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COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM (EIN 27-0071694)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201233199349302378
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)
Timestamp2012-11-14T12:00:38-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN270071694EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone4409604000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13700 Kolbe RoadAddressLine1
CityLorainCity
StateOHState
ZIP Code44053ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDONALD KLINEName
TitleDIVISIONAL CFOTitle
Date Signed2012-11-08DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1MERCYBusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1EDWIN M OLEYBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13700 KOLBE RDAddressLine1
CityLORAINCity
StateOHState
ZIP Code44053ZIPCode
FieldValueIRS element (for citing)
Gross Receipts29856491GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTHE PRIMARY EXEMPT PURPOSE OF COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM IS TO ASSIST, SUPPORT AND FURTHER THE ACTIVITIES OF ALLEN MEDICAL CENTER AND COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER.ActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees93TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year597936ContributionsGrantsPriorYear
Contributions Grants Current Year10525ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27105496ProgramServiceRevenuePriorYear
Program Service Revenue CY29845914ProgramServiceRevenueCY
Investment Income Prior Year963InvestmentIncomePriorYear
Investment Income Current Year52InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year27704395TotalRevenuePriorYear
Total Revenue Current Year29856491TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7307266SalariesEtcPriorYear
Salaries Etc Current Year7114787SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year20396164OtherExpensePriorYear
Other Expenses Current Year22741652OtherExpensesCurrentYear
Total Expenses Prior Year27703430TotalExpensesPriorYear
Total Expenses Current Year29856439TotalExpensesCurrentYear
Revenues Less Expenses Prior Year965RevenuesLessExpensesPriorYear
Revenues Less Expenses CY52RevenuesLessExpensesCY
Total Assets BOY13056773TotalAssetsBOY
Total Assets EOY22407044TotalAssetsEOY
Total Liabilities BOY14266060TotalLiabilitiesBOY
Total Liabilities EOY23616279TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1209287NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1209235NetAssetsOrFundBalancesEOY
Mission DescriptionCOMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM WAS FORMED AND ORGANIZED TO ENGAGE IN ACTIVITIES THAT FURTHER OR ARE IN ANY WAY RELATED TO OR ASSOCIATED WITH THE DELIVERY OF HEALTH AND HEALTH-RELATED SERVICES OF EVERY KIND, NATURE AND DESCRIPTION, DEEMED APPROPRIATE BY ALLEN COMMUNITY HOSPITAL AND/OR COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense23590316Expense
Revenue29845914Revenue
DescriptionCOMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM WAS FORMED AND ORGANIZED TO ENGAGE IN ACTIVITIES THAT FURTHER OR ARE IN ANY WAY RELATED TO OR ASSOCIATED WITH THE DELIVERY OF HEALTH AND HEALTH-RELATED SERVICES OF EVERY KIND, NATURE AND DESCRIPTION, DEEMED APPROPRIATE BY ALLEN COMMUNITY HOSPITAL AND/OR COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER.Description
Total Program Service Expense23590316TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees93NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
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 Line1JAMES HEIKKINENBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4409604000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13700 KOLBE ROADAddressLine1
CityLORAINCity
StateOHState
ZIP Code44053ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
CATHY E DIETLIN PHD
SECRETARY/TREASURER0.50XX000
DOUGLAS B WILBER
CHAIRMAN0.50XX000
EDWIN OLEY
BOARD MEMBER, PRESIDENT - COMMUNITY RMC12.00XX3743220393282
MARCIA MILLER
BOARD MEMBER, TREASURER0.50XX000
RANDALL FORTIN
VICE CHAIRMAN OF THE BOARD0.50XX000
SR CAROL ANNE SMITH
CHAIRMAN0.50XX000
ALEXANDER F ZOLLI MD
BOARD MEMBER0.50X0735000
ANGELA WU
BOARD MEMBER0.50X000
GAIL STUMPHAUZER
BOARD MEMBER0.50X000
GEORGIA NEWMAN MD
BOARD MEMBER0.50X000
JAMES E ZINSER PHD
BOARD MEMBER0.50X000
JEANNE COUGHLIN
BOARD MEMBER0.50X000
JOHN M STARCHER JR
BOARD MEMBER, CHP SVP & DIVISIONAL CEO0.50X0906582167409
MARIO M SERTICH MD
BOARD MEMBER0.50X000
MAUD W DE LA PORTE
BOARD MEMBER0.50X000
REV BRIAN D BURKE
BOARD MEMBER0.50X000
ROD BRAYE
BOARD MEMBER0.50X000
RONALD RYBARCZYK
BOARD MEMBER0.50X000
SANDRA L HODGE
BOARD MEMBER0.50X000
SR DOROTHY THUM RSM
BOARD MEMBER0.50X000
SR JANE PANK HM
BOARD MEMBER0.50X000
SR MARIE RUEGG HM
BOARD MEMBER0.50X000
STEPHANIE MERCADO
BOARD MEMBER0.50X000
STEVEN L MICKUS
BOARD MEMBER, CHP COO & PRES OF HEALTHCARE OPERATIONS0.50X01393505322574
DAVE RICHARDS
CHIEF FINANCIAL OFFICER25.00X135894026703
AMIE RICHASON
CHIEF HUMAN RESOURCES OFFICER15.00180293038104X
BERNARD SMITH
LEGAL COUNSEL25.00173979021667X
DR HAYSAM EL-DALATI
CHIEF MEDICAL OFFICER16.0011503744959041826X
ELIJAH WHITE
VP - OPERATIONS & SYSTEM EFFECTIVENESS15.00653449390039932X
JAMES STEPHENS
VP - QUALITY & POST-ACUTE CARE10.00189105092908X
WILLIAM E RUTH
VP PROFESSIONAL SERVICES10.002303960134172X
JAMES HEIKKINEN
CONTROLLER50.00122903043260X
KIM DANIELS
BUSINESS OPERATIONS DIRECTOR - PHYSICIANS, INC.50.00109382047730X
MICHAEL GOODELLE
EXEC DIR - BUSINESS DEVELOPMENT & STRATEGY50.00125302016986X
SARA BROKAW
CHIEF NURSING OFFICER15.00118589286558495X
SASCHA CHATMAN
DIRECTOR - OPERATIONAL PROCESS IMPROVEMENT50.00115104021205X
MARY C KOCH
FORMER OFFICER0.00029846526326X
SAMANTHA PLATZKE
FORMER OFFICER0.00059107390633X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2055650TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3835270TotalReportableCompFrmRltdOrgs
Total Other Compensation1533212TotalOtherCompensation
Number Individuals GT100 K15NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations10525RelatedOrganizations
Total Contributions10525TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT FEE INCOME6219902965017929650179
JV AND PARTNERSHIP INCOME621990185716185716
MISCELLANEOUS9000991001910019

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue29845914TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column52TotalRevenueColumn
Exclusion$52ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column29856491TotalRevenueColumn
Related Or Exempt Function Income29845914RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$52ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2185633Total
Program Services1748506ProgramServices
Management And General437127ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3519999Total
Program Services2816000ProgramServices
Management And General703999ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total568007Total
Program Services454406ProgramServices
Management And General113601ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total391589Total
Program Services313271ProgramServices
Management And General78318ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total449559Total
Program Services359647ProgramServices
Management And General89912ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3046119Total
Program Services2436895ProgramServices
Management And General609224ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total143541Total
Management And General143541ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total307243Total
Management And General307243ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3269481Total
Program Services2615585ProgramServices
Management And General653896ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1307120Total
Program Services1045696ProgramServices
Management And General261424ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total90146Total
Program Services72117ProgramServices
Management And General18029ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total9609459Total
Program Services7687567ProgramServices
Management And General1921892ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total637647Total
Program Services510118ProgramServices
Management And General127529ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total124269Total
Program Services99415ProgramServices
Management And General24854ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total719611Total
Program Services575689ProgramServices
Management And General143922ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total2169578Total
Program Services1735662ProgramServices
Management And General433916ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES543124434499108625
PROPERTY TAXES192166192166
MEMBERSHIP DUES136792136792
EDUCATION670355362813407

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total378321Total
Program Services302657ProgramServices
Management And General75664ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29856439Total
Program Services23590316ProgramServices
Management And General6266123ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY277063BOY
EOY-2213699EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY7263BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY158106BOY
EOY95015EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7240998LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec0LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7240998BOY
EOY7240998EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5373343BOY
EOY17284730EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13056773BOY
EOY22407044EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6794708BOY
EOY1598039EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7471352BOY
EOY22018240EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14266060BOY
EOY23616279EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1209287BOY
EOY-1209235EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1209287BOY
EOY-1209235EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13056773BOY
EOY22407044EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses52ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN340714704EIN
Type Of Organization3TypeOfOrganization
Listed In Governing DocfalseListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

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)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Mailings Members$0MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$9,010GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB9010TotalLobbyingExpendituresIIB
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 ECOURAGED 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 Basis7240998OtherCostOrOtherBasis
Book Value7240998BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Book Value0BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7240998TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN JOINT VENTURE1003890
RECEIVABLES FROM RELATED ENTITIES16280840
FieldValueIRS element (for citing)
Total Book Value Other Assets17284730TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION EXPENSE$219,000
CHP DEBT MANAGEMENT PAYABLE$21,799,240
FieldValueIRS element (for citing)
Total Of Amounts22018240TotalOfAmounts
Total Revenue29856491TotalRevenue
Total Expenses29856439TotalExpenses
Excess Or Deficit For Year52ExcessOrDeficitForYear
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS52ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt29846176TotRevenueEtcAuditedFinclStmt
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal29846176RevenueSubtotal
Investment Expenses Not Included52InvestmentExpensesNotIncluded
Other Revenues Not Included10263OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt10315RevenueNotRptdOnFinStmt
Total Revenue Per Form99029856491TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt29846176TotExpensesEtcAuditedFinclStmt
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal29846176ExpensesSubtotal
Other Expenses Not Included10263OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt10263ExpensesNotRptdOnFinStmt
Total Expenses Per Form99029856439TotalExpensesPerForm990

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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
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 PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 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
AMIE RICHASON
17128100090120201070179970218397000
BERNARD SMITH
1653920008587049710166960195646000
DAVE RICHARDS
1264350009459020417062860162597000
DR HAYSAM EL-DALATI
11462944726800408232202018802163811503749141600
EDWIN OLEY
3464550002786703786190146630767604000
ELIJAH WHITE
49712867480015632715230001412611427113797977111940500
JAMES HEIKKINEN
11956200033410265010167590166163000
JAMES STEPHENS
17825800010847090923019850282013000
JOHN M STARCHER JR
05549550211413014021401406930267160107399100
KIM DANIELS
1090610003210361670115630157112000
MARY C KOCH
02396020567400212301704509281032479100
SAMANTHA PLATZKE
0467717011351609840067616023017068170600
SARA BROKAW
11045528638008134173994302011683131237513198800
STEVEN L MICKUS
08350620338741021970202960670265070171607900
WILLIAM E RUTH
2202950001010101205340136380364568000

Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION OF ORGANIZATION'S PRESIDENTPART I, LINE 3THE COMPENSATION OF EDWIN M. OLEY, PRESIDENT, IS DETERMINED BY COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM (CHPRHS), A RELATED TAX-EXEMPT ORGANIZATION. CHPRHS UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MR. OLEY'S COMPENSATION.
Severance or change-of-control paymentSchedule J, Part I, Line 4aSEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO LISTED INDIVIDUALS FOR SPECIFIED PERIODS. THE LISTED INDIVIDUALS EXECUTED RELEASES AND WAIVERS OF CLAIMS IN EXCHANGE FOR THE SEVERANCE BENEFITS. SALARY CONTINUATION AMOUNTS PROVIDED DURING THE REPORTING YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: SASCHA CHATMAN $978; MICHAEL GOODELLE $1,261.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bTHE CHP REGIONAL HEALTH SYSTEM NONQUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN IS AN EXECUTIVE RETENTION PLAN FOR CERTAIN HIGHLY COMPENSATED INDIVIDUALS, AS DETERMINED BY THE BOARD OF TRUSTEES' EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE. THE PLAN PURPOSE IS TO PROVIDE A BENEFIT TO REPLACE THE BENEFIT THESE PARTICIPANTS WOULD HAVE RECEIVED UNDER THE APPLICABLE QUALIFIED PLAN PRIOR TO ITS AMENDMENT TO COMPLY WITH THE OMNIBUS BUDGET RECONCILIATION ACT OF 1993. IT PROVIDES A DEFERRED COMPENSATION BENEFIT OF 3% TO 5% OF ANNUAL BASE SALARY. PARTICIPANTS VEST AND RECEIVE PLAN BENEFITS ONCE TWO CONDITIONS ARE SATISFIED: (1) MEET THE VESTING REQUIREMENTS OF THE APPLICABLE QUALIFIED PLAN, AND (2) COMPLETE A 24-MONTH POST-EMPLOYMENT NON-COMPETE REQUIREMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED PARTICIPATING INDIVIDUALS IN THE REPORTING YEAR ARE AS FOLLOWS: EDWIN M. OLEY $0; AMIE RICHASON $0; WILLIAM E. RUTH $0; JAMES STEPHENS $0; DAVE RICHARDS $0; SARA BROKAW $0; ELIJAH WHITE $0; BERNARD SMITH $0.
THE CHP SERP PLANPART I, LINE 4BTHE CATHOLIC HEALTH PARTNERS (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: STEVEN MICKUS $184,461; JOHN STARCHER, JR. $118,835.
THE CHP RETENTION PLANPART I, LINE 4BTHE CATHOLIC HEALTH PARTNERS (CHP) 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: STEVEN MICKUS $0; JOHN STARCHER, JR. $0.
MERCY HEALTH PARTNERS - NORTHERN REGION SERPPART I, LINE 4BTHE MERCY HEALTH PARTNERS - NORTHERN REGION NONQUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN IS FOR CERTAIN HIGHLY COMPENSATED INDIVIDUALS AS DETERMINED BY THE BOARD OF TRUSTEES' EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE FOR THE PURPOSE OF PROVIDING A BENEFIT TO REPLACE THE BENEFIT THESE PARTICIPANTS WOULD HAVE RECEIVED UNDER THE FORMULA OF THE APPLICABLE QUALIFIED PLAN PRIOR TO ITS AMENDMENT TO COMPLY WITH THE OMNIBUS BUDGET RECONCILIATION ACT OF 1993, AND PROVIDING A DEFERRED COMPENSATION PLAN OF 5% OF ANNUAL BASE SALARY TO RETAIN EXECUTIVES. PARTICIPANTS VEST IN THIS PLAN AND RECEIVE A BENEFIT UNDER THIS PLAN ONCE THEY HAVE SATISFIED BOTH OF THESE TWO CONDITIONS: (1) MEET THE VESTING REQUIREMENTS OF THE APPLICABLE QUALIFIED PLAN, AND (2) COMPLETE A 24-MONTH POST-EMPLOYMENT NON-COMPETE REQUIREMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: SAMANTHA PLATZKE $0.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6CATHOLIC HEALTH PARTNERS IS THE SOLE MEMBER OF COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM.
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 MANAGEMENT. 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.
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 THE 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 top management officialForm 990, Part VI, Section B, Line 15aTHE ORGANIZATION'S FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACCOMPLISHING THE ORGANIZATION'S MISSION, TO RECOGNIZE PERFORMANCE, AND TO OPERATE IN KEEPING WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. THE COMPENSATION COMMITTEE OF THE REGIONAL BOARD OF TRUSTEES CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION AND PERFORMANCE OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES. IN DOING SO, THE COMMITTEE RETAINS A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT (SULLIVAN, COTTER, & ASSOCIATES, INC.) TO CONDUCT A COMPETITIVE MARKET ANALYSIS ANNUALLY OF THE MARKET RANGES OF BASE, INCENTIVE, AND TOTAL CASH COMPENSATION. THE COMMITTEE UTILIZES THAT ANALYSIS AND OTHER APPROPRIATE INFORMATION IN CONNECTION WITH ITS ANNUAL REVIEW AND ADJUSTMENT OF COMPENSATION RANGES. IT ALSO REVIEWS AND RECOMMENDS TO THE FULL BOARD THE THRESHOLD AND MAXIMUM INCENTIVE AWARDS FOR WHICH THE LISTED INDIVIDUALS MAY BE ELIGIBLE, BASED UPON THE ORGANIZATION'S PERFORMANCE RESULTS FOR COMMUNITY BENEFIT, QUALITY, AND FINANCIAL PERFORMANCE. THE DIVISIONAL CEO RECOMMENDS THE REGIONAL CEO'S COMPENSATION, AND THE REGIONAL CEO RECOMMENDS COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. THE COMMITTEE REVIEWS AND APPROVES OR ADJUSTS THE RECOMMENDED ADJUSTMENTS TO THE CEO, 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.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bPLEASE REFER TO THE LINE 15A RESPONSE DIRECTLY ABOVE WHICH DESCRIBES THE PROCESS USED FOR BOTH THE TOP MANAGEMENT OFFICIAL AND FOR OTHER KEY EMPLOYEES.
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 BCATHY E. DIETLIN, PHD - 4.5 DOUGLAS B. WILBER - 7.5 EDWIN OLEY - 38 MARCIA MILLER - 6 RANDALL FORTIN - 6 SR. CAROL ANNE SMITH - 7.5 ALEXANDER F. ZOLLI, MD - 4.5 ANGELA WU - 5.25 GAIL STUMPHAUZER - 4.5 GEORGIA NEWMAN, MD - 5.25 JAMES E. ZINSER, PHD - 6 JEANNE COUGHLIN - 5.25 JOHN M. STARCHER, JR. - 58.8 MARIO M. SERTICH, MD - 5.25 MAUD W. DE LA PORTE - 4.5 REV. BRIAN D. BURKE - 4.5 ROD BRAYE - 5.25 RONALD RYBARCZYK - 4.5 SANDRA L. HODGE - 4.5 SR JANE PANK, HM - 4.5 SR MARIE RUEGG, HM - 6.25 SR. DOROTHY THUM, RSM - 5.5 STEPHANIE MERCADO - 4.5 STEVEN L. MICKUS - 57.4 DAVE RICHARDS - 25 AMIE RICHASON - 35 BERNARD SMITH - 25 DR. HAYSAM EL-DALATI - 44 ELIJAH WHITE - 35 JAMES STEPHENS - 40 WILLIAM E. RUTH - 40 SARA BROKAW - 35 MARY C. KOCH - 50 SAMANTHA PLATZKE - 53.5

Schedule R IRS990ScheduleR

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 NORTHWEST OHIO
2221 MADISON AVENUETOLEDOOH43604341726619MEDICAL COLLEGEOH501(C)(3)2MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY COLLEGE OF NORTHWEST OHIO FOUNDATION INC
2221 MADISON AVENUETOLEDOOH43604141963204FOUNDATIONOH501(C)(3)11 - Type IMERCY COLLEGE OF NORTHWEST 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 CENTERfalse
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400LIMAOH45801341937267MEDICAL LAB SERVICESOH501(C)(3)11 - Type III - FIST RITA'S MEDICAL CENTERfalse
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 TypePredominantIncomeType
NWO INTEGRATED LABORATORIES MERCY LLC
2200 JEFFERSON AVENUETOLEDOOH43624341898285LABORATORY SERVICESOHNAEXCLUDED
TIFFIN AMBULATORY SURGICAL ASSOCIATES
45 ST LAWRENCE DRIVETIFFINOH44833371567866AMBULATORY SURGERY CENTEROHNAEXCLUDED
MERCY HOSPITAL OF DEFIANCE LLC
1404 E SECOND STDEFIANCEOH43512020701635HOSPITALOHNAEXCLUDED
WEST CENTRAL OHIO REGIONAL HEALTHCARE ALLIANCE
FORT AMANDA ROADLIMAOH45804341817078REG HOSPITALSOHNAEXCLUDED
WEST CENTRAL OHIO SURGERY & ENDO CENTER
770 W HIGH ST SUITE 100LIMAOH45801341868154AMBULATORY SURGERY CENTEROHNAEXCLUDED
NEW VISION MEDICAL LAB LLC
750 W HIGH STREETLIMAOH45801341913433LAB SERVICESOHNAEXCLUDED
WEST CENTRAL OHIO GROUP LTD
801 MEDICAL DRIVELIMAOH45804341848147ORTHOPEDIC HOSPITALOHNAEXCLUDED
KIDNEY SERVICES OF WEST CENTRAL OHIO
750 W HIGH STREET SUITE 100LIMAOH45801061644264DIALYSIS CENTEROHNAEXCLUDED
ST ELIZABETH CARDIAC CATH LAB LLC
1044 BELMONT AVEYOUNGSTOWNOH44501300023795CARDIAC CATH LABOHNAEXCLUDED
ST ELIZABETH SOUTHWOODS IMAGING
250 DEBARTOLO PLACE BLDG BYOUNGSTOWNOH44512261626482DIAGNOSTIC IMAGINGOHNAEXCLUDED
UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC
1044 BELMONT AVEYOUNGSTOWNOH44501262989686RADIATION THERAPYOHNAEXCLUDED
HMHPUSP SURGERY CENTERS LLC
15305 DALLAS PKWY STE 1600ADDISONTX75001271953122SURGERY CENTERTXNAEXCLUDED
OSC-HMHP LLC
6505 MARKET ST BLDG B STE 101BOARDMANOH44512010724836ORTHOPEDIC SURGERY CENTEROHNAEXCLUDED
LOURDES AMBULATORY SURGERY CENTER
225 MEDICAL CENTER DRIVEPADUCAHKY42003611258960SURGERY CENTERKYNAEXCLUDED
EAST TENNESSEE DIAGNOSTIC CENTER LLC
1450 DOWELL SPRINGS BLVD SUITE 250KNOXVILLETN37909204773300DIAGNOSTIC SERVICESTNNAEXCLUDED
ST MARY''S AMBULATORY SURGERY CENTER LLC
1515 ST MARYS STKNOXVILLETN37917621757542SURGERY CENTERTNNAEXCLUDED

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 StateLegalDomicileState
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 RENTALNAC CORPORATIONOH
LIMA MEDICAL SUPPLIES INC
730 W MARKET STREETLIMAOH45801340944477MEDICAL EQUIPMENTNAC CORPORATIONOH
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 RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
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 OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CHP REGIONAL MEDICAL CENTER
J637501GAAP
CHP REGIONAL MEDICAL CENTER
R27053343GAAP
ALLEN MEDICAL CENTER
R1766667GAAP
COMMUNITY HEALTH PARTNERS PHYSICIANS INC
N86366GAAP
COMMUNITY HEALTH PARTNERS PHYSICIANS INC
R396000GAAP