Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
MERCY MEDICAL CENTER INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1320 MERCY DRIVE NW
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CANTON, OH44708
D Employer identification number

34-1893439
E Telephone number

G Gross receipts $ 295,984,727
F Name and address of principal officer:
THOMAS E CECCONI
1320 MERCY DRIVE NW
CANTON,OH44708
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.CANTONMERCY.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:
 
L Year of formation: 1999
M State of legal domicile: OH
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE SERVICES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 3,174
6 Total number of volunteers (estimate if necessary) ............. 6 546
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 1,539,307
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -53,581
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,151,737 756,868
9 Program service revenue (Part VIII, line 2g) ......... 269,290,656 278,686,009
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,132,939 928,700
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 10,557,454 15,601,707
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 284,132,786 295,973,284
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 252,360
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 135,449,104 134,659,349
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 157,228,063 150,931,637
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 292,677,167 285,843,346
19 Revenue less expenses. Subtract line 18 from line 12....... -8,544,381 10,129,938
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 218,078,364 220,687,232
21 Total liabilities (Part X, line 26)............. 144,518,039 143,142,665
22 Net assets or fund balances. Subtract line 21 from line 20..... 73,560,325 77,544,567
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: AS A CATHOLIC HEALTH CARE ORGANIZATION, OUR MISSION AT MERCY MEDICAL CENTER IS TO CONTINUE CHRIST'S HEALING MINISTRY BY PROVIDING QUALITY, COMPASSIONATE, ACCESSIBLE AND AFFORDABLE CARE FOR THE WHOLE PERSON.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 268,830,348 including grants of $ 252,360 ) (Revenue $ 287,017,378 )
REFER TO SCHEDULE O HOSPITAL GROWTH:*EMERGENCY DEPARTMENT EXPANSION PROJECTIN 2013 MERCY EXPANDED BOTH ITS FACILITIES AND ITS SERVICES. WE MADE SIGNIFICANT PROGRESS ON OUR EMERGENCY DEPARTMENT EXPANSION PROJECT, OPENING THE MERCY MARKETPLACE IN MAY AND THE RENOVATED MAIN LOBBY IN JULY. THE EMERGENCY DEPARTMENT (ED) ENTRANCE FOR AMBULANCES REOPENED IN DECEMBER.THE SPACIOUS NEW HOSPITAL ENTRYWAY GLOWS WITH NATURAL LIGHT AND RICH, WARM TONES, AND SEATING AREAS WERE CREATED WITH COMFORT IN MIND. THE NEW ED ENTRANCE AND PARKING LOT OPENED TO THE PUBLIC EARLIER THIS MONTH AS WE STARTED PHASE 2 OF THE CONSTRUCTION PLAN. *THERAPY SERVICES OPEN AT JACKSON/MASSILLON HEALTH CENTERWE OPENED ADULT AND PEDIATRIC THERAPY SERVICES AT MERCY HEALTH CENTER OF JACKSON/MASSILLON, BRINGING THIS IMPORTANT FACET OF HEALTHCARE CLOSER TO HOME FOR OUR MANY PATIENTS IN WESTERN STARK COUNTY. AVAILABLE SERVICES INCLUDE ADULT PHYSICAL THERAPY; SPORTS MEDICINE; AND PEDIATRIC PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY.*ST. PAUL SQUARE OPENS DENTAL SERVICES, INCREASES PATIENT BASEWE CELEBRATED THE ONE-YEAR ANNIVERSARY OF MERCY AT ST. PAUL SQUARE IN 2013. SINCE OPENING THE MEDICAL HOME IN NOVEMBER 2012, WE HAVE ADDED COMPREHENSIVE DENTAL SERVICES AND INCREASED THE PATIENT BASE IN THE NORTHEAST CANTON AREA. MERCY PROFESSIONAL CARE CORPORATION FAMILY MEDICINE PHYSICIAN AISHA RAHMAN, MD, BEGAN PRACTICING AT ST. PAUL SQUARE LAST FALL.*NEW PHYSICIANSPHYSICIAN RECRUITMENT EFFORTS WERE VERY SUCCESSFUL, RESULTING IN NEW DOCTORS IN KEY SUBSPECIALTIES INCLUDING PRIMARY CARE, CARDIOLOGY, PULMONOLOGY, AND GENERAL SURGERY. OUR PRIMARY CARE EFFORTS HAVE RESULTED IN PLACEMENT OF PHYSICIANS IN KEY GEOGRAPHICAL AREAS, LIKE JACKSON TOWNSHIP, PLAIN TOWNSHIP AND THE ALLIANCE/SALEM AREA.AWARDS & ACHIEVEMENTS:*MERCY HEART CENTERMERCY MEDICAL CENTER RECEIVED THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION'S NCDR ACTION REGISTRY-GWTG PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR 2013 - ONE OF ONLY 197 HOSPITALS NATIONWIDE TO DO SO. THE AWARD RECOGNIZES MERCY MEDICAL CENTER'S COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS, AND SIGNIFIES THAT MERCY HAS REACHED AN AGGRESSIVE GOAL OF TREATING THESE PATIENTS TO STANDARD LEVELS OF CARE AS OUTLINED BY THE AMERICAN COLLEGE OF CARDIOLOGY/AMERICAN HEART ASSOCIATION CLINICAL GUIDELINES AND RECOMMENDATIONS.MERCY MEDICAL CENTER RECEIVED FULL HEART FAILURE ACCREDITATION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, AN INTERNATIONAL NOT-FOR-PROFIT ORGANIZATION FOCUSED ON TRANSFORMING CARDIOVASCULAR CARE. THE ORGANIZATION HELPS FACILITIES MANAGE THE HEART FAILURE PATIENT MORE EFFICIENTLY AND IMPROVE PATIENT OUTCOMES. MERCY RECEIVED THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE GOLD RECEIVING QUALITY ACHIEVEMENT AWARD. THE AWARD RECOGNIZES MERCY MEDICAL CENTER'S COMMITMENT AND SUCCESS IN IMPLEMENTING THE HIGHEST STANDARD OF CARE FOR HEART ATTACK PATIENTS. MERCY MEDICAL CENTER AND MERCY CARDIOVASCULAR INSTITUTE (MCI) NOW OFFERS GENETIC TESTING AS PART OF THEIR STANDARD OF CARE FOR HEART PATIENTS. ANOTHER TOOL IN THE FIGHT AGAINST HEART DISEASE, A COMPREHENSIVE GENETIC CARDIAC PANEL TEST PROVIDES INDIVIDUALIZED DRUG METABOLISM AND CARDIOVASCULAR RISK ASSESSMENTS. *MERCY CANCER CENTERIN 2013 THE CANCER CENTER BEGAN OFFERING THE LOW DOSE CT (LDCT) LUNG SCREENING, THE LATEST WEAPON IN THE WAR AGAINST LUNG CANCER, WHICH IS THE LEADING CAUSE OF CANCER DEATH FOR BOTH MEN AND WOMEN WORLDWIDE. THE SCREENING IS ONLY $50 FOR INDIVIDUALS WHO MEET THE ESTABLISHED HIGH-RISK CRITERIA FOR LUNG CANCER. A RECIPIENT OF THE 2013 QUALITY AWARD FROM THE SUPPORTIVE CARE COALITION AT ITS NATIONAL CONFERENCE LAST JUNE, MERCY'S PALLIATIVE CARE PROGRAM IS A MODEL FOR COMMUNITY HOSPITALS. MERCY RECEIVED THE AWARD FOR MAKING STRIDES TO IMPROVE THE DELIVERY OF PALLIATIVE MEDICINE IN A DIVERSE CARE SETTING. IN 2013, MERCY MEDICAL CENTER BEGAN PERFORMING MINIMALLY INVASIVE, MRI-GUIDED BREAST BIOPSIES. USED IN HIGH-RISK CASES WHERE MAMMOGRAPHY IS NOT SENSITIVE ENOUGH TO DETECT ABNORMALITIES, MRI-GUIDED BREAST BIOPSY - WHICH TAKES LESS THAN AN HOUR - MINIMIZES THE NEED FOR A LARGER SURGERY, A BIGGER INCISION AND MORE TISSUE REMOVAL. RECOVERY TIME IS BRIEF, SUTURES ARE NOT REQUIRED, AND PATIENTS CAN RETURN TO NORMAL ACTIVITIES ALMOST IMMEDIATELY. MERCY BREAST CARE CENTER AND MERCY WEIGHT MANAGEMENT DEVELOPED LOSE INCHES, ADD YEARS - A NEW WEIGHT MANAGEMENT PROGRAM DESIGNED SPECIFICALLY FOR BREAST CANCER SURVIVORS. *MERCY ORTHOPEDIC CENTERMERCY MEDICAL CENTER EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ITS TOTAL JOINT REPLACEMENT PROGRAM FOR HIPS AND KNEES BY DEMONSTRATING COMPLIANCE WITH THE JOINT COMMISSION'S NATIONAL STANDARDS FOR HEALTH CARE QUALITY AND SAFETY IN DISEASE-SPECIFIC CARE. THE CERTIFICATION AWARD RECOGNIZES MERCY MEDICAL CENTER'S DEDICATION TO CONTINUOUS COMPLIANCE WITH THE JOINT COMMISSION'S STATE-OF-THE-ART STANDARDS. MERCY MEDICAL CENTER UNDERWENT A RIGOROUS ON-SITE REVIEW. A JOINT COMMISSION EXPERT EVALUATED MERCY FOR COMPLIANCE WITH STANDARDS OF CARE SPECIFIC TO THE NEEDS OF PATIENTS AND FAMILIES, INCLUDING INFECTION PREVENTION AND CONTROL, LEADERSHIP AND MEDICATION MANAGEMENT. *MERCY PLANT ENGINEERINGTHE MAIN CAMPUS OF MERCY MEDICAL CENTER RECENTLY RECEIVED ITS FIFTH CONSECUTIVE ENERGY STAR CERTIFICATION FROM THE U.S. ENVIRONMENTAL PROTECTION AGENCY (EPA). THE STARK COUNTY, OHIO-BASED FACILITY IS ONE OF ONLY 10 HOSPITALS IN THE U.S. TO RECEIVE ENERGY STAR FIVE YEARS IN A ROW. MERCY IS ALSO ONE OF FOUR U.S. HOSPITALS TO EARN ITS FIFTH CONSECUTIVE AWARD FROM 2009 TO 2013, PLACING IT IN THE TOP TWO PERCENT OF CERTIFIED ENERGY STAR HOSPITALS. THE MERCY HEALTH CENTER OF CARROLL COUNTY, LOCATED IN CARROLLTON, OHIO, IS ALSO AN ENERGY STAR BUILDING. FACILITIES LIKE THESE USE 35 PERCENT LESS ENERGY THAN TYPICAL BUILDINGS AND ALSO RELEASE 35 PERCENT LESS CARBON DIOXIDE INTO THE ATMOSPHERE. *TRAUMA CENTERMERCY'S TRAUMA CENTER WAS VERIFIED AS A LEVEL II TRAUMA CENTER BY THE VERIFICATION REVIEW COMMITTEE OF THE COMMITTEE ON TRAUMA OF THE AMERICAN COLLEGE OF SURGEONS. THIS ACHIEVEMENT RECOGNIZES THE TRAUMA CENTER'S DEDICATION TO PROVIDING OPTIMAL CARE FOR INJURED PATIENTS 24-HOURS A DAY.*ADDITIONAL AWARDS: FOR THE FIFTH CONSECUTIVE YEAR, MERCY WAS SELECTED AS ONE OF THE HEALTHY OHIO-HEALTH WORKSITE AWARD WINNERS. MERCY RECEIVED THE AWARD AT THE HEALTH ACTION COUNCIL ANNUAL CONFERENCE IN COLUMBUS ON JANUARY 29. THIS AWARD RECOGNIZES OHIO EMPLOYERS THAT DEMONSTRATE A COMMITMENT TO EMPLOYEE HEALTH BY INCORPORATING COMPREHENSIVE WORKSITE HEALTH PROMOTION AND WELLNESS PROGRAMS.MERCY MEDICAL CENTER WAS A RECIPIENT OF UNITED WAY OF GREATER STARK COUNTY 2013 ANNUAL CAMPAIGN OF THE YEAR AWARD, CENTRAL DIVISION (MORE THAN 500 EMPLOYEES CATEGORY). THIS AWARD RECOGNIZES A COMPANY THAT HAS ESTABLISHED A STRONG UNITED WAY CULTURE THROUGH CORPORATE GIFTS AND SPONSORSHIP, WORKPLACE CAMPAIGNS, AND SPECIAL EVENTS.MERCY VASCULAR LAB WAS GRANTED A THREE-YEAR TERM OF ACCREDITATION IN VASCULAR TESTING IN PERIPHERAL ARTERIAL, EXTRACRANIAL CEREBROVASCULAR, VISCERAL VASCULAR, AND PERIPHERAL VENOUS TESTING BY THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC). ACCREDITATION BY THE IAC MEANS MERCY VASCULAR LAB HAS UNDERGONE A THOROUGH REVIEW OF ITS OPERATIONAL AND TECHNICAL COMPONENTS BY A PANEL OF EXPERTS. THE IAC ACCREDITS ONLY THOSE FACILITIES THAT ARE FOUND TO BE PROVIDING QUALITY PATIENT CARE, IN COMPLIANCE WITH NATIONAL STANDARDS THROUGH A COMPREHENSIVE APPLICATION PROCESS INCLUDING DETAILED CASE STUDY REVIEW.MERCY MEDICAL CENTER IS THE RECIPIENT OF HEALTHGRADES 2013 WOMEN'S HEALTH EXCELLENCE AWARD. THIS HONOR PLACES MERCY AMONG THE TOP 10 PERCENT IN THE NATION FOR SUPERIOR PERFORMANCE IN WOMEN'S HEALTH, BASED ON SUPERIOR CLINICAL OUTCOMES ACROSS 15 CONDITIONS AND PROCEDURES AFFECTING WOMEN.MERCY STATCARE IMMEDIATE CARE CENTER AT MERCY HEALTH CENTER OF JACKSON RECEIVED THE READERS CHOICE AWARD FOR URGENT CARE FROM THE REPOSITORY.MERCY CARDIAC AND PULMONARY REHABILITATION PROGRAMS ONCE AGAIN RECEIVED NATIONAL CERTIFICATION THROUGH THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. MERCY IS HOME TO THE FIRST NATIONALLY CERTIFIED AND PULMONARY REHAB PROGRAMS IN STARK COUNTY.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet268,830,348
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions).... Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
218
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
3,174
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
15
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletDAVID STEWART1320 MERCY DRIVE NWCANTONOH44708 (330) 489-1007
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JUDITH E LANCASTER........................................................................
TRUSTEE, CHAIRPERSON
 2.00
.......................0.00 		X   X       0 0 0
(2) DENNIS A NASH........................................................................
TRUSTEE, VICE-CHAIRPERSON
 2.00
.......................0.00 		X   X       0 0 0
(3) JACK R GRAVO........................................................................
TRUSTEE, TREASURER
 2.00
.......................0.00 		X   X       0 0 0
(4) SUSAN S STEINER........................................................................
TRUSTEE,SECRETARY
 2.00
.......................0.00 		X   X       0 0 0
(5) JOE L CARPENTER DMD........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(6) MARIAN DURKIN CSA........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(7) JAMES F KING MD........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(8) JEFF HEROLD........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(9) TERRENCE KESSLER........................................................................
TRUSTEE
 2.00
.......................38.00 		X           0 323,532 53,495
(10) BRIAN MERTES........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(11) TERRY A MOORE........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(12) STEPHEN A PERRY........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(13) MELISSA ROGERS........................................................................
TRUSTEE
 2.00
.......................38.00 		X           0 472,873 53,592
(14) SR JUDITH ANN KARAM........................................................................
TRUSTEE (RESIGNED JUL'13)
 2.00
.......................38.00 		X           0 0 0
(15) ROBERT R TIMKEN........................................................................
TRUSTEE (RESIGNED AUG'13)
 2.00
.......................0.00 		X           0 0 0
(16) THOMAS CECCONI........................................................................
TRUSTEE & PRESIDENT/CEO
 2.00
.......................38.00 		X   X       0 512,670 55,396
(17) SR CAROLYN CAPUANO........................................................................
VICE PRESIDENT - MISSION
 38.00
.......................2.00 		    X       0 0 0
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) DAVID CEMATE........................................................................
SENIOR VICE PRESIDENT-COO
 40.00
.......................0.00 		    X       181,445 0 11,735
(19) DAVID GORMSEN........................................................................
CHIEF MEDICAL OFFICER
 40.00
.......................0.00 		    X       278,591 0 32,962
(20) MATTHEW HEINLE........................................................................
VICE PRES-GEN COUNCIL
 25.00
.......................0.00 		    X       132,000 0 0
(21) MICHAEL S RIEGER........................................................................
VP & CFO (RESIGNED MAR'13)
 38.00
.......................2.00 		    X       105,559 0 6,124
(22) DAVID STEWART........................................................................
SENIOR VICE PRESIDENT-CFO
 38.00
.......................2.00 		    X       0 345,696 36,592
(23) THOMAS F TURNER........................................................................
VICE PRESIDENT - BUSINESS & FUND DEVELOPMENT
 30.00
.......................10.00 		    X       220,350 0 28,177
(24) BARBARA I YINGLING........................................................................
VICE PRESIDENT & CNO
 40.00
.......................0.00 		    X       183,788 0 21,587
(25) LYNNE DRAGOMIER........................................................................
VP-MARKETING (RESIGNED FEB'2013)
 38.00
.......................2.00 		    X       49,150 0 1,460
(26) JEFF SMITH RESIGNED JAN'2013........................................................................
SENIOR VICE PRESIDENT-COO
 40.00
.......................0.00 		    X       77,977 0 327
(27) AHMED EL GHAMRY SABE........................................................................
EXEC DIRECTOR-CARDIOLOGY
 40.00
.......................0.00 		      X     608,087 0 49,168
(28) JAY MAXFIELD........................................................................
DIRECTOR OF DENTAL CLINIC
 40.00
.......................0.00 		        X   186,346 0 14,904
(29) JOHN FEUCHT........................................................................
DIRECTOR OF PHARMACY
 40.00
.......................0.00 		        X   140,037 0 33,872
(30) BASSEM SAID........................................................................
DENTIST
 40.00
.......................0.00 		        X   133,242 0 8,417
(31) ELLIS PARISH........................................................................
PHARMACIST
 45.00
.......................0.00 		        X   127,233 0 32,209
(32) RICHARD UNSWORTH........................................................................
SENIOR PHARMACIST
 42.00
.......................0.00 		        X   126,310 0 29,028
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 2,550,115 1,654,771 469,045
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet52
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
RUHLIN COMPANY6931 RIDGE ROAD PO BOX 190SHARON CENTROH44274 CONSTRUCTION 6,774,379
STARK COUNTY ANESTHESIA4665 DOUGLAS CR NW 101CANTONOH44718 PHYSICIAN SERVICES 3,259,617
STARK COUNTY EMERGENCY PHYSICIANS5154 FULTON DRIVE NWCANTONOH44718 PHYSICIAN SERVICES 1,676,072
NORMAN ECKINGER INC2500 KRISKO CIRCLE SWCANTONOH44706 CONSTRUCTION 1,373,949
INPATIENT MEDICAL SERVICES822 KUMBO DR STE202FAIRLAWNOH44333 PHYSICIAN SERVICES 1,166,320
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet34
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 2,680
d Related organizations...1d  
e Government grants (contributions)1e 559,083
f All other contributions, gifts, grants, and
similar amounts not included above1f 		195,105
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 756,868
Program Service RevenueAmt Business Code
2a PATIENT CARE 900099 274,027,665 274,027,665    
b MEANINGFUL USE-EMR 900099 3,398,180 3,398,180    
c PROGRAM RENTAL INCOME 900099 1,260,164 1,260,164    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 278,686,009
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 843,353     843,353
4 Income from investment of tax-exempt bond proceeds..MediumBullet 14,709     14,709
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   70,638
b Less: cost or other basis and sales expenses   0
c Gain or (loss)   70,638
d Net gain or (loss)..........MediumBullet 70,638     70,638
8a Gross income from fundraising events (not including
$ 2,680
of contributions reported on line 1c). See Part IV, line 18 ..
a 35,352
b Less: direct expenses ...b 11,443
c Net income or (loss) from fundraising events..MediumBullet 23,909   23,909
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a PHARMACY 621500 3,109,306     3,109,306
b CAFETERIA 900099 1,552,703     1,552,703
c LAB SERVICES 900099 1,308,212   1,308,212  
d All other revenue .... 9,607,577 8,331,369 231,095 1,045,113
e Total. Add lines 11a–11d ...... MediumBullet 15,577,798
12 Total revenue. See Instructions......MediumBullet 295,973,284 287,017,378 1,539,307 6,659,731
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 252,360 252,360
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 2,876,709   2,876,709  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 102,765,314 95,023,519 7,741,795  
7 Other salaries and wages        
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 4,128,682 3,817,649 311,033  
9 Other employee benefits ....... 16,850,822 15,581,370 1,269,452  
10 Payroll taxes ........... 8,037,822 7,344,980 692,842  
11 Fees for services (non-employees):        
a Management ...... 1,004,537 1,004,537    
b Legal ......... -4,567,048   -4,567,048  
c Accounting ........... 129,724   129,724  
d Lobbying ........... 13,190   13,190  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 23,526,176 19,761,559 3,764,617  
12 Advertising and promotion .... 1,353,006 1,353,006    
13 Office expenses ....... 58,903,312 57,682,482 1,220,830  
14 Information technology ...... 5,528,457 5,111,972 416,485  
15 Royalties ..        
16 Occupancy ........... 10,365,289 10,291,555 73,734  
17 Travel ............ 569,651 499,428 70,223  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 158,307 84,242 74,065  
20 Interest ........... 6,994,940 6,500,442 494,498  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 14,597,776 13,565,806 1,031,970  
23 Insurance .............. 3,433,393 3,174,739 258,654  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PATIENT BAD DEBT 15,974,096 15,974,096    
b STATE FRANCHISE TAX 4,635,830 4,635,830    
c MEMBER ASSESSMENT 4,003,596 3,765,308 238,288  
d EDUCATION PROGRAMS 2,671,876 2,670,879 997  
e All other expenses 1,635,529 734,589 900,940  
25 Total functional expenses. Add lines 1 through 24e 285,843,346 268,830,348 17,012,998 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 6,641 1 6,790
2 Savings and temporary cash investments ......... 756,617 2 14,801,541
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 32,959,677 4 36,837,677
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 5,363,275 8 3,906,611
9 Prepaid expenses and deferred charges .......... 3,872,706 9 3,641,348
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 288,390,813
b Less: accumulated depreciation ..... 10b 178,369,874 110,373,512 10c 110,020,939
11 Investments—publicly traded securities .......... 56,444,156 11 48,097,938
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 8,301,780 15 3,374,388
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 218,078,364 16 220,687,232
Liabilities 17 Accounts payable and accrued expenses ......... 46,053,546 17 48,707,634
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities ............. 75,215,000 20 73,105,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 23,249,493 23 21,330,031
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................   25  
26 Total liabilities. Add lines 17 through 25......... 144,518,039 26 143,142,665
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 68,888,249 27 76,855,419
28 Temporarily restricted net assets ........... 4,672,076 28 689,148
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 73,560,325 33 77,544,567
34 Total liabilities and net assets/fund balances ........ 218,078,364 34 220,687,232
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
295,973,284
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
285,843,346
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
10,129,938
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
73,560,325
5
Net unrealized gains (losses) on investments ...............
5
-700,040
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-5,445,657
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
77,544,567
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MERCY MEDICAL CENTER INC
 
Employer identification number

34-1893439
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
MERCY MEDICAL CENTER INC
 
Employer identification number

34-1893439
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
MERCY MEDICAL CENTER INC
  		Employer identification number

34-1893439
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
MERCY MEDICAL CENTER INC
  		Employer identification number

34-1893439
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
MERCY MEDICAL CENTER INC
  		Employer identification number

34-1893439
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
MERCY MEDICAL CENTER INC
 
Employer identification number

34-1893439
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
13,190
j
Total. Add lines 1c through 1i ...............................
13,190
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: DURING THE YEAR, THE ORGANIZATION WAS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, OHIO HOSPITAL ASSOCIATION AND NATIONAL HOSPICE PALLIATIVE CARE ORGANIZATION. OF DUES PAID TO THESE NON-CHARITABLE EXEMPT ORGANIZATIONS, $13,190 WAS ALLOCATED TO LOBBYING ACTIVITIES.
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MERCY MEDICAL CENTER INC
 
Employer identification number

34-1893439
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 102,000 102,000 102,000 2,000  
b Contributions ........       100,000 2,000
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		102,000        
f Administrative expenses ....          
g End of year balance ......   102,000 102,000 102,000 2,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   4,321,411 4,321,411
b Buildings ................   126,716,703 59,773,122 66,943,581
c Leasehold improvements ............   1,996,104 1,528,179 467,925
d Equipment ................   150,670,235 117,068,573 33,601,662
e Other .................   4,686,360   4,686,360
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 110,020,939
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet  
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART V, LINE 4: THE ENDOWMENT FUND IS FOR THE SUPPORT OF MERCY MEDICAL CENTER'S DENTAL RESIDENCY PROGRAM AND CLINIC. IN 2013, THE FUNDS WERE TRANSFERRED TO THE MERCY DEVELOPMENT FOUNDATION FOR GROWTH OPPORTUNITIES AND MANAGEMENT OF THESE FUNDS.
PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2010.
PART VI, LINE 1(E) OTHER = CONSTRUCTION IN PROGRESS
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MERCY MEDICAL CENTER INC
 
Employer identification number

34-1893439
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

MISSION-GOLF EVENT
(event type) 		(b) Event #2

HOSPICE FASHION SHOW
(event type) 		(c) Other events

 
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 6,535 31,497   38,032
2 Less: Contributions . . 2,680     2,680
3 Gross income (line 1
minus line 2) . . . 		3,855 31,497   35,352
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .        
6 Rent/facility costs . . 2,010 1,100   3,110
7 Food and beverages .   7,212   7,212
8 Entertainment . . .        
9 Other direct expenses .   1,121   1,121
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 11,443
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow 23,909
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MERCY MEDICAL CENTER INC
 
Employer identification number

34-1893439
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    11,914,914 3,529,642 8,385,272 3.110 %
b Medicaid (from Worksheet 3,
column a) .... 		  8,132 38,997,204 27,433,770 11,563,434 4.280 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		    0 0    
d Total Financial Assistance
and Means-Tested
Government Programs . 		  8,132 50,912,118 30,963,412 19,948,706 7.390 %
Other Benefits
 15 20,305 335,892 49,681 286,211 0.110 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		2 250 6,378,503 3,809,904 2,568,599 0.950 %
g Subsidized health services
(from Worksheet 6) .. 		1 750 646 0 646 0 %
h Research (from Worksheet 7)     0 0    
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		2 48 273,204 0 273,204 0.100 %
j Total. Other Benefits .. 20 21,353 6,988,245 3,859,585 3,128,660 1.160 %
k Total. Add lines 7d and 7j . 20 29,485 57,900,363 34,822,997 23,077,366 8.550 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support 2 1,399 20,690 0 20,690 0.010 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy 1 0 1,872 0 1,872 0 %
8 Workforce development            
9 Other            
10 Total 3 1,399 22,562   22,562 0.010 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
15,974,096
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
4,016,422
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
59,021,236
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
57,125,517
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
1,895,719
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 MERCY MEDICAL CENTER
1320 MERCY DRIVE NW
CANTON,OH44708 		X X         X      
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MERCY MEDICAL CENTER
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 250.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
MERCY MEDICAL CENTER PART V, SECTION B, LINE 3: IN 2013, MERCY MEDICAL CENTER CONTRACTED WITH CMOR (THE CENTER FOR MARKETING AND OPINION RESEARCH) TO UPDATE DATA COLLECTED IN THE ORIGINAL CHNA (2011), AS WELL AS TO INTEGRATE ADDITIONAL DATA FROM PATIENTS AND SECONDARY MARKETS. THE FOCUS GROUPS, CONDUCTED IN APRIL 2013, CONSISTED OF MERCY PATIENTS WHO WERE SERVED BY THE INTERNAL MEDICINE, OB/GYN AND DENTAL CLINICS. MERCY ALSO CONTINUES AS PART OF THE LOCAL COMMUNITY CHNA ADVISORY COMMITTEE, WHICH INCLUDES REPRESENTATIVES OF ALL COUNTY HEALTH DEPARTMENTS, NON-PROFIT HOSPITALS, MENTAL HEALTH AGENCY AND OTHER HEALTHCARE COMMUNITY AGENCIES.
MERCY MEDICAL CENTER PART V, SECTION B, LINE 4: SOON AFTER THE PASSAGE OF THE 2010 PATIENT PROTECTION AND AFFORDABLE CARE ACT, MERCY JOINED WITH THE TWO NOT-FOR-PROFIT HOSPITALS IN STARK COUNTY, AS WELL AS COUNTY HEALTH DEPARTMENTS AND OTHER ORGANIZATIONS, TO BEGIN THE PROCESS OF DEVELOPING A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT.
MERCY MEDICAL CENTER PART V, SECTION B, LINE 7: NO ONE HOSPITAL CAN ADDRESS ALL OF THE NEEDS PRESENT IN ITS COMMUNITY. MERCY MEDICAL CENTER IS COMMITTED TO ADHERING TO ITS MISSION AND REMAINING FINANCIALLY HEALTHY SO THAT WE CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY HEALTH SERVICES.MERCY IDENTIFIED SIX KEY STRATEGIES IN THE CHNA IMPLEMENTATION STRATEGY, INCLUDING: ACCESS TO DENTAL CARE; ACCESS TO HEALTH CARE INSURANCE AND HEALTH SERVICES; HIGH INFANT MORTALITY; LARGE NEED FOR MENTAL HEALTH SERVICES; OBESITY AND HEALTHY LIFESTYLE CHOICES AND PRESCRIPTION DRUG MISUSE. KEY INITIATIVES WERE FOCUSED IN EACH OF THESE AREAS, TO VARYING DEGREES.
MERCY MEDICAL CENTER PART V, SECTION B, LINE 18E: TELEPHONE CALLS ARE ATTEMPTED AS WELL AS LANGUAGE IS INCLUDED IN THE STATEMENTS GOING OUT TO OUR PATIENTS ABOUT BEING ELIGIBLE FOR FINANCIAL ASSISTANCE.
MERCY MEDICAL CENTER PART V, SECTION B, LINE 20D: ALL PATIENTS ARE CHARGED THE SAME AMOUNT UNTIL DETERMINED IF THE PATIENT IS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. ONCE A DETERMINATION IS MADE, THEN THE AMOUNT CHARGED IS DETERMINED BASED ON A PERCENTAGE DISCOUNT DRIVEN BY FINANCIAL NEED OR PRORATED BASED ON INCOME.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?12
Name and address Type of Facility (describe)
1 MERCY HEALTH CENTER OF JACKSON
7337 CARITA CR NW
MASSILLON,OH44646 		URGENT CARE, THERAPY, RAD, LAB, MAMMOGRAPHY, BONE DENSITY
2 MERCY HEALTH CENTER OF NORTH CANTON
6200 WHIPPLE AVE NW
NORTH CANTON,OH44720 		URGENT CARE, THERAPY, RAD, LAB, SPEECH, SPORTS MEDICINE
3 MERCY HEALTH CENTER OF TUSCARAWAS COUNTY
1031 WEST HIGH AVENUE
NEW PHILADELPHIA,OH44663 		URGENT CARE, THERAPY, RAD, LAB, CARDIAC DIAG
4 MERCY HEALTH CENTER OF CARROLL COUNTY
125 CANTON ROAD
CARROLLTON,OH44615 		URGENT CARE, THERAPY, RAD, LAB, CARDIA/PULMONARY
5 MERCY HEALTH CENTER OF PLAIN
1811 SCHNEIDER ST NE
CANTON,OH44721 		URGENT CARE, RAD, LAB
6 MERCY HEALTH CENTER OF LOUISVILLE
1302 WEST MAIN ST
LOUISVILLE,OH44641 		RAD, LAB, THERAPY, SPORTS MEDICINE, CARDIAC/PULMONARY
7 MERCY HEALTH CENTER OF LAKE
11932 KING CHURCH AVE NW
UNIONTOWN,OH44685 		LAB, RAD, CT SCAN
8 MERCY IMAGING OF ALLIANCE
1401 S ARCH AVE
ALLIANCE,OH44601 		MRI, CT SCANS, RAD
9 MERCY PRIMARY CARE-METRO
601 CLEVELAND AVE NW
CANTON,OH44702 		PRIMARY CARE
10 MERCY SURGICAL CARE
1330 MERCY DR NW
CANTON,OH44708 		SURGICAL CARE
11 MERCY ST PAUL SQUARE
1459 SUPERIOR AVE NE
CANTON,OH44705 		PRIMARY CARE & DENTAL SERVICES
12 MERCY PRIMARY CARE PERRY
3300 BAILEY ST NW
MASSILLON,OH44646 		PRIMARY CARE
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
MERCY MEDICAL CENTER PART V, SECTION B, LINE 3: IN 2013, MERCY MEDICAL CENTER CONTRACTED WITH CMOR (THE CENTER FOR MARKETING AND OPINION RESEARCH) TO UPDATE DATA COLLECTED IN THE ORIGINAL CHNA (2011), AS WELL AS TO INTEGRATE ADDITIONAL DATA FROM PATIENTS AND SECONDARY MARKETS. THE FOCUS GROUPS, CONDUCTED IN APRIL 2013, CONSISTED OF MERCY PATIENTS WHO WERE SERVED BY THE INTERNAL MEDICINE, OB/GYN AND DENTAL CLINICS. MERCY ALSO CONTINUES AS PART OF THE LOCAL COMMUNITY CHNA ADVISORY COMMITTEE, WHICH INCLUDES REPRESENTATIVES OF ALL COUNTY HEALTH DEPARTMENTS, NON-PROFIT HOSPITALS, MENTAL HEALTH AGENCY AND OTHER HEALTHCARE COMMUNITY AGENCIES.
MERCY MEDICAL CENTER PART V, SECTION B, LINE 4: SOON AFTER THE PASSAGE OF THE 2010 PATIENT PROTECTION AND AFFORDABLE CARE ACT, MERCY JOINED WITH THE TWO NOT-FOR-PROFIT HOSPITALS IN STARK COUNTY, AS WELL AS COUNTY HEALTH DEPARTMENTS AND OTHER ORGANIZATIONS, TO BEGIN THE PROCESS OF DEVELOPING A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT.
MERCY MEDICAL CENTER PART V, SECTION B, LINE 7: NO ONE HOSPITAL CAN ADDRESS ALL OF THE NEEDS PRESENT IN ITS COMMUNITY. MERCY MEDICAL CENTER IS COMMITTED TO ADHERING TO ITS MISSION AND REMAINING FINANCIALLY HEALTHY SO THAT WE CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY HEALTH SERVICES.MERCY IDENTIFIED SIX KEY STRATEGIES IN THE CHNA IMPLEMENTATION STRATEGY, INCLUDING: ACCESS TO DENTAL CARE; ACCESS TO HEALTH CARE INSURANCE AND HEALTH SERVICES; HIGH INFANT MORTALITY; LARGE NEED FOR MENTAL HEALTH SERVICES; OBESITY AND HEALTHY LIFESTYLE CHOICES AND PRESCRIPTION DRUG MISUSE. KEY INITIATIVES WERE FOCUSED IN EACH OF THESE AREAS, TO VARYING DEGREES.
MERCY MEDICAL CENTER PART V, SECTION B, LINE 18E: TELEPHONE CALLS ARE ATTEMPTED AS WELL AS LANGUAGE IS INCLUDED IN THE STATEMENTS GOING OUT TO OUR PATIENTS ABOUT BEING ELIGIBLE FOR FINANCIAL ASSISTANCE.
MERCY MEDICAL CENTER PART V, SECTION B, LINE 20D: ALL PATIENTS ARE CHARGED THE SAME AMOUNT UNTIL DETERMINED IF THE PATIENT IS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. ONCE A DETERMINATION IS MADE, THEN THE AMOUNT CHARGED IS DETERMINED BASED ON A PERCENTAGE DISCOUNT DRIVEN BY FINANCIAL NEED OR PRORATED BASED ON INCOME.
Schedule H (Form 990) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MERCY MEDICAL CENTER INC
 
Employer identification number
34-1893439
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) AMERICAN CANCER SOCIETY
525 NORTH BROAD STREET
CANFIELD,OH44406 		13-1788491 501 C (3) 10,000       RELAY FOR LIFE CORPORATE SPONSORSHIP
(2) AMERICAN HEART ASSOICATION
PO BOX 4002907
DES MOINES,LA503402907 		13-5613797 501 C (3) 57,500       SPONSORSHIP
(3) CANTON REGIONAL CHAMBER OF COMMERCE
222 MARKET AVE N
CANTON,OH44702 		34-0129930 501 C (6) 69,025       PRO-FOOTBALL HALL & FAME ENSHRINEMENT FESTIVAL,BALLOON CLASSIC INVITATIONAL, OHSAA FOOTBALL SPONSOR
(4) HOOVER HOOPS CLASSIC
PO BOX 3005
NORTH CANTON,OH44720 		30-0266459 501 C (3) 6,000       PRIME SPONSORSHIP OF 2013 MERCY MEDICAL CENTER CLASSIC
(5) LAKE ATHLETIC BOOSTER
PO BOX 1057
HARTVILLE,OH44632 		34-6557689 501 C (3) 5,880       BLUE STREAK ATHLETIC NEEDS
(6) ARTS IN STARK
PO BOX 21190
CANTON,OH44701 		34-6609771 501 C (3) 6,500       2013 CORPORATE CONTRIBUTION - ANNUAL ARTS CAMPAIGN
(7) UNITED WAY OF GREATER STARK COUNTY
PO BOX 36235
CANTON,OH44735 		13-4254191 501 C (3) 75,000       CORPORATE CONTRIBUTION
(8) WOMEN'S IMPACT INC
PO BOX 35132
CANTON,OH44735 		32-0384984 501 C (6) 8,250       ATHENA AWARDS/TABLE SPONSORSHIPS








2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
6
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
8
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: MERCY MEDICAL CENTER DOES NOT GIVE OUT GRANTS. IT DOES PROVIDE SUPPORT FOR LOCAL COMMUNITY CHARITIES AND PROGRAMS. IF SPONSORSHIPS ARE FOR NATIONAL ORGANIZATIONS, THEY MUST BE CENTERED ON A LOCAL OR REGIONAL EVENT.
Schedule I (Form 990) 2013


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MERCY MEDICAL CENTER INC
 
Employer identification number

34-1893439
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)TERRENCE KESSLERTRUSTEE (i)
(ii)		 0
292,134 		0
27,581 		0
3,817 		0
42,455 		0
11,040 		0
377,027 		0
0
(2)MELISSA ROGERSTRUSTEE (i)
(ii)		 0
384,150 		0
74,859 		0
13,864 		0
42,552 		0
11,040 		0
526,465 		0
0
(3)THOMAS CECCONITRUSTEE & PRESIDENT/CEO (i)
(ii)		 0
431,948 		0
49,155 		0
31,567 		0
42,552 		1,804
11,040 		1,804
566,262 		0
0
(4)DAVID CEMATESENIOR VICE PRESIDENT-COO (i)
(ii)		 178,787
0 		2,091
0 		567
0 		528
0 		11,207
0 		193,180
0 		0
0
(5)DAVID GORMSENCHIEF MEDICAL OFFICER (i)
(ii)		 256,369
0 		20,584
0 		1,638
0 		16,257
0 		16,705
0 		311,553
0 		0
0
(6)DAVID STEWARTSENIOR VICE PRESIDENT-CFO (i)
(ii)		 0
302,998 		0
40,603 		0
2,095 		0
25,552 		0
11,040 		0
382,288 		0
0
(7)THOMAS F TURNERVICE PRESIDENT - BUSINESS & FUND DEV (i)
(ii)		 200,557
0 		16,864
0 		2,929
0 		7,841
0 		20,336
0 		248,527
0 		0
0
(8)BARBARA I YINGLINGVICE PRESIDENT & CNO (i)
(ii)		 169,085
0 		14,375
0 		328
0 		10,241
0 		11,346
0 		205,375
0 		0
0
(9)AHMED EL GHAMRY SABEEXEC DIRECTOR-CARDIOLOGY (i)
(ii)		 447,306
0 		152,516
0 		8,265
0 		18,872
0 		30,296
0 		657,255
0 		0
0
(10)JAY MAXFIELDDIRECTOR OF DENTAL CLINIC (i)
(ii)		 182,852
0 		0
0 		3,494
0 		4,431
0 		10,473
0 		201,250
0 		0
0
(11)JOHN FEUCHTDIRECTOR OF PHARMACY (i)
(ii)		 139,586
0 		0
0 		451
0 		9,090
0 		24,782
0 		173,909
0 		0
0
(12)ELLIS PARISHPHARMACIST (i)
(ii)		 125,743
0 		0
0 		1,490
0 		6,022
0 		26,187
0 		159,442
0 		0
0
(13)RICHARD UNSWORTHSENIOR PHARMACIST (i)
(ii)		 124,681
0 		0
0 		1,629
0 		8,179
0 		20,849
0 		155,338
0 		0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A PART I, LINE 1A: THE MEDICAL CENTER PAYS FOR AN ADDITIONAL INSURANCE POLICY FOR FIVE OFFICERS AND ONE KEY EMPLOYEE. THE MEDICAL CENTER ALSO PAYS THE DUES FOR THE PRESIDENT TO BE A MEMBER OF TWO COUNTRY CLUBS WITHIN THE COMMUNITY. THE NET PAYMENT OF THE MONTHLY DUES AND ASSESSMENTS IS GROSSED UP AND ADDED TO THE CEO'S W-2 EARNINGS.
PART I, LINE 3 THE EXECUTIVE COMPENSATION REVIEW IS CONDUCTED BY A RELATED ORGANIZATION, SISTERS OF CHARITY HEALTH SYSTEM. THE REVIEW INCLUDES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD.
PART I, LINE 4B SUPPLEMENTAL EXECUTIVE RETIREMENT PAYMENTS (SERP) OF $17,000 WERE MADE BY THE RELATED ORGANIZATION TO THOMAS CECCONI, TERRENCE KESSLER AND MELISSA ROGERS. THERE IS ALSO A 457 PLAN AND FOUR OFFICERS AND ONE KEY EMPLOYEE PARTICPATED IN 2013.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MERCY MEDICAL CENTER INC
 
Employer identification number

34-1893439
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) STARK COUNTY ER PHYSICIANS
  		CHIEF MED. OFFICER 1,668,110 PHYSICIANS   No
(2) MEDICAL CENTER ASSOCIATES
  		BOARD MEMBER 318,500 MOB LEASE   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
FORM 990, PART IV (A) NAME OF PERSON: STARK COUNTY EMERGENCY PHYSICIANS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAVID GORMSEN, CHIEF MEDICAL OFFICER, IS A SHAREHOLDER OF STARK COUNTY EMERGENCY PHYSCIANS.(C) DESCRIPTION OF TRANSACTION: STARK COUNTY EMERGENCY PHYSICIANS PROVIDES MERCY MEDICAL CENTER WITH PHYSICIAN COVERAGE AT AN URGENT CARE CENTER. (A) NAME OF PERSON: MEDICAL CENTER ASSOCIATES(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JAMES KING,BOARD MEMBER, IS A SHAREHOLDER OF MEDICAL CENTER ASSOCIATES.(C) DESCRIPTION OF TRANSACTION: MEDICAL CENTER ASSOCIATES LEASES A MEDICAL OFFICE BUILDING TO MERCY MEDICAL CENTER.THESE TRANSACTIONS WERE DONE AT ARM'S LENGTH.
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MERCY MEDICAL CENTER INC
 
Employer identification number

34-1893439
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 THE SISTERS OF CHARITY HEALTH SYSTEM IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A UNDER MERCY MEDICAL CENTER'S ORGANIZATION DOCUMENTS, SISTERS OF CHARITY HEALTH SYSTEM'S BOARD OF DIRECTORS APPOINTS ALL MEMBERS OF MERCY MEDICAL CENTER'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS OF THE GOVERNING BODY MUST BE APPROVED BY THE SISTERS OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM, INC. EXAMPLES OF SOME OF THESE DECISIONS WOULD BE APPROVALS OF ANNUAL BUDGET, PURCHASE OF LAND, UNBUDGETED CAPITAL OVER A CERTAIN THRESHOLD AND LONG TERM LEASES.
FORM 990, PART VI, SECTION B, LINE 11 AFTER FORM 990 IS COMPLETED AND REVIEWED INTERNALLY, IT IS SUBMITTED TO OUR AUDITORS FOR THEIR REVIEW. THEY REVIEW IT FOR COMPLETENESS AS WELL AS ANY CONCERNS THAT THEY IDENTIFY WITHIN THE DOCUMENTS AND WORKSHEETS OF THE TAX SOFTWARE. IF THEY IDENTIFY ITEMS THAT NEED ATTENTION, THE STAFF WOULD REVIEW THE APPROPRIATE ITEMS AND MAKE THE NEEDED CORRECTIONS. THE REPORT IS THEN PROVIDED TO THE CFO FOR HIS REVIEW AND APPROVAL. IT IS THEN SUBMITTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C MERCY MEDICAL CENTER HAS 17 COMPLIANCE POLICIES AND PROCEDURES THAT ESTABLISH BRIGHT-LINE RULES TO HELP EMPLOYEES CARRY OUT THEIR JOB FUNCTIONS IN A MANNER THAT ENSURES COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS AND FURTHERS MERCY'S MISSION. WRITTEN COMPLIANCE POLICIES AND PROCEDURES HAVE BEEN IMPLEMENTED THROUGHOUT MERCY, INCLUDING LEGAL, BILLING, CLINICAL AREAS, FINANCE, ETC. THERE ARE ROUTINE AUDITS TO VALIDATE THE EFFECTIVENESS OF THESE INTERNAL POLICIES. OUR ADMINISTRATIVE DIRECTOR OF LABORATORIES IS OUR CHIEF COMPLIANCE OFFICER. IT IS HER RESPONSIBILITY TO MONITOR OUR COMPLIANCE PROGRAM. SHE REPORTS DIRECTLY TO THE AUDIT AND COMPLIANCE COMMITTEE WHO WHO REPORTS TO THE BOARD. TWO COMPLIANCE COMMITTES (OPERATIONS & ADMINISTRATION) SUPPORT THIS POSITION. A COMPLETE SET OF OUR COMPLIANCE POLICIES CAN BE FOUND ON MERCY'S INTRANET WHICH IS AVAILABLE TO ALL EMPLOYEES. YEARLY TRAINING IS DONE FOR ALL EMPLOYEES AND QUARTERLY UPDATES GIVEN TO THE BOARD THROUGH THE BOARD'S JOINT AUDIT & COMPLIANCE COMMITTEE. HANDBOOKS WERE DEVELOPED TO AID IN THE COMMUNICATION AND UNDERSTANDING OF OUR COMPLIANCE POLICIES. MERCY MEDICAL CENTER SET UP EFFECTIVE LINES OF COMMUNICATION TO REPORT A SUSPECTED COMPLIANCE VIOLATION, SUCH AS A HOTLINE. THE HOTLINE RECEIVES COMPLAINTS AND CONCERNS WHILE PROTECTING WHISTLEBLOWERS FROM RETAILIATION. THE HOTLINE NUMBER IS POSTED AT ALL TIME CLOCKS AND IN THE MONTHLY EMPLOYEE NEWSLETTER. A SYSTEM WIDE STANDARDIZED "CODE OF CONDUCT AND ETHICAL BEHAVIOR" BOOKLET IS AVAILABLE FOR ALL SYSTEM HOSPITALS. THIS BOOKLET IS REVIEWED AND REVISED BY THE SISTERS OF CHARITY HEALTH SYSTEM. THIS BOOKLET IS AVAILABLE TO ALL EMPLOYEES THROUGH THE INTRANET AT EACH FACILITY. EDUCATION IS ALSO PROVIDED TO THE BOARD OF TRUSTEES BY OUR IN-HOUSE LEGAL COUNSEL. AS PART OF THIS TRAINING, EACH BOARD MEMBER RECEIVED A COPY OF THE REVISED CODE OF CONDUCT AND ETHICAL BEHAVIOR BOOKLET THAT IS HANDED OUT TO OUR EMPLOYEES. YEARLY, THE MEMBERS COMPLETE CONFLICT AND DISCLOSURE STATEMENTS THAT ARE REVIEWED BY OUR LEGAL DEPARTMENT.
FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS SERVES AS THE EXECUTIVE COMPENSATION COMMITTEE. IT IS THEIR RESPONSIBILITY TO REVIEW THE COMPENSATION AND BENEFITS FOR THE CEO AND ALL VICE PRESIDENTS. THE RECOMMENDATIONS FOR SALARY CHANGES ARE BASED ON THE ANNUAL PERFORMANCE EVALUATIONS OF EACH EXECUTIVE. BONUS CONSIDERATIONS REFLECT INDIVIDUAL PERFORMANCE ON THE JOB AS WELL AS HOW THE HOSPITAL DID IN MEETING QUALITY, MISSION AND FINANCIAL GOALS. ALL SALARY RANGES AND BENEFITS FOR OFFICERS ARE EVALUATED ANNUALLY BY MERCER CONSULTING AND ANY CHANGES ARE SUBJECT TO BOARD REVIEW AND APPROVAL. THE COMMITTEE DETERMINES WHETHER IT WISHES TO ACCEPT THE CEO'S RECOMMENDATIONS OR OFFER ITS OWN SUGGESTIONS. THE COMMITTEE VOTES TO APPROVE ANY CHANGES WHICH ARE THEN IMPLEMENTED BY THE HOSPITAL. THAT SAME COMMITTEE ALSO DETERMINES THE CEO'S COMPENSATION AND BONUS. THEY MEET WITH THE CEO TO REVIEW HIS PERFORMANCE ON AN ANNUAL BASIS. THEY THEN MEET WITHOUT THE CEO PRESENT TO FURTHER DISCUSS AND OPENLY CRITIQUE HIS PERFORMANCE. IT IS DURING THEIR EXECUTIVE SESSIONS THAT THEY DETERMINE WHETHER ANY ADJUSTMENT IN COMPENSATION WILL BE MADE THAT YEAR AND ALSO DETERMINES THE AWARDING OF ANY BONUS. IN THE EVALUATION OF THE CEO, THE COMMITTEE USES THE SAME INDEPENDENT AGENCY, MERCER CONSULTING, TO EVALUATE THE CEO'S TOTAL COMPENSATION RANGE AS WELL AS ALL BENEFITS.
FORM 990, PART VI, SECTION C, LINE 18 FORM 990, 990T & FORM 1023 ARE AVAILABLE UPON REQUEST
FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, THE CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST
FORM 990, PART XI, LINE 9: TRANSFER OF ENDOWMENT & RESTRICTED FUNDS TO MERCY DEVELOPMENT FOUNDATION -140,766. CASH TRANSFER TO MERCY PROFESSIONAL CARE CORP -6,639,891. ASSET TRANSFER FROM MERCY DEVELOPMENT FOUNDATION 1,335,000.
FORM 990, PART XII, LINE 2C: FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT HAS BEEN CHARGED WITH OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTING FIRM. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
PART III LINE 4A CONTINUATION OF ACCOMPLISHMENTS COMMUNITY BENEFIT REPORT BOARD MEMBERS, LEADERS, CAREGIVERS, EMPLOYEES AND FRIENDS OF THE HEALTH SYSTEM AND OUR MINISTRIES PARTICIPATED IN A SERIES OF MEETINGS. THE COMMUNITY BENEFIT ENCOMPASSES OUR: *COSTS FOR ASSISTING PATIENTS WHO ARE UNABLE TO FULLY PAY FOR THEIR CARE; *COMMUNITY OUTREACH SERVICES; *CONTRIBUTIONS TO SUPPORT OUR COMMUNITY PARTNERS AND OTHER NON-PROFIT ORGANIZATIONS; *COVERING THE GAP BETWEEN THE EXPENSE OF PROVIDING CARE TO MEDICAID PATIENTS AND THE REIMBURSEMENT WE RECEIVE. OUR COLLECTIVE MISSION RESPONDS TO THE NEEDS OF THE PEOPLE WE SERVE IN WAYS LIKE NO ONE ELSE. WE HAVE A BOLD VISION TO BE A BEACON OF HOPE DEVOTED TO HEALING AND ADDRESSING THE UNMET NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A NETWORK OF INNOVATIVE SERVICES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MERCY MEDICAL CENTER INC
 
Employer identification number

34-1893439
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) SISTERS OF CHARITY OF ST AUGUSTINE HEALTH SYSTEM INC

2475 EAST 22ND ST

CLEVELAND,OH44115
34-1379356 		CHARITABLE ORGANIZATION OH 501 (C) (3) 11A N/A
 
No
(2) SISTERS OF CHARITY OF ST AUGUSTINEROMAN CATHOLIC CHURCH

5232 BROADVIEW ROAD

RICHFIELD,OH44286
34-0714763 		RELIGIOUS ORDER OF WOMEN OH 501 (C) (3) 1 N/A
 
No
(3) SISTERS OF CHARITY PROVIDENCE HOSPITALS

120 GATEWAY CORPORATION

COLUMBIA,SC29203
57-0314409 		HOSPITAL SC 501 (C) (3) 3 SCHS
 
Yes
 
(4) PROVIDENCE HOSPITALS DEVELOPMENT FOUNDATION

2435 FOREST DRIVE

COLUMBIA,SC29204
27-1140183 		CHARITABLE FOUNDATION SC 501 (C) (3) 11A PROVIDENCE HOSPITALS
 
Yes
 
(5) REGINA HEALTH CENTER

5232 BROADVIEW ROAD

RICHFIELD,OH44286
34-1722394 		RETIREMENT COMMUNITY OH 501 (C) (3) 9 SCHS
 
Yes
 
(6) ST VINCENT CHARITY MEDICAL CENTER

2351 EAST 22ND STREET

CLEVELAND,OH44115
34-0714756 		HOSPITAL OH 501 (C) (3) 3 SCHS
 
Yes
 
(7) ST VINCENT CHARITY DEVELOPMENT FOUNDATION

2351 EAST 22ND STREET

CLEVELAND,OH44115
27-1602445 		CHARITABLE FOUNDATION OH 501 (C) (3) 11A ST VINCENT CHARITY MEDICAL CENTER
 
Yes
 
(8) MERCY DEVELOPMENT FOUNDATION

1320 MERCY DRIVE NW

CANTON,OH44708
35-2408321 		CHARITABLE FOUNDATION OH 501 (C) (3) 11A MERCY MEDICAL CENTER
 
Yes
 
(9) ST JOHN HOSPTIAL

2475 EAST 22ND ST

CLEVELAND,OH44115
34-0714504 		CHARITABLE ORGANIZATION OH 501 (C) (3) 11A SCHS
 
Yes
 
(10) HEALTHY LEARNERS

2749 LAUREL STREET

COLUMBIA,SC29204
57-1127197 		CHARITABLE ORGANIZATION SC 501 (C) (3) 11A SCHS
 
Yes
 
(11) JOSEPH'S HOME

2412 COMMUNITY COLLEGE AVENUE

CLEVELAND,OH44115
34-0901676 		TRANSITIONAL HOME OH 501 (C) (3) 9 SCHS
 
Yes
 
(12) SISTERS OF CHARITY FOUNDATION OF CLEVELAND

1228 EUCLID AVE HALLE BLDG

CLEVELAND,OH44115
34-1832698 		CHARITABLE FOUNDATION OH 501 (C) (3) 11A SCHS
 
Yes
 
(13) SISTERS OF CHARITY FOUNDATION OF CANTON

400 MARKET AVE N STE 300

CANTON,OH44702
34-1832697 		CHARITABLE FOUNDATION OH 501 (C) (3) 11A SCHS
 
Yes
 
(14) EARLY CHILDHOOD RESOURCE CENTER

1718 CLEVELAND AVENUE NW

CANTON,OH44703
34-0714462 		CHARITABLE ORGANIZATION OH 501 (C) (3) 11A SISTERS OF CHARITY FDN OF CANTON
 
Yes
 
(15) SISTERS OF CHARITY FOUNDATION OF SC

2711 MIDDLEBURG DRIVE SUITE 115

COLUMBIA,SC29204
57-0708391 		CHARITABLE FOUNDATION SC 501 (C) (3) 11A SCHS
 
Yes
 
(16) SOUTH CAROLINA CENTER FOR FATHERS AND FAMILIES

2711 MIDDLEBURG DRIVE

COLUMBIA,SC29204
36-4506347 		CHARITABLE ORGANIZATION SC 501 (C) (3) 7 SISTERS OF CHARITY FOUNDATION OF SC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) MERCY PROFESSIONAL CARE CORPORATION

1320 MERCY DR NW
CANTON,OH44708
34-1873008 		MEDICAL SERVICES OH MERCY MEDICAL CENTER
  		C -4,048,981 1,802,956 100.000 % Yes  
(2) ST VINCENT MEDICAL GROUP

2475 EAST 22ND STREET
CLEVELAND,OH44115
34-1634990 		MEDICAL SERVICES OH N/A
 C       Yes  










Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) MERCY PRFOESSIONAL CARE CORPORATION

 R 6,639,891 BOOK
(2) SISTERS OF CHARITY OF ST AUGUSTINE HEALTH SYSTEM INC

 D 2,246,000 BOOK
(3) SISTERS OF CHARITY OF ST AUGUSTINE HEALTH SYSTEM INC

 M 4,275,000 BOOK
(4) SISTERS OF CHARITY OF ST AUGUSTINE HEALTH SYSTEM INC

 P 4,246,110 BOOK
(5) SISTERS OF CHARITY OF ST AUGUSTINE HEALTH SYSTEM INC

 E 5,754,000 BOOK
(6) SISTERS OF CHARITY OF ST AUGUSTINE HEALTH SYSTEM INC

 R 72,889 BOOK
(7) MERCY DEVELOPMENT FOUNDATION

 C 1,335,000 BOOK
(8) MERCY DEVELOPMENT FOUNDATION

 R 102,000 BOOK
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


Software ID:  
Software Version: