2015-11-13T09:01:04-06:00 2014-12-31 440160260 BKD LLP 312 Walnut Street Suite 3000 Cincinnati OH 45202 990 2014-01-01 463055925 HealthSpan Partners HEAL 5136392800 615 Elsinore Place Cincinnati OH 45202 David Nowiski Chief Financial Officer 2015-10-30 true Aaron Hershberger P00961884 5136218300 2014 2016-02-25 16:41:14Z Kenneth C Page 615 Elsinore Place Cincinnati OH 45202 69973126 false X X 2013 OH The promotion of health in a charitable manner by providing compassionate, high quality affordable healthcare to improve the health of the communities it serves, with emphasis on caring for the poor and underserved. 11 9 246 8 0 0 0 0 22638445 69745110 0 228016 0 0 22638445 69973126 0 0 0 0 12266167 59353245 0 0 0 5586434 19313351 17852601 78666596 4785844 -8693470 274858870 263595845 310073026 325023473 -35214156 -61427628 The specific purpose for which the corporation is organized is to engage in the delivery, and in activities that further or are in any way related to or associated with the delivery, of health care and related services of every kind, nature and description deemed appropriate by the corporation, provided that the corporation shall do so on a non-discriminatory basis that promotes health for the benefit of the community in a manner consistent with Code Section 501(c)(3). false false 66819202 0 69745110 THE PROMOTION OF HEALTH IN A CHARITABLE MANNER BY PROVIDING COMPASSIONATE, HIGH QUALITY AFFORDABLE HEALTHCARE TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES, WITH EMPHASIS ON CARING FOR THE POOR AND UNDERSERVED. 66819202 true false false false false false false false false false false false true true true false true false false false false false false false false false false false true false false false true false false false false false false false false true true false false false true 3007 0 true 246 true false false false false false false false false false false false X 11 9 true false false false false false false true true false false true true true true true false false false false X Travis Crum 5136392800 615 Elsinore Place Cincinnati OH 45202 CATHLEEN P ELDRIDGE BOARD CHAIR 1.00 4.00 X X 0 0 0 JAMES PATTON CPA TRUSTEE 1.00 2.00 X 0 0 0 EVAN M BENJAMIN MD TRUSTEE 1.00 2.00 X 0 0 0 SR GERALDINE HOYLER CSC TRUSTEE 1.00 2.00 X 0 0 0 DAVID LEACH MD TRUSTEE 1.00 2.00 X 0 0 0 JOEL A LEVINE JD TRUSTEE 1.00 2.00 X 0 0 0 LEONARD M RANDOLPH JR MD TRUSTEE 1.00 2.00 X 0 460084 22704 KATHERINE W VESTAL PHD BOARD VICE CHAIR 1.00 2.00 X 0 0 0 GLORIA YSASI-DIAZ TRUSTEE 1.00 2.00 X 0 0 0 Lawrence Grypp TRUSTEE 1.00 2.00 X 0 0 0 Catherine JACobson TRUSTEE 1.00 2.00 X 0 0 0 DONALD KLINE Treasurer (End 2/14) 50.00 0.00 X 0 584485 182537 DAVID NOWISKI HealthSpan Partners CFO, Treasurer 25.00 31.50 X 0 629201 79123 JANE CROWLEY Mercy EVP, President and CEO 2.00 50.00 X 0 1225763 166229 JUDY SISSON SECRETARY 1.00 51.00 X 0 204780 22771 KENNETH C PAGE PRESIDENT and CEO (End 11/14) 25.00 25.00 X 0 610076 108036 DANIEL J HOUNCHELL COO 25.00 25.00 X 0 251698 26679 NABIL CHEHADE MD President, HealthSpan Physicians LLC 50.00 0 X 487036 0 130700 REBECCA HOLLAND VICE PRESIDENT AND ASSOCIATE GENERAL COUNSEL 50.00 0 X 161799 0 14459 VENKAT RAPURI Physician 50.00 0 X 530093 0 65343 CHARLES WEHBE Physician 50.00 0 X 512796 0 49552 JAIME SABOGAL Physician 50.00 0 X 458795 0 32004 LORRAINE DOYLE PHYSICIAN 50.00 0 X 456151 0 27261 JOHN WOOD PHYSICIAN 50.00 0 X 453221 0 64089 3059891 3966087 991487 162 false true false University Hospitals of Cleveland PO Box 74689 Cleveland OH 44194 Medical Services 36304763 UH AHUJA Medical Center University Hospitals Dept 781966 Detroit MI 48278 Medical Services 15351032 Metrohealth System PO Box 73122 Cleveland OH 44193 Medical Services 12413477 Cleveland Clinic Foundation 9500 Euclid Avenue Cleveland OH 44195 Medical Services 7698654 Akron General Medical Center Dept 781642 PO Box 78000 Detroit MI 48278 Medical Services 7151947 120 0 Member Revenue 621400 2617932 2617932 Other Operating Revenue 621400 -56028 -56028 Administrative Fee 621400 3515020 3515020 Physician Services 621110 63668186 63668186 0 0 0 0 69745110 228016 228016 0 0 0 0 0 0 0 0 0 69973126 69745110 0 228016 793892 674808 119084 48607265 41316175 7291090 7739322 6578424 1160898 2212766 1880851 331915 434560 434560 6422260 5849094 573166 0 13699 11644 2055 14739 12528 2211 288479 245207 43272 7962304 6767958 1194346 2845655 2418807 426848 1455378 1237071 218307 Claims Expense -454673 -454673 Dues/Subscriptions & Memberships 186941 158900 28041 Education 115721 98363 17358 Miscellaneous 28288 24045 4243 0 0 0 0 78666596 66819202 11847394 0 0 0 116688 240767 0 0 45799 170592 75000 75000 0 0 0 0 0 0 274621383 263109486 274858870 263595845 5097781 11485924 0 304975245 313537549 310073026 325023473 X -35214156 -61427628 -35214156 -61427628 274858870 263595845 X -8693470 -17520002 X false true X true false X X X 1 Mercy Health 311161086 3 false 0 0 HealthSpan Integrated Care 340922268 9 true 0 0 2 0 true false false false false false false false false false false false false false false true Investment in Summa Health 258200600 Goodwill Unamortized Debt Issuance Other Intangible Assets Notes Receivable Physician Loans 4908886 263109486 Note Payable to Mercy Health 313537549 Other Long-Term Liabilities 313537549 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The company completed an analysis of its tax positions in accordance with applicable accountng guidance at December 31, 2014, and determined that no amounts were required to be recognized in the consolidated financial statements at December 31, 2014. true true false false false false false true false LEONARD M RANDOLPH JR MD TRUSTEE 0 12115 0 39695 0 408274 0 2284 0 20420 0 482788 0 0 DONALD KLINE Treasurer (End 2/14) 0 454574 0 124179 0 5732 0 157149 0 25388 0 767022 0 0 DAVID NOWISKI HealthSpan Partners CFO, Treasurer 0 359553 0 84531 0 185117 0 53998 0 25125 0 708324 0 107822 JANE CROWLEY Mercy EVP, President and CEO 0 803071 0 256443 0 166249 0 140172 0 26057 0 1391992 0 0 JUDY SISSON SECRETARY 0 151579 0 33733 0 19468 0 14360 0 8411 0 227551 0 0 KENNETH C PAGE PRESIDENT and CEO (End 11/14) 0 334919 0 74523 0 200634 0 78410 0 29626 0 718112 0 0 DANIEL J HOUNCHELL COO 0 208395 0 35138 0 8165 0 23895 0 2784 0 278377 0 0 NABIL CHEHADE MD President, HealthSpan Physicians LLC 430755 0 35979 0 20302 0 106200 0 24500 0 617736 0 0 0 REBECCA HOLLAND VICE PRESIDENT AND ASSOCIATE GENERAL COUNSEL 97756 0 63000 0 1043 0 5048 0 9411 0 176258 0 0 0 VENKAT RAPURI Physician 492516 0 0 0 37577 0 41338 0 24005 0 595436 0 0 0 CHARLES WEHBE Physician 476726 0 0 0 36070 0 40375 0 9177 0 562348 0 0 0 JAIME SABOGAL Physician 396048 0 0 0 62747 0 15600 0 16404 0 490799 0 0 0 LORRAINE DOYLE PHYSICIAN 395509 0 0 0 60642 0 15600 0 11661 0 483412 0 0 0 JOHN WOOD PHYSICIAN 414530 0 0 0 38691 0 37597 0 26492 0 517310 0 0 0 Schedule J, Part I, Line 4b Terms and Conditions of the Mercy Health Executive Retention Plan The Mercy Health executive retention plan is a deferred compensation plan which provides employment continuation incentives to persons selected by the Board of Trustees or its delegate. It provides annual credits of a specified percentage of compensation and annual interest credits. Participants vest and cease to receive credits after 5 years of plan participation provided they remain employed. Vesting and cessation of credits occur earlier for death or total disability while employed, involuntary termination of employment within 24 months after a change in control of the organization, or, for certain participants, upon being offered a specified promotion. Payment of the vested account balance in a lump sum occurs upon vesting. Amounts includable as taxable compensation for listed individuals due to retention plan participation in the reporting year were as follows: Kenneth C. Page $106,162; David Nowiski $151,655; Jane Crowley $0; Donald Kline $0. Schedule J, Part I, Line 4b Terms and Conditions of the HealthSpan System SERP The HealthSpan 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: Nabil Chehade $0; Lorraine Doyle $20,839; Rebecca Holland $0; Venkat Rapuri $0; Jaime Sabogal $20,884; Charles Wehbe $0; John Wood $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: Daniel Hounchell $0; David Nowiski $0; Kenneth C. Page $34,869; Donald Kline $0. Schedule J, Part I, Line 4b Terms and conditions of the Cincinnati Market SERP The Cincinnati Market SERP is a deferred compensation plan which provides employment continuation incentives to all executive council members. It provides annual credits of a specified percentage of compensation. A benefit is calculated for any individual whose compensation is limited in the qualified cash balance plan due to income which exceeds the IRS maximum. The benefit is based upon Form W-2 compensation and is equal to the amount excluded from the qualified plan. Participants must complete a two tiered vesting provision. participants must be vested under the base qualified plan and must count 24 months after termination during which they do not compete with Mercy Health Cincinnati LLC. Amounts includable as taxable compensation for listed individuals due to executive benefit plan participation in the reporting year were as follows: Leonard M Randolph, Jr. MD $0; Kenneth C. Page $0. Schedule J, Part I, Line 4b Terms and conditions of the Youngstown Market SERP The Youngstown Market SERP Plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the Mercy Health Youngstown LLC Board of trustees or its delegate. The Plan provides annual credits of a specified percentage of compensation and annual interest credits. Participants vest 100% in their accounts after three years of service, except for participants who had attained at least ten years of service at plan inception, who had immediate vesting. Vesting occurs earlier upon death or total disability. Payments are made during employment for required tax withholding. The vested account balance is paid as a lump sum after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year are as follows: Donald Kline $0. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The compensation of Kenneth C. Page and Jane Crowley, President and CEO, is determined by a related tax-exempt Section 501(c)(3) organization. The determination of their compensation includes a review and approval by independent persons, comparability data, and contemporaneous substantiation of the decision. Schedule J, Part I, Line 4a Severance or change-of-control payment Severance Benefits consisting of continuation of base salary and insurance benefits were provided to listed individuals for specified periods. The listed individuals executed releases and waivers of claims in exchange for the severance benefits. Salary continuation amounts provided during the reporting year to listed individuals were as follows: Leonard M. Randolph, Jr. MD $380,630. 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 withholding. 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: Jane Crowley $159,922. 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. The Board may authorize modified incentive awards when appropriate in its judgment. NABIL CHEHADE MD EMPLOYMENT RECRUITMENT AGREEMENT X 50000 24932 false false true Evelyn Doyle Employment Recruitment Agreement X 50000 29132 false false true Venkat Rapuri Employment Recruitment Agreement X 50000 29132 false false true Jaime Sabogal Employment Recruitment Agreement X 50000 29132 false false true Charles Wehbe Employment Recruitment Agreement X 50000 29132 false false true John Wood Employment Recruitment Agreement X 50000 29132 false false true 170592 Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Michael Connelly, David Nowiski, Judy Sisson, Kenneth Page, Daniel Hounchell, Cathleen Eldridge, James Patton, Evan Benjamin, Sr. Geraldine Hoyler, David Leach, Joel Levine, Katherine Vestal - Business relationship, The organization's trustees and officers served together on the boards of other organizations within the Mercy Health System ("the System"), as well as joint ventures in which the System had an ownership interest. See Schedule R for a listing of such entities. - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is reviewed by an independent accounting firm and management. Upon review, a copy of the Form 990 is then forwarded to the Audit & Corporate Responsibility Committee for approval. Additionally, the compensation committee reviews all compensation related schedules and disclosures. Both committees are independent of the filing organization. Once the Form 990 is reviewed by all applicable parties a copy of the final version is provided to all members of the governing body prior to filing. Form 990, Part VI, Line 12c Conflict of interest policy All board members, committee members and members of management are required to complete an annual conflict of interest disclosure. Prior to the start of all board and committee meetings members are asked to disclose any potential conflicts of interest. Form 990, Part VI, Line 19 Required documents available to the public Governing documents are maintained on the Ohio Secretary of State website and are available upon request. Audited consolidated financial statements are issued annually and are available upon request. 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ST CHARLES HOSPITAL LLC false FARLEY HEALTHCARE CORPORATION 2200 JEFFERSON AVENUE TOLEDO OH 43604 341363204 HEALTH SERVICES OH 501(c)(3 9 MERCY HEALTH NORTH LLC false NEW VISION MEDICAL LABORATORIES INC 750 W HIGH ST STE 400 LIMA OH 45801 341937267 MEDICAL LAB SERVICES OH 501(c)(3 Type II ST RITA'S MEDICAL CENTER LLC false THE ASSUMPTION VILLAGE 9800 N MARKET STREET NORTH LIMA OH 44452 341013695 NURSING HOME OH 501(c)(3 9 MERCY HEALTH YOUNGSTOWN LLC false HOSPICE OF THE VALLEY 5190 MARKET STREET YOUNGSTOWN OH 44512 341288745 HOSPICE SERVICES OH 501(c)(3 9 MERCY HEALTH YOUNGSTOWN LLC false HUMILITY HOUSE 755 OHLTOWN ROAD AUSTINTOWN OH 44515 341894783 NURSING HOME OH 501(c)(3 9 MERCY HEALTH YOUNGSTOWN LLC false ST JOSEPH HEALTH CENTER AUXILIARY 677 EASTLAND SE WARREN OH 44484 346556121 FUNDRAISING OH 501(c)(3 9 MERCY HEALTH YOUNGSTOWN LLC false MERCY HEALTH PARTNERS - LOURDES INC 1530 LONE OAK ROAD PADUCAH KY 42003 610600313 HOSPITAL KY 501(c)(3 3 MERCY HEALTH false LOURDES HOSPITAL AUXILIARY GIFT SHOP 1530 LONE OAK ROAD PADUCAH KY 42003 610927805 FUNDRAISING KY 501(c)(3 Type I MERCY HEALTH FOUNDATION false MARCUM AND WALLACE MEMORIAL HOSPITAL INC 60 MERCY COURT IRVINE KY 40336 610927491 HOSPITAL KY 501(c)(3 3 MERCY HEALTH PARTNERS - 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