MERCY HEALTH - ST ANNE HOSPITAL LLC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MERCY HEALTH - ST ANNE HOSPITAL LLC (EIN 31-1556401)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-13
IRS object ID: 201323179349301747
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-13T11:33:22-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	440160260	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	311556401	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	RIVE	NameControl
Phone	4192518936	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3404 W Sylvania Avenue	AddressLine1
City	Toledo	City
State	OH	State
ZIP Code	43623	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DONALD KLINE	Name
Title	DIVISIONAL CFO	Title
Date Signed	2013-10-30	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

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

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

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

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	3404 W SYLVANIA AVENUE	AddressLine1
City	TOLEDO	City
State	OH	State
ZIP Code	43623	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	99829547	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.MERCYWEB.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1997	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	THE PRIMARY EXEMPT PURPOSE OF MERCY ST. ANNE HOSPITAL IS TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. MERCY ST. ANNE HOSPITAL ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	888	TotalNbrEmployees
Total Nbr Volunteers	246	TotalNbrVolunteers
Total Gross UBI	3187972	TotalGrossUBI
Net Unrelated Business Txbl Income	-202033	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4125	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	89957496	ProgramServiceRevenuePriorYear
Program Service Revenue CY	96475638	ProgramServiceRevenueCY
Investment Income Prior Year	-168932	InvestmentIncomePriorYear
Investment Income Current Year	42862	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2547529	OtherRevenuePriorYear
Other Revenue Current Year	3311047	OtherRevenueCurrentYear
Total Revenue Prior Year	92340218	TotalRevenuePriorYear
Total Revenue Current Year	99829547	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	42548350	SalariesEtcPriorYear
Salaries Etc Current Year	46131492	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	51352316	OtherExpensePriorYear
Other Expenses Current Year	52661638	OtherExpensesCurrentYear
Total Expenses Prior Year	93900666	TotalExpensesPriorYear
Total Expenses Current Year	98793130	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-1560448	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1036417	RevenuesLessExpensesCY
Total Assets BOY	88082308	TotalAssetsBOY
Total Assets EOY	85865749	TotalAssetsEOY
Total Liabilities BOY	105841055	TotalLiabilitiesBOY
Total Liabilities EOY	104965748	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-17758747	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-19099999	NetAssetsOrFundBalancesEOY
Mission Description	THE PRIMARY EXEMPT PURPOSE OF MERCY ST. ANNE HOSPITAL IS TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. MERCY ST. ANNE HOSPITAL ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	86522369	Expense
Grants	0	Grants
Revenue	93287666	Revenue
Description	THE PRIMARY EXEMPT PURPOSE OF MERCY ST. ANNE HOSPITAL IS TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. MERCY ST. ANNE HOSPITAL ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. TOTAL CHARITY CARE PROVIDED WAS $4,859,521 SERVING 6,952 INDIVIDUALS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	214482	Expense
Grants	0	Grants
Revenue	0	Revenue
Description	EDUCATION AND TRAINING PROVIDED TO ALLOPATHIC PHYSICIANS, OSTEOPATHIC PHYSICIANS, NURSING STUDENTS, PROFESSIONAL AND TECHNICAL STUDENTS SERVING 184 INDIVIDUALS.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	86736851	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	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	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
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	true	RelatedOrgControlledEntity
Transaction Related Entity	true	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	888	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
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	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	true	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	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
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 (57 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	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ANDREA PRICE
PRESIDENT & CEO, MHP-NORTHERN REGION	1.00	56.00	X	X	0	535930	46132
CHARLES E GALLAGHER
VICE CHAIRMAN	1.00	3.00	X	X	0	0	0
DENNIS G JOHNSON
CHAIRMAN	1.00	3.00	X	X	0	0	0
KAREN L FRAKER
SECRETARY	1.00	3.00	X	X	0	0	0
MICHAEL P KILLIAN
TREASURER	0.50	1.50	X	X	0	0	0
RALPH A THAN
TREASURER	0.50	2.50	X	X	0	0	0
SR MILDRED ELY HM
SECRETARY	0.50	1.50	X	X	0	0	0
ALLEN GASPAR MD
TRUSTEE	0.50	43.50	X		0	250696	43348
ANTHONY J ARMSTRONG MD
TRUSTEE	0.50	42.50	X		0	324076	54897
BRENT COUSINO
TRUSTEE	0.50	1.50	X		0	0	0
BRIAN SMITH
TRUSTEE, CHP EVP NETWORKS	0.50	48.00	X		0	512193	186636
CAROL BINTZ
TRUSTEE	0.50	1.50	X		0	0	0
DENISE M HASBROOK
TRUSTEE	0.50	1.50	X		0	0	0
ERICH R PONTASCH MD
TRUSTEE	0.50	1.50	X		7167	0	0
GARY SMITH
TRUSTEE	0.50	1.50	X		0	0	0
GREGORY KASPER MD
TRUSTEE	0.50	2.50	X		0	119600	0
JOHN H HARRIS III
TRUSTEE	0.50	2.50	X		0	0	0
JOHN M STARCHER JR
TRUSTEE, CHP SVP & DIVISIONAL CEO	0.50	58.80	X		0	875292	26045
JON M LEVINE
TRUSTEE	0.50	1.50	X		0	0	0
JUDGE VERNELIS K ARMSTRONG
TRUSTEE	0.50	1.50	X		0	0	0
KRISHNA RAGOTHAMAN MD
TRUSTEE	0.50	1.50	X		0	25315	0
MARK RIDENOUR
TRUSTEE	0.50	1.50	X		0	0	0
PAMELA HOWELL-BEACH
TRUSTEE	0.50	1.50	X		0	0	0
PAUL BISHOP
TRUSTEE	0.50	1.50	X		0	0	0
ROOSEVELT GANT
TRUSTEE	0.50	1.50	X		0	0	0
TED BARBER MD
TRUSTEE	0.50	1.50	X		15500	0	0
VIJAY M ADAPPA MD
TRUSTEE	0.50	1.50	X		0	6000	0
BRAD BERTKE
PRESIDENT & CEO	55.00	0		X	238451	0	46604
ROBERT MOON
CFO, MHP - NORTHERN REGION	1.00	58.00		X	0	637238	44598
BARRY HUDGIN
SVP & GENERAL COUNSEL	1.00	55.00			0	169103	52368	X
CAROL WHITTAKER
SVP & QUALITY OFFICER	1.00	54.00			0	163826	185323	X
GARY GEORGE
SVP, HUMAN RESOURCES	1.00	54.00			0	280156	162967	X
IMRAN ANDRABI MD
SVP & CHIEF PHYSICIAN EXECUTIVE OFFICER	1.00	54.50			0	463145	100065	X
JOSEPH GLASS
VICE PRESIDENT - REVENUE CYCLE	1.00	54.00			0	228740	51377	X
KATRINA ENGLISH
CHIEF LEGAL COUNSEL	0.00	50.00			0	200449	37903	X
KEVIN COOK
PRESIDENT & CEO, MSVMC & METRO HOSPITALS	2.00	55.00			0	410571	62269	X
MICHELE MONTAGUE
COO, MERCY MEDICAL PARTNERS	1.00	53.00			0	186097	88129	X
PAMELA KADLICK
VICE PRESIDENT - PATIENT CARE & CNO	55.00	0.50			164288	0	99262	X
THOMAS ARQUILLA
SVP, BUSINESS DEVELOPMENT/STRATEGY	1.00	54.00			0	326682	51915	X
GEORGE CHARNEY DO
PHYSICIAN	55.00	0			424345	0	61396		X
KENNETH O'BEIRNE
PHYSICIAN	55.00	0			393349	0	24108		X
NINA HASSELBACH MD
PHYSICIAN	55.00	0			388667	0	42577		X
RAMACHANDRA BHAT MD
PHYSICIAN	55.00	0			423669	0	54563		X
RASHID KHALIL MD
PHYSICIAN	55.00	0			393474	0	11625		X
CATHLEEN NELSON
FORMER KEY EMPLOYEE	0.00	55.00			0	217914	141748			X
DAVID AROSE
FORMER KEY EMPLOYEE	0.00	0.00			0	263878	27963			X
DAVID FRANZBLAU MD
FORMER KEY EMPLOYEE	0.00	55.00			0	399876	74861			X
DENNIS SHERRY
FORMER KEY EMPLOYEE	0.00	0.00			0	255872	95145			X
H TERRENCE SMITH
FORMER KEY EMPLOYEE	0.00	0.00			0	204603	72127			X
JULIE GEORGOFF
FORMER KEY EMPLOYEE	0.00	0.00			0	156710	27580			X
RAND C HERMANN
FORMER KEY EMPLOYEE	0.00	0.00			0	205997	53199			X
RICHARD EVENS
FORMER OFFICER	0.00	0			182444	0	22019			X
SAMANTHA PLATZKE
FORMER OFFICER	0.00	40.00			0	626631	109760			X
SCOTT SHOOK
FORMER KEY EMPLOYEE	0.00	0.00			0	280791	247920			X
STEVEN L MICKUS
FORMER OFFICER	0.00	56.40			0	1456282	181182			X
TODD WARNER
FORMER OFFICER	0.00	0.50			0	204501	74413			X
WILLIAM SUTTON
FORMER KEY EMPLOYEE	0.00	55.00			0	241556	90757			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2631354	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	10229720	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2752781	TotalOtherCompensation
Number Individuals GT100 K	21	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE	621990	96461424	93314568	3146856
INCOME FROM JV'S AND PARTNERSHIPS	900099	14214	-26902	41116
		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	96475638	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	42862	TotalRevenueColumn
Exclusion	$42,862	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
GIFT SHOP	900099	122672	$122,672
CAFETERIA/VENDING	722210	415127	$415,127
MED STAFF AFFAIRS	900099	115927	$115,927

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2657321	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$2,657,321	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3311047	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	99829547	TotalRevenueColumn
Related Or Exempt Function Income	93287666	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3187972	UnrelatedBusinessRevenue
Exclusion	$3,353,909	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	571272	Total
Program Services	491231	ProgramServices
Management And General	80041	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	34174648	Total
Program Services	29386412	ProgramServices
Management And General	4788236	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1508613	Total
Program Services	1297240	ProgramServices
Management And General	211373	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7565515	Total
Program Services	6505505	ProgramServices
Management And General	1060010	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2311444	Total
Program Services	2309521	ProgramServices
Management And General	1923	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1431348	Total
Program Services	1372188	ProgramServices
Management And General	59160	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

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	20485625	Total
Program Services	18353352	ProgramServices
Management And General	2132273	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	32423	Total
Program Services	30876	ProgramServices
Management And General	1547	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2068355	Total
Program Services	1719347	ProgramServices
Management And General	349008	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	3718299	Total
Program Services	2233122	ProgramServices
Management And General	1485177	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	136637	Total
Program Services	97275	ProgramServices
Management And General	39362	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	2680849	Total
Program Services	2412764	ProgramServices
Management And General	268085	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	4836063	Total
Program Services	4352457	ProgramServices
Management And General	483606	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1236218	Total
Program Services	1112596	ProgramServices
Management And General	123622	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAID ASSESSMENT	1451709	1451709
TUITION	143929	143929
MEMBERSHIP/DUES	244122	61255	182867
MEDICAL SUPPLIES	14186617	13397572	789045

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	9444	Total
Program Services	8500	ProgramServices
Management And General	944	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	98793130	Total
Program Services	86736851	ProgramServices
Management And General	12056279	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)
BOY	479272	BOY
EOY	1030714	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	17661	BOY
EOY	17661	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	12197305	BOY
EOY	13799863	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

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1400708	BOY
EOY	1388365	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	486559	BOY
EOY	-373078	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	110158071	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	45930084	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	67615706	BOY
EOY	64227987	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	3931951	BOY
EOY	3821091	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

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1953146	BOY
EOY	1953146	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	88082308	BOY
EOY	85865749	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	10169342	BOY
EOY	8471938	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	95671713	BOY
EOY	96493810	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	105841055	BOY
EOY	104965748	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-17758747	BOY
EOY	-19099999	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-17758747	BOY
EOY	-19099999	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	88082308	BOY
EOY	85865749	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1036417	ReconcilationRevenueExpenses
Reconcilation Other Changes	-2377669	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	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	true	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	true	MailingsMembers
Mailings Members	$0	MailingsMembersAmount
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$4,290	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$0	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	4290	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Description of the activities reported on Lines 1a through 1i	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
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.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9155752	OtherCostOrOtherBasis
Book Value	9155752	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	72078685	OtherCostOrOtherBasis
Depreciation	23721512	Depreciation
Book Value	48357173	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15809	OtherCostOrOtherBasis
Depreciation	15809	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	28907825	OtherCostOrOtherBasis
Depreciation	22192763	Depreciation
Book Value	6715062	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	64227987	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
DUE TO AFFILIATES	$41,575,392
NOTE PAYABLE TO AFFILIATE	$41,618,222
ACCRUED PENSION	$7,249,754
FAS 106	$2,229,351
DEFERRED COMP	$3,821,091

Field	Value	IRS element (for citing)
Total Of Amounts	96493810	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	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 H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	6952	PersonsServed
Total Community Benefit Expense	4859521	TotalCommunityBenefitExpense
Net Community Benefit Expense	4859521	NetCommunityBenefitExpense
Percent Of Total Expense	0.04920	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	10429	PersonsServed
Total Community Benefit Expense	1940501	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1940501	NetCommunityBenefitExpense
Percent Of Total Expense	0.01960	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	17381	PersonsServed
Total Community Benefit Expense	6800022	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	6800022	NetCommunityBenefitExpense
Percent Of Total Expense	0.06880	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	456	PersonsServed
Total Community Benefit Expense	41287	TotalCommunityBenefitExpense
Direct Offsetting Revenue	175	DirectOffsettingRevenue
Net Community Benefit Expense	41112	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	184	PersonsServed
Total Community Benefit Expense	214482	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	214482	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	13	PersonsServed
Total Community Benefit Expense	1646	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1646	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	1450	PersonsServed
Total Community Benefit Expense	11184	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	11184	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	2103	PersonsServed
Total Community Benefit Expense	268599	TotalCommunityBenefitExpense
Direct Offsetting Revenue	175	DirectOffsettingRevenue
Net Community Benefit Expense	268424	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	19484	PersonsServed
Total Community Benefit Expense	7068621	TotalCommunityBenefitExpense
Direct Offsetting Revenue	175	DirectOffsettingRevenue
Net Community Benefit Expense	7068446	NetCommunityBenefitExpense
Percent Of Total Expense	0.07150	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	221	PersonsServed
Total Community Building Expense	7344	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	7344	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	221	PersonsServed
Total Community Building Expense	7344	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	7344	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$13,097,203	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	21771833	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	23536248	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1764415	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	ST ANNE MERCY ORTHOPEDIC MGMNT ASSOC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	MANAGEMENT OF ORTHOPEDIC SERVICES	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.5	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.5	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	RIVERSIDE MERCY HOSPITAL DBA MERCY ST ANNE HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	3404 W SYLVANIA AVENUE	AddressLine1
City	TOLEDO	City
State	OH	State
ZIP Code	43623	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	RIVERSIDE MERCY HOSPITAL DBA MERCY ST ANNE HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	7	NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MERCY WEIGHT MANAGEMENT
5012 TALMADGE RD	TOLEDO	OH	43604	WEIGHT MANAGEMENT CENTER
NORTHERN LIGHTS
2100 ALEXIS RD	TOLEDO	OH	43613	PHYSICIAN OFFICE
MERCY FAMILY PHYSICIANS - LAMBERTVILLE
3486 STERNS	LAMBERTVILLE	MI	48144	PHYSICIAN OFFICE
MERCY INTEGRATED LABS
1850 EASTGATE RD	TOLEDO	OH	43614	LAB DRAW SITE
MERCY INTEGRATED LABS
119 CLINTON ST	MAUMEE	OH	43537	LAB DRAW SITE
MERCY INTEGRATED LABS
3900 SUNFOREST CT SUITE 120	TOLEDO	OH	43623	LAB DRAW SITE
MERCY INTEGRATED LABORATORY
2222 CHERRY ST	TOLEDO	OH	43608	LABORATORY

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Community benefit report prepared by related organization	Schedule H, Part I, Line 6a	MERCY HEALTH PARTNERS
Costing Methodology used to calculate financial assistance	Schedule H, Part I, Line 7	COST OF CHARITY CARE WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. THE COST RELATED TO MEDICAID PATIENTS WAS ALSO DETERMINED USING THE COST TO CHARGE RATIO USING WORKSHEET 2 AND INCLUDED BOTH INPATIENTS AND OUTPATIENTS FOR TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PLANS. FOR SUBSIDIZED SERVICES THE HOSPITAL'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COST RELATED TO THE SPECIFIC SERVICE FOR COMMERCIAL PATIENTS ONLY. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	0
Community Building Activities	Schedule H, Part II	MERCY ST. ANNE HOSPITAL PROVIDES PROGRAMS TO IMPROVE THE PHYSICAL SURROUNDINGS AND HOUSING IN THE COMMUNITY. INADEQUATE HOUSING HAS A NEGATIVE IMPACT ON THE HEALTH OF RESIDENTS IN THE AREA BY LEADING TO VIOLENCE IN THE NEIGHBORHOODS. A ROBUST ECONOMY POSITIVELY IMPACTS RESIDENTS COVERED BY HEALTH INSURANCE AND IMPROVES THE CAPACITY OF THE COMMUNITY TO SUPPORT HEALTH SERVICES. MERCY ST. ANNE HOSPITAL SUPPORTS A ROBUST ECONOMY IN THE COMMUNITY BY SUPPORTING HOSPITAL COUNCIL, RED CROSS AND OTHER COMMUNITY ORGANIZATIONS. SOCIAL SUPPORT SERVICES SUCH AS HELP (HOSPITAL ELIGIBILITY LINK PROGRAM) ARE ALSO IMPORTANT TO SUPPORT THE ABILITY OF RESIDENTS TO GAIN AND RETAIN EMPLOYMENT AND THEREBY ACCESS TO HEALTH INSURANCE AND IMPROVED ACCESS TO HEALTH SERVICES. MERCY ST. ANNE HOSPITAL WORKS COOPERATIVELY WITH UNITED WAY TO ADDRESS COMMUNITY ISSUES THAT IMPACT THE HEALTH OF THE COMMUNITY, SUCH AS MEETING BASIC NEEDS AND ADDRESSING CARDIOVASCULAR DISEASE, CANCER, AND CHRONIC DISEASES. MERCY ST. ANNE PROVIDES A PHARMACY VOUCHER PROGRAM TO PEOPLE NEEDING ASSISTANCE WITH MEDICATIONS. MERCY ST. ANNE HOSPITAL ALSO SUPPORTS PROGRAMS TO ADDRESS EMPLOYMENT ISSUES WITH HIGH SCHOOL STUDENTS BY PROVIDING VOLUNTEER ACTIVITIES FOR THE STUDENTS WHICH IMPROVE THE SKILLS AND EMPLOYABILITY OF RESIDENTS. MERCY ST. ANNE ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. MERCY ST. ANNE SERVES AS A CLINICAL EXPERIENCE SITE FOR CARDIOVASCULAR RESPIRATORY, RADIOLOGY, NURSING, AND PHLEBOTOMY STUDENTS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF MERCY ST. ANNE HOSPITAL. COMMUNITY GROUPS USE THE FACILITY FOR THEIR MEETINGS. MERCY ST. ANNE HAS FORGED COLLABORATIVE RELATIONSHIPS WITH THE NEIGHBORHOOD HEALTH ASSOCIATION, A FEDERALLY QUALIFIED HEALTH CENTER. MERCY ST. ANNE PARTICIPATES IN PARTNERS IN EDUCATION PROGRAMS AND PARTNERS WITH A SCHOOL IN AN UNDERSERVED AREA.
Bad debt expense - methodology used to estimate amount	Schedule H, Part III, Line 2	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.
Bad debt expense - methodology used to estimate amount as community benefit	Schedule H, Part III, Line 3	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.
Bad debt expense - financial statement footnote	Schedule H, Part III, Line 4	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 AS AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, B. SIGNIFICANT ACCOUNTING POLICIES, NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGE 12) 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.
Community benefit & methodology for determining medicare costs	Schedule H, Part III, Line 8	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.
Collection practices for patients eligible for financial assistance	Schedule H, Part III, Line 9b	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 STAY 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.
Means used to determine amounts billed	Schedule H, Part V Section B, Line 20d	(1) RIVERSIDE MERCY HOSPITAL DBA MERCY ST. ANNE HOSPITAL - THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS BASED UPON FEDERAL POVERTY LEVELS STATED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.;
Needs assessment.	Schedule H, Part VI, Line 2	MERCY ST. ANNE HOSPITAL ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. MERCY ST. ANNE JOINS AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. MERCY ST. ANNE HOSPITAL INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. MERCY ST. ANNE 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. MERCY ST. ANNE HOSPITAL HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. MERCY ST. ANNE'S COMMUNITY BENEFITS COMMITTEE MEETS QUARTERLY TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. MERCY ST. ANNE HOSPITAL WORKS CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES AND TO AVOID DUPLICATION.
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	MERCY ST. ANNE 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. MERCY ST. ANNE 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. MERCY ST. ANNE 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 MERCY ST. ANNE. 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. MERCY ST. ANNE 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 MERCY ST. ANNE'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. IN 2012, HELP MANAGED 12,094 PATIENT REFERRALS. MERCY ST. ANNE IS PROUD TO MAKE OUR FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE, WHICH CAN BE FOUND AT WWW.MERCYWEB.ORG.
Community information.	Schedule H, Part VI, Line 4	MERCY ST ANNE HOSPITAL SERVES A FOUR COUNTY GEOGRAPHIC AREA FEATURING THE FOLLOWING COUNTIES: FULTON, LUCAS, AND WOOD IN OHIO, AND MONROE COUNTY IN MICHIGAN. THE POPULATION OF MERCY ST ANNE HOSPITAL'S PRIMARY SERVICE AREA IS APPROXIMATELY 560,000 AND IS OLDER, POORER AND HAS WORSE HEALTH STATISTICS THAN STATE AND NATIONAL AVERAGES. OUR COMMUNITY IS CHANGING AND WE ALSO SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THERE ARE 8 HOSPITALS IN THE COMMUNITY OF WHICH SEVEN ARE NOT-FOR-PROFIT HOSPITALS. NONE HAS BEEN FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA OR POPULATION. THE DEMOGRAPHIC AREA SERVED BY MERCY ST ANNE HOSPITAL SERVES THE FOLLOWING ETHNIC AND CULTURAL GROUPS: CAUCASIAN (70.6%), BLACK (17.7%), HISPANIC (5.1%), ASIAN (1.3%), AMERICAN-INDIAN (0.1%), SOME OTHER RACE (2.8%), TWO OR MORE RACES (2.4%). 11% OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES. 20% OF FAMILIES ARE ON MEDICAID OR OTHER ASSISTANCE. IN THE COMMUNITY SERVED BY MERCY ST ANNE HOSPITAL HEART DISEASE, CANCER, AND STROKE ARE THE MAJOR HEALTH PROBLEMS AND/OR LEADING CAUSES OF DEATH. EACH OF THESE ARE PREVENTABLE THROUGH PROPER CARE AND MAINTAINING CONTROL OF THE ILLNESS/DISEASE AS WELL AS LEADING HEALTHIER LIVES. THE SMOKING RATE IS 23% OF THE ADULT POPULATION. MERCY ST ANNE HOSPITAL WORKS CLOSELY WITH LOCAL COMMUNITY AGENCIES AND HEALTH DEPARTMENTS TO ADDRESS THESE PROBLEMS AND MINIMIZE THE EFFECTS ON THOSE WHO SUFFER. IN 2012, MERCY ST ANNE HOSPITAL HAD 4,760 ADMISSIONS, 221,111 OUTPATIENT VISITS, AND 42,519 EMERGENCY ROOM VISITS.
Promotion of community health	Schedule H, Part VI, Line 5	MERCY ST ANNE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, THE HOSPITAL ALSO PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. MERCY ST ANNE HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA (WITH CERTAIN LIMITED EXCEPTIONS INVOLVING TRADITIONALLY EXCLUSIVE HOSPITAL-BASED SERVICES). THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY HOSPITAL. THE HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT -SPONSORED HEALTH CARE PROGRAMS.
Affiliated health care system	Schedule H, Part VI, Line 6	MERCY ST. ANNE HOSPITAL IS A MEMBER OF MERCY HEALTH PARTNERS-NORTHERN REGION AND AFFILIATED WITH ST. VINCENT MERCY MEDICAL CENTER, ST. CHARLES MERCY HOSPITAL, MERCY DEFIANCE HOSPITAL, MERCY HOSPITAL TIFFIN, AND MERCY HOSPITAL WILLARD. ALL ARE OHIO NON-PROFIT CORPORATIONS. THE HOSPITAL IS SPONSORED BY THE SISTERS OF MERCY AND SISTERS OF CHARITY OF MONTREAL (GREY NUNS) AND HAS BEEN AN INTEGRAL PART OF THE COMMUNITY SINCE 2002. MERCY ST. ANNE HOSPITAL IS AN ACUTE CARE HOSPITAL WITH APPROXIMATELY 128 LICENSED BEDS. MERCY HEALTH PARTNERS-NORTHERN REGION COMMUNITY BENEFIT FOR 2012 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2012 COMMUNITY BENEFIT: $86.5 MILLION BENEFITS TO THE BROADER COMMUNITY: $15.6 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $25.9 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $27.6 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $17.3 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 9.7 PERCENT MERCY ST. ANNE HOSPITAL IS A MEMBER OF CATHOLIC HEALTH PARTNERS (CHP). CHP IS THE CONTINUATION OF THE HEALTH MINISTRY STARTED MORE THAN 150 YEARS AGO BY OUR CO-SPONSORING CONGREGATIONS: THE SISTERS OF MERCY, REGIONAL COMMUNITY OF CINCINNATI (OH) (NOW THE SISTERS OF MERCY, SOUTH CENTRAL COMMUNITY); THE MID-ATLANTIC COMMUNITY; THE SISTERS OF HUMILITY OF MARY; THE FRANCISCAN SISTERS OF THE POOR; AND COVENANT HEALTH SYSTEMS. OUR SYSTEM OF REGIONAL HEALTH CARE PROVIDERS SERVES LOCAL HEALTH NEEDS IN COMMUNITIES IN OHIO AND KENTUCKY. CHP IS FOCUSED ON IMPROVING THE HEALTH OF COMMUNITIES WE SERVE BY PROVIDING INTEGRATED HEALTH SERVICES THROUGH FACILITIES THAT INCLUDE ACUTE CARE HOSPITALS, SENIOR HEALTH AND HOUSING FACILITIES, HOME HEALTH AGENCIES, HOSPICE PROGRAMS, OUTREACH SERVICES AND WELLNESS CENTERS. OUR HOSPITALS INCLUDE CRITICAL ACCESS FACILITIES OFFERING ESSENTIAL HEALTH SERVICES THAT WOULD OTHERWISE NOT EXIST IN THOSE COMMUNITIES. WE CARE FOR EVERYONE WHO COMES TO US, REGARDLESS OF THEIR ABILITY TO PAY. AS WE HAVE DONE FOR DECADES, WE PROVIDE EXTENSIVE SERVICES TO THE BROADER COMMUNITY, WITH EMPHASIS ON SERVICES FOR PERSONS WHO ARE POOR AND UNDER-SERVED. CHP'S HOME OFFICE PROVIDES SERVICES AND SUPPORT TO THE ENTIRE SYSTEM, INCLUDING BUT NOT LIMITED TO: PROVIDING GOVERNANCE, MANAGEMENT OVERSIGHT, STRATEGIC LEADERSHIP, FOCUSING RESOURCES TO ASSURE THE HEALING MISSION, PROVIDING ACCESS TO LOWER COST DEBT FINANCING TO SUPPORT OPERATIONS, IMPROVING CLINICAL OUTCOMES AND REDUCING OPERATING COSTS. SYSTEM-WIDE COMMUNITY BENEFIT FOR 2012 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2012 COMMUNITY BENEFIT: $385.4 MILLION BENEFITS TO THE BROADER COMMUNITY $72.5 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID $155.0 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY $126.3 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR $31.7 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 10.4 PERCENT

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
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	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (35 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
ALLEN GASPAR MD
TRUSTEE	0	247132	0	0	0	3564	0	18684	0	24664	0	294044	0	0
ANDREA PRICE
PRESIDENT & CEO, MHP-NORTHERN REGION	0	523863	0	2000	0	10067	0	18044	0	28088	0	582062	0	0
ANTHONY J ARMSTRONG MD
TRUSTEE	0	317648	0	5245	0	1183	0	44646	0	10251	0	378973	0	0
BARRY HUDGIN
SVP & GENERAL COUNSEL	0	157570	0	0	0	11533	0	46074	0	6294	0	221471	0	0
BRAD BERTKE
PRESIDENT & CEO	223350	0	6176	0	8925	0	27142	0	19462	0	285055	0	0	0
BRIAN SMITH
TRUSTEE, CHP EVP NETWORKS	0	413415	0	0	0	98778	0	151298	0	35338	0	698829	0	0
CAROL WHITTAKER
SVP & QUALITY OFFICER	0	155627	0	0	0	8199	0	176959	0	8364	0	349149	0	0
CATHLEEN NELSON
FORMER KEY EMPLOYEE	0	213193	0	0	0	4721	0	126390	0	15358	0	359662	0	0
DAVID AROSE
FORMER KEY EMPLOYEE	0	214606	0	46850	0	2422	0	17526	0	10437	0	291841	0	0
DAVID FRANZBLAU MD
FORMER KEY EMPLOYEE	0	93700	0	0	0	306176	0	62774	0	12087	0	474737	0	0
DENNIS SHERRY
FORMER KEY EMPLOYEE	0	244470	0	0	0	11402	0	75053	0	20092	0	351017	0	0
GARY GEORGE
SVP, HUMAN RESOURCES	0	266465	0	2000	0	11691	0	152755	0	10212	0	443123	0	0
GEORGE CHARNEY DO
PHYSICIAN	418148	0	3875	0	2322	0	43269	0	18127	0	485741	0	0	0
H TERRENCE SMITH
FORMER KEY EMPLOYEE	0	0	0	0	0	204603	0	60750	0	11377	0	276730	0	0
IMRAN ANDRABI MD
SVP & CHIEF PHYSICIAN EXECUTIVE OFFICER	0	432907	0	20728	0	9510	0	75944	0	24121	0	563210	0	0
JOHN M STARCHER JR
TRUSTEE, CHP SVP & DIVISIONAL CEO	0	190253	0	275000	0	410039	0	18301	0	7744	0	901337	0	0
JOSEPH GLASS
VICE PRESIDENT - REVENUE CYCLE	0	178208	0	0	0	50532	0	32211	0	19166	0	280117	0	0
JULIE GEORGOFF
FORMER KEY EMPLOYEE	0	151460	0	0	0	5250	0	11677	0	15903	0	184290	0	0
KATRINA ENGLISH
CHIEF LEGAL COUNSEL	0	159915	0	39120	0	1414	0	15455	0	22448	0	238352	0	0
KENNETH O'BEIRNE
PHYSICIAN	392809	0	0	0	540	0	8452	0	15656	0	417457	0	0	0
KEVIN COOK
PRESIDENT & CEO, MSVMC & METRO HOSPITALS	0	398268	0	2000	0	10303	0	38129	0	24140	0	472840	0	0
MICHELE MONTAGUE
COO, MERCY MEDICAL PARTNERS	0	177033	0	0	0	9064	0	69942	0	18187	0	274226	0	0
NINA HASSELBACH MD
PHYSICIAN	387425	0	0	0	1242	0	27951	0	14626	0	431244	0	0	0
PAMELA KADLICK
VICE PRESIDENT - PATIENT CARE & CNO	155526	0	0	0	8762	0	86099	0	13163	0	263550	0	0	0
RAMACHANDRA BHAT MD
PHYSICIAN	416667	0	3438	0	3564	0	45140	0	9423	0	478232	0	0	0
RAND C HERMANN
FORMER KEY EMPLOYEE	0	198255	0	0	0	7742	0	40956	0	12243	0	259196	0	0
RASHID KHALIL MD
PHYSICIAN	392968	0	0	0	506	0	6210	0	5415	0	405099	0	0	0
RICHARD EVENS
FORMER OFFICER	0	0	0	0	182444	0	22019	0	0	0	204463	0	0	0
ROBERT MOON
CFO, MHP - NORTHERN REGION	0	430569	0	99242	0	107427	0	17500	0	27098	0	681836	0	0
SAMANTHA PLATZKE
FORMER OFFICER	0	456297	0	80844	0	89490	0	78816	0	30944	0	736391	0	0
SCOTT SHOOK
FORMER KEY EMPLOYEE	0	0	0	0	0	280791	0	247920	0	0	0	528711	0	0
STEVEN L MICKUS
FORMER OFFICER	0	827750	0	346416	0	282116	0	149330	0	31852	0	1637464	0	0
THOMAS ARQUILLA
SVP, BUSINESS DEVELOPMENT/STRATEGY	0	315803	0	0	0	10879	0	30210	0	21705	0	378597	0	0
TODD WARNER
FORMER OFFICER	0	203506	0	0	0	995	0	53890	0	20523	0	278914	0	0
WILLIAM SUTTON
FORMER KEY EMPLOYEE	0	210779	0	2000	0	28777	0	77346	0	13411	0	332313	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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 YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: JOSEPH GLASS $36,550; STEVEN L. MICKUS $15,000; H. TERRENCE SMITH $201,456; DAVID FRANZBLAU, MD $288,290.
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b	THE MERCY HEALTH PARTNERS (MHP) - NORTHERN REGION NONQUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN IS FOR CERTAIN HIGHLY COMPENSATED INDIVIDUALS AS DETERMINED BY THE BOARD OF TRUSTEES' EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE TO PROVIDE A BENEFIT TO REPLACE THE BENEFIT THESE PARTICIPANTS WOULD HAVE RECEIVED UNDER THE FORMULA OF THE APPLICABLE QUALIFIED PLAN PRIOR TO ITS AMENDMENT TO COMPLY WITH THE OMNIBUS BUDGET RECONCILIATION ACT OF 1993, AND PROVIDING A DEFERRED COMPENSATION PLAN OF 5% OF ANNUAL BASE SALARY TO RETAIN EXECUTIVES. PARTICIPANTS VEST IN THIS PLAN AND RECEIVE A BENEFIT UNDER THIS PLAN ONCE THEY HAVE SATISFIED BOTH OF THESE TWO CONDITIONS: (1) MEET THE VESTING REQUIREMENTS OF THE APPLICABLE QUALIFIED PLAN, AND (2) COMPLETE A 24-MONTH POST-EMPLOYMENT NON-COMPETE REQUIREMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: SCOTT SHOOK $280,791; WILLIAM SUTTON $12,204; RICHARD EVENS $182,444; GARY GEORGE $0; JOSEPH GLASS $0; BARRY HUDGIN $0; CAROL WHITTAKER $0; IMRAN ANDRABI, MD $0; DENNIS SHERRY $0; TODD WARNER $0.
THE CHP SERP PLAN	SCHEDULE J, PART I, LINE 4B	THE CATHOLIC HEALTH PARTNERS (CHP) SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTIVELY, VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMINATION, PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDINGS. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JOHN M. STARCHER, JR. $21,395; BRIAN SMITH $78,749; STEVEN L. MICKUS $234,135; SAMANTHA PLATZKE $83,378; ANDREA PRICE $0.
THE CHP EXECUTIVE RETENTION PLAN	SCHEDULE J, PART I, LINE 4B	THE CATHOLIC HEALTH PARTNERS (CHP) EXECUTIVE RETENTION PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST AND CEASE TO RECEIVE CREDITS AFTER 5 YEARS OF PLAN PARTICIPATION PROVIDED THEY REMAIN EMPLOYED. VESTING AND CESSATION OF CREDITS OCCUR EARLIER FOR DEATH OR TOTAL DISABILITY WHILE EMPLOYED, INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION, OR, FOR CERTAIN PARTICIPANTS, UPON BEING OFFERED A SPECIFIED PROMOTION. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS UPON VESTING. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JOHN M. STARCHER, JR. $383,081; STEVEN L. MICKUS $0; ROBERT MOON $57,490.
TERMS AND CONDITIONS OF THE SRMC SERP PLAN	SCHEDULE J, PART I, LINE 4B	THE ST. RITA'S MEDICAL CENTER 457(F) PLAN PROVIDES A FLEXIBLE BENEFIT ALLOWANCE TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. THIS ALLOWANCE, WHICH IS BASED ON A SPECIFIED PERCENTAGE OF COMPENSATION, MAY BE ALLOCATED AMONG VARIOUS INSURANCE AND DEFERRED COMPENSATION BENEFIT OPTIONS. AMOUNTS INCLUDIBLE IN TAXABLE COMPENSATION FOR LISTED PARTICIPATING INDIVIDUALS IN THE REPORTING YEAR WERE AS FOLLOWS: BRIAN SMITH $0.
TERMS AND CONDITIONS OF THE CMHP SERP PLAN	SCHEDULE J, PART I, LINE 4B	THE COMMUNITY MERCY HEALTH PARTNERS (CMHP) SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE CMHP COMMITTEE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INVESTMENT RETURNS AND/OR LOSSES. PARTICIPANTS VEST THE LATER OF FIVE YEARS OF ACTIVE SERVICE OR THE SECOND ANNIVERSARY OF HIS OR HER SEPARATION FROM SERVICE WITH THE EMPLOYER. VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY. PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDING. 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: KATRINA ENGLISH $0.
Non-fixed payments	Schedule J, Part I, Line 7	THE ORGANIZATION PROVIDES ANNUAL INCENTIVE COMPENSATION FOR LISTED INDIVIDUALS. THE ORGANIZATION'S BOARD OF TRUSTEES ESTABLISHES OBJECTIVE THRESHOLDS FOR QUALITY, COMMUNITY BENEFIT, AND FINANCIAL PERFORMANCE WHICH MUST BE ACHIEVED FOR INCENTIVES TO BE AWARDED. THE BOARD ALSO ESTABLISHES THRESHOLD, TARGET AND MAXIMUM LEVELS FOR INCENTIVE AWARDS. WITHIN THESE ESTABLISHED PARAMETERS, THE CEO RECOMMENDS INCENTIVE AWARDS FOR LISTED INDIVIDUALS TO THE BOARD'S EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE. THE BOARD COMMITTEE REVIEWS AND APPROVES OR MODIFIES THE CEO'S RECOMMENDATIONS.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
CONSOLIDATED AUDITED FINANCIAL STATEMENTS	FORM 990, PART IV, LINE 20B	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.
Family/business relationships amongst interested persons	Form 990, Part VI, Section A, Line 2	ANTHONY J. ARMSTRONG AND JUDGE VERNELIS ARMSTRONG - FAMILY RELATIONSHIP
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	MERCY HEALTH SYSTEM - NORTHERN REGION DBA MERCY HEALTH PARTNERS IS THE SOLE MEMBER OF RIVERSIDE MERCY HOSPITAL DBA MERCY ST. ANNE HOSPITAL.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	CATHOLIC HEALTH PARTNERS APPROVES MEMBERS THAT ARE APPOINTED TO THE BOARD OF TRUSTEES. ALL 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, CHP GOVERNING BODY, OR CHP CEO. THE REGULATIONS OF THE ORGANIZATION DESCRIBE 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 AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN 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	FOR BOARD AND/OR SUBCOMMITTEE MEETINGS - ALL BOARD/SUBCOMMITTEE MEMBERS MUST FILE A CONFLICT OF INTEREST FORM. THE COMMITTEE CHAIR OR BOARD CHAIR IS NOTIFIED OF ANY CONFLICTS FOR ANY OF THE COMMITTEE MEMBERS OR BOARD OF TRUSTEE MEMBERS. AT THE BEGINNING OF ALL BOARD MEETINGS OR COMMITTEE MEETINGS, MEMBERS ARE REMINDED THAT THEY ARE TO NOTIFY THE CHAIR OF ANY CONFLICTS AND RECUSE THEMSELVES AS NECESSARY FROM THE DISCUSSION AND/OR VOTE. FOR KEY EMPLOYEES - THEIR MANAGER IS NOTIFIED OF ANY CONFLICTS REPORTED ON THE COI FORM. IF A CONFLICT EXISTS, WE REQUIRE THE EMPLOYEE TO RECUSE THEMSELVES FROM THE ISSUE.
Process used to establish compensation of top management official	Form 990, Part VI, Section B, Line 15a	THE ORGANIZATION'S FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACCOMPLISHING THE ORGANIZATION'S MISSION, TO RECOGNIZE PERFORMANCE, AND TO OPERATE IN KEEPING WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. THE COMPENSATION COMMITTEE OF THE REGIONAL BOARD OF TRUSTEES CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION AND PERFORMANCE OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES. IN DOING SO, THE COMMITTEE RETAINS A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT COMPETITIVE MARKET ANALYSIS ANNUALLY OF THE MARKET RANGES OF BASE, INCENTIVE AND TOTAL CASH COMPENSATION. THE COMMITTEE UTILIZES THAT ANALYSIS AND OTHER APPROPRIATE INFORMATION IN CONNECTION WITH ITS ANNUAL REVIEW AND ADJUSTMENT OF COMPENSATION RANGES. IT ALSO REVIEWS AND RECOMMENDS TO THE FULL BOARD THE THRESHOLD AND MAXIMUM INCENTIVE AWARDS FOR WHICH THE LISTED INDIVIDUALS MAY BE ELIGIBLE, BASED UPON THE ORGANIZATION'S PERFORMANCE RESULTS FOR COMMUNITY BENEFIT, QUALITY AND FINANCIAL PERFORMANCE. THE COMMITTEE'S RECOMMENDATIONS CONCERNING SALARY RANGE ADJUSTMENTS AND INCENTIVE AWARDS GO TO THE FULL BOARD FOR APPROVAL. THE COMMITTEE, WITH FULL BOARD APPROVAL, DETERMINES THE ADJUSTMENT TO THE CEO'S BASE COMPENSATION AND INCENTIVE AWARD, WITHIN SUCH ESTABLISHED PARAMETERS. FOR THE COO, CAO, EVP, AND SVP POSITIONS, ADJUSTMENTS AND INCENTIVE AWARDS ARE APPROVED BY THE ORGANIZATION'S CEO WITHIN SUCH PARAMETERS. ADJUSTMENTS AND AWARDS FOR OTHER LISTED INDIVIDUALS ARE RECOMMENDED BY THE SUPERVISING EXECUTIVE. BASE SALARY ADJUSTMENTS AND SALARY AWARDS ARE DISCLOSED TO THE COMMITTEE. A FORMAL PERFORMANCE APPRAISAL PROCESS IS INCORPORATED IN THE COMPENSATION ADJUSTMENT AND AWARD PROCESS. IT UTILIZES A MULTI-PERSPECTIVE APPROACH AND PERFORMANCE MEASURES WHICH ARE LINKED TO THE ORGANIZATION'S LONG-TERM STRATEGIC PLAN, ACHIEVEMENT OF ANNUAL SYSTEM OBJECTIVES, AND PERSONAL OBJECTIVES. COMPENSATION-RELATED DETERMINATIONS ARE CONDUCTED IN ACCORDANCE WITH APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE AND REGULATIONS TO QUALIFY FOR THE PRESUMPTION THAT THE COMPENSATION IS REASONABLE, INCLUDING, BUT NOT LIMITED TO, APPROVAL BY AN AUTHORIZED BODY COMPOSED OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST, OBTAINING AND RELYING ON APPROPRIATE DATA AS TO COMPARABILITY, AND CONCURRENT DOCUMENTATION OF THE BASIS FOR THE COMPENSATION DETERMINATIONS.
Process used to establish compensation of other officers/key employees	Form 990, Part VI, Section B, Line 15b	PLEASE REFER TO LINE 15A RESPONSE WHICH DESCRIBES THE PROCESS USED FOR BOTH THE TOP MANAGEMENT OFFICIAL AND THE OTHER OFFICERS AND KEY EMPLOYEES.
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	PURCHASED SERVICES - TOTAL EXPENSE: 4173140, PROGRAM SERVICE EXPENSE: 3738773, MANAGEMENT AND GENERAL EXPENSES: 434367, FUNDRAISING EXPENSES: ; ALLOCATION FROM RELATED ENTITIES - TOTAL EXPENSE: 13357209, PROGRAM SERVICE EXPENSE: 11966906, MANAGEMENT AND GENERAL EXPENSES: 1390303, FUNDRAISING EXPENSES: ; LAB ALLOCATION - TOTAL EXPENSE: 2955276, PROGRAM SERVICE EXPENSE: 2647673, MANAGEMENT AND GENERAL EXPENSES: 307603, FUNDRAISING EXPENSES: ;
Other changes in net assets or fund balances	Form 990 , Part XI, Line 9	PENSION LIABILITY ADJUSTMENT - 3750399; CAREPATH EQUITY TRANSFER - -6157351; ADJUST POST RETIREMENT MEDICAL - 29283;

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 (14 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
MERCY HOSPITAL OF DEFIANCE LLC
1404 E SECOND ST	DEFIANCE	OH	43512	020701635	HOSPITAL	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	false	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	true	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 Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg