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

View the entire original 990 at ProPublica ↗

Organization: MERCY HEALTH - TIFFIN HOSPITAL LLC (EIN 34-4431174)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-13
IRS object ID: 201323179349302722
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 B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-13T11:32:45-06:00	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	344431174	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MERCY HOSPITAL OF TIFFIN OHIO	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MERC	NameControl
Phone	4194473130	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45 ST LAWRENCE DRIVE	AddressLine1
City	Tiffin	City
State	OH	State
ZIP Code	44883	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

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DALE THORNTON CEO	BusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	45 ST LAWRENCE DRIVE	AddressLine1
City	TIFFIN	City
State	OH	State
ZIP Code	44883	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	57621969	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	1970	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES, WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	482	TotalNbrEmployees
Total Nbr Volunteers	140	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	122681	ContributionsGrantsPriorYear
Contributions Grants Current Year	23770	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	58086336	ProgramServiceRevenuePriorYear
Program Service Revenue CY	55585980	ProgramServiceRevenueCY
Investment Income Prior Year	532050	InvestmentIncomePriorYear
Investment Income Current Year	1619805	InvestmentIncomeCurrentYear
Other Revenue Prior Year	341983	OtherRevenuePriorYear
Other Revenue Current Year	350933	OtherRevenueCurrentYear
Total Revenue Prior Year	59083050	TotalRevenuePriorYear
Total Revenue Current Year	57580488	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	10088	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	23597821	SalariesEtcPriorYear
Salaries Etc Current Year	25745803	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	30460290	OtherExpensePriorYear
Other Expenses Current Year	29757576	OtherExpensesCurrentYear
Total Expenses Prior Year	54058111	TotalExpensesPriorYear
Total Expenses Current Year	55513467	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	5024939	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	2067021	RevenuesLessExpensesCY
Total Assets BOY	115749053	TotalAssetsBOY
Total Assets EOY	114978755	TotalAssetsEOY
Total Liabilities BOY	49662866	TotalLiabilitiesBOY
Total Liabilities EOY	51371035	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	66086187	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	63607720	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES, WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. MERCY HOSPITAL TIFFIN IS THE ONLY FULL-SERVICE COMMUNITY HOSPITAL BASED IN TIFFIN AND SERVING THE TRI-COUNTY AREA. IT IS ALSO THE ONLY FAITH-BASED HOSPITAL IN ITS PRIMARY, SECONDARY, AND TERTIARY SERVICE AREA.	MissionDescription
Significant New Program Services	true	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	48591216	Expense
Grants	10088	Grants
Revenue	55255282	Revenue
Description	THE PRIMARY EXEMPT PURPOSE OF MERCY HOSPITAL OF TIFFIN OHIO IS TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. MERCY HOSPITAL OF TIFFIN OHIO ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	665117	Expense
Grants	0	Grants
Revenue	211595	Revenue
Description	MCAULEY HEALTH SERVICES: HEALTH CLINIC WHICH PROVIDES COMPREHENSIVE PRIMARY CARE FOR LOW-INCOME AND UNDERSERVED INDIVIDUALS WHO DO NOT HAVE ACCESS TO A PRIMARY CARE PHYSICIAN. 4,172 VISITS IN 2012.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	560373	Expense
Grants	0	Grants
Revenue	119103	Revenue
Description	RADIATION ONCOLOGY PRACTICE: EMPLOYED PHYSICIAN OFFICE WHICH IS THE SOLE PROVIDER OF COMPREHENSIVE RADIATION ONCOLOGY HEALTHCARE TO THE ADULT POPULATION OF THE COMMUNITY, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THESE SERVICES. 203 VISITS IN 2012.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	49816706	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	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	true	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	482	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	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 (30 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
CHRIS ENGLISH
TREASURER	1.00	0	X	X	0	0	0
DALE THORNTON
PRESIDENT & CEO, MHT & RURAL DIVISION	53.00	1.50	X	X	314259	0	109695
JEANNINE CURNS
SECRETARY	1.00	0	X	X	0	0	0
KRIS KLEPPER
CHAIRMAN	1.00	0	X	X	0	0	0
LEE MARTIN
VICE CHAIRMAN	1.00	0	X	X	0	0	0
ANDREA PRICE
PRESIDENT & CEO, MHP-NORTHERN REGION	0.50	56.50	X		0	535930	46132
BRIAN SMITH
TRUSTEE, CHP EVP NETWORKS	0.50	48.00	X		0	512193	186636
JOHN M STARCHER JR
TRUSTEE, CHP SVP & DIVISIONAL CEO	0.50	58.80	X		0	875292	26045
JUDY CLEM
TRUSTEE	1.00	0	X		0	0	0
MARK AKERS MD
TRUSTEE	1.00	0	X		48724	0	0
SR MARCIA WILEY
TRUSTEE	1.00	0	X		0	0	0
WILLARD HEDDLES
TRUSTEE	1.00	0	X		0	0	0
ROBERT MOON
CFO, MHP - NORTHERN REGION	0.50	58.50		X	0	637238	44598
BARRY HUDGIN
SVP & GENERAL COUNSEL	1.00	55.00			0	169103	52368	X
CAROL WHITTAKER
SVP & QUALITY OFFICER	0.50	54.50			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
MICHELE MONTAGUE
COO, MERCY MEDICAL PARTNERS	1.00	53.00			0	186097	88129	X
THOMAS ARQUILLA
SVP, BUSINESS DEVELOPMENT/STRATEGY	1.00	54.00			0	326682	51915	X
AJITKUMAR DESAI MD
PHYSICIAN	55.00	0			434543	0	31119		X
JOSEPH KAMINSKI MD
PHYSICIAN	55.00	0			482469	0	10285		X
SALVATORE VELTRI MD
PHYSICIAN	55.00	0			252001	0	16099		X
STEVEN BRUHL MD
PHYSICIAN	55.00	0			460337	0	18074		X
STEVEN WAGNER MD
PHYSICIAN	55.00	0			280249	0	11733		X
DAVID AROSE
FORMER KEY EMPLOYEE	0.00	0.00			0	263878	27963			X
H TERRENCE SMITH
FORMER KEY EMPLOYEE	0.00	0.00			0	204603	72127			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

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2272582	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	6708115	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1586148	TotalOtherCompensation
Number Individuals GT100 K	15	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Federated Campaigns	23770	FederatedCampaigns
Total Contributions	23770	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REV	621990	54888861	54888861
JOINT VENTURE	900099	261311	261311
PHARMACY	621990	13044	13044
CLINICS	621990	60361	60361
RADIOLOGY	621990	64237	64237

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	298166	TotalRevenueColumn
Related Or Exempt Function Income	298166	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	55585980	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	434290	TotalRevenueColumn
Exclusion	$434,290	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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	35166	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	35166	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	35166	TotalRevenueColumn
Exclusion	$35,166	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1226996	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	41481	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1226996	Securities
Other	-41481	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1185515	TotalRevenueColumn
Exclusion	$1,185,515	ExclusionAmount

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
CAFETERIA	624210	240411	$240,411
5% EMPLOYEE SALARY INCREASE PER CONTRACT W/TASA	900099	71214	$71,214
MEDICAL RECORD	561000	4142	$4,142

Miscellaneous Revenue MiscellaneousRevenue

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 Other Revenue	315767	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	57580488	TotalRevenueColumn
Related Or Exempt Function Income	55585980	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,970,738	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	10088	Total
Program Services	10088	ProgramServices

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	472678	Total
Program Services	420539	ProgramServices
Management And General	52139	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	20002791	Total
Program Services	17796377	ProgramServices
Management And General	2206414	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	964460	Total
Program Services	964460	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	3067501	Total
Program Services	3051154	ProgramServices
Management And General	16347	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1238373	Total
Program Services	1158777	ProgramServices
Management And General	79596	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	427701	Total
Program Services	54083	ProgramServices
Management And General	373618	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	39341	Total
Management And General	39341	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	5140	Total
Management And General	5140	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	12179670	Total
Program Services	10071881	ProgramServices
Management And General	2107789	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	351759	Total
Management And General	351759	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	67240	Total
Program Services	53792	ProgramServices
Management And General	13448	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1380	Total
Program Services	1380	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1694348	Total
Program Services	1541587	ProgramServices
Management And General	152761	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	242745	Total
Program Services	177222	ProgramServices
Management And General	65523	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	2350888	Total
Program Services	2350888	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	4139100	Total
Program Services	4139100	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	402673	Total
Program Services	402673	ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAID ASSESSMENT	670363	670363
DUES AND MEMBERSHIPS	108372	63994	44378
MEDICAL SUPPLIES	6979300	6790792	188508

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	97556	Total
Program Services	97556	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	55513467	Total
Program Services	49816706	ProgramServices
Management And General	5696761	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	2368758	BOY
EOY	235642	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	8838675	BOY
EOY	9568849	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	860365	BOY
EOY	787077	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	383235	BOY
EOY	-109001	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	91644128	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	31192341	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	61675546	BOY
EOY	60451787	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	40944444	BOY
EOY	43496151	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	678030	BOY
EOY	548250	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	115749053	BOY
EOY	114978755	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3710755	BOY
EOY	3485326	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	45952111	BOY
EOY	47885709	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	49662866	BOY
EOY	51371035	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	66054193	BOY
EOY	63585814	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	31994	BOY
EOY	21906	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	66086187	BOY
EOY	63607720	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	115749053	BOY
EOY	114978755	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	2067021	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	2390420	ReconciliationUnrealizedInvest
Reconcilation Donated Services	0	ReconcilationDonatedServices
Reconcilation Other Changes	-6935908	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 B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule 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	$2,367	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$0	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	2367	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	2956970	OtherCostOrOtherBasis
Book Value	2956970	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	58008368	OtherCostOrOtherBasis
Book Value	58008368	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4153159	OtherCostOrOtherBasis
Book Value	4153159	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26332382	OtherCostOrOtherBasis
Book Value	26332382	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	193249	OtherCostOrOtherBasis
Depreciation	31192341	Depreciation
Book Value	-30999092	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	60451787	TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

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

Closely Held Equity Interests CloselyHeldEquityInterests

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

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	CATHOLIC HEALTH PARTNERS-INVESTMENT MANAGEMENT PROGRAM	Description
Book Value	43496151	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	43496151	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
PENSION-DEFINED CONTRIBUTION PLAN	$4,469,624
OTHER LONG TERM LIABILITIES	$485,000
ACCOUNTS PAYABLE INTERCOMPANY	$718,061
LOAN PAYABLE TO AFFILIATE	$42,213,024

Field	Value	IRS element (for citing)
Total Of Amounts	47885709	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	FIN 48 (ASC 740) footnote	Identifier
Return Reference	Schedule D, Part X, Line 2	ReturnReference
Explanation	THE COMPANY [CATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES] COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2012 AND 2011, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2012 OR 2011.	Explanation

Schedule 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	2552	PersonsServed
Total Community Benefit Expense	2169919	TotalCommunityBenefitExpense
Direct Offsetting Revenue	368709	DirectOffsettingRevenue
Net Community Benefit Expense	1801210	NetCommunityBenefitExpense
Percent Of Total Expense	0.03250	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	3468	PersonsServed
Total Community Benefit Expense	6755282	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3640035	DirectOffsettingRevenue
Net Community Benefit Expense	3115247	NetCommunityBenefitExpense
Percent Of Total Expense	0.05610	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	6020	PersonsServed
Total Community Benefit Expense	8925201	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4008744	DirectOffsettingRevenue
Net Community Benefit Expense	4916457	NetCommunityBenefitExpense
Percent Of Total Expense	0.08860	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	3239	PersonsServed
Total Community Benefit Expense	249764	TotalCommunityBenefitExpense
Direct Offsetting Revenue	396	DirectOffsettingRevenue
Net Community Benefit Expense	249368	NetCommunityBenefitExpense
Percent Of Total Expense	0.00450	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	140	PersonsServed
Total Community Benefit Expense	57831	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	57831	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	5206	PersonsServed
Total Community Benefit Expense	3109857	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2254740	DirectOffsettingRevenue
Net Community Benefit Expense	855117	NetCommunityBenefitExpense
Percent Of Total Expense	0.01540	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	127	PersonsServed
Total Community Benefit Expense	69466	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	69466	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	8712	PersonsServed
Total Community Benefit Expense	3486918	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2255136	DirectOffsettingRevenue
Net Community Benefit Expense	1231782	NetCommunityBenefitExpense
Percent Of Total Expense	0.02220	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	14732	PersonsServed
Total Community Benefit Expense	12412119	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6263880	DirectOffsettingRevenue
Net Community Benefit Expense	6148239	NetCommunityBenefitExpense
Percent Of Total Expense	0.11080	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)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Persons Served	1	PersonsServed
Total Community Building Expense	2263	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	2263	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)
Total Community Building Expense	2364	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	2364	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Persons Served	1	PersonsServed
Total Community Building Expense	260425	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	260425	NetCommunityBuildingExpense
Percent Of Total Expense	0.00460	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	2	PersonsServed
Total Community Building Expense	265052	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	265052	NetCommunityBuildingExpense
Percent Of Total Expense	0.00480	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$2,449,555	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	11091831	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	14136069	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3044238	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	TIFFIN AMBULATORY SURGICAL ASSOCIATION LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	AMBULATORY SURGERY	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.51	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.49	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	MERCY TIFFIN HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	45 ST LAWRENCE DRIVE	AddressLine1
City	TIFFIN	City
State	OH	State
ZIP Code	44883	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
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	MERCY TIFFIN 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	12	NumberOfOtherFacilities

