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MERCY HEALTH NORTH LLC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MERCY HEALTH NORTH LLC (EIN 34-1344482)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201143149349303669
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-10T18:01:12-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1312 WALNUT STREET SUITE 300AddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341344482EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY HEALTH SYSTEM - NORTHERN REGIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERCNameControl
Phone4192514000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 Jefferson AvenueAddressLine1
CityToledoCity
StateOHState
ZIP Code43604ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTODD M WARNERName
TitleREGIONAL CFOTitle
Date Signed2011-11-02DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5136218300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1MERCY HEALTH PARTNERSBusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1ANDREA PRICEBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12200 JEFFERSON AVENUEAddressLine1
CityTOLEDOCity
StateOHState
ZIP Code43604ZIPCode
FieldValueIRS element (for citing)
Gross Receipts128786741GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.MERCYWEB.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTHE PRIMARY EXEMPT PURPOSE OF MERCY HEALTH PARTNERS 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees955TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI325578TotalGrossUBI
Net Unrelated Business Txbl Income-85733NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year111710538ProgramServiceRevenuePriorYear
Program Service Revenue CY127164123ProgramServiceRevenueCY
Investment Income Prior Year62968InvestmentIncomePriorYear
Investment Income Current Year-789628InvestmentIncomeCurrentYear
Other Revenue Prior Year63134OtherRevenuePriorYear
Other Revenue Current Year57830OtherRevenueCurrentYear
Total Revenue Prior Year111836640TotalRevenuePriorYear
Total Revenue Current Year126432325TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year48052084SalariesEtcPriorYear
Salaries Etc Current Year52482550SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year63721589OtherExpensePriorYear
Other Expenses Current Year74748635OtherExpensesCurrentYear
Total Expenses Prior Year111773673TotalExpensesPriorYear
Total Expenses Current Year127231185TotalExpensesCurrentYear
Revenues Less Expenses Prior Year62967RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-798860RevenuesLessExpensesCY
Total Assets BOY77947493TotalAssetsBOY
Total Assets EOY73814053TotalAssetsEOY
Total Liabilities BOY46544114TotalLiabilitiesBOY
Total Liabilities EOY45697627TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY31403379NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY28116426NetAssetsOrFundBalancesEOY
Mission DescriptionMERCY HEALTH PARTNERS EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED.MissionDescription
Significant ChangefalseSignificantChange
Expense100309094Expense
Revenue127221953Revenue
DescriptionMERCY HEALTH PARTNERS PROVIDES SERVICES AND SUPPORT TO AFFILIATED HEALTH CARE FACILITIES, INCLUDING BUT NOT LIMITED TO: PROVIDING STRATEGIC LEADERSHIP, FOCUSING RESOURCES TO ASSURE THE HEALING MISSION, EFFECTIVELY MANAGING CARE, IMPROVING CLINICAL OUTCOMES AND REDUCING OPERATING COSTS.Description
Total Program Service Expense100309094TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees955NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MINDY WARDBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4192518936TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12200 JEFFERSON AVENUEAddressLine1
CityTOLEDOCity
StateOHState
ZIP Code43604ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ANTHONY J ARMSTRONG MD
TRUSTEE1X032858530479
JUDGE VERNELIS K ARMSTRONG
TRUSTEE1X000
WILLIAM F BUCKLEY
TRUSTEE1X115100
SR MILDRED ELY HM
TRUSTEE1X000
KAREN L FRAKER
SECRETARY5X108600X
CHARLES E GALLAGHER
VICE CHAIRMAN5X000X
ROOSEVELT GANT
TRUSTEE1X000
TIMOTHY M GLADIEUX
TRUSTEE1X000
JOHN H HARRIS
TRUSTEE1X000
DENISE M HASBROOK
TRUSTEE1X000
WILLARD P HEDDLES
TRUSTEE1X000
PAMELA HOWELL-BEACH
TRUSTEE1X000
DENNIS G JOHNSON
CHAIRMAN5X000X
CHERREFE A KADRI ESQ
TRUSTEE1X000
MICHAEL P KILLIAN
TRUSTEE1X110000
GEOFFREY G MEYERS
TREASURER5X000X
ANDREA PRICE
COO, MERCY HEALTH PARTNERS55513285067883X
SAMANTHA PLATZKE
SVP & DIVISIONAL CFO55488468072045X
TODD WARNER
CFO, NORTHERN REGION55245889047441X
H TERRENCE SMITH
SVP, GENERAL COUNSEL & PRES. MPE55423376073365X
GARY GEORGE
SVP HUMAN RESOURCES55328401049863X
DAVID AROSE
INTERIM CIO55250369029949X
WILLIAM SUTTON
VP OPERATIONS55280555068857X
DENNIS SHERRY
SVP OFFICE OF STRATEGY MGMT55312485056828X
JOSEPH GLASS
REG VP REV CYCLE & MANAGED CARE55254767044663X
SCOTT SHOOK
SVP STRATEGIC INITIATIVES557725340227338X
STEVEN L MICKUS
SVP, DIVISIONAL CEO, CHP COO55X01473700289519X
ERICH R PONTASCH MD
TRUSTEE1X0229170
SUDHAKAR PANGULUR MD
TRUSTEE1X01181670
IMRAN ANDRABI MD
PRESIDENT & CEO SVMMC55512238068627X
DAVID FRANZBLAU MD
SVP MEDICAL AFFAIRS55473739075769X
CAROL WHITTAKER
REGIONAL CNO, MHP55382640096689X
VIJAY M ADAPPA MD
TRUSTEE1X000
CAROL BINTZ
TRUSTEE1X000
RALPH A THAN
TRUSTEE1X000
NASFAT SHEHADEH MD
PHYSICIAN55580414037023X
DALE THORNTON
PRESIDENT & CEO, MERCY TIFFIN HOSPITAL55481952082055X
HAL MCLEAN
SVP, STRATEGIC TRANSFORMATION SERVICES55421179032186X
BARRY HUDGIN
VP & GENERAL COUNSEL55224417036550X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6950045TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1943369TotalReportableCompFrmRltdOrgs
Total Other Compensation1487129TotalOtherCompensation
Number Individuals GT100 K90NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE62199049501644950164
ADMINISTRATIVE & SUPPORT SERVICES FEE561499122210290121884712325578
MISCELLANEOUS90009936693669

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue127164123TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1564788TotalRevenueColumn
Exclusion$1,564,788ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other2354416Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other-2354416Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2354416TotalRevenueColumn
Exclusion-$2,354,416ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column57830TotalRevenueColumn
Exclusion$57,830ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue57830TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column126432325TotalRevenueColumn
Related Or Exempt Function Income126838545RelatedOrExemptFunctionIncome
Unrelated Business Revenue325578UnrelatedBusinessRevenue
Exclusion-$731,798ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5351994Total
Program Services4281595ProgramServices
Management And General1070399ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total36287480Total
Program Services29029984ProgramServices
Management And General7257496ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2854367Total
Program Services2283494ProgramServices
Management And General570873ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5166303Total
Program Services4133042ProgramServices
Management And General1033261ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2822406Total
Program Services2257925ProgramServices
Management And General564481ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3178548Total
Program Services2542838ProgramServices
Management And General635710ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total827894Total
Management And General827894ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1016077Total
Management And General1016077ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4469461Total
Program Services3575569ProgramServices
Management And General893892ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3731993Total
Program Services2985594ProgramServices
Management And General746399ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1525890Total
Program Services1220712ProgramServices
Management And General305178ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total44794392Total
Program Services35835514ProgramServices
Management And General8958878ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1510468Total
Program Services1208374ProgramServices
Management And General302094ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total736440Total
Program Services552330ProgramServices
Management And General184110ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total650Total
Program Services520ProgramServices
Management And General130ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total67005Total
Program Services53604ProgramServices
Management And General13401ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11724409Total
Program Services9379527ProgramServices
Management And General2344882ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total423222Total
Program Services338578ProgramServices
Management And General84644ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEMBERSHIP DUES555098444078111020
BAD DEBT180726180726
MISCELLANEOUS636250901272

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total127231185Total
Program Services100309094ProgramServices
Management And General26922091ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY413234BOY
EOY2207549EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2553184BOY
EOY3962947EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY20121836BOY
EOY29391021EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1065753BOY
EOY1185540EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4028070BOY
EOY3660734EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis117178692LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec94345475LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY32940946BOY
EOY22833217EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY15687630BOY
EOY9436205EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1136840BOY
EOY1136840EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY77947493BOY
EOY73814053EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19684583BOY
EOY21543459EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY26859531BOY
EOY24154168EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY46544114BOY
EOY45697627EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY31403379BOY
EOY28116426EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31403379BOY
EOY28116426EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY77947493BOY
EOY73814053EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-798860ReconcilationRevenueExpenses
Reconcilation Other Changes-2488093ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
MERCY ST CHARLES HOSPITAL
3444453733falsetruetrue$0
MERCY ST ANNE HOSPITAL
3115564013falsetruetrue$0
MERCY HOSPITAL OF TIFFIN
3444311743falsetruetrue$0
MERCY HOSPITAL OF WILLARD
3415771103falsetruetrue$0
MERCY ST VINCENT MEDICAL CENTER
3444282503falsetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Exmpt Function Expenditures0TotalExmptFunctionExpenditures
VolunteerstrueVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$26,350GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$25,075OtherActivitiesAmount
Total Lobbying Expenditures IIB51425TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Non Ded Lobby Political Total0NonDedLobbyPoliticalTotal

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of other lobbying activitiesIdentifier
Return ReferenceSchedule C, Part II-B, Line 1iReturnReference
ExplanationLOBBYING 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

FieldValueIRS element (for citing)
Other Cost Or Other Basis3283392OtherCostOrOtherBasis
Book Value3283392BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis413027OtherCostOrOtherBasis
Depreciation22343Depreciation
Book Value390684BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis108740971OtherCostOrOtherBasis
Depreciation94319762Depreciation
Book Value14421209BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4741302OtherCostOrOtherBasis
Depreciation3370Depreciation
Book Value4737932BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings22833217TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
PENSION LIABILITY$14,196,208
DEFERRED COMPENSATION PLAN$2,944,963
RETIREE MEDICAL LIABILITY$1,334,431
CURRENT PORTION L/T DEBT (CHP)$1,775,938
NON-CURRENT PORTION L/T DEBT (CHP)$3,850,276
UNEMPLOYMENT SELF INSURANCE LIABILITY TRUST$52,352
FieldValueIRS element (for citing)
Total Of Amounts24154168TotalOfAmounts
Total Revenue126432325TotalRevenue
Total Expenses127231185TotalExpenses
Excess Or Deficit For Year-798860ExcessOrDeficitForYear
Net Unrealized GL On Investments180188NetUnrealizedGLOnInvestments
Other-$1,000,000OtherAmount
Total Adjustments-819812TotalAdjustments
Excess Or Deficit Per FS-1618672ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt125612511TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1609442NetUnrealizedGainsInvestments
Other Revenues127221953OtherRevenues
Revenue Not Rptd F990125612511RevenueNotRptdF990
Revenue Subtotal0RevenueSubtotal
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9900TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt127231186TotExpensesEtcAuditedFinclStmt
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal127231186ExpensesSubtotal
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990127231186TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationCATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2010 AND 2009, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2010 OR 2009.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANTHONY J ARMSTRONG MD
029385203320101532017151013328035906400
ANDREA PRICE
4692250334800105800485140193690581168000
SAMANTHA PLATZKE
396451082269097480526860193590560513000
TODD WARNER
189750048226079130304920169490293330000
H TERRENCE SMITH
3166560815780251420496470237180496741000
GARY GEORGE
252047064778011576041010088530378264000
DAVID AROSE
216222033001011460171500127990280318000
WILLIAM SUTTON
2058060510220237270561880126690349412000
DENNIS SHERRY
2390670619800114380392720175560369313000
JOSEPH GLASS
197649049501076170276370170260299430000
SCOTT SHOOK
22398707570004728470213189014149099987204428970
STEVEN L MICKUS
08462860253802037361202677600217590176321900
IMRAN ANDRABI MD
4010100102000092280492580193690580865000
DAVID FRANZBLAU MD
3799340787530150520607810149880549508000
CAROL WHITTAKER
3022100683940120360827560139330479329000
NASFAT SHEHADEH MD
5796060008080196000174230617437000
DALE THORNTON
2545620607500166640068757013298056400701397700
HAL MCLEAN
41470800064710196000125860453365000
BARRY HUDGIN
17196404420008253028954075960260967000

Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Travel for companionsSchedule J, Part I, Line 1aTRAVEL FOR COMPANIONS WAS PROVIDED FOR THE FOLLOWING LISTED INDIVIDUALS: WILLIAM BUCKLEY, KAREN FRAKER, AND MICHAEL KILLIAN. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE COMPENSATION.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bTHE 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: SAMANTHA PLATZKE $0; H. TERRENCE SMITH $0; GARY GEORGE $0; DENNIS SHERRY $0; IMRAN ANDRABI $0; SCOTT SHOOK $458,416; DENNIS FRANTZBLAU $0; WILLIAM SUTTON $10,460; CAROL WHITTAKER $0; DALE THORNTON $153,560.
Non-fixed paymentsSchedule J, Part I, Line 7THE ORGANIZATION PROVIDES ANNUAL INCENTIVE COMPENSATION FOR LISTED INDIVIDUALS. THE ORGANIZATION'S BOARD OF TRUSTEES ESTABLISHES OBJECTIVE THRESHOLDS FOR QUALITY, COMMUNITY BENEFIT, AND FINANCIAL PERFORMANCE WHICH MUST BE ACHIEVED FOR INCENTIVES TO BE AWARDED. THE BOARD ALSO ESTABLISHES THRESHOLD, TARGET AND MAXIMUM LEVELS FOR INCENTIVE AWARDS. WITHIN THESE ESTABLISHED PARAMETERS, THE CEO RECOMMENDS INCENTIVE AWARDS FOR LISTED INDIVIDUALS TO THE BOARD'S EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE. THE BOARD COMMITTEE REVIEWS AND APPROVES OR MODIFIES THE CEO'S RECOMMENDATIONS.
COMPENSATION OF DIVISIONAL CEOSCHEDULE J, PART I, LINE 3THE COMPENSATION OF STEVEN L. MICKUS, DIVISIONAL CEO, IS DETERMINED BY CATHOLIC HEALTH PARTNERS (CHP), A RELATED TAX-EXEMPT ORGANIZATION. CHP UTILIZES A COMPENSATION COMMITTEE , AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MR. MICKUS' COMPENSATION.
TERMS AND CONDITIONS OF THE CHP SERP PLANSCHEDULE J, PART I, LINE 4BTHE 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 PLANSCHEDULE J, PART I, LINE 4BTHE 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 (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Family/business relationships amongst interested personsForm 990, Part VI, Section A, Line 2ANTHONY ARMSTRONG AND VERNELIS ARMSTRONG - FAMILY RELATIONSHIP
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6CATHOLIC HEALTH PARTNERS IS THE SOLE MEMBER OF MERCY HEALTH PARTNERS - NORTHERN.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aCATHOLIC 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 stockholdersForm 990, Part VI, Section A, Line 7bCERTAIN 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 bodyForm 990, Part VI, Section B, Line 11bTHE FORM 990 IS PREPARED BY THE CHP TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN REVIEWED BY MANAGEMENT. UPON REVIEW, THE FORM 990 IS THEN FORWARDED TO THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE FOR APPROVAL. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION RELATED SCHEDULES AND DISCLOSURES. BOTH THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE AND THE COMPENSATION COMMITTEE ARE INDEPENDENT OF THE FILING ORGANIZATION. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cFOR BOARD AND/OR SUBCOMMITTEE MEETINGS - ALL 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 BOT 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 other officers/key employeesForm 990, Part VI, Section B, Line 15bCOMPENSATION IS REVIEWED ANNUALLY BY AN INDEPENDENT QUALIFIED CONSULTANT. THE EXECUTIVE VALUATION COMPENSATION COMMITTEE OF THE BOARD CONTEMPORANEOUSLY RECORDS THE DELIBERATION AND DECISION.
Public DisclosureForm 990, Part VI, Section C, Line 19THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE.
AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS BY LISTED PERSONSFORM 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 15 CHARLES E.. GALLAGHER 15 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 15 CHERREFE A. KADRI, ESQ. 3 MICHAEL P. KILLIAN 3 GEOFFREY G. MEYERS 15 SUDHAKAR PANGULUR, M.D. 3 ERICH R. PONTASCH, M.D. 3 RALPH A THAN 5 ANDREA PRICE 6 SAMANTHA PLATZKE 4 TODD WARNER 13 H. TERRENCE SMITH 3 GARY GEORGE 5 DAVID AROSE 5 WILLIAM SUTTON 3 DENNIS SHERRY 3 JOSEPH GLASS 4 SCOTT SHOOK 3 BARRY HUDGIN 5 CAROL WHITTAKER 5 STEVEN L. MICKUS 5 IMRAN ANDRABI, M.D. 6 DALE THORNTON 4
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 180188; EQUITY TRANSFER TO LIFESTAR - -2000000; DEFINED BENEFIT PENSION PLAN ADJUSTMENT - -56169; POST RETIREMENT PENSION PLAN ADJUSTMENT - 13362; CHANGE IN PENSION PLAN - -625474;

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MPE BILLING SERVICES LLC
2200 JEFFERSON AVENUETOLEDOOH43604264779623BILLING SERVICESOH03889515MERCY HEALTH SYSTEM-NORTHERN REGION
MERCY EYE INSTITUTE LLC
2200 JEFFERSON AVENUETOLEDOOH43604320297989OPTOMETRY SERVICESOH-92341453736MERCY HEALTH SYSTEM-NORTHERN REGION

Form990 Schedule R Part II Form990ScheduleRPartII (103 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CATHOLIC HEALTH PARTNERS
615 ELSINORE PLACECINCINNATIOH45202311161086HEALTHCARE SYSTEM PARENTOH501(C)(3)11 - Type III - FINA
CATHOLIC HEALTHCARE PARTNERS FOUNDATION
615 ELSINORE PLACECINCINNATIOH45202201072726FUNDRAISINGOH501(C)(3)7CATHOLIC HEALTH PARTNERS
CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT
615 ELSINORE PLACECINCINNATIOH45202208943658HUD PARENTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST
615 ELSINORE PLACECINCINNATIOH45202316046304RETIREMENT TRUSTOH501(C)(3)8CATHOLIC HEALTH PARTNERS
SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST
615 ELSINORE PLACECINCINNATIOH45202310990309TRUST ADMINISTRATIONOH501(C)(3)11 - Type ICATHOLIC HEALTH PARTNERS
COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
3700 KOLBE ROADLORAINOH44053270071694REGIONAL PARENTOH501(C)(3)11 - Type IICATHOLIC HEALTH PARTNERS
COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
3700 KOLBE ROADLORAINOH44053340714704HOSPITALOH501(C)(3)3COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
ALLEN MEDICAL CENTER
200 WEST LORAIN STOBERLINOH44074340864230HOSPITALOH501(C)(3)3COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION
3700 KOLBE ROADLORAINOH44053341504558FOUNDATIONOH501(C)(3)11 - Type III - FICOMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROADLORAINOH44053341268828MEDICAL OFFICE RENTALOH501(C)(3)9COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
ALLEN MEDICAL CENTER FOUNDATION
200 WEST LORAIN STOBERLINOH44074341675592FOUNDATIONOH501(C)(3)11 - Type IALLEN MEDICAL CENTER
ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN STOBERLINOH44074364504991MEDICAL OFFICE RENTALOH501(C)(3)11 - Type IIALLEN MEDICAL CENTER
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
4600 MCAULEY PLACECINCINNATIOH45242311063783REGIONAL PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERS
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION
4600 MCAULEY PLACECINCINNATIOH45242311217563FOUNDATIONOH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY HOSPITALS WEST
2446 KIPLING AVENUECINCINNATIOH45239311091597HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY HOSPITAL ANDERSON
7500 STATE ROADCINCINNATIOH45255310537085HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
THE SISTERS OF MERCY OF HAMILTON OHIO
3000 MACK ROADFAIRFIELDOH45014310538532HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO
3000 HOSPITAL DRIVEBATAVIAOH45103310830955HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
CLERMONT MERCY FOUNDATION
3000 HOSPITAL DRIVEBATAVIAOH45103311514749FOUNDATIONOH501(C)(3)11 - Type III - FITHE SISTERS OF MERCY OF CLERMONT COUNTY OHIO
MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC
7010 ROWAN HILLS DRCINCINNATIOH45227311308729RETIREMENT HOMEOH501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY SACRED HEART INC
2120 PAYNE STREETLOUISVILLEKY40206611318326RETIREMENT HOMEKY501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY LONG TERM CARE INITIATIVE
4915 CHARLESTOWN RDNEW ALBANYIN47150311332491RETIREMENT HOMEIN501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
PROVIDENCE RETIREMENT HOME AUXILIARY
4915 CHARLESTOWN RDNEW ALBANYIN47150204664839SUPPORTING ORGIN501(C)(3)11 - Type IIMERCY LONG TERM CARE INITIATIVE
MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREETCINCINNATIOH45210311222942LOW INCOME HOUSINGOH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY FRANCISCAN AT ST RAPHAEL INC
610 HIGH STREETHAMILTONOH45011202934871SERVICES TO THE POOROH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
COMMUNITY MERCY HEALTH SYSTEM
ONE S LIMESTONE STSPRINGFIELDOH45502300272454REGIONAL PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERS
COMMUNITY MERCY HEALTH PARTNERS
ONE S LIMESTONE STSPRINGFIELDOH45502310785684HOSPITALOH501(C)(3)3COMMUNITY MERCY HEALTH SYSTEM
THE COMMUNITY MERCY FOUNDATION
1343 N FOUNTAIN BLVDSPRINGFIELDOH45504311443778FOUNDATIONOH501(C)(3)7COMMUNITY MERCY HEALTH SYSTEM
COMMUNITY HOSPITAL HEALTH SERVICES COMPANY
ONE S LIMESTONE STSPRINGFIELDOH45502311181984HOSPITALOH501(C)(3)3COMMUNITY MERCY HEALTH SYSTEM
CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE
1150 E HOME ROADSPRINGFIELDOH45503260698515MEDICAL INFORMATION EXCHANGEOH501(C)(3)9COMMUNITY MERCY HEALTH SYSTEM
THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST
ONE S LIMESTONE STSPRINGFIELDOH45502346827136INDIGENT MEDICAL CAREOH501(C)(3)11 - Type INA
ST CHARLES MERCY HOSPITAL OF OREGON OHIO
2600 NAVARRE AVENUEOREGONOH43616344445373HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
ST CHARLES MERCY HEALTH FOUNDATION
2600 NAVARRE AVENUEOREGONOH43616341414900FOUNDATIONOH501(C)(3)11 - Type III - FIST CHARLES MERCY HOSPITAL OF OREGON OHIO
RIVERSIDE MERCY HOSPITAL
3404 W SYLVANIA AVETOLEDOOH43623311556401HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY HOME CARE INC
2200 JEFFERSON AVENUETOLEDOOH43604341587572HOME HEALTHCAREOH501(C)(3)9MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY COLLEGE OF NORTHWEST OHIO
2221 MADISON AVENUETOLEDOOH43604341726619MEDICAL COLLEGEOH501(C)(3)2MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY COLLEGE OF NORTHWEST OHIO FOUNDATION INC
2221 MADISON AVENUETOLEDOOH43604141963204FOUNDATIONOH501(C)(3)11 - Type IMERCY COLLEGE OF NORTHWEST OHIO
MERCY HOSPITAL OF TIFFIN OHIO
45 ST LAWRENCE DRIVETIFFINOH44883344431174HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY TIFFIN HEALTH FOUNDATION
45 ST LAWRENCE DRIVETIFFINOH44883341499894FOUNDATIONOH501(C)(3)11 - Type III - FIMERCY HOSPITAL OF TIFFIN OHIO
THE SISTERS OF MERCY OF WILLARD OHIO
110 EAST HOWARD STWILLARDOH44890341577110HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY HOSPITAL OF WILLARD FOUNDATION
110 EAST HOWARD STWILLARDOH44890113742347FOUNDATIONOH501(C)(3)11 - Type III - FITHE SISTERS OF MERCY OF WILLARD OHIO
ST VINCENT MERCY MEDICAL CENTER
2213 CHERRY STREETTOLEDOOH43608344428250HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
ST VINCENT MERCY MEDICAL CENTER FOUNDATION
2213 CHERRY STREETTOLEDOOH43608237393213FOUNDATIONOH501(C)(3)11 - Type III - FIST VINCENT MERCY MEDICAL CENTER
LIFESTAR AMBULANCE INC
2200 JEFFERSON AVENUETOLEDOOH43604341354653MEDICAL TRANSPORTATIONOH501(C)(3)11 - Type IIMERCY HEALTH SYSTEM - NORTHERN REGION
RSM MEDICAL FOUNDATION
2200 JEFFERSON AVENUETOLEDOOH43624341693671HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
ST MARGUERITE D'YOUVILLE FOUNDATION II
2213 CHERRY STREETTOLEDOOH43608134350655FOUNDATIONOH501(C)(3)11 - Type IICATHOLIC HEALTH PARTNERS
SIMON OUTREACH SERVICES
2600 NAVARRE AVENUEOREGONOH43616341383325MEDICAL OFFICE RENTALOH501(C)(3)11 - Type IIST CHARLES MERCY HOSPITAL OF OREGON OHIO
FARLEY HEALTHCARE CORPORATION
2200 JEFFERSON AVENUETOLEDOOH43604341363204HEALTH SERVICESOH501(C)(3)9MERCY HEALTH SYSTEM - NORTHERN REGION
ST RITA'S MEDICAL CENTER
730 W MARKET STREETLIMAOH45801341105619HOSPITALOH501(C)(3)3CATHOLIC HEALTH PARTNERS
SRHC FOUNDATION
730 W MARKET STREETLIMAOH45801341368429FOUNDATIONOH501(C)(3)11 - Type III - FIST RITA'S MEDICAL CENTER
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400LIMAOH45801341937267MEDICAL LAB SERVICESOH501(C)(3)11 - Type III - FIST RITA'S MEDICAL CENTER
HUMILITY OF MARY HEALTH PARTNERS
1044 BELMONT AVENUEYOUNGSTOWNOH44501340505560HOSPITALOH501(C)(3)3CATHOLIC HEALTH PARTNERS
THE ASSUMPTION VILLAGE
9800 N MARKET STREETNORTH LIMAOH44452341013695NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERS
HOSPICE OF THE VALLEY
5190 MARKET STREETYOUNGSTOWNOH44512341288745HOSPICE SERVICESOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERS
HUMILITY OF MARY DEVELOPMENT FOUNDATION
1044 BELMONT AVENUEYOUNGSTOWNOH44501341826978FOUNDATIONOH501(C)(3)11 - Type III - FIHUMILITY OF MARY HEALTH PARTNERS
HUMILITY OF MARY INFORMATION SYSTEMS
250 FEDERAL PLAZA EASTYOUNGSTOWNOH44501341452943INFORMATION SERVICESOH501(C)(3)11 - Type IIHUMILITY OF MARY HEALTH PARTNERS
HUMILITY HOUSE
755 OHLTOWN ROADAUSTINTOWNOH44515341894783NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERS
LAUREL LAKE RETIREMENT COMMUNITY INC
200 LAUREL LAKE DRIVEHUDSONOH44236341481142NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERS
LAUREL LAKE RETIREMENT COMMUNITY FOUNDATION INC
200 LAUREL LAKE DRIVEHUDSONOH44236341779303FOUNDATIONOH501(C)(3)7LAUREL LAKE RETIREMENT COMMUNITY INC
ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SEWARRENOH44484346556121FUNDRAISINGOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERS
MERCY HEALTH PARTNERS - LOURDES INC
1530 LONE OAK ROADPADUCAHKY42003610600313HOSPITALKY501(C)(3)3CATHOLIC HEALTH PARTNERS
LOURDES FOUNDATION INC
1530 LONE OAK ROADPADUCAHKY42003611258960FOUNDATIONKY501(C)(3)7MERCY HEALTH PARTNERS - LOURDES INC
LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROADPADUCAHKY42003610927805FUNDRAISINGKY501(C)(3)11 - Type III - FILOURDES FOUNDATION INC
MARCUM AND WALLACE MEMORIAL HOSPITAL INC
60 MERCY COURTIRVINEKY40336610927491HOSPITALKY501(C)(3)3MERCY HEALTH PARTNERS - LOURDES INC
MARCUM AND WALLACE HOSPITAL FOUNDATION INC
60 MERCY COURTIRVINEKY40336320026557FOUNDATIONKY501(C)(3)11 - Type III - FIMARCUM AND WALLACE MEMORIAL HOSPITAL INC
MERCY HEALTH PARTNERS INC
900 EAST OAK HILL AVEKNOXVILLETN37917731627534REGIONAL PARENTTN501(C)(3)11 - Type ICATHOLIC HEALTH PARTNERS
MERCY HEALTH SYSTEM INC
900 EAST OAK HILL AVEKNOXVILLETN37917620480068HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY INC
923 EAST CENTRAL AVELAFOLLETTETN37766621817376HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
MERCY HEALTH PARTNERS FOUNDATION INC
900 EAST OAK HILL AVEKNOXVILLETN37917621247676FOUNDATIONTN501(C)(3)7MERCY HEALTH PARTNERS INC
JEFFERSON MEMORIAL HOSPITAL INC
110 HOSPITAL DRIVEJEFFERSON CITYTN37760621660663HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
JEFFERSON MEMORIAL FOUNDATION INC
110 HOSPITAL DRIVEJEFFERSON CITYTN37760621660666FOUNDATIONTN501(C)(3)11 - Type III - FIJEFFERSON MEMORIAL HOSPITAL INC
ST MARY'S MEDICAL CENTER OF SCOTT COUNTY INC
18797 ALBERTA STREETONEIDATN37841261535503HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
THE BAPTIST HEALTH SYSTEM FOUNDATION INC
101 BLOUNT AVE BOX 1788KNOXVILLETN37920581565290FOUNDATIONTN501(C)(3)7MERCY HEALTH PARTNERS INC
BAPTIST HOSPITAL OF EAST TENNESSEE INC
137 BLOUNT AVEKNOXVILLETN37920620506166HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
BAPTIST HOSPITAL WEST INC
10820 PARKSIDE DRIVEKNOXVILLETN37934621870324HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
BAPTIST HOSPITAL OF COCKE COUNTY INC
435 SECOND STREETNEWPORTTN37821621133149HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
MERCY HEALTH AND REHABILITATION CENTER INC
3916 BOYDS BRIDGE PIKEKNOXVILLETN37917621592992REHAB CENTERTN501(C)(3)9MERCY HEALTH PARTNERS INC
MERCY HEALTH PARTNERS - NORTHEAST REGION INC
746 JEFFERSON AVENUESCRANTONPA18510232813196REGIONAL PARENTPA501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERS
MERCY HEALTHCARE FOUNDATION
746 JEFFERSON AVENUESCRANTONPA18510232972928FOUNDATIONPA501(C)(3)11 - Type III - FIMERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HOSPITAL SCRANTON PA
746 JEFFERSON AVENUESCRANTONPA18510240795456HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY COMMUNITY CARE CORPORATION
746 JEFFERSON AVENUESCRANTONPA18510232310566MEDICAL CAREPA501(C)(3)9MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY MED-CARE INC
746 JEFFERSON AVENUESCRANTONPA18510232261991HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HOSPITAL NANTICOKE
128 W WASHINGTON STNANTICOKEPA18634232604818HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HOSPITAL OF WILKES-BARRE
746 JEFFERSON AVENUESCRANTONPA18510240795625HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HEALTH CARE CENTER
746 JEFFERSON AVENUESCRANTONPA18510232322809HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY TYLER HEALTH SYSTEMS
880 SR 6WTUNKHANNOCKPA18657232772476SUPPORTING ORGPA501(C)(3)11 - Type IIMERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY TYLER HOSPITAL
880 SR 6WTUNKHANNOCKPA18657240779665HOSPITALPA501(C)(3)3MERCY TYLER HEALTH SYSTEMS
MERCY TYLER HOME HEALTH SERVICES
880 SR 6WTUNKHANNOCKPA18657232723529IN-HOME MEDICAL CAREPA501(C)(3)9MERCY TYLER HEALTH SYSTEMS
SIENA SPRINGS
615 ELSINORE PLACECINCINNATIOH45202311052772HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
SIENA SPRINGS II
615 ELSINORE PLACECINCINNATIOH45202311591780HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
CHARLES MEADOW CORPORATION
615 ELSINORE PLACECINCINNATIOH45202341552671HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
CHARLES CREST CORPORATION
615 ELSINORE PLACECINCINNATIOH45202341399869HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
CHARLES CREST II CORPORATION
615 ELSINORE PLACECINCINNATIOH45202341714407HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
ST THERESA VILLAGE INC
615 ELSINORE PLACECINCINNATIOH45202311411529HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
SACRED HEART VILLAGE INC
615 ELSINORE PLACECINCINNATIOH45202311411531HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
SACRED HEART VILLAGE II INC
615 ELSINORE PLACECINCINNATIOH45202611339396HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
SACRED HEART VILLAGE III INC
615 ELSINORE PLACECINCINNATIOH45202611367719HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
MCAULEY MANOR INC
615 ELSINORE PLACECINCINNATIOH45202311548500HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
DUBLIN MANOR INC
615 ELSINORE PLACECINCINNATIOH45202020655254HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
MERCY MANOR INC
615 ELSINORE PLACECINCINNATIOH45202611344092HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
ST MARY'S VILLA INC
615 ELSINORE PLACECINCINNATIOH45202311548512HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
RIVERVIEW ST MARY'S INC
615 ELSINORE PLACECINCINNATIOH45202621782683HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
ST MARY'S VILLA AT RIVERVIEW II INC
615 ELSINORE PLACECINCINNATIOH45202311723287HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS

Form990 Schedule R Part III Form990ScheduleRPartIII (19 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
NWO INTEGRATED LABORATORIES MERCY LLC
2200 JEFFERSON AVENUETOLEDOOH43624341898285LABORATORY SERVICESOHNAN/A
TIFFIN AMBULATORY SURGICAL ASSOCIATES
45 ST LAWRENCE DRIVETIFFINOH44833371567866AMBULATORY SURGERY CENTEROHNAN/A
MERCY HOSPITAL OF DEFIANCE LLC
1404 E SECOND STDEFIANCEOH43512020701635HOSPITALOHNAN/A
WEST CENTRAL OHIO REGIONAL HEALTHCARE ALLIANCE
FORT AMANDA ROADLIMAOH45804341817078REG HOSPITALSOHNAN/A
WEST CENTRAL OHIO SURGERY & ENDO CENTER
770 W HIGH ST SUITE 100LIMAOH45801341868154AMBULATORY SURGERY CENTEROHNAN/A
NEW VISION MEDICAL LAB LLC
750 W HIGH STREETLIMAOH45801341913433LAB SERVICESOHNAN/A
WEST CENTRAL OHIO GROUP LTD
801 MEDICAL DRIVELIMAOH45804341848147ORTHOPEDIC HOSPITALOHNAN/A
KIDNEY SERVICES OF WEST CENTRAL OHIO
750 W HIGH STREET SUITE 100LIMAOH45801061644264DIALYSIS CENTEROHNAN/A
ST ELIZABETH CARDIAC CATH LAB LLC
1044 BELMONT AVEYOUNGSTOWNOH44501300023795CARDIAC CATH LABOHNAN/A
ST ELIZABETH SOUTHWOODS IMAGING
250 DEBARTOLO PLACE BLDG BYOUNGSTOWNOH44512261626482DIAGNOSTIC IMAGINGOHNAN/A
UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC
1044 BELMONT AVEYOUNGSTOWNOH44501262989686RADIATION THERAPYOHNAN/A
HMHPUSP SURGERY CENTERS LLC
15305 DALLAS PKWY STE 1600ADDISONTX75001271953122SURGERY CENTERTXNAN/A
OSC-HMHP LLC
6505 MARKET ST BLDG B STE 101BOARDMANOH44512010724836ORTHOPEDIC SURGERY CENTEROHNAN/A
MERCY HEALTHPLEX ANDERSON LLC
7495 STATE ROADCINCINNATIOH45255311589865FITNESS FACILITYOHNAN/A
MERCY HEALTHPLEX FAIRFIELD LLC
3050 MACK ROADFAIRFIELDOH45014311589867FITNESS FACILITYOHNAN/A
LOURDES AMBULATORY SURGERY CENTER
225 MEDICAL CENTER DRIVEPADUCAHKY42003611258960SURGERY CENTERKYNAN/A
TOMOGRAPHY ASSOCIATES LLC
2000 CHAPMAN HWYKNOXVILLETN37920742034927EQUIPMENT LEASINGTNNAN/A
EAST TENNESSEE DIAGNOSTIC CENTER LLC
1450 DOWELL SPRINGS BLVD SUITE 250KNOXVILLETN37909204773300DIAGNOSTIC SERVICESTNNAN/A
LACKAWANNA SURGERY CENTER LLC
415 ADAMS AVENUESCRANTONPA18503205360014AMBULATORY SURGERY CENTERPANAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (25 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityLegal Domicile StateLegalDomicileStateShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
CHP INSURANCE LTD
615 ELSINORE PLACECINCINNATIOH45202980621978INSURANCECJNAC CORPORATION
HEALTHSPAN INC
225 PICTORIA DRIVE STE 320CINCINNATIOH45246311431434PPONAC CORPORATIONOH
MHSWO HEALTH VENTURES INC
1 S LIMESTONE STSPRINGFIELDOH45502311072139PHYSICIAN PRACTICESNAC CORPORATIONOH
NORTHPARKE MEDICAL COMMONS CONDO ASSN
333 N LIMESTONE STSPRINGFIELDOH45503311391230REAL PROPERTY MGMNTNAC CORPORATIONOH
MERCY HEALTH AFFILIATES INC
2200 JEFFERSON AVENUETOLEDOOH43604341372633PHYSICIAN SERVICESNAC CORPORATIONOH-76078311
PHYSICIAN'S HEALTH COLLABORATIVE
2200 JEFFERSON AVENUETOLEDOOH43604203986844MEDICAL & HOSPITAL SERVICESNAC CORPORATIONOH
NORTHSIDE CORPORATION
2200 JEFFERSON AVENUETOLEDOOH43604341318438RESIDENT RENTALSNAC CORPORATIONOH
MERCY WORK SOLUTIONS
2200 JEFFERSON AVENUETOLEDOOH43604300066340WORKERS COMPENSATIONNAC CORPORATIONOH
GENESIS HEALTH PLAN OF OHIO INC
2200 JEFFERSON AVENUETOLEDOOH43604341819975HMONAC CORPORATIONOH
MERCY HEALTH SYSTEM PHO
2200 JEFFERSON AVENUETOLEDOOH43604341778321MEDICAL SERVICESNAC CORPORATIONOH
PHYSICIAN MANAGED CARE INC
2200 JEFFERSON AVENUETOLEDOOH43604341565320HEALTH SERVICESNAC CORPORATIONOH
MCAULEY MANAGEMENT SERVICES INC
730 W MARKET STREETLIMAOH45801341379037PROPERTY RENTALNAC CORPORATIONOH
LIMA MEDICAL SUPPLIES INC
730 W MARKET STREETLIMAOH45801340944477MEDICAL EQUIPMENTNAC CORPORATIONOH
COMMUNITY HEALTH PARTNERS ENTERPRISES INC
3700 KOLBE ROADLORAINOH44053341455525HOLDING COMPANYNAC CORPORATIONOH
COMMUNITY HEALTH PARTNERS PHYSICIANS INC
3700 KOLBE ROADLORAINOH44053341803352PHYSICIAN PRACTICESNAC CORPORATIONOH
AMC PHYSICIANS INC
200 W LORAIN STREETOBERLINOH44074371439554PHYSICIAN SERVICESNAC CORPORATIONOH
MERCY HEALTH VENTURES INC
4600 MCAULEY PLACECINCINNATIOH45242311185477DIVERSIFIED ACTIVITIESNAC CORPORATIONOH
FRANCISCAN HOMES I INC
1300 MAIN STREETCINCINNATIOH45210311313185LOW-INCOME HOUSINGNAC CORPORATIONOH
FRANCISCAN HOMES II INC
1300 MAIN STREETCINCINNATIOH45210311336890LOW-INCOME HOUSINGNAC CORPORATIONOH
FRANCISCAN HOMES III INC
1300 MAIN STREETCINCINNATIOH45210311394510LOW-INCOME HOUSINGNAC CORPORATIONOH
FRANCISCAN HOMES IV INC
1300 MAIN STREETCINCINNATIOH45210311483370LOW-INCOME HOUSINGNAC CORPORATIONOH
MERCY FRANCISCAN AT WINTON WOODS I INC
10290 MILL ROADCINCINNATIOH45231311658668LOW-INCOME HOUSINGNAC CORPORATIONOH
MERCY HEALTH MANAGEMENT INC
1530 LONE OAK ROADPADUCAHKY42003611086762MEDICAL OFFICESNAC CORPORATIONKY
HEALTH DYNAMICS INC
900 E OAK HILL AVENUEKNOXVILLETN37917621247729MEDICAL EQUIPMENT SALESNAC CORPORATIONTN
HEALTH VENTURES INC & SUBSIDIARIES
P O BOX 1788KNOXVILLETN37901621175587MEDICAL SERVICESNAC CORPORATIONTN
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MERCY ST VINCENT MEDICAL CENTER
P54663199GAAP
MERCY ST CHARLES HOSPITAL
P17879985GAAP
MERCY ST ANNE HOSPITAL
P13142127GAAP
MERCY HOSPITAL OF TIFFIN
P4654390GAAP
MERCY HOSPITAL OF WILLARD
P3031511GAAP
MERCY INTEGRATED LABS
P1305981GAAP
LIFESTAR AMBULANCE
P1056793GAAP
PHYSICIAN HOSPITAL ORGANIZATION
P66166GAAP
MERCY HOME CARE
P355211GAAP