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MERCY HOSPITAL NANTICOKE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MERCY HOSPITAL NANTICOKE (EIN 23-2604818)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201143149349303759
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)
Timestamp2011-11-10T18:00:38-06:00Timestamp
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 3000AddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232604818EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL NANTICOKEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERCNameControl
Phone5136392800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1128 West Washington StreetAddressLine1
CityNanticokeCity
StatePAState
ZIP Code18634ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID NOWISKIName
TitleTRUSTEETitle
Date Signed2011-11-09DateSigned
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 SPECIAL CARE HOSPITALBusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVID NOWISKIBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1615 ELSINORE PLACEAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17591364GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.MERCYHEALTHPARTNERS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionMERCY SPECIAL CARE HOSPITAL EXTENDS 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 Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees213TotalNbrEmployees
Total Nbr Volunteers23TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year33668ContributionsGrantsPriorYear
Contributions Grants Current Year3230ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17024898ProgramServiceRevenuePriorYear
Program Service Revenue CY17556295ProgramServiceRevenueCY
Investment Income Prior Year24616InvestmentIncomePriorYear
Investment Income Current Year8765InvestmentIncomeCurrentYear
Other Revenue Prior Year16692OtherRevenuePriorYear
Other Revenue Current Year23074OtherRevenueCurrentYear
Total Revenue Prior Year17099874TotalRevenuePriorYear
Total Revenue Current Year17591364TotalRevenueCurrentYear
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 Year8421876SalariesEtcPriorYear
Salaries Etc Current Year8913950SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8552923OtherExpensePriorYear
Other Expenses Current Year8662143OtherExpensesCurrentYear
Total Expenses Prior Year16974799TotalExpensesPriorYear
Total Expenses Current Year17576093TotalExpensesCurrentYear
Revenues Less Expenses Prior Year125075RevenuesLessExpensesPriorYear
Revenues Less Expenses CY15271RevenuesLessExpensesCY
Total Assets BOY13433858TotalAssetsBOY
Total Assets EOY9742533TotalAssetsEOY
Total Liabilities BOY4372916TotalLiabilitiesBOY
Total Liabilities EOY4699652TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9060942NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5042881NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMISSION - MERCY HOSPITAL NANTICOKE 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 HOSPITAL NANTICOKE 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 ChangefalseSignificantChange
Expense542047Expense
Revenue676971Revenue
DescriptionGOVERNMENT SPONSORED MEANS-TESTED HEALTH CARE COMMUNITY BENEFITS INCLUDE UNPAID COST OF PUBLIC PROGRAMS FOR LOW-INCOME PERSONS. THE SHORTFALL IS CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COST OF CARING FOR PUBLIC PROGRAM BENEFICIARIES. THE UNPAID COST OF PUBLIC INDIGENT CARE PROGRAMS INCLUDES MEDICAID, SCHIP, AND OTHER SAFETY NET PROGRAMS, BUT DOES NOT INCLUDE MEDICARE SHORTFALL. COST IS BASED ON RELATIONSHIP OF COST TO CHARGES. MERCY SPECIAL CARE HOSPITAL SERVED 576 NON-ACUTE ADMISSIONS, 16,317 PATIENT DAYS, AND 12,862 OUTPATIENT VISITS IN 2010.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense65664Expense
Revenue81988Revenue
DescriptionCOMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY TAXI AND AMBULANCE TRANSPORT SERVICES - MERCY SPECIAL CARE HOSPITAL ASSISTS RESIDENTS OF ALL AGES WHO REQUIRE TRANSPORTATION TO RECEIVE TIMELY AND APPROPRIATE MEDICAL CARE. HEALTH FAIRS PROVIDE EDUCATION AND INFORMATION TO THE COMMUNITY ON VARIOUS TOPICS: PULMONARY FUNCTION, REHABILITATION, PATIENT SAFETY, AND HEALTH SCREENINGS OF VARIOUS KINDS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense25731Expense
Revenue32128Revenue
DescriptionCHARITY CARE AND FINANCIAL ASSISTANCE PROGRAMS - MERCY SPECIAL CARE HOSPITAL CARES FOR EVERYONE WHO COMES TO US IN NEED, REGARDLESS OF ABILITY TO PAY. MEETING THE NEEDS OF PEOPLE WITH LIMITED RESOURCES HAS ALWAYS BEEN AT THE HEART OF OUR MISSION. MERCY OFFERS FREE CARE TO ANYONE WITHOUT INSURANCE EARNING UP TO TWICE THE FEDERAL PROVERTY GUIDELINES, SUBSTANTIAL DISCOUNTS TO THOSE EARNING UP TO FOUR TIMES THE FEDERAL GUIDELINES, AND THOSE WHO HAVE INSURANCE BUT EARN MORE CAN ALSO QUALIFY FOR DISCOUNTS. WE RECOGNIZE THAT NOT EVERYONE CAN PAY FOR HEALTHCARE SERVICES. WE OFFER ASSISTANCE AND COUNSELING IN FINDING RESOURCES THAT MAY HELP TO PAY THEIR HEALTHCARE EXPENSES. PATIENTS AND THEIR COUNSELORS REVIEW OPTIONS AND SERVE AS PATIENT ADVOCATES IN OBTAINING FINANCIAL ASSISTANCE THROUGH FEDERAL, STATE AND HOSPITAL PROGRAMS. MERCY SPECIAL CARE HOSPITAL SERVED 576 NON-ACUTE ADMISSIONS WITH 16,317 PATIENT DAYS IN 2010. IN ADDITION, 12,862 OUTPATIENTS WERE ALSO SERVED. 1,607 PEOPLE WERE SERVED THROUGH CHARITY CARE PROGRAMS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense13470337Expense
Revenue16765208Revenue
DescriptionALL OTHER PROGRAM SERVICE ACCOMPLISHMENTSDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp13470337TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev16765208TotalOfOtherProgramServiceRev
Total Program Service Expense14103779TotalProgramServiceExpense
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
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
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 EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees213NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
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
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
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 OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SCOTT SCHITTERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5136390173TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1615 ELSINORE PLACEAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerIndividual Trustee Or DirectorIndividualTrusteeOrDirector
JUNG HUANG
PHYSICIAN40X13205507753
JANUSZ WOLANIN
PHYSICIAN40X250003027248
STEPHEN H FRANKO III
MHP CFO1027701938052X
ROBERT WILLIAMS
VP PROGRESSIVE SERVICES40161293025025X
DAVID KASPER DO
TRUSTEE11400000X
STEPHEN NOCILLA
VICE PRESIDENT1000XX
SR PATRICIA LAPCZYNSKI
SECRETARY/TREASURER1000XX
ANTOINETTE MANLEY RSM
PRESIDENT1000XX
KEVIN COOK
TRUSTEE, MHP PRESIDENT & COO1033998424010XX
SR MAYON SYLVAIN RSM
TRUSTEE1000X
NATALIE G SOLFANELLI
TRUSTEE1000X
JOHN M STARCHER JR
TRUSTEE, CHP SVP, DIVISIONAL CEO10934158149846XX
HENRY J SALLUSTI
TRUSTEE1000X
JUDGE TERRENCE R NEALON
TRUSTEE1000X
JAMES B MILESKI
TRUSTEE1000X
ELIZABETH KULKARNI
TRUSTEE1000X
MATTHEW E HAGGERTY ESQ
SECRETARY/TREASURER1000XX
JEREMIAH W EAGEN MD
TRUSTEE10489750X
CHRISTOPHER J DRESSEL JR MD
TRUSTEE10330000X
MARY JANE K DIMATTIO PHD
TRUSTEE1000X
SR MARY HELEN NUGENT RSM
TRUSTEE1000X
ROBERT J KNOWLES JR
VICE CHAIR1000XX
JAMES CLEMENTE
CHAIR1000XX
MARK T MITCHELL
TRUSTEE1000X
PETER WANCHISEN
TRUSTEE1000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org557351TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1633136TotalReportableCompFrmRltdOrgs
Total Other Compensation271934TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations3230RelatedOrganizations
Total Contributions3230TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE6219901746654417466544
PHARMACY (PATIENT)4461101311513115
EXEMPT FUNCTION RENTAL INCOME5311207480974809
RESPIRATORY THERAPY INCOME62199018271827

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 Revenue17556295TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7437TotalRevenueColumn
Exclusion$7,437ExclusionAmount

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

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1328Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1328Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1328TotalRevenueColumn
Exclusion$1,328ExclusionAmount

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 (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA72221017793$17,793
TV INCOME5170003178$3,178
MEDICAL RECORDS6215002103$2,103

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 Revenue23074TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17591364TotalRevenueColumn
Related Or Exempt Function Income17556295RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$31,839ExclusionAmount

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)
Total200318Total
Program Services160254ProgramServices
Management And General40064ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7149237Total
Program Services5719389ProgramServices
Management And General1429848ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total257872Total
Program Services206298ProgramServices
Management And General51574ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total778023Total
Program Services622418ProgramServices
Management And General155605ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total528500Total
Program Services422800ProgramServices
Management And General105700ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17866Total
Management And General17866ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26891Total
Management And General26891ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total3282Total
Program Services2626ProgramServices
Management And General656ManagementAndGeneral

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)
Total4023716Total
Program Services3218973ProgramServices
Management And General804743ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total44790Total
Program Services35832ProgramServices
Management And General8958ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2478672Total
Program Services1982938ProgramServices
Management And General495734ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total210673Total
Program Services168538ProgramServices
Management And General42135ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total71282Total
Program Services57026ProgramServices
Management And General14256ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total60899Total
Program Services48719ProgramServices
Management And General12180ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total507352Total
Program Services405882ProgramServices
Management And General101470ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total103203Total
Program Services82562ProgramServices
Management And General20641ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE393552393552
OUTSIDE LAB FEES692431553945138486

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total27534Total
Program Services22027ProgramServices
Management And General5507ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17576093Total
Program Services14103779ProgramServices
Management And General3472314ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY203BOY
EOY203EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8202725BOY
EOY3776939EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2169215BOY
EOY2981609EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY101555BOY
EOY101555EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY43929BOY
EOY29965EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7677075LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4951120LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2802524BOY
EOY2725955EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY113707BOY
EOY126307EOY

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)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13433858BOY
EOY9742533EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1467580BOY
EOY1564706EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2905336BOY
EOY3134946EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4372916BOY
EOY4699652EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9060942BOY
EOY5042881EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9060942BOY
EOY5042881EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13433858BOY
EOY9742533EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses15271ReconcilationRevenueExpenses
Reconcilation Other Changes-4033332ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Exmpt Function Expenditures0TotalExmptFunctionExpenditures
VolunteerstrueVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Mailings Members$0MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$3,282GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$0DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB3282TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Non Ded Lobby Political Total0NonDedLobbyPoliticalTotal

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1FReturnReference
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 Basis78781OtherCostOrOtherBasis
Book Value78781BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2193422OtherCostOrOtherBasis
Depreciation1351917Depreciation
Book Value841505BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis141670OtherCostOrOtherBasis
Depreciation141670Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4883098OtherCostOrOtherBasis
Depreciation3283710Depreciation
Book Value1599388BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis380104OtherCostOrOtherBasis
Depreciation173823Depreciation
Book Value206281BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2725955TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION PAYABLE$2,243,830
N/P-PENSION LOAN-RELATED ORGANIZATION$891,116
FieldValueIRS element (for citing)
Total Of Amounts3134946TotalOfAmounts
Total Revenue17591364TotalRevenue
Total Expenses17576093TotalExpenses
Excess Or Deficit For Year15271ExcessOrDeficitForYear
Net Unrealized GL On Investments3853NetUnrealizedGLOnInvestments
Other$0OtherAmount
Total Adjustments3853TotalAdjustments
Excess Or Deficit Per FS19124ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17595217TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3853NetUnrealizedGainsInvestments
Other Revenues0OtherRevenues
Revenue Not Rptd F9903853RevenueNotRptdF990
Revenue Subtotal17591364RevenueSubtotal
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99017591364TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17576093TotExpensesEtcAuditedFinclStmt
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal17576093ExpensesSubtotal
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99017576093TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served1607PersonsServed
Total Community Benefit Expense31997TotalCommunityBenefitExpense
Net Community Benefit Expense31997NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served1582PersonsServed
Total Community Benefit Expense596992TotalCommunityBenefitExpense
Direct Offsetting Revenue323862DirectOffsettingRevenue
Net Community Benefit Expense273130NetCommunityBenefitExpense
Percent Of Total Expense0.01590PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served3189PersonsServed
Total Community Benefit Expense628989TotalCommunityBenefitExpense
Direct Offsetting Revenue323862DirectOffsettingRevenue
Net Community Benefit Expense305127NetCommunityBenefitExpense
Percent Of Total Expense0.01780PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served448PersonsServed
Total Community Benefit Expense11224TotalCommunityBenefitExpense
Net Community Benefit Expense11224NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served4PersonsServed
Total Community Benefit Expense15279TotalCommunityBenefitExpense
Net Community Benefit Expense15279NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense25662TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense25662NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served452PersonsServed
Total Community Benefit Expense52165TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense52165NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served3641PersonsServed
Total Community Benefit Expense681154TotalCommunityBenefitExpense
Direct Offsetting Revenue323862DirectOffsettingRevenue
Net Community Benefit Expense357292NetCommunityBenefitExpense
Percent Of Total Expense0.02090PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$100,242BadDebtExpenseAmount
Amount Attributable To12619AmountAttributableTo
Amount Reimbursed By Medicare13907017AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare14151310CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-244293MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1NONEBusinessNameLine1
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY SPECIAL CARE HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1128 WEST WASHINGTON STREETAddressLine1
CityNANTICOKECity
StatePAState
ZIP Code18634ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MERCY SPECIAL CARE HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY SPECIAL CARE SATELLITE UNITBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1746 JEFFERSON AVENUEAddressLine1
CitySCRANTONCity
StatePAState
ZIP Code18510ZIPCode
FieldValueIRS element (for citing)
Facility TypeHOSPITAL BASED LONG-TERM ACUTE CARE SATELLITEFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Community benefit report prepared by related organizationSchedule H, Part I, Line 6aCATHOLIC HEALTH PARTNERS
Bad Debt Expense excluded from financial assistance calculationSchedule H, Part I, Line 7, column(f)393,552
Costing Methodology used to calculate financial assistanceSchedule H, Part I, Line 7COST OF CHARITY CARE AND THE COST RELATED TO MEDICAID PATIENTS WERE DETERMINED USING THE AGGREGATE COST TO CHARGE METHODOLOGY, (TOTAL COST LESS BAD DEBT)/TOTAL REVENUES, REQUIRED BY CATHOLIC HEALTH PARTNERS TO STANDARDIZE OUR CALCULATION OF COMMUNITY BENEFIT AMOUNTS AND INCLUDES BOTH INPATIENTS AND OUTPATIENTS FOR TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PLANS. FOR SUBSIDIZED SERVICES THE HOSPITAL'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COST RELATED TO THE SPECIFIC SERVICE EXCLUDING TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PATIENTS. COSTS FOR CHARITY AND BAD DEBT ACCOUNTS ARE DEDUCTED USING A RATIO OF COST TO CHARGE SPECIFIC TO THAT SUBSIDIZED SERVICE. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS.
Community Building ActivitiesSchedule H, Part IIIN AN EFFORT TO SUPPORT AND IMPROVE A HEALTHY COMMUNITY, THE HOSPITAL PARTICIPATES IN VARIOUS FUNCTIONS, SUCH AS THE AMERICAN HEART WALK, AND SPONSORS HEALTH FAIRS FOCUSED ON DIFFERENT CONDITIONS PREVALENT IN THE AREA, SUCH AS PULMONARY DISEASE, DIABETES AND OSTEOPOROSIS. THE HOSPITAL IS ALSO GENEROUS IN CONTRIBUTING IN-KIND DONATIONS TO VARIOUS COMMUNITY EVENTS, SUCH AS LOCAL SCHOOLS AND CHARITIES.
Bad debt expense - financial statement footnoteSchedule H, Part III, Line 4THE 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 THE AICPA AUDIT AND ACCOUNTING GUIDE FOR HEALTH CARE ORGANIZATIONS. BAD DEBT AMOUNTS ARE NOT INCLUDED IN COMMUNITY BENEFIT. 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 FINANCIAL ASSISTANCE POLICIES ARE WRITTEN OFF TO FINANCIAL ASSISTANCE. PATIENTS WHO MIGHT BE ELIGIBLE BUT ARE UNKNOWN TO US ARE WRITTEN OFF TO BAD DEBT AND THEREFORE NOT INCLUDED IN FINANCIAL ASSISTANCE. THE ESTIMATED AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE 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 FINANCIAL ASSISTANCE ACTUALLY WRITTEN OFF REPRESENTS THOSE THAT WERE APPROVED. TO CALCULATE THE FULL ESTIMATED AMOUNT OF FINANCIAL ASSISTANCE, A CALCULATION WAS DONE TO DETERMINE WHAT 100% OF ASSISTANCE 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 FINANCIAL ASSISTANCE WAS THEN APPLIED TO THE COST-OF-CHARGES RATIO USED FOR CHARITY CARE AT COST.
Community benefit & methodology for determining medicare costsSchedule H, Part III, Line 8MEDICARE SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. THE HOSPITAL HAD A MEDICARE SURPLUS. 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 assistanceSchedule H, Part III, Line 9bPATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL ASSISTANCE DURING THEIR HOSPITAL STAY AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. PATIENT ACCOUNTS 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 CHARITY 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 2BECAUSE THE NANTICOKE AREA IS A CLOSE-KNIT COMMUNITY, THERE ARE MANY POSITIVE RELATIONSHIPS BETWEEN THE HOSPITAL AND VARIOUS ORGANIZATIONS. THERE IS A STRONG COLLABORATION BETWEEN THE HOSPITAL AND THE AREA AGENCY ON AGING, SO MANY NEEDS ARE IDENTIFIED THROUGH THIS AGENCY. IN ADDITION THEIR SENIOR CENTER LOCATED ON SITE IS ALSO THE VENUE FOR MANY SERVICES THAT ARE IDENTIFIED AND/OR REQUESTED. HOSPITAL STAFF FREQUENTLY DO PRESENTATIONS ON HOLISTIC HEALTH TOPICS. HEALTH FAIRS AND SCREENINGS ADD TO THE WELLNESS OF THE COMMUNITY. DUE TO THE LACK OF PUBLIC TRANSPORTATION IN THIS AREA OF TOWN, THE HOSPITAL FREQUENTLY RESPONDS TO THE NEED FOR PATIENT TRANSFER SERVICES, PARTICULARLY FOR OUTPATIENT TESTS AND FAMILY VISITS TO INPATIENTS. THE HOSPITAL ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. WE INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF OUR ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. WE RECOGNIZE 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; AND PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS. THE HOSPITAL HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT AND HAS A COMMUNITY BENEFITS COMMITTEE THAT MEETS PERIODICALLY TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFIT PROGRAM.
Patient education of eligibility for assistance.Schedule H, Part VI, Line 3THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IS POSTED ON THE INTERNET AT THE FOLLOWING WEBSITE: WWW.MERCYHEALTHPARTNERS.COM. OUR WEBSITE PROVIDES ONLINE ACCESS FOR PATIENTS TO ASSIST IN APPLYING FOR FINANCIAL ASSISTANCE INCLUDING FINANCIAL ASSISTANCE DISCOUNTS. OUR TELEPHONE NUMBER CAN BE FOUND ON THE WEBSITE TO ASSIST THOSE WHO WANT TO APPLY. THE HOSPITAL POSTS ITS FINANCIAL ASSISTANCE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSION AREAS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO VISIT. 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 ON PATIENT STATEMENTS. WHEN CONTACTED, THE HOSPITAL DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATIONS 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: A) EXPLORE ELIGIBILITY UNDER PUBLIC ASSISTANCE PROGRAMS; B) FILE APPLICATIONS ON PATIENT'S BEHALF; C) SCHEDULE AND ATTEND APPOINTMENTS; D) PROVIDE TRANSPORTATION WHEN NECESSARY; E) 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 ALWAYS BEEN THE HEART OF OUR MISSION.
Community information.Schedule H, Part VI, Line 4MERCY SPECIAL CARE HOSPITAL SERVES AN EIGHT COUNTY GEOGRAPHIC AREA FEATURING THE FOLLOWING COUNTIES: LUZERNE, LACKAWANNA, WYOMING, MONROE, CARBON, COLUMBIA, SCHUYLKILL, AND LEHIGH, WITH THE MAJORITY OF ADMISSIONS FROM LUZERNE AND LACKAWANNA COUNTY. THE POPULATION OF THE HOSPITAL'S PRIMARY SERVICE AREA IS APPROXIMATELY 500,000 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 SIX HOSPITALS IN THE COMMUNITY, AND ALL ARE NON-PROFIT HOSPITALS. THE DEMOGRAPHIC AREA SERVED BY THE HOSPITAL INCLUDES THE FOLLOWING ETHNIC AND CULTURAL GROUPS: POLISH, ITALIAN, IRISH, GERMAN, SLOVAK. 13.1% OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES. 18.3 % OF FAMILIES IN LUZERNE COUNTY AND 17.3% OF FAMILIES IN LACKAWANNA COUNTY ARE ON MEDICAID OR OTHER ASSISTANCE. IN THE COMMUNITY SERVED BY THE HOSPITAL, CARDIAC, RESPIRATORY AND DIABETES ARE THE MAJOR HEALTH PROBLEMS AND/OR LEADING CAUSES OF DEATH. EACH OF THESE IS PREVENTABLE THROUGH PROPER CARE AND MAINTAINING CONTROL OF THE ILLNESS/DISEASE AS WELL AS LEADING HEALTHIER LIVES. THE SMOKING RATE IS 27% OF THE POPULATION. THE HOSPITAL WORKS CLOSELY WITH LOCAL COMMUNITY AGENCIES AND HEALTH DEPARTMENTS TO ADDRESS THESE PROBLEMS AND MINIMIZE THE EFFECTS ON THOSE WHO SUFFER. IN 2010 THE HOSPITAL SERVED 576 NON-ACUTE ADMISSIONS AND 12,862 OUTPATIENT VISITS.
Promotion of community healthSchedule H, Part VI, Line 5MERCY SPECIAL CARE HOSPITAL OPERATES AN ACUTE LONG TERM CARE INPATIENT UNIT OPEN TO ALL PERSONS. IN ADDITION TO INPATIENT SERVICES THE HOSPITAL ALSO PROVIDES PSYCHIATRIC INPATIENT SERVICES, WOUND CARE, HYPERBARIC THERAPY, PHYSICAL MEDICINE AND IMAGING. THE HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY THE HOSPITAL. THE HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROVIDING THE FOLLOWING COMMUNITY BENEFIT PROGRAMS IN THE COMMUNITIES IT SERVES: AREA AGENCY ON AGING SENIOR CENTER; ALANON; AND DIABETES TRAINING. THESE ARE KEY COMMUNITY BENEFIT PROGRAMS FOCUSING ON COMMUNITY HEALTH, ESPECIALLY ON PREVENTION ACTIVITY AND EFFORTS TO IMPROVE HEALTH AND ACCESS TO HEALTH CARE SERVICES AND THEREBY REDUCE HEALTH CARE COSTS.
Affiliated health care systemSchedule H, Part VI, Line 6MERCY HOSPITAL, NANTICOKE, PA D/B/A MERCY SPECIAL CARE HOSPITAL IS AFFILIATED WITH THE FOLLOWING HEALTHCARE ENTITIES: MERCY HEALTH PARTNERS NORTHEAST REGION INC. (REGIONAL PARENT COMPANY); MERCY HOSPITAL, SCRANTON, PA; MERCY MED-CARE INC.; MERCY COMMUNITY CARE CORPORATION, AND MERCY HEALTHCARE FOUNDATION, INC. MERCY SPECIAL CARE HOSPITAL, A PENNSYLVANIA NON-PROFIT CORPORATION, IS A LONG-TERM ACUTE CARE HOSPITAL WITH 67 LICENSED PATIENT BEDS. IN ADDITION TO THE HOSPITAL IN NANTICOKE, PENNSYLVANIA, MERCY SPECIAL CARE HOSPITAL HAS A 20 BED LONG-TERM ACUTE CARE SATELLITE UNIT LOCATED WITHIN MERCY HOSPITAL OF SCRANTON. MERCY SPECIAL CARE HOSPITAL IS A MULTI-PURPOSE HEALTH CARE FACILITY OFFERING PSYCHIATRIC, LONG-TERM AND OUTPATIENT CARE DESIGNED FOR MEDICALLY-COMPLEX PATIENTS, THOSE IN AN EXACERBATED OR COMPLICATED STATE OF CHRONIC ILLNESS, THOSE RECOVERING FROM SURGICAL COMPLICATIONS, OR THOSE SUFFERING SERIOUS BEHAVIORAL PROBLEMS. IT SPECIALIZES IN TREATING PERSISTENT AND COMPLEX POST ACUTE CARE PATIENTS REQUIRING ADVANCED RESPIRATORY TREATMENTS INCLUDING WEANING TRACHS/VENTS; DIABETES AND WOUND CARE MANAGEMENT, IN-PATIENT CARDIAC REHABILITATION, POST STROKE AND CARDIAC CARE INCLUDING OCCUPATIONAL AND PHYSICAL THERAPIES. THE SERVICES WHICH THE HOSPITAL PROVIDES TO THE COMMUNITY INCLUDE: SPECIALTY LONG-TERM SERVICES, MENTAL HEALTH SERVICES, REHABILITATION SERVICES, DIAGNOSTIC SERVICES, OUTPATIENT SERVICES, LABORATORY SERVICES, RADIOLOGY SERVICES, CAT SCAN SERVICES, PHYSICAL & OCCUPATIONAL THERAPY SERVICES, AND DIETARY SERVICES. THESE ACTIVITIES FURTHER THE CHARITABLE PURPOSE OF MERCY SPECIAL CARE HOSPITAL BY PROVIDING HEALTH CARE SERVICES TO ALL THOSE IN NEED OF CARE WITHOUT REGARD TO ABILITY TO PAY, RACE, COLOR NATIONAL ORIGIN, RELIGIOUS CREED, PHYSICAL HANDICAP OR DISABILITY. MERCY HEALTH PARTNERS, NORTHEAST REGION COMMUNITY BENEFIT FOR 2010 IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $11.4 MILLION. BENEFITS TO THE BROADER COMMUNITY $3.5 MILLION. UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID $5.6 MILLION. COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY $2.3 MILLION. SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR $.1 MILLION. COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE LESS BAD DEBT: 5.6 PERCENT. MERCY SPECIAL CARE 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 COMMUNITIES OF CINCINNATI (OH) AND MID-ATLANTIC COMMUNITY, MERION STATION (PA); THE SISTERS OF THE 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, INDIANA, 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 PEOPLE WHO ARE POOR AND UNDER-SERVED. CHP'S HOME OFFICE PROVIDES SERVICES AND SUPPORT TO THE ENTIRE SYSTEM, INCLUDING BUT NOT LIMITED TO: PROVIDING GOVERNANCE, MANAGEMENT OVERSIGHT, STRATEGIC LEADERSHIP, FOCUSING RESOURCES TO ASSURE THE HEALING MISSION, PROVIDING ACCESS TO LOWER COST DEBT FINANCING TO SUPPORT OPERATIONS, IMPROVING CLINICAL OUTCOMES AND REDUCING OPERATING COSTS. SYSTEM-WIDE COMMUNITY BENEFIT FOR 2010 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $ 365.1 MILLION. BENEFITS TO THE BROADER COMMUNITY $77.1 MILLION. UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID $131.7 MILLION. COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY $123.2 MILLION. SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR $33.1 MILLION. COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 8.5 PERCENT.
COMMUNITY BENEFIT REPORTPART VI, LINES 6A AND 6BTHE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS CONTAINED IN A REPORT PREPARED BY CATHOLIC HEALTH PARTNERS (CHP), A RELATED TAX-EXEMPT ORGANIZATION. A COPY OF THE COMMUNITY BENEFIT REPORT CAN BE FOUND ON CHP'S WEB SITE AT WWW.HEALTH-PARTNERS.ORG.
COMMUNITY BENEFIT REPORT FILINGPART VI, LINE 8THE HOSPITAL IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT IN ANY STATE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (5 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
JANUSZ WOLANIN
25000300000115350157130277251000
STEPHEN H FRANKO III
0216852034236025931017150020902031507100
ROBERT WILLIAMS
1234480179640198810116770133480186318000
KEVIN COOK
02858750502020390706102017908036399400
JOHN M STARCHER JR
05003560184208024959401231760266700108400400

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bTHE 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: JOHN M. STARCHER, JR. $224,469.
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, HUMAN POTENTIAL, 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 INCENTIVE COMPENSATION FOR THE LISTED INDIVIDUALS IS DETERMINED BY THE CEO AND DISCLOSED TO THE BOARD. THE BOARD MAY AUTHORIZE MODIFIED INCENTIVE AWARDS WHEN APPROPRIATE IN ITS JUDGMENT.
CEO COMPENSATIONSCHEDULE J, PART I, LINE 3THE COMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED BY MERCY HEALTH PARTNERS - NORTHEAST REGION (MHP), A RELATED TAX-EXEMPT ORGANIZATION. MHP UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY COMPENSATION COMMITTEE OF BOARD WHEN DETERMINING THE CEO'S COMPENSATION.
THE CHP RETENTION PLANSCHEDULE J, PART I, LINE 4BTHE 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: JOHN M. STARCHER, JR. $0.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of other program servicesForm 990, Part III, Line 4dALL OTHER PROGRAM SERVICE ACCOMPLISHMENTS
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6MERCY HEALTH PARTNERS - NORTHEAST REGION, INC. IS THE SOLE MEMBER OF MERCY SPECIAL CARE HOSPITAL.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aSECTION 4 (B) MATTERS AFFECTING ANY SUBSIDIARY REQUIRING CATHOLIC HEALTH PARTNERS (CHP) APPROVAL BY ACTION OF CHP'S GOVERNING BOARD. THE CHP GOVERNING BOARD SHALL HAVE THE FINAL AUTHORITY, FOR AND ON BEHALF OF CHP, TO ACT ON ALL OF THE FOLLOWING MATTERS (AFTER RECEIVING A RECOMMENDATION OF THE GOVERNING BOARD OF THE SUBSIDIARY AFFECTED BY SUCH ACTION), AND NO ACTION TAKEN WITH RESPECT TO ANY OF THESE MATTERS SHALL BE EFFECTIVE UNLESS APPROVED BY THE CHP GOVERNING BOARD:(II)TO FIX THE NUMBER OF AND TO ELECT THE MEMBERS OF THE GOVERNING BOARD OF THE FIRST TIER SUBSIDIARY AND TO ESTABLISH THE CRITERIA FOR THEIR SELECTION OR ELECTION/RE-ELECTION. SECTION 4 (D)MATTERS AFFECTING SECOND TIER SUBSIDIARIES REQUIRING FIRST TIER SUBSIDIARY APPROVAL BY ACTION OF ITS GOVERNING BOARD. EXCEPT WHERE SUCH AUTHORITY HAS BEEN RESERVED TO CHP, THE GOVERNING BOARD OF THE FIRST TIER SUBSIDIARY SHALL HAVE THE FINAL AUTHORITY, FOR AND ON BEHALF OF THE FIRST TIER SUBSIDIARY, TO ACT ON THE FOLLOWING MATTERS, EITHER ON ITS OWN MOTION OR AFTER RECEIVING A RECOMMENDATION OF THE GOVERNING BOARD OF THE SECOND TIER SUBSIDIARY AFFECTED BY SUCH ACTION, AND NO ACTION TAKEN WITH RESPECT TO ANY OF THESE MATTERS SHALL BE EFFECTIVE UNLESS APPROVED BY THE GOVERNING BOARD OF THE FIRST TIER SUBSIDIARY: (IV)TO FIX THE NUMBER OF AND TO ELECT THE MEMBERS OF THE GOVERNING BOARD OF ANY SECOND TIER SUBSIDIARY AND TO ESTABLISH THE CRITERIA FOR THEIR SELECTION OR ELECTION/RE-ELECTION.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bCERTAIN MATTERS REQUIRE APPROVAL OF THE CATHOLIC HEALTH PARTNERS CORPORATE MEMBER, CATHOLIC HEALTH PARTNERS GOVERNING BODY, OR CATHOLIC HEALTH PARTNERS CHIEF EXECUTIVE OFFICER. 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 CHP'S TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN REVIEWED BY MANAGEMENT. 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 12cALL BOARD MEMBERS ARE COVERED BY THE CATHOLIC HEALTH PARTNERS (CHP) CONFLICT OF INTEREST POLICY WHICH REQUIRES DISCLOSURE ON AN ANNUAL BASIS. ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE CHP CORPORATE COMPLIANCE OFFICER. AT THE BEGINNING OF EACH BOARD MEETING ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. BOARD MEMBERS DETERMINED TO HAVE A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISION-MAKING FOR THE TRANSACTION IN WHICH THE CONFLICT EXISTS.
Public DisclosureForm 990, Part VI, Section C, Line 19MERCY SPECIAL CARE HOSPITAL'S GOVERNING DOCUMENTS AND ARTICLES OF INCORPORATION ARE AVAILABLE UPON REQUEST. 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 PERSONSFORM 990 PART VII SECTION A COLUMN (B)JAMES CLEMENTE 3 ROBERT J. KNOWLES, JR. 2 SR. MARY HELEN NUGENT, RSM 2 MARY JANE K. DIMATTIO, PH.D. 2 CHRISTOPHER J. DRESSEL, JR. M.D. 2 JEREMIAH W. EAGEN, M.D. 2 MATTHEW E. HAGGERTY, ESQUIRE 2 ELIZABETH KULKARNI 2 JAMES B. MILESKI 2 JUDGE TERRENCE R. NEALON 2 HENRY J. SALLUSTI 2 NATALIE G. SOLFANELLI 2 SR. MAYON SYLVAIN, RSM 2 MARK T. MITCHELL 3 KEVIN COOK 49 STEPHEN H. FRANKO III 49 JOHN M. STARCHER, JR. 50
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 3854; PENSION ALTERNATIVE MINIMUM LIABILITY - -178631; EQUITY TRANSFERS TO RELATED ORGANIZATIONS - -3858555;

Schedule R IRS990ScheduleR

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
C H 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
MERCY HEALTH SYSTEM - NORTHERN REGION
2200 JEFFERSON AVENUETOLEDOOH43604341344482REGIONAL PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERS
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 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 StateLegalDomicileState
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
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 OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
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 OrgfalseOtherTransferFromOtherOrg