ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING (EIN 36-4504991)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-13
- IRS object ID
- 201343179349303904
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-13T15:00:11-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364504991 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ALLE | NameControl |
| Phone | 4407767025 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 West Lorain Street | AddressLine1 |
| City | Oberlin | City |
| State | OH | State |
| ZIP Code | 44074 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT TONKINSON JR | Name |
| Title | CFO | Title |
| Date Signed | 2013-11-07 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUSAN BOWERS CEO AMC | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 WEST LORAIN ST | AddressLine1 |
| City | OBERLIN | City |
| State | OH | State |
| ZIP Code | 44074 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 272724 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2002 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING OPERATES AND RENTS OFFICE AND TREATMENT SPACE TO ALLEN MEDICAL CENTER (AMC), AN AFFILIATED NOT-FOR PROFIT IRC SECTION 501(C)(3) HOSPITAL, TO PHYSICIANS ON THE MEDICAL STAFF OF AMC, AND TO OTHER HEALTH ORGANIZATIONS, THEREBY HELPING TO PROVIDE ACCESS TO HEALTHCARE SERVICES TO THE CITIZENS OF CENTRAL LORAIN COUNTY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5 | TotalNbrEmployees |
| Total Nbr Volunteers | 21 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 270930 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 272724 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 270930 | TotalRevenuePriorYear |
| Total Revenue Current Year | 272724 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 63274 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 63043 | 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 | 322832 | OtherExpensePriorYear |
| Other Expenses Current Year | 289834 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 386106 | TotalExpensesPriorYear |
| Total Expenses Current Year | 352877 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -115176 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -80153 | RevenuesLessExpensesCY |
| Total Assets BOY | 1596342 | TotalAssetsBOY |
| Total Assets EOY | 1459541 | TotalAssetsEOY |
| Total Liabilities BOY | 1213349 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1156701 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 382993 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 302840 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDING RENTAL OF OFFICE SPACE TO PHYSICIANS, HEALTH CARE ORGANIZATIONS AND TO ALLEN MEDICAL CENTER (ALLEN), AN AFFILIATED 501(C)(3) ORGANIZATION. THE RENTAL OF OFFICE SPACE ASSISTS ALLEN IN PROVIDING IMPROVED MEDICAL AND SURGICAL CARE TO THE COMMUNITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 342354 | Expense |
| Grants | 0 | Grants |
| Revenue | 272724 | Revenue |
| Description | ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING OPERATES AND RENTS OFFICE AND TREATMENT SPACE TO ALLEN MEDICAL CENTER (AMC), AN AFFILIATED NOT-FOR-PROFIT IRC SECTION 501(C)(3) HOSPITAL, TO PHYSICIANS ON THE MEDICAL STAFF OF AMC, AND TO OTHER HEALTH ORGANIZATIONS, THEREBY HELPING TO PROVIDE ACCESS TO HEALTHCARE SERVICES TO THE CITIZENS OF CENTRAL LORAIN COUNTY. | Description |
| Total Program Service Expense | 342354 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 5 | 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 |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | 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 |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAMES HEIKKINEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4409604388 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3700 KOLBE ROAD | AddressLine1 |
| City | LORAIN | City |
| State | OH | State |
| ZIP Code | 44053 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 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 |
|---|---|---|---|---|---|---|---|
| CATHY E DIETLIN PHD | |||||||
| SECRETARY | 0.50 | 6.00 | X | X | 0 | 0 | 0 |
| DOUGLAS B WILBER | |||||||
| CHAIRMAN | 0.50 | 7.50 | X | X | 0 | 0 | 0 |
| EDWIN OLEY | |||||||
| BOARD MEMBER, PRESIDENT - COMMUNITY RMC | 1.00 | 49.00 | X | X | 0 | 371493 | 356084 |
| MARCIA MILLER | |||||||
| VICE CHAIRMAN/TREASURER | 0.50 | 6.00 | X | X | 0 | 0 | 0 |
| RANDALL FORTIN | |||||||
| VICE CHAIRMAN | 0.50 | 6.00 | X | X | 0 | 0 | 0 |
| SR JANE PANK HM | |||||||
| SECRETARY | 0.50 | 4.50 | X | X | 0 | 0 | 0 |
| SUSAN BOWERS | |||||||
| BOARD MEMBER, PRESIDENT - AMC | 1.00 | 48.00 | X | X | 0 | 203450 | 30486 |
| ALEXANDER F ZOLLI MD | |||||||
| BOARD MEMBER | 0.50 | 4.50 | X | 0 | 100841 | 0 | |
| ANGELA WU | |||||||
| BOARD MEMBER | 0.50 | 5.25 | X | 0 | 0 | 0 | |
| BRIAN SMITH | |||||||
| BOARD MEMBER, CHP EVP NETWORKS | 0.50 | 48.00 | X | 0 | 512193 | 186636 | |
| GAIL STUMPHAUZER | |||||||
| BOARD MEMBER | 0.50 | 4.50 | X | 0 | 0 | 0 | |
| GEORGIA NEWMAN MD | |||||||
| BOARD MEMBER | 0.50 | 5.25 | X | 0 | 0 | 0 | |
| JEANNE COUGHLIN | |||||||
| BOARD MEMBER | 0.50 | 5.25 | X | 0 | 0 | 0 | |
| JOHN M STARCHER JR | |||||||
| BOARD MEMBER, CHP SVP & DIVISIONAL CEO | 0.50 | 58.80 | X | 0 | 875292 | 26045 | |
| MARIO M SERTICH MD | |||||||
| BOARD MEMBER | 0.50 | 5.25 | X | 0 | 0 | 0 | |
| MAUD W DE LA PORTE | |||||||
| BOARD MEMBER | 0.50 | 4.50 | X | 0 | 0 | 0 | |
| REV BRIAN D BURKE | |||||||
| BOARD MEMBER | 0.50 | 4.50 | X | 0 | 0 | 0 | |
| ROD BRAYE | |||||||
| BOARD MEMBER | 0.50 | 5.25 | X | 0 | 0 | 0 | |
| RONALD RYBARCZYK | |||||||
| BOARD MEMBER | 0.50 | 4.50 | X | 0 | 0 | 0 | |
| SANDRA L HODGE | |||||||
| BOARD MEMBER | 0.50 | 4.50 | X | 0 | 0 | 0 | |
| SR CAROL ANNE SMITH | |||||||
| BOARD MEMBER | 0.50 | 4.50 | X | 0 | 0 | 0 | |
| SR DOROTHY THUM RSM | |||||||
| BOARD MEMBER | 0.50 | 5.50 | X | 0 | 0 | 0 | |
| SR MARIE RUEGG HM | |||||||
| BOARD MEMBER | 0.50 | 5.25 | X | 0 | 0 | 0 | |
| STEPHANIE MERCADO | |||||||
| BOARD MEMBER | 0.50 | 4.50 | X | 0 | 0 | 0 | |
| STEVEN L MICKUS | |||||||
| BOARD MEMBER, CHP COO & PRES OF HEALTHCARE OPERATIONS | 0.50 | 55.90 | X | 0 | 1456282 | 181182 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3519551 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 780433 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RENTAL INCOME FROM AFFILIATES | 531120 | 272724 | 272724 |
| 0 | |||
| 0 | |||
| 0 | |||
| 0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 272724 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| Total Revenue ColumnTotalRevenueColumn |
|---|
| 0 |
| 0 |
| 0 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 272724 | TotalRevenueColumn |
| Related Or Exempt Function Income | 272724 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63043 | Total |
| Program Services | 56739 | ProgramServices |
| Management And General | 6304 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51959 | Total |
| Program Services | 47740 | ProgramServices |
| Management And General | 4219 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 141731 | Total |
| Program Services | 141731 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 7684 | Total |
| Program Services | 7684 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88460 | Total |
| Program Services | 88460 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 352877 | Total |
| Program Services | 342354 | ProgramServices |
| Management And General | 10523 | 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 | 7468 | BOY |
| EOY | -39643 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2001 | BOY |
| EOY | 770 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3091403 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1592989 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1586873 | BOY |
| EOY | 1498414 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1596342 | BOY |
| EOY | 1459541 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 380945 | BOY |
| EOY | 463977 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 832404 | BOY |
| EOY | 692724 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1213349 | BOY |
| EOY | 1156701 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 382993 | BOY |
| EOY | 302840 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 382993 | BOY |
| EOY | 302840 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1596342 | BOY |
| EOY | 1459541 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -80153 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLEN MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 340864230 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | true | ListedInGoverningDoc |
| Supported Organization Notified | true | SupportedOrganizationNotified |
| Organized In US | true | OrganizedInUS |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 208650 | OtherCostOrOtherBasis |
| Book Value | 208650 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2388698 | OtherCostOrOtherBasis |
| Depreciation | 1105872 | Depreciation |
| Book Value | 1282826 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 494055 | OtherCostOrOtherBasis |
| Depreciation | 487117 | Depreciation |
| Book Value | 6938 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1498414 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
| Total Of Amounts | 0 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 (ASC 740) footnote | Identifier |
| Return Reference | Schedule D, Part X, Line 2 | ReturnReference |
| Explanation | THE COMPANY [CATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES] COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2012 AND 2011, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2012 OR 2011. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN SMITH | ||||||||||||||
| BOARD MEMBER, CHP EVP NETWORKS | 0 | 413415 | 0 | 0 | 0 | 98778 | 0 | 151298 | 0 | 35338 | 0 | 698829 | 0 | 0 |
| EDWIN OLEY | ||||||||||||||
| BOARD MEMBER, PRESIDENT - COMMUNITY RMC | 0 | 355254 | 0 | 0 | 0 | 16239 | 0 | 339846 | 0 | 16238 | 0 | 727577 | 0 | 0 |
| JOHN M STARCHER JR | ||||||||||||||
| BOARD MEMBER, CHP SVP & DIVISIONAL CEO | 0 | 190253 | 0 | 275000 | 0 | 410039 | 0 | 18301 | 0 | 7744 | 0 | 901337 | 0 | 0 |
| STEVEN L MICKUS | ||||||||||||||
| BOARD MEMBER, CHP COO & PRES OF HEALTHCARE OPERATIONS | 0 | 827750 | 0 | 346416 | 0 | 282116 | 0 | 149330 | 0 | 31852 | 0 | 1637464 | 0 | 0 |
| SUSAN BOWERS | ||||||||||||||
| BOARD MEMBER, PRESIDENT - AMC | 0 | 193035 | 0 | 0 | 0 | 10415 | 0 | 22305 | 0 | 8181 | 0 | 233936 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Arrangement used to establish the top management official's compensation | Schedule J, Part I, Line 3 | THE COMPENSATION OF EDWIN M. OLEY, PRESIDENT, IS DETERMINED BY COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM (CHPRHS), A RELATED TAX-EXEMPT ORGANIZATION. CHPRHS UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH MR. OLEY'S COMPENSATION. |
| Severance or change-of-control payment | Schedule J, Part I, Line 4a | SEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO LISTED INDIVIDUALS FOR SPECIFIED PERIODS. THE LISTED INDIVIDUALS EXECUTED RELEASES AND WAIVERS OF CLAIMS IN EXCHANGE FOR THE SEVERANCE BENEFITS. SALARY CONTINUATION AMOUNTS PROVIDED DURING THE REPORTING YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: STEVEN L. MICKUS $15,000. |
| Supplemental nonqualified retirement plan | Schedule J, Part I, Line 4b | THE CHP REGIONAL HEALTH SYSTEM NONQUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN IS AN EXECUTIVE RETENTION PLAN FOR CERTAIN HIGHLY COMPENSATED INDIVIDUALS, AS DETERMINED BY THE BOARD OF TRUSTEES' EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE. THE PLAN PURPOSE IS TO PROVIDE A BENEFIT TO REPLACE THE BENEFIT THESE PARTICIPANTS WOULD HAVE RECEIVED UNDER THE APPLICABLE QUALIFIED PLAN PRIOR TO ITS AMENDMENT TO COMPLY WITH THE OMNIBUS BUDGET RECONCILIATION ACT OF 1993. IT PROVIDES A DEFERRED COMPENSATION BENEFIT OF 3% TO 5% OF ANNUAL BASE SALARY. PARTICIPANTS VEST AND RECEIVE PLAN BENEFITS ONCE TWO CONDITIONS ARE SATISFIED: (1) MEET THE VESTING REQUIREMENTS OF THE APPLICABLE QUALIFIED PLAN, AND (2) COMPLETE A 24-MONTH POST-EMPLOYMENT NON-COMPETE REQUIREMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED PARTICIPATING INDIVIDUALS IN THE REPORTING YEAR ARE AS FOLLOWS: EDWIN M. OLEY $0; SUSAN BOWERS $0. |
| 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: STEVEN L. MICKUS $234,135; JOHN STARCHER, JR. $21,395; BRIAN SMITH $78,749. |
| THE CHP RETENTION PLAN | SCHEDULE J, PART I, LINE 4B | THE CATHOLIC HEALTH PARTNERS (CHP) 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: STEVEN L. MICKUS $0; JOHN STARCHER, JR. $383,081. |
| TERMS AND CONDITIONS OF THE SRMC SERP | 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. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | ALLEN MEDICAL CENTER IS THE MEMBER OF ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | CATHOLIC HEALTH PARTNERS APPROVES MEMBERS THAT ARE APPOINTED TO THE BOARD OF TRUSTEES. |
| 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 THE CHP TAX DEPARTMENT AND REVIEWED BY MANAGEMENT. UPON REVIEW, THE FORM 990 IS THEN FORWARDED TO THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE FOR APPROVAL. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION RELATED DISCLOSURES. BOTH THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE AND THE COMPENSATION COMMITTEE ARE INDEPENDENT OF THE FILING ORGANIZATION. ONCE THE FORM 990 IS REVIEWED AND APPROVED 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 | ALL BOARD MEMBERS ARE COVERED BY THE CATHOLIC HEALTH PARTNERS (CHP) CONFLICT OF INTEREST POLICY WHICH REQUIRES DISCLOSURE ON AN ANNUAL BASIS. ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY CHP CORPORATE COMPLIANCE OFFICER. AT THE BEGINNING OF EACH BOARD MEETING ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. BOARD MEMBERS DETERMINED TO HAVE A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISION-MAKING FOR THE TRANSACTION IN WHICH THE CONFLICT EXISTS. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | THE SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE. |
| Other Expenses | Form 990, Part IX, Line 11g | MAINTENANCE SERVICE CONTRACTS - TOTAL EXPENSE: 1350, PROGRAM SERVICE EXPENSE: 1215, MANAGEMENT AND GENERAL EXPENSES: 135, FUNDRAISING EXPENSES: ; REPAIRS - TOTAL EXPENSE: 9771, PROGRAM SERVICE EXPENSE: 9771, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; SUPPLIES - TOTAL EXPENSE: 8809, PROGRAM SERVICE EXPENSE: 7928, MANAGEMENT AND GENERAL EXPENSES: 881, FUNDRAISING EXPENSES: ; PURCHASED SERVICES - TOTAL EXPENSE: 30584, PROGRAM SERVICE EXPENSE: 27526, MANAGEMENT AND GENERAL EXPENSES: 3058, FUNDRAISING EXPENSES: ; OTHER - TOTAL EXPENSE: 1445, PROGRAM SERVICE EXPENSE: 1300, MANAGEMENT AND GENERAL EXPENSES: 145, FUNDRAISING EXPENSES: ; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (82 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| CATHOLIC HEALTH PARTNERS | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | HEALTHCARE SYSTEM PARENT | OH | 501(C)(3) | 11 - Type III - FI | NA | false |
| CATHOLIC HEALTH PARTNERS FOUNDATION | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | FUNDRAISING | OH | 501(C)(3) | 7 | CATHOLIC HEALTH PARTNERS | false |
| CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | HUD PARENT | OH | 501(C)(3) | 9 | CATHOLIC HEALTH PARTNERS | false |
| CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | RETIREMENT TRUST | OH | 501(C)(3) | 8 | CATHOLIC HEALTH PARTNERS | false |
| COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | REGIONAL PARENT | OH | 501(C)(3) | 11 - Type II | CATHOLIC HEALTH PARTNERS | false |
| COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM | false |
| ALLEN MEDICAL CENTER | |||||||||
| 200 WEST LORAIN ST | OBERLIN | OH | 44074 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM | false |
| COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER | false |
| COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | MEDICAL OFFICE RENTAL | OH | 501(C)(3) | 9 | COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER | false |
| ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING | |||||||||
| 200 WEST LORAIN ST | OBERLIN | OH | 44074 | MEDICAL OFFICE RENTAL | OH | 501(C)(3) | 11 - Type II | ALLEN MEDICAL CENTER | false |
| MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | |||||||||
| 4600 MCAULEY PLACE | CINCINNATI | OH | 45242 | REGIONAL PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION | |||||||||
| 4600 MCAULEY PLACE | CINCINNATI | OH | 45242 | FOUNDATION | OH | 501(C)(3) | 7 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY HOSPITALS WEST | |||||||||
| 2446 KIPLING AVENUE | CINCINNATI | OH | 45239 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY HOSPITAL ANDERSON | |||||||||
| 7500 STATE ROAD | CINCINNATI | OH | 45255 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| THE SISTERS OF MERCY OF HAMILTON OHIO | |||||||||
| 3000 MACK ROAD | FAIRFIELD | OH | 45014 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO | |||||||||
| 3000 HOSPITAL DRIVE | BATAVIA | OH | 45103 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC | |||||||||
| 7010 ROWAN HILLS DR | CINCINNATI | OH | 45227 | RETIREMENT HOME | OH | 501(C)(3) | 9 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY SACRED HEART INC | |||||||||
| 2120 PAYNE STREET | LOUISVILLE | KY | 40206 | RETIREMENT HOME | KY | 501(C)(3) | 9 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY LONG TERM CARE INITIATIVE | |||||||||
| 4915 CHARLESTOWN RD | NEW ALBANY | IN | 47150 | RETIREMENT HOME | IN | 501(C)(3) | 9 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY FRANCISCAN SOCIAL MINISTRIES INC | |||||||||
| 1800 LOGAN STREET | CINCINNATI | OH | 45210 | LOW INCOME HOUSING | OH | 501(C)(3) | 7 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| MERCY FRANCISCAN AT ST RAPHAEL INC | |||||||||
| 610 HIGH STREET | HAMILTON | OH | 45011 | SERVICES TO THE POOR | OH | 501(C)(3) | 7 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | false |
| COMMUNITY MERCY HEALTH SYSTEM | |||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | REGIONAL PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| COMMUNITY MERCY HEALTH PARTNERS | |||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY MERCY HEALTH SYSTEM | false |
| THE COMMUNITY MERCY FOUNDATION | |||||||||
| 1343 N FOUNTAIN BLVD | SPRINGFIELD | OH | 45504 | FOUNDATION | OH | 501(C)(3) | 7 | COMMUNITY MERCY HEALTH SYSTEM | false |
| C H HEALTH SERVICES COMPANY | |||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY MERCY HEALTH SYSTEM | false |
| CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE | |||||||||
| 1150 E HOME ROAD | SPRINGFIELD | OH | 45503 | MEDICAL INFORMATION EXCHANGE | OH | 501(C)(3) | 9 | COMMUNITY MERCY HEALTH SYSTEM | false |
| THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST | |||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | INDIGENT MEDICAL CARE | OH | 501(C)(3) | 11 - Type I | NA | false |
| MERCY HEALTH SYSTEM - NORTHERN REGION | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | REGIONAL PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| MERCY PROPERTY HOLDINGS | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | TITLE HOLDING COMPANY | OH | 501(C)(2) | N/A | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| ST CHARLES MERCY HOSPITAL OF OREGON OHIO | |||||||||
| 2600 NAVARRE AVENUE | OREGON | OH | 43616 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| ST CHARLES MERCY HEALTH FOUNDATION | |||||||||
| 2600 NAVARRE AVENUE | OREGON | OH | 43616 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | ST CHARLES MERCY HOSPITAL OF OREGON OHIO | false |
| RIVERSIDE MERCY HOSPITAL | |||||||||
| 3404 W SYLVANIA AVE | TOLEDO | OH | 43623 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY HOME CARE INC | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | HOME HEALTHCARE | OH | 501(C)(3) | 9 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY COLLEGE OF OHIO | |||||||||
| 2221 MADISON AVENUE | TOLEDO | OH | 43604 | MEDICAL COLLEGE | OH | 501(C)(3) | 2 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY COLLEGE OF OHIO FOUNDATION INC | |||||||||
| 2221 MADISON AVENUE | TOLEDO | OH | 43604 | FOUNDATION | OH | 501(C)(3) | 11 - Type I | MERCY COLLEGE OF OHIO | false |
| MERCY HOSPITAL OF TIFFIN OHIO | |||||||||
| 45 ST LAWRENCE DRIVE | TIFFIN | OH | 44883 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY TIFFIN HEALTH FOUNDATION | |||||||||
| 45 ST LAWRENCE DRIVE | TIFFIN | OH | 44883 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | MERCY HOSPITAL OF TIFFIN OHIO | false |
| THE SISTERS OF MERCY OF WILLARD OHIO | |||||||||
| 110 EAST HOWARD ST | WILLARD | OH | 44890 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| MERCY HOSPITAL OF WILLARD FOUNDATION | |||||||||
| 110 EAST HOWARD ST | WILLARD | OH | 44890 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | THE SISTERS OF MERCY OF WILLARD OHIO | false |
| ST VINCENT MERCY MEDICAL CENTER | |||||||||
| 2213 CHERRY STREET | TOLEDO | OH | 43608 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| ST VINCENT MERCY MEDICAL CENTER FOUNDATION | |||||||||
| 2213 CHERRY STREET | TOLEDO | OH | 43608 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | ST VINCENT MERCY MEDICAL CENTER | false |
| LIFESTAR AMBULANCE INC | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | MEDICAL TRANSPORTATION | OH | 501(C)(3) | 11 - Type II | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| RSM MEDICAL FOUNDATION | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43624 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| ST MARGUERITE D'YOUVILLE FOUNDATION II | |||||||||
| 2213 CHERRY STREET | TOLEDO | OH | 43608 | FOUNDATION | OH | 501(C)(3) | 11 - Type II | CATHOLIC HEALTH PARTNERS | false |
| SIMON OUTREACH SERVICES | |||||||||
| 2600 NAVARRE AVENUE | OREGON | OH | 43616 | MEDICAL OFFICE RENTAL | OH | 501(C)(3) | 11 - Type II | ST CHARLES MERCY HOSPITAL OF OREGON OHIO | false |
| FARLEY HEALTHCARE CORPORATION | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | HEALTH SERVICES | OH | 501(C)(3) | 9 | MERCY HEALTH SYSTEM - NORTHERN REGION | false |
| ST RITA'S MEDICAL CENTER | |||||||||
| 730 W MARKET STREET | LIMA | OH | 45801 | HOSPITAL | OH | 501(C)(3) | 3 | CATHOLIC HEALTH PARTNERS | false |
| SRHC FOUNDATION | |||||||||
| 730 W MARKET STREET | LIMA | OH | 45801 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | ST RITA'S MEDICAL CENTER | false |
| NEW VISION MEDICAL LABORATORIES INC | |||||||||
| 750 W HIGH ST STE 400 | LIMA | OH | 45801 | MEDICAL LAB SERVICES | OH | 501(C)(3) | 11 - Type III - FI | ST RITA'S MEDICAL CENTER | false |
| HUMILITY OF MARY HEALTH PARTNERS | |||||||||
| 1044 BELMONT AVENUE | YOUNGSTOWN | OH | 44501 | HOSPITAL | OH | 501(C)(3) | 3 | CATHOLIC HEALTH PARTNERS | false |
| THE ASSUMPTION VILLAGE | |||||||||
| 9800 N MARKET STREET | NORTH LIMA | OH | 44452 | NURSING HOME | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| HOSPICE OF THE VALLEY | |||||||||
| 5190 MARKET STREET | YOUNGSTOWN | OH | 44512 | HOSPICE SERVICES | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| HUMILITY OF MARY DEVELOPMENT FOUNDATION | |||||||||
| 1044 BELMONT AVENUE | YOUNGSTOWN | OH | 44501 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | HUMILITY OF MARY HEALTH PARTNERS | false |
| HUMILITY HOUSE | |||||||||
| 755 OHLTOWN ROAD | AUSTINTOWN | OH | 44515 | NURSING HOME | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| LAUREL LAKE RETIREMENT COMMUNITY INC | |||||||||
| 200 LAUREL LAKE DRIVE | HUDSON | OH | 44236 | NURSING HOME | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| LAUREL LAKE RETIREMENT COMMUNITY FOUNDATION INC | |||||||||
| 200 LAUREL LAKE DRIVE | HUDSON | OH | 44236 | FOUNDATION | OH | 501(C)(3) | 7 | LAUREL LAKE RETIREMENT COMMUNITY INC | false |
| ST JOSEPH HEALTH CENTER AUXILIARY | |||||||||
| 677 EASTLAND SE | WARREN | OH | 44484 | FUNDRAISING | OH | 501(C)(3) | 9 | HUMILITY OF MARY HEALTH PARTNERS | false |
| MERCY HEALTH PARTNERS - LOURDES INC | |||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | HOSPITAL | KY | 501(C)(3) | 3 | CATHOLIC HEALTH PARTNERS | false |
| LOURDES FOUNDATION INC | |||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | FOUNDATION | KY | 501(C)(3) | 7 | MERCY HEALTH PARTNERS - LOURDES INC | false |
| LOURDES HOSPITAL AUXILIARY GIFT SHOP | |||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | FUNDRAISING | KY | 501(C)(3) | 11 - Type III - FI | LOURDES FOUNDATION INC | false |
| MARCUM AND WALLACE MEMORIAL HOSPITAL INC | |||||||||
| 60 MERCY COURT | IRVINE | KY | 40336 | HOSPITAL | KY | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - LOURDES INC | false |
| MARCUM AND WALLACE HOSPITAL FOUNDATION INC | |||||||||
| 60 MERCY COURT | IRVINE | KY | 40336 | FOUNDATION | KY | 501(C)(3) | 11 - Type III - FI | MARCUM AND WALLACE MEMORIAL HOSPITAL INC | false |
| MERCY HEALTH PARTNERS INC | |||||||||
| 900 EAST OAK HILL AVE | KNOXVILLE | TN | 37917 | REGIONAL PARENT | TN | 501(C)(3) | 11 - Type I | CATHOLIC HEALTH PARTNERS | false |
| MERCY HEALTH SYSTEM INC | |||||||||
| 900 EAST OAK HILL AVE | KNOXVILLE | TN | 37917 | HOSPITAL | TN | 501(C)(3) | 3 | MERCY HEALTH PARTNERS INC | false |
| ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY INC | |||||||||
| 923 EAST CENTRAL AVE | LAFOLLETTE | TN | 37766 | HOSPITAL | TN | 501(C)(3) | 3 | MERCY HEALTH PARTNERS INC | false |
| MERCY HEALTH PARTNERS FOUNDATION INC | |||||||||
| 900 EAST OAK HILL AVE | KNOXVILLE | TN | 37917 | FOUNDATION | TN | 501(C)(3) | 7 | MERCY HEALTH PARTNERS INC | false |
| JEFFERSON MEMORIAL HOSPITAL INC | |||||||||
| 110 HOSPITAL DRIVE | JEFFERSON CITY | TN | 37760 | HOSPITAL | TN | 501(C)(3) | 3 | MERCY HEALTH PARTNERS INC | false |
| JEFFERSON MEMORIAL FOUNDATION INC | |||||||||
| 110 HOSPITAL DRIVE | JEFFERSON CITY | TN | 37760 | FOUNDATION | TN | 501(C)(3) | 11 - Type III - FI | JEFFERSON MEMORIAL HOSPITAL INC | false |
| ST MARY'S MEDICAL CENTER OF SCOTT COUNTY INC | |||||||||
| 18797 ALBERTA STREET | ONEIDA | TN | 37841 | HOSPITAL | TN | 501(C)(3) | 3 | MERCY HEALTH PARTNERS INC | false |
| BAPTIST HOSPITAL OF EAST TENNESSEE INC | |||||||||
| 137 BLOUNT AVE | KNOXVILLE | TN | 37920 | HOSPITAL | TN | 501(C)(3) | 3 | MERCY HEALTH PARTNERS INC | false |
| BAPTIST HOSPITAL OF COCKE COUNTY INC | |||||||||
| 435 SECOND STREET | NEWPORT | TN | 37821 | HOSPITAL | TN | 501(C)(3) | 3 | MERCY HEALTH PARTNERS INC | false |
| MERCY HEALTH PARTNERS - NORTHEAST REGION INC | |||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | REGIONAL PARENT | PA | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS | false |
| MERCY HEALTHCARE FOUNDATION | |||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | FOUNDATION | PA | 501(C)(3) | 11 - Type III - FI | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY HOSPITAL SCRANTON PA | |||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY COMMUNITY CARE CORPORATION | |||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | MEDICAL CARE | PA | 501(C)(3) | 9 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY MED-CARE INC | |||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY HOSPITAL NANTICOKE | |||||||||
| 128 W WASHINGTON ST | NANTICOKE | PA | 18634 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY HOSPITAL OF WILKES-BARRE | |||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY HEALTH CARE CENTER | |||||||||
| 746 JEFFERSON AVENUE | SCRANTON | PA | 18510 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY TYLER HEALTH SYSTEMS | |||||||||
| 880 SR 6W | TUNKHANNOCK | PA | 18657 | SUPPORTING ORG | PA | 501(C)(3) | 11 - Type II | MERCY HEALTH PARTNERS - NORTHEAST REGION INC | false |
| MERCY TYLER HOSPITAL | |||||||||
| 880 SR 6W | TUNKHANNOCK | PA | 18657 | HOSPITAL | PA | 501(C)(3) | 3 | MERCY TYLER HEALTH SYSTEMS | false |
| MERCY TYLER HOME HEALTH SERVICES | |||||||||
| 880 SR 6W | TUNKHANNOCK | PA | 18657 | IN-HOME MEDICAL CARE | PA | 501(C)(3) | 9 | MERCY TYLER HEALTH SYSTEMS | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (14 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType |
|---|---|---|---|---|---|---|---|---|
| NWO INTEGRATED LABORATORIES MERCY LLC | ||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43624 | 341898285 | LABORATORY SERVICES | OH | NA | N/A |
| TIFFIN AMBULATORY SURGICAL ASSOCIATES | ||||||||
| 45 ST LAWRENCE DRIVE | TIFFIN | OH | 44833 | 371567866 | AMBULATORY SURGERY CENTER | OH | NA | N/A |
| MERCY HOSPITAL OF DEFIANCE LLC | ||||||||
| 1404 E SECOND ST | DEFIANCE | OH | 43512 | 020701635 | HOSPITAL | OH | NA | N/A |
| WEST CENTRAL OHIO SURGERY & ENDO CENTER | ||||||||
| 770 W HIGH ST SUITE 100 | LIMA | OH | 45801 | 341868154 | AMBULATORY SURGERY CENTER | OH | NA | N/A |
| NEW VISION MEDICAL LAB LLC | ||||||||
| 750 W HIGH STREET | LIMA | OH | 45801 | 341913433 | LAB SERVICES | OH | NA | N/A |
| WEST CENTRAL OHIO GROUP LTD | ||||||||
| 801 MEDICAL DRIVE | LIMA | OH | 45804 | 341848147 | ORTHOPEDIC HOSPITAL | OH | NA | N/A |
| KIDNEY SERVICES OF WEST CENTRAL OHIO | ||||||||
| 750 W HIGH STREET SUITE 100 | LIMA | OH | 45801 | 061644264 | DIALYSIS CENTER | OH | NA | N/A |
| ST ELIZABETH CARDIAC CATH LAB LLC | ||||||||
| 1044 BELMONT AVE | YOUNGSTOWN | OH | 44501 | 300023795 | CARDIAC CATH LAB | OH | NA | N/A |
| ST ELIZABETH SOUTHWOODS IMAGING | ||||||||
| 250 DEBARTOLO PLACE BLDG B | YOUNGSTOWN | OH | 44512 | 261626482 | DIAGNOSTIC IMAGING | OH | NA | N/A |
| UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC | ||||||||
| 1044 BELMONT AVE | YOUNGSTOWN | OH | 44501 | 262989686 | RADIATION THERAPY | OH | NA | N/A |
| HMHPUSP SURGERY CENTERS LLC | ||||||||
| 15305 DALLAS PKWY STE 1600 | ADDISON | TX | 75001 | 271953122 | SURGERY CENTER | TX | NA | N/A |
| OSC-HMHP LLC | ||||||||
| 6505 MARKET ST BLDG B STE 101 | BOARDMAN | OH | 44512 | 010724836 | ORTHOPEDIC SURGERY CENTER | OH | NA | N/A |
| LOURDES AMBULATORY SURGERY CENTER | ||||||||
| 225 MEDICAL CENTER DRIVE | PADUCAH | KY | 42003 | 611258960 | SURGERY CENTER | KY | NA | N/A |
| EAST TENNESSEE DIAGNOSTIC CENTER LLC | ||||||||
| 1450 DOWELL SPRINGS BLVD SUITE 250 | KNOXVILLE | TN | 37909 | 204773300 | DIAGNOSTIC SERVICES | TN | NA | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (26 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|
| CHP INSURANCE LTD | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 980621978 | INSURANCE | CJ | NA | C CORPORATION | |
| SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 310990309 | WORKERS COMPENSATION TRUST | NA | TRUST | MA | |
| MHSWO HEALTH VENTURES INC | |||||||||
| 1 S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 311072139 | PHYSICIAN PRACTICES | NA | C CORPORATION | OH | |
| NORTHPARKE MEDICAL COMMONS CONDO ASSN | |||||||||
| 333 N LIMESTONE ST | SPRINGFIELD | OH | 45503 | 311391230 | REAL PROPERTY MGMNT | NA | C CORPORATION | OH | |
| MERCY HEALTH AFFILIATES INC | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341372633 | PHYSICIAN SERVICES | NA | C CORPORATION | OH | |
| PHYSICIAN'S HEALTH COLLABORATIVE | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 203986844 | MEDICAL & HOSPITAL SERVICES | NA | C CORPORATION | OH | |
| NORTHSIDE CORPORATION | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341318438 | RESIDENT RENTALS | NA | C CORPORATION | OH | |
| MERCY WORK SOLUTIONS | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 300066340 | WORKERS COMPENSATION | NA | C CORPORATION | OH | |
| MERCY HEALTH SYSTEM PHO | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341778321 | MEDICAL SERVICES | NA | C CORPORATION | OH | |
| PHYSICIAN MANAGED CARE INC | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341565320 | HEALTH SERVICES | NA | C CORPORATION | OH | |
| MCAULEY MANAGEMENT SERVICES INC | |||||||||
| 730 W MARKET STREET | LIMA | OH | 45801 | 341379037 | PROPERTY RENTAL | NA | C CORPORATION | OH | |
| LIMA MEDICAL SUPPLIES INC | |||||||||
| 730 W MARKET STREET | LIMA | OH | 45801 | 340944477 | MEDICAL EQUIPMENT | NA | C CORPORATION | OH | |
| COMMUNITY HEALTH PARTNERS ENTERPRISES INC | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 341455525 | HOLDING COMPANY | NA | C CORPORATION | OH | |
| COMMUNITY HEALTH PARTNERS PHYSICIANS INC | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 341803352 | PHYSICIAN PRACTICES | NA | C CORPORATION | OH | |
| AMC PHYSICIANS INC | |||||||||
| 200 W LORAIN STREET | OBERLIN | OH | 44074 | 371439554 | PHYSICIAN SERVICES | NA | C CORPORATION | OH | |
| MERCY HEALTH VENTURES INC | |||||||||
| 4600 MCAULEY PLACE | CINCINNATI | OH | 45242 | 311185477 | DIVERSIFIED ACTIVITIES | NA | C CORPORATION | OH | |
| MERCY FRANCISCAN MEDICAL MANAGEMENT SERVICES | |||||||||
| 4600 MCAULEY PLACE | CINCINNATI | OH | 45242 | 311640789 | DIVERSIFIED ACTIVITIES | NA | C CORPORATION | OH | |
| MERCY FRANCISCAN AT WINTON WOODS I INC | |||||||||
| 10290 MILL ROAD | CINCINNATI | OH | 45231 | 311658668 | LOW-INCOME HOUSING | NA | C CORPORATION | OH | |
| MERCY HEALTH MANAGEMENT INC | |||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | 611086762 | MEDICAL OFFICES | NA | C CORPORATION | KY | |
| HEALTH DYNAMICS INC | |||||||||
| 900 E OAK HILL AVENUE | KNOXVILLE | TN | 37917 | 621247729 | MEDICAL EQUIPMENT SALES | NA | C CORPORATION | TN | |
| HEALTH VENTURES INC & SUBSIDIARIES | |||||||||
| P O BOX 1788 | KNOXVILLE | TN | 37901 | 621175587 | MEDICAL SERVICES | NA | C CORPORATION | TN | |
| ANNE KILCAWLEY CHRISTMAN FOUNDATION | |||||||||
| 100 FEDERAL PLAZA EAST | YOUNGSTOWN | OH | 44503 | 356735706 | BENEFICIAL TRUST | NA | TRUST | OH | |
| RALPH EWE TRUST | |||||||||
| 270 PARK AVENUE | NEW YORK | NY | 10017 | 346866422 | BENEFICIAL TRUST | NA | TRUST | NY | |
| ELIZABETH HINES CATES TRUST | |||||||||
| PNC 1900 E 9TH ST | CLEVELAND | OH | 44114 | 346515678 | BENEFICIAL TRUST | NA | TRUST | OH | |
| WILLIS PARK TRUST | |||||||||
| PNC 1900 E 9TH ST | CLEVELAND | OH | 44114 | 346519904 | BENEFICIAL TRUST | NA | TRUST | OH | |
| ERMA GIBSON BALDWIN TRUST | |||||||||
| PNC 1900 E 9TH ST | CLEVELAND | OH | 44114 | 346515566 | BENEFICIAL TRUST | NA | TRUST | OH | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 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 | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |