MERCY HOSPITALS WEST: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HOSPITALS WEST (EIN 31-1091597)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-13
- IRS object ID
- 201443179349305174
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-13T16:01:13-06:00 | 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 | 311091597 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITALS WEST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 5139815600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 Mercy Health Blvd | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45211 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID NOWISKI | PersonNm |
| Person Title | MARKET CFO | PersonTitleTxt |
| Signature | 2014-10-31 | 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) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Final Return | Yes (X) | FinalReturnInd |
Principal Ofcr Business Address PrincipalOfcrBusinessAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL STEPHENS | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 Mercy Health Blvd | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45211 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $175,931,347 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.E-MERCY.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | MERCY HOSPITALS WEST CARES FOR ANYONE WHO COMES TO US, REGARDLESS OF ABILITY TO PAY, OFFERING FREE CARE TO ANYONE WITHOUT INSURANCE EARNING UP TO TWICE THE FEDERAL POVERTY GUIDELINES (FPG) & DISCOUNTS TO THOSE EARNING UP TO FOUR TIMES THE FPG. THOSE WITH INSURANCE WHO EARN MORE CAN ALSO QUALIFY FOR DISCOUNTS. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1519 | TotalEmployeeCnt |
| Total Volunteers | 400 | TotalVolunteersCnt |
| Total Gross UBI | $3,310,220 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $191,447 | PYContributionsGrantsAmt |
| CY Contributions Grants | $644,091 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $187,277,363 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $173,090,744 | CYProgramServiceRevenueAmt |
| PY Investment Income | $143,253 | PYInvestmentIncomeAmt |
| CY Investment Income | -$435,429 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,533,435 | PYOtherRevenueAmt |
| CY Other Revenue | $2,164,067 | CYOtherRevenueAmt |
| PY Total Revenue | $189,145,498 | PYTotalRevenueAmt |
| CY Total Revenue | $175,463,473 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $68,589 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $103,751 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $83,940,343 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $83,948,130 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $100,067,324 | PYOtherExpensesAmt |
| CY Other Expenses | $102,659,252 | CYOtherExpensesAmt |
| PY Total Expenses | $184,076,256 | PYTotalExpensesAmt |
| CY Total Expenses | $186,711,133 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,069,242 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$11,247,660 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $237,031,663 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $223,819,344 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,212,319 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MERCY HOSPITALS WEST EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $163,452,463 | ExpenseAmt |
| Grant | $103,751 | GrantAmt |
| Revenue | $169,780,524 | RevenueAmt |
| Desc | THE PRIMARY EXEMPT PURPOSE OF MERCY HOSPITALS WEST IS TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. MERCY HOSPITALS WEST ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. TOTAL CHARITY CARE PROVIDED IN 2013 WAS $6,309,157 SERVING 8,088 INDIVIDUALS. | Desc |
| Total Program Service Expenses | $163,452,463 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | Yes (true) | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1519 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | 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 (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| GERMAINE BENNETT | ||||||||||
| CHAIRMAN | 0.30 | 2.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| TIMOTHY INGRAM | ||||||||||
| VICE CHAIRMAN | 0.30 | 2.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| TODD GARDNER | ||||||||||
| TREASURER | 0.30 | 2.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| YOUSUF JAMAL AHMAD | ||||||||||
| PRESIDENT & SECRETARY, MERCY HEALTH CINCINNATI PRESIDENT & CEO | 1.00 | 48.00 | Yes (X) | Yes (X) | $0 | $797,005 | $129,261 | |||
| ANTHONY J ARETZ PHD | ||||||||||
| TRUSTEE | 0.30 | 2.10 | Yes (X) | $0 | $0 | $0 | ||||
| ANTHONY J ASHER MD | ||||||||||
| TRUSTEE | 0.30 | 2.10 | Yes (X) | $0 | $0 | $0 | ||||
| DANIEL GEEDING | ||||||||||
| TRUSTEE | 0.30 | 2.10 | Yes (X) | $0 | $0 | $0 | ||||
| DONNA ZARING | ||||||||||
| TRUSTEE | 0.30 | 2.10 | Yes (X) | $0 | $0 | $0 | ||||
| ED HERZIG MD | ||||||||||
| TRUSTEE | 0.30 | 40.00 | Yes (X) | $0 | $415,176 | $33,461 | ||||
| JAMES J MCGRAW JR | ||||||||||
| TRUSTEE | 0.30 | 2.10 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES MAY | ||||||||||
| TRUSTEE, CHP EVP & COO | 0.30 | 43.40 | Yes (X) | $0 | $1,794,878 | $45,028 | ||||
| KIMBERLY MAUER | ||||||||||
| TRUSTEE | 0.30 | 2.10 | Yes (X) | $0 | $0 | $0 | ||||
| L RICHARD ROEDERSHEIMER MD | ||||||||||
| TRUSTEE | 0.30 | 40.00 | Yes (X) | $0 | $568,064 | $33,987 | ||||
| NEIL O'CONNOR | ||||||||||
| TRUSTEE | 0.30 | 2.10 | Yes (X) | $0 | $0 | $0 | ||||
| REENA DHANDA PATIL MD | ||||||||||
| TRUSTEE | 0.30 | 2.10 | Yes (X) | $0 | $0 | $0 | ||||
| SR MARJORIE BOSSE RSM | ||||||||||
| TRUSTEE | 0.30 | 3.10 | Yes (X) | $0 | $0 | $0 | ||||
| SR MARY STANTON RSM | ||||||||||
| TRUSTEE | 0.30 | 2.10 | Yes (X) | $0 | $0 | $0 | ||||
| DEBORAH BLOOMFIELD | ||||||||||
| SVP, MARKET CFO | 0.30 | 42.70 | Yes (X) | $0 | $561,858 | $93,793 | ||||
| MICHAEL STEPHENS | ||||||||||
| MARKET LEADER & PRESIDENT | 40.00 | 0 | Yes (X) | $572,354 | $0 | $53,209 | ||||
| PATRICK KOWALSKI | ||||||||||
| President & CEO, Market CFO | 40.00 | 3.00 | Yes (X) | $351,379 | $0 | $35,683 | ||||
| CLAIRE COMBS | ||||||||||
| SVP, CHIEF ADMINISTRATIVE OFFICER | 1.00 | 43.00 | $0 | $445,036 | $61,973 | Yes (X) | ||||
| LEE ANN LISKA | ||||||||||
| MHP CHIEF OPERATING OFFICER | 1.00 | 43.00 | $0 | $326,978 | -$1,038 | Yes (X) | ||||
| LEONARD M RANDOLPH JR MD | ||||||||||
| SVP, CHIEF MEDICAL OFFICER | 1.00 | 43.00 | $0 | $511,985 | $67,552 | Yes (X) | ||||
| MAGGIE LUND | ||||||||||
| SVP, DIV HUMAN RESOURCES | 1.00 | 43.00 | $0 | $360,369 | $44,477 | Yes (X) | ||||
| MICHAEL KRAMER | ||||||||||
| VP STRATEGIC PLANNING & BUS. DEVELOPMENT | 1.00 | 43.00 | $0 | $269,446 | $37,199 | Yes (X) | ||||
| PATRICIA SCHROER | ||||||||||
| VP MERCY HEALTH SERVICE LINES | 1.00 | 43.00 | $0 | $284,674 | $43,235 | Yes (X) | ||||
| STEPHANIE MEADE | ||||||||||
| VP Nursing | 40.00 | 0 | $191,181 | $0 | $29,600 | Yes (X) | ||||
| CHRISTINE KIRBY | ||||||||||
| DIRECTOR OF PHARMACY | 40.00 | 0 | $152,079 | $0 | $21,202 | Yes (X) | ||||
| DONALD BISHER | ||||||||||
| PHARMACIST | 40.00 | 0 | $141,181 | $0 | $37,088 | Yes (X) | ||||
| LOIS BOWMAN | ||||||||||
| PHARMACIST | 40.00 | 0 | $170,528 | $0 | $24,730 | Yes (X) | ||||
| MARK MAYHAUS | ||||||||||
| LEAD PHARMACIST | 40.00 | 0 | $172,345 | $0 | $41,556 | Yes (X) | ||||
| MICHAEL ADOLPH | ||||||||||
| VP MEDICAL AFFAIRS | 40.00 | 0 | $260,748 | $0 | $19,094 | Yes (X) | ||||
| JOYCE KEEGAN | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0 | $119,891 | $0 | $4,936 | Yes (X) | ||||
| KEVIN COOK | ||||||||||
| FORMER OFFICER | 0.00 | 52.00 | $0 | $219,088 | $56,406 | Yes (X) | ||||
| PAUL HILTZ | ||||||||||
| FORMER OFFICER | 0.00 | 45.50 | $0 | $392,725 | $92,179 | Yes (X) | ||||
| THOMAS URBAN | ||||||||||
| FORMER OFFICER | 0.00 | 40.00 | $0 | $537,304 | $62,747 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,131,686 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,484,586 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,067,358 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 38 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $76,504 | RelatedOrganizationsAmt |
| Government Grants | $6,868 | GovernmentGrantsAmt |
| All Other Contributions | $560,719 | AllOtherContributionsAmt |
| Total Contributions | $644,091 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621990 | $161,662,352 | $161,662,352 | |
| LABORATORY FEES | 621500 | $7,777,759 | $6,504,041 | $1,273,718 |
| RENTAL INCOME FROM AFFILIATES | 531120 | $1,614,131 | $1,614,131 | |
| FITNESS CENTER | 713940 | $2,036,502 | $2,036,502 | |
| $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 | $173,090,744 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,445 | TotalRevenueColumnAmt |
| Exclusion | $32,445 | 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 |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $467,874 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$467,874 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$467,874 | TotalRevenueColumnAmt |
| Exclusion | -$467,874 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA | 722210 | $600,684 | $600,684 |
| GIFT SHOP | 900099 | $604,912 | $604,912 |
| CORP STIMULUS | 900099 | $858,940 | $858,940 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $99,531 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $99,531 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,164,067 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $175,463,473 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $169,780,524 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,310,220 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,728,638 | 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 | $103,751 | TotalAmt |
| Program Services | $103,751 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,233,406 | TotalAmt |
| Program Services | $1,048,395 | ProgramServicesAmt |
| Management And General | $185,011 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,987,428 | TotalAmt |
| Program Services | $56,939,314 | ProgramServicesAmt |
| Management And General | $10,048,114 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,352,112 | TotalAmt |
| Program Services | $1,149,295 | ProgramServicesAmt |
| Management And General | $202,817 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,436,693 | TotalAmt |
| Program Services | $8,021,189 | ProgramServicesAmt |
| Management And General | $1,415,504 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,938,491 | TotalAmt |
| Program Services | $4,197,717 | ProgramServicesAmt |
| Management And General | $740,774 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,100 | TotalAmt |
| Management And General | $30,100 | 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 | $51,021,969 | TotalAmt |
| Program Services | $44,707,355 | ProgramServicesAmt |
| Management And General | $6,314,614 | 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 | $9,294,633 | TotalAmt |
| Program Services | $7,900,438 | ProgramServicesAmt |
| Management And General | $1,394,195 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,675,055 | TotalAmt |
| Program Services | $5,673,797 | ProgramServicesAmt |
| Management And General | $1,001,258 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,567 | TotalAmt |
| Program Services | $156,032 | ProgramServicesAmt |
| Management And General | $27,535 | 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 | $4,328,332 | TotalAmt |
| Program Services | $3,679,082 | ProgramServicesAmt |
| Management And General | $649,250 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,121,366 | TotalAmt |
| Program Services | $5,203,161 | ProgramServicesAmt |
| Management And General | $918,205 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,348,319 | TotalAmt |
| Program Services | $1,146,071 | ProgramServicesAmt |
| Management And General | $202,248 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $20,228,461 | $20,228,461 |
| OHIO FRANCHISE FEES | $2,567,149 | $2,567,149 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $860,301 | TotalAmt |
| Program Services | $731,256 | ProgramServicesAmt |
| Management And General | $129,045 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,711,133 | TotalAmt |
| Program Services | $163,452,463 | ProgramServicesAmt |
| Management And General | $23,258,670 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,176,945 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,969,578 | 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 | $2,950,612 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $292,742 | 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 | $210,607,508 | 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 | $1,034,278 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,031,663 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,617,286 | 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 | $194,202,058 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $223,819,344 | 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 | $13,212,319 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,212,319 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,031,663 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$11,247,660 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,964,659 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (true) | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | Yes (true) | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $1,956 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $1,956 | 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 | 8088 | PersonsServedCnt |
| Total Community Benefit Expns | $7,833,349 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,524,192 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,309,157 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03380 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 35970 | PersonsServedCnt |
| Total Community Benefit Expns | $23,663,590 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,250,525 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,413,065 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05580 | 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 | 44058 | PersonsServedCnt |
| Total Community Benefit Expns | $31,496,939 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,774,717 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,722,222 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08960 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 1296 | PersonsServedCnt |
| Total Community Benefit Expns | $245,596 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $245,596 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 510 | PersonsServedCnt |
| Total Community Benefit Expns | $97,209 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $97,209 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | 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) |
|---|---|---|
| Total Community Benefit Expns | $55,894 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $55,894 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 1806 | PersonsServedCnt |
| Total Community Benefit Expns | $398,699 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $398,699 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 45864 | PersonsServedCnt |
| Total Community Benefit Expns | $31,895,638 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,774,717 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,120,921 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09170 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,120 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,120 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | 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 | $25,120 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,120 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $24,933,795 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $44,988,987 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $41,720,320 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,268,667 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|
| MERCY HEALTH - WEST HOSPITAL | ||||||||||
| 1 | 3300 Mercy Health Blvd | CINCINNATI | OH | 45211 | WWW.E-MERCY.COM | 1026 | Yes (X) | Yes (X) | Yes (X) | A |
| MERCY HOSPITAL WESTERN HILLS | ||||||||||
| 2 | 3131 queen city avenue | CINCINNATI | OH | 45238 | WWW.E-MERCY.COM | 1183 | Yes (X) | Yes (X) | Yes (X) | A |
| MERCY HOSPITAL MT AIRY | ||||||||||
| 3 | 2446 kipling avenue | CINCINNATI | OH | 45239 | WWW.E-MERCY.COM | 1026 | Yes (X) | Yes (X) | Yes (X) | A |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | 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.e-mercy.com/foundation-community-benefit.aspx | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.mercy.com | OtherWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | 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 (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment | (1) A - MERCY HEALTH - WEST HOSPITAL: ALL OF THE INDIVIDUALS LISTED BELOW WERE IDENTIFIED FOR PARTICIPATION BECAUSE THEY POSSESSED CURRENT DATA OR INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. THE STAFF AND OFFICIALS WHO, BY VIRTUE OF THEIR OFFICE OR POSITION, ARE CONSIDERED TO HAVE EXPERTISE IN PUBLIC HEALTH ARE INDICATED BY AN ASTERISK (*) AFTER THEIR NAME. INDIVIDUALS CONTACTED: JUDY BENNINGTON*, ADMINISTRATOR, ADAMS COUNTY HEALTH DEPARTMENT MARY ANN MIARS-PEERCY, EXECUTIVE DIRECTOR, UNITED WAY OF SCIOTO COUNTY ALVIN NORRIS, EXECUTIVE DIRECTOR, ADAMS-BROWN COUNTIES ECONOMIC OPPORTUNITIES INC HAROLD VERMILLION*, HEALTH COMMISSIONER, BROWN COUNTY HEALTH DEPARTMENT COLLEEN CHAMBERLAIN, ASSOCIATE DIRECTOR, BROWN COUNTY ALCOHOL, DRUG ADDICTION, MENTAL HEALTH SERVICES BOARD DEBRA GORDON, AREA DIRECTOR, UNITED WAY OF GREATER CINCINNATI JACKIE PHILLIPS*, HEALTH COMMISSIONER, MIDDLETOWN CITY HEALTH DEPARTMENT MIKE SANDERS, EXECUTIVE DIRECTOR, MIDDLETOWN AREA UNITED WAY JEFFERY DIVER, EXECUTIVE DIRECTOR, BUTLER COUNTY SUPPORTS TO ENCOURAGE LOW-INCOME FAMILIES JOHN GUIDUGLI, PRESIDENT AND CHIEF EXECUTIVE OFFICER, HAMILTON COMMUNITY FOUNDATION DUANE GORDON, EXECUTIVE DIRECTOR, MIDDLETOWN COMMUNITY FOUNDATION KAREN SCHERRA, CHIEF OPERATING OFFICER, CLERMONT COUNTY MENTAL HEALTH AND RECOVERY BOARD BILLIE KUNTZ, EXECUTIVE DIRECTOR, CLERMONT COUNTY COMMUNITY SERVICES LISA JACKSON, VP MARKETING, DEVELOPMENT, HEALTHSOURCE OF OHIO TIM INGRAM*, HEALTH COMMISSIONER, HAMILTON COUNTY PUBLIC HEALTH ERIK STEWART, VICE PRESIDENT OF SYSTEM PERFORMANCE, HAMILTON COUNTY MENTAL HEALTH AND RECOVERY SERVICES BOARD BARBARA TERRY, VICE PRESIDENT COMMUNITY IMPACT, COMMUNITY/CHARITY UNITED WAY OF GREATER CINCINNATI WILL PARR, AGENCY DIRECTOR, CINCINNATI/HAMILTON COMMUNITY ACTION SHILOH TURNER, VICE PRESIDENT OF PROGRAMS, GREATER CINCINNATI FOUNDATION H.A. MUSSER, PRESIDENT AND CHIEF EXECUTIVE OFFICER, SANTA MARIA COMMUNITY SERVICES DR. JIM VANZANT*, HEALTH COMMISSIONER, HIGHLAND COUNTY HEALTH DEPARTMENT JUNI FREY, EXECUTIVE DIRECTOR, PAINT VALLEY ALCOHOL, DRUG ADDICTION, MENTAL HEALTH SERVICES BOARD DUANE STANSBURY*, HEALTH COMMISSIONER, WARREN COUNTY COMBINED HEALTH DISTRICT BRENT LAWYER, EXECUTIVE DIRECTOR, MENTAL HEALTH AND RETARDATION SERVICES OF WARREN AND CLINTON COUNTIES KAREN HILL, DIRECTOR, AGING SERVICES, WARREN COUNTY COMMUNITY SERVICES INC. JULIA RUPP, CHIEF OPERATING OFFICER, COMMUNITY MENTAL HEALTH CENTER KAREN SNYDER, DIRECTOR, DEARBORN COUNTY UNITED WAY MARK NEFF, COORDINATOR, DEARBORN COUNTY COMMUNITY FOUNDATION DAVID WELSH, M.D.*, COUNTY HEALTH OFFICER, RIPLEY COUNTY HEALTH DEPARTMENT SALLY MORRIS, EXECUTIVE DIRECTOR, RIPLEY COUNTY COMMUNITY FOUNDATION JOHN JOY, DEAN, SOUTHERN STATE COMMUNITY COLLEGE ERIC RADEMACHER, PHD, CO-DIRECTOR UNIVERSITY OF CINCINNATI, INSTITUTE FOR POLICY RESEARCH JOHN TAFARO, PRESIDENT CHATFIELD COLLEGE DIRECT SERVICE PROVIDER GROUP LEVEL ASSESSMENTS: BECKY BASFORD, CERTIFIED NURSE PRACTITIONER, ADAMS COUNTY REGIONAL MEDICAL CENTER (ACRMC) KRYS HESS, FOOD SERVICE SUPERVISOR, ADAMS COUNTY OHIO VALLEY SCHOOL DISTRICT (ACOVSD) CAROL MOTZA*, BOARD MEMBER, HEALTH DEPARTMENT BRIAN MCCORD, SPORTS MEDICINE MANAGER, ADAMS COUNTY REGIONAL MEDICAL CENTER (ACRMC) WILL WEST, WAL-MART FARRAH JAQUEZ, ASSISTANT PROFESSOR, UNIVERSITY OF CINCINNATI (UC) SHAY BEIGHLE, TEACHER, NORTH ADAMS HIGH SCHOOL HOLLY JOHNSON, DIRECTOR, ADAMS COUNTY ECONOMIC DEVELOPMENT COUNCIL (ACEDC) MIKE CLINTON KAREN BALLENGEE, TREASURER, MANCHESTER LOCAL SCHOOL DISTRICT (MLSD) ALVIS GEORGE, MANCHESTER LOCAL SCHOOL DISTRICT (MLSD) DANE CLARK, ASSEMBLY AND TEST MANAGER/BOARD OF TRUSTEES, GENERAL ELECTRIC (GE)/ADAMS COUNTY REGIONAL MEDICAL CENTER JOYCE PORTER, DIRECTOR OF HUMAN RESOURCES AND RISK MANAGEMENT, ADAMS COUNTY REGIONAL MEDICAL CENTER (ACRMC) CHARLIE BESS, VOLUN"TEEN" COORDINATOR/BOARD MEMBER, ADAMS COUNTY REGIONAL MEDICAL CENTER (ACRMC)/ADAMS COUNTY/OHIO VALLEY SCHOOL DISTRICT (ACOVSD) DELORA BLYMAIL, WORKFORCE CONNECTIONS OF ADAMS AND BROWN COUNTIES STEVE DUNKIN, EXECUTIVE DIRECTOR, BROWN COUNTY ALCOHOL, DRUG ADDICTION, MENTAL HEALTH BOARD MARY FRANCIS, DIRECTOR, ASSISTANCE FOR SUBSTANCE ABUSE PREVENTION CENTER ERIN HOLSTED, MSW, LICENSED SOCIAL WORKER, WESTERN BROWN SCHOOL BASED HEALTH CENTER JOAN PHILLIPS, CHIEF EXECUTIVE OFFICE, BROWN COUNTY HOSPITAL VENITA MILBURN, BROWN COUNTY HOSPITAL SUE BASTA, PHD, RN; CONTINUING EDUCATION HEALTH PROMOTION PROGRAMS, HEALTH-UC/UNIVERSITY OF CINCINNATI AREA HEALTH EDUCATION CENTER RAMONA APPLEGATE, ADAMS BROWN EARLY HEAD START/ADAMS/BROWN COUNTY ECONOMIC OPPORTUNITIES, INC. BONITA HAAS, BSW, LICENSED SOCIAL WORKER; ASSISTANT DIRECTOR, ADAMS BROWN HIGH SCHOOL/EARLY HEAD START/HELP ME GROW/ADAMS/BROWN COUNTY ECONOMIC OPPORTUNITIES, INC. JOAN GARRETT, PRE-K DIRECTOR, BOARD MEMBER, BROWN COUNTY EDUCATIONAL SERVICE CENTER DAYNE MICHAEL, SUPERVISOR, BROWN COUNTY EDUCATIONAL SERVICE CENTER MARGARET CLARK, JUDGE PROBATE JUVENILE COURT RANDY ALLMAN, DIRECTOR REGIONAL SERVICES, BROWN COUNTY RECOVERY SERVICES (TALBERT HOUSE) DAVID SHARP, DIRECTOR OF JOB/FAMILY SERVICES, BROWN COUNTY RECOVERY SERVICES TAMMIE KELLER, BUSINESS MANAGER, BROWN COUNTY BOARD OF DEVELOPMENTAL DISABILITIES LINDA ONDRE, COORDINATOR, FAMILY CHILDREN FIRST COUNCIL ANGIE DEVILBLISS, FACULTY SECRETARY, SOUTHERN STATE COMMUNITY COLLEGE HEATHER WELLS, MSW, LICENSED SOCIAL WORKER/ COORDINATOR, BUTLER COUNTY FAMILY CHILDREN FIRST COUNCIL BILL STALER, CHIEF EXECUTIVE OFFICER LIFESPAN MARC BELLIJARIO, CHIEF EXECUTIVE OFFICER, PRIMARY HEALTH SOLUTIONS YVETTE DORSEY-BENSON*, DIRECTOR, MIDDLETOWN HEALTH DEPARTMENT PROJECT CARRIE COREEN, BUTLER 211 ANGIE DUNCAN, DIRECTOR BUTLER COUNTY SUCCESS DAVID FOSTER, SUPPORT SERVICES DIRECTOR, FAIRFIELD CITY SCHOOLS NINA ROSE, SENIOR HIGH STUDENTS AGAINST DRUNK DRIVING SPONSOR, FAIRFIELD CITY SCHOOLS SUSIE SHERIDAN, PRACTICE MANAGER, PRIMARY HEALTH SOLUTIONS STEPHANIE JOHNSON, SCHOOL NURSE, TALAWANDA SCHOOL DISTRICT, BOARD, BUTLER COUNTY HEALTH DEPARTMENT AND OXFORD COLLEGE CORNER FREE CLINIC LINDA KIMBLE, EXECUTIVE DIRECTOR, SERVE CITY CARI WYNNE, SUPERVISOR, EDUCATIONAL SERVICE CENTER - SUCCESS CARLA GROSSMAN, COUNSELOR, MERCY CLERMONT MENTAL HEALTH BILLIE ELLIOT, LIFEPOINT SOLUTIONS DEB SPRADLIN, DIRECTOR OF BEHAVIORAL HEALTH SERVICES, SISTERS OF MERCY CLERMONT MARTY LAMBERT*, HEALTH COMMISSIONER, CLERMONT COUNTY HEALTH DISTRICT JULIANNE NESBIT*, ASSISTANT HEALTH COMMISSIONER, CLERMONT COUNTY HEALTH DISTRICT KAREN BALON, LPN; HEALTH MANAGER, CHILD FOCUS, INC. PEGGY HALEY, DIRECTOR MERCY CLERMONT OUTREACH LAURA METZLER, DIRECTOR OF COMMUNITY/VOLUNTEER IMPROVEMENT, AMERICAN CANCER SOCIETY MARTY GROVE, DIRECTOR OF NURSING CLINICAL SERVICES - EDUCATION, MERCY CLERMONT CHARLOTTE GOERING, MERCY CLERMONT ANN LANE, OFFICE MANAGER EMERGENCY ROOM, MERCY CLERMONT IRENE BEHLING, DIRECTOR OF MISSION INTEGRATION, MERCY CLERMONT CAROL MUHLENKAMP, DIRECTOR OF PATIENT CARE SERVICES, NURSING - DEARBORN COUNTY HOSPITAL (DCH) STEPHANIE CRAIG, DIRECTOR OF EDUCATION AND RISK MANAGEMENT, EDUCATION/RISK ASSESSMENT DEARBORN COUNTY HOSPITAL MAYOR DONNIE HASTINGS, MAYOR, CITY OF AURORA TOM TALBOT, CHIEF EXECUTIVE OFFICE, COMMUNITY MENTAL HEALTH CENTER, INC. BILL CUNNINGHAM, MAYOR OF LAWRENCEBURG KARL GALEY, SUPERINTENDENT, LAWRENCEBURG SCHOOLS CECELIA SCUDDER, NURSING ADMINISTRATION, DEARBORN COUNTY HOSPITAL ARN EDWARDS, LIFETIME RESOURCES LOIS FRANKLIN*, PUBLIC HEALTH NURSE, DEARBORN COUNTY HEALTH DEPARTMENT (DCHD) DEBBIE FEHLING*, RN, HEALTH EDUCATOR, DEARBORN COUNTY HEALTH DEPARTMENT (DCHD) BRENDA COLEMAN, VICE CHAIRPERSON ON BOARD, HEALTH CARE ACCESS NOW NANCY CARTER*, RDH, MPH ASSISTANT DENTAL DIRECTOR, CINCINNATI HEALTH DEPARTMENT SALLY STEWART, CHIEF EXECUTIVE OFFICER, CROSSROAD HEALTH CENTER BILL EBELHAR, DIRECTOR OF OUTPATIENT COUNSELING, CENTERPOINT HEALTH RANDY ALLMAN, PROGRAM DIRECTOR, TALBERT HOUSE SEAN KELLEY, DIRECTOR OF EXTERNAL RELATIONS, THE HEALTH COLLABORATIVE MARY DAY, MANAGING LTC OMBUDSMAN, PRO SENIORS, INC. SHANA TRENT, PRACTICE MANAGER, THE HEALTHCARE CONNECTION SAUNDRA REGAN, PHD, RESEARCH SCIENTIST, UNIVERSITY OF CINCINNATI FAMILY RESIDENCY JUDITH WARREN, EXECUTIVE DIRECTOR, HEALTH CARE ACCESS NOW ANN BARNUM, OFFICER - SUBSTANCE USE DISORDERS, HEALTH FOUNDATION OF GREATER CINCINNATI SENIOR PROGRAM STEPHANIE MARSHALL, PROJECT MANAGER, HEALTH CARE ACCESS NOW TIM INGRAM*, HEALTH COMMISSIONER, HAMILTON COUNTY PUBLIC HEALTH TERRESA ADAMS, COMMUNITY SPECIALIST, CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER DOLORES LINDSAY, CHIEF EXECUTIVE OFFICER, THE HEALTHCARE CONNECTION - RESPONSE CONTINUES AT SCHEDULE H PART VI -; |
| Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment | (1) A - MERCY HEALTH - WEST HOSPITAL: ADAMS COUNTY REGIONAL MEDICAL CENTER ATRIUM MEDICAL CENTER DEARBORN COUNTY HOSPITAL FORT HAMILTON HOSPITAL LINDNER CENTER OF HOPE MARGARET MARY COMMUNITY HOSPITAL MCCULLOUGH-HYDE MEMORIAL HOSPITAL TRIHEALTH UC HEALTH MERCY HEALTH - ANDERSON HOSPITAL MERCY HEALTH - JEWISH HOSPITAL MERCY HEALTH - CLERMONT HOSPITAL MERCY HEALTH - FAIRFIELD HOSPITAL ; |
| Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment | (1) A - MERCY HEALTH - WEST HOSPITAL: ACCESS TO DENTAL HEALTH SERVICES WAS IDENTIFIED AS A PRIORITY IN THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY MERCY HEALTH - WEST HOSPITAL. WHILE THIS IS A LEGITIMATE COMMUNITY CONCERN, MERCY HEALTH - WEST HOSPITAL HAS CHOSEN TO NOT FOCUS THEIR EFFORTS ON THIS NEED. NEITHER ACCESS TO NOR PROVISION OF DENTAL CARE IS A CORE COMPETENCY OF THE HOSPITAL AND SHOULD BE CONSIDERED TO BE OUTSIDE THE HOSPITAL'S SPHERE OF COMMUNITY INFLUENCE. OUR COMMUNITY BENEFIT RESOURCES WOULD BE FAR BETTER DEPLOYED BY FOCUSING ON THE REMAINING FOUR PRIORITY AREAS. FURTHER, THIS NEED IS CURRENTLY BEING ADDRESSED BY THE CINCYSMILES FOUNDATION, FORMERLY KNOWN AS THE GREATER CINCINNATI ORAL HEALTH COUNCIL, WHOSE PRIMARY FOCUS IS CREATING ACCESS TO DENTAL CARE FOR NEEDY POPULATIONS. THIS ORGANIZATION IMPLEMENTS INNOVATIVE PUBLIC PROGRAMS INCLUDING: OPTIONS/ DONATED DENTAL SERVICES SCHOOL- BASED DENTAL DISEASE PREVENTION PROGRAM THE DENTAL ROAD CREW, A STATE-OF-THE-ART DENTAL OFFICE ON WHEELS HEAD START - EARLY CHILDHOOD INITIATIVE LINCOLN HEIGHTS DENTAL CENTER - THIS 8-CHAIR DENTAL FACILITY PROVIDES COMPREHENSIVE DENTAL CARE TO 3,500 LOW INCOME CHILDREN AND ADULTS FROM HAMILTON, BUTLER AND WARREN COUNTIES. THIS IS ONE OF THE FEW PLACES THE WORKING POOR CAN GO TO GET QUALITY DENTAL CARE AT FEES BASED ON THEIR INCOME LEVEL. THE CENTER SERVES 8-10 PEOPLE WITH DENTAL EMERGENCIES EVERY DAY IN ADDITION TO SCHEDULED APPOINTMENTS. IT IS ASSOCIATED WITH THE HEALTHCARE CONNECTION, A FEDERALLY FUNDED HEALTH CLINIC WITH A 20-YEAR HISTORY OF SERVING LOW INCOME VALLEY RESIDENTS. MERCY HEALTH WEST HOSPITAL IS PROVIDING ASSISTANCE IN THE FORM OF RENT SUBSIDIES TO THE CROSSROADS HEALTH CENTER TO ALLOW THEM TO MAINTAIN THEIR SERVICES ON THE WESTERN HILLS CAMPUS. IN ADDITION TO MEDICAL SERVICES FOR INDIGENT PATIENTS, BASIC DENTAL SERVICES ARE OFFERED. ; |
| Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined | (1) A - MERCY HEALTH - WEST HOSPITAL: THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY CARE OR OTHER MEDICALLY NECESSARY CARE IS BASED UPON FEDERAL POVERTY LEVELS STATED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.; |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 36 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (36 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| HARRISON MEDICAL CENTER | ||||
| 10450 New Haven Road | HARRISON | OH | 45030 | 24-HOUR EMERGENCY MEDICAL CARE, DIAGNOSTIC SERVICES AND PHYSICAL THERAPY |
| OUTPATIENT SURGERY AT MERCY HOSPITAL MT AIRY | ||||
| 2446 KIPLING AVENUE | CINCINNATI | OH | 45239 | AMBULATORY/OUTPATIENT SURGERY CENTER |
| MT AIRY REHAB UNIT | ||||
| 2446 KIPLING AVENUE | CINCINNATI | OH | 45239 | INPATIENT REHABILITATION CENTER |
| MERCY WOUND CARE CENTER AT MT AIRY | ||||
| 2446 KIPLING AVENUE | CINCINNATI | OH | 45239 | WOUND CARE CENTER |
| MERCY HOSPITAL MT AIRY OP REHAB & THERAPY | ||||
| 2446 KIPLING AVENUE | CINCINNATI | OH | 45239 | OUTPATIENT REHAB & THERAPY SERVICES |
| MERCY PHYSICAL THERAPY - HARRISON | ||||
| 10450 NEW HAVEN ROAD | HARRISON | OH | 45030 | OUTPATIENT REHAB & THERAPY SERVICES |
| MERCY HEALTH - OUTPATIENT PHYSICAL THERAPY | ||||
| 24 COMPTON ROAD | CINCINNATI | OH | 45216 | OUTPATIENT PHYSICAL THERAPY SERVICES |
| MT AIRY HOSPITAL DIABETES CARE AND ENDOCRINOLOGY | ||||
| 2446 KIPLING AVENUE | CINCINNATI | OH | 45239 | DIABETES TREATMENT CENTER |
| MERCY HOSPITAL - WESTERN HILLS REHAB UNIT | ||||
| 3131 QUEEN CITY AVENUE | CINCINNATI | OH | 45238 | INPATIENT REHABILITATION UNIT |
| MERCY HOSPITAL WESTERN HILLS OP REHAB AND THERAPY | ||||
| 3131 QUEEN CITY AVENUE | CINCINNATI | OH | 45238 | OUTPATIENT REHABILITATION AND THERAPY |
| WESTERN HILLS HOSPITAL WOMEN'S HEALTH CENTER | ||||
| 2841 BOUDINOT AVENUE SUITE 204 | CINCINNATI | OH | 45238 | WOMEN'S HEALTH CENTER |
| OUTPATIENT SURGERY AT MERCY HEALTH WESTERN HILLS | ||||
| 3131 QUEEN CITY AVENUE | CINCINNATI | OH | 45238 | AMBULATORY/OUTPATIENT SURGERY SERVICES |
| OUTPATIENT SURGERY AT MERCY HEALTH - WEST HOSPITAL | ||||
| 3300 MERCY HEALTH BOULEVARD | CINCINNATI | OH | 45211 | AMBULATORY/OUTPATIENT SURGERY SERVICES |
| MERCY HEALTH - WEST HOSPITAL REHAB UNIT | ||||
| 3300 MERCY HEALTH BOULEVARD | CINCINNATI | OH | 45211 | INPATIENT REHAB UNIT |
| MERCY WOUND CARE CENTER | ||||
| 3747 WEST FORK ROAD | CINCINNATI | OH | 45247 | WOUND CARE CENTER |
| WEST HOSPITAL OUTPATIENT PULMONARY REHAB | ||||
| 3301 MERCY HEALTH BOULEVARD | CINCINNATI | OH | 45211 | PULMONARY REHABILITATION |
| WEST HOSPITAL OUTPATIENT THERAPY | ||||
| 24 COMPTON ROAD | CINCINNATI | OH | 45216 | OUTPATIENT REHAB AND THERAPY |
| MERCY PHYSICAL THERAPY - HARRISON | ||||
| 10450 NEW HAVEN ROAD | HARRISON | OH | 45030 | OUTPATIENT REHAB AND THERAPY |
| WEST HOSPITAL OB CLINIC | ||||
| 3301 MERCY HEALTH BOULEVARD | CINCINNATI | OH | 45211 | OB SERVICES |
| WEST HOSPITAL DIABETES CARE AND ENDOCRINOLOGY | ||||
| 3300 MERCY HEALTH BOULEVARD | CINCINNATI | OH | 45211 | DIABETES TREATMENT CENTER |
| WESTERN HILLS HEALTHPLEX OP REHAB AND THERAPY | ||||
| 3131 QUEEN CITY AVENUE | CINCINNATI | OH | 45238 | OUTPATIENT REHAB AND THERAPY |
| WESTERN HILLS MEDICAL CENTER | ||||
| 3131 QUEEN CITY AVENUE | CINCINNATI | OH | 45238 | 24-HOUR EMERGENCY ROOM, RADIOLOGY, LAB |
| SLEEP CENTER AT WESTERN HILLS MEDICAL CENTER | ||||
| 3131 QUEEN CITY AVENUE | CINCINNATI | OH | 45238 | SLEEP CENTER |
| MERCY HEALTH - GI CENTER | ||||
| 5525 MARIE AVENUE SUITE 2 | CINCINNATI | OH | 45248 | GASTROENTEROLOGY CENTER |
| MERCY HEALTH - LIBERTY FALLS MEDICAL CENTER | ||||
| 6770 CINCINNATI-DAYTON ROAD | LIBERTY TOWNSHIP | OH | 45044 | LAB SITE |
| MERCY HEALTH - HARRISON MEDICAL CENTER | ||||
| 40450 NEW HAVEN ROAD | HARRISON | OH | 45030 | LAB SITE |
| CORE LAB - HAMILTONLINDENWALD | ||||
| 3570 PLEASANT AVENUE | HAMILTON | OH | 45015 | LAB SITE |
| CORE LAB - KENWOOD | ||||
| 4750 EAST GALBRAITH ROAD SUITE 106 | CINCINNATI | OH | 45242 | LAB SITE |
| CORE LAB - MASON | ||||
| 5232 SOCIALVILLE-FOSTER ROAD | MASON | OH | 45040 | LAB SITE |
| CORE LAB - FINNEYTOWN | ||||
| 6540 WINTON ROAD | CINCINNATI | OH | 45224 | LAB SITE |
| CORE LAB - MT HEALTHY | ||||
| 1380 COMPTON ROAD | CINCINNATI | OH | 45231 | LAB SITE |
| CORE LAB - BLUE ASH | ||||
| 9403 KENWOOD ROAD SUITE C100 | CINCINNATI | OH | 45242 | LAB SITE |
| CORE LAB AT FAIRFIELD HEALTHPLEX | ||||
| 3050 MACK ROAD SUITE 305 | FAIRFIELD | OH | 45014 | LAB SITE |
| MERCY HEALTH SOLUTIONSURGENT CARE - EASTGATE | ||||
| 4415 B AICHOLTZ ROAD SUITE 100 | CINCINNATI | OH | 45245 | LAB SITE |
| MERCY OCCUPATIONAL HEALTH & URGENT CARE - SPRINGDALE | ||||
| 12029 SHERATON LANE | CINCINNATI | OH | 45246 | LAB SITE |
| CORE LAB - MT AIRY | ||||
| 2450 KIPLING AVENUE SUITE G10 | CINCINNATI | OH | 45239 | LAB SITE |
Supplemental Information Detail SupplementalInformationDetail (16 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 CHARITY CARE WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. THE COST RELATED TO MEDICAID PATIENTS WAS DETERMINED USING THE HOSPITAL COST ACCOUNTING SYSTEM AND INCLUDED BOTH INPATIENTS AND OUTPATIENTS FOR TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PLANS. FOR SUBSIDIZED SERVICES THE HOSPITAL'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COST RELATED TO THE SPECIFIC SERVICE EXCLUDING TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PATIENTS. COSTS FOR CHARITY AND BAD DEBT ACCOUNTS ARE DEDUCTED USING A RATIO OF COST TO CHARGE SPECIFIC TO THAT SUBSIDIZED SERVICE. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS. |
| Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation | 0 |
| Schedule H, Part II, Community Building Activities | MERCY HOSPITALS WEST (MHW) PROVIDES COMMUNITY SUPPORT BY ASSISTING IN DISASTER PREPAREDNESS. PREPARING FOR DISASTER IS AN IMPORTANT ROLE FOR THE HOSPITAL TO ASSURE THE SAFETY AND HEALTH OF COMMUNITY RESIDENTS IN THE EVENT OF A NATURAL DISASTER, INDUSTRIAL ACCIDENT OR OTHER LARGE SCALE EMERGENCY. THE CHILDREN'S CENTER/DAY CARE SUBSIDIZED PROGRAM FOR THE POOR HELPS RESIDENTS MAINTAIN EMPLOYMENT BY PROVIDING LOW COST /HIGH QUALITY DAY CARE FOR THEIR CHILDREN. MHW SUPPORTS THE EVERY CHILD SUCCEEDS COMMUNITY PROGRAM BY PROVIDING SPACE TO OPERATE THE PROGRAM. MHW MAKES DONATIONS TO COMMUNITY GROUPS. |
| Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount | THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HOSPITAL'S HISTORICAL COLLECTION EXPERIENCE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE. THE HOSPITAL'S CONCENTRATION OF CREDIT RISK RELATED TO NET PATIENT ACCOUNTS IS LIMITED DUE TO THE DIVERSITY OF PATIENTS AND PAYORS. NET PATIENT ACCOUNTS CONSIST OF AMOUNTS DUE FROM GOVERNMENTAL PROGRAMS (PRIMARILY MEDICARE AND MEDICAID), PRIVATE INSURANCE COMPANIES, MANAGED CARE PROGRAMS AND PATIENTS THEMSELVES. NET PATIENT SERVICE REVENUE FOR SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE IS RECOGNIZED BASED ON CONTRACTUAL RATES FOR SERVICES RENDERED. THE HOSPITAL RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). AMOUNTS RECOGNIZED ARE SUBJECT TO ADJUSTMENT UPON REVIEW BY THIRD-PARTY PAYORS. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. ANY DISCOUNTS APPLIED TO SELF-PAY PATIENTS WOULD BE DEEMED EITHER CHARITY OR A CONTRACTUAL ADJUSTMENT. BAD DEBT WOULD BE BASED ON THE BALANCE AFTER THE CHARITY OR CONTRACTUAL ADJUSTMENT THAT IS DEEMED UNCOLLECTABLE FOLLOWING A REASONABLE COLLECTION EFFORT. |
| Schedule H, Part III, Line 3, Bad Debt Expense Methodology | THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY DOES NOT PERMIT THE COST OF PATIENTS WHO ARE UNCOOPERATIVE OR UNABLE TO BE LOCATED TO BE RECLASSIFIED FROM BAD DEBT TO FINANCIAL ASSISTANCE. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY REQUIRES AN APPLICATION AND SUPPORTING DOCUMENTATION. THEREFORE, ZERO DOLLARS ARE BEING REPORTED ON PART III, LINE 3 AS AMOUNTS INCLUDED IN BAD DEBT THAT COULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE BAD DEBT EXPENSE AS COMMUNITY BENEFIT. |
| Schedule H, Part III, Line 4, Bad debt expense - financial statement footnote | THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THE HOSPITAL ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, B. SIGNIFICANT ACCOUNTING POLICIES, NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGE 11) STATES NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HISTORICAL COLLECTION EXPERIENCE OF EACH REGIONAL AFFILIATE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED UPON PAST COLLECTION EXPERIENCE. |
| Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costs | THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE MEDICARE LOSSES AS COMMUNITY BENEFIT. THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE MEDICARE AMOUNTS IN PART III. |
| Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance | PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAYS AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY AS A LAST RESORT AND ONLY: WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT REFUSE TO DO SO; WHEN PATIENTS REFUSE TO WORK WITH THE ORGANIZATION TO DETERMINE IF THEY QUALIFY FOR FREE OR DISCOUNTED CARE VIA FEDERAL, STATE, LOCAL OR HOSPITAL ASSISTANCE PROGRAMS; WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL. |
| SCHEDULE H, PART V, SECTION B, LINE 3, 1: COMMUNITY SERVED BY NEEDS ASSESSMENT RESPONSE CONTINUED | ABDA TALL, INTERPRETER/PATIENT ADVOCATE, THE HEALTHCARE CONNECTION LINCOLN HEIGHTS YOLANDA MAYWEATHER, INTERPRETER/PATIENT ADVOCATE, THE HEALTHCARE CONNECTION JOE CURRY, EXECUTIVE DIRECTOR, EVERYBODY RIDES METRO KIM SULLIVAN, CHIEF EXECUTIVE OFFICER/PRESIDENT, SINCERE HOME HEALTH CARE TIM SULLIVAN, SINCERE HOME HEALTH CARE RAY WATSON, COMMUNITY INVESTMENT PROGRAM OFFICER, THE GREATER CINCINNATI FOUNDATION MICHELLE DUFF, CASEWORKER, BIG BROTHERS BIG SISTERS KAREN MCDONALD-MYERS, EXECUTIVE DIRECTOR, BIG BROTHERS BIG SISTERS RITA EASDAY, SUPERINTENDENT, HILLSBORO CITY SCHOOLS TONY LONG, SUPERINTENDENT, SOUTHERN OHIO EDUCATIONAL SERVICES CENTER DANIELLE RATCLIFF, FCFC COORDINATOR, FAMILY AND CHILDREN FIRST JUNI FREY, EXECUTIVE DIRECTOR, PAINT VALLEY ALCOHOL, DRUG ADDICTION, MENTAL HEALTH DANA BERRYMAN, PARENT REPRESENTATIVE BONNIE CUMBERLAND, PARENT REPRESENTATIVE HEATHER GIBSON, PROJECT DIRECTOR, HELP ME GROW SHENA WEADE, DIRECTOR OF EARLY CHILDHOOD PROGRAMS, HIGHLAND COUNTY COMMUNITY ACTION ORGANIZATION/HEADSTART/EARLY HEAD START AMANDA ROBBINS, PARENT REPRESENTATIVE, HELP ME GROW MELODY ELLIOTT, DIRECTOR, FRS TRANSPORTATION JEHONA PREZA, COMMUNITY OUTREACH, MOLINA HEALTHCARE SUSAN ROADES, CASE MANAGER/SOCIAL SERVICE SUPERVISOR, HIGHLAND COUNTY JOB AND FAMILY SERVICES LISA HIGLEY, HEALTH CHEK/PREGNANCY RELATED SERVICES, HIGHLAND COUNTY JOB AND FAMILY SERVICES AMY WATSON, NURSE, JAC-CEN-DEL NURSE TONYA GEORGE, OFFICE MANAGER, HEALTH CENTERED CHIROPRACTIC PAT THOMAS*, HEALTH DEPARTMENT DIRECTOR, RIPLEY COUNTY HEALTH DEPARTMENT VICKY POWELL*, PUBLIC HEALTH NURSE, RIPLEY COUNTY HEALTH DEPARTMENT GAYLA VONDERHEIDE, DIRECTOR OF HEALTH SERVICES, BATESVILLE COMMUNITY SCHOOL APPIE THOMPSON, RN, MILAN COMMUNITY SCHOOLS TONY CZACK, MANAGER, ANYTIME FITNESS GERALYN LITZINGER, MANAGER OF OCCUPATIONAL HEALTH SERVICES, MARGARET MARY COMMUNITY HOSPITAL CINDY BLESSING, WELLNESS COORDINATOR/CHOICES DIRECTOR, CITY OF BATESVILLE BRENDA WETZLER, BOARD SECRETARY OSGOOD COMMUNITY FOUNDATION LAURA ROLF, COMMUNITY DEVELOPMENT DIRECTOR, BIG BROTHERS/BIG SISTERS OF GREATER CINCINNATI TRISH HUNTER, DIRECTOR OF SUPPORT SERVICES, MARGARET MARY COMMUNITY HOSPITAL KATHY COOLEY, RD, DIETITIAN, MARGARET MARY COMMUNITY HOSPITAL BONNIE PLOEGER, DIRECTOR OF INPATIENT CARE, MARGARET MARY COMMUNITY HOSPITAL KATHY NEWELL, CARDIOLOGY DIRECTOR, MARGARET MARY COMMUNITY HOSPITAL KEVIN KNEKELEN, NEACE LUKEN ANGELA HURLEY, WELLNESS DIRECTOR, SOUTHERN INDIANA YMCA AMY ERTEL, SCHOOL NURSE, SAINT LOUIS SCHOOL ANGIE JOHNSON, EXECUTIVE DIRECTOR, SOUTHERN INDIANA YMCA LINDA TUTTLE, MANAGER OF SOCIAL SERVICES DEPARTMENT, MARGARET MARY COMMUNITY HOSPITAL DELLA MENCHHOFER, OSGOOD COMMUNITY FOUNDATION DENISE ROARK, SCHOOL NURSE, MILAN ELEMENTARY DEBBIE BLANK, REPORTER, THE HERALD-TRIBUNE JEAN DORGAN, ABUSE RAPE CRISIS SHELTER JERRI LANGWORTHY, VOLUNTEER RESOURCE CENTER DIRECTOR/COMMUNITY BUILDING, WARREN COUNTY UNITED WAY KATHY MICHELICH, EDUCATOR AND DIRECTOR, OHIO STATE UNIVERSITY EXTENSION SUE MILLER, FAMILY SERVICES DIRECTOR, WARREN COUNTY COMMUNITY SERVICES SHARON MOELLER, SCHOOL NURSE/SAFETY OFFICER, WARREN COUNTY CAREER CENTER MARILYN SINGLETON, SITE MANAGER, TRIHEALTH SANDY SMOOT, COORDINATOR, FAMILY & CHILDREN FIRST COUNCIL DUANE STANSBURY*, HEALTH COMMISSIONER, HEALTH DISTRICT (HEALTH DEPARTMENT) JUDY WEBB, DIRECTOR, ELDERLY SERVICES PROGRAM, WARREN COUNTY COMMUNITY SERVICES THE FOCUS GROUP PARTICIPANTS, LISTED ABOVE, INCLUDED REPRESENTATIVES OF COMMUNITY, CONSUMER, AND EDUCATIONAL ORGANIZATIONS AS WELL AS SERVICE AND HEALTH PROVIDERS. THE STAKEHOLDER INTERVIEWS AND THE FOCUS GROUP PARTICIPANTS IDENTIFIED COMMUNITY NEEDS. FOR THE PRIORITIZING OF COMMUNITY HEALTH NEEDS, THE HOSPITAL CONVENED A ONE-TIME COMMITTEE AND INVITED COMMUNITY LEADERS FROM THE HOSPITAL'S SERVICE AREA TO PARTICIPATE IN DISCUSSING, EVALUATING, SCORING, AND PRIORITIZING THE HEALTH NEEDS IDENTIFIED THROUGH BOTH THE HCAN REPORT AND THE SUPPLEMENTAL DATA PROVIDED BY THE HOSPITAL. THE FOLLOWING COMMUNITY FORUMS WERE OPEN TO THE GENERAL PUBLIC. THEY WERE ALSO PROMOTED TO INTERVIEWEES AND FOCUS GROUP PARTICIPANTS AND THEIR ORGANIZATIONS, INCLUDING REPRESENTATIVES WHO WORK DAILY WITH LOW-INCOME RESIDENTS, PEOPLE WITH CHRONIC DISEASES, THE ELDERLY, YOUNG PEOPLE, DISABLED POPULATIONS, PEOPLE WITH MENTAL HEALTH AND/OR SUBSTANCE ABUSE, AND MINORITY POPULATIONS. AT EACH FORUM, CDS CONTAINING HCAN'S REPORT WERE GIVEN AWAY FOR PUBLIC DISSEMINATION. THE FORUMS WERE ORGANIZED BY HCAN AND THE ACTION RESEARCH CENTER, AND THE HOSPITAL WAS NOT PRIVY TO THEIR COMMUNICATIONS PLAN. NOT ALL PARTICIPANTS IN COMMUNITY FORUMS PROVIDED THEIR TITLES AND AFFILIATIONS. COMMUNITY FORUMS DESCRIPTION PREPARED ON JULY 2, 2012 BY ACTION RESEARCH CENTER TEAM MEMBERS AND HCAN STAFF & CONSULTANTS IN ORDER TO DISSEMINATE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND BEGIN THE CONVERSATION ABOUT NEXT STEPS, FIVE COMMUNITY FORUMS WERE ORGANIZED BY HCAN AND THE UNIVERSITY OF CINCINNATI ACTION RESEARCH CENTER. THE FORUMS WERE HELD AT ACCESSIBLE SITES ACROSS THE NINE COUNTY REGION: FORUM 1: ADAMS, BROWN, AND HIGHLAND COUNTIES, JUNE 11, 2012 LOCATION: BROWN COUNTY FAIRGROUNDS IN GEORGETOWN, OH 16 ATTENDEES: JIM SETTLES, RIPLEY; ROSE MERKOWITZ, WILMINGTON; JIM MERKOWITZ, WASHINGTON COURT HOUSE; STEVE DUNKIN, GEORGETOWN; DENISE NEU, GEORGETOWN; SHARON ASHLEY, BLUE CREEK; SAUNDRA STEVENS, WEST UNION; SHERRY STOUT, WINCHESTER; ELIZABETH PENDELL, PEEBLES; NANCY DARBY, WEST UNION; KATHY JELLEY, GEORGETOWN; PENNY CONDO, GEORGETOWN; AMY HABIG, HILLSBORO; CHERYL WILLIAMS, GEORGETOWN; BRIAN PECK, GEORGETOWN; AND MARY BAILEY, GEORGETOWN. FORUM 2: DEARBORN AND RIPLEY COUNTIES, JUNE 12, 2012 LOCATION: SOUTHEAST INDIANA YMCA IN BATESVILLE, IN 24 ATTENDEES: VICKY POWELL, BATESVILLE; TOM TALBOT, GREENDALE; KIM INSCHO, MMCH; FRANK GOODPASTER, OSGOOD; PAULA GOODPASTER, VERSAILLES; KIM LINKEL, BATESVILLE; LUREE KETCHAM, LAWRENCEBURG; RUTH WRIGHT, LAWRENCEBURG; JENNIFER MEHLON, BATESVILLE; DIANE RAVER, BATESVILLE; ASHLEY MORRIS, BATESVILLE; GERALYN LITZINGER, BATESVILLE; STEPHANIE CRAIG, LAWRENCEBURG; ANGIE JOHNSON, BATESVILLE; CONNIE DEBURGER, VERSAILLES; RAE LYNN DEANGELIS, LAWRENCEBURG; PAULA BRUNER, LAWRENCEBURG; JANE YORN, BATESVILLE; LISA WERNER, BATESVILLE; LAURA ROLF, LAWRENCEBURG; KATHY NEWELL, BATESVILLE; RICK FLEDDERMAN, RIPLEY; KATHY COOLEY, RIPLEY; AND RHONDA SAVAGE, BATESVILLE. FORUM 3: BUTLER AND WARREN COUNTIES, JUNE 25, 2012 LOCATION: MIAMI UNIVERSITY VOICE OF AMERICA LEARNING CENTER IN WEST CHESTER, OH 18 ATTENDEES: JENNIFER KRUGER, CITY OF HAMILTON; TERRY PURDUE, HAMILTON; JOYCE KACHELRIES, HAMILTON; JANE BARNES, HAMILTON; MIKE OBERDOESK, CINCINNATI; SHERRY SCHILLING, OXFORD; DAWN FAHNER, OXFORD; SUSAN LIPNICKEY, OXFORD; MARC BELLISARO, HAMILTON; HEATHER WELLS, HAMILTON; KAREN HILL, LEBANON; JUDY WEBB, LEBANON; SANDY SMOOT, LEBANON; SHARON KLEIN, OXFORD; PAT VAN OFLEN, FAIRFIELD; LYNN OSWALD, MASON; BRAD FARR, WEST CHESTER; AND BRENT LAWYER, LEBANON. FORUM 4: CLERMONT AND HAMILTON COUNTIES, JUNE 26, 2012 LOCATION: UNION TOWNSHIP CIVIC CENTER IN EASTGATE AREA 7 ATTENDEES: SUE MOTZ, MERCY HEALTH; HEIDI NYKOLAYKO WOODS, RECOVERY CENTER; GWEN FINEGAN, MERCY HEALTH; WENDY HESS, TRIHEALTH; IRENE BEHLING, MERCY HEALTH; GYASI C. CHISLEY, MERCY HEALTH; AND RUCHI BAWA, UC-CLERMONT. - RESPONSE CONTINUES AT 2: COMMUNITY SERVED BY NEEDS ASSESSMENT RESPONSE CONTINUATION - |
| SCHEDULE H, PART V, SECTION B, LINE 3, 2: COMMUNITY SERVED BY NEEDS ASSESSMENT RESPONSE CONTINUED | FORUM 5: HAMILTON COUNTY, JUNE 28, 2012 LOCATION: HEALTH FOUNDATION IN CINCINNATI, OH 20 ATTENDEES: COL OWENS, LEGAL AID SOCIETY; DONNA MARSH, MARSH MEDIA GROUP; ASHAKI WARREN; MONICA ROBERTS, HEALING CENTER CINCINNATI; TONY SAVICKI; MELISSA MAY; JOSH KAUFMANN, PROJECT ACCESS; TONDA FRANCIS, GREATER CINCINNATI HEALTH COUNCIL; LEE ANN LISKA, MERCY HEALTH; RICK STUMPF, UNIVERSITY OF CINCINNATI; DON ROHLING, MERCY HEALTH; MARY BETH MEYER, CENTER FOR RESPITE CARE; JEFF ARMADA, MERCY HEALTH; KATHY LORDO, HAMILTON COUNTY PUBLIC HEALTH; TIM INGRAM, HAMILTON COUNTY HEALTH COMMISSIONER; YOUSUF AHMAD, MERCY HEALTH; JILL GORLEY, ALZHEIMER'S ASSOCIATION; LIANNE HOWARD, CITY OF CINCINNATI; TORI AMES, CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER; LESLIE APPLEGATE, UNIVERSITY OF CINCINNATI. ALTHOUGH THESE FORUMS WERE INITIALLY DESIGNED TO INCLUDE COMMUNITY RESIDENTS, SERVICE PROVIDERS, AND HOSPITAL REPRESENTATIVES, THE MAJORITY OF ATTENDEES WERE SERVICE PROVIDERS AND HOSPITAL REPRESENTATIVES. EACH FORUM WAS HELD FOR 1.5 HOURS. AT EACH FORUM, THE SAME AGENDA WAS FOLLOWED. * WELCOME AND INTRODUCTION * KEY CHNA FINDINGS AND RECOMMENDATIONS (ACROSS NINE COUNTIES AND COUNTY SPECIFIC) * "IMAGINING THE FUTURE" EXERCISE (SMALL GROUP COUNTY SPECIFIC DISCUSSIONS ABOUT REPORT RECOMMENDATIONS) * WRAP UP AND NEXT STEPS OVERALL, THE ATTENDEES WERE INTERESTED IN HEARING THE RESULTS - BOTH NINE-COUNTY AND COUNTY-SPECIFIC. THEY WERE ENGAGED IN DISCUSSING NEXT STEPS. ATTENDEES OFFERED SPECIFIC SUGGESTIONS ABOUT HOW BEST TO MOVE FORWARD. BASED ON THE DISCUSSIONS AND INTEREST EXPRESSED BY ATTENDEES, THERE APPEARS TO BE A HIGH LEVEL OF WILLINGNESS AMONG ATTENDEES TO PARTNER WITH HOSPITALS AND OTHER COUNTY STAKEHOLDERS FOR THE DEVELOPMENT OF PRACTICAL COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE ATTENDEES WERE RATHER PASSIONATE AND READY TO MOBILIZE FOR ACTION PLANNING AND EXECUTION. ATTENDEES WERE INVITED TO INDICATE IF THEY WOULD BE INTERESTED IN FOLLOW-UP FOR FUTURE MEETINGS, ACTION PLANNING AND INFORMATION. THE MAJORITY OF ATTENDEES DID CONSENT FOR FUTURE FOLLOW-UP. THEREFORE, THE HOSPITALS WOULD HAVE A CORE GROUP OF COUNTY RESIDENTS AND PROVIDERS TO WORK WITH IN DEVELOPING THEIR RESPECTIVE COMMUNITY HEALTH IMPROVEMENT PLANS. GENERAL OVERALL THEMES FROM THE GROUP DISCUSSIONS ALL COUNTIES AGREED WITH AND IDENTIFIED THE NEED TO ESTABLISH A COLLABORATIVE HEALTH ADVISORY BOARD THAT INCLUDES CONSUMERS. ADAMS COUNTY WAS THE ONLY COUNTY WHO FELT THEY ALREADY HAD SUCH A BOARD WITH THEIR HEALTH AND WELLNESS COALITION. SOME OF THE COUNTIES DESCRIBED COALITIONS AND BOARDS ALREADY IN EXISTENCE THAT COULD BE EXAMINED AND POSSIBLY CONDENSED OR EXPANDED TO BETTER MEET COMMUNICATION AND RESOURCE NEEDS. ALL COUNTIES IDENTIFIED THE NEED TO MAKE SURE THAT COUNTY AND COMMUNITY RESOURCES ARE NOT ONLY IDENTIFIED, BUT SHARED WIDELY SOCOMMUNITY MEMBERS KNOW WHAT IS AVAILABLE. COORDINATION OF SERVICES (BEYOND MEDICAL HEALTH SERVICES) WAS STRESSED IN ALL FORUMS. SEVERAL GLAS AND FORUMS WERE VENUES OF DISCOVERY, AS PARTICIPANTS BECAME AWARE OF SERVICES IN THEIR COUNTY. ALL COUNTY GROUPS NOTED THE IMPORTANCE OF ASSESSING THE RESOURCES AVAILABLE (AND WHOM THEY SERVE), AS WELL AS COLLABORATING IN SPREADING AWARENESS OF THOSE RESOURCES. THE GROUPS ALSO AGREED THAT IT MADE SENSE TO COORDINATE EFFORTS TO ENSURE THAT THE PEOPLE OF THEIR COUNTIES WOULD HAVE ACCESS TO NEEDED SERVICES. PARTICIPANTS AT THE COMMUNITY FORUMS WERE ANXIOUS TO NETWORK AND WORK COLLABORATIVELY. THEY OFTEN REPRESENTED THE SERVICE PROVIDERS THAT ARE ALREADY STRETCHED THIN IN THEIR RESPECTIVE ROLES. AS THE WARREN COUNTY GROUP PUT IT, "WHO WILL TAKE THE LEAD IN COORDINATING THESE EFFORTS?" IN TERMS OF NEXT STEPS, SEVERAL COUNTY GROUPS FELT THAT FURTHER ASSESSMENT OF NEEDS OF VULNERABLE POPULATIONS WAS WARRANTED. FOR EXAMPLE, ADAMS COUNTY ATTENDEES IDENTIFIED THAT MORE INFORMATION ON CHILDREN AND THE ELDERLY WAS NEEDED. OTHER COUNTY GROUPS ALSO VOICED THAT CONTINUED IN-DEPTH NEEDS ASSESSMENTS WERE IMPORTANT TO DETERMINE NEEDS AND PRIORITIZATION. ONE GROUP, HOWEVER, SAID THAT IT'S TIME TO TAKE ACTION, RATHER THAN CONTINUING TO CONDUCT MORE ASSESSMENTS. ACCESS TO CARE DISCUSSIONS RAISED ISSUES OF TRANSPORTATION WITH SOME SUGGESTIONS FOR MOBILE HEALTH CARE (RIPLEY), ACCESS TO TRANSPORTATION (DEARBORN) AND REVISED HOURS OR WALK IN CLINICS, IN THE WARREN COUNTY SMALL GROUP DISCUSSION, ATTENDEES REITERATED THAT TRANSPORTATION IS A CHALLENGE WITHIN THEIR COUNTY. THEY STATED THAT THEY MUST TAKE ACTION TO ADDRESS TRANSPORTATION SINCE THEY HAVE KNOWN IT'S A PROBLEM AND CONTINUES TO BE A PROBLEM ACCORDING TO THE RESULTS OF THIS CHNA. THE LACK OF SPECIFIC TYPES OF PROVIDERS WAS NOTED IN MANY COUNTIES, ESPECIALLY OUTSIDE THE I-275 LOOP. PRIMARY CARE, DENTAL, MENTAL HEALTH AND SUBSTANCE ABUSE PRACTITIONERS ARE LACKING IN SEVERAL OF THE COUNTIES. SOME SUGGESTIONS WERE MADE FOR INCENTIVIZING PRACTITIONERS TO NOT ONLY WORK IN OUTLYING AREAS (CLERMONT), BUT TO AGREE TO CARE FOR THE UNDERINSURED AND UNINSURED (HAMILTON). PARTICIPANTS WERE AWARE THAT FUNDING IS PART OF THE EQUATION. SOME SUGGESTED THAT LOAN FORGIVENESS AND INTERNSHIPS MIGHT BE INCENTIVES FOR RECRUITMENT. PARTNERING WITH BUSINESS AND COMMUNITY LEADERS WAS BROUGHT UP BOTH IN DIRECT COLLABORATION AND IN GRANTS/ FUNDING FOR NEEDED PROGRAMS. |
| Schedule H, Part VI, Line 2, Needs assessment. | THE HOSPITAL USES EXISTING COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS SUCH AS THE UNITED WAY OF GREATER CINCINNATI REPORT (THE STATE OF THE COMMUNITY - A REPORT ON THE SOCIO-ECONOMIC HEALTH OF THE GREATER CINCINNATI REGION) AND THE GREATER CINCINNATI HEALTH COUNCIL REPORT (INDICATORS OF HEALTHY COMMUNITIES). THE HOSPITAL ALSO USES DATA PROVIDED BY THE OHIO HOSPITAL ASSOCIATION. THE HOSPITAL ALSO UTILIZES HOSPITAL PERSONNEL AND PHYSICIANS WHO HAVE IDENTIFIED COMMUNITY NEEDS BASED ON ADMISSION/DISCHARGE AND OTHER HOSPITAL DATA. BASED ON THIS DATA AND INFORMATION, THE HOSPITAL ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. THE HOSPITAL RECOGNIZES THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. THE HOSPITAL INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. TO HELP FACILITATE THIS PLANNING PROCESS, THE HOSPITAL UTILIZES QUANTITATIVE PRIMARY MARKET RESEARCH AND THE ANALYSIS OF HEALTH CARE UTILIZATION DATA BASES. IN ADDITION, SERVICE USE IS FORECAST UTILIZING LICENSED POPULATION BASED SOFTWARE. THE HOSPITAL HAS DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT PLANNING, REPORTING, MONITORING AND IMPLEMENTATION OF COMMUNITY BENEFIT PROGRAMS AND SERVICES. THIS STAFF DEDICATED TO COMMUNITY BENEFIT EFFORTS OF THE HOSPITAL MEETS WITH THE REGIONAL COMMUNITY BENEFIT PLANNING COMMITTEE ON A MONTHLY BASIS AND WORKS CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES AND TO AVOID DUPLICATION. COMMUNITY BENEFIT ACTIVITIES AND PROGRAM EFFECTIVENESS ARE REPORTED TO THE REGIONAL BOARD BY THE HUMAN RESOURCE, MISSION AND COMMUNITY OUTREACH COMMITTEE OF THE REGIONAL BOARD. |
| Schedule H, Part VI, Line 3, Patient education of eligibility for assistance. | MERCY HOSPITALS WEST (MHW) 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. MHW 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. MHW 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 MHW. 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. MHW 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 MHW'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. MHW IS PROUD TO MAKE OUR FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE, WHICH CAN BE FOUND AT E-MERCY.COM. OTHER PATIENT EDUCATION INFORMATION THAT IS PROVIDED FOR ELIGIBILITY OF ASSISTANCE IS AS FOLLOWS: * A BILINGUAL REPRESENTATIVE IS AVAILABLE IN OUR OB CLINIC AT FAIRFIELD. TWO BILINGUAL REPRESENTATIVES ARE AVAILABLE IN OUR CUSTOMER SERVICE DEPARTMENT. * STAFF TRAINING ON HOSPITAL CARE ASSURANCE PROGRAM (HCAP) AND HOSPITAL FINANCIAL ASSISTANCE (HFA) WAS PROVIDED IN 2009 BY A PRIVATE AUDITING COMPANY. TRAINING INCLUDED A MANUAL AND IN-DEPTH INFORMATION REGARDING THE PREPARATION OF THE COST REPORT LOGS, ACCURATE COMPLETION OF THE HCAP APPLICATION AS WELL AS AN OVERVIEW OF THE FAQ'S PROVIDED BY THE OHIO HOSPITAL ASSOCIATION. * STAFF TRAINING PROVIDED BY SOCIAL SECURITY ADMINISTRATION TO ASSIST PATIENTS IN OBTAINING DISABILITY BENEFITS. * FINANCIAL ASSISTANCE COUNSELORS WORK WITH CASE MANAGERS TO EXPEDITE THE TRANSFER OF PATIENTS TO EXTENDED CARE FACILITIES. * FEDERAL POVERTY GUIDELINES ARE POSTED ON OUR WEBSITE AS WELL AS A COPY OF OUR CHARITY APPLICATION. * ALL THIRD PARTIES THAT WORK ON BEHALF OF THE ORGANIZATION TO COLLECT FEES (SUCH AS COLLECTION AGENCIES AND LAW FIRMS) ARE REQUIRED TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. * CONSISTENT REVIEW OF SELF PAY PATIENTS FOR RETROACTIVE MEDICAID COVERAGE. * SERVICES PROVIDED BY VENDOR TO REACH OUT TO PATIENTS IN BAD DEBT TO SCREEN FOR HCAP ELIGIBILITY. |
| Schedule H, Part VI, Line 4, Community information. | MERCY HEALTH - WEST HOSPITAL (MHW) SERVES A ONE-COUNTY GEOGRAPHIC AREA FEATURING HAMILTON COUNTY. THE POPULATION OF MHW'S PRIMARY SERVICE AREA IS APPROXIMATELY 444,600. OUR COMMUNITY IS CHANGING AND WE ALSO SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THERE ARE EIGHT HOSPITALS IN THE COMMUNITY OF WHICH ALL EIGHT ARE NOT-FOR-PROFIT HOSPITALS. MHW QUALIFIES FOR A DISPROPORTIONATE SHARE PAYMENT ON THEIR MEDICARE COST REPORT DUE TO THE LARGER THAN NORMAL SHARE OF MEDICAID PATIENT VOLUME SERVED BY THE HOSPITAL. THE DEMOGRAPHIC AREA SERVED BY MHW SERVES A POPULATION THAT INCLUDES APPROXIMATELY 4.9% NON-ENGLISH SPEAKING PEOPLE. APPROXIMATELY 12.5% OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES. THE AVERAGE FAMILY HOUSEHOLD INCOME OF THE COMMUNITY SERVED BY THE HOSPITAL IS ROUGHLY $62,206. THE LARGEST ETHNIC GROUP IN THE COMMUNITY SERVED BY THE HOSPITAL IS GERMAN, WITH APPROXIMATELY 31% OF THE POPULATION BEING OF GERMAN DESCENT. THE OCCUPATION CLASSIFICATION IN THE COMMUNITY CONSISTS OF 20% BLUE COLLAR, 61% WHITE COLLAR AND 19% SERVICE & FARM WORKERS. THE PERCENTAGE OF THE POPULATION IN THE COMMUNITY OVER 65 YEARS OLD IS ABOUT 18%. THROUGH THE COMMUNITY NEEDS ASSESSMENT PROCESS, CANCER, MENTAL HEALTH (INCLUDING SUBSTANCE ABUSE), DENTAL HEALTH, HEART DISEASE AND DIABETES WERE MAJOR HEALTH PROBLEMS IDENTIFIED IN THIS SERVICE AREA. EACH OF THESE MAY BE PREVENTABLE THROUGH PROPER CARE AND MAINTAINING CONTROL OF THE ILLNESS/DISEASE AS WELL AS LEADING HEALTHIER LIVES. MHW WORKS CLOSELY WITH LOCAL COMMUNITY AGENCIES AND HEALTH DEPARTMENTS TO ADDRESS HEALTH PROBLEMS AND MINIMIZE THE EFFECTS ON THOSE WHO SUFFER. IN 2013, MHW HAD 99,080 ADMISSIONS, 88,051 OUTPATIENT VISITS, AND 98,721 EMERGENCY ROOM VISITS. |
| Schedule H, Part VI, Line 5, Promotion of community health | THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, THE HOSPITAL PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. THROUGH THE HEALTH PARTNERSHIP PROGRAM AND THE MERCY CLINIC, THE HOSPITAL CONNECTS POOR AND LOW INCOME RESIDENTS WITH PRIMARY CARE PHYSICIANS IN THE COMMUNITY WHO VOLUNTEER THEIR SERVICES TO PROVIDE PRIMARY AND URGENT CARE SERVICES. THE HOSPITAL ALSO PROVIDES PHARMACEUTICAL SUPPORT FOR THESE POOR AND LOW INCOME RESIDENTS. THE HOSPITAL ALSO COLLABORATES WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS SUCH AS LINCOLN HEIGHTS HEALTH CENTER AND HEALTH SOURCE OF OHIO AS WELL AS COMMUNITY AGENCIES SUCH AS HEALTH CARE ACCESS NOW TO FURTHER ASSIST THE POOR AND MEDICALLY UNDERSERVED FIND A MEDICAL HOME IN THE COMMUNITY. MEDICAL SUPPLIES AND EQUIPMENT ARE DONATED TO LOCAL AGENCIES AS WELL AS TO AGENCIES WHICH SERVE OTHER COUNTRIES. THE HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY THE HOSPITAL. THE HOSPITAL SERVES AS A CLINICAL EXPERIENCE SITE FOR SURGICAL RESIDENTS AS WELL AS OTHER HEALTH CARE PROFESSIONALS, SUCH AS NURSES, RESPIRATORY THERAPISTS, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS AND OTHERS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF THE HOSPITAL AS IS EVIDENCED BY THE LARGE NUMBER OF VOLUNTEERS. THE HOSPITAL RECEIVES GUIDANCE AND INPUT FROM ITS COMMUNITY ADVISORY COUNCIL. |
| Schedule H, Part VI, Line 6, Affiliated health care system | THE HOSPITAL IS ONE OF THE COMMUNITY HOSPITALS THAT ARE PART OF MERCY HEALTH PARTNERS OF SOUTHWEST OHIO (MHP-SWO). ALL ARE ACUTE CARE HOSPITALS AND OHIO NON-PROFIT CORPORATIONS. THE HOSPITALS ARE SPONSORED BY THE SISTERS OF MERCY AND THE FRANCISCAN SISTERS OF THE POOR AND HAVE BEEN PART OF THE COMMUNITY SINCE THEY WERE FOUNDED IN THE FOLLOWING YEARS: THE JEWISH HOSPITAL 1850 LICENSED BEDS: 209 MERCY HOSPITAL MT. AIRY 1971 LICENSED BEDS: 548 MERCY HOSPITAL CLERMONT 1973 LICENSED BEDS: 148 MERCY HOSPITAL FAIRFIELD 1978 LICENSED BEDS: 209 MERCY HOSPITAL WESTERN HILLS 1982 LICENSED BEDS: 261 MERCY HOSPITAL ANDERSON 1984 LICENSED BEDS: 226 MERCY HEALTH - WEST HOSPITAL 2013 LICENSED BEDS: 250 EACH OF THE HOSPITALS WORK INDIVIDUALLY AND COLLECTIVELY TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS. IN ADDITION, MERCY FRANCISCAN AT ST. JOHN AND MERCY FRANCISCAN AT ST. RAPHAEL ARE TWO SOCIAL SERVICE AGENCIES THAT PROVIDE SHELTER, FOOD, EDUCATION, CLOTHES, AND HEALTH SERVICES TO CLIENTS IN ECONOMICALLY DEPRESSED NEIGHBORHOODS IN INNER CITY CINCINNATI AND HAMILTON. MHP-SWO IS THE SOLE SPONSOR FOR THESE AGENCIES. IN ADDITION, MHP-SWO INCLUDES SENIOR HEALTH AND HOUSING COMMUNITIES IN CINCINNATI, OHIO, HAMILTON, OHIO, LOUISVILLE KENTUCKY AND NEW ALBANY, INDIANA. THESE SENIOR HEALTH AND HOUSING FACILITIES PROVIDE COMMUNITY BENEFIT SERVICES FOR THEIR RESIDENTS AND THE COMMUNITIES THEY SERVE. MERCY HEALTH PARTNERS OF SOUTHWEST OHIO COMMUNITY BENEFIT FOR 2013 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2013 COMMUNITY BENEFIT: $104.5 MILLION BENEFITS TO THE BROADER COMMUNITY: $10.7 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $49.0 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $37.5 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $7.3 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 9.7 PERCENT MERCY HEALTH PARTNERS OF SOUTHWEST OHIO IS A MEMBER OF CATHOLIC HEALTH PARTNERS (CHP). CHP IS THE LARGEST HEALTH SYSTEM IN OHIO, THE STATE'S FOURTH LARGEST EMPLOYER AND ONE OF THE LARGEST CATHOLIC HEALTH SYSTEMS IN THE UNITED STATES. CHP IS SPONSORED BY PARTNERS IN CATHOLIC HEALTH MINISTRIES (PCHM). PCHM IS A PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH. CHP CONTINUES THE HEALTHCARE MINISTRIES BEGUN BY ITS FOUNDERS IN URBAN AND RURAL AREAS ACROSS OHIO, PENNSYLVANIA AND KENTUCKY MORE THAN 150 YEARS AGO. CHP PROVIDES INTEGRATED HEALTH SERVICES VIA ACUTE CARE HOSPITALS, PHYSICIAN PRACTICES, LONG-TERM CARE RESIDENCES, HOUSING SITES FOR THE ELDERLY, HOME HEALTH AGENCIES, HOSPICE PROGRAMS, OUTREACH SERVICES AND WELLNESS CENTERS. CHP HOSPITALS INCLUDE CRITICAL ACCESS FACILITIES THAT OFFER ESSENTIAL HEALTH SERVICES THAT OTHERWISE WOULD NOT BE AVAILABLE IN MANY COMMUNITIES. CHP'S MISSION CALLS IT TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES WITH SPECIAL EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. IN ADDITION TO PROVIDING PROGRAMS AND SERVICES DESIGNED TO ENHANCE THE HEALTH OF ENTIRE COMMUNITIES, CHP CARES FOR EVERYONE WHO COMES TO ITS FACILITIES, REGARDLESS OF THEIR ABILITY TO PAY. CHP'S HOME OFFICE IN CINCINNATI, OHIO PROVIDES SERVICES AND SUPPORT TO THE ENTIRE SYSTEM. ITS GOVERNANCE PRACTICES HAVE BEEN NATIONALLY RECOGNIZED FOR QUALITY. SYSTEM LEADERSHIP PROVIDES STRATEGIC VISION AND MANAGEMENT OVERSIGHT IN SUPPORT OF THE MINISTRY BY DIRECTING RESOURCES, PROVIDING ACCESS TO LOWER COST DEBT FINANCING, IMPROVING CLINICAL OUTCOMES AND REDUCING OPERATING COSTS. SYSTEM-WIDE COMMUNITY BENEFIT FOR 2013 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2013 COMMUNITY BENEFIT: $374.7 MILLION BENEFITS TO THE BROADER COMMUNITY: $73.5 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $150.9 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $122.0 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $28.3 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 9.8 PERCENT |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ST IGNATIUS OF LOYOLA | |||||||
| 5222 NORTH BEND ROAD | CINCINNATI | OH | 45247 | 131623956 | 501)C)(3) | $40,000 | MISSION SUPPORT |
| ELDER HIGH SCHOOL | |||||||
| 3900 VINCENT AVENUE | CINCINNATI | OH | 45205 | 310538520 | 501(C)(3) | $25,000 | MISSION SUPPORT |
| THE CINCINNATI SYMPHONY ORCHESTRA | |||||||
| 1241 ELM STREET | CINCINNATI | OH | 45202 | 310537080 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds | FormAndLineReferenceDesc |
| Explanation | ADMINISTRATION PERSONNEL REVIEW DOCUMENTATION SUBMITTED FOR THE INTENDED USE OF THE DONATIONS MADE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| YOUSUF JAMAL AHMAD | ||||||||||||||
| PRESIDENT & SECRETARY, MERCY HEALTH CINCINNATI PRESIDENT & CEO | $0 | $512,272 | $0 | $255,097 | $0 | $29,636 | $0 | $105,601 | $0 | $23,660 | $0 | $926,266 | $0 | $0 |
| JAMES MAY | ||||||||||||||
| TRUSTEE, CHP EVP & COO | $0 | $734,698 | $0 | $262,703 | $0 | $797,477 | $0 | $10,200 | $0 | $34,828 | $0 | $1,839,906 | $0 | $0 |
| L RICHARD ROEDERSHEIMER MD | ||||||||||||||
| TRUSTEE | $0 | $288,340 | $0 | $246,333 | $0 | $33,391 | $0 | $19,796 | $0 | $14,191 | $0 | $602,051 | $0 | $0 |
| ED HERZIG MD | ||||||||||||||
| TRUSTEE | $0 | $364,434 | $0 | $27,821 | $0 | $22,921 | $0 | $19,697 | $0 | $13,764 | $0 | $448,637 | $0 | $0 |
| KEVIN COOK | ||||||||||||||
| FORMER OFFICER | $0 | $213,612 | $0 | $0 | $0 | $5,476 | $0 | $43,858 | $0 | $12,548 | $0 | $275,494 | $0 | $0 |
| THOMAS URBAN | ||||||||||||||
| FORMER OFFICER | $0 | $408,591 | $0 | $112,776 | $0 | $15,937 | $0 | $47,753 | $0 | $14,994 | $0 | $600,051 | $0 | $0 |
| PAUL HILTZ | ||||||||||||||
| FORMER OFFICER | $0 | $313,761 | $0 | $68,733 | $0 | $10,231 | $0 | $72,464 | $0 | $19,715 | $0 | $484,904 | $0 | $0 |
| DEBORAH BLOOMFIELD | ||||||||||||||
| SVP, MARKET CFO | $0 | $440,469 | $0 | $111,266 | $0 | $10,123 | $0 | $79,508 | $0 | $14,285 | $0 | $655,651 | $0 | $0 |
| PATRICK KOWALSKI | ||||||||||||||
| PRESIDENT & CEO, MARKET CFO | $295,692 | $0 | $46,920 | $0 | $8,767 | $0 | $16,330 | $0 | $19,353 | $0 | $387,062 | $0 | $0 | $0 |
| MICHAEL STEPHENS | ||||||||||||||
| MARKET LEADER & PRESIDENT | $435,054 | $0 | $72,806 | $0 | $64,494 | $0 | $28,693 | $0 | $24,516 | $0 | $625,563 | $0 | $0 | $0 |
| JOYCE KEEGAN | ||||||||||||||
| FORMER KEY EMPLOYEE | $41,251 | $0 | $0 | $0 | $78,640 | $0 | $978 | $0 | $3,958 | $0 | $124,827 | $0 | $0 | $0 |
| LEONARD M RANDOLPH JR MD | ||||||||||||||
| SVP, CHIEF MEDICAL OFFICER | $0 | $390,631 | $0 | $95,655 | $0 | $25,699 | $0 | $46,413 | $0 | $21,139 | $0 | $579,537 | $0 | $0 |
| CLAIRE COMBS | ||||||||||||||
| SVP, CHIEF ADMINISTRATIVE OFFICER | $0 | $331,224 | $0 | $95,804 | $0 | $18,008 | $0 | $37,041 | $0 | $24,932 | $0 | $507,009 | $0 | $0 |
| MAGGIE LUND | ||||||||||||||
| SVP, DIV HUMAN RESOURCES | $0 | $274,444 | $0 | $74,122 | $0 | $11,803 | $0 | $36,703 | $0 | $7,774 | $0 | $404,846 | $0 | $0 |
| LEE ANN LISKA | ||||||||||||||
| MHP CHIEF OPERATING OFFICER | $0 | $212,151 | $0 | $109,647 | $0 | $5,180 | $0 | -$12,301 | $0 | $11,263 | $0 | $325,940 | $0 | $0 |
| MICHAEL KRAMER | ||||||||||||||
| VP STRATEGIC PLANNING & BUS. DEVELOPMENT | $0 | $218,436 | $0 | $50,293 | $0 | $717 | $0 | $18,392 | $0 | $18,807 | $0 | $306,645 | $0 | $0 |
| PATRICIA SCHROER | ||||||||||||||
| VP MERCY HEALTH SERVICE LINES | $0 | $158,147 | $0 | $82,342 | $0 | $44,185 | $0 | $35,823 | $0 | $7,412 | $0 | $327,909 | $0 | $0 |
| STEPHANIE MEADE | ||||||||||||||
| VP NURSING | $175,282 | $0 | $15,000 | $0 | $899 | $0 | $5,805 | $0 | $23,795 | $0 | $220,781 | $0 | $0 | $0 |
| MARK MAYHAUS | ||||||||||||||
| LEAD PHARMACIST | $171,775 | $0 | $200 | $0 | $370 | $0 | $21,782 | $0 | $19,774 | $0 | $213,901 | $0 | $0 | $0 |
| CHRISTINE KIRBY | ||||||||||||||
| DIRECTOR OF PHARMACY | $140,107 | $0 | $11,099 | $0 | $873 | $0 | $11,960 | $0 | $9,242 | $0 | $173,281 | $0 | $0 | $0 |
| LOIS BOWMAN | ||||||||||||||
| PHARMACIST | $169,811 | $0 | $200 | $0 | $517 | $0 | $17,462 | $0 | $7,268 | $0 | $195,258 | $0 | $0 | $0 |
| MICHAEL ADOLPH | ||||||||||||||
| VP MEDICAL AFFAIRS | $257,147 | $0 | $0 | $0 | $3,601 | $0 | $215 | $0 | $18,879 | $0 | $279,842 | $0 | $0 | $0 |
| DONALD BISHER | ||||||||||||||
| PHARMACIST | $140,764 | $0 | $200 | $0 | $217 | $0 | $17,219 | $0 | $19,869 | $0 | $178,269 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a, Health or social club dues or initiation fees | BECAUSE THE ORGANIZATION'S MISSION INCLUDES PROMOTING GOOD HEALTH FOR ALL, INCLUDING ITS OWN EMPLOYEES, THE ORGANIZATION PAYS PART OF THE MONTHLY DUES FOR MERCY HEALTHPLEX FACILITIES (RELATED ORGANIZATIONS), WHICH ARE HEALTH CLUBS. THE BENEFIT IS AVAILABLE TO ALL EMPLOYEES, NOT JUST EXECUTIVES. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE COMPENSATION AND WAS PROVIDED FOR THE FOLLOWING LISTED INDIVIDUALS: MICHAEL STEPHENS, STEPHANIE MEADE, JOYCE KEEGAN, AND CHRISTINE KIRBY. |
| Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensation | THE COMPENSATION OF MICHAEL STEPHENS, MARKET LEADER & PRESIDENT, IS DETERMINED BY MERCY HEALTH PARTNERS OF SOUTHWEST OHIO (MHPSWO), A RELATED TAX-EXEMPT ORGANIZATION. MHPSWO UTILIZES A COMPENSATION COMMITTEE, A WRITTEN EMPLOYMENT CONTRACT, AN INDEPENDENT COMPENSATION CONSULTANT, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MR. STEPHEN'S COMPENSATION. |
| Schedule J, Part I, Line 4a, Severance or change-of-control payment | SEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO LISTED INDIVIDUALS FOR SPECIFIED PERIODS. THE LISTED INDIVIDUALS EXECUTED RELEASES AND WAIVERS OF CLAIMS IN EXCHANGE FOR THE SEVERANCE BENEFITS. SALARY CONTINUATION AMOUNTS PROVIDED DURING THE REPORTING YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: PATRICIA SCHROER $36,565; JOYCE KEEGAN $76,963. |
| Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan | THE MHP EXECUTIVE BENEFIT PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO ALL EXECUTIVE COUNCIL MEMBERS. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION. A BENEFIT IS CALCULATED FOR ANY INDIVIDUAL WHOSE COMPENSATION IS LIMITED IN THE QUALIFIED CASH BALANCE PLAN DUE TO INCOME WHICH EXCEEDS THE IRS MAXIMUM. THE BENEFIT IS BASED UPON FORM W-2 COMPENSATION AND IS EQUAL TO THE AMOUNT EXCLUDED FROM THE QUALIFIED PLAN. ADDITIONAL CONTRIBUTIONS ARE MADE ON AN ANNUAL BASIS WHICH ARE A PERCENTAGE OF BASE COMPENSATION. PARTICIPANTS MUST COMPLETE A TWO TIERED VESTING PROVISION. PARTICIPANTS MUST BE VESTED UNDER THE BASE QUALIFIED PLAN AND MUST COUNT 24 MONTHS AFTER TERMINATION DURING WHICH THEY DO NOT COMPETE WITH MERCY HEALTH PARTNERS OF SOUTHWEST OHIO. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO EXECUTIVE BENEFIT PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: MICHAEL STEPHENS $0; YOUSUF JAMAL AHMAD $0; DEBORAH BLOOMFIELD $0; LEONARD M. RANDOLPH JR., MD $0; MAGGIE LUND $0; THOMAS URBAN $0; PAUL HILTZ $0. |
| SCHEDULE J, PART I, LINE 4B, TERMS AND CONDITIONS OF CHP EXECUTIVE RETENTION PLAN 457(F) | THE CHP EXECUTIVE RETENTION PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST AND CEASE TO RECEIVE CREDITS AFTER 5 YEARS OF PLAN PARTICIPATION PROVIDED THEY REMAIN EMPLOYED. VESTING AND CESSATION OF CREDITS OCCUR EARLIER FOR DEATH OR TOTAL DISABILITY WHILE EMPLOYED. INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION, OR, FOR CERTAIN PARTICIPANTS, UPON BEING OFFERED A SPECIFIED PROMOTION, PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS UPON VESTING. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUES TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JAMES MAY $593,585; CLAIRE COMBS $0. |
| SCHEDULE J, PART I, LINE 4B, TERMS AND CONDITIONS OF THE CHP SERP PLAN | THE CHP SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTIVELY. VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMINATION. PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDINGS. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JAMES MAY $154,309; THOMAS URBAN $0. |
| SCHEDULE J, PART I, LINE 4B, TERMS AND CONDITIONS OF THE MHP NORTHERN MARKET SERP | MERCY HEALTH PARTNERS (MHP) - NORTHERN MARKET NONQUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN IS FOR CERTAIN HIGHLY COMPENSATED INDIVIDUALS AS DETERMINED BY THE BOARD OF TRUSTEES' EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE TO PROVIDE A BENEFIT TO REPLACE THE BENEFIT THESE PARTICIPANTS WOULD HAVE RECEIVED UNDER THE FORMULA OF THE APPLICABLE QUALIFIED PLAN PRIOR TO ITS AMENDMENT TO COMPLY WITH THE OMNIBUS BUDGET RECONCILIATION ACT OF 1993, AND PROVIDING A DEFERRED COMPENSATION PLAN OF 5% OF ANNUAL BASE SALARY TO RETAIN EXECUTIVES. PARTICIPANTS VEST IN THIS PLAN AND RECEIVE A BENEFIT UNDER THIS PLAN ONCE THEY HAVE SATISFIED BOTH OF THESE TWO CONDITIONS: (1) MEET THE VESTING REQUIREMENTS OF THE APPLICABLE QUALIFIED PLAN, AND (2) COMPLETE A 24-MONTH POST-EMPLOYMENT NON-COMPETE REQUIREMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: KEVIN COOK $0. |
| Schedule J, Part I, Line 7, Non-fixed payments | THE ORGANIZATION PROVIDES ANNUAL INCENTIVE COMPENSATION FOR LISTED INDIVIDUALS. THE ORGANIZATION'S BOARD OF TRUSTEES ESTABLISHES OBJECTIVE THRESHOLDS FOR QUALITY, COMMUNITY BENEFIT, AND FINANCIAL PERFORMANCE WHICH MUST BE ACHIEVED FOR INCENTIVES TO BE AWARDED. THE BOARD ALSO ESTABLISHES THRESHOLD, TARGET AND MAXIMUM LEVELS FOR INCENTIVE AWARDS. WITHIN THESE ESTABLISHED PARAMETERS, THE BOARD DETERMINES THE CEO'S INCENTIVE AWARD AND INCENTIVE AWARDS FOR OTHER LISTED INDIVIDUALS ARE DETERMINED BY THE LISTED INDIVIDUAL'S SUPERVISOR AND DISCLOSED TO THE BOARD. THE BOARD MAY AUTHORIZE MODIFIED INCENTIVE AWARDS WHEN APPROPRIATE IN ITS JUDGMENT. |
| SCHEDULE J, PART II, COLUMN (C), REPORTING NEGATIVE DEFERRED COMPENSATION | ANNUAL ACTUARIALLY-DETERMINED CONTRIBUTIONS TO DEFINED BENEFIT PLANS, WHICH ARE BASED ON PRIOR PLAN CONTRIBUTIONS, CHANGES IN INTEREST RATES, THE PRESENT VALUE OF ACCRUED BENEFITS, AND OTHER DATA AND ASSUMPTIONS ABOUT THE FUTURE, MAY, FOR SOME PLAN PARTICIPANTS AND FOR SOME YEARS, RESULT IN NEGATIVE CONTRIBUTION AMOUNTS. |
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 MERCY HOSPITALS WEST | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2014-01-01 | DistributionDt |
| Fair Market Value Of Asset | $144,671,286 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | GAAP | MethodOfFMVDeterminationTxt |
| EIN | 311091597 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH - WEST HOSPITAL LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 MERCY HEALTH BLVD | AddressLine1 |
| City | CINCINNATI | City |
| State | OH | State |
| ZIP Code | 45238 | 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 MERCY HOSPITALS WEST BECAME EMPLOYEES OF MERCY HEALTH - WEST HOSPITAL LLC. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART IV, LINE 12A, CONSOLIDATED AUDITED FINANCIAL STATEMENTS | THE FILING ORGANIZATION DOES NOT HAVE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN CATHOLIC HEALTH PARTNERS' CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH ARE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. CATHOLIC HEALTH PARTNERS' AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. |
| FORM 990, PART VI, LINE 15, COMPENSATION OF TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS | THE COMPENSATION OF THE ORGANIZATION'S CEO OR TOP OFFICIAL, OFFICERS, AND KEY EMPLOYEES IS DETERMINED BY MERCY HEALTH PARTNERS OF SOUTHWEST OHIO, A RELATED TAX-EXEMPT ORGANIZATION. |
| Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO (MHP - SWO) IS THE SOLE MEMBER OF MERCY HOSPITALS WEST. |
| Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body | CATHOLIC HEALTH PARTNERS (CHP) ELECTS ALL BOARD MEMBERS WHO HAVE FULL VOTING RIGHTS. |
| Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders | CERTAIN MATTERS REQUIRE APPROVAL OF CHP CORPORATE MEMBER, CHP GOVERNING BODY, OR CHP CEO. THE REGULATIONS OF THE ORGANIZATION DESCRIBE THE LEVEL OF APPROVAL REQUIRED FOR VARIOUS DECISIONS. |
| Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body | THE FORM 990 IS PREPARED BY CHP'S TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN REVIEWED BY MANAGEMENT. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. |
| Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy | EACH YEAR TRUSTEES COMPLETE A CONFLICT OF INTEREST STATEMENT THAT IS SUBSEQUENTLY APPROVED BY THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE (ACRC) AT MHP - SWO AND THEN SENT TO CHP FOR THEIR ACRC TO APPROVE. ANY CONFLICTS OF INTEREST THAT OCCUR DURING THE YEAR ARE REQUIRED TO BE BROUGHT TO THE ATTENTION OF THE ACRC AT MHP - SWO. |
| Form 990, Part VI, Sec C, Line 19, Required documents available to the public | THE SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE. |
| Form 990, Part IX, Line 11g, Other Expenses | MEDICAL PROFESSIONAL FEES - TOTAL EXPENSE: 8924546, PROGRAM SERVICE EXPENSE: 8924546, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONSULTING - TOTAL EXPENSE: 213038, PROGRAM SERVICE EXPENSE: 181082, MANAGEMENT AND GENERAL EXPENSES: 31956, FUNDRAISING EXPENSES: ; OTHER PURCHASED SERVICES - TOTAL EXPENSE: 12482948, PROGRAM SERVICE EXPENSE: 10610506, MANAGEMENT AND GENERAL EXPENSES: 1872442, FUNDRAISING EXPENSES: ; AFFILIATE PURCHASED SERVICES - TOTAL EXPENSE: 29401437, PROGRAM SERVICE EXPENSE: 24991221, MANAGEMENT AND GENERAL EXPENSES: 4410216, FUNDRAISING EXPENSES: ; |
| Form 990 , Part XI, Line 9, Other changes in net assets or fund balances | INTERCOMPANY ELIMINATIONS - XXX-XX-XXXX; FUND BALANCE TRANSFER TO LLC - -XXX-XX-XXXX; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (64 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CATHOLIC HEALTH PARTNERS | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 311161086 | HEALTHCARE SYSTEM PARENT | OH | 501(C)(3) | 11 - Type III - FI | NA | false |
| CATHOLIC HEALTH PARTNERS FOUNDATION | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 201072726 | FUNDRAISING | OH | 501(C)(3) | 7 | CATHOLIC HEALTH PARTNERS | false |
| CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 208943658 | HUD PARENT | OH | 501(C)(3) | 9 | CATHOLIC HEALTH PARTNERS | false |
| CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 316046304 | RETIREMENT TRUST | OH | 501(C)(3) | 8 | CATHOLIC HEALTH PARTNERS | false |
| COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM | ||||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 270071694 | MARKET PARENT | OH | 501(C)(3) | 11 - Type II | CATHOLIC HEALTH PARTNERS | false |
| COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER | ||||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 340714704 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM | false |
| ALLEN MEDICAL CENTER | ||||||||||
| 200 WEST LORAIN ST | OBERLIN | OH | 44074 | 340864230 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM | false |
| COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION | ||||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 341504558 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER | false |
| COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS | ||||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 341268828 | MEDICAL OFFICE RENTAL | OH | 501(C)(3) | 9 | COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER | false |
| ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING | ||||||||||
| 200 WEST LORAIN ST | OBERLIN | OH | 44074 | 364504991 | MEDICAL OFFICE RENTAL | OH | 501(C)(3) | 11 - Type II | ALLEN MEDICAL CENTER | false |
| MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | ||||||||||
| 4600 MCAULEY PLACE | CINCINNATI | OH | 45242 | 311063783 | MARKET PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION | ||||||||||
| 4600 MCAULEY PLACE | CINCINNATI | OH | 45242 | 311217563 | FOUNDATION | OH | 501(C)(3) | 7 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY HOSPITALS WEST | ||||||||||
| 2446 KIPLING AVENUE | CINCINNATI | OH | 45239 | 311091597 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY HOSPITAL ANDERSON | ||||||||||
| 7500 STATE ROAD | CINCINNATI | OH | 45255 | 310537085 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| THE SISTERS OF MERCY OF HAMILTON OHIO | ||||||||||
| 3000 MACK ROAD | FAIRFIELD | OH | 45014 | 310538532 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO | ||||||||||
| 3000 HOSPITAL DRIVE | BATAVIA | OH | 45103 | 310830955 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC | ||||||||||
| 7010 ROWAN HILLS DR | CINCINNATI | OH | 45227 | 311308729 | RETIREMENT HOME | OH | 501(C)(3) | 9 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY SACRED HEART INC | ||||||||||
| 2120 PAYNE STREET | LOUISVILLE | KY | 40206 | 611318326 | RETIREMENT HOME | KY | 501(C)(3) | 9 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY LONG TERM CARE INITIATIVE | ||||||||||
| 4915 CHARLESTOWN RD | NEW ALBANY | IN | 47150 | 311332491 | RETIREMENT HOME | IN | 501(C)(3) | 9 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY FRANCISCAN SOCIAL MINISTRIES INC | ||||||||||
| 1800 LOGAN STREET | CINCINNATI | OH | 45210 | 311222942 | LOW INCOME HOUSING | OH | 501(C)(3) | 7 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY FRANCISCAN AT ST RAPHAEL INC | ||||||||||
| 610 HIGH STREET | HAMILTON | OH | 45011 | 202934871 | SERVICES TO THE POOR | OH | 501(C)(3) | 7 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| COMMUNITY MERCY HEALTH SYSTEM | ||||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 300272454 | MARKET PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| COMMUNITY MERCY HEALTH PARTNERS | ||||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 310785684 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY MERCY HEALTH SYSTEM | false |
| THE COMMUNITY MERCY FOUNDATION | ||||||||||
| 1343 N FOUNTAIN BLVD | SPRINGFIELD | OH | 45504 | 311443778 | FOUNDATION | OH | 501(C)(3) | 7 | COMMUNITY MERCY HEALTH SYSTEM | false |
| C H HEALTH SERVICES COMPANY | ||||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 311181984 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY MERCY HEALTH SYSTEM | false |
| CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE | ||||||||||
| 1150 E HOME ROAD | SPRINGFIELD | OH | 45503 | 260698515 | MEDICAL INFORMATION EXCHANGE | OH | 501(C)(3) | 9 | COMMUNITY MERCY HEALTH SYSTEM | false |
| THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST | ||||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 346827136 | INDIGENT MEDICAL CARE | OH | 501(C)(3) | 11 - Type I | NA | false |
| MERCY HEALTH SYSTEM - NORTHERN REGION | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341344482 | MARKET PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| MERCY PROPERTY HOLDINGS | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 300699825 | TITLE HOLDING COMPANY | OH | 501(C)(2) | N/A | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| ST CHARLES MERCY HOSPITAL OF OREGON OHIO | ||||||||||
| 2600 NAVARRE AVENUE | OREGON | OH | 43616 | 344445373 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| RIVERSIDE MERCY HOSPITAL | ||||||||||
| 3404 W SYLVANIA AVE | TOLEDO | OH | 43623 | 311556401 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY HOME CARE INC | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341587572 | HOME HEALTHCARE | OH | 501(C)(3) | 9 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY COLLEGE OF OHIO | ||||||||||
| 2221 MADISON AVENUE | TOLEDO | OH | 43604 | 341726619 | MEDICAL COLLEGE | OH | 501(C)(3) | 2 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY COLLEGE OF OHIO FOUNDATION INC | ||||||||||
| 2221 MADISON AVENUE | TOLEDO | OH | 43604 | 141963204 | FOUNDATION | OH | 501(C)(3) | 11 - Type I | MERCY COLLEGE OF OHIO | false |
| MERCY HOSPITAL OF TIFFIN OHIO | ||||||||||
| 45 ST LAWRENCE DRIVE | TIFFIN | OH | 44883 | 344431174 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY TIFFIN HEALTH FOUNDATION | ||||||||||
| 45 ST LAWRENCE DRIVE | TIFFIN | OH | 44883 | 341499894 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | MERCY HOSPITAL OF TIFFIN OHIO | false |
| THE SISTERS OF MERCY OF WILLARD OHIO | ||||||||||
| 110 EAST HOWARD ST | WILLARD | OH | 44890 | 341577110 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY HOSPITAL OF WILLARD FOUNDATION | ||||||||||
| 110 EAST HOWARD ST | WILLARD | OH | 44890 | 113742347 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | THE SISTERS OF MERCY OF WILLARD OHIO | false |
| ST VINCENT MERCY MEDICAL CENTER | ||||||||||
| 2213 CHERRY STREET | TOLEDO | OH | 43608 | 344428250 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY FOUNDATION | ||||||||||
| 2213 CHERRY STREET | TOLEDO | OH | 43608 | 237393213 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | ST VINCENT MERCY MEDICAL CENTER | false |
| LIFESTAR AMBULANCE INC | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341354653 | MEDICAL TRANSPORTATION | OH | 501(C)(3) | 11 - Type II | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| RSM MEDICAL FOUNDATION | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43624 | 341693671 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| SIMON OUTREACH SERVICES | ||||||||||
| 2600 NAVARRE AVENUE | OREGON | OH | 43616 | 341383325 | MEDICAL OFFICE RENTAL | OH | 501(C)(3) | 11 - Type II | ST CHARLES MERCY HOSPITAL OF OREGON OHIO | false |
| FARLEY HEALTHCARE CORPORATION | ||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341363204 | HEALTH SERVICES | OH | 501(C)(3) | 9 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| ST RITA'S MEDICAL CENTER | ||||||||||
| 730 W MARKET STREET | LIMA | OH | 45801 | 341105619 | HOSPITAL | OH | 501(C)(3) | 3 | CATHOLIC HEALTH PARTNERS | false |
| SRHC FOUNDATION | ||||||||||
| 730 W MARKET STREET | LIMA | OH | 45801 | 341368429 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | ST RITA'S MEDICAL CENTER | false |
| NEW VISION MEDICAL LABORATORIES INC | ||||||||||
| 750 W HIGH ST STE 400 | LIMA | OH | 45801 | 341937267 | MEDICAL LAB SERVICES | OH | 501(C)(3) | 11 - Type III - FI | ST RITA'S MEDICAL CENTER | false |
| HUMILITY OF MARY HEALTH PARTNERS | ||||||||||
| 1044 BELMONT AVENUE | YOUNGSTOWN | OH | 44501 | 340505560 | HOSPITAL | OH | 501(C)(3) | 3 | CATHOLIC HEALTH PARTNERS | false |
| THE ASSUMPTION VILLAGE | ||||||||||
| 9800 N MARKET STREET | NORTH LIMA | OH | 44452 | 341013695 | NURSING HOME | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| HOSPICE OF THE VALLEY | ||||||||||
| 5190 MARKET STREET | YOUNGSTOWN | OH | 44512 | 341288745 | HOSPICE SERVICES | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| HUMILITY OF MARY DEVELOPMENT FOUNDATION | ||||||||||
| 1044 BELMONT AVENUE | YOUNGSTOWN | OH | 44501 | 341826978 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | HUMILITY OF MARY HEALTH PARTNERS | false |
| HUMILITY HOUSE | ||||||||||
| 755 OHLTOWN ROAD | AUSTINTOWN | OH | 44515 | 341894783 | NURSING HOME | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| ST JOSEPH HEALTH CENTER AUXILIARY | ||||||||||
| 677 EASTLAND SE | WARREN | OH | 44484 | 346556121 | FUNDRAISING | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| MERCY HEALTH PARTNERS - LOURDES INC | ||||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | 610600313 | HOSPITAL | KY | 501(C)(3) | 3 | CATHOLIC HEALTH PARTNERS | false |
| LOURDES FOUNDATION INC | ||||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | 611258960 | FOUNDATION | KY | 501(C)(3) | 7 | MERCY HEALTH PARTNERS - LOURDES INC | false |
| LOURDES HOSPITAL AUXILIARY GIFT SHOP | ||||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | 610927805 | FUNDRAISING | KY | 501(C)(3) | 11 - Type III - FI | LOURDES FOUNDATION INC | false |
| MARCUM AND WALLACE MEMORIAL HOSPITAL INC | ||||||||||
| 60 MERCY COURT | IRVINE | KY | 40336 | 610927491 | HOSPITAL | KY | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - LOURDES INC | false |
| MARCUM AND WALLACE HOSPITAL FOUNDATION INC | ||||||||||
| 60 MERCY COURT | IRVINE | KY | 40336 | 320026557 | FOUNDATION | KY | 501(C)(3) | 11 - Type III - FI | MARCUM AND WALLACE MEMORIAL HOSPITAL INC | false |
| MERCY HEALTH PARTNERS INC | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 731627534 | MARKET PARENT | TN | 501(C)(3) | 11 - Type I | CATHOLIC HEALTH PARTNERS | false |
| MERCY HEALTH PARTNERS - NORTHEAST REGION INC | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 232813196 | MARKET PARENT | PA | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| MERCY HOSPITAL OF WILKES-BARRE | ||||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | 240795625 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY HEALTH CARE CENTER | ||||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | 232322809 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| HEALTHSPAN PARTNERS | ||||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 463055925 | MARKET PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| HEALTHSPAN INTEGRATED CARE | ||||||||||
| 1001 LAKESIDE AVE SUITE 1200 | CLEVELAND | OH | 44114 | 340922268 | HMO | OH | 501(C)(3) | 9 | HEALTHSPAN PARTNERS | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| NWO INTEGRATED LABORATORIES MERCY LLC | ||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43624 | 341898285 | LABORATORY SERVICES | OH | NA | N/A |
| TIFFIN AMBULATORY SURGICAL ASSOCIATES | ||||||||
| 45 ST LAWRENCE DRIVE | TIFFIN | OH | 44833 | 371567866 | AMBULATORY SURGERY CENTER | OH | NA | N/A |
| NEW VISION MEDICAL LAB LLC | ||||||||
| 750 W HIGH STREET | LIMA | OH | 45801 | 341913433 | LAB SERVICES | OH | NA | N/A |
| WEST CENTRAL OHIO GROUP LTD | ||||||||
| 801 MEDICAL DRIVE | LIMA | OH | 45804 | 341848147 | ORTHOPEDIC HOSPITAL | OH | NA | N/A |
| KIDNEY SERVICES OF WEST CENTRAL OHIO | ||||||||
| 750 W HIGH STREET SUITE 100 | LIMA | OH | 45801 | 061644264 | DIALYSIS CENTER | OH | NA | N/A |
| WEST CENTRAL OHIO REGIONAL HEALTHCARE ALLIANCE LTD | ||||||||
| 2615 FORT AMANDA ROAD | LIMA | OH | 45805 | 341817078 | HEALTHCARE QUALITY | OH | NA | N/A |
| ST ELIZABETH SOUTHWOODS IMAGING | ||||||||
| 250 DEBARTOLO PLACE BLDG B | YOUNGSTOWN | OH | 44512 | 261626482 | DIAGNOSTIC IMAGING | OH | NA | N/A |
| ST ELIZABETH CARDIAC CATH LAB LLC | ||||||||
| P O BOX 16008 | PITTSBURGH | PA | 15242 | 300023795 | LAB SERVICES | PA | NA | N/A |
| UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC | ||||||||
| 1044 BELMONT AVE | YOUNGSTOWN | OH | 44501 | 262989686 | RADIATION THERAPY | OH | NA | N/A |
| HMHPUSP SURGERY CENTERS LLC | ||||||||
| 15305 DALLAS PKWY STE 1600 | ADDISON | TX | 75001 | 271953122 | SURGERY CENTER | TX | NA | N/A |
| OSC-HMHP LLC | ||||||||
| 6505 MARKET ST BLDG B STE 101 | BOARDMAN | OH | 44512 | 010724836 | ORTHOPEDIC SURGERY CENTER | OH | NA | N/A |
| LOURDES AMBULATORY SURGERY CENTER | ||||||||
| 225 MEDICAL CENTER DRIVE | PADUCAH | KY | 42003 | 611258960 | SURGERY CENTER | KY | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (27 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|
| CHP INSURANCE LTD | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 980621978 | INSURANCE | CJ | NA | C CORPORATION | |
| SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 310990309 | WORKERS COMPENSATION TRUST | NA | TRUST | MA | |
| MHSWO HEALTH VENTURES INC | |||||||||
| 1 S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 311072139 | PHYSICIAN PRACTICES | NA | C CORPORATION | OH | |
| NORTHPARKE MEDICAL COMMONS CONDO ASSN | |||||||||
| 333 N LIMESTONE ST | SPRINGFIELD | OH | 45503 | 311391230 | REAL PROPERTY MGMNT | NA | C CORPORATION | OH | |
| MERCY HEALTH AFFILIATES INC | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341372633 | PHYSICIAN SERVICES | NA | C CORPORATION | OH | |
| PHYSICIAN'S HEALTH COLLABORATIVE | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 203986844 | MEDICAL & HOSPITAL SERVICES | NA | C CORPORATION | OH | |
| NORTHSIDE CORPORATION | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341318438 | RESIDENT RENTALS | NA | C CORPORATION | OH | |
| MERCY WORK SOLUTIONS | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 300066340 | WORKERS COMPENSATION | NA | C CORPORATION | OH | |
| MERCY HEALTH SYSTEM PHO | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341778321 | MEDICAL SERVICES | NA | C CORPORATION | OH | |
| PHYSICIAN MANAGED CARE INC | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341565320 | HEALTH SERVICES | NA | C CORPORATION | OH | |
| MCAULEY MANAGEMENT SERVICES INC | |||||||||
| 730 W MARKET STREET | LIMA | OH | 45801 | 341379037 | PROPERTY RENTAL | NA | C CORPORATION | OH | |
| LIMA MEDICAL SUPPLIES INC | |||||||||
| 730 W MARKET STREET | LIMA | OH | 45801 | 340944477 | MEDICAL EQUIPMENT | NA | C CORPORATION | OH | |
| COMMUNITY HEALTH PARTNERS ENTERPRISES INC | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 341455525 | HOLDING COMPANY | NA | C CORPORATION | OH | |
| COMMUNITY HEALTH PARTNERS PHYSICIANS INC | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 341803352 | PHYSICIAN PRACTICES | NA | C CORPORATION | OH | |
| AMC PHYSICIANS INC | |||||||||
| 200 W LORAIN STREET | OBERLIN | OH | 44074 | 371439554 | PHYSICIAN SERVICES | NA | C CORPORATION | OH | |
| MERCY HEALTH VENTURES INC | |||||||||
| 4600 MCAULEY PLACE | CINCINNATI | OH | 45242 | 311185477 | DIVERSIFIED ACTIVITIES | NA | C CORPORATION | OH | |
| MERCY FRANCISCAN MEDICAL MANAGEMENT SERVICES | |||||||||
| 4600 MCAULEY PLACE | CINCINNATI | OH | 45242 | 311640789 | DIVERSIFIED ACTIVITIES | NA | C CORPORATION | OH | |
| MERCY FRANCISCAN AT WINTON WOODS I INC | |||||||||
| 10290 MILL ROAD | CINCINNATI | OH | 45231 | 311658668 | LOW-INCOME HOUSING | NA | C CORPORATION | OH | |
| MERCY HEALTH MANAGEMENT INC | |||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | 611086762 | MEDICAL OFFICES | NA | C CORPORATION | KY | |
| HEALTH DYNAMICS INC | |||||||||
| 900 E OAK HILL AVENUE | KNOXVILLE | TN | 37917 | 621247729 | MEDICAL EQUIPMENT SALES | NA | C CORPORATION | TN | |
| HEALTH VENTURES INC & SUBSIDIARIES | |||||||||
| P O BOX 1788 | KNOXVILLE | TN | 37901 | 621175587 | MEDICAL SERVICES | NA | C CORPORATION | TN | |
| ANNE KILCAWLEY CHRISTMAN FOUNDATION | |||||||||
| 100 FEDERAL PLAZA EAST | YOUNGSTOWN | OH | 44503 | 356735706 | BENEFICIAL TRUST | NA | TRUST | OH | |
| RALPH EWE TRUST | |||||||||
| 270 PARK AVENUE | NEW YORK | NY | 10017 | 346866422 | BENEFICIAL TRUST | NA | TRUST | NY | |
| ELIZABETH HINES CATES TRUST | |||||||||
| PNC 1900 E 9TH ST | CLEVELAND | OH | 44114 | 346515678 | BENEFICIAL TRUST | NA | TRUST | OH | |
| WILLIS PARK TRUST | |||||||||
| PNC 1900 E 9TH ST | CLEVELAND | OH | 44114 | 346519904 | BENEFICIAL TRUST | NA | TRUST | OH | |
| ERMA GIBSON BALDWIN TRUST | |||||||||
| PNC 1900 E 9TH ST | CLEVELAND | OH | 44114 | 346515566 | BENEFICIAL TRUST | NA | TRUST | OH | |
| HEALTHSPAN INC | |||||||||
| 225 PICTORIA DR | CINCINNATI | OH | 45246 | 311431434 | INSURANCE | NA | C CORPORATION | OH | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |