MERCY HOSPITALS WEST: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HOSPITALS WEST (EIN 31-1091597)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-10
- IRS object ID
- 201113149349302436
- 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 I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-10T16:00:14-06:00 | 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 | 311091597 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITALS WEST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MERC | NameControl |
| Phone | 5139815056 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2446 Kipling Avenue | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45239 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEBORAH BLOOMFIELD | Name |
| Title | DIVISIONAL CFO | Title |
| Date Signed | 2011-11-03 | 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 | DEBORAH BLOOMFIELD | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4600 mcauley place | AddressLine1 |
| City | cincinnati | City |
| State | OH | State |
| ZIP Code | 45242 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 186945761 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.E-MERCY.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1999 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | MERCY HOSPITALS WEST CARES FOR ANYONE WHO COMES TO US, REGARDLESS OF ABILITY TO PAY, OFFERING FREE CARE TO ANYONE WITHOUT INSURANCE EARNING UP TO TWICE THE FEDERAL POVERTY GUIDELINES (FPG) & DISCOUNTS TO THOSE EARNING UP TO FOUR TIMES THE FPG. THOSE WITH INSURANCE WHO EARN MORE CAN ALSO QUALIFY FOR DISCOUNTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1939 | TotalNbrEmployees |
| Total Nbr Volunteers | 597 | TotalNbrVolunteers |
| Total Gross UBI | 4179168 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -14697 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 525547 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 698900 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 188167347 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 184376083 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 52891 | InvestmentIncomePriorYear |
| Investment Income Current Year | 167900 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1761725 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1296092 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 190507510 | TotalRevenuePriorYear |
| Total Revenue Current Year | 186538975 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1500 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 37600 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 90831294 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 86138629 | 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 | 98173840 | OtherExpensePriorYear |
| Other Expenses Current Year | 100682086 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 189006634 | TotalExpensesPriorYear |
| Total Expenses Current Year | 186858315 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1500876 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -319340 | RevenuesLessExpensesCY |
| Total Assets BOY | 62584527 | TotalAssetsBOY |
| Total Assets EOY | 70021339 | TotalAssetsEOY |
| Total Liabilities BOY | 67985823 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 64254693 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -5401296 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5766646 | NetAssetsOrFundBalancesEOY |
| Mission Description | MERCY HOSPITALS WEST EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. | MissionDescription |
| Significant Change | false | SignificantChange |
| Expense | 140116690 | Expense |
| Grants | 37600 | Grants |
| Revenue | 185672175 | Revenue |
| Description | THE PRIMARY EXEMPT PURPOSE OF MERCY HOSPITALS WEST 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 HOSPITALS WEST ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. TOTAL CHARITY CARE PROVIDED IN 2010 WAS $6,548,946 SERVING 49,090 INDIVIDUALS. | Description |
| Total Program Service Expense | 140116690 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | true | 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 | 1939 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEBORAH BLOOMFIELD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5139815056 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4600 MCAULEY PLACE | AddressLine1 |
| City | CINCINNATI | City |
| State | OH | State |
| ZIP Code | 45242 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (36 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | FormerFormer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| THOMAS URBAN | |||||||||
| FORMER OFFICER | 0 | X | 0 | 506495 | 106603 | ||||
| PATRICK KOWALSKI | |||||||||
| PRESIDENT & CEO | 40 | 330654 | 0 | 55634 | X | ||||
| PAUL HILTZ | |||||||||
| PRESIDENT & CEO | 40 | 330081 | 0 | 71401 | X | ||||
| ROLAND CRUICKSHANK | |||||||||
| VP OPERATIONS - WESTERN HILLS | 40 | 209456 | 0 | 79841 | X | ||||
| JOYCE KEEGAN | |||||||||
| VP NURSING - WESTERN HILLS | 40 | 174020 | 0 | 24965 | X | ||||
| JAMES E MAY | |||||||||
| SVP, DIVISIONAL CEO/PRESIDENT/SECRETARY | 2 | 0 | 937068 | 177170 | X | X | |||
| DEBORAH BLOOMFIELD | |||||||||
| SVP DIV CFO | 2 | 0 | 440904 | 72297 | X | ||||
| DAVID C REED MD | |||||||||
| CHAIRMAN | 2 | 0 | 0 | 0 | X | X | |||
| DAVID J FREY | |||||||||
| VICE CHAIRMAN/TREASURER | 2 | 0 | 0 | 0 | X | X | |||
| SR MARJORIE BOSSE RSM | |||||||||
| TRUSTEE | 2 | 0 | 0 | 0 | X | ||||
| GERMAINE BENNETT | |||||||||
| TRUSTEE | 2 | 0 | 0 | 0 | X | ||||
| TODD GARDNER | |||||||||
| TRUSTEE | 2 | 0 | 0 | 0 | X | ||||
| TIMOTHY INGRAM | |||||||||
| TRUSTEE | 2 | 0 | 0 | 0 | X | ||||
| KIMBERLY MAUER | |||||||||
| TRUSTEE | 2 | 0 | 0 | 0 | X | ||||
| NEIL O'CONNOR | |||||||||
| TRUSTEE | 2 | 0 | 0 | 0 | X | ||||
| GEORGE SHYBUT MD | |||||||||
| TRUSTEE | 2 | 0 | 0 | 0 | X | ||||
| L RICHARD ROEDERSHEIMER MD | |||||||||
| TRUSTEE | 2 | 0 | 0 | 0 | X | ||||
| SR MARY STANTON RSM | |||||||||
| TRUSTEE | 2 | 0 | 0 | 0 | X | ||||
| LEONARD M RANDOLPH JR MD | |||||||||
| CHIEF MEDICAL OFFICER | 1 | 0 | 460284 | 66171 | X | ||||
| CLAIRE COMBS | |||||||||
| SVP/CHIEF ADMIN. OFFICER | 1 | 0 | 410225 | 87564 | X | ||||
| LYNN FARRAR | |||||||||
| SVP MARKETING & PLANNING | 1 | 0 | 271644 | 120412 | X | ||||
| YOUSUF JAMAL AHMAD | |||||||||
| SVP DIV PRESIDENT MMA | 1 | 0 | 358459 | 60344 | X | ||||
| MAGGIE LUND | |||||||||
| SVP DIV HUMAN RESOURCES | 1 | 0 | 285756 | 40958 | X | ||||
| DONALD ROHLING | |||||||||
| SVP MISSION SERVICES | 1 | 0 | 192781 | 40400 | X | ||||
| MARK MAYHAUS | |||||||||
| LEAD PHARMACIST | 40 | 142277 | 0 | 36906 | X | ||||
| MICHAEL KRAMER | |||||||||
| VP STRATEGIC PLANNING & BUS. DEVELOPMENT | 1 | 69272 | 91891 | 27661 | X | ||||
| CHRISTINE KIRBY | |||||||||
| DIRECTOR PHARMACY | 40 | 122119 | 0 | 31881 | X | ||||
| DONALD BISHER | |||||||||
| PHARMACIST | 40 | 127079 | 0 | 32545 | X | ||||
| KEVIN S COOK | |||||||||
| FORMER OFFICER | 0 | X | 0 | 339984 | 24010 | ||||
| BEVERLY GRANT | |||||||||
| TRUSTEE | 2 | 0 | 0 | 0 | X | ||||
| GLORIA HAFFER | |||||||||
| TRUSTEE | 2 | 0 | 0 | 0 | X | ||||
| DONALD WAYNE MD | |||||||||
| TRUSTEE | 2 | 0 | 0 | 0 | X | ||||
| LEE ANN LISKA | |||||||||
| MHP CHIEF OPERATING OFFICER | 1 | 0 | 164255 | 28991 | X | ||||
| STEVEN MICKUS | |||||||||
| TRUSTEE, SVP, DIVISIONAL CEO, CHP COO | 2 | 0 | 1473700 | 289519 | X | ||||
| KYLE SKIDMORE | |||||||||
| PHARMACIST | 40 | 131508 | 0 | 13274 | X | ||||
| GARY GREINER | |||||||||
| CLINICAL PHARMACIST | 40 | 122503 | 0 | 20737 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1758969 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5933446 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1509284 | TotalOtherCompensation |
| Number Individuals GT100 K | 28 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Related Organizations | 651710 | RelatedOrganizations |
| Government Grants | 42190 | GovernmentGrants |
| All Other Contributions | 5000 | AllOtherContributions |
| Total Contributions | 698900 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621990 | 173782054 | 173782054 | |
| LABORATORY FEES | 621500 | 7015252 | 4591381 | 2423871 |
| PHARMACY | 446110 | 575 | 575 | |
| FITNESS CENTER | 713940 | 1755297 | 1755297 | |
| RENTAL INCOME FROM AFFILIATES | 531120 | 1822905 | 1822905 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 184376083 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8601 | TotalRevenueColumn |
| Exclusion | $8,601 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 566085 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 406786 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 159299 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 159299 | TotalRevenueColumn |
| Exclusion | $159,299 | 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 | 722210 | 563851 | $563,851 |
| VENDING MACHINES | 722210 | 51667 | $51,667 |
| CHILDCARE | 624410 | 415169 | $415,169 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 265405 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $265,405 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1296092 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 186538975 | TotalRevenueColumn |
| Related Or Exempt Function Income | 180196915 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4179168 | UnrelatedBusinessRevenue |
| Exclusion | $1,463,992 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37600 | Total |
| Program Services | 37600 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1276051 | Total |
| Program Services | 957038 | ProgramServices |
| Management And General | 319013 | 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 | 67414349 | Total |
| Program Services | 50560762 | ProgramServices |
| Management And General | 16853587 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2760575 | Total |
| Program Services | 2070431 | ProgramServices |
| Management And General | 690144 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9805106 | Total |
| Program Services | 7353830 | ProgramServices |
| Management And General | 2451276 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4882548 | Total |
| Program Services | 3661911 | ProgramServices |
| Management And General | 1220637 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13870 | Total |
| Management And General | 13870 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34725 | Total |
| Management And General | 34725 | 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 | 51762742 | Total |
| Program Services | 38822057 | ProgramServices |
| Management And General | 12940685 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30656307 | Total |
| Program Services | 22992230 | ProgramServices |
| Management And General | 7664077 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7643360 | Total |
| Program Services | 5732520 | ProgramServices |
| Management And General | 1910840 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 218835 | Total |
| Program Services | 164126 | ProgramServices |
| Management And General | 54709 | 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 | 2295753 | Total |
| Program Services | 1721815 | ProgramServices |
| Management And General | 573938 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3666811 | Total |
| Program Services | 2750108 | ProgramServices |
| Management And General | 916703 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1794156 | Total |
| Program Services | 1345617 | ProgramServices |
| Management And General | 448539 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEMBERSHIP DUES | 223004 | 167253 | 55751 |
| OHIO FRANCHISE FEES | 2232046 | 1674034 | 558012 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140477 | Total |
| Program Services | 105358 | ProgramServices |
| Management And General | 35119 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 186858315 | Total |
| Program Services | 140116690 | ProgramServices |
| Management And General | 46741625 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 221224 | BOY |
| EOY | 706821 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15490717 | BOY |
| EOY | 17965744 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2573855 | BOY |
| EOY | 2567148 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 385084 | BOY |
| EOY | 258079 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 86512076 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 38536160 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43581993 | BOY |
| EOY | 47975916 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | 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 | 331654 | BOY |
| EOY | 547631 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62584527 | BOY |
| EOY | 70021339 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13768654 | BOY |
| EOY | 11817304 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54217169 | BOY |
| EOY | 52437389 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67985823 | BOY |
| EOY | 64254693 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -5401296 | BOY |
| EOY | 5766646 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -5401296 | BOY |
| EOY | 5766646 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62584527 | BOY |
| EOY | 70021339 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -319340 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 11487282 | 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 | true | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $2,523 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 2523 | 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, LINES 1A -1I | ReturnReference |
| Explanation | LOBBYING ACTIVITIES PERFORMED INCLUDE BOTH THE USE OF VOLUNTEERS ENCOURAGED TO WRITE LETTERS TO PUBLIC OFFICIALS ON ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE TO PROVIDE HEALTH SERVICES TO THE COMMUNITIES SERVED, AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. PAID MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDUM, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS REGARDING ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE PROVIDING HEALTHCARE SERVICES TO ITS PATIENTS AND TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. PAID STAFF MEMBERS HAVE, ON LIMITED OCCASIONS, WRITTEN TO LEGISLATORS ON SUCH ISSUES. THE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE THE ORGANIZATION'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT OUR SYSTEM. THE ORGANIZATION FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND OUR HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES WE SERVE. TO CARRY OUT THESE EFFORTS, THE ORGANIZATION PARTNERS WITH EXPERT CONSULTANTS AND PROFESSIONAL TRADE ASSOCIATIONS TO BUILD AWARENESS AND EXECUTE SPECIFIC STRATEGIES THAT WILL YIELD A FAVORABLE OUTCOME FOR PATIENT CARE IN THE ORGANIZATION'S FACILITIES WHERE THEY ARE TREATED. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26113261 | OtherCostOrOtherBasis |
| Book Value | 26113261 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13338270 | OtherCostOrOtherBasis |
| Depreciation | 2389143 | Depreciation |
| Book Value | 10949127 | 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 | 47060545 | OtherCostOrOtherBasis |
| Depreciation | 36147017 | Depreciation |
| Book Value | 10913528 | 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 | 47975916 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED RENT | $257,741 |
| DEFERRED INCOME | $19,023 |
| FINANCIAL GUARANTEES-MOB LEASEBACK | $2,425,133 |
| OTHER LONG TERM LIABILITIES | $2,372,152 |
| NOTES PAYABLE TO AFFILIATE | $47,363,340 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 52437389 | TotalOfAmounts |
| Total Revenue | 186538975 | TotalRevenue |
| Total Expenses | 186858315 | TotalExpenses |
| Excess Or Deficit For Year | -319340 | ExcessOrDeficitForYear |
| Other | $0 | OtherAmount |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | -319340 | 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
| 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, 2010 AND 2009, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2010 OR 2009. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 49090 | PersonsServed |
| Total Community Benefit Expense | 7563957 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1015011 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6548946 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03500 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 34694 | PersonsServed |
| Total Community Benefit Expense | 22615646 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14824412 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7791234 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04170 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 83784 | PersonsServed |
| Total Community Benefit Expense | 30179603 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15839423 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14340180 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07670 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 4362 | PersonsServed |
| Total Community Benefit Expense | 165585 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 165585 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 1423 | PersonsServed |
| Total Community Benefit Expense | 211938 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 211938 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 312 | PersonsServed |
| Total Community Benefit Expense | 2197521 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2197521 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01180 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 5569 | PersonsServed |
| Total Community Benefit Expense | 182327 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 182327 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 35 | NumberOfActivitiesOrPrograms |
| Persons Served | 11666 | PersonsServed |
| Total Community Benefit Expense | 2757371 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2757371 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01480 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 35 | NumberOfActivitiesOrPrograms |
| Persons Served | 95450 | PersonsServed |
| Total Community Benefit Expense | 32936974 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15839423 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17097551 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09150 | 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) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 404215 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 404215 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 32 | PersonsServed |
| Total Community Building Expense | 27862 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 27862 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | 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 | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 32 | PersonsServed |
| Total Community Building Expense | 432077 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 432077 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $3,927,313 | BadDebtExpenseAmount |
| Amount Attributable To | 4540 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 48871241 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 50783568 | CostOfCareReimbursedByMedicare |
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 |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|
| MERCY HOSPITAL MT AIRY | |||||||
| 1 | 2446 KIPLING AVENUE | CINCINNATI | OH | 45239 | X | X | X |
| MERCY HOSPITAL WESTERN HILLS | |||||||
| 2 | 3131 QUEEN CITY AVENUE | CINCINNATI | OH | 45238 | X | X | X |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber |
|---|
| MERCY HOSPITAL MT AIRY |
| 1 |
| MERCY HOSPITAL WESTERN HILLS |
| 2 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Community benefit report prepared by related organization | Schedule H, Part I, Line 6a | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO |
| Bad Debt Expense excluded from financial assistance calculation | Schedule H, Part I, Line 7, column(f) | 0 |
| 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 DETERMINED 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 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 HOSPITALS WEST (MHW) PROVIDES COMMUNITY SUPPORT BY ASSISTING IN DISASTER PREPAREDNESS. PREPARING FOR DISASTER IS AN IMPORTANT ROLE FOR THE HOSPITAL TO ASSURE THE SAFETY AND HEALTH OF COMMUNITY RESIDENTS IN THE EVENT OF A NATURAL DISASTER, INDUSTRIAL ACCIDENT OR OTHER LARGE SCALE EMERGENCY. THE CHILDREN'S CENTER/DAY CARE SUBSIDIZED PROGRAM FOR THE POOR HELPS RESIDENTS MAINTAIN EMPLOYMENT BY PROVIDING LOW COST /HIGH QUALITY DAY CARE FOR THEIR CHILDREN. MHW SUPPORTS THE EVERY CHILD SUCCEEDS COMMUNITY PROGRAM BY PROVIDING SPACE TO OPERATE THE PROGRAM. MHW MAKES DONATIONS TO COMMUNITY GROUPS. |
| 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 POLICIES 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 HAD 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 OF 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 | THE HOSPITAL USES EXISTING COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS SUCH AS THE 2008 UNITED WAY OF GREATER CINCINNATI REPORT (THE STATE OF THE COMMUNITY - A REPORT ON THE SOCIO-ECONOMIC HEALTH OF THE GREATER CINCINNATI REGION) AND THE HEALTH IMPROVEMENT COLLABORATIVE OF GREATER CINCINNATI REPORT (INDICATORS OF HEALTHY COMMUNITIES 2006). THE HOSPITAL ALSO UTILIZES HOSPITAL PERSONNEL AND PHYSICIANS WHO HAVE IDENTIFIED COMMUNITY NEEDS BASED ON ADMISSION/DISCHARGE AND OTHER HOSPITAL DATA. BASED ON THIS DATA AND INFORMATION, THE HOSPITAL ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. THE HOSPITAL RECOGNIZES THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. THE HOSPITAL INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. TO HELP FACILITATE THIS PLANNING PROCESS, THE HOSPITAL UTILIZES QUANTITATIVE PRIMARY MARKET RESEARCH AND THE ANALYSIS OF HEALTH CARE UTILIZATION DATA BASES. IN ADDITION, SERVICE USE IS FORECAST UTILIZING LICENSED POPULATION BASED SOFTWARE. THE HOSPITAL HAS DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT PLANNING, REPORTING, MONITORING AND IMPLEMENTATION OF COMMUNITY BENEFIT PROGRAMS AND SERVICES. THIS STAFF DEDICATED TO COMMUNITY BENEFIT EFFORTS OF THE HOSPITAL MEETS WITH THE REGIONAL COMMUNITY BENEFIT PLANNING COMMITTEE ON A MONTHLY BASIS AND WORKS CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES AND TO AVOID DUPLICATION. COMMUNITY BENEFIT ACTIVITIES AND PROGRAM EFFECTIVENESS ARE REPORTED TO THE REGIONAL BOARD BY THE HUMAN RESOURCE, MISSION AND COMMUNITY OUTREACH COMMITTEE OF THE REGIONAL BOARD. |
| Patient education of eligibility for assistance. | Schedule H, Part VI, Line 3 | MERCY HOSPITALS WEST (MHW) 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. MHW 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. MHW DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. THE HOSPITAL ELIGIBILITY LINK PROGRAM (HELP) IS A FREE REFERRAL SERVICE PROVIDED BY MHW. 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. MHW 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 MHW'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 17,708 PATIENT REFERRALS. MHW IS PROUD TO MAKE OUR FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE, WHICH CAN BE FOUND AT E-MERCY.COM. OTHER PATIENT EDUCATION INFORMATION THAT IS PROVIDED FOR ELIGIBILITY OF ASSISTANCE IS AS FOLLOWS: * A BILINGUAL REPRESENTATIVE IS AVAILABLE IN OUR OB CLINIC AT FAIRFIELD. TWO BILINGUAL REPRESENTATIVES ARE AVAILABLE IN OUR CUSTOMER SERVICE DEPARTMENT. * STAFF TRAINING ON HOSPITAL CARE ASSURANCE PROGRAM (HCAP) AND HOSPITAL FINANCIAL ASSISTANCE (HFA) WAS PROVIDED IN 2009 BY A PRIVATE AUDITING COMPANY. TRAINING INCLUDED A MANUAL AND IN-DEPTH INFORMATION REGARDING THE PREPARATION OF THE COST REPORT LOGS, ACCURATE COMPLETION OF THE HCAP APPLICATION AS WELL AS AN OVERVIEW OF THE FAQ'S PROVIDED BY THE OHIO HOSPITAL ASSOCIATION. * STAFF TRAINING PROVIDED BY SOCIAL SECURITY ADMINISTRATION TO ASSIST PATIENTS IN OBTAINING DISABILITY BENEFITS. * FINANCIAL ASSISTANCE COUNSELORS WORK WITH CASE MANAGERS TO EXPEDITE THE TRANSFER OF PATIENTS TO EXTENDED CARE FACILITIES. * FEDERAL POVERTY GUIDELINES ARE POSTED ON OUR WEBSITE AS WELL AS A COPY OF OUR CHARITY APPLICATION. * ALL THIRD PARTIES THAT WORK ON BEHALF OF THE ORGANIZATION TO COLLECT FEES (SUCH AS COLLECTION AGENCIES AND LAW FIRMS) ARE REQUIRED TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. * CONSISTENT REVIEW OF SELF PAY PATIENTS FOR RETROACTIVE MEDICAID COVERAGE. * SERVICES PROVIDED BY VENDOR TO REACH OUT TO PATIENTS IN BAD DEBT TO SCREEN FOR HCAP ELIGIBILITY. |
| Community information. | Schedule H, Part VI, Line 4 | MERCY HOSPITALS WEST (MHW) SERVES A ONE-COUNTY GEOGRAPHIC AREA FEATURING HAMILTON COUNTY. THE POPULATION OF MHW'S PRIMARY SERVICE AREA IS APPROXIMATELY 462,100. OUR COMMUNITY IS CHANGING AND WE ALSO SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THERE ARE EIGHT HOSPITALS IN THE COMMUNITY OF WHICH ALL EIGHT ARE NOT-FOR-PROFIT HOSPITALS. MHW QUALIFIES FOR A DISPROPORTIONATE SHARE PAYMENT ON THEIR MEDICARE COST REPORT DUE TO THE LARGER THAN NORMAL SHARE OF MEDICAID PATIENT VOLUME SERVED BY THE HOSPITAL. THE DEMOGRAPHIC AREA SERVED BY MHW SERVES A POPULATION THAT INCLUDES 4.4% OF NON-ENGLISH SPEAKING PEOPLE. 7.3% OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES. THE AVERAGE FAMILY HOUSEHOLD INCOME OF THE COMMUNITY SERVED BY THE HOSPITAL IS $67,911. THE LARGEST ETHNIC GROUP IN THE COMMUNITY SERVED BY THE HOSPITAL IS GERMAN. APPROXIMATELY 33% OF THE POPULATION IS OF GERMAN DESCENT. THE OCCUPATION CLASSIFICATION IN THE COMMUNITY CONSISTS OF 22% BLUE COLLAR, 60% WHITE COLLAR AND 18% SERVICE & FARM WORKERS. THE PERCENTAGE OF THE POPULATION IN THE COMMUNITY OVER 65 YEARS OLD IS 13%. IN THE COMMUNITY SERVED BY MHW CARDIAC ARREST, SEPTICEMIA AND ACUTE RESPIRATORY FAILURE ARE THE MAJOR HEALTH PROBLEMS AND/OR LEADING CAUSES OF DEATH. EACH OF THESE IS PREVENTABLE THROUGH PROPER CARE AND MAINTAINING CONTROL OF THE ILLNESS/DISEASE AS WELL AS LEADING HEALTHIER LIVES. MHW WORKS CLOSELY WITH LOCAL COMMUNITY AGENCIES AND HEALTH DEPARTMENTS TO ADDRESS HEALTH PROBLEMS AND MINIMIZE THE EFFECTS ON THOSE WHO SUFFER. IN 2010, MHW HAD 13,602 ADMISSIONS, 113,451 OUTPATIENT VISITS, AND 96,473 EMERGENCY ROOM VISITS. |
| Promotion of community health | Schedule H, Part VI, Line 5 | THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, THE HOSPITAL PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. IN ADDITION TO OUR PARTICIPATION IN THESE PROGRAMS, THE HOSPITAL ABSORBED MORE THAN $1,912,327 IN UNREIMBURSED MEDICARE COSTS DURING 2010. THROUGH THE HEALTH PARTNERSHIP PROGRAM AND THE MERCY CLINIC, THE HOSPITAL CONNECTS POOR AND LOW INCOME RESIDENTS WITH PRIMARY CARE PHYSICIANS IN THE COMMUNITY WHO VOLUNTEER THEIR SERVICES TO PROVIDE PRIMARY AND URGENT CARE SERVICES. THE HOSPITAL ALSO PROVIDES PHARMACEUTICAL SUPPORT FOR THESE POOR AND LOW INCOME RESIDENTS. THE HOSPITAL ALSO COLLABORATES WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS SUCH AS LINCOLN HEIGHTS HEALTH CENTER AND HEALTH SOURCE OF OHIO AS WELL AS COMMUNITY AGENCIES SUCH AS HEALTH CARE ACCESS NOW TO FURTHER ASSIST THE POOR AND MEDICALLY UNDERSERVED FIND A MEDICAL HOME IN THE COMMUNITY. MEDICAL SUPPLIES AND EQUIPMENT ARE DONATED TO LOCAL AGENCIES AS WELL AS TO AGENCIES WHICH SERVE OTHER COUNTRIES. THE HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY THE HOSPITAL. THE HOSPITAL SERVES AS A CLINICAL EXPERIENCE SITE FOR SURGICAL RESIDENTS AS WELL AS OTHER HEALTH CARE PROFESSIONALS, SUCH AS NURSES, RESPIRATORY THERAPISTS, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS AND OTHERS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF THE HOSPITAL AS IS EVIDENCED BY THE LARGE NUMBER OF VOLUNTEERS. THE HOSPITAL RECEIVES GUIDANCE AND INPUT FROM ITS COMMUNITY ADVISORY COUNCIL. |
| Affiliated health care system | Schedule H, Part VI, Line 6 | THE HOSPITALS WHICH COMPRISE MHW (MERCY HOSPITAL MT. AIRY AND MERCY HOSPITAL WESTERN HILLS) ARE TWO OF THE SIX COMMUNITY HOSPITALS THAT ARE PART OF MERCY HEALTH PARTNERS OF SOUTHWEST OHIO (MHP-SWO). ALL ARE ACUTE CARE HOSPITALS AND OHIO NON-PROFIT CORPORATIONS. THE HOSPITALS ARE SPONSORED BY THE SISTERS OF MERCY AND THE FRANCISCAN SISTERS OF THE POOR AND HAVE BEEN PART OF THE COMMUNITY SINCE THEY WERE FOUNDED IN THE FOLLOWING YEARS: THE JEWISH HOSPITAL 1850 LICENSED BEDS: 209 MERCY HOSPITAL MT. AIRY 1971 LICENSED BEDS: 269 MERCY HOSPITAL CLERMONT 1973 LICENSED BEDS: 166 MERCY HOSPITAL FAIRFIELD 1978 LICENSED BEDS: 221 MERCY HOSPITAL WESTERN HILLS 1982 LICENSED BEDS: 261 MERCY HOSPITAL ANDERSON 1984 LICENSED BEDS: 193 EACH OF THE HOSPITALS WORKS INDIVIDUALLY AND COLLECTIVELY TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS. IN ADDITION, MERCY FRANCISCAN AT ST. JOHN AND MERCY FRANCISCAN AT ST. RAPHAEL ARE TWO SOCIAL SERVICE AGENCIES THAT PROVIDE SHELTER, FOOD, EDUCATION, CLOTHES, AND HEALTH SERVICES TO CLIENTS IN ECONOMICALLY DEPRESSED NEIGHBORHOODS IN INNER CITY CINCINNATI AND HAMILTON. MHP-SWO IS THE SOLE SPONSOR FOR THESE AGENCIES. IN ADDITION, MHP-SWO INCLUDES A TOTAL OF 6 SENIOR HEALTH AND HOUSING COMMUNITIES IN CINCINNATI, OHIO, HAMILTON, OHIO, LOUISVILLE KENTUCKY AND NEW ALBANY, INDIANA. THESE SENIOR HEALTH AND HOUSING FACILITIES PROVIDE COMMUNITY BENEFIT SERVICES FOR THEIR RESIDENTS AND THE COMMUNITIES THEY SERVE. MERCY HEALTH PARTNERS OF SOUTHWEST OHIO COMMUNITY BENEFIT FOR 2010 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $80.7 MILLION BENEFITS TO THE BROADER COMMUNITY: $6.3 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $35.7 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $33.2 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $5.5 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 8.4 PERCENT MERCY HOSPITALS WEST 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 |
| COMMUNITY BENEFIT REPORT | PART VI, LINE 8 | MERCY HOSPITALS WEST IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT IN ANY STATE. |
| COMMUNITY BENEFIT REPORT | PART I, LINE 6A | THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS CONTAINED IN A REPORT PREPARED BY MERCY HEALTH PARTNERS - SOUTHWEST OHIO (MHP-SWO), A RELATED TAX EXEMPT ORGANIZATION. A COPY OF THE COMMUNITY BENEFIT REPORT CAN BE FOUND ON THE MHP-SWO WEBSITE AT E-MERCY.COM AND ON THE ORGANIZATION'S INTRANET. THE REPORT IS PUBLISHED IN THE GREATER CINCINNATI NEWSPAPERS AND MADE PUBLIC ON POSTER BOARDS THROUGHOUT THE ORGANIZATION. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROSSROAD HEALTH CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 EAST LIBERTY STREET | AddressLine1 |
| City | CINCINNATI | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 311321054 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 35000 | AmountOfCashGrant |
| Purpose Of Grant | PROVIDE MEDICAL SERVICES TO THE UNDERPRIVILEGED | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedures for monitoring use of grant funds | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | ADMINISTRATION PERSONNEL REVIEW DOCUMENTATION SUBMITTED FOR THE INTENDED USE OF THE DONATIONS MADE. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (20 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS URBAN | |||||||||||||
| 0 | 387059 | 0 | 42120 | 0 | 77316 | 0 | 82476 | 0 | 24127 | 0 | 613098 | 0 | 0 |
| PATRICK KOWALSKI | |||||||||||||
| 266153 | 0 | 54712 | 0 | 9789 | 0 | 36494 | 0 | 19140 | 0 | 386288 | 0 | 0 | 0 |
| PAUL HILTZ | |||||||||||||
| 268442 | 0 | 51212 | 0 | 10427 | 0 | 52398 | 0 | 19003 | 0 | 401482 | 0 | 0 | 0 |
| ROLAND CRUICKSHANK | |||||||||||||
| 152232 | 0 | 15808 | 0 | 41416 | 0 | 72667 | 0 | 7174 | 0 | 289297 | 0 | 0 | 0 |
| JOYCE KEEGAN | |||||||||||||
| 156229 | 0 | 15058 | 0 | 2733 | 0 | 11703 | 0 | 13262 | 0 | 198985 | 0 | 0 | 0 |
| JAMES E MAY | |||||||||||||
| 0 | 539480 | 0 | 210106 | 0 | 187482 | 0 | 146085 | 0 | 31085 | 0 | 1114238 | 0 | 0 |
| DEBORAH BLOOMFIELD | |||||||||||||
| 0 | 351691 | 0 | 79800 | 0 | 9413 | 0 | 57387 | 0 | 14910 | 0 | 513201 | 0 | 0 |
| LEONARD M RANDOLPH JR MD | |||||||||||||
| 0 | 359042 | 0 | 82684 | 0 | 18558 | 0 | 45042 | 0 | 21129 | 0 | 526455 | 0 | 0 |
| CLAIRE COMBS | |||||||||||||
| 0 | 327800 | 0 | 71047 | 0 | 11378 | 0 | 65463 | 0 | 22101 | 0 | 497789 | 0 | 0 |
| LYNN FARRAR | |||||||||||||
| 0 | 112038 | 0 | 20000 | 0 | 139606 | 0 | 112766 | 0 | 7646 | 0 | 392056 | 0 | 0 |
| YOUSUF JAMAL AHMAD | |||||||||||||
| 0 | 281628 | 0 | 67531 | 0 | 9300 | 0 | 41037 | 0 | 19307 | 0 | 418803 | 0 | 0 |
| MAGGIE LUND | |||||||||||||
| 0 | 225561 | 0 | 50624 | 0 | 9571 | 0 | 32635 | 0 | 8323 | 0 | 326714 | 0 | 0 |
| DONALD ROHLING | |||||||||||||
| 0 | 148287 | 0 | 32984 | 0 | 11510 | 0 | 27482 | 0 | 12918 | 0 | 233181 | 0 | 0 |
| MARK MAYHAUS | |||||||||||||
| 141949 | 0 | 175 | 0 | 153 | 0 | 18010 | 0 | 18896 | 0 | 179183 | 0 | 0 | 0 |
| MICHAEL KRAMER | |||||||||||||
| 60070 | 91528 | 8928 | 0 | 274 | 363 | 4452 | 5901 | 7443 | 9865 | 81167 | 107657 | 0 | 0 |
| CHRISTINE KIRBY | |||||||||||||
| 111877 | 0 | 9558 | 0 | 684 | 0 | 12413 | 0 | 19468 | 0 | 154000 | 0 | 0 | 0 |
| DONALD BISHER | |||||||||||||
| 126767 | 0 | 175 | 0 | 137 | 0 | 14466 | 0 | 18079 | 0 | 159624 | 0 | 0 | 0 |
| KEVIN S COOK | |||||||||||||
| 0 | 285875 | 0 | 50202 | 0 | 3907 | 0 | 6102 | 0 | 17908 | 0 | 363994 | 0 | 0 |
| LEE ANN LISKA | |||||||||||||
| 0 | 163188 | 0 | 0 | 0 | 1067 | 0 | 8653 | 0 | 20338 | 0 | 193246 | 0 | 0 |
| STEVEN MICKUS | |||||||||||||
| 0 | 846286 | 0 | 253802 | 0 | 373612 | 0 | 267760 | 0 | 21759 | 0 | 1763219 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Health or social club dues or initiation fees | Schedule J, Part I, Line 1a | BECAUSE THE ORGANIZATION'S MISSION INCLUDES PROMOTING GOOD HEALTH FOR ALL, INCLUDING ITS OWN EMPLOYEES, THE ORGANIZATION PAYS PART OF THE MONTHLY DUES FOR MERCY HEALTHPLEX FACILITIES (RELATED ORGANIZATIONS), WHICH ARE HEALTH CLUBS. THE BENEFIT IS AVAILABLE TO ALL EMPLOYEES, NOT JUST EXECUTIVES. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE COMPENSATION AND WAS PROVIDED FOR THE FOLLOWING LISTED INDIVIDUALS: CHRISTINE KIRBY, PATRICK KOWALSKI, GARY GREINER, AND ROLAND CRUICKSHANK. |
| 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: LYNN FARRAR $132,360; ROLAND CRUICKSHANK $40,736. |
| Supplemental nonqualified retirement plan | Schedule J, Part I, Line 4b | THE MHP EXECUTIVE BENEFIT PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO ALL EXECUTIVE COUNCIL MEMBERS. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION. A BENEFIT IS CALCULATED FOR ANY INDIVIDUAL WHOSE COMPENSATION IS LIMITED IN THE QUALIFIED CASH BALANCE PLAN DUE TO INCOME WHICH EXCEEDS THE IRS MAXIMUM. THE BENEFIT IS BASED UPON FORM W-2 COMPENSATION AND IS EQUAL TO THE AMOUNT EXCLUDED FROM THE QUALIFIED PLAN. ADDITIONAL CONTRIBUTIONS ARE MADE ON AN ANNUAL BASIS WHICH ARE A PERCENTAGE OF BASE COMPENSATION. PARTICIPANTS MUST COMPLETE A TWO TIERED VESTING PROVISION. PARTICIPANTS MUST BE VESTED UNDER THE BASE QUALIFIED PLAN AND MUST COUNT 24 MONTHS AFTER TERMINATION DURING WHICH THEY DO NOT COMPETE WITH MERCY HEALTH PARTNERS OF SOUTHWEST OHIO. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO EXECUTIVE BENEFIT PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: PATRICK KOWALSKI $0; PAUL HILTZ $0; DEBORAH BLOOMFIELD $0; LEONARD M. RANDOLPH JR., M.D. $0; CLAIRE COMBS $0; YOUSUF JAMAL AHMAD $0; MAGGIE LUND $0; DONALD ROHLING $0; LEE ANN LISKA $0. |
| Non-fixed payments | Schedule J, Part I, Line 7 | SELECT OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES RECEIVED A BONUS PAYMENT BASED ON CERTAIN CRITERIA BEING MET IN THE YEAR 2009 AND PAYMENT WAS MADE IN 2010. THE CRITERIA INCLUDED MEETING A CERTAIN NET EARNINGS AMOUNT ALONG WITH MEETING TARGETED PATIENT SATISFACTION SCORES AND PROVIDING A CERTAIN LEVEL OF DOLLAR VALUE IN COMMUNITY BENEFIT SERVICES. |
| DETERMINATION OF COMPENSATION | SCHEDULE J, PART I, LINE 3 | THE COMPENSATION OF PATRICK KOWALSKI, CEO WESTERN HILLS, AND PAUL HILTZ, CEO MT. AIRY, IS DETERMINED BY MERCY HEALTH PARTNERS OF SOUTHWEST OHIO (MHPSWO), A RELATED TAX-EXEMPT ORGANIZATION. MHPSWO UTILIZES A COMPENSATION COMMITTEE, A WRITTEN EMPLOYMENT CONTRACT, AN INDEPENDENT COMPENSATION CONSULTANT, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MR. KOWALSKI'S AND MR. HILTZ'S COMPENSATION. |
| TERMS AND CONDITIONS OF CHP EXECUTIVE RETENTION PLAN 457(F) | SCHEDULE J, PART I, LINE 4B | THE CHP EXECUTIVE RETENTION PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST AND CEASE TO RECEIVE CREDITS AFTER 5 YEARS OF PLAN PARTICIPATION PROVIDED THEY REMAIN EMPLOYED. VESTING AND CESSATION OF CREDITS OCCUR EARLIER FOR DEATH OR TOTAL DISABILITY WHILE EMPLOYED. INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION, OR, FOR CERTAIN PARTICIPANTS, UPON BEING OFFERED A SPECIFIED PROMOTION, PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS UPON VESTING. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUES TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JAMES MAY $0; STEVEN MICKUS $0. |
| TERMS AND CONDITIONS OF THE CHP SERP PLAN | SCHEDULE J, PART I, LINE 4B | THE CHP SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTIVELY. VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMINATION. PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDINGS. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JAMES MAY $132,881; THOMAS URBAN $65,043; STEVEN MICKUS $362,400. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO (MHP - SWO) IS THE SOLE MEMBER OF MERCY HOSPITALS WEST. |
| 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 CHP CORPORATE MEMBER, CHP GOVERNING BODY, OR CHP CEO. THE REGULATIONS OF THE ORGANIZATION DESCRIBE THE LEVEL OF APPROVAL REQUIRED FOR VARIOUS DECISIONS. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | THE FORM 990 IS PREPARED BY CHP'S TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN REVIEWED BY MANAGEMENT. UPON REVIEW, THE FORM 990 IS THEN FORWARDED TO THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE FOR APPROVAL. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION RELATED SCHEDULES AND DISCLOSURES. BOTH THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE AND THE COMPENSATION COMMITTEE ARE INDEPENDENT OF THE FILING ORGANIZATION. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | EACH YEAR TRUSTEES COMPLETE A CONFLICT OF INTEREST STATEMENT THAT IS SUBSEQUENTLY APPROVED BY THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE (ACRC) AT MHP - SWO AND THEN SENT TO CHP FOR THEIR ACRC TO APPROVE. ANY CONFLICTS OF INTEREST THAT OCCUR DURING THE YEAR ARE REQUIRED TO BE BROUGHT TO THE ATTENTION OF THE ACRC AT MHP - SWO. |
| 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 PARTNERS WEBSITE. |
| AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS BY LISTED PERSONS | FORM 990 PART VII SECTION A COLUMN (B) | DAVID C. REED, M.D. 2 DAVID J. FREY 2 SISTER MARJORIE BOSSE, RSM 2 GERMAINE BENNETT 2 TODD GARDNER 2 TIMOTHY INGRAM 2 KIMBERLY MAUER 2 NEIL O'CONNOR 2 GEORGE SHYBUT, M.D. 2 L. RICHARD ROEDERSHEIMER, M.D. 2 SR. MARY STANTON, RSM 2 BEVERLY GRANT 2 GLORIA HAFFER 2 DONALD WAYNE, M.D. 2 JAMES E. MAY 47 DEBORAH BLOOMFIELD 50 LEONARD M. RANDOLPH JR., M.D. 44 CLAIRE COMBS 46 LYNN FARRAR 44 YOUSUF JAMAL AHMAD 44 MAGGIE LUND 44 DONALD ROHLING 46 LEE ANN LISKA 44 MICHAEL KRAMER 44 STEVEN MICKUS 50 THOMAS URBAN 40 |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | ELIMINATION OF I/C BALANCES - 11487282; |
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 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 HOSPITAL OF TIFFIN OHIO | |||||||||
| 45 ST LAWRENCE DRIVE | TIFFIN | OH | 44883 | 344431174 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH SYSTEM - NORTHERN REGION |
| 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 |
|---|---|---|---|---|---|---|---|---|
| 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 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 | true | 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 | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |