CARE | ||||||||||
| 1001 LAKESIDE AVE SUITE 1200 | CLEVELAND | OH | 44114 | 340922268 | HMO | OH | 501(C)(3) | 9 | HEALTHSPAN PARTNERS | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| NWO INTEGRATED LABORATORIES MERCY LLC | ||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43624 | 341898285 | LABORATORY SERVICES | OH | NA | N/A |
| TIFFIN AMBULATORY SURGICAL ASSOCIATES | ||||||||
| 45 ST LAWRENCE DRIVE | TIFFIN | OH | 44833 | 371567866 | AMBULATORY SURGERY CENTER | OH | NA | N/A |
| NEW VISION MEDICAL LAB LLC | ||||||||
| 750 W HIGH STREET | LIMA | OH | 45801 | 341913433 | LAB SERVICES | OH | NA | N/A |
| WEST CENTRAL OHIO GROUP LTD | ||||||||
| 801 MEDICAL DRIVE | LIMA | OH | 45804 | 341848147 | ORTHOPEDIC HOSPITAL | OH | NA | N/A |
| KIDNEY SERVICES OF WEST CENTRAL OHIO | ||||||||
| 750 W HIGH STREET SUITE 100 | LIMA | OH | 45801 | 061644264 | DIALYSIS CENTER | OH | NA | N/A |
| WEST CENTRAL OHIO REGIONAL HEALTHCARE ALLIANCE LTD | ||||||||
| 2615 FORT AMANDA ROAD | LIMA | OH | 45805 | 341817078 | HEALTHCARE QUALITY | OH | NA | N/A |
| ST ELIZABETH SOUTHWOODS IMAGING | ||||||||
| 250 DEBARTOLO PLACE BLDG B | YOUNGSTOWN | OH | 44512 | 261626482 | DIAGNOSTIC IMAGING | OH | NA | N/A |
| ST ELIZABETH CARDIAC CATH LAB LLC | ||||||||
| P O BOX 16008 | PITTSBURGH | PA | 15242 | 300023795 | LAB SERVICES | PA | NA | N/A |
| UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC | ||||||||
| 1044 BELMONT AVE | YOUNGSTOWN | OH | 44501 | 262989686 | RADIATION THERAPY | OH | NA | N/A |
| HMHPUSP SURGERY CENTERS LLC | ||||||||
| 15305 DALLAS PKWY STE 1600 | ADDISON | TX | 75001 | 271953122 | SURGERY CENTER | TX | NA | N/A |
| OSC-HMHP LLC | ||||||||
| 6505 MARKET ST BLDG B STE 101 | BOARDMAN | OH | 44512 | 010724836 | ORTHOPEDIC SURGERY CENTER | OH | NA | N/A |
| LOURDES AMBULATORY SURGERY CENTER | ||||||||
| 225 MEDICAL CENTER DRIVE | PADUCAH | KY | 42003 | 611258960 | SURGERY CENTER | KY | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (27 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|
| CHP INSURANCE LTD | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 980621978 | INSURANCE | CJ | NA | C CORPORATION | |
| SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 310990309 | WORKERS COMPENSATION TRUST | NA | TRUST | MA | |
| MHSWO HEALTH VENTURES INC | |||||||||
| 1 S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 311072139 | PHYSICIAN PRACTICES | NA | C CORPORATION | OH | |
| NORTHPARKE MEDICAL COMMONS CONDO ASSN | |||||||||
| 333 N LIMESTONE ST | SPRINGFIELD | OH | 45503 | 311391230 | REAL PROPERTY MGMNT | NA | C CORPORATION | OH | |
| MERCY HEALTH AFFILIATES INC | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341372633 | PHYSICIAN SERVICES | NA | C CORPORATION | OH | |
| PHYSICIAN'S HEALTH COLLABORATIVE | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 203986844 | MEDICAL & HOSPITAL SERVICES | NA | C CORPORATION | OH | |
| NORTHSIDE CORPORATION | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341318438 | RESIDENT RENTALS | NA | C CORPORATION | OH | |
| MERCY WORK SOLUTIONS | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 300066340 | WORKERS COMPENSATION | NA | C CORPORATION | OH | |
| MERCY HEALTH SYSTEM PHO | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341778321 | MEDICAL SERVICES | NA | C CORPORATION | OH | |
| PHYSICIAN MANAGED CARE INC | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341565320 | HEALTH SERVICES | NA | C CORPORATION | OH | |
| MCAULEY MANAGEMENT SERVICES INC | |||||||||
| 730 W MARKET STREET | LIMA | OH | 45801 | 341379037 | PROPERTY RENTAL | NA | C CORPORATION | OH | |
| LIMA MEDICAL SUPPLIES INC | |||||||||
| 730 W MARKET STREET | LIMA | OH | 45801 | 340944477 | MEDICAL EQUIPMENT | NA | C CORPORATION | OH | |
| COMMUNITY HEALTH PARTNERS ENTERPRISES INC | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 341455525 | HOLDING COMPANY | NA | C CORPORATION | OH | |
| COMMUNITY HEALTH PARTNERS PHYSICIANS INC | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 341803352 | PHYSICIAN PRACTICES | NA | C CORPORATION | OH | |
| AMC PHYSICIANS INC | |||||||||
| 200 W LORAIN STREET | OBERLIN | OH | 44074 | 371439554 | PHYSICIAN SERVICES | NA | C CORPORATION | OH | |
| MERCY HEALTH VENTURES INC | |||||||||
| 4600 MCAULEY PLACE | CINCINNATI | OH | 45242 | 311185477 | DIVERSIFIED ACTIVITIES | NA | C CORPORATION | OH | |
| MERCY FRANCISCAN MEDICAL MANAGEMENT SERVICES | |||||||||
| 4600 MCAULEY PLACE | CINCINNATI | OH | 45242 | 311640789 | DIVERSIFIED ACTIVITIES | NA | C CORPORATION | OH | |
| MERCY FRANCISCAN AT WINTON WOODS I INC | |||||||||
| 10290 MILL ROAD | CINCINNATI | OH | 45231 | 311658668 | LOW-INCOME HOUSING | NA | C CORPORATION | OH | |
| MERCY HEALTH MANAGEMENT INC | |||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | 611086762 | MEDICAL OFFICES | NA | C CORPORATION | KY | |
| HEALTH DYNAMICS INC | |||||||||
| 900 E OAK HILL AVENUE | KNOXVILLE | TN | 37917 | 621247729 | MEDICAL EQUIPMENT SALES | NA | C CORPORATION | TN | |
| HEALTH VENTURES INC & SUBSIDIARIES | |||||||||
| P O BOX 1788 | KNOXVILLE | TN | 37901 | 621175587 | MEDICAL SERVICES | NA | C CORPORATION | TN | |
| ANNE KILCAWLEY CHRISTMAN FOUNDATION | |||||||||
| 100 FEDERAL PLAZA EAST | YOUNGSTOWN | OH | 44503 | 356735706 | BENEFICIAL TRUST | NA | TRUST | OH | |
| RALPH EWE TRUST | |||||||||
| 270 PARK AVENUE | NEW YORK | NY | 10017 | 346866422 | BENEFICIAL TRUST | NA | TRUST | NY | |
| ELIZABETH HINES CATES TRUST | |||||||||
| PNC 1900 E 9TH ST | CLEVELAND | OH | 44114 | 346515678 | BENEFICIAL TRUST | NA | TRUST | OH | |
| WILLIS PARK TRUST | |||||||||
| PNC 1900 E 9TH ST | CLEVELAND | OH | 44114 | 346519904 | BENEFICIAL TRUST | NA | TRUST | OH | |
| ERMA GIBSON BALDWIN TRUST | |||||||||
| PNC 1900 E 9TH ST | CLEVELAND | OH | 44114 | 346515566 | BENEFICIAL TRUST | NA | TRUST | OH | |
| HEALTHSPAN INC | |||||||||
| 225 PICTORIA DR | CINCINNATI | OH | 45246 | 311431434 | INSURANCE | NA | C CORPORATION | OH | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |