2017-01-09T14:00:21-06:00 2015-12-31 990 2015-01-01 364504991 Allen Medical Center Medical Office Building ALLE 4407767025 200 West Lorain Street Oberlin OH 44074 Cindy Dennison Region CFO 2017-01-04 2015 2017-02-10 21:41:12Z X Joseph Sober CEO AMC 200 West Lorain Street Oberlin OH 44074 197754 false X N/A X 2002 OH ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING OPERATES AND RENTS OFFICE AND TREATMENT SPACE TO MERCY HEALTH - ALLEN HOSPITAL LLC (AMC), AN AFFILIATED NOT-FOR PROFIT IRC SECTION 501(C)(3) HOSPITAL, TO PHYSICIANS ON THE MEDICAL STAFF OF AMC, AND TO OTHER HEALTH ORGANIZATIONS, THEREBY HELPING TO PROVIDE ACCESS TO HEALTHCARE SERVICES TO THE CITIZENS OF CENTRAL LORAIN COUNTY. 18 14 2 16 0 0 0 211914 196793 0 412 961 212326 197754 0 0 73337 66872 0 0 523969 261774 597306 328646 -384980 -130892 260436 1094270 423941 273373 -163505 820897 PROVIDING RENTAL OF OFFICE SPACE TO PHYSICIANS, HEALTH CARE ORGANIZATIONS AND TO MERCY HEALTH - ALLEN HOSPITAL LLC (AMC), AN AFFILIATED 501(C)(3) ORGANIZATION. THE RENTAL OF OFFICE SPACE ASSISTS AMC IN PROVIDING IMPROVED MEDICAL AND SURGICAL CARE TO THE COMMUNITY. false false 279350 0 196793 ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING OPERATES AND RENTS OFFICE AND TREATMENT SPACE TO MERCY HEALTH - ALLEN HOSPITAL LLC (AMC), AN AFFILIATED NOT-FOR-PROFIT IRC SECTION 501(C)(3) HOSPITAL, TO PHYSICIANS ON THE MEDICAL STAFF OF AMC, AND TO OTHER HEALTH ORGANIZATIONS, THEREBY HELPING TO PROVIDE ACCESS TO HEALTHCARE SERVICES TO THE CITIZENS OF CENTRAL LORAIN COUNTY. 279350 true false false false false false false false false false true false false false true 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 2 true false false false false false false false false false false X 18 14 false false false false 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 EDWIN OLEY BOARD MEMBER, PRESIDENT/CEO - COMMUNITY RMC 1.0 49.0 X X 0 1540617 51643 CATHY E DIETLIN PHD SECRETARY 0.5 4.5 X X 0 0 0 RANDALL FORTIN CHAIRMAN (TO 4/15) 0.5 4.5 X X 0 0 0 JEANNE COUGHLIN TREASURER 0.5 4.5 X X 0 0 0 MARCIA MILLER CHAIRMAN (FROM 4/15) 0.5 4.5 X X 0 0 0 ROBERT FISHER VICE CHAIR 0.5 4.5 X X 0 0 0 SR CAROLE ANNE GRISWOLD HM BOARD MEMBER 0.5 4.5 X 0 0 0 SR DOROTHY THUM RSM BOARD MEMBER 0.5 40.0 X 0 0 0 BRIAN SMITH BOARD MEMBER, MERCY HEALTH EVP NETWORKS 0.5 52.5 X 0 1174507 28954 ALEXANDER F ZOLLI MD BOARD MEMBER 0.5 41.5 X 0 102300 0 ROD BRAYE BOARD MEMBER 0.5 4.5 X 0 0 0 GAIL STUMPHAUZER BOARD MEMBER 0.5 4.5 X 0 0 0 DOUGLAS B WILBER BOARD MEMBER 0.5 4.5 X 0 0 0 REV BRIAN D BURKE BOARD MEMBER 0.5 4.5 X 0 0 0 ERIC JENKINS MD BOARD MEMBER 0.5 4.5 X 0 0 0 Kent Hageman BOARD MEMBER 0.5 4.5 X 0 0 0 Richard White MD BOARD MEMBER 1.0 5.0 X 0 316885 36157 TIMOTHY BEIDLEMAN BOARD MEMBER 0.5 4.5 X 0 0 0 MICHAEL FERRER BOARD MEMBER 0.5 4.5 X 0 0 0 CHRISTOPHER HAAS MD BOARD MEMBER 0.5 4.5 X 0 386610 35657 FRANK MAGRO DO BOARD MEMBER 0.5 4.5 X 0 0 0 0 3520919 152411 0 false true false 0 0 RENTAL INCOME FROM AFFILIATES 531120 196793 196793 0 0 0 0 196793 0 0 0 0 Other Miscellaneous Revenue 900099 961 961 0 0 0 0 961 197754 196793 0 961 X 62239 52903 9336 4633 3938 695 86512 73536 12976 0 133707 113651 20056 5 4 1 41550 35318 6232 0 0 0 0 328646 279350 49296 0 -861329 0 0 945 3106403 2012133 1120820 1094270 0 0 0 0 260436 1094270 -379 4643 391548 229308 32772 39422 423941 273373 X -163505 820897 -163505 820897 260436 1094270 X -130892 1115294 X false true X true false X 270930 272724 223432 211914 196793 1175793 0 0 0 0 270930 272724 223432 211914 196793 1175793 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1175793 0 0 0 0 0 0 0 0 0 0 0 33 412 961 1406 270930 272724 223465 212326 197754 1177199 0.9988 0.0 0 0.0 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 33.0, COLUMN D - 412.0, COLUMN E - 961.0, COLUMN F - 1406.0; 208650 208650 2388698 1518078 870620 494055 494055 0 15000 15000 1094270 Other liabilities 39422 39422 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 false false EDWIN OLEY BOARD MEMBER, PRESIDENT/CEO - COMMUNITY RMC 0 416967 0 116321 0 1007329 0 30031 0 21612 0 1592260 0 0 BRIAN SMITH BOARD MEMBER, MERCY HEALTH EVP NETWORKS 0 640481 0 222291 0 311735 0 -8809 0 37763 0 1203461 0 0 Richard White MD BOARD MEMBER 0 288840 0 25818 0 2227 0 13250 0 22907 0 353042 0 0 CHRISTOPHER HAAS MD BOARD MEMBER 0 355147 0 18681 0 12782 0 13250 0 22407 0 422267 0 0 Schedule J, Part I, Line 4b Terms and conditions of THE MERCY HEALTH SERP 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 includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Brian Smith $133,357. Schedule J, Part I, Line 4b Terms and conditions of the Lima Market SERP THE LIMA MARKET 457(F) PLAN PROVIDES A FLEXIBLE BENEFIT ALLOWANCE TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. THIS ALLOWANCEMAY BE ALLOCATED AMONG VARIOUS INSURANCE AND DEFERRED COMPENSATION BENEFIT OPTIONS. THE PLAN IS NO LONGER ACCEPTING NEW PARTICIANTS AND THE CESSATION OF CONTRIBUTIONS HAS OCCURRED. AMOUNTS INCLUDIBLE IN TAXABLE COMPENSATION FOR LISTED PARTICIPATING INDIVIDUALS IN THE REPORTING YEAR WERE AS FOLLOWS: BRIAN SMITH $42,146. 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: Edwin Oley $81,060. 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 EDWIN M. OLEY, PRESIDENT, IS DETERMINED BY MERCY HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. MERCY HEALTH UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH MR. OLEY'S Compensation. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE LORAIN MARKET NONQUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN IS AN EXECUTIVE RETENTION PLAN FOR CERTAIN HIGHLY COMPENSATED INDIVIDUALS, AS DETERMINED BY THE BOARD OF TRUSTEES' EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE. THE PLAN IS NO LONGER ACCEPTING NEW PARTICIPANTS AND THE CESSATION OF CONTRIBUTIONS HAS OCCURRED. PARTICIPANTS VEST AND RECEIVE PLAN BENEFITS ONCE TWO CONDITIONS ARE SATISFIED: (1) MEET THE VESTING REQUIREMENTS OF THE APPLICABLE QUALIFIED PLAN, AND (2) COMPLETE A 24-MONTH POST-EMPLOYMENT NON-COMPETE REQUIREMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED PARTICIPATING INDIVIDUALS IN THE REPORTING YEAR ARE AS FOLLOWS: EDWIN M. OLEY $902,165. Form 990, Part VI, Line 6 Classes of members or stockholders MERCY HEALTH - ALLEN HOSPITAL LLC IS THE MEMBER OF ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Mercy Health elects all trustees 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 the 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 MERCY HEALTH'S TAX DEPARTMENT AND REVIEWED BY MANAGEMENT. ONCE THE FORM 990 IS REVIEWED AND APPROVED 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 SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE MERCY HEALTH WEBSITE. Form 990, Part VII, Section A Removal of test line item A non-existent officer was included and then inadvertently not removed from Part VII. The amendment is to remove that line item. Form 990, Part IX, Line 11g Other Fees Other Purchased Services - Total Expense: 30088, Program Service Expense: 25575, Management and General Expenses: 4513, Fundraising Expenses: ; Supplies/Other - Total Expense: 7029, Program Service Expense: 5975, Management and General Expenses: 1054, Fundraising Expenses: ; Affiliate Assessments - Total Expense: 49395, Program Service Expense: 41986, Management and General Expenses: 7409, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Equity transfer from affiliate - 1115294; 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 - 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