Other Facilities OtherFacilities (14 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MERCY COMMUNITY LAB
437 W MARKET ST	TIFFIN	OH	44883	COMMUNITY LAB
MERCY CANCER CENTER AT TIFFIN
40 FAIR LANE	TIFFIN	OH	44883	RADIATION THERAPY AND ONCOLOGY INFUSION SERVICES
MERCY HOME CARE
435 W MARKET ST	TIFFIN	OH	44883	HOME CARE
MERCY TIFFIN HOSPITAL SPECIALTY CLINICS
27 ST LAWRENCE DRIVE SUITE 201	TIFFIN	OH	44883	OUTPATIENT CLINICS
MERCY UROLOGY SPECIALISTS
27 ST LAWRENCE DRIVE SUITE 204	TIFFIN	OH	44883	PHYSICIANS OFFICES - UROLOGY
MCCAULEY HEALTH SERVICES
437 W MARKET ST	TIFFIN	OH	44883	FAMILY CARE
MERCY SURGICAL SPECIALISTS
27 ST LAWRENCE DRIVE SUITE 203	TIFFIN	OH	44883	PHYSICIAN OFFICES - SURGERY
TIFFIN AMBULATORY SURGERY ASSOCIATES
45 ST LAWRENCE DRIVE	TIFFIN	OH	44833	AMBULATORY SURGERY CENTER
OPTIMA REHABILITATION SERVICES
45 ST LAWRENCE DR SUITE 204	TIFFIN	OH	44883	PHYSICIAL THERAPY, SPEECH, OCCUPATIONAL THERAPY, AQUATIC THERAPY
SENECA DIALYSIS
65 SAINT FRANCIS	TIFFIN	OH	44883	DIALYSIS CLINIC
MERCY PEDIATRICS
433 W MARKET STREET	TIFFIN	OH	44883	PHYSICIAN OFFICES - PEDIATRICS
MERCY OBGYN ASSOCIATES
2495 W MARKET STREET	TIFFIN	OH	44883	PHYSICIAN OFFICES - OB/GYN
MERCY OBGYN ASSOCIATES
1344 WSENECA AVENUE	TIFFIN	OH	44883	PHYSICIAN OFFICES - OB/GYN
MERCY OCCUPATIONAL HEALTH - TIFFIN
437 W MARKET STREET	TIFFIN	OH	44883	OCCUPATIONAL HEALTH SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 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 THE HOSPITAL COST ACCOUNTING SYSTEM AND INCLUDED BOTH INPATIENTS AND OUTPATIENTS FOR TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PLANS. FOR SUBSIDIZED SERVICES THE HOSPITAL'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COST RELATED TO THE SPECIFIC SERVICE EXCLUDING TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PATIENTS. COSTS FOR CHARITY AND BAD DEBT ACCOUNTS ARE DEDUCTED USING A RATIO OF OF COST TO CHARGE SPECIFIC TO THAT SUBSIDIZED SERVICE. 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
Subsidized Health Services	Schedule H, Part I, Line 7g	$949,299 OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES IN 2012.
Community Building Activities	Schedule H, Part II	MERCY TIFFIN HOSPITAL CONDUCTS COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH FAIRS, AND SCREENINGS FOR THE COMMUNITY. THE HOSPITAL SUPPORTS HEALTH MINISTRIES PROGRAMS FOR CHURCHES IN THE AREA. MERCY TIFFIN HOSPITAL PROVIDES A MERCY EXPRESS VAN SERVICE TO TRANSPORT PATIENTS TO NEEDED HEALTH CARE SERVICES. THE HOSPITAL PROVIDES HEALTH INFORMATION TO THE COMMUNITY THROUGH A TELEPHONE INFORMATION PROGRAM, AND PROVIDES CLINICS TO INCREASE ACCESS TO PRIMARY CARE AND SPECIALTY CARE, INCLUDING WOMEN'S HEALTH.
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 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) MERCY TIFFIN 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 TIFFIN HOSPITAL ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. THE HOSPITAL CONDUCTS A COMMUNITY NEEDS ASSESSMENT EVERY 3 YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. MERCY TIFFIN HOSPITAL INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. THE HOSPITAL RECOGNIZES THAT 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 TIFFIN HOSPITAL HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. THE HOSPITAL'S COMMUNITY BENEFITS COMMITTEE MEETS QUARTERLY TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. MERCY TIFFIN 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 TIFFIN HOSPITAL POSTS ITS CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE HOSPITAL PROVIDES A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A COPY OF THE POLICY OR A SUMMARY ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED IN PATIENT BILLS. MERCY TIFFIN HOSPITAL DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. THE MERCY TIFFIN HOSPITAL ELIGIBILITY LINK PROGRAM (HELP) IS A FREE REFERRAL SERVICE PROVIDED BY MERCY TIFFIN HOSPITAL. 