2016-11-11T09:01:47-06:00 2015-12-31 440160260 BKD LLP 312 Walnut Street Suite 3000 Cincinnati OH 45202 990 2015-01-01 463055925 HealthSpan Partners HEAL 5139525000 1701 Mercy Health Place Cincinnati OH 45237 David Nowiski Chief Financial Officer 2016-10-11 true Aaron Hershberger P00961884 5136218300 2015 2017-02-10 21:41:12Z X Allan Greenberg 1701 Mercy Health Place Cincinnati OH 45237 26984769 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. 9 8 2750 9 0 0 0 69745110 34103042 228016 181311 -7299584 69973126 26984769 0 0 59353245 76128610 0 0 19313351 37922001 78666596 114050611 -8693470 -87065842 263595845 279875885 325023473 665631388 -61427628 -385755503 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 98252859 0 34103042 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. 98252859 true false false false false false false false false false true 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 true false false false true 235 0 true 2750 false false false false false false false false false false X 9 8 true false false false false false false true true false false true true true true true true false false false X Travis Crum 5139525000 1701 Mercy Health Place Cincinnati OH 45237 CATHLEEN P ELDRIDGE BOARD CHAIR 1.0 4.0 X X 0 0 0 KATHERINE W VESTAL PHD BOARD VICE CHAIR 1.0 2.0 X X 0 0 0 EVAN M BENJAMIN MD TRUSTEE 1.0 2.0 X 0 0 0 SR GERALDINE HOYLER CSC TRUSTEE (ended 2/15) 1.0 2.0 X 0 0 0 DAVID LEACH MD TRUSTEE 1.0 2.0 X 0 0 0 JOEL A LEVINE JD TRUSTEE 1.0 2.0 X 0 0 0 LEONARD M RANDOLPH JR MD TRUSTEE 1.0 2.0 X 0 389229 -64 GLORIA YSASI-DIAZ TRUSTEE 1.0 2.0 X 0 0 0 Lawrence Grypp TRUSTEE 1.0 2.0 X 0 0 0 Catherine JACobson TRUSTEE 1.0 2.0 X 0 0 0 DAVID NOWISKI HealthSpan Partners CFO, Treasurer 25.0 31.5 X 0 555988 105758 JANE CROWLEY Mercy EVP, President and CEO 2.0 50.0 X 0 1930017 60914 JUDY SISSON SECRETARY 1.0 50.0 X 0 236564 27041 DONALD KLINE COO (from 10/1/15) 25.0 25.0 X 0 671750 183722 DANIEL J HOUNCHELL COO (to 10/1/15) 25.0 25.0 X 0 315854 9694 NABIL CHEHADE MD President, HealthSpan Physicians LLC 50.0 0 X 658584 0 226701 REBECCA HOLLAND VICE PRESIDENT AND ASSOCIATE GENERAL COUNSEL 50.0 0 X 293317 0 80620 VENKAT RAPURI Physician 50.0 0 X 591972 0 66547 CHARLES WEHBE Physician 50.0 0 X 513240 0 47601 LORRAINE DOYLE PHYSICIAN 50.0 0 X 523628 0 22728 JOHN WOOD PHYSICIAN 50.0 0 X 525516 0 63178 STEPHEN CHENG PHYSICIAN 50.0 0 X 524084 0 65731 KENNETH C PAGE FORMER OFFICER 0.0 50.0 X 0 686587 43308 3630341 4785989 1003479 173 true true false University Hospitals of Cleveland PO Box 74689 Cleveland OH 44194 Medical Services 32235660 Metrohealth System PO Box 73122 Cleveland OH 44193 Medical Services 13367511 UH AHUJA Medical Center University Hospitals Dept 781966 Detroit MI 48278 Medical Services 11980427 Cleveland Clinic Foundation 9500 Euclid Avenue Cleveland OH 44195 Medical Services 6935633 Lake Hospital System 7590 Auburn Road Concord Township OH 44077 Medical Services 5309243 105 0 Member Revenue 621400 2383973 2383973 Other Operating Revenue 621400 36193 36193 Administrative Fee 621400 3703582 3703582 Physician Services 621400 30548994 30548994 Joint Venture Net Income 621400 -2569700 -2569700 0 0 0 0 34103042 181311 181311 0 0 0 0 Other Non-Operating Income 621400 -7299584 -7299584 0 0 0 0 -7299584 26984769 34103042 0 -7118273 X 1259222 1070339 188883 63417740 53905079 9512661 8885208 7552427 1332781 2566440 2181474 384966 332242 332242 13481801 11763779 1718022 0 58998 50148 8850 584321 496673 87648 9921465 8433245 1488220 3579088 3042225 536863 878774 746958 131816 Medical Supplies 8586646 8586646 Dues/Subscriptions & Memberships 498666 423866 74800 0 0 0 0 114050611 98252859 15797752 0 0 240767 1023772 0 0 170592 62330 1708536 75000 75000 5963872 4701225 0 1262647 0 0 263109486 275743600 263595845 279875885 11485924 90989539 0 313537549 574641849 325023473 665631388 X -61427628 -385755503 -61427628 -385755503 263595845 279875885 X -87065842 20112700 -257374733 X false true X true false X X X 2 Mercy Health 311161086 3 true 0 0 HealthSpan Integrated Care 340922268 9 true 0 0 2 0 0 true false false false false false false false false false false false false false false false Schedule A, Part IV, Section C, Line 1 Majority director detail Regarding the supported organization Mercy Health, all the HealthSpan Partners board members also serve on the Mercy Health board, and constitute a majority of that supported organization's board. Regarding the supported organization HealthSpan Integrated Care, HealthSpan Partners, as the sole member of HealthSpan Integrated Care, appoints all members the Integrated Care board and has the authority to fill vacancies and remove board members. HealthSpan Integrated Care decisions involving its mission, vision, values, changes to its articles of incorporation, dissolution, merger, approval of its annual financial plan and significant expenditures, the appointment or removal of the Integrated Care CEO, and other significant operational actions require the approval of Healthspan partners. In this manner the supporting organization Healthspan Partners is responsive to the needs and requirements of the supported organization HealthSpan Integrated Care. 5963872 4701225 1262647 1262647 Investment in Summa Health 275743600 Notes Receivable Physician Loans 275743600 Note Payable to Mercy Health 525500000 Other Long-Term Liabilities 49141849 574641849 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 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 and 2014. true true false false false false false true false LEONARD M RANDOLPH JR MD TRUSTEE 0 0 0 0 0 389229 0 -64 0 0 0 389165 0 0 KENNETH C PAGE FORMER OFFICER 0 376071 0 78456 0 232060 0 21571 0 21737 0 729895 0 52702 DAVID NOWISKI HealthSpan Partners CFO, Treasurer 0 365751 0 97915 0 92322 0 75895 0 29863 0 661746 0 0 JANE CROWLEY Mercy EVP, President and CEO 0 818634 0 242911 0 868472 0 18550 0 42364 0 1990931 0 463333 JUDY SISSON SECRETARY 0 153084 0 32558 0 50922 0 16563 0 10478 0 263605 0 0 DONALD KLINE COO (from 10/1/15) 0 462002 0 117396 0 92352 0 156558 0 27164 0 855472 0 0 DANIEL J HOUNCHELL COO (to 10/1/15) 0 180100 0 32469 0 103285 0 6488 0 3206 0 325548 0 10823 NABIL CHEHADE MD President, HealthSpan Physicians LLC 438577 0 135900 0 84107 0 197930 0 28771 0 885285 0 0 0 REBECCA HOLLAND VICE PRESIDENT AND ASSOCIATE GENERAL COUNSEL 246752 0 15144 0 31421 0 52503 0 28117 0 373937 0 0 0 VENKAT RAPURI Physician 498754 0 56055 0 37163 0 42113 0 24434 0 658519 0 0 0 CHARLES WEHBE Physician 476225 0 0 0 37015 0 38050 0 9551 0 560841 0 0 0 LORRAINE DOYLE PHYSICIAN 407063 0 52114 0 64451 0 13250 0 9478 0 546356 0 0 0 JOHN WOOD PHYSICIAN 426008 0 60103 0 39405 0 38743 0 24435 0 588694 0 0 0 STEPHEN CHENG PHYSICIAN 408684 0 78170 0 37230 0 38796 0 26935 0 589815 0 0 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 $23,944; Rebecca Holland $0; Venkat Rapuri $0; Charles Wehbe $0; John Wood $0; Stephen Cheng $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 $20,731; David Nowiski $0; Kenneth C. Page $35,565; 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. The plan is no longer accepting new participants and the cessation of contributions has occurred. 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 $369,477; 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 is no longer accepting new participants and cessation of contributions has occurred. 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 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 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 $19,752, Daniel J. Hounchell $34,246. 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 $160,300. 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. Evelyn Doyle Employment Recruitment Agreement X 50000 12466 false false true Venkat Rapuri Employment Recruitment Agreement X 50000 12466 false false true Stephen Cheng Employment Recruitment Agreement X 50000 12466 false false true Charles Wehbe Employment Recruitment Agreement X 50000 12466 false false true John Wood Employment Recruitment Agreement X 50000 12466 false false true 62330 Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Cathleen Eldridge, Evan Benjamin, Sr. Geraldine Hoyler, David Leach, Joel Levine, Leonard Randolph Jr, Katherine Vestal, Gloria Ysasi-Diaz, Lawrence Grypp, Catherine Jacobson, Judy Sisson, David Nowiski, Donald Kline, Daniel Hounchell, Jane Crowley - 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. Form 990, Part IX, Line 11g Other Fees Medical Services - Total Expense: 2028317, Program Service Expense: 2028317, Management and General Expenses: , Fundraising Expenses: ; Assessments - Total Expense: 1534307, Program Service Expense: 1304161, Management and General Expenses: 230146, Fundraising Expenses: ; Consulting - Total Expense: 2271142, Program Service Expense: 1930471, Management and General Expenses: 340671, Fundraising Expenses: ; Intercompany - Total Expense: 6207062, Program Service Expense: 5276003, Management and General Expenses: 931059, Fundraising Expenses: ; Purchased Services - Total Expense: 1440973, Program Service Expense: 1224827, Management and General Expenses: 216146, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Equity Transfer to Subsidiary - -XXX-XX-XXXX; HEALTHSPAN PHYSICIANS LLC 615 ELSINORE PLACE CINCINNATI OH 45202 320417416 PHYSICIAN PRACTICE OH 25942558 4057284 HEALTHSPAN PARTNERS 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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