2016-11-09T15:00:22-06:00 2015-12-31 990 2015-01-01 311181984 C H Health Services Company CHHE 9373287000 100 Medical Center Drive Springfield OH 455031832 William Kusnierz Region CFO 2016-10-11 2015 2017-02-10 21:41:12Z X Paul Hiltz PRESIDENT AND CEO 100 Medical Center Drive Springfield OH 455031832 1952878 false X N/A X 1986 OH Provide safe, effective, patient centered, timely, cost efficient care and education to meet the needs of all, especially the poor and under-served. Our commitment to this healing ministry will be evidenced by exceptional care, compassion and respect for the diverse religious beliefs and faith traditions of those we serve. 14 12 39 12 0 0 0 1964012 1952867 0 147 11 1964159 1952878 0 0 1844653 1839584 0 0 623597 429212 2468250 2268796 -504091 -315918 619859 656186 673267 278048 -53408 378138 The mission of CH Health Services Company is to provide safe, effective, patient/resident centered, timely and cost efficient care and education to meet the health needs of all people, especially the poor and under-served. Our commitment to this healing ministry will be evidenced by exceptional care, compassion and respect for the diverse religious beliefs and faith traditions of those we serve. false false 1928478 0 1952867 THE PURPOSE OF C H HEALTH SERVICES COMPANY IS TO PROVIDE, COORDINATE AND SUPPORT NON-ACUTE HEALTH CARE SERVICES, INCLUDING PSYCHIATRIC, GERIATRIC, EDUCATIONAL, OUTPATIENT CLINICAL, HEALTH SCREENING, RADIOLOGIC AND AMBULATORY SURGICAL SERVICES. 1928478 true false false false false false false false false false true false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 39 true false false false false false false false false false false X 14 12 true false false false true true true true true false false true true true true true true false false false X TRAVIS CRUM 5139525000 1701 Mercy Health Place CINCINNATI OH 45237 PIUS KURIAN MD CHAIR 1.0 1.5 X X 0 0 0 JOSEPH R JACKSON VICE CHAIR 1.0 1.5 X X 0 0 0 WENDY H DOOLITTLE SECRETARY 1.0 1.5 X X 0 0 0 JAMES N DOYLE TRUSTEE 1.0 1.5 X 0 0 0 MICHAEL S MCKEE MD TRUSTEE (END 2/2015) 1.0 1.5 X 0 0 0 RAVI C KHANNA MD TRUSTEE 1.0 1.5 X 0 0 0 MARK B ROBERTSON TRUSTEE 1.0 1.5 X 0 0 0 REV DARRYL L GRAYSON TRUSTEE 1.0 1.5 X 0 0 0 KATHLEEN M HUGHES TRUSTEE 1.0 1.5 X 0 0 0 WILLIAM H RAY TRUSTEE 1.0 2.5 X 0 0 0 SR CHERYL ERB RSM TRUSTEE 0.5 3.0 X 0 0 0 Surender NERAVETLA MD Trustee 1.0 1.5 X 0 0 0 DEANNA L BROUGHER TRUSTEE 1.0 1.5 X 0 0 0 JOHN STARCHER JR TRUSTEE, PRESIDENT/CEO CINCINNATI REGION, EVP OPERATIONS 1.0 54.0 X 0 1215329 19774 JOSEPH MORMAN MD TRUSTEE 1.0 1.5 X 0 0 0 PAUL HILTZ President/CEO Springfield Region, SVP Mercy Health 1.0 44.0 X 0 538608 129290 WILLIAM KUSNIERZ VP, CFO & TREASURER 1.0 40.5 X 0 355291 43444 SANA WAIKHOM MD PHYSICIAN 40.0 0.0 X 158460 0 -7144 KENNETH CARDLIN MD PHYSICIAN 40.0 0 X 213756 0 21863 NANCY FARNLACHER MD PHYSICIAN 40.0 0 X 191852 0 30239 MARY STANFILL Director, occupational health 40.0 0 X 106940 0 645 671008 2109228 238111 4 false true false 0 0 NET PATIENT SERVICE REVENUE 621990 1952867 1952867 0 0 0 0 1952867 0 0 0 0 MISCELLANEOUS 900099 11 11 0 0 0 0 11 1952878 1952867 0 11 1545823 1313950 231873 46426 39462 6964 147794 125625 22169 99541 84610 14931 201040 170884 30156 0 78296 66552 11744 56005 47604 8401 8527 7248 1279 45602 38762 6840 8062 6853 1209 Medical Supplies 31680 26928 4752 0 0 0 0 2268796 1928478 340318 0 -4760 12102 137506 197978 0 0 1434128 988022 487113 446106 0 0 0 0 619859 656186 673267 278048 0 0 673267 278048 X -53408 378138 -53408 378138 619859 656186 X -315918 747464 X false true X true false X 1316861 892544 424317 117267 95478 21789 446106 0 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE COMPANY [MERCY HEALTH AND AFFILIATED ENTITIES] COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2015 AND 2014, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2015 OR 2014. false true false false false false false true false JOHN STARCHER JR TRUSTEE, PRESIDENT/CEO CINCINNATI REGION, EVP OPERATIONS 0 727193 0 356655 0 131481 0 11886 0 7888 0 1235103 0 0 PAUL HILTZ President/CEO Springfield Region, SVP Mercy Health 0 379152 0 104239 0 55217 0 100960 0 28330 0 667898 0 0 WILLIAM KUSNIERZ VP, CFO & TREASURER 0 252225 0 40115 0 62951 0 29537 0 13907 0 398735 0 0 SANA WAIKHOM MD PHYSICIAN 134449 0 3000 0 21011 0 -15862 0 8718 0 151316 0 0 0 KENNETH CARDLIN MD PHYSICIAN 201121 0 9000 0 3635 0 14194 0 7669 0 235619 0 0 0 NANCY FARNLACHER MD PHYSICIAN 173607 0 15000 0 3245 0 12115 0 18124 0 222091 0 0 0 Schedule J, Part I, Line 4b Terms and conditions of the Mercy Health System SERP The Mercy Health System SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Paul Hiltz $0; William Kusnierz $0. Schedule J, Part II, Column (C) Reporting negative deferred compensation Annual actuarially-determined contributions to defined benefit plans, which are based on prior plan contributions, changes in interest rates, the present value of accrued benefits, and other data and assumptions about the future, may, for some plan participants and for some plan years, result in negative contribution amounts. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE COMPENSATION OF PAUL HILTZ, PRESIDENT/CEO OF THE SPRINGFIELD REGION, IS DETERMNED BY COMMUNITY MERCY HEALTH PARTNERS (CMHP), A RELATED TAX-EXEMPT ORGANIZATION. CMHP UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MR. HILTZ'S COMPENSATION. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The Mercy Health SERP plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. It provides annual credits of a specified percentage of compensation and annual interest credits. Participants vest 50%, 75%, and 100% in their accounts after 5, 6, and 7 years of service, respectively. Vesting occurs earlier for death or total disability or reaching age 60 while employed, or involuntary termination of employment within 24 months after a change in control of the organization or due to position elimination. Payments during employment are made for required tax withholdings. Payment of the vested account balance in a lump sum occurs after termination of employment. Amounts includable as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: John Starcher, Jr. $111,779. Schedule J, Part I, Line 7 Non-fixed payments The organization provides annual incentive compensation for listed individuals. The organization's Board of Trustees establishes objective thresholds for quality, community benefit, and financial performance which must be achieved for incentives to be awarded. The Board also establishes threshold, target and maximum levels for incentive awards. Within these established parameters, the Board determines the CEO's incentive award and incentive awards for other listed individuals are determined by the listed individual's supervisor and disclosed to the Board. The Board may authorize modified incentive awards when appropriate in its judgment. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons JOSEPH R. JACKSON, JAMES N. DOYLE - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders Community Mercy Health Partners is the sole member of CH Health Services Company. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Mercy Health elects all board members who have full voting rights. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Certain matters require approval of the Mercy Health Corporate Member, Mercy health Governing body, or Mercy Health CEO. The regulations of the organization describe the level of approval required for various decisions. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is prepared by the Mercy Health Tax Department and reviewed by management. Once the Form 990 is reviewed by all applicable parties a copy of the final version is provided to all members of the governing body prior to filing. Form 990, Part VI, Line 12c Conflict of interest policy ALL BOARD MEMBERS ARE COVERED BY THE MERCY HEALTH CONFLICT OF INTEREST POLICY WHICH REQUIRES DISCLOSURE ON AN ANNUAL BASIS. ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE MERCY HEALTH CORPORATE COMPLIANCE OFFICER. AT THE BEGINNING OF EACH BOARD MEETING ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. BOARD MEMBERS DETERMINED TO HAVE A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISION-MAKING FOR THE TRANSACTION IN WHICH THE CONFLICT EXISTS. Form 990, Part VI, Line 19 Required documents available to the public THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS POSTED ON THE MERCY HEALTH WEBSITE. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Pension Liability Transfer - 401464; Intercompany Eliminations - 346000; MERCY HEALTH 1701 Mercy Health Place CINCINNATI OH 45237 311161086 HEALTHCARE SYSTEM PARENT OH 501(c)(3 3 NA false MERCY HEALTH FOUNDATION 1701 Mercy Health Place CINCINNATI OH 45237 201072726 FUNDRAISING OH 501(c)(3 7 MERCY HEALTH false MERCY HEALTH RETIREMENT TRUST 1701 Mercy Health Place CINCINNATI OH 45237 316046304 RETIREMENT TRUST OH 501(c)(3 7 MERCY HEALTH false COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS 3700 KOLBE ROAD LORAIN OH 44053 341268828 MEDICAL OFFICE RENTAL OH 501(c)(3 9 MERCY HEALTH - REGIONAL MEDICAL CENTER LLC false ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING 200 WEST LORAIN ST OBERLIN OH 44074 364504991 MEDICAL OFFICE RENTAL OH 501(c)(3 Type II MERCY HEALTH - ALLEN HOSPITAL LLC false MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC 7010 ROWAN HILLS DR CINCINNATI OH 45227 311308729 RETIREMENT HOME OH 501(c)(3 9 MERCY HEALTH CINCINNATI LLC false MERCY SACRED HEART INC 2120 PAYNE STREET LOUISVILLE KY 40206 611318326 RETIREMENT HOME KY 501(c)(3 9 MERCY HEALTH CINCINNATI LLC false MERCY LONG TERM CARE INITIATIVE 4915 CHARLESTOWN RD NEW ALBANY IN 47150 311332491 RETIREMENT HOME IN 501(c)(3 9 MERCY HEALTH CINCINNATI LLC false MERCY FRANCISCAN SOCIAL MINISTRIES INC 1800 LOGAN STREET CINCINNATI OH 45210 311222942 LOW INCOME HOUSING OH 501(c)(3 7 MERCY HEALTH CINCINNATI LLC false MERCY FRANCISCAN AT ST RAPHAEL INC 610 HIGH STREET HAMILTON OH 45011 202934871 SOCIAL SERVICES OH 501(c)(3 7 MERCY HEALTH CINCINNATI LLC false COMMUNITY MERCY HEALTH SYSTEM ONE S LIMESTONE ST SPRINGFIELD OH 45502 300272454 MARKET PARENT OH 501(c)(3 MERCY HEALTH false COMMUNITY MERCY HEALTH PARTNERS ONE S LIMESTONE ST SPRINGFIELD OH 45502 310785684 HOSPITAL OH 501(c)(3 3 COMMUNITY MERCY HEALTH SYSTEM false C H HEALTH SERVICES COMPANY ONE S LIMESTONE ST SPRINGFIELD OH 45502 311181984 HOSPITAL OH 501(c)(3 3 COMMUNITY MERCY HEALTH SYSTEM false CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE 1150 E HOME ROAD SPRINGFIELD OH 45503 260698515 MEDICAL INFORMATION EXCHANGE OH 501(c)(3 9 COMMUNITY MERCY HEALTH SYSTEM false THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST ONE S LIMESTONE ST SPRINGFIELD OH 45502 346827136 INDIGENT MEDICAL CARE OH 501(c)(3 Type I NA false MERCY PROPERTY HOLDINGS 2200 JEFFERSON AVENUE TOLEDO OH 43604 300699825 TITLE HOLDING COMPANY OH 501(c)(2 MERCY HEALTH NORTH LLC false MERCY HOME CARE INC 2200 JEFFERSON AVENUE TOLEDO OH 43604 341587572 HOME HEALTHCARE OH 501(c)(3 9 MERCY HEALTH NORTH LLC false MERCY COLLEGE OF OHIO 2221 MADISON AVENUE TOLEDO OH 43604 341726619 MEDICAL COLLEGE OH 501(c)(3 2 MERCY HEALTH NORTH LLC false MERCY COLLEGE OF OHIO FOUNDATION INC 2221 MADISON AVENUE TOLEDO OH 43604 141963204 FOUNDATION OH 501(c)(3 Type I MERCY COLLEGE OF OHIO false LIFESTAR AMBULANCE INC 2200 JEFFERSON AVENUE TOLEDO OH 43604 341354653 MEDICAL TRANSPORTATION OH 501(c)(3 Type II MERCY HEALTH NORTH LLC false SIMON OUTREACH SERVICES 2600 NAVARRE AVENUE OREGON OH 43616 341383325 MEDICAL OFFICE RENTAL OH 501(c)(3 Type II MERCY HEALTH - 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