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 TIFFIN HOSPITAL UNDERSTANDS THAT NOT EVERYONE CAN PAY FOR HEALTHCARE SERVICES. HELP IS HERE TO OFFER OPTIONS AND ASSISTANCE FOR THOSE WHO ARE UNINSURED OR UNDERINSURED. HELP IS AN EXTENSION OF THE HOSPITAL'S MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITY WITH EMPHASIS ON THE POOR AND UNDERSERVED. MEETING THE NEEDS OF THOSE WITH LIMITED RESOURCES HAS ALWAYS BEEN THE HEART OF OUR MISSION. IN 2012, HELP MANAGED 4,092 PATIENT REFERRALS. MERCY TIFFIN HOSPITAL 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 TIFFIN HOSPITAL SERVES A FOUR-COUNTY GEOGRAPHIC AREA FEATURING THE FOLLOWING COUNTIES: SANDUSKY, SENECA, WOOD, AND WYANDOT IN OHIO. THE POPULATION OF MERCY TIFFIN HOSPITAL'S PRIMARY SERVICE AREA IS APPROXIMATELY 56,000 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. MERCY TIFFIN HOSPITAL IS THE ONLY HOSPITAL IN THE COMMUNITY, AND IT IS A NOT-FOR-PROFIT HOSPITAL. TIFFIN IS NOT FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA OR POPULATION. THE DEMOGRAPHIC AREA SERVED BY MERCY TIFFIN HOSPITAL SERVES THE FOLLOWING ETHNIC AND CULTURAL GROUPS: CAUCASIAN (91.6%), HISPANIC/LATINO (4.3%), BLACK (2.1%), TWO OR MORE RACES (1.2%), ASIAN (.5%), AMERICAN INDIAN/ALASKA NATIVE (.3%), 11.1% OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES. 18.4% OF FAMILIES ARE ON MEDICAID OR OTHER ASSISTANCE. IN THE COMMUNITY SERVED BY MERCY TIFFIN 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 19% OF THE POPULATION. MERCY TIFFIN 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 TIFFIN HOSPITAL HAD 2,040 ADMISSIONS, 87,400 OUTPATIENT VISITS, AND 17,392 EMERGENCY ROOM VISITS.
Promotion of community health	Schedule H, Part VI, Line 5	MERCY TIFFIN HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, MERCY TIFFIN HOSPITAL ALSO PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. THE HOSPITAL OPERATES RURAL HEALTH CLINICS, PSYCHIATRIC, SKILLED NURSING, RENAL DIALYSIS, NEWBORN NURSERY, WOUND CARE, AND DIABETES MANAGEMENT DEPARTMENTS. MERCY TIFFIN 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 THE HOSPITAL. MERCY TIFFIN HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. MERCY TIFFIN HOSPITAL'S EMERGENCY DEPARTMENT TREATS AN INCREASING NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS.
Affiliated health care system	Schedule H, Part VI, Line 6	MERCY TIFFIN HOSPITAL IS A MEMBER OF MERCY HEALTH PARTNERS-NORTHERN REGION AND IS AFFILIATED WITH ST. VINCENT MERCY MEDICAL CENTER, ST. CHARLES MERCY HOSPITAL, MERCY ST. ANNE HOSPITAL, MERCY DEFIANCE HOSPITAL, 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 1913. MERCY TIFFIN HOSPITAL IS AN ACUTE CARE HOSPITAL WITH APPROXIMATELY 120 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: $17.4 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 9.7 PERCENT MERCY TIFFIN 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 $31.6 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 10.4 PERCENT

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 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
AJITKUMAR DESAI MD
PHYSICIAN	429685	0	0	0	4858	0	22050	0	9069	0	465662	0	0	0
ANDREA PRICE
PRESIDENT & CEO, MHP-NORTHERN REGION	0	523863	0	2000	0	10067	0	18044	0	28088	0	582062	0	0
BARRY HUDGIN
SVP & GENERAL COUNSEL	0	157570	0	0	0	11533	0	46074	0	6294	0	221471	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
DALE THORNTON
PRESIDENT & CEO, MHT & RURAL DIVISION	265786	0	0	0	48473	0	104704	0	4991	0	423954	0	0	0
DAVID AROSE
FORMER KEY EMPLOYEE	0	214606	0	46850	0	2422	0	17526	0	10437	0	291841	0	0
GARY GEORGE
SVP, HUMAN RESOURCES	0	266465	0	2000	0	11691	0	152755	0	10212	0	443123	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
JOSEPH KAMINSKI MD
PHYSICIAN	465052	0	16667	0	750	0	0	0	10285	0	492754	0	0	0
KATRINA ENGLISH
CHIEF LEGAL COUNSEL	0	159915	0	39120	0	1414	0	15455	0	22448	0	238352	0	0
MICHELE MONTAGUE
COO, MERCY MEDICAL PARTNERS	0	177033	0	0	0	9064	0	69942	0	18187	0	274226	0	0
ROBERT MOON
CFO, MHP - NORTHERN REGION	0	430569	0	99242	0	107427	0	17500	0	27098	0	681836	0	0
SALVATORE VELTRI MD
PHYSICIAN	251200	0	0	0	801	0	0	0	16099	0	268100	0	0	0
STEVEN BRUHL MD
PHYSICIAN	454454	0	5000	0	883	0	0	0	18074	0	478411	0	0	0
STEVEN L MICKUS
FORMER OFFICER	0	827750	0	346416	0	282116	0	149330	0	31852	0	1637464	0	0
STEVEN WAGNER MD
PHYSICIAN	168893	0	111356	0	0	0	0	0	11733	0	291982	0	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

Form990 Schedule J Part III Form990ScheduleJPartIII (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Arrangement used to establish the top management official's compensation	Schedule J, Part I, Line 3	THE COMPENSATION OF DALE THORNTON, PRESIDENT AND CEO OF MERCY HOSPITAL TIFFIN, IS DETERMINED BY MERCY HEALTH PARTNERS - NORTHERN REGION (MHP), A RELATED TAX-EXEMPT ORGANIZATION. MHP UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MR. THORNTON'S COMPENSATION.
Severance or change-of-control payment	Schedule J, Part I, Line 4a	SEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO LISTED INDIVIDUALS FOR SPECIFIED PERIODS. THE LISTED INDIVIDUALS EXECUTED RELEASES AND WAIVERS OF CLAIMS IN EXCHANGE FOR THE SEVERANCE BENEFITS. SALARY CONTINUATION AMOUNTS PROVIDED DURING THE YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: JOSEPH GLASS $36,550; STEVEN L. MICKUS $15,000; H. TERRENCE SMITH $201,456.
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: DALE THORNTON $29,335; GARY GEORGE $0; JOSEPH GLASS $0; IMRAN ANDRABI, MD $0; BARRY HUDGIN $0; CAROL WHITTAKER $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; STEVEN L. MICKUS $234,135; BRIAN SMITH $78,749; 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 (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
New program services	Form 990, Part III, Line 2	A CATH LAB WAS ADDED TO THE MERCY TIFFIN HOSPITAL. THE LOW RISK CARDIAC CATHETERIZATION LAB PROVIDES CARDIAC CATH PROCEDURES TO LOW RISK PATIENTS WITHIN THE COMMUNITY, ENHANCING ACCESSIBILITY TO AN IMPORTANT CARDIAC DIAGNOSTIC SERVICE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THOSE SERVICES.
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.
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	MERCY HEALTH PARTNERS NORTHERN REGION IS THE MEMBER OF MERCY HOSPITAL OF TIFFIN, OHIO.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	CATHOLIC HEALTH PARTNERS (CHP) APPROVES MEMBERS THAT ARE APPOINTED TO THE BOARD OF TRUSTEES. ALL 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 GOVERNING BODY AND BOARD FOR REVIEW, THEN 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	ANNUALLY, ALL BOARD MEMBERS COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT. THIS IS REVIEWED BY THE REGIONAL AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE. TO REINFORCE THE CONFLICT OF INTEREST POLICY, AT EACH BOARD MEETING THE CHAIRMAN MAKES A STATEMENT AND ASKS EVERYONE WHO MAY HAVE A CONFLICT OF INTEREST FOR ANY ITEM TO EXCUSE THEMSELVES.
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 PARTNER'S WEBSITE.
Other Expenses	Form 990, Part IX, Line 11g	MEDICAL PROFESSIONAL FEES - TOTAL EXPENSE: 1640726, PROGRAM SERVICE EXPENSE: 1640726, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; MAINTENANCE AGREEMENTS - TOTAL EXPENSE: 1486824, PROGRAM SERVICE EXPENSE: 1189459, MANAGEMENT AND GENERAL EXPENSES: 297365, FUNDRAISING EXPENSES: ; PURCHASED SERVICES - TOTAL EXPENSE: 3578772, PROGRAM SERVICE EXPENSE: 2863018, MANAGEMENT AND GENERAL EXPENSES: 715754, FUNDRAISING EXPENSES: ; ASSESSMENTS - TOTAL EXPENSE: 5473348, PROGRAM SERVICE EXPENSE: 4378678, MANAGEMENT AND GENERAL EXPENSES: 1094670, FUNDRAISING EXPENSES: ;
Other changes in net assets or fund balances	Form 990 , Part XI, Line 9	PENSION ADJ CHANGE IN PLAN - -2844737; MEDICAL RETIREE - 62669; DISTRIBUTIONS TO PARTNERS - -130630; CAREPATH EQUITY TRANSFER TO MHP - -4023210;

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	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
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	MERCY HOSPITAL OF TIFFIN OHIO	RELATED	12636	939640	false	false	0.51
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	true	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	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	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	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg