MERCY HEALTH - TIFFIN HOSPITAL LLC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MERCY HEALTH - TIFFIN HOSPITAL LLC (EIN 34-4431174)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-11
IRS object ID: 201103159349301430
Schema version: 2010v3.2
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	2011-11-11T10:00:12-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	2010-01-01	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	TODD WARNER	Name
Title	REGIONAL CFO	Title
Date Signed	2011-11-02	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	5136218300	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	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	44833	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	58660006	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	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	679	TotalNbrEmployees
Total Nbr Volunteers	196	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	114439	ContributionsGrantsPriorYear
Contributions Grants Current Year	112447	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	52193275	ProgramServiceRevenuePriorYear
Program Service Revenue CY	55935932	ProgramServiceRevenueCY
Investment Income Prior Year	779109	InvestmentIncomePriorYear
Investment Income Current Year	2077183	InvestmentIncomeCurrentYear
Other Revenue Prior Year	361242	OtherRevenuePriorYear
Other Revenue Current Year	295267	OtherRevenueCurrentYear
Total Revenue Prior Year	53448065	TotalRevenuePriorYear
Total Revenue Current Year	58420829	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	22744974	SalariesEtcPriorYear
Salaries Etc Current Year	22076095	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	28285666	OtherExpensePriorYear
Other Expenses Current Year	32557316	OtherExpensesCurrentYear
Total Expenses Prior Year	51030640	TotalExpensesPriorYear
Total Expenses Current Year	54633411	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2417425	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	3787418	RevenuesLessExpensesCY
Total Assets BOY	114397786	TotalAssetsBOY
Total Assets EOY	116898676	TotalAssetsEOY
Total Liabilities BOY	53050918	TotalLiabilitiesBOY
Total Liabilities EOY	50244962	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	61346868	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	66653714	NetAssetsOrFundBalancesEOY
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 Change	false	SignificantChange
Expense	43806307	Expense
Revenue	55349454	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	678323	Expense
Revenue	318498	Revenue
Description	UROLOGY SERVICES: EMPLOYED PHYSICIAN OFFICE WHICH IS THE SOLE PROVIDER OF COMPREHENSIVE UROLOGY HEALTHCARE (OP, IP AND PROCEDURAL) TO THE ADULT POPULATION OF THE COMMUNITY, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THESE SERVICES. SERVED 2,438 PEOPLE.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	627718	Expense
Revenue	267980	Revenue
Description	CARDIOLOGY SERVICES: EMPLOYED PHYSICIAN OFFICE WHICH IS SOLE PROVIDER OF COMPREHENSIVE CARDIOLOGY HEALTHCARE (OP, IP AND PROCEDURAL) TO THE ADULT POPULATION OF THE COMMUNITY, REGARDLESS OF PATIENT'S ABILITY TO PAY FOR THOSE SERVICES. SERVED 3,556 PEOPLE.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	45112348	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	true	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	false	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	679	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	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	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	JULIE ALFORD	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4194557052	TelephoneNumber

Address US AddressUS

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)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Key EmployeeKeyEmployee	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
DAVID AROSE
INTERIM CIO	1	X	0	250369	29949
ANDREA PRICE
COO, MERCY HEALTH PARTNERS	1		0	513285	67883	X
JERRY BUPP
CHAIRMAN	1		0	0	0	X	X
SR MARY JO MCGOWAN
TRUSTEE	1		0	0	0	X
SR NOEL FREY RSM
TRUSTEE	1		0	0	0	X
WILLARD P HEDDLES
TRUSTEE	1		0	0	0	X
CHRIS ENGLISH
TREASURER	1		0	0	0	X	X
KRIS KLEPPER
VICE CHAIRMAN	1		0	0	0	X	X
JEANNINE CURNS
TRUSTEE	1		0	0	0	X
LEE MARTIN
SECRETARY	1		0	0	0	X	X
STEVEN L MICKUS
SVP, DIVISIONAL CEO, CHP COO	1		0	1473700	289519		X
DALE THORNTON
PRESIDENT & RURAL DIVISION CEO	1		0	481952	82055	X	X
TODD WARNER
CFO, NORTHERN REGION	1		0	245889	47441		X
GARY GEORGE
SVP HUMAN RESOURCES	1	X	0	328401	49863
AJITKUMAR DESAI MD
PHYSICIAN	55		430026	0	35466			X
ROBERT CECCHINO MD
PHYSICIAN	55		276616	0	26724			X
DAVID GARDNER
MANAGER, PHARMACY	55		129021	0	23851			X
JAMES BOSSE DO
TRUSTEE	1		3422	0	0	X
BRIAN SMITH
TRUSTEE	1		0	0	0	X
JOSEPH GLASS
REGIONAL VP, REVENUE CYCLE & MANAGED CARE	1	X	0	254767	44663
SUSAN HELLMANN
DIR. OF ORG. PLANNING, PHYS. DEV. & MED STAFF AFFAIRS	55		117963	0	17525			X
KAREN GILL
DIRECTOR OF QUALITY	55		107539	0	17045			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1064587	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3548363	TotalReportableCompFrmRltdOrgs
Total Other Compensation	731984	TotalOtherCompensation
Number Individuals GT100 K	10	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Federated Campaigns	27540	FederatedCampaigns
Related Organizations	59903	RelatedOrganizations
All Other Contributions	25004	AllOtherContributions
Total Contributions	112447	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REV	621990	55465601	55465601
JOINT VENTURE	900099	185854	185854
PHARMACY	621990	43393	43393
CLINICS	621990	148315	148315
RADIOLOGY	621990	2236	2236

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	90533	TotalRevenueColumn
Related Or Exempt Function Income	90533	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	55935932	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2316360	TotalRevenueColumn
Exclusion	$2,316,360	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	7173	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	7173	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	7173	TotalRevenueColumn
Related Or Exempt Function Income	7173	RelatedOrExemptFunctionIncome

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	239177	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	-239177	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-239177	TotalRevenueColumn
Exclusion	-$239,177	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	211651	$211,651
5% EMPLOYEE SALARY INCREASE PER CONTRACT W/TASA	900099	62247	$62,247
MEDICAL RECORD	561000	14196	$14,196

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	288094	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	58420829	TotalRevenueColumn
Related Or Exempt Function Income	55943105	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$2,365,277	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	3422	Total
Program Services	2814	ProgramServices
Management And General	608	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	17538025	Total
Program Services	14422922	ProgramServices
Management And General	3115103	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	575802	Total
Program Services	575802	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2747293	Total
Program Services	2736498	ProgramServices
Management And General	10795	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1211553	Total
Program Services	1188897	ProgramServices
Management And General	22656	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1392913	Total
Program Services	98261	ProgramServices
Management And General	1294652	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	138853	Total
Management And General	138853	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	829562	Total
Management And General	829562	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	8717703	Total
Program Services	7233900	ProgramServices
Management And General	1483803	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	220229	Total
Management And General	220229	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7629051	Total
Program Services	7168157	ProgramServices
Management And General	460894	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1174592	Total
Program Services	102162	ProgramServices
Management And General	1072430	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1514106	Total
Program Services	1337034	ProgramServices
Management And General	177072	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	298166	Total
Program Services	213882	ProgramServices
Management And General	84284	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	2433274	Total
Program Services	2433274	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	4545943	Total
Program Services	4545943	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	288929	Total
Program Services	288506	ProgramServices
Management And General	423	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
STATE & CORP ASSESSMENTS	1093526	539864	553662
DUES AND MEMBERSHIPS	122570	66533	56037
BAD DEBT EXPENSE	2157899	2157899

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	54633411	Total
Program Services	45112348	ProgramServices
Management And General	9521063	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	3149069	BOY
EOY	5761818	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	9162400	BOY
EOY	7738360	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	882333	BOY
EOY	823047	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1073761	BOY
EOY	432986	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	87812015	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	22733986	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	68429231	BOY
EOY	65078029	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	28659345	BOY
EOY	33842839	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3041647	BOY
EOY	3221597	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	114397786	BOY
EOY	116898676	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	5451397	BOY
EOY	3847486	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	80665	BOY
EOY	63400	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	47518856	BOY
EOY	46334076	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	53050918	BOY
EOY	50244962	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	61310849	BOY
EOY	66633510	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	36019	BOY
EOY	20204	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	61346868	BOY
EOY	66653714	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	114397786	BOY
EOY	116898676	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	3787418	ReconcilationRevenueExpenses
Reconcilation Other Changes	1519428	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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)
Total Exmpt Function Expenditures	0	TotalExmptFunctionExpenditures
Volunteers	true	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$1,039	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	1039	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Non Ded Lobby Political Total	0	NonDedLobbyPoliticalTotal

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING ACTIVITIES	Identifier
Return Reference	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

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	0	BeginningOfYearBalance
End Of Year Balance	0	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	193827	BeginningOfYearBalance
Contributions	-193827	Contributions
End Of Year Balance	0	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	300144	BeginningOfYearBalance
Contributions	-106317	Contributions
End Of Year Balance	193827	EndOfYearBalance

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2920320	OtherCostOrOtherBasis
Book Value	2920320	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	55908379	OtherCostOrOtherBasis
Depreciation	6339582	Depreciation
Book Value	49568797	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4047159	OtherCostOrOtherBasis
Depreciation	692224	Depreciation
Book Value	3354935	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	23989234	OtherCostOrOtherBasis
Depreciation	15523562	Depreciation
Book Value	8465672	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	946923	OtherCostOrOtherBasis
Depreciation	178618	Depreciation
Book Value	768305	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	65078029	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	33842839	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	33842839	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
PENSION-DEFINED CONTRIBUTION PLAN	$1,118,343
OTHER LONG TERM LIABAILITIES	$510,000
ACCOUNTS PAYABLE INTERCOMPANY	$585,453
LOAN PAYABLE TO CHP	$44,120,280

Field	Value	IRS element (for citing)
Total Of Amounts	46334076	TotalOfAmounts
Total Revenue	58420829	TotalRevenue
Total Expenses	54633411	TotalExpenses
Excess Or Deficit For Year	3787418	ExcessOrDeficitForYear
Net Unrealized GL On Investments	1037134	NetUnrealizedGLOnInvestments
Other	$498,109	OtherAmount
Total Adjustments	1535243	TotalAdjustments
Excess Or Deficit Per FS	5322661	ExcessOrDeficitPerFS
Other Revenues	0	OtherRevenues
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	0	RevenueSubtotal
Other Revenues Not Included	0	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	0	TotalRevenuePerForm990
Other Expenses Included	0	OtherExpensesIncluded
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	0	ExpensesSubtotal
Other Expenses Not Included	0	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	0	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Intended uses of endowment funds	Schedule D, Part V, Line 4	THE ENDOWMENT FUND WAS TRANSFERRED TO THE MERCY TIFFIN HEALTH FOUNDATION IN JANUARY, 2009.
FIN 48 (ASC 740) footnote	Schedule D, Part X, Line 2	THE COMPANY [CATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES] COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2010 AND 2009, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2010 OR 2009.

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	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	1802	PersonsServed
Total Community Benefit Expense	2148886	TotalCommunityBenefitExpense
Direct Offsetting Revenue	162730	DirectOffsettingRevenue
Net Community Benefit Expense	1986156	NetCommunityBenefitExpense
Percent Of Total Expense	0.03780	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	3868	PersonsServed
Total Community Benefit Expense	5701976	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3082658	DirectOffsettingRevenue
Net Community Benefit Expense	2619318	NetCommunityBenefitExpense
Percent Of Total Expense	0.04990	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
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	5670	PersonsServed
Total Community Benefit Expense	7850862	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3245388	DirectOffsettingRevenue
Net Community Benefit Expense	4605474	NetCommunityBenefitExpense
Percent Of Total Expense	0.08770	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	1107	PersonsServed
Total Community Benefit Expense	103266	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13251	DirectOffsettingRevenue
Net Community Benefit Expense	90015	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	273	PersonsServed
Total Community Benefit Expense	96826	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	96826	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	5881	PersonsServed
Total Community Benefit Expense	2930608	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1330133	DirectOffsettingRevenue
Net Community Benefit Expense	1600475	NetCommunityBenefitExpense
Percent Of Total Expense	0.03050	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
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	84	PersonsServed
Total Community Benefit Expense	24011	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	24011	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	7345	PersonsServed
Total Community Benefit Expense	3154711	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1343384	DirectOffsettingRevenue
Net Community Benefit Expense	1811327	NetCommunityBenefitExpense
Percent Of Total Expense	0.03450	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	13015	PersonsServed
Total Community Benefit Expense	11005573	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4588772	DirectOffsettingRevenue
Net Community Benefit Expense	6416801	NetCommunityBenefitExpense
Percent Of Total Expense	0.12220	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)
Total Community Building Expense	2543	TotalCommunityBuildingExpense
Net Community Building Expense	2543	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	4827	TotalCommunityBuildingExpense
Net Community Building Expense	4827	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	159903	TotalCommunityBuildingExpense
Net Community Building Expense	159903	NetCommunityBuildingExpense
Percent Of Total Expense	0.00290	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	0	PersonsServed
Total Community Building Expense	167273	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	167273	NetCommunityBuildingExpense
Percent Of Total Expense	0.00310	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$974,250	BadDebtExpenseAmount
Amount Attributable To	257323	AmountAttributableTo
Amount Reimbursed By Medicare	9658725	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	15893450	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-6234725	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

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
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 C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	10	NumberOfOtherFacilities

Other Facilities OtherFacilities (10 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 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

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Community benefit report prepared by related organization	Schedule H, Part I, Line 6a	MERCY HEALTH PARTNERS
Subsidized Health Services	Schedule H, Part I, Line 7g	$2,736,725 OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	2,157,899
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.
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 - financial statement footnote	Schedule H, Part III, Line 4	THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BAD DEBT IS CLASSIFIED AS AN OPERATING EXPENSE. THIS TREATMENT IS CONSISTENT WITH THE HFMA PRINCIPLES AND PRACTICES BOARD STATEMENT NO. 15 AND WITH THE AICPA AUDIT AND ACCOUNTING GUIDE FOR HEALTH CARE ORGANIZATIONS. AN AGGREGATE COST TO CHARGE RATIO WAS USED TO PROVIDE BAD DEBT AT COST FOR PART III, LINE 2. REMAINING BALANCES FOR PATIENTS THAT WE KNOW ARE ELIGIBLE FOR CHARITY CARE ARE WRITTEN OFF TO CHARITY CARE. PATIENTS WHO MIGHT BE ELIGIBLE FOR CHARITY CARE BUT ARE UNKNOWN TO US ARE WRITTEN OFF TO BAD DEBT AND THEREFORE NOT INCLUDED IN CHARITY CARE. THE ESTIMATED AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY REPORTED ON PART III, LINE 3 WAS DETERMINED AS FOLLOWS: REVIEWED DOLLAR AMOUNTS FOR TOTAL REFERRED FOR ASSISTANCE, APPROVED FOR ASSISTANCE AND APPLICATIONS DENIED BECAUSE OF INCOMPLETE INFORMATION; DEVELOPED THE PERCENTAGE OF APPROVED APPLICATIONS TO COMPLETED APPLICATIONS AND THEN APPLIED PERCENTAGE TO THOSE APPLICATIONS THAT WERE INCOMPLETE. THIS PROVIDED AN ESTIMATED AMOUNT OF THOSE APPLICATIONS THAT WERE INCOMPLETE THAT WOULD HAVE QUALIFIED FOR ASSISTANCE IF THE APPLICATION HAS BEEN COMPLETED. THE DOLLAR AMOUNT OF CHARITY CARE ACTUALLY WRITTEN OFF REPRESENTS THOSE THAT WERE APPROVED. TO CALCULATE THE FULL ESTIMATED AMOUNT OF CHARITY CARE, A CALCULATION WAS DONE TO DETERMINE WHAT 100% OF CHARITY WOULD BE FOR THE TOTAL OF THE APPROVED APPLICATIONS AND THE ESTIMATED AMOUNT FOR THOSE APPLICATIONS THAT WERE INCOMPLETE BUT WOULD HAVE BEEN APPROVED IF COMPLETED. THE DIFFERENCE BETWEEN THIS ESTIMATED TOTAL AMOUNT AND THE ACTUAL WRITE-OFF AMOUNT FOR CHARITY CARE WAS THEN APPLIED TO THE RATIO COST-OF-CHARGES USED FOR CHARITY CARE AT COST.
Community benefit & methodology for determining medicare costs	Schedule H, Part III, Line 8	MEDICARE SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. THE AMOUNTS ON PART III, LINE 6 WERE GENERATED BY THE MEDICARE COST REPORT WHICH UTILIZES A DEPARTMENT COST TO CHARGE METHODOLOGY.
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.
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 BEEN THE HEART OF OUR MISSION. IN 2010, HELP MANAGED 4,172 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 NATIC (.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 2010, MERCY TIFFIN HOSPITAL HAD 2,268 ADMISSIONS, 86,877 OUTPATIENT VISITS, AND 16,857 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, 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 2010 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $74.5 MILLION BENEFITS TO THE BROADER COMMUNITY: $20.5 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $15.5 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $21.9 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $16.7 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 9.1 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); THE MID-ATLANTIC COMMUNITY, MERION STATION, PA; 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, KENTUCKY, PENNSYLVANIA AND TENNESSEE. CHP IS FOCUSED ON IMPROVING THE HEALTH OF COMMUNITIES WE SERVE BY PROVIDING INTEGRATED HEALTH SERVICES THROUGH FACILITIES THAT INCLUDE ACUTE CARE HOSPITALS, LONG-TERM CARE RESIDENCES, HOUSING SITES FOR THE ELDERLY, HOME HEALTH AGENCIES, HOSPICE PROGRAMS, OUTREACH SERVICES AND WELLNESS CENTERS. OUR HOSPITALS INCLUDE FOUR 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 2010 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $365.1 MILLION BENEFITS TO THE BROADER COMMUNITY $77.1 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID $131.7 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY $123.2 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR $33.1 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 8.5 PERCENT

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	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 (10 entries)

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
DAVID AROSE
0	216222	0	33001	0	1146	0	17150	0	12799	0	280318	0	0
ANDREA PRICE
0	469225	0	33480	0	10580	0	48514	0	19369	0	581168	0	0
STEVEN L MICKUS
0	846286	0	253802	0	373612	0	267760	0	21759	0	1763219	0	0
DALE THORNTON
0	254562	0	60750	0	166640	0	68757	0	13298	0	564007	0	139770
TODD WARNER
0	189750	0	48226	0	7913	0	30492	0	16949	0	293330	0	0
GARY GEORGE
0	252047	0	64778	0	11576	0	41010	0	8853	0	378264	0	0
AJITKUMAR DESAI MD
422882	0	0	0	7144	0	22050	0	13416	0	465492	0	0	0
ROBERT CECCHINO MD
273052	0	0	0	3564	0	17150	0	9574	0	303340	0	0	0
DAVID GARDNER
123135	0	5657	0	229	0	7850	0	16001	0	152872	0	0	0
JOSEPH GLASS
0	197649	0	49501	0	7617	0	27637	0	17026	0	299430	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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 $153,560; GARY GEORGE $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.
COMPENSATION OF PRESIDENT AND CEO	SCHEDULE J, PART I, LINE 3	THE COMPENSATION OF DALE THORNTON, PRESIDENT AND CEO OF MERCY HOSPITAL OF TIFFIN, OHIO, 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.
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 $362,400.
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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	MERCY HEALTH PARTNERS 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.
Public Disclosure	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.
AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS BY LISTED PERSONS	FORM 990 PART VII SECTION A COLUMN (B)	STEVEN L. MICKUS 55 DALE THORNTON 55 TODD WARNER 55 GARY GEORGE 55 DAVID AROSE 55 ANDREA PRICE 55 JOSEPH GLASS 55 WILLARD HEDDLES 4
Other changes in net assets or fund balances	Form 990, Part XI, Line 5	NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 1037134; NET ASSETS RELEASED FROM RESTRICTIONS - -8060; DONOR RESTRICTED CONTRIBUTIONS - -7755; PENSION ADJ CHANGE IN PLAN - -300598; MEDICAL RETIREE - 24433; DISTRIBUTIONS TO PARTNERS - 9000; ADJ MINORITY INTEREST ELIMINATION - -186000; NONCONTROLLING INTEREST NET ASSET - 951274;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (103 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CATHOLIC HEALTH PARTNERS
615 ELSINORE PLACE	CINCINNATI	OH	45202	311161086	HEALTHCARE SYSTEM PARENT	OH	501(C)(3)	11 - Type III - FI	NA
CATHOLIC HEALTHCARE PARTNERS FOUNDATION
615 ELSINORE PLACE	CINCINNATI	OH	45202	201072726	FUNDRAISING	OH	501(C)(3)	7	CATHOLIC HEALTH PARTNERS
CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT
615 ELSINORE PLACE	CINCINNATI	OH	45202	208943658	HUD PARENT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST
615 ELSINORE PLACE	CINCINNATI	OH	45202	316046304	RETIREMENT TRUST	OH	501(C)(3)	8	CATHOLIC HEALTH PARTNERS
SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST
615 ELSINORE PLACE	CINCINNATI	OH	45202	310990309	TRUST ADMINISTRATION	OH	501(C)(3)	11 - Type I	CATHOLIC HEALTH PARTNERS
COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
3700 KOLBE ROAD	LORAIN	OH	44053	270071694	REGIONAL PARENT	OH	501(C)(3)	11 - Type II	CATHOLIC HEALTH PARTNERS
COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
3700 KOLBE ROAD	LORAIN	OH	44053	340714704	HOSPITAL	OH	501(C)(3)	3	COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
ALLEN MEDICAL CENTER
200 WEST LORAIN ST	OBERLIN	OH	44074	340864230	HOSPITAL	OH	501(C)(3)	3	COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION
3700 KOLBE ROAD	LORAIN	OH	44053	341504558	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROAD	LORAIN	OH	44053	341268828	MEDICAL OFFICE RENTAL	OH	501(C)(3)	9	COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
ALLEN MEDICAL CENTER FOUNDATION
200 WEST LORAIN ST	OBERLIN	OH	44074	341675592	FOUNDATION	OH	501(C)(3)	11 - Type I	ALLEN MEDICAL CENTER
ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN ST	OBERLIN	OH	44074	364504991	MEDICAL OFFICE RENTAL	OH	501(C)(3)	11 - Type II	ALLEN MEDICAL CENTER
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
4600 MCAULEY PLACE	CINCINNATI	OH	45242	311063783	REGIONAL PARENT	OH	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION
4600 MCAULEY PLACE	CINCINNATI	OH	45242	311217563	FOUNDATION	OH	501(C)(3)	7	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY HOSPITALS WEST
2446 KIPLING AVENUE	CINCINNATI	OH	45239	311091597	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY HOSPITAL ANDERSON
7500 STATE ROAD	CINCINNATI	OH	45255	310537085	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
THE SISTERS OF MERCY OF HAMILTON OHIO
3000 MACK ROAD	FAIRFIELD	OH	45014	310538532	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO
3000 HOSPITAL DRIVE	BATAVIA	OH	45103	310830955	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
CLERMONT MERCY FOUNDATION
3000 HOSPITAL DRIVE	BATAVIA	OH	45103	311514749	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO
MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC
7010 ROWAN HILLS DR	CINCINNATI	OH	45227	311308729	RETIREMENT HOME	OH	501(C)(3)	9	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY SACRED HEART INC
2120 PAYNE STREET	LOUISVILLE	KY	40206	611318326	RETIREMENT HOME	KY	501(C)(3)	9	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY LONG TERM CARE INITIATIVE
4915 CHARLESTOWN RD	NEW ALBANY	IN	47150	311332491	RETIREMENT HOME	IN	501(C)(3)	9	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
PROVIDENCE RETIREMENT HOME AUXILIARY
4915 CHARLESTOWN RD	NEW ALBANY	IN	47150	204664839	SUPPORTING ORG	IN	501(C)(3)	11 - Type II	MERCY LONG TERM CARE INITIATIVE
MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREET	CINCINNATI	OH	45210	311222942	LOW INCOME HOUSING	OH	501(C)(3)	7	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY FRANCISCAN AT ST RAPHAEL INC
610 HIGH STREET	HAMILTON	OH	45011	202934871	SERVICES TO THE POOR	OH	501(C)(3)	7	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
COMMUNITY MERCY HEALTH SYSTEM
ONE S LIMESTONE ST	SPRINGFIELD	OH	45502	300272454	REGIONAL PARENT	OH	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS
COMMUNITY MERCY HEALTH PARTNERS
ONE S LIMESTONE ST	SPRINGFIELD	OH	45502	310785684	HOSPITAL	OH	501(C)(3)	3	COMMUNITY MERCY HEALTH SYSTEM
THE COMMUNITY MERCY FOUNDATION
1343 N FOUNTAIN BLVD	SPRINGFIELD	OH	45504	311443778	FOUNDATION	OH	501(C)(3)	7	COMMUNITY MERCY HEALTH SYSTEM
COMMUNITY HOSPITAL HEALTH SERVICES COMPANY
ONE S LIMESTONE ST	SPRINGFIELD	OH	45502	311181984	HOSPITAL	OH	501(C)(3)	3	COMMUNITY MERCY HEALTH SYSTEM
CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE
1150 E HOME ROAD	SPRINGFIELD	OH	45503	260698515	MEDICAL INFORMATION EXCHANGE	OH	501(C)(3)	9	COMMUNITY MERCY HEALTH SYSTEM
THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST
ONE S LIMESTONE ST	SPRINGFIELD	OH	45502	346827136	INDIGENT MEDICAL CARE	OH	501(C)(3)	11 - Type I	NA
MERCY HEALTH SYSTEM - NORTHERN REGION
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341344482	REGIONAL PARENT	OH	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS
ST CHARLES MERCY HOSPITAL OF OREGON OHIO
2600 NAVARRE AVENUE	OREGON	OH	43616	344445373	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION
ST CHARLES MERCY HEALTH FOUNDATION
2600 NAVARRE AVENUE	OREGON	OH	43616	341414900	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	ST CHARLES MERCY HOSPITAL OF OREGON OHIO
RIVERSIDE MERCY HOSPITAL
3404 W SYLVANIA AVE	TOLEDO	OH	43623	311556401	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY HOME CARE INC
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341587572	HOME HEALTHCARE	OH	501(C)(3)	9	MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY COLLEGE OF NORTHWEST OHIO
2221 MADISON AVENUE	TOLEDO	OH	43604	341726619	MEDICAL COLLEGE	OH	501(C)(3)	2	MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY COLLEGE OF NORTHWEST OHIO FOUNDATION INC
2221 MADISON AVENUE	TOLEDO	OH	43604	141963204	FOUNDATION	OH	501(C)(3)	11 - Type I	MERCY COLLEGE OF NORTHWEST OHIO
MERCY TIFFIN HEALTH FOUNDATION
45 ST LAWRENCE DRIVE	TIFFIN	OH	44883	341499894	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	MERCY HOSPITAL OF TIFFIN OHIO
THE SISTERS OF MERCY OF WILLARD OHIO
110 EAST HOWARD ST	WILLARD	OH	44890	341577110	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY HOSPITAL OF WILLARD FOUNDATION
110 EAST HOWARD ST	WILLARD	OH	44890	113742347	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	THE SISTERS OF MERCY OF WILLARD OHIO
ST VINCENT MERCY MEDICAL CENTER
2213 CHERRY STREET	TOLEDO	OH	43608	344428250	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION
ST VINCENT MERCY MEDICAL CENTER FOUNDATION
2213 CHERRY STREET	TOLEDO	OH	43608	237393213	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	ST VINCENT MERCY MEDICAL CENTER
LIFESTAR AMBULANCE INC
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341354653	MEDICAL TRANSPORTATION	OH	501(C)(3)	11 - Type II	MERCY HEALTH SYSTEM - NORTHERN REGION
RSM MEDICAL FOUNDATION
2200 JEFFERSON AVENUE	TOLEDO	OH	43624	341693671	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION
ST MARGUERITE D'YOUVILLE FOUNDATION II
2213 CHERRY STREET	TOLEDO	OH	43608	134350655	FOUNDATION	OH	501(C)(3)	11 - Type II	CATHOLIC HEALTH PARTNERS
SIMON OUTREACH SERVICES
2600 NAVARRE AVENUE	OREGON	OH	43616	341383325	MEDICAL OFFICE RENTAL	OH	501(C)(3)	11 - Type II	ST CHARLES MERCY HOSPITAL OF OREGON OHIO
FARLEY HEALTHCARE CORPORATION
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341363204	HEALTH SERVICES	OH	501(C)(3)	9	MERCY HEALTH SYSTEM - NORTHERN REGION
ST RITA'S MEDICAL CENTER
730 W MARKET STREET	LIMA	OH	45801	341105619	HOSPITAL	OH	501(C)(3)	3	CATHOLIC HEALTH PARTNERS
SRHC FOUNDATION
730 W MARKET STREET	LIMA	OH	45801	341368429	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	ST RITA'S MEDICAL CENTER
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400	LIMA	OH	45801	341937267	MEDICAL LAB SERVICES	OH	501(C)(3)	11 - Type III - FI	ST RITA'S MEDICAL CENTER
HUMILITY OF MARY HEALTH PARTNERS
1044 BELMONT AVENUE	YOUNGSTOWN	OH	44501	340505560	HOSPITAL	OH	501(C)(3)	3	CATHOLIC HEALTH PARTNERS
THE ASSUMPTION VILLAGE
9800 N MARKET STREET	NORTH LIMA	OH	44452	341013695	NURSING HOME	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS
HOSPICE OF THE VALLEY
5190 MARKET STREET	YOUNGSTOWN	OH	44512	341288745	HOSPICE SERVICES	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS
HUMILITY OF MARY DEVELOPMENT FOUNDATION
1044 BELMONT AVENUE	YOUNGSTOWN	OH	44501	341826978	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	HUMILITY OF MARY HEALTH PARTNERS
HUMILITY OF MARY INFORMATION SYSTEMS
250 FEDERAL PLAZA EAST	YOUNGSTOWN	OH	44501	341452943	INFORMATION SERVICES	OH	501(C)(3)	11 - Type II	HUMILITY OF MARY HEALTH PARTNERS
HUMILITY HOUSE
755 OHLTOWN ROAD	AUSTINTOWN	OH	44515	341894783	NURSING HOME	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS
LAUREL LAKE RETIREMENT COMMUNITY INC
200 LAUREL LAKE DRIVE	HUDSON	OH	44236	341481142	NURSING HOME	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS
LAUREL LAKE RETIREMENT COMMUNITY FOUNDATION INC
200 LAUREL LAKE DRIVE	HUDSON	OH	44236	341779303	FOUNDATION	OH	501(C)(3)	7	LAUREL LAKE RETIREMENT COMMUNITY INC
ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SE	WARREN	OH	44484	346556121	FUNDRAISING	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS
MERCY HEALTH PARTNERS - LOURDES INC
1530 LONE OAK ROAD	PADUCAH	KY	42003	610600313	HOSPITAL	KY	501(C)(3)	3	CATHOLIC HEALTH PARTNERS
LOURDES FOUNDATION INC
1530 LONE OAK ROAD	PADUCAH	KY	42003	611258960	FOUNDATION	KY	501(C)(3)	7	MERCY HEALTH PARTNERS - LOURDES INC
LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROAD	PADUCAH	KY	42003	610927805	FUNDRAISING	KY	501(C)(3)	11 - Type III - FI	LOURDES FOUNDATION INC
MARCUM AND WALLACE MEMORIAL HOSPITAL INC
60 MERCY COURT	IRVINE	KY	40336	610927491	HOSPITAL	KY	501(C)(3)	3	MERCY HEALTH PARTNERS - LOURDES INC
MARCUM AND WALLACE HOSPITAL FOUNDATION INC
60 MERCY COURT	IRVINE	KY	40336	320026557	FOUNDATION	KY	501(C)(3)	11 - Type III - FI	MARCUM AND WALLACE MEMORIAL HOSPITAL INC
MERCY HEALTH PARTNERS INC
900 EAST OAK HILL AVE	KNOXVILLE	TN	37917	731627534	REGIONAL PARENT	TN	501(C)(3)	11 - Type I	CATHOLIC HEALTH PARTNERS
MERCY HEALTH SYSTEM INC
900 EAST OAK HILL AVE	KNOXVILLE	TN	37917	620480068	HOSPITAL	TN	501(C)(3)	3	MERCY HEALTH PARTNERS INC
ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY INC
923 EAST CENTRAL AVE	LAFOLLETTE	TN	37766	621817376	HOSPITAL	TN	501(C)(3)	3	MERCY HEALTH PARTNERS INC
MERCY HEALTH PARTNERS FOUNDATION INC
900 EAST OAK HILL AVE	KNOXVILLE	TN	37917	621247676	FOUNDATION	TN	501(C)(3)	7	MERCY HEALTH PARTNERS INC
JEFFERSON MEMORIAL HOSPITAL INC
110 HOSPITAL DRIVE	JEFFERSON CITY	TN	37760	621660663	HOSPITAL	TN	501(C)(3)	3	MERCY HEALTH PARTNERS INC
JEFFERSON MEMORIAL FOUNDATION INC
110 HOSPITAL DRIVE	JEFFERSON CITY	TN	37760	621660666	FOUNDATION	TN	501(C)(3)	11 - Type III - FI	JEFFERSON MEMORIAL HOSPITAL INC
ST MARY'S MEDICAL CENTER OF SCOTT COUNTY INC
18797 ALBERTA STREET	ONEIDA	TN	37841	261535503	HOSPITAL	TN	501(C)(3)	3	MERCY HEALTH PARTNERS INC
THE BAPTIST HEALTH SYSTEM FOUNDATION INC
101 BLOUNT AVE BOX 1788	KNOXVILLE	TN	37920	581565290	FOUNDATION	TN	501(C)(3)	7	MERCY HEALTH PARTNERS INC
BAPTIST HOSPITAL OF EAST TENNESSEE INC
137 BLOUNT AVE	KNOXVILLE	TN	37920	620506166	HOSPITAL	TN	501(C)(3)	3	MERCY HEALTH PARTNERS INC
BAPTIST HOSPITAL WEST INC
10820 PARKSIDE DRIVE	KNOXVILLE	TN	37934	621870324	HOSPITAL	TN	501(C)(3)	3	MERCY HEALTH PARTNERS INC
BAPTIST HOSPITAL OF COCKE COUNTY INC
435 SECOND STREET	NEWPORT	TN	37821	621133149	HOSPITAL	TN	501(C)(3)	3	MERCY HEALTH PARTNERS INC
MERCY HEALTH AND REHABILITATION CENTER INC
3916 BOYDS BRIDGE PIKE	KNOXVILLE	TN	37917	621592992	REHAB CENTER	TN	501(C)(3)	9	MERCY HEALTH PARTNERS INC
MERCY HEALTH PARTNERS - NORTHEAST REGION INC
746 JEFFERSON AVENUE	SCRANTON	PA	18510	232813196	REGIONAL PARENT	PA	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS
MERCY HEALTHCARE FOUNDATION
746 JEFFERSON AVENUE	SCRANTON	PA	18510	232972928	FOUNDATION	PA	501(C)(3)	11 - Type III - FI	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HOSPITAL SCRANTON PA
746 JEFFERSON AVENUE	SCRANTON	PA	18510	240795456	HOSPITAL	PA	501(C)(3)	3	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY COMMUNITY CARE CORPORATION
746 JEFFERSON AVENUE	SCRANTON	PA	18510	232310566	MEDICAL CARE	PA	501(C)(3)	9	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY MED-CARE INC
746 JEFFERSON AVENUE	SCRANTON	PA	18510	232261991	HOSPITAL	PA	501(C)(3)	3	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HOSPITAL NANTICOKE
128 W WASHINGTON ST	NANTICOKE	PA	18634	232604818	HOSPITAL	PA	501(C)(3)	3	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HOSPITAL OF WILKES-BARRE
746 JEFFERSON AVENUE	SCRANTON	PA	18510	240795625	HOSPITAL	PA	501(C)(3)	3	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HEALTH CARE CENTER
746 JEFFERSON AVENUE	SCRANTON	PA	18510	232322809	HOSPITAL	PA	501(C)(3)	3	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY TYLER HEALTH SYSTEMS
880 SR 6W	TUNKHANNOCK	PA	18657	232772476	SUPPORTING ORG	PA	501(C)(3)	11 - Type II	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY TYLER HOSPITAL
880 SR 6W	TUNKHANNOCK	PA	18657	240779665	HOSPITAL	PA	501(C)(3)	3	MERCY TYLER HEALTH SYSTEMS
MERCY TYLER HOME HEALTH SERVICES
880 SR 6W	TUNKHANNOCK	PA	18657	232723529	IN-HOME MEDICAL CARE	PA	501(C)(3)	9	MERCY TYLER HEALTH SYSTEMS
SIENA SPRINGS
615 ELSINORE PLACE	CINCINNATI	OH	45202	311052772	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
SIENA SPRINGS II
615 ELSINORE PLACE	CINCINNATI	OH	45202	311591780	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
CHARLES MEADOW CORPORATION
615 ELSINORE PLACE	CINCINNATI	OH	45202	341552671	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
CHARLES CREST CORPORATION
615 ELSINORE PLACE	CINCINNATI	OH	45202	341399869	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
CHARLES CREST II CORPORATION
615 ELSINORE PLACE	CINCINNATI	OH	45202	341714407	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
ST THERESA VILLAGE INC
615 ELSINORE PLACE	CINCINNATI	OH	45202	311411529	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
SACRED HEART VILLAGE INC
615 ELSINORE PLACE	CINCINNATI	OH	45202	311411531	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
SACRED HEART VILLAGE II INC
615 ELSINORE PLACE	CINCINNATI	OH	45202	611339396	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
SACRED HEART VILLAGE III INC
615 ELSINORE PLACE	CINCINNATI	OH	45202	611367719	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
MCAULEY MANOR INC
615 ELSINORE PLACE	CINCINNATI	OH	45202	311548500	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
DUBLIN MANOR INC
615 ELSINORE PLACE	CINCINNATI	OH	45202	020655254	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
MERCY MANOR INC
615 ELSINORE PLACE	CINCINNATI	OH	45202	611344092	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
ST MARY'S VILLA INC
615 ELSINORE PLACE	CINCINNATI	OH	45202	311548512	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
RIVERVIEW ST MARY'S INC
615 ELSINORE PLACE	CINCINNATI	OH	45202	621782683	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
ST MARY'S VILLA AT RIVERVIEW II INC
615 ELSINORE PLACE	CINCINNATI	OH	45202	311723287	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS

Form990 Schedule R Part III Form990ScheduleRPartIII (19 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	Code VCodeVAmount	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	N/A	302521	1576848	false	$0	true	0.51
MERCY HOSPITAL OF DEFIANCE LLC
1404 E SECOND ST	DEFIANCE	OH	43512	020701635	HOSPITAL	OH	NA	N/A
WEST CENTRAL OHIO REGIONAL HEALTHCARE ALLIANCE
FORT AMANDA ROAD	LIMA	OH	45804	341817078	REG HOSPITALS	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
MERCY HEALTHPLEX ANDERSON LLC
7495 STATE ROAD	CINCINNATI	OH	45255	311589865	FITNESS FACILITY	OH	NA	N/A
MERCY HEALTHPLEX FAIRFIELD LLC
3050 MACK ROAD	FAIRFIELD	OH	45014	311589867	FITNESS FACILITY	OH	NA	N/A
LOURDES AMBULATORY SURGERY CENTER
225 MEDICAL CENTER DRIVE	PADUCAH	KY	42003	611258960	SURGERY CENTER	KY	NA	N/A
TOMOGRAPHY ASSOCIATES LLC
2000 CHAPMAN HWY	KNOXVILLE	TN	37920	742034927	EQUIPMENT LEASING	TN	NA	N/A
EAST TENNESSEE DIAGNOSTIC CENTER LLC
1450 DOWELL SPRINGS BLVD SUITE 250	KNOXVILLE	TN	37909	204773300	DIAGNOSTIC SERVICES	TN	NA	N/A
LACKAWANNA SURGERY CENTER LLC
415 ADAMS AVENUE	SCRANTON	PA	18503	205360014	AMBULATORY SURGERY CENTER	PA	NA	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (25 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
HEALTHSPAN INC
225 PICTORIA DRIVE STE 320	CINCINNATI	OH	45246	311431434	PPO		NA	C CORPORATION	OH
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
GENESIS HEALTH PLAN OF OHIO INC
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	341819975	HMO		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
FRANCISCAN HOMES I INC
1300 MAIN STREET	CINCINNATI	OH	45210	311313185	LOW-INCOME HOUSING		NA	C CORPORATION	OH
FRANCISCAN HOMES II INC
1300 MAIN STREET	CINCINNATI	OH	45210	311336890	LOW-INCOME HOUSING		NA	C CORPORATION	OH
FRANCISCAN HOMES III INC
1300 MAIN STREET	CINCINNATI	OH	45210	311394510	LOW-INCOME HOUSING		NA	C CORPORATION	OH
FRANCISCAN HOMES IV INC
1300 MAIN STREET	CINCINNATI	OH	45210	311483370	LOW-INCOME HOUSING		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

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
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	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
TIFFIN AMBULATORY SURGICAL ASSOCIATES
N	1341309	GAAP
TIFFIN AMBULATORY SURGICAL ASSOCIATES
P	1350070	GAAP
MERCY TIFFIN HEALTH FOUNDATION
C	59903	GAAP