Mercy Long Term Care Initiative: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- Mercy Long Term Care Initiative (EIN 31-1332491)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201303189349301495
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T09:34:44-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311332491 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY LONG TERM CARE INITIATIVE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MERC | NameControl |
| Phone | 5139815600 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4915 Charlestown Road | AddressLine1 |
| City | New Albany | City |
| State | IN | State |
| ZIP Code | 47150 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PATRICK KOWALSKI | Name |
| Title | MARKET CFO | Title |
| Date Signed | 2013-11-07 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE RETIREMENT HOME | BusinessNameLine1 |
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JASON NIEHAUS | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4915 Charlestown Road | AddressLine1 |
| City | New Albany | City |
| State | IN | State |
| ZIP Code | 47150 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 10076503 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | PROVIDENCE RETIREMENT HOME IS A LONG-TERM CARE FACILITY OFFERING MULTI-LEVEL SERVICE, INCLUDING INTERMEDIATE AND SKILLED NURSING CARE, RESIDENTIAL/ASSISTED LIVING, AN ALZHEIMER'S/DEMENTIA SPECIAL CARE UNIT, ADULT DAY CARE AND OUTPATIENT THERAPY. WE PARTICIPATE IN MEDICARE, MEDICAID AND THE STATE'S ROOM, BOARD AND ASSISTANCE PROGRAMS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 208 | TotalNbrEmployees |
| Total Nbr Volunteers | 75 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 29083 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 233240 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 10303141 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 9759089 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1215 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 201311 | OtherRevenuePriorYear |
| Other Revenue Current Year | 82959 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 10533539 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10076503 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6701082 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6388579 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3644251 | OtherExpensePriorYear |
| Other Expenses Current Year | 3367911 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 10345333 | TotalExpensesPriorYear |
| Total Expenses Current Year | 9756490 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 188206 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 320013 | RevenuesLessExpensesCY |
| Total Assets BOY | 6696596 | TotalAssetsBOY |
| Total Assets EOY | 7024219 | TotalAssetsEOY |
| Total Liabilities BOY | 6527152 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 6534762 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 169444 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 489457 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDENCE RETIREMENT HOME EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 8784956 | Expense |
| Grants | 0 | Grants |
| Revenue | 9759089 | Revenue |
| Description | PROVIDENCE RETIREMENT HOME IS A LONG-TERM CARE FACILITY OFFERING MULTI-LEVEL SERVICE, INCLUDING INTERMEDIATE AND SKILLED NURSING CARE, RESIDENTIAL/ASSISTED LIVING, AN ALZHEIMER'S /DEMENTIA SPECIAL CARE UNIT, ADULT DAY CARE AND OUTPATIENT THERAPY. PROVIDENCE RETIREMENT HOME PARTICIPATES IN THE MEDICARE PROGRAM AS WELL AS THE STATE'S MEDICAID AND THE STATE'S ROOM, BOARD AND ASSISTANCE PROGRAMS. | Description |
| Total Program Service Expense | 8784956 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 208 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRAVIS CRUM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5136392800 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| DAVID J FREY | |||||||||
| CHAIRMAN | 0.30 | 2.10 | X | X | 0 | 0 | 0 | ||
| GERMAINE BENNETT | |||||||||
| CHAIRMAN | 0.30 | 2.10 | X | X | 0 | 0 | 0 | ||
| JAMES MAY | |||||||||
| SVP, DIVISIONAL CEO, PRESIDENT/SECRETARY | 0.30 | 44.90 | X | X | 0 | 1127899 | 153076 | ||
| TIMOTHY INGRAM | |||||||||
| VICE CHAIRMAN | 0.30 | 2.10 | X | X | 0 | 0 | 0 | ||
| TODD GARDNER | |||||||||
| TREASURER | 0.30 | 2.10 | X | X | 0 | 0 | 0 | ||
| ANTHONY J ARETZ PHD | |||||||||
| TRUSTEE | 0.30 | 2.10 | X | 0 | 0 | 0 | |||
| ANTHONY J ASHER MD | |||||||||
| TRUSTEE | 0.30 | 2.10 | X | 0 | 0 | 0 | |||
| BEVERLY GRANT | |||||||||
| TRUSTEE | 0.30 | 2.10 | X | 0 | 0 | 0 | |||
| DANIEL GEEDING | |||||||||
| TRUSTEE | 0.30 | 2.10 | X | 0 | 0 | 0 | |||
| DONNA ZARING | |||||||||
| TRUSTEE | 0.30 | 2.10 | X | 0 | 0 | 0 | |||
| ED HERZIG MD | |||||||||
| TRUSTEE | 0.30 | 2.10 | X | 0 | 403268 | 33108 | |||
| GLORIA HAFFER | |||||||||
| TRUSTEE | 0.30 | 2.10 | X | 0 | 0 | 0 | |||
| JAMES J MCGRAW JR | |||||||||
| TRUSTEE | 0.30 | 2.10 | X | 0 | 0 | 0 | |||
| KIMBERLY MAUER | |||||||||
| TRUSTEE | 0.30 | 2.10 | X | 0 | 0 | 0 | |||
| L RICHARD ROEDERSHEIMER MD | |||||||||
| TRUSTEE | 0.30 | 2.10 | X | 0 | 262663 | 29581 | |||
| NEIL O'CONNOR | |||||||||
| TRUSTEE | 0.30 | 2.10 | X | 0 | 0 | 0 | |||
| REENA DHANDA PATIL MD | |||||||||
| TRUSTEE | 0.30 | 2.10 | X | 0 | 0 | 0 | |||
| SR MARJORIE BOSSE RSM | |||||||||
| TRUSTEE | 0.30 | 3.10 | X | 0 | 0 | 0 | |||
| SR MARY STANTON RSM | |||||||||
| TRUSTEE | 0.30 | 2.10 | X | 0 | 0 | 0 | |||
| STEPHEN HEIS MD | |||||||||
| TRUSTEE | 0.30 | 2.10 | X | 0 | 0 | 0 | |||
| STEVEN L MICKUS | |||||||||
| TRUSTEE, CHP COO & PRES OF HEALTHCARE OPERATIONS | 0.30 | 56.10 | X | 0 | 1456282 | 181182 | |||
| DEBORAH BLOOMFIELD | |||||||||
| SVP, DIVISIONAL CFO | 0.30 | 42.70 | X | 0 | 491002 | 81153 | |||
| JASON NIEHAUS | |||||||||
| PRESIDENT | 2.00 | 43.00 | X | 0 | 216265 | 41229 | |||
| AMY BROWN | |||||||||
| EXECUTIVE DIRECTOR LTC | 40.00 | 0 | 109007 | 0 | 6380 | X | |||
| BRIAN FORSCHNER | |||||||||
| FORMER OFFICER | 0.00 | 1.00 | 0 | 143085 | 0 | X | |||
| THOMAS URBAN | |||||||||
| FORMER OFFICER | 0.00 | 40.00 | 0 | 496070 | 63787 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 109007 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4596534 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 589496 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Related Organizations | 229600 | RelatedOrganizations |
| All Other Contributions | 3640 | AllOtherContributions |
| Total Contributions | 233240 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621990 | 9677344 | 9677344 |
| ADULT DAY CARE | 623990 | 81745 | 81745 |
| 0 | |||
| 0 | |||
| 0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 9759089 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1215 | TotalRevenueColumn |
| Exclusion | $1,215 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| TELEPHONE/TELEVISION | 900099 | 16042 | $16,042 |
| CAFETERIA | 722210 | 1367 | $1,367 |
| LAUNDRY | 812300 | 3911 | $3,911 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 61639 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $61,639 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 82959 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10076503 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9759089 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $84,174 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112526 | Total |
| Program Services | 101273 | ProgramServices |
| Management And General | 11253 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5091455 | Total |
| Program Services | 4582309 | ProgramServices |
| Management And General | 509146 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155700 | Total |
| Program Services | 140130 | ProgramServices |
| Management And General | 15570 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 724791 | Total |
| Program Services | 652312 | ProgramServices |
| Management And General | 72479 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 304107 | Total |
| Program Services | 273696 | ProgramServices |
| Management And General | 30411 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18832 | Total |
| Management And General | 18832 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31735 | Total |
| Management And General | 31735 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1116958 | Total |
| Program Services | 1005262 | ProgramServices |
| Management And General | 111696 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 445303 | Total |
| Program Services | 400773 | ProgramServices |
| Management And General | 44530 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 329493 | Total |
| Program Services | 296544 | ProgramServices |
| Management And General | 32949 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10240 | Total |
| Program Services | 8192 | ProgramServices |
| Management And General | 2048 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 321482 | Total |
| Program Services | 289335 | ProgramServices |
| Management And General | 32147 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 493859 | Total |
| Program Services | 444473 | ProgramServices |
| Management And General | 49386 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78171 | Total |
| Program Services | 70354 | ProgramServices |
| Management And General | 7817 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEMBERSHIP DUES | 9830 | 8847 | 983 |
| MEDICAL SUPPLIES | 509250 | 509250 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2758 | Total |
| Program Services | 2206 | ProgramServices |
| Management And General | 552 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9756490 | Total |
| Program Services | 8784956 | ProgramServices |
| Management And General | 971534 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1753 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 644834 | BOY |
| EOY | 1259888 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15448 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11489098 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5726520 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6036314 | BOY |
| EOY | 5762578 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6696596 | BOY |
| EOY | 7024219 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 544666 | BOY |
| EOY | 849137 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5982486 | BOY |
| EOY | 5685625 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6527152 | BOY |
| EOY | 6534762 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169444 | BOY |
| EOY | 489457 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169444 | BOY |
| EOY | 489457 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6696596 | BOY |
| EOY | 7024219 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 320013 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 363562 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 233383 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5156 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 29083 | CurrentTaxYearMinus1Year |
| Current Tax Year | 233240 | CurrentTaxYear |
| Total | 864424 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12702033 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11771283 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10741529 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10303141 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9759089 | CurrentTaxYear |
| Total | 55277075 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13065595 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12004666 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10746685 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10332224 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9992329 | CurrentTaxYear |
| Total | 56141499 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 56141499 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 119299 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3924 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 610 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1215 | CurrentTaxYear |
| Total | 125052 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 119299 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3924 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 610 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1215 | CurrentTaxYear |
| Total | 125052 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 96632 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 100618 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 151434 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 201311 | CurrentTaxYearMinus1Year |
| Current Tax Year | 82959 | CurrentTaxYear |
| Total | 632954 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13281526 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12109208 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10898729 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10533539 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10076503 | CurrentTaxYear |
| Total | 56899505 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98660 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98460 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00220 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00430 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | OTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - CAFETERIA, COLUMN A - 3569, COLUMN B - 2099, COLUMN C - 3744, COLUMN D - 2873, COLUMN E - 1367, COLUMN F - 13652; DESCRIPTION - PHONE & TV, COLUMN A - 23434, COLUMN B - 17912, COLUMN C - 13008, COLUMN D - 15611, COLUMN E - 16042, COLUMN F - 86007; DESCRIPTION - OTHER OPERATING REVENUE, COLUMN A - 16234, COLUMN B - 68476, COLUMN C - 131277, COLUMN D - 178804, COLUMN E - 61619, COLUMN F - 456410; DESCRIPTION - BEAUTY SHOP, COLUMN A - 34305, COLUMN B - 6267, COLUMN C - 78, COLUMN D - 0, COLUMN E - 10, COLUMN F - 40660; DESCRIPTION - LAUNDRY, COLUMN A - 6707, COLUMN B - 4986, COLUMN C - 2902, COLUMN D - 3578, COLUMN E - 3911, COLUMN F - 22084; DESCRIPTION - RENTAL INCOME-HALL, COLUMN A - 11809, COLUMN B - 0, COLUMN C - 0, COLUMN D - 0, COLUMN E - 0, COLUMN F - 11809; DESCRIPTION - VENDING MACHINES, COLUMN A - 574, COLUMN B - 878, COLUMN C - 425, COLUMN D - 0, COLUMN E - 0, COLUMN F - 1877; DESCRIPTION - GIFT SHOP, COLUMN A - 0, COLUMN B - 0, COLUMN C - 0, COLUMN D - 445, COLUMN E - 10, COLUMN F - 455;, | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 222774 | OtherCostOrOtherBasis |
| Book Value | 222774 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9249430 | OtherCostOrOtherBasis |
| Depreciation | 4309635 | Depreciation |
| Book Value | 4939795 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1870230 | OtherCostOrOtherBasis |
| Depreciation | 1300880 | Depreciation |
| Book Value | 569350 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 146664 | OtherCostOrOtherBasis |
| Depreciation | 116005 | Depreciation |
| Book Value | 30659 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5762578 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ENTRANCE FEES | $2,754 |
| NOTES PAYABLE TO AFFILIATE | $5,682,871 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5685625 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 (ASC 740) footnote | Identifier |
| Return Reference | Schedule D, Part X, Line 2 | ReturnReference |
| 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, 2012 AND 2011, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2012 OR 2011. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN FORSCHNER | ||||||||||||||
| FORMER OFFICER | 0 | 0 | 0 | 0 | 0 | 143085 | 0 | 0 | 0 | 0 | 0 | 143085 | 0 | 0 |
| DEBORAH BLOOMFIELD | ||||||||||||||
| SVP, DIVISIONAL CFO | 0 | 400914 | 0 | 79965 | 0 | 10123 | 0 | 67325 | 0 | 13828 | 0 | 572155 | 0 | 0 |
| ED HERZIG MD | ||||||||||||||
| TRUSTEE | 0 | 362878 | 0 | 18400 | 0 | 21990 | 0 | 19189 | 0 | 13919 | 0 | 436376 | 0 | 0 |
| JAMES MAY | ||||||||||||||
| SVP, DIVISIONAL CEO, PRESIDENT/SECRETARY | 0 | 657922 | 0 | 260524 | 0 | 209453 | 0 | 121318 | 0 | 31758 | 0 | 1280975 | 0 | 0 |
| JASON NIEHAUS | ||||||||||||||
| PRESIDENT | 0 | 203198 | 0 | 0 | 0 | 13067 | 0 | 22656 | 0 | 18573 | 0 | 257494 | 0 | 0 |
| L RICHARD ROEDERSHEIMER MD | ||||||||||||||
| TRUSTEE | 0 | 188879 | 0 | 54281 | 0 | 19503 | 0 | 18400 | 0 | 11181 | 0 | 292244 | 0 | 0 |
| STEVEN L MICKUS | ||||||||||||||
| TRUSTEE, CHP COO & PRES OF HEALTHCARE OPERATIONS | 0 | 827750 | 0 | 346416 | 0 | 282116 | 0 | 149330 | 0 | 31852 | 0 | 1637464 | 0 | 0 |
| THOMAS URBAN | ||||||||||||||
| FORMER OFFICER | 0 | 390587 | 0 | 83655 | 0 | 21828 | 0 | 47659 | 0 | 16128 | 0 | 559857 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Arrangement used to establish the top management official's compensation | Schedule J, Part I, Line 3 | THE COMPENSATION OF MERCY LONG TERM CARE INITIATIVE'S PRESIDENT, JASON NIEHAUS, IS DETERMINED BY MERCY HEALTH PARTNERS OF SOUTHWEST OHIO (MHPSWO), A RELATED TAX-EXEMPT ORGANIZATION. MHPSWO UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MR. NIEHAUS'S COMPENSATION. |
| Severance or change-of-control payment | Schedule J, Part I, Line 4a | 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: STEVEN MICKUS $15,0000. |
| Supplemental nonqualified retirement plan | Schedule J, Part I, Line 4b | 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. PARTICIPANTS MUST COMPLETE A TWO TIERED VESTING PROVISION. PARTICIPANTS MUST BE VESTED UNDER THE BASE QUALIFIED PLAN AND MUST COUNT 24 MONTHS AFTER TERMINATION 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: BRIAN FORSCHNER $143,085; DEBORAH BLOOMFIELD $0; JASON NIEHAUS $0; THOMAS URBAN $0. |
| TERMS & CONDITIONS OF CHP EXECUTIVE RETENTION PLAN | SCHEDULE J, PART I, LINE 4B | 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 INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JAMES MAY $0; STEVEN MICKUS $0. |
| TERMS AND CONDITIONS OF THE CHP SERP PLAN | SCHEDULE J, PART I, LINE 4B | 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 $179,382; THOMAS URBAN $0; STEVEN MICKUS $234,135. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO (MHP-SWO) IS THE SOLE MEMBER OF MERCY LONG TERM CARE INITIATIVE DBA PROVIDENCE RETIREMENT HOME. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | CATHOLIC HEALTH PARTNERS (CHP) APPROVES MEMBERS THAT ARE APPOINTED TO THE BOARD OF TRUSTEES. ALL MEMBERS OF THE BOARD OF TRUSTEES HAVE FULL VOTING RIGHTS. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | CERTAIN MATTERS REQUIRE APPROVAL OF THE CHP CORPORATE MEMBER, THE CHP GOVERNING BODY, OR THE CHP CEO. THE REGULATIONS OF THE ORGANIZATION DESCRIBES THE LEVEL OF APPROVAL REQUIRED FOR VARIOUS DECISIONS. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | THE FORM 990 IS PREPARED BY CHP'S TAX DEPARTMENT AND REVIEWED BY MANAGEMENT. UPON REVIEW, THE FORM 990 IS THEN FORWARDED TO THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE FOR APPROVAL. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION RELATED SCHEDULES AND DISCLOSURES. BOTH THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE AND THE COMPENSATION COMMITTEE ARE INDEPENDENT OF THE FILING ORGANIZATION. 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. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | 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 CATHOLIC HEALTH PARTNERS FOR THEIR ACRC TO APPROVE. ANY CONFLICTS OF INTEREST THAT OCCUR DURING THE YEAR ARE REQUIRED TO BE BROUGHT TO THE ATTENTION OF THE ACRC AT MHP-SWO. |
| POLICIES | FORM 990, PART VI, LINE 15 | NO COMPENSATION WAS PAID TO ANY OTHER OFFICER OR KEY EMPLOYEE BY THE FILING ORGANIZATION. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | THE SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE. |
| Other Expenses | Form 990, Part IX, Line 11g | MEDICAL PROFESSIONAL FEES - TOTAL EXPENSE: 20928, PROGRAM SERVICE EXPENSE: 18835, MANAGEMENT AND GENERAL EXPENSES: 2093, FUNDRAISING EXPENSES: ; CONSULTING - TOTAL EXPENSE: 70257, PROGRAM SERVICE EXPENSE: 63231, MANAGEMENT AND GENERAL EXPENSES: 7026, FUNDRAISING EXPENSES: ; OTHER PURCHASED SERVICES - TOTAL EXPENSE: 316308, PROGRAM SERVICE EXPENSE: 284678, MANAGEMENT AND GENERAL EXPENSES: 31630, FUNDRAISING EXPENSES: ; AFFILIATE PURCHASED SERVICES - TOTAL EXPENSE: 709465, PROGRAM SERVICE EXPENSE: 638518, MANAGEMENT AND GENERAL EXPENSES: 70947, FUNDRAISING EXPENSES: ; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (82 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| CATHOLIC HEALTH PARTNERS | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | HEALTHCARE SYSTEM PARENT | OH | 501(C)(3) | 11 - Type III - FI | NA | false |
| CATHOLIC HEALTH PARTNERS FOUNDATION | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | FUNDRAISING | OH | 501(C)(3) | 7 | CATHOLIC HEALTH PARTNERS | false |
| CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | HUD PARENT | OH | 501(C)(3) | 9 | CATHOLIC HEALTH PARTNERS | false |
| CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | RETIREMENT TRUST | OH | 501(C)(3) | 8 | CATHOLIC HEALTH PARTNERS | false |
| COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | REGIONAL PARENT | OH | 501(C)(3) | 11 - Type II | CATHOLIC HEALTH PARTNERS | false |
| COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM | false |
| ALLEN MEDICAL CENTER | |||||||||
| 200 WEST LORAIN ST | OBERLIN | OH | 44074 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM | false |
| COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 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 | 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 | 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 | REGIONAL 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 | FOUNDATION | OH | 501(C)(3) | 7 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY HOSPITALS WEST | |||||||||
| 2446 KIPLING AVENUE | CINCINNATI | OH | 45239 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY HOSPITAL ANDERSON | |||||||||
| 7500 STATE ROAD | CINCINNATI | OH | 45255 | 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 | 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 | 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 | RETIREMENT HOME | OH | 501(C)(3) | 9 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY SACRED HEART INC | |||||||||
| 2120 PAYNE STREET | LOUISVILLE | KY | 40206 | 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 | 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 | 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 | 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 | REGIONAL PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| COMMUNITY MERCY HEALTH PARTNERS | |||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY MERCY HEALTH SYSTEM | false |
| THE COMMUNITY MERCY FOUNDATION | |||||||||
| 1343 N FOUNTAIN BLVD | SPRINGFIELD | OH | 45504 | FOUNDATION | OH | 501(C)(3) | 7 | COMMUNITY MERCY HEALTH SYSTEM | false |
| C H HEALTH SERVICES COMPANY | |||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY MERCY HEALTH SYSTEM | false |
| CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE | |||||||||
| 1150 E HOME ROAD | SPRINGFIELD | OH | 45503 | 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 | INDIGENT MEDICAL CARE | OH | 501(C)(3) | 11 - Type I | NA | false |
| MERCY HEALTH SYSTEM - NORTHERN REGION | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | REGIONAL PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| MERCY PROPERTY HOLDINGS | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 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 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| ST CHARLES MERCY HEALTH FOUNDATION | |||||||||
| 2600 NAVARRE AVENUE | OREGON | OH | 43616 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | ST CHARLES MERCY HOSPITAL OF OREGON OHIO | false |
| RIVERSIDE MERCY HOSPITAL | |||||||||
| 3404 W SYLVANIA AVE | TOLEDO | OH | 43623 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY HOME CARE INC | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | HOME HEALTHCARE | OH | 501(C)(3) | 9 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY COLLEGE OF OHIO | |||||||||
| 2221 MADISON AVENUE | TOLEDO | OH | 43604 | 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 | 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 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY TIFFIN HEALTH FOUNDATION | |||||||||
| 45 ST LAWRENCE DRIVE | TIFFIN | OH | 44883 | 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 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY HOSPITAL OF WILLARD FOUNDATION | |||||||||
| 110 EAST HOWARD ST | WILLARD | OH | 44890 | 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 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| ST VINCENT MERCY MEDICAL CENTER FOUNDATION | |||||||||
| 2213 CHERRY STREET | TOLEDO | OH | 43608 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | ST VINCENT MERCY MEDICAL CENTER | false |
| LIFESTAR AMBULANCE INC | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | MEDICAL TRANSPORTATION | OH | 501(C)(3) | 11 - Type II | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| RSM MEDICAL FOUNDATION | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43624 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| ST MARGUERITE D'YOUVILLE FOUNDATION II | |||||||||
| 2213 CHERRY STREET | TOLEDO | OH | 43608 | FOUNDATION | OH | 501(C)(3) | 11 - Type II | CATHOLIC HEALTH PARTNERS | false |
| SIMON OUTREACH SERVICES | |||||||||
| 2600 NAVARRE AVENUE | OREGON | OH | 43616 | 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 | 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 | HOSPITAL | OH | 501(C)(3) | 3 | CATHOLIC HEALTH PARTNERS | false |
| SRHC FOUNDATION | |||||||||
| 730 W MARKET STREET | LIMA | OH | 45801 | 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 | 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 | HOSPITAL | OH | 501(C)(3) | 3 | CATHOLIC HEALTH PARTNERS | false |
| THE ASSUMPTION VILLAGE | |||||||||
| 9800 N MARKET STREET | NORTH LIMA | OH | 44452 | NURSING HOME | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| HOSPICE OF THE VALLEY | |||||||||
| 5190 MARKET STREET | YOUNGSTOWN | OH | 44512 | HOSPICE SERVICES | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| HUMILITY OF MARY DEVELOPMENT FOUNDATION | |||||||||
| 1044 BELMONT AVENUE | YOUNGSTOWN | OH | 44501 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | HUMILITY OF MARY HEALTH PARTNERS | false |
| HUMILITY HOUSE | |||||||||
| 755 OHLTOWN ROAD | AUSTINTOWN | OH | 44515 | NURSING HOME | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| LAUREL LAKE RETIREMENT COMMUNITY INC | |||||||||
| 200 LAUREL LAKE DRIVE | HUDSON | OH | 44236 | NURSING HOME | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| LAUREL LAKE RETIREMENT COMMUNITY FOUNDATION INC | |||||||||
| 200 LAUREL LAKE DRIVE | HUDSON | OH | 44236 | FOUNDATION | OH | 501(C)(3) | 7 | LAUREL LAKE RETIREMENT COMMUNITY INC | false |
| ST JOSEPH HEALTH CENTER AUXILIARY | |||||||||
| 677 EASTLAND SE | WARREN | OH | 44484 | FUNDRAISING | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| MERCY HEALTH PARTNERS - LOURDES INC | |||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | HOSPITAL | KY | 501(C)(3) | 3 | CATHOLIC HEALTH PARTNERS | false |
| LOURDES FOUNDATION INC | |||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | FOUNDATION | KY | 501(C)(3) | 7 | MERCY HEALTH PARTNERS - LOURDES INC | false |
| LOURDES HOSPITAL AUXILIARY GIFT SHOP | |||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | 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 | HOSPITAL | KY | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - LOURDES INC | false |
| MARCUM AND WALLACE HOSPITAL FOUNDATION INC | |||||||||
| 60 MERCY COURT | IRVINE | KY | 40336 | FOUNDATION | KY | 501(C)(3) | 11 - Type III - FI | MARCUM AND WALLACE MEMORIAL HOSPITAL INC | false |
| MERCY HEALTH PARTNERS INC | |||||||||
| 900 EAST OAK HILL AVE | KNOXVILLE | TN | 37917 | REGIONAL PARENT | TN | 501(C)(3) | 11 - Type I | CATHOLIC HEALTH PARTNERS | false |
| MERCY HEALTH SYSTEM INC | |||||||||
| 900 EAST OAK HILL AVE | KNOXVILLE | TN | 37917 | HOSPITAL | TN | 501(C)(3) | 3 | MERCY HEALTH PARTNERS INC | false |
| ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY INC | |||||||||
| 923 EAST CENTRAL AVE | LAFOLLETTE | TN | 37766 | HOSPITAL | TN | 501(C)(3) | 3 | MERCY HEALTH PARTNERS INC | false |
| MERCY HEALTH PARTNERS FOUNDATION INC | |||||||||
| 900 EAST OAK HILL AVE | KNOXVILLE | TN | 37917 | FOUNDATION | TN | 501(C)(3) | 7 | MERCY HEALTH PARTNERS INC | false |
| JEFFERSON MEMORIAL HOSPITAL INC | |||||||||
| 110 HOSPITAL DRIVE | JEFFERSON CITY | TN | 37760 | HOSPITAL | TN | 501(C)(3) | 3 | MERCY HEALTH PARTNERS INC | false |
| JEFFERSON MEMORIAL FOUNDATION INC | |||||||||
| 110 HOSPITAL DRIVE | JEFFERSON CITY | TN | 37760 | FOUNDATION | TN | 501(C)(3) | 11 - Type III - FI | JEFFERSON MEMORIAL HOSPITAL INC | false |
| ST MARY'S MEDICAL CENTER OF SCOTT COUNTY INC | |||||||||
| 18797 ALBERTA STREET | ONEIDA | TN | 37841 | HOSPITAL | TN | 501(C)(3) | 3 | MERCY HEALTH PARTNERS INC | false |
| BAPTIST HOSPITAL OF EAST TENNESSEE INC | |||||||||
| 137 BLOUNT AVE | KNOXVILLE | TN | 37920 | HOSPITAL | TN | 501(C)(3) | 3 | MERCY HEALTH PARTNERS INC | false |
| BAPTIST HOSPITAL OF COCKE COUNTY INC | |||||||||
| 435 SECOND STREET | NEWPORT | TN | 37821 | HOSPITAL | TN | 501(C)(3) | 3 | MERCY HEALTH PARTNERS INC | false |
| MERCY HEALTH PARTNERS - NORTHEAST REGION INC | |||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | REGIONAL PARENT | PA | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| MERCY HEALTHCARE FOUNDATION | |||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | FOUNDATION | PA | 501(C)(3) | 11 - Type III - FI | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY HOSPITAL SCRANTON PA | |||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY COMMUNITY CARE CORPORATION | |||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | MEDICAL CARE | PA | 501(C)(3) | 9 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY MED-CARE INC | |||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY HOSPITAL NANTICOKE | |||||||||
| 128 W WASHINGTON ST | NANTICOKE | PA | 18634 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY HOSPITAL OF WILKES-BARRE | |||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY HEALTH CARE CENTER | |||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY TYLER HEALTH SYSTEMS | |||||||||
| 880 SR 6W | TUNKHANNOCK | PA | 18657 | SUPPORTING ORG | PA | 501(C)(3) | 11 - Type II | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY TYLER HOSPITAL | |||||||||
| 880 SR 6W | TUNKHANNOCK | PA | 18657 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY TYLER HEALTH SYSTEMS | false |
| MERCY TYLER HOME HEALTH SERVICES | |||||||||
| 880 SR 6W | TUNKHANNOCK | PA | 18657 | IN-HOME MEDICAL CARE | PA | 501(C)(3) | 9 | MERCY TYLER HEALTH SYSTEMS | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType |
|---|---|---|---|---|---|---|---|---|
| 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 |
| WEST CENTRAL OHIO SURGERY & ENDO CENTER | ||||||||
| 770 W HIGH ST SUITE 100 | LIMA | OH | 45801 | 341868154 | 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 |
| ST ELIZABETH CARDIAC CATH LAB LLC | ||||||||
| 1044 BELMONT AVE | YOUNGSTOWN | OH | 44501 | 300023795 | CARDIAC CATH LAB | OH | NA | N/A |
| ST ELIZABETH SOUTHWOODS IMAGING | ||||||||
| 250 DEBARTOLO PLACE BLDG B | YOUNGSTOWN | OH | 44512 | 261626482 | DIAGNOSTIC IMAGING | OH | 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 |
| EAST TENNESSEE DIAGNOSTIC CENTER LLC | ||||||||
| 1450 DOWELL SPRINGS BLVD SUITE 250 | KNOXVILLE | TN | 37909 | 204773300 | DIAGNOSTIC SERVICES | TN | NA | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (26 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|
| 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 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |