MERCY HEALTH-ST CHARLES HOSPITAL LLC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HEALTH-ST CHARLES HOSPITAL LLC (EIN 34-4445373)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-10
- IRS object ID
- 201133149349302448
- Schema version
- 2010v3.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-10T18:00:57-06:00 | 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 | 344445373 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST CHARLES MERCY HOSPITAL OF OREGON OHIO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STCH | NameControl |
| Phone | 4196967200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 Navarre Avenue | AddressLine1 |
| City | Oregon | City |
| State | OH | State |
| ZIP Code | 43616 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TODD WARNER | Name |
| Title | REGIONAL CFO | Title |
| Date Signed | 2011-11-02 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5136218300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY ST CHARLES HOSPITAL | BusinessNameLine1 |
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT GOSPODAREK | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 NAVARRE AVE | AddressLine1 |
| City | OREGON | City |
| State | OH | State |
| ZIP Code | 43616 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 164143926 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MERCYWEB.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1953 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | THE PRIMARY EXEMPT PURPOSE OF MERCY ST. CHARLES HOSPITAL IS TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. MERCY ST. CHARLES HOSPITAL ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1538 | TotalNbrEmployees |
| Total Nbr Volunteers | 294 | TotalNbrVolunteers |
| Total Gross UBI | 722057 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 194060 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 218397 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 151642496 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 155291752 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2120678 | InvestmentIncomePriorYear |
| Investment Income Current Year | 8001913 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 860579 | OtherRevenuePriorYear |
| Other Revenue Current Year | 629539 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 154817813 | TotalRevenuePriorYear |
| Total Revenue Current Year | 164141601 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 71724715 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 70976072 | 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 | 74223343 | OtherExpensePriorYear |
| Other Expenses Current Year | 78050977 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 145948058 | TotalExpensesPriorYear |
| Total Expenses Current Year | 149027049 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8869755 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 15114552 | RevenuesLessExpensesCY |
| Total Assets BOY | 177280108 | TotalAssetsBOY |
| Total Assets EOY | 193452572 | TotalAssetsEOY |
| Total Liabilities BOY | 35661154 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 34034677 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 141618954 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 159417895 | NetAssetsOrFundBalancesEOY |
| Mission Description | MERCY ST. CHARLES HOSPITAL EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. VALUES: - MERCY HEALTH PARTNERS DEMONSTRATES BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. TOGETHER WE COMMIT TO: - COMPASSION: OUR COMMITMENT TO SERVE WITH MERCY AND TENDERNESS. - EXCELLENCE: OUR COMMITMENT TO BE THE BEST IN THE QUALITY OF OUR SERVICES AND THE STEWARDSHIP OF OUR RESOURCES. - HUMAN DIGNITY: OUR COMMITMENT TO VALUE THE DIVERSITY OF ALL PERSONS AND TO BE RESPECTFUL AND INCLUSIVE OF EVERYONE. - JUSTICE: OUR COMMITMENT TO ACT WITH INTEGRITY, HONESTY AND TRUTHFULNESS. - SACREDNESS OF LIFE: OUR COMMITMENT TO REVERENCE ALL LIFE AND CREATION. - SERVICE: OUR COMMITMENT TO RESPOND TO THOSE IN NEED. | MissionDescription |
| Significant Change | false | SignificantChange |
| Expense | 129410567 | Expense |
| Revenue | 155332264 | Revenue |
| Description | THE PRIMARY EXEMPT PURPOSE OF ST. CHARLES MERCY HOSPITAL IS TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. ST. CHARLES MERCY HOSPITAL ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. TOTAL CHARITY CARE PROVIDED WAS $6,696,497 SERVING 5,220 INDIVIDUALS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1465982 | Expense |
| Revenue | 0 | Revenue |
| Description | PRIMARY CARE CLINIC FOR THE UNINSURED, MEDICAID, AND UNDERINSURED. THE CLINIC IS LOCATED IN THE NEIGHBORHOOD AT THE EAST TOLEDO FAMILY CENTER. THE CENTER PROVIDES ADDITIONAL RESOURCES FOR NEEDY FAMILIES. 19,817 PERSONS WERE SERVED IN 2010. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 409833 | Expense |
| Revenue | 0 | Revenue |
| Description | EDUCATION AND TRAINING PROVIDED TO MEDICAL STUDENTS, NURSING STUDENTS, EMT, AND TECHNICAL STUDENTS. 361 PERSONS WERE ASSISTED DURING 2010. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 131286382 | 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 | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1538 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MINDY WARD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4192512186 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 Jefferson | AddressLine1 |
| City | Toledo | City |
| State | OH | State |
| ZIP Code | 43604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (49 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | FormerFormer | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| SUDHAKAR PANGULUR MD | |||||||||
| TRUSTEE | 1 | X | 118167 | 0 | 0 | ||||
| CATHLEEN NELSON | |||||||||
| FORMER OFFICER | 0 | 0 | 248374 | 37143 | X | ||||
| ANTHONY J ARMSTRONG MD | |||||||||
| TRUSTEE | 1 | X | 0 | 328585 | 30479 | ||||
| JUDGE VERNELIS K ARMSTRONG | |||||||||
| TRUSTEE | 1 | X | 0 | 0 | 0 | ||||
| WILLIAM F BUCKLEY | |||||||||
| TRUSTEE | 1 | X | 0 | 0 | 0 | ||||
| SR MILDRED ELY HM | |||||||||
| TRUSTEE | 1 | X | 0 | 0 | 0 | ||||
| KAREN L FRAKER | |||||||||
| SECRETARY | 5 | X | 0 | 0 | 0 | X | |||
| CHARLES E GALLAGHER | |||||||||
| VICE CHAIRMAN | 5 | X | 0 | 0 | 0 | X | |||
| ROOSEVELT GANT | |||||||||
| TRUSTEE | 1 | X | 0 | 0 | 0 | ||||
| TIMOTHY M GLADIEUX | |||||||||
| TRUSTEE | 1 | X | 0 | 0 | 0 | ||||
| JOHN H HARRIS | |||||||||
| TRUSTEE | 1 | X | 0 | 0 | 0 | ||||
| DENISE M HASBROOK | |||||||||
| TRUSTEE | 1 | X | 0 | 0 | 0 | ||||
| WILLARD P HEDDLES | |||||||||
| TRUSTEE | 1 | X | 0 | 0 | 0 | ||||
| PAMELA HOWELL-BEACH | |||||||||
| TRUSTEE | 1 | X | 0 | 0 | 0 | ||||
| DENNIS G JOHNSON | |||||||||
| CHAIRMAN | 5 | X | 0 | 0 | 0 | X | |||
| CHERREFE A KADRI ESQ | |||||||||
| TRUSTEE | 1 | X | 0 | 0 | 0 | ||||
| MICHAEL P KILLIAN | |||||||||
| TRUSTEE | 1 | X | 0 | 0 | 0 | ||||
| GEOFFREY G MEYERS | |||||||||
| TREASURER | 5 | X | 0 | 0 | 0 | X | |||
| JUDITH ZBIERAJEWSKI | |||||||||
| CHIEF NURSING OFFICER | 55 | 215247 | 0 | 40438 | X | ||||
| STEVEN L MICKUS | |||||||||
| SVP, DIVISIONAL CEO, CHP COO | 5 | X | 0 | 1473700 | 289519 | X | |||
| ROBERT GOSPODAREK | |||||||||
| PRESIDENT & CEO - MSC HOSPITAL | 55 | 0 | 330212 | 56685 | X | ||||
| ANDREA PRICE | |||||||||
| COO, MERCY HEALTH PARTNERS | 1 | 0 | 513285 | 67883 | X | ||||
| SAMANTHA PLATZKE | |||||||||
| SVP & DIVISIONAL CFO | 5 | 0 | 488468 | 72045 | X | ||||
| TODD WARNER | |||||||||
| CFO, NORTHERN REGION | 5 | 0 | 245889 | 47441 | X | ||||
| BARRY HUDGIN | |||||||||
| VP & GENERAL COUNSEL | 1 | 0 | 224417 | 36550 | X | ||||
| H TERRENCE SMITH | |||||||||
| SVP, GENERAL COUNSEL & PRES. MPE | 1 | 0 | 423376 | 73365 | X | ||||
| GARY GEORGE | |||||||||
| SVP HUMAN RESOURCES | 1 | 0 | 328401 | 49863 | X | ||||
| WILLIAM SUTTON | |||||||||
| VP OPERATIONS | 1 | 0 | 280555 | 68857 | X | ||||
| DENNIS SHERRY | |||||||||
| SVP OFFICE OF STRATEGY MGMT | 1 | 0 | 312485 | 56828 | X | ||||
| CAROL WHITTAKER | |||||||||
| REGIONAL CNO, MHP | 1 | 0 | 382640 | 96689 | X | ||||
| JOSEPH GLASS | |||||||||
| REG VP REV CYCLE & MANAGED CARE | 1 | 0 | 254767 | 44663 | X | ||||
| ERICH R PONTASCH MD | |||||||||
| TRUSTEE | 1 | X | 0 | 22917 | 0 | ||||
| DAVID AROSE | |||||||||
| INTERIM CIO | 1 | 0 | 250369 | 29949 | X | ||||
| SCOTT SHOOK | |||||||||
| SVP STRATEGIC INITIATIVES | 1 | 0 | 772534 | 227338 | X | ||||
| DAVID BEEKS MD | |||||||||
| PHYSICIAN | 55 | 507567 | 0 | 37023 | X | ||||
| MITCHELL GREENBAUM MD | |||||||||
| PHYSICIAN | 55 | 384988 | 0 | 39387 | X | ||||
| MARIE GREENBAUM MD | |||||||||
| PHYSICIAN | 55 | 360468 | 0 | 22834 | X | ||||
| IMRAN ANDRABI MD | |||||||||
| FORMER KEY EMPLOYEE | 0 | 0 | 512238 | 68627 | X | ||||
| DAVID FRANZBLAU MD | |||||||||
| FORMER KEY EMPLOYEE | 0 | 0 | 473739 | 75769 | X | ||||
| VIJAY M ADAPPA MD | |||||||||
| TRUSTEE | 1 | X | 0 | 0 | 0 | ||||
| CAROL BINTZ | |||||||||
| TRUSTEE | 1 | X | 0 | 0 | 0 | ||||
| RALPH A THAN | |||||||||
| TRUSTEE | 1 | X | 0 | 0 | 0 | ||||
| JEFFREY DEMPSEY | |||||||||
| VP, OPERATIONS | 55 | 168207 | 0 | 33933 | X | ||||
| RANDALL HERMANN | |||||||||
| SERVICE LINE ADMINISTRATOR | 1 | 0 | 209601 | 39304 | X | ||||
| JULIE GEORGOFF | |||||||||
| SERVICE LINE ADMINISTRATOR | 1 | 0 | 160516 | 26235 | X | ||||
| ISAM DABOUL MD | |||||||||
| PHYSICIAN | 55 | 424930 | 0 | 25957 | X | ||||
| TIBERIU AVRAM MD | |||||||||
| PHYSICIAN | 55 | 292993 | 0 | 20635 | X | ||||
| RICHARD GRAY | |||||||||
| FORMER KEY EMPLOYEE | 0 | 0 | 109954 | 14378 | X | ||||
| SCOTT WILLIAMS | |||||||||
| FORMER KEY EMPLOYEE | 0 | 0 | 233600 | 37052 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2472567 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 8580622 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1766869 | TotalOtherCompensation |
| Number Individuals GT100 K | 37 | 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 | 214805 | RelatedOrganizations |
| All Other Contributions | 3592 | AllOtherContributions |
| Total Contributions | 218397 | 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 | 153844917 | 153844917 | |
| EXEMPT FUNCTION RENTAL INCOME | 531120 | 619606 | 619606 | |
| FITNESS CENTER | 713940 | 145518 | 60967 | 84551 |
| PHARMACY | 446110 | 585231 | 585231 | |
| INCOME FROM JV'S AND PARTNERSHIPS | 900099 | 90842 | 38567 | 52275 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5638 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5638 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 155291752 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1432745 | TotalRevenueColumn |
| Exclusion | $1,432,745 | 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) |
|---|---|---|
| Securities | 6571493 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2325 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6571493 | Securities |
| Other | -2325 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6569168 | TotalRevenueColumn |
| Exclusion | $6,569,168 | 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 | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA | 722210 | 577429 | $577,429 | |
| HEARING AID SALES | 900099 | 40512 | 40512 | |
| MISCELLANEOUS | 900099 | 11598 | $11,598 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 629539 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 164141601 | TotalRevenueColumn |
| Related Or Exempt Function Income | 154610207 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 722057 | UnrelatedBusinessRevenue |
| Exclusion | $8,590,940 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 575992 | Total |
| Program Services | 492243 | ProgramServices |
| Management And General | 83749 | 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 | 55548769 | Total |
| Program Services | 47472807 | ProgramServices |
| Management And General | 8075962 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3276335 | Total |
| Program Services | 2784885 | ProgramServices |
| Management And General | 491450 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7615508 | Total |
| Program Services | 6473182 | ProgramServices |
| Management And General | 1142326 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3959468 | Total |
| Program Services | 3365548 | ProgramServices |
| Management And General | 593920 | 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 | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25325484 | Total |
| Program Services | 25325484 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23416116 | Total |
| Program Services | 21519754 | ProgramServices |
| Management And General | 1896362 | 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 | 2787316 | Total |
| Program Services | 385216 | ProgramServices |
| Management And General | 2402100 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107460 | Total |
| Program Services | 85968 | ProgramServices |
| Management And General | 21492 | 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 | 699364 | Total |
| Program Services | 559491 | ProgramServices |
| Management And General | 139873 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6938921 | Total |
| Program Services | 5551137 | ProgramServices |
| Management And General | 1387784 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1065896 | Total |
| Program Services | 1065896 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEMBERSHIP/DUES | 201307 | 161046 | 40261 |
| STATE ASSESSMENT | 1784021 | 1784021 | |
| MISCELLANEOUS | 7326290 | 5860902 | 1465388 |
| BAD DEBT EXPENSE | 8398802 | 8398802 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 149027049 | Total |
| Program Services | 131286382 | ProgramServices |
| Management And General | 17740667 | 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 | 4786748 | BOY |
| EOY | 3395832 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15028980 | BOY |
| EOY | 18517870 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 269316 | BOY |
| EOY | 160367 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2702575 | BOY |
| EOY | 2415786 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1619978 | BOY |
| EOY | 1707030 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 187460524 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 142289700 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47835596 | BOY |
| EOY | 45170824 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103096986 | BOY |
| EOY | 118626557 | 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 | 1939929 | BOY |
| EOY | 3458306 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 177280108 | BOY |
| EOY | 193452572 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9131055 | BOY |
| EOY | 8480748 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26530099 | BOY |
| EOY | 25553929 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35661154 | BOY |
| EOY | 34034677 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141618954 | BOY |
| EOY | 159417895 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141618954 | BOY |
| EOY | 159417895 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 177280108 | BOY |
| EOY | 193452572 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 15114552 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2684389 | 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 |
| Mailings Members | $0 | MailingsMembersAmount |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $6,383 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 6383 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Non Ded Lobby Political Total | 0 | NonDedLobbyPoliticalTotal |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITIES | Identifier |
| Return Reference | PART II-B, LINE 1F | 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 | 5649098 | OtherCostOrOtherBasis |
| Book Value | 5649098 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 121655874 | OtherCostOrOtherBasis |
| Depreciation | 90483911 | Depreciation |
| Book Value | 31171963 | 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 | 54299699 | OtherCostOrOtherBasis |
| Depreciation | 47953207 | Depreciation |
| Book Value | 6346492 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5855853 | OtherCostOrOtherBasis |
| Depreciation | 3852582 | Depreciation |
| Book Value | 2003271 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 45170824 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (11 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SISTERS RETIREMENT LIABILITY | $26,446 |
| NOTE PAYABLE TO AFFILIATE | $7,309,771 |
| INTERCOMPANY AP | $2,399,858 |
| HEALTH INSURANCE FAS 106 | $3,112,158 |
| DEFINED BENEFIT PENSION LIABILITY | $8,859,039 |
| MOB LONG TERM LIABILITY | $3,057,777 |
| SERP LIABILITY | $725,334 |
| ACCRUED PENSION DEFINED CONTRIBUTION PLAN | $984,996 |
| ACCRUED BENEFITS | $696,117 |
| REIMBURSEMENT CONTRACTS | -$1,988,541 |
| OTHER LIABILITIES | $370,974 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 25553929 | TotalOfAmounts |
| Total Revenue | 164141601 | TotalRevenue |
| Total Expenses | 149027049 | TotalExpenses |
| Excess Or Deficit For Year | 15114552 | ExcessOrDeficitForYear |
| Other | $0 | OtherAmount |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 15114552 | 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 HEALTHCARE 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 | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 5220 | PersonsServed |
| Total Community Benefit Expense | 6696497 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2016214 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4680283 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03330 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 12652 | PersonsServed |
| Total Community Benefit Expense | 28885479 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26810959 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2074520 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01480 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 17872 | PersonsServed |
| Total Community Benefit Expense | 35581976 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 28827173 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6754803 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04810 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 13215 | PersonsServed |
| Total Community Benefit Expense | 164337 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 796 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 163541 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 361 | PersonsServed |
| Total Community Benefit Expense | 409833 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 409833 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 20959 | PersonsServed |
| Total Community Benefit Expense | 4462234 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2499825 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1962409 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01400 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 725 | PersonsServed |
| Total Community Benefit Expense | 175662 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 175662 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 35260 | PersonsServed |
| Total Community Benefit Expense | 5212066 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2500621 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2711445 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01930 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 53132 | PersonsServed |
| Total Community Benefit Expense | 40794042 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 31327794 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9466248 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06740 | 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) |
|---|---|---|
| Total Community Building Expense | 40 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 40 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1357 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1357 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 1397 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1397 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $1,854,734 | BadDebtExpenseAmount |
| Amount Attributable To | 380767 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 38546725 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 55586377 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -17039652 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| ST CHARLES MERCY SURGICAL MGMNT ASSOC | |||
| PROVIDES MANAGEMENT SERVICES TO HOSPITAL'S SURGERY DEPT | 0.3333 | 0 | 0.6667 |
| TOLEDO COMMUNITY LITHOTRIPTER | |||
| EXTRACORPOREAL SHOCK WAVE LITHOTRISY SERVICES | 0.083 | 0 | 0.2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST CHARLES MERCY HOSPITAL OF OREGON OH | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 NAVARRE AVENUE | AddressLine1 |
| City | OREGON | City |
| State | OH | State |
| ZIP Code | 43616 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 19 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (19 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| MERCY WOMEN'S CENTER | ||||
| 2702 NAVARRE SUITE 101 | OREGON | OH | 43616 | OUTPATIENT TESTING |
| MERCY CENTER FOR HEALTH PROMOTION | ||||
| 1001 ISAACS STS DRIVE | OREGON | OH | 43616 | WELLNESS CENTER |
| DR BEEKS | ||||
| 2702 NAVARRE SUITE 102 | OREGON | OH | 43616 | PHYSICIAN OFFICE |
| NAVARRE FAMILY PRACTICE | ||||
| 1020 VARLAND | TOLEDO | OH | 43605 | PHYSICIAN OFFICE |
| BAY MEADOWS FAMILY MEDICINE | ||||
| 2815 DUSTIN RD | OREGON | OH | 43616 | PHYSICIAN OFFICE |
| HUSAIN & GUVENDI | ||||
| 1050 ISAACS DRIVE STE 131 | OREGON | OH | 43616 | PHYSICIAN OFFICE |
| DR DABOUL | ||||
| 3355 GLENDALE AVE | TOLEDO | OH | 43614 | PHYSICIAN OFFICE |
| MAUMEE BAY OBGYN | ||||
| 2702 NAVARRE AVE STE 102 | OREGON | OH | 43616 | PHYSICIAN OFFICE |
| POINT PLACE CARE & REHAB | ||||
| 6101 NORTH SUMMIT | TOLEDO | OH | 43611 | REHAB FACILITY |
| MERCY MEDICAL PLAZA | ||||
| 1021 SANDUSKY STE D E F | PERRYSBURG | OH | 43551 | PHYSICIAN OFFICES |
| MERCY DIAGNOSTICS | ||||
| 3105 S STATE RT 51 | ELMORE | OH | 43416 | OUTPATIENT LAB DRAW SITE |
| HORIZONS FAMILY PRACTICE | ||||
| 2741 NAVARRE AVE | OREGON | OH | 43616 | PHYSICIAN OFFICE |
| POINT PLACE RADIOLOGY | ||||
| 6101 NORTH SUMMIT | TOLEDO | OH | 43611 | OUTPATIENT TESTING |
| BAY MEADOWS - DR MACNAMARA | ||||
| 2815 DUSTIN | OREGON | OH | 43616 | PHYSICIAN OFFICE |
| ASSOCIATED IMAGING | ||||
| 3830 WOODLEY ROAD SUITE A | TOLEDO | OH | 43606 | OUTPATIENT TESTING |
| MERCY INTEGRATED LABS | ||||
| 1850 EASTGATE ROAD | TOLEDO | OH | 43614 | LAB DRAW SITE |
| MERCY INTEGRATED LABS | ||||
| 119 CLINTON STREET | MAUMEE | OH | 43537 | LAB DRAW SITE |
| MERCY INTEGRATED LABORATORY | ||||
| 2222 CHERRY ST | TOLEDO | OH | 43608 | LABORATORY |
| TOLEDO COMMUNITY LITHOTRIPTER CORP | ||||
| 3158 W CENTRAL AVENUE | TOLEDO | OH | 43606 | OUTPATIENT TESTING |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Community benefit report prepared by related organization | Schedule H, Part I, Line 6a | MERCY HEALTH PARTNERS |
| Subsidized Health Services | Schedule H, Part I, Line 7g | $3,975,907 OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES |
| Bad Debt Expense excluded from financial assistance calculation | Schedule H, Part I, Line 7, column(f) | 8,398,802 |
| Costing Methodology used to calculate financial assistance | Schedule H, Part I, Line 7 | COST OF CHARITY CARE WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. THE COST RELATED TO MEDICAID PATIENTS WAS ALSO DETERMINED USING THE COST TO CHARGE RATIO USING WORKSHEET 2 AND INCLUDED BOTH INPATIENTS AND OUTPATIENTS FOR TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PLANS. FOR SUBSIDIZED SERVICES THE HOSPITAL'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COST RELATED TO THE SPECIFIC SERVICE FOR COMMERCIAL PATIENTS ONLY. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS. |
| Community Building Activities | Schedule H, Part II | MERCY ST. CHARLES PROVIDES PROGRAMS TO IMPROVE THE PHYSICAL SURROUNDINGS AND HOUSING IN THE COMMUNITY. INADEQUATE HOUSING HAS A NEGATIVE IMPACT ON THE HEALTH OF RESIDENTS IN THE AREA BY LEADING TO VIOLENCE IN THE NEIGHBORHOODS. A ROBUST ECONOMY POSITIVELY IMPACTS RESIDENTS COVERED BY HEALTH INSURANCE AND IMPROVES THE CAPACITY OF THE COMMUNITY TO SUPPORT HEALTH SERVICES. MERCY ST. CHARLES HOSPITAL SUPPORTS A ROBUST ECONOMY IN THE COMMUNITY BY SUPPORTING HOSPITAL COUNCIL, CANCER SOCIETY, EAST TOLEDO FAMILY CENTER, RED CROSS, SUNOCO COMMUNITY ADVISORY COMMITTEE, ROTARY CLUB, AND OTHER COMMUNITY ORGANIZATIONS. SOCIAL SUPPORT SERVICES SUCH AS HELP (HOSPITAL ELIGIBILITY LINK PROGRAM) ARE ALSO IMPORTANT TO SUPPORT THE ABILITY OF RESIDENTS TO GAIN AND RETAIN EMPLOYMENT AND THEREFORE ACCESS TO HEALTH INSURANCE AND IMPROVED ACCESS TO HEALTH SERVICES. MERCY ST. CHARLES PROVIDES CAB VOUCHERS FOR PEOPLE NEEDING TRANSPORTATION TO MEDICAL SERVICES. MERCY ST. CHARLES HOSPITAL WORKS COOPERATIVELY WITH THE UNITED WAY TO ADDRESS COMMUNITY ISSUES THAT IMPACT THE HEALTH OF THE COMMUNITY, SUCH AS MEETING BASIC NEEDS AND ADDRESSING CARDIOVASCULAR DISEASE, CANCER, AND CHRONIC DISEASES. MERCY ST. CHARLES HOSPITAL ALSO SUPPORTS PROGRAMS TO ADDRESS EMPLOYMENT ISSUES WITH HIGH SCHOOL STUDENTS BY PROVIDING VOLUNTEER ACTIVITIES FOR THE STUDENTS WHICH IMPROVE THE SKILLS AND EMPLOYABILITY OF RESIDENTS. MERCY ST. CHARLES ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. MERCY ST. CHARLES SERVES AS A CLINICAL EXPERIENCE SITE FOR NURSING AND OTHER ALLIED HEALTH STUDENTS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF MERCY ST. CHARLES HOSPITAL. COMMUNITY GROUPS USE THE FACILITY FOR THEIR MEETINGS. MERCY ST. CHARLES FORGES COLLABORATIVE RELATIONSHIPS WITH THE NEIGHBORHOOD HEALTH ASSOCIATION, A FEDERALLY QUALIFIED HEALTH CENTER. MERCY ST. CHARLES PROVIDES PRIMARY CARE TO THE UNDERSERVED IN EAST TOLEDO AT THE NAVARRE PARK FAMILY CARE CENTER. MERCY ST. CHARLES PROVIDES MOBILE HEALTH VAN SERVICES TO SENIORS, PARISHES, SCHOOLS AND MIGRANTS. MERCY ST. CHARLES PROVIDES PHARMACY VOUCHERS TO ASSIST WITH MEDICATION EXPENSES. MERCY ST. CHARLES PROVIDES CARDIAC REHAB SERVICES TO PATIENTS NEEDING OUTPATIENT CARE. MERCY ST. CHARLES PROVIDES TOBACCO PREVENTION TO YOUTH AND ADULTS. |
| Bad debt expense - financial statement footnote | Schedule H, Part III, Line 4 | THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BAD DEBT IS CLASSIFIED AS AN OPERATING EXPENSE. THIS TREATMENT IS CONSISTENT WITH THE HFMA PRINCIPLES AND PRACTICES BOARD STATEMENT NO. 15 AND WITH THE AICPA AUDIT AND ACCOUNTING GUIDE FOR HEALTH CARE ORGANIZATIONS. AN AGGREGATE COST TO CHARGE RATIO WAS USED TO PROVIDE BAD DEBT AT COST FOR PART III, LINE 2. REMAINING BALANCES FOR PATIENTS THAT WE KNOW ARE ELIGIBLE FOR CHARITY CARE ARE WRITTEN OFF TO CHARITY CARE. PATIENTS WHO MIGHT BE ELIGIBLE FOR CHARITY CARE BUT ARE UNKNOWN TO US ARE WRITTEN OFF TO BAD DEBT AND THEREFORE NOT INCLUDED IN CHARITY CARE. THE ESTIMATED AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY REPORTED ON PART III, LINE 3 WAS DETERMINED AS FOLLOWS: REVIEWED DOLLAR AMOUNTS FOR TOTAL REFERRED FOR ASSISTANCE, APPROVED FOR ASSISTANCE AND APPLICATIONS DENIED BECAUSE OF INCOMPLETE INFORMATION; DEVELOPED THE PERCENTAGE OF APPROVED APPLICATIONS TO COMPLETED APPLICATIONS AND THEN APPLIED PERCENTAGE TO THOSE APPLICATIONS THAT WERE INCOMPLETE. THIS PROVIDED AN ESTIMATED AMOUNT OF THOSE APPLICATIONS THAT WERE INCOMPLETE THAT WOULD HAVE QUALIFIED FOR ASSISTANCE IF THE APPLICATION HAS BEEN COMPLETED. THE DOLLAR AMOUNT OF CHARITY CARE ACTUALLY WRITTEN-OFF REPRESENTS THOSE THAT WERE APPROVED. TO CALCULATE THE FULL ESTIMATED AMOUNT OF CHARITY CARE, A CALCULATION WAS DONE TO DETERMINE WHAT 100% OF CHARITY WOULD BE FOR THE TOTAL OF THE APPROVED APPLICATIONS AND THE ESTIMATED AMOUNT FOR THOSE APPLICATIONS THAT WERE INCOMPLETE BUT WOULD HAVE BEEN APPROVED IF COMPLETED. THE DIFFERENCE BETWEEN THIS ESTIMATED TOTAL AMOUNT AND THE ACTUAL WRITE-OFF AMOUNT FOR CHARITY CARE WAS THEN APPLIED TO THE RATIO COST-OF-CHARGES USED FOR CHARITY CARE AT COST. |
| Community benefit & methodology for determining medicare costs | Schedule H, Part III, Line 8 | MEDICARE SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. THE AMOUNTS ON PART III, LINE 6 WERE GENERATED BY THE MEDICARE COST REPORT WHICH UTILIZES A DEPARTMENT COST TO CHARGE METHODOLOGY. |
| Collection practices for patients eligible for financial assistance | Schedule H, Part III, Line 9b | PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAY AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY AS A LAST RESORT AND ONLY: WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT REFUSE TO DO SO; WHEN PATIENTS REFUSE TO WORK WITH THE ORGANIZATION TO DETERMINE IF THEY QUALIFY FOR FREE OR DISCOUNTED CARE VIA FEDERAL, STATE, LOCAL OR HOSPITAL ASSISTANCE PROGRAMS; WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL. |
| Needs assessment. | Schedule H, Part VI, Line 2 | MERCY ST. CHARLES HOSPITAL ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. MERCY ST. CHARLES JOINS AN EXISTING COMMUNITY BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. MERCY ST. CHARLES HOSPITAL INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. MERCY ST. CHARLES 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; DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. MERCY ST. CHARLES HOSPITAL HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. MERCY ST. CHARLES' COMMUNITY BENEFITS COMMITTEE MEETS QUARTERLY TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. MERCY ST. CHARLES HOSPITAL WORKS CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES AND TO AVOID DUPLICATION. |
| Patient education of eligibility for assistance. | Schedule H, Part VI, Line 3 | MERCY ST CHARLES HOSPITAL POSTS ITS CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE HOSPITAL PROVIDES A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A COPY OF THE POLICY OR A SUMMARY ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED IN PATIENT BILLS. THE HOSPITAL DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. THE HOSPITAL ELIGIBILITY LINK PROGRAM (HELP) IS A FREE REFERRAL SERVICE PROVIDED BY THE HOSPITAL. THE PURPOSE OF HELP IS TO ASSIST PATIENTS IN OBTAINING MEDICAL BENEFITS THROUGH FEDERAL, STATE, AND HOSPITAL PROGRAMS. HELP REPRESENTATIVES WILL PROVIDE THE FOLLOWING SERVICES AT NO COST TO THE PATIENT: * EXPLORE ELIGIBILITY UNDER PUBLIC ASSISTANCE PROGRAMS * FILE APPLICATIONS ON PATIENT'S BEHALF * SCHEDULE AND ATTEND APPOINTMENTS * PROVIDE TRANSPORTATION WHEN NECESSARY * PROVIDE MEDICAL DOCUMENTATION TO SOCIAL SECURITY ADMINISTRATION FOR DISABILITY CLAIMS. THROUGH HELP, PATIENTS AND THEIR COUNSELORS LOOK AT WHAT OPTIONS ARE AVAILABLE. THE HOSPITAL UNDERSTANDS THAT NOT EVERYONE CAN PAY FOR HEALTHCARE SERVICES. HELP IS HERE TO OFFER OPTIONS AND ASSISTANCE FOR THOSE WHO ARE UNINSURED OR UNDERINSURED. HELP IS AN EXTENSION OF THE HOSPITAL'S MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITY WITH EMPHASIS ON THE POOR AND UNDERSERVED. MEETING THE NEEDS OF THOSE WITH LIMITED RESOURCES HAS BEEN THE HEART OF OUR MISSION. IN 2010, HELP MANAGED 12,695 PATIENT REFERRALS. MERCY ST CHARLES HOSPITAL IS PROUD TO MAKE OUR FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE, WHICH CAN BE FOUND AT WWW.MERCYWEB.ORG. |
| Community information. | Schedule H, Part VI, Line 4 | MERCY ST CHARLES HOSPITAL SERVES A FIVE COUNTY GEOGRAPHIC AREA FEATURING THE FOLLOWING COUNTIES: LUCAS, OTTAWA, SANDUSKY, SENECA, AND WOOD IN OHIO. THE POPULATION OF MERCY ST CHARLES HOSPITAL'S PRIMARY SERVICE AREA IS APPROXIMATELY 595,000 AND IS OLDER, POORER AND HAS WORSE HEALTH STATISTICS THAN STATE AND NATIONAL AVERAGES. OUR COMMUNITY IS CHANGING AND WE ALSO SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THERE ARE 8 HOSPITALS IN THE COMMUNITY OF WHICH SEVEN ARE NOT-FOR-PROFIT HOSPITALS. NONE HAVE BEEN FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA OR POPULATION. THE DEMOGRAPHIC AREA SERVED BY MERCY ST CHARLES HOSPITAL SERVES THE FOLLOWING ETHNIC AND CULTURAL GROUPS: CAUCASIAN (75.7%), BLACK (17.7%), HISPANIC (5.1%), ASIAN (1.3%), AMERICAN-INDIAN (0.1%), SOME OTHER RACE (2.8%), TWO OR MORE RACES (2.4%). 12% OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES. 21% OF FAMILIES ARE ON MEDICAID OR OTHER ASSISTANCE. IN THE COMMUNITY SERVED BY MERCY ST CHARLES HOSPITAL HEART DISEASE, CANCER, AND STROKE ARE THE MAJOR HEALTH PROBLEMS AND/OR LEADING CAUSES OF DEATH. EACH OF THESE ARE PREVENTABLE THROUGH PROPER CARE AND MAINTAINING CONTROL OF THE ILLNESS/DISEASE AS WELL AS LEADING HEALTHIER LIVES. THE SMOKING RATE IS 23% OF THE ADULT POPULATION. MERCY ST CHARLES HOSPITAL WORKS CLOSELY WITH LOCAL COMMUNITY AGENCIES AND HEALTH DEPARTMENTS TO ADDRESS THESE PROBLEMS AND MINIMIZE THE EFFECTS ON THOSE WHO SUFFER. IN 2010, MERCY ST CHARLES HOSPITAL HAD 9,871 ADMISSIONS, 139,924 OUTPATIENT VISITS, AND 40,675 EMERGENCY ROOM VISITS. |
| Promotion of community health | Schedule H, Part VI, Line 5 | MERCY ST CHARLES HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, THE HOSPITAL ALSO PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. THE HOSPITAL OPERATES PSYCHIATRIC, SKILLED NURSING, NEWBORN NURSERY, WOUND CARE, AND DIABETES MANAGEMENT DEPARTMENTS. MERCY ST CHARLES HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA (WITH CERTAIN LIMITED EXCEPTIONS INVOLVING TRADITIONALLY EXCLUSIVE HOSPITAL-BASED SERVICES). THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY HOSPITAL. THE HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT -SPONSORED HEALTH CARE PROGRAMS. THE HOSPITAL'S EMERGENCY DEPARTMENT TREATS AN INCREASING NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS. |
| Affiliated health care system | Schedule H, Part VI, Line 6 | MERCY ST. CHARLES HOSPITAL IS A MEMBER OF MERCY HEALTH PARTNERS-NORTHERN REGION AND AFFILIATED WITH ST. VINCENT MERCY MEDICAL CENTER, ST. ANNE MERCY HOSPITAL, MERCY HOSPITAL TIFFIN, AND MERCY HOSPITAL WILLARD. ALL ARE OHIO NON-PROFIT CORPORATIONS. MERCY ST. CHARLES HOSPITAL IS SPONSORED BY THE SISTERS OF MERCY AND SISTERS OF CHARITY OF MONTREAL (GREY NUNS) AND HAS BEEN AN INTEGRAL PART OF THE COMMUNITY SINCE 1953. THE HOSPITAL IS AN ACUTE CARE HOSPITAL WITH APPROXIMATELY 390 LICENSED BEDS. MERCY HEALTH PARTNERS-NORTHERN REGION COMMUNITY BENEFIT FOR 2010 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $74.5 MILLION BENEFITS TO THE BROADER COMMUNITY: $20.5 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $15.5 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $21.9 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $16.6 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 9.1 PERCENT MERCY ST CHARLES HOSPITAL IS A MEMBER OF CATHOLIC HEALTH PARTNERS (CHP). CHP IS THE CONTINUATION OF THE HEALTH MINISTRY STARTED MORE THAN 150 YEARS AGO BY OUR CO-SPONSORING CONGREGATIONS: THE SISTERS OF MERCY, REGIONAL COMMUNITY OF CINCINNATI (OH); THE MID-ATLANTIC COMMUNITY, MERION STATION, PA; THE SISTERS OF HUMILITY OF MARY; THE FRANCISCAN SISTERS OF THE POOR; AND COVENANT HEALTH SYSTEMS. OUR SYSTEM OF REGIONAL HEALTH CARE PROVIDERS SERVES LOCAL HEALTH NEEDS IN COMMUNITIES IN OHIO, KENTUCKY, PENNSYLVANIA AND TENNESSEE. CHP IS FOCUSED ON IMPROVING THE HEALTH OF COMMUNITIES WE SERVE BY PROVIDING INTEGRATED HEALTH SERVICES THROUGH FACILITIES THAT INCLUDE ACUTE CARE HOSPITALS, LONG-TERM CARE RESIDENCES, HOUSING SITES FOR THE ELDERLY, HOME HEALTH AGENCIES, HOSPICE PROGRAMS, OUTREACH SERVICES AND WELLNESS CENTERS. OUR HOSPITALS INCLUDE FOUR CRITICAL ACCESS FACILITIES OFFERING ESSENTIAL HEALTH SERVICES THAT WOULD OTHERWISE NOT EXIST IN THOSE COMMUNITIES. WE CARE FOR EVERYONE WHO COMES TO US, REGARDLESS OF THEIR ABILITY TO PAY. AS WE HAVE DONE FOR DECADES, WE PROVIDE EXTENSIVE SERVICES TO THE BROADER COMMUNITY, WITH EMPHASIS ON SERVICES FOR PERSONS WHO ARE POOR AND UNDER-SERVED. CHP'S HOME OFFICE PROVIDES SERVICES AND SUPPORT TO THE ENTIRE SYSTEM, INCLUDING BUT NOT LIMITED TO: PROVIDING GOVERNANCE, MANAGEMENT OVERSIGHT, STRATEGIC LEADERSHIP, FOCUSING RESOURCES TO ASSURE THE HEALING MISSION, PROVIDING ACCESS TO LOWER COST DEBT FINANCING TO SUPPORT OPERATIONS, IMPROVING CLINICAL OUTCOMES AND REDUCING OPERATING COSTS. SYSTEM-WIDE COMMUNITY BENEFIT FOR 2010 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $365.1 MILLION BENEFITS TO THE BROADER COMMUNITY $77.1 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID $131.7 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY $123.2 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR $33.1 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 8.5 PERCENT |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (29 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CATHLEEN NELSON | |||||||||||||
| 0 | 212805 | 0 | 25732 | 0 | 9837 | 0 | 19600 | 0 | 17543 | 0 | 285517 | 0 | 0 |
| ANTHONY J ARMSTRONG MD | |||||||||||||
| 0 | 293852 | 0 | 33201 | 0 | 1532 | 0 | 17150 | 0 | 13329 | 0 | 359064 | 0 | 0 |
| JUDITH ZBIERAJEWSKI | |||||||||||||
| 165523 | 0 | 41500 | 0 | 8224 | 0 | 23833 | 0 | 16605 | 0 | 255685 | 0 | 0 | 0 |
| STEVEN L MICKUS | |||||||||||||
| 0 | 846286 | 0 | 253802 | 0 | 373612 | 0 | 267760 | 0 | 21759 | 0 | 1763219 | 0 | 0 |
| ROBERT GOSPODAREK | |||||||||||||
| 0 | 262938 | 0 | 57200 | 0 | 10074 | 0 | 38819 | 0 | 17866 | 0 | 386897 | 0 | 0 |
| ANDREA PRICE | |||||||||||||
| 0 | 469225 | 0 | 33480 | 0 | 10580 | 0 | 48514 | 0 | 19369 | 0 | 581168 | 0 | 0 |
| SAMANTHA PLATZKE | |||||||||||||
| 0 | 396451 | 0 | 82269 | 0 | 9748 | 0 | 52686 | 0 | 19359 | 0 | 560513 | 0 | 0 |
| TODD WARNER | |||||||||||||
| 0 | 189750 | 0 | 48226 | 0 | 7913 | 0 | 30492 | 0 | 16949 | 0 | 293330 | 0 | 0 |
| BARRY HUDGIN | |||||||||||||
| 0 | 171964 | 0 | 44200 | 0 | 8253 | 0 | 28954 | 0 | 7596 | 0 | 260967 | 0 | 0 |
| H TERRENCE SMITH | |||||||||||||
| 0 | 316656 | 0 | 81578 | 0 | 25142 | 0 | 49647 | 0 | 23718 | 0 | 496741 | 0 | 0 |
| GARY GEORGE | |||||||||||||
| 0 | 252047 | 0 | 64778 | 0 | 11576 | 0 | 41010 | 0 | 8853 | 0 | 378264 | 0 | 0 |
| WILLIAM SUTTON | |||||||||||||
| 0 | 205806 | 0 | 51022 | 0 | 23727 | 0 | 56188 | 0 | 12669 | 0 | 349412 | 0 | 0 |
| DENNIS SHERRY | |||||||||||||
| 0 | 239067 | 0 | 61980 | 0 | 11438 | 0 | 39272 | 0 | 17556 | 0 | 369313 | 0 | 0 |
| CAROL WHITTAKER | |||||||||||||
| 0 | 302210 | 0 | 68394 | 0 | 12036 | 0 | 82756 | 0 | 13933 | 0 | 479329 | 0 | 0 |
| JOSEPH GLASS | |||||||||||||
| 0 | 197649 | 0 | 49501 | 0 | 7617 | 0 | 27637 | 0 | 17026 | 0 | 299430 | 0 | 0 |
| DAVID AROSE | |||||||||||||
| 0 | 216222 | 0 | 33001 | 0 | 1146 | 0 | 17150 | 0 | 12799 | 0 | 280318 | 0 | 0 |
| SCOTT SHOOK | |||||||||||||
| 0 | 223987 | 0 | 75700 | 0 | 472847 | 0 | 213189 | 0 | 14149 | 0 | 999872 | 0 | 442897 |
| DAVID BEEKS MD | |||||||||||||
| 507027 | 0 | 0 | 0 | 540 | 0 | 19600 | 0 | 17423 | 0 | 544590 | 0 | 0 | 0 |
| MITCHELL GREENBAUM MD | |||||||||||||
| 347135 | 0 | 37092 | 0 | 761 | 0 | 22050 | 0 | 17337 | 0 | 424375 | 0 | 0 | 0 |
| MARIE GREENBAUM MD | |||||||||||||
| 322850 | 0 | 37092 | 0 | 526 | 0 | 19600 | 0 | 3234 | 0 | 383302 | 0 | 0 | 0 |
| IMRAN ANDRABI MD | |||||||||||||
| 0 | 401010 | 0 | 102000 | 0 | 9228 | 0 | 49258 | 0 | 19369 | 0 | 580865 | 0 | 0 |
| DAVID FRANZBLAU MD | |||||||||||||
| 0 | 379934 | 0 | 78753 | 0 | 15052 | 0 | 60781 | 0 | 14988 | 0 | 549508 | 0 | 0 |
| JEFFREY DEMPSEY | |||||||||||||
| 152011 | 0 | 8710 | 0 | 7486 | 0 | 17511 | 0 | 16422 | 0 | 202140 | 0 | 0 | 0 |
| RANDALL HERMANN | |||||||||||||
| 0 | 180770 | 0 | 23260 | 0 | 5571 | 0 | 23652 | 0 | 15652 | 0 | 248905 | 0 | 0 |
| JULIE GEORGOFF | |||||||||||||
| 0 | 144902 | 0 | 12001 | 0 | 3613 | 0 | 9926 | 0 | 16309 | 0 | 186751 | 0 | 0 |
| ISAM DABOUL MD | |||||||||||||
| 374187 | 0 | 50000 | 0 | 743 | 0 | 14700 | 0 | 11257 | 0 | 450887 | 0 | 0 | 0 |
| TIBERIU AVRAM MD | |||||||||||||
| 292495 | 0 | 0 | 0 | 498 | 0 | 12250 | 0 | 8385 | 0 | 313628 | 0 | 0 | 0 |
| RICHARD GRAY | |||||||||||||
| 0 | 29170 | 0 | 22110 | 0 | 58674 | 0 | 7719 | 0 | 6659 | 0 | 124332 | 0 | 0 |
| SCOTT WILLIAMS | |||||||||||||
| 0 | 187577 | 0 | 38137 | 0 | 7886 | 0 | 29027 | 0 | 8025 | 0 | 270652 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Severance or change-of-control payment | Schedule J, Part I, Line 4a | SEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO LISTED INDIVIDUALS FOR SPECIFIED PERIODS. THE LISTED INDIVIDUALS EXECUTED RELEASES AND WAIVERS OF CLAIMS IN EXCHANGE FOR THE SEVERANCE BENEFITS. SALARY CONTINUATION AMOUNTS PROVIDED DURING THE YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: RICHARD GRAY $40,819. |
| Supplemental nonqualified retirement plan | Schedule J, Part I, Line 4b | THE MERCY HEALTH PARTNERS (MHP) - NORTHERN REGION NONQUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN IS FOR CERTAIN HIGHLY COMPENSATED INDIVIDUALS AS DETERMINED BY THE BOARD OF TRUSTEES' EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE TO PROVIDE A BENEFIT TO REPLACE THE BENEFIT THESE PARTICIPANTS WOULD HAVE RECEIVED UNDER THE FORMULA OF THE APPLICABLE QUALIFIED PLAN PRIOR TO ITS AMENDMENT TO COMPLY WITH THE OMNIBUS BUDGET RECONCILIATION ACT OF 1993, AND PROVIDING A DEFERRED COMPENSATION PLAN OF 5% OF ANNUAL BASE SALARY TO RETAIN EXECUTIVES. PARTICIPANTS VEST IN THIS PLAN AND RECEIVE A BENEFIT UNDER THIS PLAN ONCE THEY HAVE SATISFIED BOTH OF THESE TWO CONDITIONS: (1) MEET THE VESTING REQUIREMENTS OF THE APPLICABLE QUALIFIED PLAN, AND (2) COMPLETE A 24-MONTH POST-EMPLOYMENT NON-COMPETE REQUIREMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: ROBERT GOSPODAREK $0; SAMANTHA PLATZKE $0; H. TERRENCE SMITH $0; GARY GEORGE $0; DENNIS SHERRY $0; CAROL WHITTAKER $0; SCOTT SHOOK $458,416; WILLIAM SUTTON $10,460; IMRAN ANDRABI $0; DAVID FRANZBLAU $0. |
| Non-fixed payments | Schedule J, Part I, Line 7 | THE ORGANIZATION PROVIDES ANNUAL INCENTIVE COMPENSATION FOR LISTED INDIVIDUALS. THE ORGANIZATION'S BOARD OF TRUSTEES ESTABLISHES OBJECTIVE THRESHOLDS FOR QUALITY, COMMUNITY BENEFIT, AND FINANCIAL PERFORMANCE WHICH MUST BE ACHIEVED FOR INCENTIVES TO BE AWARDED. THE BOARD ALSO ESTABLISHES THRESHOLD, TARGET AND MAXIMUM LEVELS FOR INCENTIVE AWARDS. WITHIN THESE ESTABLISHED PARAMETERS, THE CEO RECOMMENDS INCENTIVE AWARDS FOR LISTED INDIVIDUALS TO THE BOARD'S EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE. THE BOARD COMMITTEE REVIEWS AND APPROVES OR MODIFIES THE CEO'S RECOMMENDATIONS. |
| THE CHP SERP PLAN | SCHEDULE J, PART I, LINE 4B | THE CATHOLIC HEALTH PARTNERS (CHP) SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTIVELY, VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMINATION, PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDINGS. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: STEVEN L. MICKUS $362,400. |
| THE CHP RETENTION PLAN | SCHEDULE J, PART I, LINE 4B | THE CATHOLIC HEALTH PARTNERS (CHP) RETENTION PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST AND CEASE TO RECEIVE CREDITS AFTER 5 YEARS OF PLAN PARTICIPATION PROVIDED THEY REMAIN EMPLOYED. VESTING AND CESSATION OF CREDITS OCCUR EARLIER FOR DEATH OR TOTAL DISABILITY WHILE EMPLOYED, INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION, OR, FOR CERTAIN PARTICIPANTS, UPON BEING OFFERED A SPECIFIED PROMOTION. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS UPON VESTING. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: STEVEN L. MICKUS $0. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Family/business relationships amongst interested persons | Form 990, Part VI, Section A, Line 2 | ANTHONY ARMSTRONG AND VERNELIS ARMSTRONG - FAMILY RELATIONSHIP |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | MERCY HEALTH PARTNERS - NORTHERN IS THE SOLE MEMBER OF ST. CHARLES MERCY HOSPITAL OF OREGON, OHIO. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | CATHOLIC HEALTH PARTNERS APPROVES MEMBERS THAT ARE APPOINTED TO THE BOARD OF TRUSTEES. ALL OF THE BOARD OF TRUSTEES HAVE FULL VOTING RIGHTS. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | CERTAIN MATTERS REQUIRE APPROVAL OF THE CHP CORPORATE MEMBER, CHP GOVERNING BODY, OR CHP CEO. THE REGULATIONS OF THE ORGANIZATION DESCRIBE THE LEVEL OF APPROVAL REQUIRED FOR VARIOUS DECISIONS. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | THE FORM 990 IS PREPARED BY CHP'S TAX DEPARTMENT AND IS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS REVIEWED BY MANAGEMENT. UPON REVIEW, THE FORM 990 IS THEN FORWARDED TO THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE FOR APPROVAL. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION RELATED SCHEDULES AND DISCLOSURES. BOTH THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE AND THE COMPENSATION COMMITTEE ARE INDEPENDENT OF THE FILING ORGANIZATION. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | FOR BOARD AND/OR SUBCOMMITTEE MEETINGS - ALL BOARD/SUBCOMMITTEE MEMBERS MUST FILE A CONFLICT OF INTEREST FORM. THE COMMITTEE CHAIR OR BOARD CHAIR IS NOTIFIED OF ANY CONFLICTS FOR ANY OF THE COMMITTEE MEMBERS OR BOARD OF TRUSTEE MEMBERS. AT THE BEGINNING OF ALL BOARD MEETINGS OR COMMITTEE MEETINGS, MEMBERS ARE REMINDED THAT THEY ARE TO NOTIFY THE CHAIR OF ANY CONFLICTS AND RECUSE THEMSELVES AS NECESSARY FROM THE DISCUSSION AND/OR VOTE. FOR KEY EMPLOYEES - THEIR MANAGER IS NOTIFIED OF ANY CONFLICTS REPORTED ON THE COI FORM. IF A CONFLICT EXISTS, WE REQUIRE THE EMPLOYEE TO RECUSE THEMSELVES FROM THE ISSUE. |
| Process used to establish compensation of top management official | Form 990, Part VI, Section B, Line 15a | THE ORGANIZATION'S FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACCOMPLISHING THE ORGANIZATION'S MISSION, TO RECOGNIZE PERFORMANCE, AND TO OPERATE IN KEEPING WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. THE EXECUTIVE EVALUATION & COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF TRUSTEES CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION OF THE CEO AND OTHER OFFICERS AND CERTAIN KEY EMPLOYEES. IN DOING SO, THE COMMITTEE RETAINS A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE MARKET RANGES OF BASE, INCENTIVE, AND TOTAL CASH COMPENSATION, BENEFITS, AND TO PROVIDE ADVICE CONCERNING THE REASONABLENESS OF THE COMPENSATION OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES. THE COMMITTEE UTILIZES THAT ANALYSIS AND OTHER APPROPRIATE INFORMATION IN CONNECTION WITH ITS ANNUAL REVIEW AND APPROVAL OF ADJUSTMENTS TO THE CEO'S COMPENSATION AND THE COMPENSATION FOR OTHER OFFICERS AND CERTAIN KEY EMPLOYEES. INFORMATION WHICH THE COMMITTEE MAY CONSIDER CAN INCLUDE BUT IS NOT LIMITED TO THE PERFORMANCE OF AN INDIVIDUAL, THE PERFORMANCE OF THE ORGANIZATION, AN INDIVIDUAL'S LENGTH OF SERVICE, CREDENTIALS AND EXPERIENCE, THE ELEMENTS OF TOTAL COMPENSATION AND SALARY HISTORY, THE ORGANIZATION'S COMPENSATION TARGETS, AND COMPARABILITY DATA, INCLUDING THE DATA PREPARED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE COMMITTEE. THE COMMITTEE ASSURES THERE IS A FORMAL PERFORMANCE APPRAISAL PROCESS IN THE CEO'S COMPENSATION REVIEW. IT UTILIZES A MULTI-PERSPECTIVE APPROACH AND PERFORMANCE MEASURES WHICH ARE LINKED TO THE ORGANIZATION'S ACHIEVEMENT OF ANNUAL SYSTEM AND FACILITY OBJECTIVES, AND PERSONAL OBJECTIVES. THE CEO IS NOT PRESENT WHEN THE COMMITTEE DISCUSSES AND ESTABLISHES HIS COMPENSATION. IN ADDITION, THE COMMITTEE DETERMINES IF THE THRESHOLD REQUIREMENTS FOR INCENTIVE AWARDS ARE MET, CONSISTING OF THE ORGANIZATION'S PERFORMANCE RESULTS FOR COMMUNITY BENEFIT, QUALITY, AND FINANCIAL PERFORMANCE. THE COMMITTEE APPROVES THE CEO'S INCENTIVE AWARD AND THE INCENTIVE AWARD LEVELS FOR WHICH OTHER LISTED INDIVIDUALS MAY BE ELIGIBLE AND SHARES THIS INFORMATION WITH THE FULL BOARD OF TRUSTEES. THE COMMITTEE'S REPORT, INCLUDING DECISIONS CONCERNING SALARY RANGE ADJUSTMENTS AND INCENTIVE AWARDS AND THE BASIS FOR THE COMMITTEE'S DECISIONS, GOES TO THE FULL BOARD FOR REVIEW IN EXECUTIVE SESSION WHICH DOES NOT INCLUDE THE CEO OR OTHER OFFICERS OR KEY EMPLOYEES. THE FULL BOARD REVIEWS THE COMMITTEE'S DETERMINATION THAT THE COMPENSATION IS REASONABLE, AND IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS BENEFIT. FOR OTHER OFFICERS, ADJUSTMENTS AND INCENTIVE AWARDS ARE APPROVED BY THE COMMITTEE. FOR KEY EMPLOYEES, THE ORGANIZATION'S CEO APPROVES ADJUSTMENTS AND INCENTIVE AWARDS WITHIN SUCH BOARD-APPROVED PARAMETERS. ADJUSTMENTS AND AWARDS FOR OTHER LISTED INDIVIDUALS ARE APPROVED BY THE SUPERVISING EXECUTIVE WITHIN SUCH PARAMETERS, WITH REGIONAL BOARD APPROVAL WHEN APPROPRIATE. INCENTIVE AWARDS ARE SUBJECT TO REPAYMENT IF THE ORGANIZATION MUST RESTATE FINANCIAL REPORTS DUE TO MATERIAL NONCOMPLIANCE WITH THE ORGANIZATION'S CODE OF RESPONSIBILITY AND STANDARDS OF RESPONSIBLE CONDUCT. |
| Process used to establish compensation of other officers/key employees | Form 990, Part VI, Section B, Line 15b | PLEASE REFER TO THE LINE 15A RESPONSE WHICH DESCRIBES THE PROCESS USED FOR BOTH THE MANAGEMENT OFFICIAL AND FOR OTHER OFFICERS AND KEY EMPLOYEES |
| 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) | JUDGE VERNELIS K. ARMSTRONG 3 ANTHONY J. ARMSTRONG, M.D. 5 VIJAY M. ADAPPA, M.D. 3 CAROL BINTZ 3 WILLIAM F. BUCKLEY 3 SR MILDRED ELY, HM 3 KAREN L FRAKER 3 CHARLES E.. GALLAGHER 3 ROOSEVELT GANT 3 TIMOTHY M. GLADIEUX 3 JOHN H. HARRIS III, M.D. 5 DENISE M. HASBROOK 3 WILLARD P. HEDDLES 4 PAMELA HOWELL-BEACH 3 DENNIS G. JOHNSON 3 CHERREFE A. KADRI, ESQ. 3 MICHAEL P. KILLIAN 3 GEOFFREY G. MEYERS 3 SUDHAKAR PANGULUR, M.D. 3 ERICH R. PONTASCH, M.D. 3 RALPH A THAN 5 ANDREA PRICE 55 SAMANTHA PLATZKE 55 TODD WARNER 55 H. TERRENCE SMITH 55 GARY GEORGE 55 DAVID AROSE 55 WILLIAM SUTTON 55 DENNIS SHERRY 55 JOSEPH GLASS 55 SCOTT SHOOK 55 BARRY HUDGIN 55 CAROL WHITTAKER 55 STEVEN L. MICKUS 55 CATHLEEN NELSON 55 RANDALL HERMANN 55 JULIE GEORGOFF 55 ROBERT GOSPODAREK 3 SCOTT WILLIAMS 55 RICHARD GRAY 2 IMRAN ANDRABI, M.D. 55 DAVID FRANZBLAU, M.D. 55 |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 3525290; POST RETIREMENT PENSION - 151560; DEFINED BENEFIT ADJUSTMENT - -81781; 2010 PENSION ADJUSTMENT - -910680; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (103 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| CATHOLIC HEALTH PARTNERS | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 311161086 | HEALTHCARE SYSTEM PARENT | OH | 501(C)(3) | 11 - Type III - FI | NA |
| CATHOLIC HEALTHCARE PARTNERS FOUNDATION | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 201072726 | FUNDRAISING | OH | 501(C)(3) | 7 | CATHOLIC HEALTH PARTNERS |
| CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 208943658 | HUD PARENT | OH | 501(C)(3) | 9 | CATHOLIC HEALTH PARTNERS |
| CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 316046304 | RETIREMENT TRUST | OH | 501(C)(3) | 8 | CATHOLIC HEALTH PARTNERS |
| SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST | |||||||||
| 615 ELSINORE PLACE | CINCINNATI | OH | 45202 | 310990309 | TRUST ADMINISTRATION | OH | 501(C)(3) | 11 - Type I | CATHOLIC HEALTH PARTNERS |
| COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 270071694 | REGIONAL PARENT | OH | 501(C)(3) | 11 - Type II | CATHOLIC HEALTH PARTNERS |
| COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 340714704 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM |
| ALLEN MEDICAL CENTER | |||||||||
| 200 WEST LORAIN ST | OBERLIN | OH | 44074 | 340864230 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM |
| COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 341504558 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER |
| COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS | |||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 341268828 | MEDICAL OFFICE RENTAL | OH | 501(C)(3) | 9 | COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER |
| ALLEN MEDICAL CENTER FOUNDATION | |||||||||
| 200 WEST LORAIN ST | OBERLIN | OH | 44074 | 341675592 | FOUNDATION | OH | 501(C)(3) | 11 - Type I | ALLEN MEDICAL CENTER |
| ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING | |||||||||
| 200 WEST LORAIN ST | OBERLIN | OH | 44074 | 364504991 | MEDICAL OFFICE RENTAL | OH | 501(C)(3) | 11 - Type II | ALLEN MEDICAL CENTER |
| MERCY HEALTH PARTNERS OF SOUTHWEST OHIO | |||||||||
| 4600 MCAULEY PLACE | CINCINNATI | OH | 45242 | 311063783 | REGIONAL PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS |
| MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION | |||||||||
| 4600 MCAULEY PLACE | CINCINNATI | OH | 45242 | 311217563 | FOUNDATION | OH | 501(C)(3) | 7 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO |
| MERCY HOSPITALS WEST | |||||||||
| 2446 KIPLING AVENUE | CINCINNATI | OH | 45239 | 311091597 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO |
| MERCY HOSPITAL ANDERSON | |||||||||
| 7500 STATE ROAD | CINCINNATI | OH | 45255 | 310537085 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO |
| THE SISTERS OF MERCY OF HAMILTON OHIO | |||||||||
| 3000 MACK ROAD | FAIRFIELD | OH | 45014 | 310538532 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO |
| THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO | |||||||||
| 3000 HOSPITAL DRIVE | BATAVIA | OH | 45103 | 310830955 | HOSPITAL | OH | 501(C)(3) | 3 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO |
| CLERMONT MERCY FOUNDATION | |||||||||
| 3000 HOSPITAL DRIVE | BATAVIA | OH | 45103 | 311514749 | FOUNDATION | OH | 501(C)(3) | 11 - Type III - FI | THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO |
| MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC | |||||||||
| 7010 ROWAN HILLS DR | CINCINNATI | OH | 45227 | 311308729 | RETIREMENT HOME | OH | 501(C)(3) | 9 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO |
| MERCY SACRED HEART INC | |||||||||
| 2120 PAYNE STREET | LOUISVILLE | KY | 40206 | 611318326 | RETIREMENT HOME | KY | 501(C)(3) | 9 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO |
| MERCY LONG TERM CARE INITIATIVE | |||||||||
| 4915 CHARLESTOWN RD | NEW ALBANY | IN | 47150 | 311332491 | RETIREMENT HOME | IN | 501(C)(3) | 9 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO |
| PROVIDENCE RETIREMENT HOME AUXILIARY | |||||||||
| 4915 CHARLESTOWN RD | NEW ALBANY | IN | 47150 | 204664839 | SUPPORTING ORG | IN | 501(C)(3) | 11 - Type II | MERCY LONG TERM CARE INITIATIVE |
| MERCY FRANCISCAN SOCIAL MINISTRIES INC | |||||||||
| 1800 LOGAN STREET | CINCINNATI | OH | 45210 | 311222942 | LOW INCOME HOUSING | OH | 501(C)(3) | 7 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO |
| MERCY FRANCISCAN AT ST RAPHAEL INC | |||||||||
| 610 HIGH STREET | HAMILTON | OH | 45011 | 202934871 | SERVICES TO THE POOR | OH | 501(C)(3) | 7 | MERCY HEALTH PARTNERS OF SOUTHWEST OHIO |
| COMMUNITY MERCY HEALTH SYSTEM | |||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 300272454 | REGIONAL PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS |
| COMMUNITY MERCY HEALTH PARTNERS | |||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 310785684 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY MERCY HEALTH SYSTEM |
| THE COMMUNITY MERCY FOUNDATION | |||||||||
| 1343 N FOUNTAIN BLVD | SPRINGFIELD | OH | 45504 | 311443778 | FOUNDATION | OH | 501(C)(3) | 7 | COMMUNITY MERCY HEALTH SYSTEM |
| COMMUNITY HOSPITAL HEALTH SERVICES COMPANY | |||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 311181984 | HOSPITAL | OH | 501(C)(3) | 3 | COMMUNITY MERCY HEALTH SYSTEM |
| CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE | |||||||||
| 1150 E HOME ROAD | SPRINGFIELD | OH | 45503 | 260698515 | MEDICAL INFORMATION EXCHANGE | OH | 501(C)(3) | 9 | COMMUNITY MERCY HEALTH SYSTEM |
| THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST | |||||||||
| ONE S LIMESTONE ST | SPRINGFIELD | OH | 45502 | 346827136 | INDIGENT MEDICAL CARE | OH | 501(C)(3) | 11 - Type I | NA |
| MERCY HEALTH SYSTEM - NORTHERN REGION | |||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 341344482 | REGIONAL PARENT | OH | 501(C)(3) | 11 - Type III - FI | CATHOLIC HEALTH PARTNERS |
| RIVERSIDE MERCY HOSPITAL | |||||||||
| 3404 SYLVANIA AVENUE | TOLEDO | OH | 43623 | 311556401 | 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 |
| 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 | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ST CHARLES MERCY HEALTH FOUNDATION | ||
| C | 214805 | GAAP |
| ST CHARLES MERCY HEALTH FOUNDATION | ||
| O | 190215 | GAAP |