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ST RITA'S MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST RITA'S MEDICAL CENTER (EIN 34-1105619)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201203199349303680
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T13:00:39-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN440160260EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1312 WALNUT STREET SUITE 300AddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341105619EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST RITA'S MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTRINameControl
Phone4192273361Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1730 W Market StreetAddressLine1
CityLimaCity
StateOHState
ZIP Code45801ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN RENNERName
TitleCFOTitle
Date Signed2012-11-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
PTINP00961884PTIN
Phone5136218300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1BRIAN SMITHBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1730 W MARKET STREETAddressLine1
CityLIMACity
StateOHState
ZIP Code45801ZIPCode
FieldValueIRS element (for citing)
Gross Receipts391186919GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.STRITAS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTHE PRIMARY EXEMPT PURPOSE OF ST. RITA'S MEDICAL CENTER IS TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDERSERVED. WE COMMIT TO ACCOMPLISH THIS PURPOSE BY WORKING TOGETHER TO PROVIDE QUALITY CARE, SERVICE AND INFORMATION THAT IS VALUED BY THOSE WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees3480TotalNbrEmployees
Total Nbr Volunteers951TotalNbrVolunteers
Total Gross UBI460566TotalGrossUBI
Net Unrelated Business Txbl Income31110NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year171332ContributionsGrantsPriorYear
Contributions Grants Current Year90933ContributionsGrantsCurrentYear
Program Service Revenue Prior Year373428284ProgramServiceRevenuePriorYear
Program Service Revenue CY376097595ProgramServiceRevenueCY
Investment Income Prior Year9771844InvestmentIncomePriorYear
Investment Income Current Year3228589InvestmentIncomeCurrentYear
Other Revenue Prior Year7677921OtherRevenuePriorYear
Other Revenue Current Year11419874OtherRevenueCurrentYear
Total Revenue Prior Year391049381TotalRevenuePriorYear
Total Revenue Current Year390836991TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year833666GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1200025GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year175486534SalariesEtcPriorYear
Salaries Etc Current Year188968213SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year185563498OtherExpensePriorYear
Other Expenses Current Year178535632OtherExpensesCurrentYear
Total Expenses Prior Year361883698TotalExpensesPriorYear
Total Expenses Current Year368703870TotalExpensesCurrentYear
Revenues Less Expenses Prior Year29165683RevenuesLessExpensesPriorYear
Revenues Less Expenses CY22133121RevenuesLessExpensesCY
Total Assets BOY581204849TotalAssetsBOY
Total Assets EOY583775953TotalAssetsEOY
Total Liabilities BOY216458712TotalLiabilitiesBOY
Total Liabilities EOY242561392TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY364746137NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY341214561NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionST. RITA'S MEDICAL CENTER EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. ST. RITA'S MEDICAL CENTER DEMONSTRATES BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE, AND SERVICE. TOGETHER WE COMMIT TO: COMPASSION - OUR COMMITMENT TO SERVE WITH MERCY AND TENDERNESS; EXCELLENCE - OUR COMMITMENT TO BE THE BEST IN THE QUALITY OF OUR SERVICES AND THE STEWARDSHIP OF OUR RESOURCES; HUMAN DIGNITY - OUR COMMITMENT TO BE RESPECTFUL OF ALL PERSONS; JUSTICE - OUR COMMITMENT TO ACT WITH INTEGRITY, HONESTY, AND TRUTHFULNESS; SACREDNESS OF LIFE - OUR COMMITMENT TO REVERENCE ALL LIFE; SERVICE - OUR COMMITMENT TO RESPOND TO THOSE IN NEED.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense16357015Expense
Grants1195096Grants
Revenue371734585Revenue
DescriptionTHE PRIMARY EXEMPT PURPOSE OF ST. RITA'S MEDICAL CENTER IS TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. ST. RITA'S MEDICAL CENTER ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. TOTAL COMMUNITY BENEFIT PROVIDED IN 2011 WAS $42,721,250 SERVING APPROXIMATELY 96,000 INDIVIDUALS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4888884Expense
Grants0Grants
Revenue3893264Revenue
DescriptionST. RITA'S MEDICAL CENTER IS THE ONLY PROVIDER OF ADULT, ACUTE INPATIENT BEHAVIORAL AND MENTAL HEALTH SERVICES IN THE 10-COUNTY REGION WE SERVE. COMMITTED TO HELPING PEOPLE REGAIN CONTROL OF THEIR LIVES, DEDICATED PROFESSIONALS MEET INDIVIDUALLY WITH PATIENTS TO DETERMINE THE MOST APPROPRIATE LEVEL OF CARE AND TO ENROLL THEM IN THOSE TREATMENT PROGRAMS. IN 2011, ST. RITA'S SERVED 1,200 ADULT INDIGENT PATIENTS. MENTAL HEALTH PROBLEMS OR DEPENDENCY ON DRUGS, ALCOHOL, OR BOTH ARE TREATABLE CONDITIONS. BETWEEN 2006 AND 2011, THE NEED FOR SERVICES SHOWED AN 80% INCREASE. ST. RITA'S CHOOSES TO OFFER A PROCESS OF RECOVERY BASED SIMPLY ON THE NEEDS OF OUR PATIENTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2442199Expense
Grants0Grants
Revenue469746Revenue
DescriptionST. RITA'S HEALTH MANAGEMENT GROUP IS AN APPROACH TO PATIENT CARE THAT EMPHASIZES COORDINATED, COMPREHENSIVE CARE FOR THOSE COPING WITH CHRONIC CONDITIONS SUCH AS ASTHMA, HEART FAILURE, DIABETES, OBESITY OR ANY CONDITION REQUIRING USE BLOOD THINNERS. CAREFUL MANAGEMENT OF THESE CONDITIONS IS ESSENTIAL FOR PATIENTS TO REDUCE THEIR RISK OF COMPLICATIONS AND POTENTIAL HOSPITALIZATIONS. IT IS IMPORTANT FOR THE PATIENT TO PLAY AN ACTIVE ROLE IN THE MANAGEMENT OF THEIR HEALTH CONDITIONS. ST. RITA'S PROFESSIONALS WORK WITH PHYSICIANS AND THEIR PATIENTS TO DEVELOP AN INDIVIDUALIZED TREATMENT PLAN DESIGNED TO KEEP THEIR DISEASE UNDER CONTROL AND TO PREVENT FREQUENT READMISSIONS TO THE HOSPITAL. BY WORKING CLOSELY WITH THE PATIENT, THE HEALTH MANAGEMENT GROUP CAN HELP IMPROVE UNDERSTANDING OF THEIR HEALTH CONDITIONS, REDUCE COMPLICATIONS AND HELP KEEP PATIENTS HEALTHY IN BETWEEN THEIR PHYSICIAN APPOINTMENTS.Description

Activity Other ActivityOther

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Grants0Grants
Revenue0Revenue
DescriptionOTHER PROGRAM EXPENSESDescription
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Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense305830064TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
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Report Prog Rel InvestfalseReportProgRelInvest
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SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
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Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
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Schedule J RequiredtrueScheduleJRequired
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Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
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Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
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Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
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Number Forms Transmitted With109622NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3480NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
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Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
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Members Or StockholderstrueMembersOrStockholders
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Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
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Minutes Of CommitteestrueMinutesOfCommittees
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Whistleblower PolicytrueWhistleblowerPolicy
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Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TIM RIEGERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4192269775TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1730 W MARKET STREETAddressLine1
CityLIMACity
StateOHState
ZIP Code45801ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
STEVE WALTER
BOARD CHAIRMAN1.00XX000
BARRY CLARK
BOARD MEMBER1.00X000
DANIEL CLIFFORD
BOARD MEMBER1.00X000
DR AIMEE HAWLEY
BOARD MEMBER1.00X000
DR JOHN SNYDER
BOARD MEMBER1.00X000
DR KIRK GRIFFITH
BOARD MEMBER1.00X2000000
DR WILLIAM SCHERGER
BOARD MEMBER1.00X000
GEORGE RICKS
BOARD MEMBER1.00X000
JANE KRITES
BOARD MEMBER1.00X000
JAYE MCCAIN
BOARD MEMBER1.00X000
JOAN NIESE
BOARD MEMBER1.00X000
SR DOROTHY THUM RSM
BOARD MEMBER1.00X000
SR MARIE MOORE RSM
BOARD MEMBER1.00X000
TRACEY REIPENHOFF
BOARD MEMBER1.00X000
DIANA PICKARD
SECRETARY40.00X84150066902
JAMES REBER
PRES. & CEO, ST RITA'S HEALTH PARTNERS40.00X7910710176446
JOHN RENNER
CFO, TREASURER40.00X364486087125
ROBERT BAXTER
CEO, ST RITA'S MEDICAL CENTER40.00X340114058054
BRIAN SMITH
COO, ST RITA'S HEALTH PARTNERS40.003879710147208X
CHRISTINE PROVAZNIK
VICE PRESIDENT40.002585920136547X
DAVID MURPHY
EXECUTIVE DIRECTOR, SRPS40.00207612021382X
HERBERT SCHUMM MD
VP - MEDICAL AFFAIRS40.004639600138318X
JOHN MEYER
VP - CHIEF QUALITY OFFICER40.002733250155629X
KAY WELLMAN
SVP - CHIEF NURSE EXECUTIVE40.002826110208968X
MARK SKAJA
VP - MISSION SERVICES40.00200664040674X
MICHAEL HUMPHREY MD
CHIEF CLINICAL OFFICER40.00347024081033X
MIKE BISSEGGER
VP & GENERAL COUNSEL40.00280659070724X
RONDA LEHMAN
VICE PRESIDENT40.00244901056762X
WALTER KINSEY
VP - ADVOCACY & PATIENT RELATIONS40.00201843069879X
WILBERT CASON
VP - HUMAN RESOURCES40.002621180121447X
DR JASON BOWERSOCK
GENERAL SURGEON40.00772904020966X
DR JULIUS KATO
CARDIOLOGIST40.00957132021274X
DR SURIANARAYAN AMBALAVANAN
OTOLARYNGOLOGIST40.00888089014492X
DR TODD HIXENBAUGH
GENERAL SURGEON40.00842544019116X
DR ZOHEIR ABDELBAKI
CARDIOLOGIST40.001215713021183X
FieldValueIRS element (for citing)
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Total Other Compensation1734129TotalOtherCompensation
Number Individuals GT100 K141NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations48307RelatedOrganizations
Government Grants12500GovernmentGrants
All Other Contributions30126AllOtherContributions
Total Contributions90933TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE621990364297723364297723
RENTAL INCOME FROM AFFILIATES53112017619251761925
VENDOR/PURCHASE DISCOUNTS9000996099460994
INCOME FROM JV'S AND PARTNERSHIPS621990997695399735293424

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

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Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue376097595TotalProgramServiceRevenue

Investment Income InvestmentIncome

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Total Revenue Column3505490TotalRevenueColumn
Exclusion$3,505,490ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column0TotalRevenueColumn

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Real0Real
Personal0Personal

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Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

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Securities73027Securities

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Gain Or Loss GainOrLoss

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Exclusion-$276,901ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

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Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA7222102014502$2,014,502
MEDICAL RECORDS900099114890$114,890
CATERING722320129684$129,684

Miscellaneous Revenue MiscellaneousRevenue

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Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue457142UnrelatedBusinessRevenue
Exclusion$8,703,656ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue11419874TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column390836991TotalRevenueColumn
Related Or Exempt Function Income376094171RelatedOrExemptFunctionIncome
Unrelated Business Revenue460566UnrelatedBusinessRevenue
Exclusion$14,191,321ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1195096Total
Program Services1195096ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total4929Total
Program Services4929ProgramServices

Foreign Grants ForeignGrants

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Total0Total

Benefits To Members BenefitsToMembers

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Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

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Total6648199Total
Program Services5318559ProgramServices
Management And General1329640ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

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Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total137662992Total
Program Services110130393ProgramServices
Management And General27532599ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total34945336Total
Program Services27956269ProgramServices
Management And General6989067ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9711686Total
Program Services7769349ProgramServices
Management And General1942337ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

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Total0Total

Fees For Services Legal FeesForServicesLegal

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Total179472Total
Management And General179472ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

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Total352199Total
Management And General352199ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

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Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

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Total0Total

Fees For Services Other FeesForServicesOther

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Program Services58822376ProgramServices
Management And General14705594ManagementAndGeneral

Advertising Advertising

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Program Services377231ProgramServices
Management And General94308ManagementAndGeneral

Office Expenses OfficeExpenses

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Program Services1063443ProgramServices
Management And General265861ManagementAndGeneral

Information Technology InformationTechnology

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Total32635Total
Program Services26108ProgramServices
Management And General6527ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total11115059Total
Program Services8892047ProgramServices
Management And General2223012ManagementAndGeneral

Travel Travel

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Total653216Total
Program Services522573ProgramServices
Management And General130643ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

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Total7488278Total
Program Services5990622ProgramServices
Management And General1497656ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

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Total20556396Total
Program Services16445117ProgramServices
Management And General4111279ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2860724Total
Program Services2288579ProgramServices
Management And General572145ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MISCELLANEOUS25165022013202503300
MEMBERSHIP DUES21908341752667438167
MEDICAL SUPPLIES55261504552615040

All Other Expenses AllOtherExpenses

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Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

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Program Services305830064ProgramServices
Management And General62873806ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

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Total0Total

Cash Non Interest Bearing CashNonInterestBearing

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BOY28249650BOY
EOY8721658EOY

Accounts Receivable AccountsReceivable

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BOY52542842BOY
EOY64902867EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

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BOY3878865BOY
EOY3965831EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

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BOY6368512BOY
EOY6813752EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

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BOY1801414BOY
EOY2109129EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis492038451LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec236810284LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY267231385BOY
EOY255228167EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY200883834BOY
EOY221535932EOY

Investments Other Securities InvestmentsOtherSecurities

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BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

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BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

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BOY8311362BOY
EOY8282904EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11936985BOY
EOY12215713EOY

Total Assets TotalAssets

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BOY581204849BOY
EOY583775953EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

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BOY34844494BOY
EOY37264064EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY10724728BOY
EOY10825118EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY170889490BOY
EOY194472210EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY216458712BOY
EOY242561392EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY364746137BOY
EOY341214561EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY364746137BOY
EOY341214561EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY581204849BOY
EOY583775953EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses22133121ReconcilationRevenueExpenses
Reconcilation Other Changes-45664697ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Mailings Members$0MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$14,829GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$13,922OtherActivitiesAmount
Total Lobbying Expenditures IIB28751TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationLOBBYING ACTIVITIES PERFORMED INCLUDE BOTH THE USE OF VOLUNTEERS ENCOURAGED TO WRITE LETTERS TO PUBLIC OFFICIALS ON ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE TO PROVIDE HEALTH SERVICES TO THE COMMUNITIES SERVED, AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. PAID MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDUM, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS REGARDING ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE PROVIDING HEALTHCARE SERVICES TO ITS PATIENTS AND TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. PAID STAFF MEMBERS HAVE, ON LIMITED OCCASIONS, WRITTEN TO LEGISLATORS ON SUCH ISSUES. THE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE THE ORGANIZATION'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT OUR SYSTEM. THE ORGANIZATION FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND OUR HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES WE SERVE. TO CARRY OUT THESE EFFORTS, THE ORGANIZATION PARTNERS WITH EXPERT CONSULTANTS AND PROFESSIONAL TRADE ASSOCIATIONS TO BUILD AWARENESS AND EXECUTE SPECIFIC STRATEGIES THAT WILL YIELD A FAVORABLE OUTCOME FOR PATIENT CARE IN THE ORGANIZATION'S FACILITIES WHERE THEY ARE TREATED.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis18475811OtherCostOrOtherBasis
Book Value18475811BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis319029231OtherCostOrOtherBasis
Depreciation116532461Depreciation
Book Value202496770BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis242173OtherCostOrOtherBasis
Depreciation242173Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis148571354OtherCostOrOtherBasis
Depreciation117702140Depreciation
Book Value30869214BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5719882OtherCostOrOtherBasis
Depreciation2333510Depreciation
Book Value3386372BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings255228167TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
NOTES PAYABLE TO AFFILIATES$122,672,800
PROPERTY & SALES TAXES PAYABLE$93,288
SELF & MEDICAL SELF INSURANCE PAYABLE$3,759,873
CURRENT FAS 106 OBLIGATION$78,597
DEBT GUARANTEES$6,330,682
LONG-TERM SERP LIABILITY$2,117,483
OTHER LONG-TERM LIABILITIES$37,426
PENSION & POSTRETIREMENT HEALTH BENEFITS$59,382,061
FieldValueIRS element (for citing)
Total Of Amounts194472210TotalOfAmounts
Total Revenue390836991TotalRevenue
Total Expenses368435874TotalExpenses
Excess Or Deficit For Year22401117ExcessOrDeficitForYear
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS22401117ExcessOrDeficitPerFS
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal0RevenueSubtotal
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9900TotalRevenuePerForm990
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal0ExpensesSubtotal
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9900TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationTHE COMPANY [CATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES] COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2011 AND 2010, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2011 OR 2010.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Tailored To Ind HospitalsXPolicyTailoredToIndHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served9129PersonsServed
Total Community Benefit Expense16357015TotalCommunityBenefitExpense
Direct Offsetting Revenue3741814DirectOffsettingRevenue
Net Community Benefit Expense12615201NetCommunityBenefitExpense
Percent Of Total Expense0.03420PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served18422PersonsServed
Total Community Benefit Expense50972334TotalCommunityBenefitExpense
Direct Offsetting Revenue34150880DirectOffsettingRevenue
Net Community Benefit Expense16821454NetCommunityBenefitExpense
Percent Of Total Expense0.04560PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served27551PersonsServed
Total Community Benefit Expense67329349TotalCommunityBenefitExpense
Direct Offsetting Revenue37892694DirectOffsettingRevenue
Net Community Benefit Expense29436655NetCommunityBenefitExpense
Percent Of Total Expense0.07980PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs25NumberOfActivitiesOrPrograms
Persons Served53980PersonsServed
Total Community Benefit Expense3032745TotalCommunityBenefitExpense
Direct Offsetting Revenue81243DirectOffsettingRevenue
Net Community Benefit Expense2951502NetCommunityBenefitExpense
Percent Of Total Expense0.00800PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served112PersonsServed
Total Community Benefit Expense112000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense112000NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Persons Served14447PersonsServed
Total Community Benefit Expense19587184TotalCommunityBenefitExpense
Direct Offsetting Revenue11535805DirectOffsettingRevenue
Net Community Benefit Expense8051379NetCommunityBenefitExpense
Percent Of Total Expense0.02180PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served190PersonsServed
Total Community Benefit Expense149187TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense149187NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Persons Served100PersonsServed
Total Community Benefit Expense1103458TotalCommunityBenefitExpense
Direct Offsetting Revenue39483DirectOffsettingRevenue
Net Community Benefit Expense1063975NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs49NumberOfActivitiesOrPrograms
Persons Served68829PersonsServed
Total Community Benefit Expense23984574TotalCommunityBenefitExpense
Direct Offsetting Revenue11656531DirectOffsettingRevenue
Net Community Benefit Expense12328043NetCommunityBenefitExpense
Percent Of Total Expense0.03340PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs49NumberOfActivitiesOrPrograms
Persons Served96380PersonsServed
Total Community Benefit Expense91313923TotalCommunityBenefitExpense
Direct Offsetting Revenue49549225DirectOffsettingRevenue
Net Community Benefit Expense41764698NetCommunityBenefitExpense
Percent Of Total Expense0.11320PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense130385TotalCommunityBuildingExpense
Net Community Building Expense130385NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense14903TotalCommunityBuildingExpense
Net Community Building Expense14903NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served231PersonsServed
Total Community Building Expense811264TotalCommunityBuildingExpense
Net Community Building Expense811264NetCommunityBuildingExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served231PersonsServed
Total Community Building Expense956552TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense956552NetCommunityBuildingExpense
Percent Of Total Expense0.00260PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$13,533,931BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare87540855AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare101261907CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-13721052MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
WEST CENTRAL OHIO SURGERY & ENDOSCOPY CENTER
AMBULATORY SURGERY CENTER0.600.4
WEST CENTRAL OHIO GROUP LTD (DBA INSTITUTE FOR ORTHOPEDIC SURGERY)
ORTHOPEDIC HOSPITAL0.5100.49
KIDNEY SERVICES OF WEST CENTRAL OHIO
DIALYSIS CENTER0.5100.49
CORNERSTONE ALLIANCE
MEDICAL MANAGEMENT0.500.5
FieldValueIRS element (for citing)
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
ST RITA'S MEDICAL CENTER
1730 W MARKET STREETLIMAOH45801XXX
INSTITUTE OF ORTHOPEDIC SURGERY
2801 MEDICAL DRIVELIMAOH45804X

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities27NumberOfOtherFacilities

Other Facilities OtherFacilities (27 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
KIDNEY SERVICES OF WEST CENTRAL OH
750 W HIGH STREET SUITE 100LIMAOH45801OUTPATIENT DIALYSIS CENTER
WEST CENTRAL OHIO SURGERY & ENDOSCOPY CENTER
770 W HIGH STREET SUITE 100LIMAOH45801OUTPATIENT SURGERY & DIAGNOSTIC CENTER
NEW VISION MEDICAL LABORATORY
750 W HIGH STREET SUITE 400LIMAOH45801LABORATORY SERVICES
PUTNAM COUNTY AMBULATORY CARE CENTER
601 STATE ROUTE 224GLANDORFOH45848EMERGENCY ROOM - 24 HOURS
ALLISON RADIATION ONCOLOGY CENTER
803 WEST MARKET STREETLIMAOH45805OUTPATIENT ONCOLOGY CENTER
ST RITA'S HOME MEDICAL EQUIPMENT
770 W NORTH STREETLIMAOH45801HOME MEDICAL EQUIPMENT SERVICES
ST RITA'S HYPERBARIC OXYGEN THERAPY SERVICE
830 W HIGH STREET SUITE 250LIMAOH45801OUTPATIENT OXYGEN THERAPY SERVICES
ST RITA'S WOMEN'S WELLNESS CENTER
770 W HIGH ST SUITE 250LIMAOH45801OUTPATIENT WOMEN'S DIAGNOSTIC CENTER
DELPHOS AMBULATORY CARE CENTER
1800 E FIFTH STREETDELPHOSOH45833ER-OTHER
ST RITA'S SLEEP DISORDERS CENTER
830 W HIGH STREET SUITE 350LIMAOH45801OUTPATIENT SLEEP DISORDERS CENTER
ST RITA'S OP REHABILITATION SERVICES
830 W HIGH STREET SUITE 150LIMAOH45805REHABILITATION CLINIC
ST RITA'S HOME CARE
959 WEST NORTH STREETLIMAOH45801HOME CARE SERVICES
ST RITA'S WESTSIDE URGENT CARE
2195 ALLENTOWN ROADLIMAOH45805URGENT CARE FACILITY
ST RITA'S HOSPICE
959 WEST NORTH STREETLIMAOH45801HOSPICE SERVICES
ST RITA'S EASTSIDE URGENT CARE
967 BELLEFONTAINE AVENUELIMAOH45804URGENT CARE FACILITY
ST RITA'S OCCUPATIONAL HEALTH CENTER
1875 SOUTH DIXIE HIGHWAYLIMAOH45804OCCUPATIONAL HEALTH FACILITY
NORTH CENTRAL OHIO PHYSICIAN'S SERVICES
770 W HIGH STREET SUITE 220LIMAOH45801PHYSICIAN SERVICES
ST RITA'S WAPAK IMAGING
1015 S BLACKHOOF STREET SUITE DWAPAKONETAOH45895DIAGNOSTIC CENTER
ST RITA'S HEALTH MANAGEMENT GROUP
770 W HIGH STREET SUITE 450LIMAOH45801OUTPATIENT CLINICS
ST RITA'S AUDIOLOGY
770 W HIGH STREET SUITE 230LIMAOH45801OUTPATIENT AUDIOLOGY CENTER
ST RITA'S HOME INFUSION
959 WEST NORTH STREETLIMAOH45801HOME INFUSION SERVICES
ST RITA'S OUTPATIENT ONCOLOGY
830 W HIGH STREET SUITE 150LIMAOH45801OUTPATIENT ONCOLOGY CENTER
MED-CARE CLINIC
939 W MARKET STLIMAOH45805OUTPATIENT PHYSICIAN CLINIC
ST RITA'S OP REHABILITATION SERVICES
1100 DEFIANCE STREETWAPAKONETAOH45895DIAGNOSTIC CENTER
ST RITA'S OP REHABILITATION SERVICES
101 PUTNAM PARKWAY - SR 109OTTAWAOH45875REHABILITATION CLINIC
ST RITA'S SPECIALTY CLINICS
830 W HIGH STREET SUITE 307LIMAOH45801SPECIALTY CLINICS
ST RITA'S WOUND CARE CLINIC
830 W HIGH STREET SUITE 250LIMAOH45801OUTPATIENT WOUND CARE CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Community benefit report prepared by related organizationSchedule H, Part I, Line 6aTHE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS CONTAINED IN A REPORT PREPARED BY CATHOLIC HEALTH PARTNERS (CHP), A RELATED TAX-EXEMPT ORGANIZATION. A COPY OF THE COMMUNITY BENEFIT REPORT CAN BE FOUND ON CHP'S WEBSITE AT WWW.HEALTH-PARTNERS.ORG.
Bad Debt Expense excluded from financial assistance calculationSchedule H, Part I, Line 7, column(f)0
Subsidized Health ServicesSchedule H, Part I, Line 7gST. RITA'S MEDICAL CENTER INCLUDED AS SUBSIDIZED HEALTH SERVICES COSTS ASSOCIATED WITH OUR PEDIATRIC SPECIALITY CLINIC. THE AMOUNT OF COMMUNITY BENEFIT EXPENSE REPORTED FOR THE PEDIATRIC SPECIALTY CLINICS AS SUBSIDIZED HEALTH SERVICES IS $236,448.
Bad debt expense - financial statement footnoteSchedule H, Part III, Line 4THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THE HOSPITAL ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AN OPERATING EXPENSE. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY DOES NOT PERMIT THE COST OF PATIENTS WHO ARE UNCOOPERATIVE OR UNABLE TO BE LOCATED TO BE RECLASSIFIED FROM BAD DEBT TO FINANCIAL ASSISTANCE. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY REQUIRES AN APPLICATION AND SUPPORTING DOCUMENTATION. THEREFORE, ZERO DOLLARS ARE BEING REPORTED ON PART III, LINE 3 AS AMOUNTS INCLUDED IN BAD DEBT THAT COULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HOSPITAL'S HISTORICAL COLLECTION EXPERIENCE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE. THE HOSPITAL'S CONCENTRATION OF CREDIT RISK RELATED TO NET PATIENT ACCOUNTS IS LIMITED DUE TO THE DIVERSITY OF PATIENTS AND PAYORS. NET PATIENT ACCOUNTS CONSIST OF AMOUNTS DUE FROM GOVERNMENTAL PROGRAMS (PRIMARILY MEDICARE AND MEDICAID), PRIVATE INSURANCE COMPANIES, MANAGED CARE PROGRAMS AND PATIENTS THEMSELVES. NET PATIENT SERVICE REVENUE FOR SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE IS RECOGNIZED BASED ON CONTRACTUAL RATES FOR SERVICES RENDERED. THE HOSPITAL RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). AMOUNTS RECOGNIZED ARE SUBJECT TO ADJUSTMENT UPON REVIEW BY THIRD-PARTY PAYORS. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED.
Community benefit & methodology for determining medicare costsSchedule H, Part III, Line 8THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE MEDICARE LOSSES AS COMMUNITY BENEFIT. THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE MEDICARE AMOUNTS IN PART III.
Collection practices for patients eligible for financial assistanceSchedule H, Part III, Line 9bPATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANICAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAY AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY AS A LAST RESORT AND ONLY: WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT REFUSE TO DO SO; WHEN PATIENTS REFUSE TO WORK WITH THE ORGANIZATION TO DETERMINE IF THEY QUALIFY FOR FREE OR DISCOUNTED CARE VIA FEDERAL, STATE, LOCAL OR HOSPITAL ASSISTANCE PROGRAMS; WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL.
Means used to determine amounts billedSchedule H, Part V Section B, Line 19d(1) ST. RITA'S MEDICAL CENTER - THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY CARE OR OTHER MEDICALLY NECESSARY CARE IS BASED UPON FEDERAL POVERTY LEVELS STATED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.;(2) INSTITUTE OF ORTHOPEDIC SURGERY - THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY CARE OR OTHER MEDICALLY NECESSARY CARE IS BASED UPON FEDERAL POVERTY LEVELS STATED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.;
Needs assessment.Schedule H, Part VI, Line 2THE HOSPITAL AND OTHER ORGANIZATIONS IN THE COMMUNITY COME TOGETHER TO CONDUCT A NEEDS ASSESSMENT WITH THE ASSISTANCE OF OUTSIDE EXPERTS SUCH AS FACULTY FROM SCHOOLS OF PUBLIC HEALTH. THE ALLEN COUNTY ASSESSMENT IS COORDINATED BY: ALLEN COUNTY HEALTH PEOPLE 2011, THE ALLEN COUNTY HEALTH DEPARTMENT, LIMA MEMORIAL HEALTH SYSTEM, MENTAL HEALTH AND RECOVERY SERVICES BOARD, THE OHIO STATE UNIVERSITY AT LIMA, ST. RITA'S MEDICAL CENTER, AND UNITED WAY OF GREATER LIMA. A COMMUNITY BENEFIT SERVICE MAY BE OFFERED WHEN A PUBLIC AGENCY OR COMMUNITY GROUP REQUESTS THE HOSPITAL TO PROVIDE CERTAIN COMMUNITY BENEFIT ACTIVITIES OR PROGRAMS, OTHER TAX-EXEMPT OR COMMUNITY ORGANIZATIONS HAVE ASKED TO PARTNER WITH THE HOSPITAL TO PROVIDE A PROGRAM, OR HOSPITAL PERSONNEL HAVE IDENTIFIED NEEDS BASED ON HOSPITAL DATA. ST. RITA'S MEDICAL CENTER ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. ST. RITA'S MEDICAL CENTER CONDUCTS A COMMUNITY NEEDS ASSESSMENT EVERY 3 YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. ST. RITA'S MEDICAL CENTER INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. ST. RITA'S MEDICAL CENTER RECOGNIZES THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS TO UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. ST. RITA'S MEDICAL CENTER HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. ST. RITA'S MEDICAL CENTER'S COMMUNITY BENEFITS COMMITTEE MEETS BI-MONTHLY TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. ST. RITA'S MEDICAL CENTER WORKS CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES AND TO AVOID DUPLICATION.
Patient education of eligibility for assistance.Schedule H, Part VI, Line 3ST. RITA'S MEDICAL CENTER POSTS ITS CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S ON-CAMPUS FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT, AS WELL AS IN SOME OF OUR OFF-CAMPUS FACILITIES WHICH WOULD INCLUDE THE URGENT CARE LOCATIONS AND THE MED-CARE CLINIC. ST. RITA'S ALSO PROVIDES A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A FINANCIAL ASSISTANCE APPLICATION IS ON THE BACK OF EVERY PATIENT BILL. THE ST. RITA'S FINANCIAL ASSISTANCE PROGRAM DISCUSSES WITH THE PATIENTS THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENTS WITH QUALIFICATIONS FOR SUCH PROGRAMS, WHERE APPLICABLE. THE PURPOSE OF THE ST. RITA'S FINANCIAL ASSISTANCE PROGRAM IS TO ASSIST PATIENTS IN OBTAINING MEDICAL BENEFITS THROUGH FEDERAL, STATE, AND HOSPITAL PROGRAMS. REPRESENTATIVES WILL PROVIDE THE FOLLOWING SERVICES AT NO COST TO THE PATIENT: * EXPLORE ELIGIBILITY UNDER PUBLIC ASSISTANCE PROGRAMS * FILE APPLICATIONS ON PATIENT'S BEHALF * SCHEDULE AND ATTEND APPOINTMENTS * PROVIDE TRANSPORTATION WHEN NECESSARY * PROVIDE MEDICAL DOCUMENTATION TO SOCIAL SECURITY ADMINISTRATION FOR DISABILITY CLAIMS. THROUGH THE ST. RITA'S FINANCIAL ASSISTANCE PROGRAM, PATIENTS AND THEIR COUNSELORS LOOK AT WHAT OPTIONS ARE AVAILABLE. ST. RITA'S UNDERSTANDS THAT NOT EVERYONE CAN PAY FOR HEALTHCARE SERVICES. OUR PROGRAM IS HERE TO OFFER OPTIONS AND ASSISTANCE FOR THOSE WHO ARE UNINSURED OR UNDERINSURED. OUR FINANCIAL ASSISTANCE PROGRAM IS AN EXTENSION OF THE ST. RITA'S MEDICAL CENTER MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITY WITH EMPHASIS ON THE POOR AND UNDERSERVED. MEETING THE NEEDS OF THOSE WITH LIMITED RESOURCES HAS ALWAYS BEEN THE HEART OF OUR MISSION. IN ADDITION TO THE RESOURCES AND SERVICES LISTED ABOVE, ST. RITA'S ALSO HAS AN OHIO BENEFIT BANK AVAILABLE ON-SITE IN THE MEDICAL LIBRARY TO PROVIDE ADDITIONAL RESOURCES FOR PATIENTS. THE OHIO BENEFIT BANK IS A PROGRAM AVAILABLE TO HELP ASSIST IN A RANGE OF BENEFITS, SUCH AS FOOD STAMPS, MEDICAL BENEFITS AND HELP FOR FILING FEDERAL AND STATE TAXES ALL AT ONCE. ALL OF THE CLIENT SERVICES ARE FREE AND ARE DESIGNED TO HELP PATIENTS GET THE BENEFITS AND TAX CREDITS THEY MAY BE ELIGIBLE FOR.
Community information.Schedule H, Part VI, Line 4ST. RITA'S MEDICAL CENTER SERVES A 10 COUNTY GEOGRAPHIC AREA FEATURING THE FOLLOWING COUNTIES: ALLEN, AUGLAIZE, HARDIN, HANCOCK, LOGAN, MERCER, PUTNAM, PAULDING, SHELBY, AND VAN WERT. THE POPULATION OF ST. RITA'S MEDICAL CENTER'S PRIMARY SERVICE AREA IS APPROXIMATELY 108,473 AND IS OLDER, POORER, AND HAS WORSE HEALTH STATISTICS THAN STATE AND NATIONAL AVERAGES. OUR COMMUNITY IS CHANGING AND WE ALSO SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THERE ARE 2 HOSPITALS IN THE COMMUNITY AND BOTH ARE NON-PROFIT HOSPITALS. SOUTHSIDE LIMA AND NORTH LIMA HAVE BEEN FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREAS OR POPULATIONS. THE DEMOGRAPHIC AREA SERVED BY ST. RITA'S MEDICAL CENTER INCLUDES THE FOLLOWING ETHNIC AND CULTURAL GROUPS: WHITE, AFRICAN AMERICAN, HISPANIC OR LATINO, ASIAN, AND AMERICAN INDIAN AND ALASKA NATIVE. 12.1% OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES. 5% OF FAMILIES ARE ON MEDICAID OR OTHER ASSISTANCE. IN THE COMMUNITY SERVED BY ST. RITA'S MEDICAL CENTER, HEART DISEASE, CANCER, AND STROKE ARE THE MAJOR HEALTH PROBLEMS AND/OR LEADING CAUSES OF DEATH. EACH OF THESE ARE PREVENTABLE THROUGH PROPER CARE AND MAINTAINING CONTROL OF ILLNESS/DISEASE AS WELL AS BY LEADING HEALTHIER LIVES. THE SMOKING RATE IS 22% OF THE POPULATION. ST. RITA'S MEDICAL CENTER WORKS CLOSELY WITH LOCAL COMMUNITY AGENICES AND HEALTH DEPARTMENTS TO ADDRESS THESE PROBLEMS AND MINIMIZE THE EFFECTS ON THOSE WHO SUFFER. IN 2011, ST. RITA'S MEDICAL CENTER HAD 20,160 ADMISSIONS, 421,072 OUTPATIENT VISITS, AND 68,667 EMERGENCY ROOM VISITS.
Promotion of community healthSchedule H, Part VI, Line 5ST. RITA'S MEDICAL CENTER OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, ST. RITA'S MEDICAL CENTER ALSO PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. ST. RITA'S MEDICAL CENTER OPERATES TRAUMA SERVICES, AIR AMBULANCE SERVICES, DISEASE MANAGEMENT, WOUND CARE, SPECIALTY CLINICS, DEVELOPMENTAL THERAPY, NEIGHBORHOOD NURSE PROGRAM, MED-CARE CLINIC, HOSPICE, HOME CARE, CRISIS INTERVENTION, BEHAVIORAL SERVICES AND REHABILITATION SERVICES. ST. RITA'S MEDICAL CENTER HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY ST. RITA'S MEDICAL CENTER. ST. RITA'S MEDICAL CENTER ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. ST. RITA'S MEDICAL CENTER PROVIDES BOTH PHARMACY AND PODIATRIC MEDICINE RESIDENCY PROGRAMS. ST. RITA'S MEDICAL CENTER SERVES AS A CLINICAL EXPERIENCE SITE FOR OTHER HEALTH PROFESSIONALS. JOB SHADOWING AND CLINICAL EXPERIENCE PROGRAMS PROVIDE EXPOSURE FOR STUDENTS OF PHYSICAL THERAPY, RADIOLOGY, SURGERY, RESPIRATORY THERAPY, AND NURSING. ST. RITA'S MEDICAL CENTER PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. IN ADDITION TO OUR PARTICIPATION IN THESE PROGRAMS, ST. RITA'S ABSORBED MORE THAN $13,721,052 IN UNREIMBURSED MEDICARE COSTS DURING 2011. ST. RITA'S MEDICAL CENTER FURTHERS ITS EXEMPT PURPOSE BY PROVIDING THE FOLLOWING COMMUNITY BENEFIT PROGRAMS IN THE COMMUNITIES IN WHICH IT SERVES: ST. RITA'S MEDICAL CENTER'S EMERGENCY DEPARTMENT TREATS AN INCREASING NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF ST. RITA'S MEDICAL CENTER. THERE WERE 951 ADULT, COLLEGE, TEEN, AND JOB SHADOWING VOLUNTEERS IN 2011. ST. RITA'S HAD FORGED COLLABORATIVE RELATIONSHIPS WITH THE FEDERALLY QUALIFIED HEALTH CENTERS IN ITS COMMUNITY SUCH AS ALLEN COUNTY HEALTH PARTNERS.
Affiliated health care systemSchedule H, Part VI, Line 6ST. RITA'S MEDICAL CENTER IS A MEMBER OF ST. RITA'S HEALTH PARTNERS. ST. RITA'S HAS BEEN AN INTEGRAL PART OF THE COMMUNITY SINCE 1918. ST. RITA'S MEDICAL CENTER IS AN ACUTE CARE HOSPITAL WITH APPROXIMATELY 425 LICENSED BEDS. ST. RITA'S HEALTH PARTNERS COMMUNITY BENEFIT FOR 2011 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2011 COMMUNITY BENEFIT: $42.7 MILLION BENEFITS TO THE BROADER COMMUNITY: $11.2 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $16.8 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $12.6 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $2.1 MILLION COMMUNITY BENEFIT AS A PERCENT OF TOTAL EXPENSE: 10.8% ST. RITA'S MEDICAL CENTER IS A MEMBER OF CATHOLIC HEALTH PARTNERS (CHP). CHP IS THE CONTINUATION OF THE HEALTH MINISTRY STARTED MORE THAN 150 YEARS AGO BY OUR CO-SPONSORING CONGREGATIONS: THE SISTERS OF MERCY, REGIONAL COMMUNITY OF CINCINNATI (OH) (NOW THE SISTERS OF MERCY, SOUTH CENTRAL COMMUNITY); THE MID-ATLANTIC COMMUNITY; THE SISTERS OF HUMILITY OF MARY; THE FRANCISCAN SISTERS OF THE POOR, AND COVENANT HEALTH SYSTEMS. OUR SYSTEM OF REGIONAL HEALTH CARE PROVIDERS SERVES LOCAL HEALTH NEEDS IN COMMUNITIES IN OHIO AND KENTUCKY. CHP IS FOCUSED ON IMPROVING THE HEALTH OF COMMUNITIES WE SERVE BY PROVIDING INTEGRATED HEALTH SERVICES THROUGH FACILITIES THAT INCLUDE ACUTE CARE HOSPITALS, SENIOR HEALTH AND HOUSING FACILITIES, HOME HEALTH AGENCIES, HOSPICE PROGRAMS, OUTREACH SERVICES AND WELLNESS CENTERS. OUR HOSPITALS INCLUDE CRITICAL ACCESS FACILITIES OFFERING ESSENTIAL HEALTH SERVICES THAT WOULD OTHERWISE NOT EXIST IN THOSE COMMUNITIES. WE CARE FOR EVERYONE WHO COMES TO USE, REGARDLESS OF THEIR ABILITY TO PAY. AS WE HAVE DONE FOR DECADES, WE PROVIDE EXTENSIVE SERVICES TO THE BROADER COMMUNITY, WITH EMPHASIS ON SERVICES FOR PERSONS WHO ARE POOR AND UNDERSERVED. CHP'S HOME OFFICE PROVIDES SERVICES AND SUPPORT TO THE ENTIRE SYSTEM, INCLUDING BUT NOT LIMITED TO: PROVIDING GOVERNANCE, MANAGEMENT OVERSIGHT, STRATEGIC LEADERSHIP, FOCUSING RESOURCES TO ASSURE THE HEALING MISSION, PROVIDING ACCESS TO LOWER COST DEBT FINANCING TO SUPPORT OPERATIONS, IMPROVING CLINICAL OUTCOMES AND REDUCING OPERATING COSTS. SYSTEM-WIDE COMMUNITY BENEFIT FOR 2011 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2011 COMMUNITY BENEFIT: $345.7 MILLION BENEFITS TO THE BROADER COMMUNITY: $76.0 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $124.3 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $116.7 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $28.7 MILLION COMMUNITY BENEFIT AS A PERCENT OF TOTAL EXPENSE: 10.0%

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (25 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
ALLEN COUNTY HEALTH DEPARTMENT
219 E MARKET STREETLIMAOH45802346400019501(C)(3)33571HEALTH MINISTRIES PROGRAM
ALLEN COUNTY HEALTH PARTNERS
441 E 8TH STREETLIMAOH458042482562330309501(C)(3)283171DENTAL CLINIC
ALLEN LIMA LEADERSHIP
144 SOUTH MAIN STREETLIMAOH45801341536300501(C)(3)6720MISSION SUPPORT
AMERICAN CANCER SOCIETY NW REGION
740 COMMERCE DRIVEPERRYSBUERGOH43551251798733501(C)(3)12500MISSION SUPPORT
AMERICAN RED CROSS
610 SOUTH COLLETTLIMAOH45805344428650501(C)(3)10000MISSION SUPPORT
AMERICAN TOWNSHIP FIRE DEPARTMENT
105 W MAIN STREETELIDAOH45807346400022501(C)(3)43963MEDICAL EQUIPMENT DONATION
BLUFFTON UNIVERSITY
1 UNIVERSITY DRIVEBLUFFTONOH45817344428207501(C)(3)15000MISSION SUPPORT
CHAMBER FOUNDATION
144 SOUTH MAIN STREETLIMAOH45801341536300501(C)(3)5600ADVERTISING SPONSORSHIP
CHRISTIAN CORNER COMMUNITY CENTER
1601 MCCLAIN ROADLIMAOH45804346407479501(C)(3)5000MISSION SUPPORT
CLOSING THE ACHIEVEMENT GAP
1 SPARTAN WAYLIMAOH45801346400788501(C)(3)10000MISSION SUPPORT
FAMILY PROMISE OF LIMA ALLEN COUNTY
1295 PIERCE STREETLIMAOH45801208987019501(C)(3)7500MISSION SUPPORT
LIMA NOON OPTIMIST FOUNDATION
PO BOX 428LIMAOH45802341783126501(C)(3)7000MISSION SUPPORT
LIMA SYMPHONY ORCHESTRA
133 NORTH ELIZABETH STREETLIMAOH45801344465022501(C)(3)6000MISSION SUPPORT
MARCH OF DIMES
3450 W CENTRAL AVENUE SUITE 352TOLEDOOH43606131846366501(C)(3)5000MISSION SUPPORT
NEWSPAPER IN EDUCATION
THE LIMA NEWSLIMAOH458073716905215500MISSION SUPPORT3515 ELIDA ROAD
OUR DAILY BREAD KITCHEN
1275 S CENTRALLIMAOH45802341134252501(C)(3)5000MISSION SUPPORT
SAMARITAN HOUSE
328 W MCKIBBEN STREETLIMAOH45801341595265501(C)(3)5500MISSION SUPPORT
ST LOUIS UNIVERSITY
221 NORTH GRAND BOULEVARDST LOUISMO63103430654872501(C)(3)11485MISSION SUPPORTDUBOURG HALL ROOM 121
STAR SPANGLED SPECTACULAR
PO BOX 1602LIMAOH45802264000194501(C)(3)15000MISSION SUPPORT
UNITED WAY OF GREATER LIMA
616 S COLLETT STREEETLIMAOH45805344466356501(C)(3)10200MISSION SUPPORT
UNIVERSITY OF NORTHWESTERN OHIO
1441 N CABLE ROADLIMAOH45805341695897501(C)(3)125000MISSION SUPPORT
WALGREEN'S
PO BOX 90480CHICAGOIL606960480361924025283221INDIGENT MEDICAL PROGRAM
HERITAGE ELEMENTARY SCHOOL
816 COLLEGE AVELIMAOH45805346400788501(C)(3)10000MISSION SUPPORT
LIMA CATHOLIC CENTRAL HIGH SCHOOL
720 S CABLE ROADLIMAOH45805344465253501(C)(3)5165MISSION SUPPORT
SRHC FOUNDATION
730 W MARKET STREETLIMAOH45801341368429501(C)(3)268000MISSION SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants23TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationEACH ORGANIZATION MUST PROVIDE A COMPLETED FORM DEMONSTRATING TO ST. RITA'S THEIR NEEDS AND HOW THE MONEY IS TO BE USED, AS WELL AS A COPY OF THEIR 990. THE APPLICATIONS ARE SCREENED AND EVAULATED BASED ON COMMUNITY NEED, CARE FOR THE POOR, AND ALIGNMENT WITH OUR MISSION. DONATIONS OVER $10,000 MUST BE APPROVED BY THE BOARD OF DIRECTORS, WHILE ANY DONATION OVER $5,000 IS APPROVED BY AN ADMINISTRATION LEVEL COUNCIL. FOR ONGOING DONATIONS, WE RECEIVE FEEDBACK FROM THE ORGANIZATION ON HOW THE MONEY HAS BEEN USED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRIAN SMITH
30714306868801214001187300284780535179000
CHRISTINE PROVAZNIK
18863204237402758601191760173710395139000
DAVID MURPHY
1757070313710534017420196400228994000
DIANA PICKARD
773740615906170463890205130151052000
DR JASON BOWERSOCK
3675130388619016772024100185560793870000
DR JULIUS KATO
503139045275101242024500188240978406000
DR SURIANARAYAN AMBALAVANAN
570474031491602699024500120420902581000
DR TODD HIXENBAUGH
470878036960202064000191160861660000
DR ZOHEIR ABDELBAKI
703351051165107110217801900501236896000
HERBERT SCHUMM MD
32966308713404716301100960282220602278000
JAMES REBER
4657400190694013463701540680223780967517000
JOHN MEYER
2114760552410660801216760339530428954000
JOHN RENNER
2749540694990200330736660134590451611000
KAY WELLMAN
2084030536140205940200575083930491579000
MARK SKAJA
147556036251016857075060331680241338000
MICHAEL HUMPHREY MD
2619640668620181980607270203060428057000
MIKE BISSEGGER
1860630473380472580519390187850351383000
ROBERT BAXTER
322712000174020355210225330398168000
RONDA LEHMAN
1856940422520169550375250192370301663000
WALTER KINSEY
156726039838052790583840114950271722000
WILBERT CASON
17928504702003581301081650132820383565000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Arrangement used to establish the top management official's compensationSchedule J, Part I, Line 3THE COMPENSATION OF JAMES REBER, CEO, IS DETERMINED BY CATHOLIC HEALTH PARTNERS (CHP), A RELATED TAX-EXEMPT ORGANIZATION. CHP UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MR. REBER'S COMPENSATION.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bTHE ST. RITA'S MEDICAL CENTER 457(F) PLAN PROVIDES A FLEXIBLE BENEFIT ALLOWANCE TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. THIS ALLOWANCE, WHICH IS BASED ON A SPECIFIED PERCENTAGE OF COMPENSATION, MAY BE ALLOCATED AMONG VARIOUS INSURANCE AND DEFERRED COMPENSATION BENEFIT OPTIONS. AMOUNTS INCLUDIBLE IN TAXABLE COMPENSATION FOR LISTED PARTICIPATING INDIVIDUALS IN THS REPORTING YEAR WERE AS FOLLOWS: HERBERT SCHUMM, MD $28,382; CHRISTINE PROVAZNIK $10,834; WILBERT CASON $17,006; MARK SKAJA $3,582; JOHN RENNER $0; BRIAN SMITH $0; MICHAEL HUMPHREY, MD $0; KAY WELLMAN $0; JOHN MEYER $0; MIKE BISSEGGER $0; WALTER KINSEY $0, RONDA LEHMAN $0; ROBERT BAXTER $0.
THE CHP SERP PLANPART I, LINE 4BTHE 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 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: JAMES REBER $101,411.
SRMC EXECUTIVE RETENTION PLANPART I, LINE 4BTHE ST. RITA'S MEDICAL CENTER 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 INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: BRIAN SMITH $0.
Non-fixed paymentsSchedule J, Part I, Line 7THE 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 CEO AND DISCLOSED TO THE BOARD. THE BOARD MAY AUTHORIZE MODIFIED INCENTIVE AWARDS WHEN APPROPRIATE IN ITS JUDGEMENT.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
PERRY CORPORATION
BARRY CLARK (BOARD MEMBER) IS AN OFFICER680242INDEPENDENT CONTRACTORfalse
STACEY WALTER
SPOUSE OF STEVE WALTER (BOARD MEMBER)20236EMPLOYMENTfalse
LIMA PATHOLOGY INC
KIRK GRIFFITH, MD (BOARD MEMBER) HAS AN OWNERSHIP INTEREST682110INDEPENDENT CONTRACTORfalse
SMS PROTECH
BARRY CLARK (BOARD MEMBER) IS AN OFFICER4143126INDEPENDENT CONTRACTORfalse
TERESA CLIFFORD
SPOUSE OF DAN CLIFFORD, BOARD MEMBER17524EMPLOYMENTfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of other program servicesForm 990, Part III, Line 4dOTHER PROGRAM EXPENSES
CONSOLIDATED AUDITED FINANCIAL STATEMENTSFORM 990, PART IV, LINE 20BTHE FILING ORGANIZATION DOES NOT HAVE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN CATHOLIC HEALTH PARTNERS' CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH ARE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. CATHOLIC HEALTH PARTNERS' AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6CATHOLIC HEALTH PARTNERS IS THE SOLE MEMBER OF ST. RITA'S MEDICAL CENTER.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aCATHOLIC HEALTH PARTNERS APPROVES MEMBERS THAT ARE APPOINTED TO THE BOARD OF TRUSTEES. ALL MEMBERS OF THE BOARD OF TRUSTEES HAVE FULL VOTING RIGHTS.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bCERTAIN 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.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE FORM 990 IS PREPARED BY CHP'S TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. UPON REVIEW, 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 THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE AND THE COMPENSATION COMMITTEE 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.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cALL BOARD MEMBERS ARE COVERED BY THE CATHOLIC HEALTH PARTNERS (CHP) CONFLICT OF INTEREST POLICY WHICH REQUIRES DISCLOSURE ON AN ANNUAL BASIS. ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY CHP 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.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bTHE REGIONAL CEO RECOMMENDS COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. THE COMMITTEE REVIEWS AND APPROVES OR ADJUSTS THE RECOMMENDED ADJUSTMENTS TO THE OFFICERS AND KEY EMPLOYEES' BASE COMPENSATION AND INCENTIVE AWARD, WITHIN SUCH ESTABLISHED PARAMETERS. A FORMAL PERFORMANCE APPRAISAL PROCESS IS INCORPORATED IN THE COMPENSATION ADJUSTMENT AND AWARD PROCESS. IT UTILIZES A MULTI-PERSPECTIVE APPROACH AND PERFORMANCE MEASURES WHICH ARE LINKED TO THE ORGANIZATION'S ACHIEVEMENT OF TEAM AND INDIVIDUAL OBJECTIVES AND PERFORMANCE. COMPENSATION-RELATED DETERMINATIONS ARE CONDUCTED IN ACCORDANCE WITH APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE AND REGULATIONS TO QUALIFY FOR THE PRESUMPTION THAT THE COMPENSATION IS REASONABLE, INCLUDING BUT NOT LIMITED TO APPROVAL BY AN AUTHORIZED BODY COMPOSED OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST, OBTAINING AND RELYING ON APPROPRIATE DATA AS TO COMPARABILITY, AND CONCURRENT DOCUMENTATION OF THE BASIS FOR THE COMPENSATION DETERMINATIONS.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE.
Average number of hours devoted per week to related organizationForm 990, Part VII, Section A, Column BSTEVE WALTER - 1 SR. DOROTHY THUM, RSM - 5 JAMES REBER - 3 BRIAN SMITH - 1 JOHN MEYER - 1
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -7897293; RECORD UPDATED PENSION VALUES - -37767404;

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LACP - ST RITA'S MEDICAL CENTER LLC
303 W SPRING STREETLIMAOH45801262878453AMBULANCE SVCOH29747953496681ST RITA'S MEDICAL CENTER
ST RITA'S PROFESSIONAL SERVICES LLC
730 W MARKET STREETLIMAOH45801262788491PHYSICIAN PRACTICESOH241495631405670ST RITA'S MEDICAL CENTER

Form990 Schedule R Part II Form990ScheduleRPartII (100 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CATHOLIC HEALTH PARTNERS
615 ELSINORE PLACECINCINNATIOH45202311161086HEALTHCARE SYSTEM PARENTOH501(C)(3)11 - Type III - FINAfalse
CATHOLIC HEALTH PARTNERS FOUNDATION
615 ELSINORE PLACECINCINNATIOH45202201072726FUNDRAISINGOH501(C)(3)7CATHOLIC HEALTH PARTNERSfalse
CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT
615 ELSINORE PLACECINCINNATIOH45202208943658HUD PARENTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST
615 ELSINORE PLACECINCINNATIOH45202316046304RETIREMENT TRUSTOH501(C)(3)8CATHOLIC HEALTH PARTNERSfalse
COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
3700 KOLBE ROADLORAINOH44053270071694REGIONAL PARENTOH501(C)(3)11 - Type IICATHOLIC HEALTH PARTNERSfalse
COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
3700 KOLBE ROADLORAINOH44053340714704HOSPITALOH501(C)(3)3COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEMfalse
ALLEN MEDICAL CENTER
200 WEST LORAIN STOBERLINOH44074340864230HOSPITALOH501(C)(3)3COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEMfalse
COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION
3700 KOLBE ROADLORAINOH44053341504558FOUNDATIONOH501(C)(3)11 - Type III - FICOMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTERfalse
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROADLORAINOH44053341268828MEDICAL OFFICE RENTALOH501(C)(3)9COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTERfalse
ALLEN MEDICAL CENTER FOUNDATION
200 WEST LORAIN STOBERLINOH44074341675592FOUNDATIONOH501(C)(3)11 - Type IALLEN MEDICAL CENTERfalse
ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN STOBERLINOH44074364504991MEDICAL OFFICE RENTALOH501(C)(3)11 - Type IIALLEN MEDICAL CENTERfalse
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
4600 MCAULEY PLACECINCINNATIOH45242311063783REGIONAL PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION
4600 MCAULEY PLACECINCINNATIOH45242311217563FOUNDATIONOH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY HOSPITALS WEST
2446 KIPLING AVENUECINCINNATIOH45239311091597HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY HOSPITAL ANDERSON
7500 STATE ROADCINCINNATIOH45255310537085HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
THE SISTERS OF MERCY OF HAMILTON OHIO
3000 MACK ROADFAIRFIELDOH45014310538532HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO
3000 HOSPITAL DRIVEBATAVIAOH45103310830955HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC
7010 ROWAN HILLS DRCINCINNATIOH45227311308729RETIREMENT HOMEOH501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY SACRED HEART INC
2120 PAYNE STREETLOUISVILLEKY40206611318326RETIREMENT HOMEKY501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY LONG TERM CARE INITIATIVE
4915 CHARLESTOWN RDNEW ALBANYIN47150311332491RETIREMENT HOMEIN501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREETCINCINNATIOH45210311222942LOW INCOME HOUSINGOH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY FRANCISCAN AT ST RAPHAEL INC
610 HIGH STREETHAMILTONOH45011202934871SERVICES TO THE POOROH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
COMMUNITY MERCY HEALTH SYSTEM
ONE S LIMESTONE STSPRINGFIELDOH45502300272454REGIONAL PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
COMMUNITY MERCY HEALTH PARTNERS
ONE S LIMESTONE STSPRINGFIELDOH45502310785684HOSPITALOH501(C)(3)3COMMUNITY MERCY HEALTH SYSTEMfalse
THE COMMUNITY MERCY FOUNDATION
1343 N FOUNTAIN BLVDSPRINGFIELDOH45504311443778FOUNDATIONOH501(C)(3)7COMMUNITY MERCY HEALTH SYSTEMfalse
C H HEALTH SERVICES COMPANY
ONE S LIMESTONE STSPRINGFIELDOH45502311181984HOSPITALOH501(C)(3)3COMMUNITY MERCY HEALTH SYSTEMfalse
CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE
1150 E HOME ROADSPRINGFIELDOH45503260698515MEDICAL INFORMATION EXCHANGEOH501(C)(3)9COMMUNITY MERCY HEALTH SYSTEMfalse
THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST
ONE S LIMESTONE STSPRINGFIELDOH45502346827136INDIGENT MEDICAL CAREOH501(C)(3)11 - Type INAfalse
MERCY HEALTH SYSTEM - NORTHERN REGION
2200 JEFFERSON AVENUETOLEDOOH43604341344482REGIONAL PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
MERCY PROPERTY HOLDINGS
2200 JEFFERSON AVENUETOLEDOOH43604300699825TITLE HOLDING COMPANYOH501(C)(2)N/AMERCY HEALTH SYSTEM - NORTHERN REGIONfalse
ST CHARLES MERCY HOSPITAL OF OREGON OHIO
2600 NAVARRE AVENUEOREGONOH43616344445373HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
ST CHARLES MERCY HEALTH FOUNDATION
2600 NAVARRE AVENUEOREGONOH43616341414900FOUNDATIONOH501(C)(3)11 - Type III - FIST CHARLES MERCY HOSPITAL OF OREGON OHIOfalse
RIVERSIDE MERCY HOSPITAL
3404 W SYLVANIA AVETOLEDOOH43623311556401HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY HOME CARE INC
2200 JEFFERSON AVENUETOLEDOOH43604341587572HOME HEALTHCAREOH501(C)(3)9MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY COLLEGE OF OHIO
2221 MADISON AVENUETOLEDOOH43604341726619MEDICAL COLLEGEOH501(C)(3)2MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY COLLEGE OF OHIO FOUNDATION INC
2221 MADISON AVENUETOLEDOOH43604141963204FOUNDATIONOH501(C)(3)11 - Type IMERCY COLLEGE OF OHIOfalse
MERCY HOSPITAL OF TIFFIN OHIO
45 ST LAWRENCE DRIVETIFFINOH44883344431174HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY TIFFIN HEALTH FOUNDATION
45 ST LAWRENCE DRIVETIFFINOH44883341499894FOUNDATIONOH501(C)(3)11 - Type III - FIMERCY HOSPITAL OF TIFFIN OHIOfalse
THE SISTERS OF MERCY OF WILLARD OHIO
110 EAST HOWARD STWILLARDOH44890341577110HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY HOSPITAL OF WILLARD FOUNDATION
110 EAST HOWARD STWILLARDOH44890113742347FOUNDATIONOH501(C)(3)11 - Type III - FITHE SISTERS OF MERCY OF WILLARD OHIOfalse
ST VINCENT MERCY MEDICAL CENTER
2213 CHERRY STREETTOLEDOOH43608344428250HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
ST VINCENT MERCY MEDICAL CENTER FOUNDATION
2213 CHERRY STREETTOLEDOOH43608237393213FOUNDATIONOH501(C)(3)11 - Type III - FIST VINCENT MERCY MEDICAL CENTERfalse
LIFESTAR AMBULANCE INC
2200 JEFFERSON AVENUETOLEDOOH43604341354653MEDICAL TRANSPORTATIONOH501(C)(3)11 - Type IIMERCY HEALTH SYSTEM - NORTHERN REGIONfalse
RSM MEDICAL FOUNDATION
2200 JEFFERSON AVENUETOLEDOOH43624341693671HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
ST MARGUERITE D'YOUVILLE FOUNDATION II
2213 CHERRY STREETTOLEDOOH43608134350655FOUNDATIONOH501(C)(3)11 - Type IICATHOLIC HEALTH PARTNERSfalse
SIMON OUTREACH SERVICES
2600 NAVARRE AVENUEOREGONOH43616341383325MEDICAL OFFICE RENTALOH501(C)(3)11 - Type IIST CHARLES MERCY HOSPITAL OF OREGON OHIOfalse
FARLEY HEALTHCARE CORPORATION
2200 JEFFERSON AVENUETOLEDOOH43604341363204HEALTH SERVICESOH501(C)(3)9MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
ST RITA'S MEDICAL CENTER
730 W MARKET STREETLIMAOH45801341105619HOSPITALOH501(C)(3)3CATHOLIC HEALTH PARTNERSfalse
SRHC FOUNDATION
730 W MARKET STREETLIMAOH45801341368429FOUNDATIONOH501(C)(3)11 - Type III - FIST RITA'S MEDICAL CENTERtrue
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400LIMAOH45801341937267MEDICAL LAB SERVICESOH501(C)(3)11 - Type III - FIST RITA'S MEDICAL CENTERtrue
HUMILITY OF MARY HEALTH PARTNERS
1044 BELMONT AVENUEYOUNGSTOWNOH44501340505560HOSPITALOH501(C)(3)3CATHOLIC HEALTH PARTNERSfalse
THE ASSUMPTION VILLAGE
9800 N MARKET STREETNORTH LIMAOH44452341013695NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
HOSPICE OF THE VALLEY
5190 MARKET STREETYOUNGSTOWNOH44512341288745HOSPICE SERVICESOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
HUMILITY OF MARY DEVELOPMENT FOUNDATION
1044 BELMONT AVENUEYOUNGSTOWNOH44501341826978FOUNDATIONOH501(C)(3)11 - Type III - FIHUMILITY OF MARY HEALTH PARTNERSfalse
HUMILITY HOUSE
755 OHLTOWN ROADAUSTINTOWNOH44515341894783NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
LAUREL LAKE RETIREMENT COMMUNITY INC
200 LAUREL LAKE DRIVEHUDSONOH44236341481142NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
LAUREL LAKE RETIREMENT COMMUNITY FOUNDATION INC
200 LAUREL LAKE DRIVEHUDSONOH44236341779303FOUNDATIONOH501(C)(3)7LAUREL LAKE RETIREMENT COMMUNITY INCfalse
ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SEWARRENOH44484346556121FUNDRAISINGOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
MERCY HEALTH PARTNERS - LOURDES INC
1530 LONE OAK ROADPADUCAHKY42003610600313HOSPITALKY501(C)(3)3CATHOLIC HEALTH PARTNERSfalse
LOURDES FOUNDATION INC
1530 LONE OAK ROADPADUCAHKY42003611258960FOUNDATIONKY501(C)(3)7MERCY HEALTH PARTNERS - LOURDES INCfalse
LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROADPADUCAHKY42003610927805FUNDRAISINGKY501(C)(3)11 - Type III - FILOURDES FOUNDATION INCfalse
MARCUM AND WALLACE MEMORIAL HOSPITAL INC
60 MERCY COURTIRVINEKY40336610927491HOSPITALKY501(C)(3)3MERCY HEALTH PARTNERS - LOURDES INCfalse
MARCUM AND WALLACE HOSPITAL FOUNDATION INC
60 MERCY COURTIRVINEKY40336320026557FOUNDATIONKY501(C)(3)11 - Type III - FIMARCUM AND WALLACE MEMORIAL HOSPITAL INCfalse
MERCY HEALTH PARTNERS INC
900 EAST OAK HILL AVEKNOXVILLETN37917731627534REGIONAL PARENTTN501(C)(3)11 - Type ICATHOLIC HEALTH PARTNERSfalse
MERCY HEALTH SYSTEM INC
900 EAST OAK HILL AVEKNOXVILLETN37917620480068HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INCfalse
ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY INC
923 EAST CENTRAL AVELAFOLLETTETN37766621817376HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INCfalse
MERCY HEALTH PARTNERS FOUNDATION INC
900 EAST OAK HILL AVEKNOXVILLETN37917621247676FOUNDATIONTN501(C)(3)7MERCY HEALTH PARTNERS INCfalse
JEFFERSON MEMORIAL HOSPITAL INC
110 HOSPITAL DRIVEJEFFERSON CITYTN37760621660663HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INCfalse
JEFFERSON MEMORIAL FOUNDATION INC
110 HOSPITAL DRIVEJEFFERSON CITYTN37760621660666FOUNDATIONTN501(C)(3)11 - Type III - FIJEFFERSON MEMORIAL HOSPITAL INCfalse
ST MARY'S MEDICAL CENTER OF SCOTT COUNTY INC
18797 ALBERTA STREETONEIDATN37841261535503HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INCfalse
THE BAPTIST HEALTH SYSTEM FOUNDATION INC
101 BLOUNT AVE BOX 1788KNOXVILLETN37920581565290FOUNDATIONTN501(C)(3)7MERCY HEALTH PARTNERS INCfalse
BAPTIST HOSPITAL OF EAST TENNESSEE INC
137 BLOUNT AVEKNOXVILLETN37920620506166HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INCfalse
BAPTIST HOSPITAL OF COCKE COUNTY INC
435 SECOND STREETNEWPORTTN37821621133149HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INCfalse
MERCY HEALTH AND REHABILITATION CENTER INC
3916 BOYDS BRIDGE PIKEKNOXVILLETN37917621592992REHAB CENTERTN501(C)(3)9MERCY HEALTH PARTNERS INCfalse
MERCY HEALTH PARTNERS - NORTHEAST REGION INC
746 JEFFERSON AVENUESCRANTONPA18510232813196REGIONAL PARENTPA501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
MERCY HEALTHCARE FOUNDATION
746 JEFFERSON AVENUESCRANTONPA18510232972928FOUNDATIONPA501(C)(3)11 - Type III - FIMERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY HOSPITAL SCRANTON PA
746 JEFFERSON AVENUESCRANTONPA18510240795456HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY COMMUNITY CARE CORPORATION
746 JEFFERSON AVENUESCRANTONPA18510232310566MEDICAL CAREPA501(C)(3)9MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY MED-CARE INC
746 JEFFERSON AVENUESCRANTONPA18510232261991HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY HOSPITAL NANTICOKE
128 W WASHINGTON STNANTICOKEPA18634232604818HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY HOSPITAL OF WILKES-BARRE
746 JEFFERSON AVENUESCRANTONPA18510240795625HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY HEALTH CARE CENTER
746 JEFFERSON AVENUESCRANTONPA18510232322809HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY TYLER HEALTH SYSTEMS
880 SR 6WTUNKHANNOCKPA18657232772476SUPPORTING ORGPA501(C)(3)11 - Type IIMERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY TYLER HOSPITAL
880 SR 6WTUNKHANNOCKPA18657240779665HOSPITALPA501(C)(3)3MERCY TYLER HEALTH SYSTEMSfalse
MERCY TYLER HOME HEALTH SERVICES
880 SR 6WTUNKHANNOCKPA18657232723529IN-HOME MEDICAL CAREPA501(C)(3)9MERCY TYLER HEALTH SYSTEMSfalse
SIENA SPRINGS
615 ELSINORE PLACECINCINNATIOH45202311052772HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
SIENA SPRINGS II
615 ELSINORE PLACECINCINNATIOH45202311591780HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
CHARLES MEADOW CORPORATION
615 ELSINORE PLACECINCINNATIOH45202341552671HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
CHARLES CREST CORPORATION
615 ELSINORE PLACECINCINNATIOH45202341399869HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
CHARLES CREST II CORPORATION
615 ELSINORE PLACECINCINNATIOH45202341714407HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
ST THERESA VILLAGE INC
615 ELSINORE PLACECINCINNATIOH45202311411529HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
SACRED HEART VILLAGE INC
615 ELSINORE PLACECINCINNATIOH45202311411531HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
SACRED HEART VILLAGE II INC
615 ELSINORE PLACECINCINNATIOH45202611339396HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
SACRED HEART VILLAGE III INC
615 ELSINORE PLACECINCINNATIOH45202611367719HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
MCAULEY MANOR INC
615 ELSINORE PLACECINCINNATIOH45202311548500HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
DUBLIN MANOR INC
615 ELSINORE PLACECINCINNATIOH45202020655254HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
MERCY MANOR INC
615 ELSINORE PLACECINCINNATIOH45202611344092HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
ST MARY'S VILLA INC
615 ELSINORE PLACECINCINNATIOH45202311548512HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
RIVERVIEW ST MARY'S INC
615 ELSINORE PLACECINCINNATIOH45202621782683HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
ST MARY'S VILLA AT RIVERVIEW II INC
615 ELSINORE PLACECINCINNATIOH45202311723287HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (16 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
NWO INTEGRATED LABORATORIES MERCY LLC
2200 JEFFERSON AVENUETOLEDOOH43624341898285LABORATORY SERVICESOHNAN/A
TIFFIN AMBULATORY SURGICAL ASSOCIATES
45 ST LAWRENCE DRIVETIFFINOH44833371567866AMBULATORY SURGERY CENTEROHNAN/A
MERCY HOSPITAL OF DEFIANCE LLC
1404 E SECOND STDEFIANCEOH43512020701635HOSPITALOHNAN/A
WEST CENTRAL OHIO REGIONAL HEALTHCARE ALLIANCE
FORT AMANDA ROADLIMAOH45804341817078REG HOSPITALSOHST RITA'S MEDICAL CENTERRELATED53753516847false$0false0.62
WEST CENTRAL OHIO SURGERY & ENDO CENTER
770 W HIGH ST SUITE 100LIMAOH45801341868154AMBULATORY SURGERY CENTEROHST RITA'S MEDICAL CENTERRELATED575868798266false$0false0.6034
NEW VISION MEDICAL LAB LLC
750 W HIGH STREETLIMAOH45801341913433LAB SERVICESOHST RITA'S MEDICAL CENTERRELATED83271654679false$3,424false0.8
WEST CENTRAL OHIO GROUP LTD
801 MEDICAL DRIVELIMAOH45804341848147ORTHOPEDIC HOSPITALOHST RITA'S MEDICAL CENTERRELATED97427723027040false$0false0.51
KIDNEY SERVICES OF WEST CENTRAL OHIO
750 W HIGH STREET SUITE 100LIMAOH45801061644264DIALYSIS CENTEROHST RITA'S MEDICAL CENTERRELATED6353803266019false$0false0.51
ST ELIZABETH CARDIAC CATH LAB LLC
1044 BELMONT AVEYOUNGSTOWNOH44501300023795CARDIAC CATH LABOHNAN/A
ST ELIZABETH SOUTHWOODS IMAGING
250 DEBARTOLO PLACE BLDG BYOUNGSTOWNOH44512261626482DIAGNOSTIC IMAGINGOHNAN/A
UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC
1044 BELMONT AVEYOUNGSTOWNOH44501262989686RADIATION THERAPYOHNAN/A
HMHPUSP SURGERY CENTERS LLC
15305 DALLAS PKWY STE 1600ADDISONTX75001271953122SURGERY CENTERTXNAN/A
OSC-HMHP LLC
6505 MARKET ST BLDG B STE 101BOARDMANOH44512010724836ORTHOPEDIC SURGERY CENTEROHNAN/A
LOURDES AMBULATORY SURGERY CENTER
225 MEDICAL CENTER DRIVEPADUCAHKY42003611258960SURGERY CENTERKYNAN/A
EAST TENNESSEE DIAGNOSTIC CENTER LLC
1450 DOWELL SPRINGS BLVD SUITE 250KNOXVILLETN37909204773300DIAGNOSTIC SERVICESTNNAN/A
ST MARY''S AMBULATORY SURGERY CENTER LLC
1515 ST MARYS STKNOXVILLETN37917621757542SURGERY CENTERTNNAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (23 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityLegal Domicile StateLegalDomicileStateShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
CHP INSURANCE LTD
615 ELSINORE PLACECINCINNATIOH45202980621978INSURANCECJNAC CORPORATION
SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST
615 ELSINORE PLACECINCINNATIOH45202310990309WORKERS COMPENSATION TRUSTNATRUSTMA
MHSWO HEALTH VENTURES INC
1 S LIMESTONE STSPRINGFIELDOH45502311072139PHYSICIAN PRACTICESNAC CORPORATIONOH
NORTHPARKE MEDICAL COMMONS CONDO ASSN
333 N LIMESTONE STSPRINGFIELDOH45503311391230REAL PROPERTY MGMNTNAC CORPORATIONOH
MERCY HEALTH AFFILIATES INC
2200 JEFFERSON AVENUETOLEDOOH43604341372633PHYSICIAN SERVICESNAC CORPORATIONOH
PHYSICIAN'S HEALTH COLLABORATIVE
2200 JEFFERSON AVENUETOLEDOOH43604203986844MEDICAL & HOSPITAL SERVICESNAC CORPORATIONOH
NORTHSIDE CORPORATION
2200 JEFFERSON AVENUETOLEDOOH43604341318438RESIDENT RENTALSNAC CORPORATIONOH
MERCY WORK SOLUTIONS
2200 JEFFERSON AVENUETOLEDOOH43604300066340WORKERS COMPENSATIONNAC CORPORATIONOH
MERCY HEALTH SYSTEM PHO
2200 JEFFERSON AVENUETOLEDOOH43604341778321MEDICAL SERVICESNAC CORPORATIONOH
PHYSICIAN MANAGED CARE INC
2200 JEFFERSON AVENUETOLEDOOH43604341565320HEALTH SERVICESNAC CORPORATIONOH
MCAULEY MANAGEMENT SERVICES INC
730 W MARKET STREETLIMAOH45801341379037PROPERTY RENTALST RITA'S MEDICAL CENTERC CORPORATIONOH38459310678141
LIMA MEDICAL SUPPLIES INC
730 W MARKET STREETLIMAOH45801340944477MEDICAL EQUIPMENTMCAULEY MANAGEMENT SERVICESC CORPORATIONOH001
COMMUNITY HEALTH PARTNERS ENTERPRISES INC
3700 KOLBE ROADLORAINOH44053341455525HOLDING COMPANYNAC CORPORATIONOH
COMMUNITY HEALTH PARTNERS PHYSICIANS INC
3700 KOLBE ROADLORAINOH44053341803352PHYSICIAN PRACTICESNAC CORPORATIONOH
AMC PHYSICIANS INC
200 W LORAIN STREETOBERLINOH44074371439554PHYSICIAN SERVICESNAC CORPORATIONOH
MERCY HEALTH VENTURES INC
4600 MCAULEY PLACECINCINNATIOH45242311185477DIVERSIFIED ACTIVITIESNAC CORPORATIONOH
MERCY FRANCISCAN AT WINTON WOODS I INC
10290 MILL ROADCINCINNATIOH45231311658668LOW-INCOME HOUSINGNAC CORPORATIONOH
MERCY HEALTH MANAGEMENT INC
1530 LONE OAK ROADPADUCAHKY42003611086762MEDICAL OFFICESNAC CORPORATIONKY
HEALTH DYNAMICS INC
900 E OAK HILL AVENUEKNOXVILLETN37917621247729MEDICAL EQUIPMENT SALESNAC CORPORATIONTN
HEALTH VENTURES INC & SUBSIDIARIES
P O BOX 1788KNOXVILLETN37901621175587MEDICAL SERVICESNAC CORPORATIONTN
ANNE KILCAWLEY CHRISTMAN FOUNDATION
100 FEDERAL PLAZEA EASTYOUNGSTOWNOH44503356735706BENEFICIAL TRUSTNATRUSTOH
RALPH EWE TRUST
270 PARK AVENUENEW YORKNY10017346866422BENEFICIAL TRUSTNATRUSTNY
ELIZABETH HINES CATES TRUST
1900 E 9TH STREETCLEVELANDOH44114346515678BENEFICIAL TRUSTNATRUSTOH
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
NEW VISION MEDICAL LAB INC
O10620692GAAP
NEW VISION MEDICAL LAB LLC
P1592843GAAP
NEW VISION MEDICAL LAB INC
P9658808GAAP
WEST CENTRAL OHIO GROUP LTD
C9690000GAAP
WEST CENTRAL OHIO SURGERY & ENODOSCOPY CENTER
C275000GAAP
KIDNERY SERVICES OF WEST CENTRAL OHIO
C439095GAAP
SRHC FOUNDATION
B268000GAAP