2014-11-03T20:58:17-06:00 2013-12-31 990 2013-01-01 202934871 MERCY FRANCISCAN AT ST RAPHAEL INC MERC 5139815600 610 High Street Hamilton OH 45011 DAVID NOWISKI MARKET CFO 2014-10-31 2013 2015-11-30 17:44:51Z TERRY PERDUE 610 High Street Hamilton OH 45011 1053382 false 0928 X N/A X 2005 OH MERCY FRANCISCAN AT ST. RAPHAEL, INC. PROVIDES PEOPLE LIVING IN BUTLER COUNTY COMMUNITIES WITH SUPPORT SERVICES AND STANDS READY WITH EMERGENCY SUPPLIES OF FOOD, CLOTHING, AND TEMPORARY SHELTER. AN OUTREACH NURSING PROGRAM PROVIDES MEDICAL CARE, SCREENINGS AND PRESCRIPTION ASSISTANCE TO THE UNINSURED. 7 6 9 56 0 0 915733 1052359 450 0 664 1023 155 0 917002 1053382 307928 377212 0 0 458814 470244 0 0 0 313685 366508 1080427 1213964 -163425 -160582 974227 992411 33205 27929 941022 964482 MERCY FRANCISCAN AT ST. RAPHAEL, INC. EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. false false 1070927 377212 0 MERCY FRANCISCAN AT ST. RAPHAEL, INC. PROVIDES PEOPLE LIVING IN THE CITY OF HAMILTON AND SURROUNDING BUTLER COUNTY COMMUNITIES WITH SUPPORT SERVICES IN TIMES OF CRISIS. WHEN INDIVIDUALS AND FAMILIES SUFFER SETBACKS FROM JOB LOSS OR HOMELESSNESS, ST. RAPHAEL STANDS READY WITH EMERGENCY SUPPLIES OF FOOD, CLOTHING AND TEMPORARY SHELTER. AN OUTREACH NURSING PROGRAM PROVIDES MEDICAL CARE, SCREENINGS AND PRESCRIPTION ASSISTANCE TO PEOPLE IN THE COMMUNITY WHO ARE UNINSURED. WE ALSO PROVIDE DAILY FREE LUNCHES FOR THE NEEDY AND SUPPLY DAILY SNACKS TO DISADVANTAGED CHILDREN AT A LOCAL COMMUNITY CARE CENTER. 1070927 true true 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 true true false false false false false false false false true false false false false true false false false false true 0 0 9 true false false false false false false false false false false X 7 6 false false false false true true true true true false false true true true true true true false false false X TRAVIS CRUM 5136392800 615 ELSINORE PLACE CINCINNATI OH 45202 JOHN LANGENDERFER CHAIRMAN 0.50 0.50 X X 0 0 0 DAVID PIKE TRUSTEE 0.50 0.50 X 0 145845 29352 DEBORAH HAUENSTEIN TRUSTEE 0.50 0.50 X 0 0 0 DOUG LUTZ TRUSTEE 0.50 0.50 X 0 0 0 JILL GORLEY TRUSTEE 0.50 0.50 X 0 0 0 SR KAREN HARTMAN SFP TRUSTEE 0.50 0.50 X 0 0 0 TRINA TURNER TRUSTEE 0.50 0.50 X 0 0 0 DEBORAH BLOOMFIELD SVP, MARKET CFO 0.30 42.70 X 0 561858 93793 PATRICK KOWALSKI Market CFO 0.30 42.70 X 0 351379 35683 TERRY PERDUE EXECUTIVE DIRECTOR SOCIAL SERVICES 40.00 0 X 61681 0 33684 61681 1059082 192512 0 false true false 0 99453 398323 554583 149651 1052359 0 0 0 0 0 0 0 0 0 0 0 1023 1023 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1053382 0 0 1023 X 0 377212 377212 0 0 0 0 378531 321751 56780 3227 2743 484 61534 52304 9230 26952 22909 4043 0 0 20617 20617 0 0 0 159586 135649 23937 0 0 30722 26114 4608 0 0 91607 77866 13741 0 0 0 0 0 54773 46557 8216 4944 4202 742 MEMBERSHIP DUES 1493 1269 224 MISCELLANEOUS 2766 2351 415 0 0 0 0 1213964 1070927 143037 0 0 362072 421456 52852 66426 0 0 0 0 1552875 1048346 559303 504529 0 0 0 0 0 0 974227 992411 33205 27929 0 0 0 0 33205 27929 X 788662 863452 152360 101030 941022 964482 974227 992411 X -160582 184042 X false true X true true true X 1185083 890984 865008 915733 1052359 4909167 0 0 1185083 890984 865008 915733 1052359 4909167 0 4909167 1936 5495 5814 1114 1023 15382 0 0 18561 0 155 0 18716 4943265 33017 0.99310 0.99280 X Schedule A, Part II, Line 10, Other Income DESCRIPTION - REFUND OF REAL ESTATE TAXES, COLUMN A - 0, COLUMN B - 18561, COLUMN C - 0, COLUMN D - , COLUMN E - , COLUMN F - 18561; DESCRIPTION - REFUND - REPUBLIC SERVICES, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 155, COLUMN E - , COLUMN F - 155; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 93993 93993 1220859 815113 405746 0 238023 233233 4790 0 504529 0 0 X Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote THE COMPANY [CATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES] COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2013 AND 2012, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2013 OR 2012. true DIRECT ASSISTANCE PAYMENTS 14868 191150 186062 FMV FOOD, DRUGS, MEDICAL SUPPLIES, PERSONAL GOODS Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION PERSONNEL REVIEW THE DOCUMENTATION SUBMITTED FOR THE INTENDED USE OF THE WITHDRAWALS MADE. false true false false false false false true false DAVID PIKE TRUSTEE 0 128625 0 11701 0 5519 0 22422 0 6930 0 175197 0 0 DEBORAH BLOOMFIELD SVP, MARKET CFO 0 440469 0 111266 0 10123 0 79508 0 14285 0 655651 0 0 PATRICK KOWALSKI MARKET CFO 0 295692 0 46920 0 8767 0 16330 0 19353 0 387062 0 0 Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensation THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR, TERRY PERDUE, IS DETERMINED BY MERCY HEALTH PARTNERS OF SOUTHWEST OHIO (MHPSWO), A RELATED TAX-EXEMPT ORGANIZATION. MHPSWO UTILIZES A COMPENSATION COMMITTEE, A WRITTEN EMPLOYMENT CONTRACT, AN INDEPENDENT COMPENSATION CONSULTANT, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MR. PERDUE'S COMPENSATION. Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan THE MHP EXECUTIVE BENEFIT PLAN 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. ADDITIONAL CONTRIBUTIONS ARE MADE ON AN ANNUAL BASIS WHICH ARE A PERCENTAGE OF BASE COMPENSATION. 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 PARTNERS OF SOUTHWEST OHIO. AMOUNTS INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: DEBORAH BLOOMFIELD $0. SCHEDULE J, PART I, LINE 4B, TERMS AND CONDITIONS OF THE CHP SERP PLAN THE CHP SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTIVELY. VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMINATION. PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX 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: DAVID PIKE $0. 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. X 14 107513 MARKET VALUE X 12 33138 MARKET VALUE X FANS AND AC UNITS 1 9000 MARKET VALUE 0 false false false , EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS RECEIVED, IS REPORTED IN PART I, COLUMN (B) OF SCHEDULE M. Schedule M, part I, column (b), Line other, Number of contributions or items contributed. OTHER=FANS AND AC UNITS : Schedule M, part I, column (b), Line 19, Number of contributions or items contributed. Schedule M, part I, column (b), Line 20, Number of contributions or items contributed. FORM 990, PART VI, LINE 15, POLICIES THE COMPENSATION OF THE CEO OR TOP MANAGEMENT OFFICIAL IS DETERMINED BY MERCY HEALTH PARTNERS OF SOUTHWEST OHIO, A RELATED TAX-EXEMPT ORGANIZATION. NO COMPENSATION WAS PAID TO ANY OTHER OFFICER OR KEY EMPLOYEE BY THE FILING ORGANIZATION. Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders MERCY HEALTH PARTNERS OF SOUTHWEST OHIO IS THE SOLE MEMBER OF MERCY FRANCISCAN AT ST. RAPHAEL, INC. Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body CATHOLIC HEALTH PARTNERS (CHP) ELECTS ALL BOARD MEMBERS WHO HAVE FULL VOTING RIGHTS. Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders CERTAIN MATTERS REQUIRE APPROVAL OF THE CHP CORPORATE MEMBER, CHP GOVERNING BODY, OR CHP CEO. THE REGULATIONS OF THE ORGANIZATION DESCRIBE THE LEVEL OF APPROVAL REQUIRED FOR VARIOUS DECISIONS. Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body THE FORM 990 IS PREPARED BY CHP'S 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, Sec B, Line 12c, Conflict of interest policy EACH YEAR TRUSTEES COMPLETE A CONFLICT OF INTEREST STATEMENT THAT IS SUBSEQUENTLY APPROVED BY THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE (ACRC) AT MHP AND THEN SENT TO CHP FOR THEIR ACRC TO APPROVE. ANY CONFLICTS OF INTEREST THAT OCCUR DURING THE YEAR ARE REQUIRED TO BE BROUGHT TO THE ATTENTION OF THE ACRC AT MHP. Form 990, Part VI, Sec C, Line 19, Required documents available to the public THE SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE. Form 990, Part IX, Line 11g, Other Expenses MHS CORPORATE ASSESSMENT - TOTAL EXPENSE: 44363, PROGRAM SERVICE EXPENSE: 37709, MANAGEMENT AND GENERAL EXPENSES: 6654, FUNDRAISING EXPENSES: ; PURCHASED SERVICES - TOTAL EXPENSE: 115223, PROGRAM SERVICE EXPENSE: 97940, MANAGEMENT AND GENERAL EXPENSES: 17283, FUNDRAISING EXPENSES: ; Form 990 , Part XI, Line 9, Other changes in net assets or fund balances INTERCOMPANY ELIMINATION - 375373; NET ASSETS RELEASED FROM RESTRICTIONS - -191331; CATHOLIC HEALTH PARTNERS 615 ELSINORE PLACE CINCINNATI OH 45202 311161086 HEALTHCARE SYSTEM PARENT OH 501(C)(3) 11 - Type III - FI NA false CATHOLIC HEALTH PARTNERS FOUNDATION 615 ELSINORE PLACE CINCINNATI OH 45202 201072726 FUNDRAISING OH 501(C)(3) 7 CATHOLIC HEALTH PARTNERS false CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT 615 ELSINORE PLACE CINCINNATI OH 45202 208943658 HUD PARENT OH 501(C)(3) 9 CATHOLIC HEALTH PARTNERS false CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST 615 ELSINORE PLACE CINCINNATI OH 45202 316046304 RETIREMENT TRUST OH 501(C)(3) 8 CATHOLIC HEALTH PARTNERS false COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM 3700 KOLBE ROAD LORAIN OH 44053 270071694 MARKET PARENT OH 501(C)(3) 11 - Type II CATHOLIC HEALTH PARTNERS false COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER 3700 KOLBE ROAD LORAIN OH 44053 340714704 HOSPITAL OH 501(C)(3) 3 COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM false ALLEN MEDICAL CENTER 200 WEST LORAIN ST OBERLIN OH 44074 340864230 HOSPITAL OH 501(C)(3) 3 COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM false COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION 3700 KOLBE ROAD LORAIN OH 44053 341504558 FOUNDATION OH 501(C)(3) 11 - Type III - FI COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER false COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS 3700 KOLBE ROAD LORAIN OH 44053 341268828 MEDICAL OFFICE RENTAL OH 501(C)(3) 9 COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER false ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING 200 WEST LORAIN ST OBERLIN OH 44074 364504991 MEDICAL OFFICE RENTAL OH 501(C)(3) 11 - Type II ALLEN MEDICAL CENTER false MERCY HEALTH PARTNERS OF SOUTHWEST OHIO 4600 MCAULEY PLACE CINCINNATI OH 45242 311063783 MARKET PARENT OH 501(C)(3) 11 - Type III - FI CATHOLIC HEALTH PARTNERS false MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION 4600 MCAULEY PLACE CINCINNATI OH 45242 311217563 FOUNDATION OH 501(C)(3) 7 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false MERCY HOSPITALS WEST 2446 KIPLING AVENUE CINCINNATI OH 45239 311091597 HOSPITAL OH 501(C)(3) 3 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false MERCY HOSPITAL ANDERSON 7500 STATE ROAD CINCINNATI OH 45255 310537085 HOSPITAL OH 501(C)(3) 3 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false THE SISTERS OF MERCY OF HAMILTON OHIO 3000 MACK ROAD FAIRFIELD OH 45014 310538532 HOSPITAL OH 501(C)(3) 3 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO 3000 HOSPITAL DRIVE BATAVIA OH 45103 310830955 HOSPITAL OH 501(C)(3) 3 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO 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 PARTNERS OF SOUTHWEST OHIO false MERCY SACRED HEART INC 2120 PAYNE STREET LOUISVILLE KY 40206 611318326 RETIREMENT HOME KY 501(C)(3) 9 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false MERCY LONG TERM CARE INITIATIVE 4915 CHARLESTOWN RD NEW ALBANY IN 47150 311332491 RETIREMENT HOME IN 501(C)(3) 9 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false MERCY FRANCISCAN SOCIAL MINISTRIES INC 1800 LOGAN STREET CINCINNATI OH 45210 311222942 LOW INCOME HOUSING OH 501(C)(3) 7 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false MERCY FRANCISCAN AT ST RAPHAEL INC 610 HIGH STREET HAMILTON OH 45011 202934871 SERVICES TO THE POOR OH 501(C)(3) 7 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO false COMMUNITY MERCY HEALTH SYSTEM ONE S LIMESTONE ST SPRINGFIELD OH 45502 300272454 MARKET PARENT OH 501(C)(3) 11 - Type III - FI CATHOLIC HEALTH 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501(C)(3) 3 MERCY HEALTH SYSTEM - NORTHERN REGION false SIMON OUTREACH SERVICES 2600 NAVARRE AVENUE OREGON OH 43616 341383325 MEDICAL OFFICE RENTAL OH 501(C)(3) 11 - Type II ST CHARLES MERCY HOSPITAL OF OREGON OHIO false FARLEY HEALTHCARE CORPORATION 2200 JEFFERSON AVENUE TOLEDO OH 43604 341363204 HEALTH SERVICES OH 501(C)(3) 9 MERCY HEALTH SYSTEM - NORTHERN REGION false ST RITA'S MEDICAL CENTER 730 W MARKET STREET LIMA OH 45801 341105619 HOSPITAL OH 501(C)(3) 3 CATHOLIC HEALTH PARTNERS false SRHC FOUNDATION 730 W MARKET STREET LIMA OH 45801 341368429 FOUNDATION OH 501(C)(3) 11 - Type III - FI ST RITA'S MEDICAL CENTER false NEW VISION MEDICAL LABORATORIES INC 750 W HIGH ST STE 400 LIMA OH 45801 341937267 MEDICAL LAB SERVICES OH 501(C)(3) 11 - Type III - FI ST RITA'S MEDICAL CENTER false HUMILITY OF MARY HEALTH PARTNERS 1044 BELMONT AVENUE YOUNGSTOWN OH 44501 340505560 HOSPITAL OH 501(C)(3) 3 CATHOLIC HEALTH PARTNERS false THE ASSUMPTION VILLAGE 9800 N MARKET STREET NORTH LIMA OH 44452 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