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ST RITA'S MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST RITA'S MEDICAL CENTER (EIN 34-1105619)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201133149349302288
Schema version
2010v3.2
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)
Timestamp2011-11-10T16:00:36-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-10-31DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5136218300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1JAMES P REBERBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1730 W MARKET STREETAddressLine1
CityLIMACity
StateOHState
ZIP Code45801ZIPCode
FieldValueIRS element (for citing)
Gross Receipts395227845GrossReceipts
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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees3420TotalNbrEmployees
Total Nbr Volunteers1001TotalNbrVolunteers
Total Gross UBI273367TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year281223ContributionsGrantsPriorYear
Contributions Grants Current Year171332ContributionsGrantsCurrentYear
Program Service Revenue Prior Year352259141ProgramServiceRevenuePriorYear
Program Service Revenue CY373428284ProgramServiceRevenueCY
Investment Income Prior Year4180165InvestmentIncomePriorYear
Investment Income Current Year9771844InvestmentIncomeCurrentYear
Other Revenue Prior Year5384691OtherRevenuePriorYear
Other Revenue Current Year7677921OtherRevenueCurrentYear
Total Revenue Prior Year362105220TotalRevenuePriorYear
Total Revenue Current Year391049381TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year964597GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY833666GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year162469731SalariesEtcPriorYear
Salaries Etc Current Year175486534SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year174261170OtherExpensePriorYear
Other Expenses Current Year185563498OtherExpensesCurrentYear
Total Expenses Prior Year337695498TotalExpensesPriorYear
Total Expenses Current Year361883698TotalExpensesCurrentYear
Revenues Less Expenses Prior Year24409722RevenuesLessExpensesPriorYear
Revenues Less Expenses CY29165683RevenuesLessExpensesCY
Total Assets BOY560008559TotalAssetsBOY
Total Assets EOY581204849TotalAssetsEOY
Total Liabilities BOY223316409TotalLiabilitiesBOY
Total Liabilities EOY216458712TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY336692150NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY364746137NetAssetsOrFundBalancesEOY
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 ChangefalseSignificantChange
Expense16177314Expense
Grants833666Grants
Revenue4333025Revenue
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 2010 WAS $42,554,447 SERVING APPROXIMATELY 115,000 INDIVIDUALS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4471710Expense
Revenue3344916Revenue
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 2010, ST. RITA'S SERVED 1,161 ADULT INDIGENT PATIENTS. MENTAL HEALTH PROBLEMS OR DEPENDENCY ON DRUGS, ALCOHOL, OR BOTH ARE TREATABLE CONDITIONS. BETWEEN 2006 AND 2010, 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)
Expense629585Expense
Revenue472552Revenue
DescriptionST. RITA'S MED-CARE HEALTH CLINIC FIRST OPENED ITS DOORS IN 1993. THE CLINIC WAS DEVELOPED TO PROVIDE A FAMILY PRACTICE CLINIC FOR LOW INCOME FAMILIES & TO REDUCE IMPROPER UTILIZATION LEVELS IN THE EMERGENCY DEPARTMENT. EACH YEAR THE CLINIC HELPS FAMILIES WITH LIMITED INCOMES, NO HEALTH INSURANCE & NO FAMILY PHYSICIAN. OVER 11,000 VISITS TO MED-CARE TAKE PLACE EACH YEAR FOR REGULAR CHECKUPS, SCREENINGS, COUNSELING & HEALTH INFORMATION. BEFORE THE CLINIC, THESE RESIDENTS OFTEN WENT WITHOUT ANY MEDICAL CARE AT ALL.Description

Activity Other ActivityOther

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DescriptionOTHER PROGRAM EXPENSESDescription
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Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense292104142TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
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Report Prog Rel InvestfalseReportProgRelInvest
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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
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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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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Partial LiquidationfalsePartialLiquidation
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Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
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Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3420NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
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Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
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Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
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Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
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Business Name Line1TIM RIEGERBusinessNameLine1
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Telephone Number4192269775TelephoneNumber

Address US AddressUS

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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 (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeOfficerOfficerIndividual Trustee Or DirectorIndividualTrusteeOrDirector
TODD HIXENBAUGH MD
GENERAL SURGEON40X722074021023
SURIANARAYAN AMBALAVANAN MD
OTOLARYNGOLOGIST40X1115109019422
DAVID MURPHY
EXECUTIVE DIRECTOR40185666017502X
JAMES P REBER
SVP, PRESIDENT & CEO, WCOH407644310169864X
WALTER KINSEY
VP ADVOCACY & PATIENT RELATIONS40192709034942X
MIKE BISSEGGER
VP & GENERAL COUNSEL40228712035566X
MARK SKAJA
VP MISSION SERVICES40196293041004X
WILBERT CASON
VP HUMAN RESOURCES40251805047075X
JOHN MEYER
VP CHIEF QUALITY OFFICER40243446051877X
CHRISTINE PROVAZNIK
VICE PRESIDENT40234733035332X
KAY WELLMAN
SVP - CHIEF NURSE EXECUTIVE40259627043985X
MICHAEL HUMPHREY MD
CHIEF CLINICAL OFFICER40283048020157X
HERBERT A SCHUMM MD
VP MEDICAL AFFAIRS40436095062810X
DIANA PICKARD
SECRETARY4079465020328X
BRIAN SMITH
COO40383898059809X
JOHN RENNER
CFO, TREASURER40303469051782X
WILLIAN SCHERGER MD
BOARD MEMBER1000X
JOAN NIESE
BOARD MEMBER1000X
AIMEE HAWLEY MD
BOARD MEMBER1171100X
STEVEN WALTER
CHAIR1135900XX
SR DOROTHY THUM RSM
BOARD MEMBER1000X
JOHN SNYDER
BOARD MEMBER1000X
TRACEY RIEPENHOFF
BOARD MEMBER1000X
GEORGE RICKS
BOARD MEMBER1138500X
SR MARIE MOORE RSM
BOARD MEMBER1000X
JAYE MCCAIN
BOARD MEMBER1000X
JANE KRITES
BOARD MEMBER1000X
BARRY CLARK
BOARD MEMBER1000X
ANNE GIDEON MD
VICE CHAIR1105200XX
DR ZOHEIR ABDELBAKI
CARDIOLOGIST40X954707019869
DR JULIUS KATO
CARDIOLOGIST40X797792021172
DR RAED JITAN
CARDIOLOGIST40X485412017315
RONDA LEHMAN
VICE PRESIDENT40170531018976X
ROBERT BAXTER
CEO, ST RITA'S MEDICAL CENTER4012104505828X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8415574TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation815638TotalOtherCompensation
Number Individuals GT100 K116NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations38193RelatedOrganizations
Government Grants100300GovernmentGrants
All Other Contributions32839AllOtherContributions
Total Contributions171332TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE621990362674204362674204
RENTAL INCOME FROM AFFILIATES53112015457511545751
VENDOR/PURCHASE DISCOUNTS9000992210522105
INCOME FROM JV'S AND PARTNERSHIPS621990918622491833922832

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

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Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue373428284TotalProgramServiceRevenue

Investment Income InvestmentIncome

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Exclusion$2,691,704ExclusionAmount

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column7080140TotalRevenueColumn
Exclusion$7,080,140ExclusionAmount

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

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Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA7222101919558$1,919,558
MEDICAL RECORDS900099103375$103,375
CATERING722320107431$107,431

Miscellaneous Revenue MiscellaneousRevenue

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Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue270535UnrelatedBusinessRevenue
Exclusion$5,277,022ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue7677921TotalOtherRevenue

Total Revenue TotalRevenue

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Total Revenue Column391049381TotalRevenueColumn
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Unrelated Business Revenue273367UnrelatedBusinessRevenue
Exclusion$17,179,230ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

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Program Services825937ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

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Total7729Total
Program Services7729ProgramServices

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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Total5057317Total
Program Services4045854ProgramServices
Management And General1011463ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

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Total0Total

Other Salaries And Wages OtherSalariesAndWages

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Total131837722Total
Program Services105470177ProgramServices
Management And General26367545ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

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Total29211727Total
Program Services23369382ProgramServices
Management And General5842345ManagementAndGeneral

Payroll Taxes PayrollTaxes

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Total9379768Total
Program Services7503814ProgramServices
Management And General1875954ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

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Total0Total

Fees For Services Legal FeesForServicesLegal

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Total181051Total
Management And General181051ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

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Total441917Total
Management And General441917ManagementAndGeneral

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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Management And General13286888ManagementAndGeneral

Advertising Advertising

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Total587646Total
Program Services470117ProgramServices
Management And General117529ManagementAndGeneral

Office Expenses OfficeExpenses

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Total54596001Total
Program Services43676801ProgramServices
Management And General10919200ManagementAndGeneral

Information Technology InformationTechnology

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Total57551Total
Program Services46041ProgramServices
Management And General11510ManagementAndGeneral

Royalties Royalties

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Total0Total

Occupancy Occupancy

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Total9644949Total
Program Services7715959ProgramServices
Management And General1928990ManagementAndGeneral

Travel Travel

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Total596006Total
Program Services476805ProgramServices
Management And General119201ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

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Total0Total

Conferences Meetings ConferencesMeetings

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Total0Total

Interest Interest

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Total7851911Total
Program Services6281529ProgramServices
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Payments To Affiliates PaymentsToAffiliates

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Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total22037902Total
Program Services17630322ProgramServices
Management And General4407580ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2442328Total
Program Services1953862ProgramServices
Management And General488466ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MISCELLANEOUS40301543224123806031
MEMBERSHIP DUES20175191614015403504
BAD DEBT EXPENSE1464412414644124

All Other Expenses AllOtherExpenses

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Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

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Program Services292104142ProgramServices
Management And General69779556ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

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Total0Total

Cash Non Interest Bearing CashNonInterestBearing

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BOY24275027BOY
EOY28249650EOY

Accounts Receivable AccountsReceivable

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BOY49953918BOY
EOY52542842EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

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BOY4248571BOY
EOY3878865EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

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BOY6042831BOY
EOY6368512EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

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BOY2296837BOY
EOY1801414EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis488339160LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec221107775LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

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EOY267231385EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

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EOY200883834EOY

Investments Other Securities InvestmentsOtherSecurities

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EOY0EOY

Investments Program Related InvestmentsProgramRelated

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EOY0EOY

Intangible Assets IntangibleAssets

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BOY8186981BOY
EOY8311362EOY

Other Assets Total OtherAssetsTotal

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BOY12104897BOY
EOY11936985EOY

Total Assets TotalAssets

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BOY560008559BOY
EOY581204849EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

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BOY39380399BOY
EOY34844494EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY11055008BOY
EOY10724728EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY172881002BOY
EOY170889490EOY

Total Liabilities TotalLiabilities

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BOY223316409BOY
EOY216458712EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

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BOY336692150BOY
EOY364746137EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY336692150BOY
EOY364746137EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY560008559BOY
EOY581204849EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses29165683ReconcilationRevenueExpenses
Reconcilation Other Changes-1111696ReconcilationOtherChanges
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)
Total Exmpt Function Expenditures0TotalExmptFunctionExpenditures
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Mailings Members$0MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$11,235GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$15,370OtherActivitiesAmount
Total Lobbying Expenditures IIB26605TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Non Ded Lobby Political Total0NonDedLobbyPoliticalTotal

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of other lobbying activitiesIdentifier
Return ReferenceSchedule C, Part II-B, Line 1iReturnReference
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 Basis19111811OtherCostOrOtherBasis
Book Value19111811BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis315861122OtherCostOrOtherBasis
Depreciation106234442Depreciation
Book Value209626680BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis291173OtherCostOrOtherBasis
Depreciation242445Depreciation
Book Value48728BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis148354840OtherCostOrOtherBasis
Depreciation112358006Depreciation
Book Value35996834BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4720214OtherCostOrOtherBasis
Depreciation2272882Depreciation
Book Value2447332BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings267231385TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
NOTES PAYABLE TO AFFILIATES$131,588,345
PROPERTY & SALES TAXES PAYABLE$138,048
SELF & MEDICAL SELF INSURANCE PAYABLE$2,947,966
CURRENT FAS 106 OBLIGATION$109,539
DEBT GUARANTEES$6,876,704
LONG-TERM SERP LIABILITY$1,920,972
OTHER LONG-TERM LIABILITIES$47,608
PENSION & POSTRETIREMENT HEALTH BENEFITS$27,260,308
FieldValueIRS element (for citing)
Total Of Amounts170889490TotalOfAmounts
Total Revenue391049381TotalRevenue
Total Expenses361883698TotalExpenses
Excess Or Deficit For Year29165683ExcessOrDeficitForYear
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS29165683ExcessOrDeficitPerFS
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, 2010 AND 2009, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2010 OR 2009.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 BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served10767PersonsServed
Total Community Benefit Expense16177314TotalCommunityBenefitExpense
Direct Offsetting Revenue4333025DirectOffsettingRevenue
Net Community Benefit Expense11844289NetCommunityBenefitExpense
Percent Of Total Expense0.03330PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served17896PersonsServed
Total Community Benefit Expense49319328TotalCommunityBenefitExpense
Direct Offsetting Revenue33124651DirectOffsettingRevenue
Net Community Benefit Expense16194677NetCommunityBenefitExpense
Percent Of Total Expense0.04550PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served28663PersonsServed
Total Community Benefit Expense65496642TotalCommunityBenefitExpense
Direct Offsetting Revenue37457676DirectOffsettingRevenue
Net Community Benefit Expense28038966NetCommunityBenefitExpense
Percent Of Total Expense0.07880PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs23NumberOfActivitiesOrPrograms
Persons Served62887PersonsServed
Total Community Benefit Expense3228285TotalCommunityBenefitExpense
Direct Offsetting Revenue824DirectOffsettingRevenue
Net Community Benefit Expense3227461NetCommunityBenefitExpense
Percent Of Total Expense0.00910PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served77PersonsServed
Total Community Benefit Expense177000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense177000NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served22768PersonsServed
Total Community Benefit Expense23713424TotalCommunityBenefitExpense
Direct Offsetting Revenue14505515DirectOffsettingRevenue
Net Community Benefit Expense9207909NetCommunityBenefitExpense
Percent Of Total Expense0.02590PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served34PersonsServed
Total Community Benefit Expense193421TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense193421NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served481PersonsServed
Total Community Benefit Expense1294282TotalCommunityBenefitExpense
Direct Offsetting Revenue6793DirectOffsettingRevenue
Net Community Benefit Expense1287489NetCommunityBenefitExpense
Percent Of Total Expense0.00360PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs56NumberOfActivitiesOrPrograms
Persons Served86247PersonsServed
Total Community Benefit Expense28606412TotalCommunityBenefitExpense
Direct Offsetting Revenue14513132DirectOffsettingRevenue
Net Community Benefit Expense14093280NetCommunityBenefitExpense
Percent Of Total Expense0.03960PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs56NumberOfActivitiesOrPrograms
Persons Served114910PersonsServed
Total Community Benefit Expense94103054TotalCommunityBenefitExpense
Direct Offsetting Revenue51970808DirectOffsettingRevenue
Net Community Benefit Expense42132246NetCommunityBenefitExpense
Percent Of Total Expense0.11840PercentOfTotalExpense

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 Expense120249TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense120249NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

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)
Net Community Building Expense0NetCommunityBuildingExpense
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 Served47PersonsServed
Total Community Building Expense301952TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense301952NetCommunityBuildingExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

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 Programs4NumberOfActivitiesOrPrograms
Persons Served47PersonsServed
Total Community Building Expense422201TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense422201NetCommunityBuildingExpense
Percent Of Total Expense0.00110PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$5,187,380BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare75667733AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare93001148CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-17333415MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
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 CENTER0.5100.49
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 HospitalLicensedHospitalEr24 HoursEr24Hours
ST RITA'S MEDICAL CENTER
1730 W MARKET STREETLIMAOH45801XX
INSTITUTE OF ORTHOPEDIC SURGERY
2801 MEDICAL DRIVELIMAOH45804X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber
ST RITA'S MEDICAL CENTER
1
INSTITUTE OF ORTHOPEDIC SURGERY
2

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 (11 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.
Subsidized Health ServicesSchedule H, Part I, Line 7gST. RITA'S MEDICAL CENTER INCLUDED AS SUBSIDIZED HEALTH SERVICES COSTS ASSOCIATED WITH BOTH OUR MEDCARE CLINIC AS WELL AS OUR PEDIATRIC SPECIALITY CLINIC. THE AMOUNT OF COMMUNITY BENEFIT EXPENSE REPORTED FOR THE MEDCARE & PEDIATRIC SPECIALTY CLINICS AS SUBSIDIZED HEALTH SERVICES IS $1,471,098.
Bad Debt Expense excluded from financial assistance calculationSchedule H, Part I, Line 7, column(f)14,644,124
Bad debt expense - financial statement footnoteSchedule H, Part III, Line 4THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BAD DEBT IS CLASSIFIED AS AN OPERATING EXPENSE. THIS TREATMENT IS CONSISTENT WITH THE AICPA AUDIT AND ACCOUNTING GUIDE FOR HEALTH CARE ORGANIZATIONS. AN AGGREGATE COST TO CHARGE RATIO WAS USED TO PROVIDE BAD DEBT AT COST FOR PART III, LINE 2. REMAINING BALANCES FOR PATIENTS THAT WE KNOW ARE ELIGIBLE FOR CHARITY CARE POLICIES ARE WRITTEN OFF TO CHARITY CARE. PATIENTS WHO MIGHT BE ELIGIBLE FOR CHARITY CARE BUT ARE UNKNOWN TO US ARE WRITTEN OFF TO BAD DEBT AND THEREFORE NOT INCLUDED IN CHARITY CARE. THE ESTIMATED AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY REPORTED ON PART III, LINE 3 WAS DETERMINED AS FOLLOWS: REVIEWED DOLLAR AMOUNTS FOR TOTAL REFERRED FOR ASSISTANCE, APPROVED FOR ASSISTANCE AND APPLICATIONS DENIED BECAUSE OF INCOMPLETE INFORMATION; DEVELOPED THE PERCENTAGE OF APPROVED APPLICATIONS TO COMPLETED APPLICATIONS AND THEN APPLIED PERCENTAGE TO THOSE APPLICATIONS THAT WERE INCOMPLETE. THIS PROVIDED AN ESTIMATED AMOUNT OF THOSE APPLICATIONS THAT WERE INCOMPLETE THAT WOULD HAVE QUALIFIED FOR ASSISTANCE IF THE APPLICATION HAS BEEN COMPLETED. THE DOLLAR AMOUNT OF CHARITY CARE ACTUALLY WRITTEN-OFF REPRESENTS THOSE THAT WERE APPROVED. TO CALCULATE THE FULL ESTIMATED AMOUNT OF CHARITY CARE, A CALCULATION WAS DONE TO DETERMINE WHAT 100% OF CHARITY WOULD BE FOR THE TOTAL OF THE APPROVED APPLICATIONS AND THE ESTIMATED AMOUNT FOR THOSE APPLICATIONS THAT WERE INCOMPLETE BUT WOULD HAVE BEEN APPROVED IF COMPLETED. THE DIFFERENCE BETWEEN THIS ESTIMATED TOTAL AMOUNT AND THE ACTUAL WRITE-OFF AMOUNT FOR CHARITY CARE WAS THEN APPLIED TO THE RATIO COST-OF-CHARGES USED FOR CHARITY CARE AT COST.
Community benefit & methodology for determining medicare costsSchedule H, Part III, Line 8MEDICARE SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. THE AMOUNTS ON PART III, LINE 6 WERE GENERATED BY THE MEDICARE COST REPORT WHICH UTILIZES A DEPARTMENT COST TO CHARGE METHODOLOGY.
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.
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 2010, 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 ALONG WITH SOME OF OUR OFF-CAMPUS FACILITIES THAT WOULD INCLUDE THE URGENT CARE LOCATIONS AND THE MED-CARE CLINIC AMONG OTHERS. 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 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 ALL OF 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 SERVES 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 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 2010, ST. RITA'S MEDICAL CENTER HAD 19,785 ADMISSIONS, 412,713 OUTPATIENT VISITS, AND 66,825 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 $17,343,415 IN UNREIMBURSED MEDICARE COSTS DURING 2010. 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 1001 ADULT, COLLEGE, TEEN, AND JOB SHADOWING VOLUNTEERS IN 2010. 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 2010 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $42.6 MILLION BENEFITS TO THE BROADER COMMUNITY: $10.6 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $16.2 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $11.8 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $4.0 MILLION COMMUNITY BENEFIT AS A PERCENT OF TOTAL EXPENSE: 10.6% 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); THE MID-ATLANTIC COMMUNITY, MERION STATION, PA; 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, KENTUCKY, PENNSYLVANIA, AND TENNESSEE. CHP IS FOCUSED ON IMPROVING THE HEALTH OF COMMUNITIES WE SERVE BY PROVIDING INTEGRATED HEALTH SERVICES THROUGH FACILITIES THAT INCLUDE ACUTE CARE HOSPITALS, LONG-TERM CARE RESIDENCES, HOUSING SITES FOR THE ELDERLY, HOME HEALTH AGENCIES, HOSPICE PROGRAMS, OUTREACH SERVICES AND WELLNESS CENTERS. OUR HOSPITALS INCLUDE FOUR 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 2010 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $365.1 MILLION BENEFITS TO THE BROADER COMMUNITY: $77.1 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $131.7 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $123.2 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $33.1 MILLION COMMUNITY BENEFIT AS A PERCENT OF TOTAL EXPENSE: 8.5%

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (20 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)26639HEALTH MINISTRIES PROGRAM
ALLEN COUNTY HEALTH PARTNERS
441 E 8TH STREETLIMAOH458042482562330309501(C)(3)274640DENTAL CLINIC
ALLEN COUNTY VISIONARIES
PO BOX 176LIMAOH458020176341833790501(C)(3)6000DONATION
ALLEN COUNTY COUNCIL ON AGING
215 NORTH CENTRAL AVELIMAOH45801341204966501(C)(3)7469DONATION
AMERICAN CANCER SOCIETY
740 COMMERCE DRIVEPERRYSBURGOH43551251798733501(C)(3)12500DONATION
AMERICAN RED CROSS
610 SOUTH COLLETTLIMAOH45805344428650501(C)(3)10000DONATION
BRADFIELD COMMUNITY CENTER
550 SOUTH COLLETTLIMAOH45802344436839501(C)(3)21200DONATION
CHAMBER FOUNDATION
144 SOUTH MAIN STREETLIMAOH45801341536300501(C)(3)6200DONATION
EQUESTRIAN THERAPY PROGRAM
22532 BOWSHER ROADCRIDERSVILLEOH45806341376159501(C)(3)15100DONATION
FAMILY PROMISE OF LIMA ALLEN COUNTY
1295 PIERCE STREETLIMAOH45801208987019501(C)(3)10000DONATION
FOOD FOR THE POOR
6401 LYONS ROADCOCONUT CREEKFL33073592174510501(C)(3)36000DONATION
MARCH OF DIMES
3450 W CENTRAL AVENUETOLEDOOH43606131846366501(C)(3)10000DONATIONSUITE 352
MINSTER AREA LIFE SQUAD
PO BOX 133NEW BREMENOH45869341162129501(C)(3)7708MEDICAL EQUIPMENT DONATION
MOBILITY FOUNDATION
11110 RESERVOIR ROADADAOH45810510545760501(C)(3)20000OBESITY PROJECT
NEW HOPE CHRISTIAN CENTER
2240 BATY ROADLIMAOH45807341108661501(C)(3)7500DONATION
RHODES STATE FOUNDATION
4240 CAMPUS DRIVELIMAOH45804341266573501(C)(3)100000DONATION
SAMARITAN HOUSE
328 W MCKIBBEN STREETLIMAOH45801341595265501(C)(3)5500DONATION
ST LOUIS UNIVERSITY
221 NORTH GRAND BOULEVARDST LOUISMO63103430654872501(C)(3)5665DONATIONDUBOURG HALL ROOM 121
WALGREEN'S COMPANY
PO BOX 90480CHICAGOIL606960480361924025238316INDIGENT MEDICAL PROGRAM
EDUCATIONAL FOUNDATION OF OHCA
1100 SHAWNEE ROADLIMAOH45805311267991501(C)(3)5500DONATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants19TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
PROVISION OF SPIRITUALITY SERVICES/SUPPLIES585885
ADVERTISING - SPONSORSHIP22006844

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)
Travel For CompanionsXTravelForCompanions
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 (19 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
TODD HIXENBAUGH MD
68815803288601030000210230743097000
SURIANARAYAN AMBALAVANAN MD
9331730178987029490231201711001134531000
DAVID MURPHY
1545910306050470013770161250203168000
JAMES P REBER
4574000175926013110501413420285220934295000
WALTER KINSEY
158978028580051510189470159950227651000
MIKE BISSEGGER
195887028519043060198970156690264278000
MARK SKAJA
138591029480028222098550311490237297000
WILBERT CASON
1746110382260389680286780183970298880000
JOHN MEYER
202997034020064290202120316650295323000
CHRISTINE PROVAZNIK
1875600344490127240171250182070270065000
KAY WELLMAN
203561035416020650035714082710303612000
MICHAEL HUMPHREY MD
25571502625001083033610167960303205000
HERBERT A SCHUMM MD
3244110625050491790368820259280498905000
BRIAN SMITH
2875210558440405330318880279210443707000
JOHN RENNER
2950580500079110327000190820355251000
DR ZOHEIR ABDELBAKI
9403240137890594024500174190974576000
DR JULIUS KATO
7921010444901242024500187220818964000
DR RAED JITAN
483908029601208000173150502727000
RONDA LEHMAN
1580880120860357013980175780189507000

Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Travel for companionsSchedule J, Part I, Line 1aTRAVEL FOR COMPANIONS WAS PROVIDED FOR THE FOLLOWING LISTED INDIVIDUALS: ANNE GIDEON, M.D., GEORGE RICKS, AIMEE HAWLEY, M.D., AND STEVEN WALTER. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE 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: BRIAN SMITH $22,759; HERB SCHUMM, M.D. $30,478; WILBERT CASON $19,735; MARK SJAKA $9,917; JOHN RENNER $0; KAY WELLMAN $0; CHRISTINE PROVAZNIK $0; JOHN MEYER $0; MIKE BISSEGGER $0; WALTER KINSEY $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.
CEO 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.
THE CHP SERP PLANSCHEDULE J, PART 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 $98,174.
SRMC EXECUTIVE RETENTION PLANSCHEDULE J, PART 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.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
PERRY CORPORATION
BARRY CLARK (BOARD MEMBER) IS AN OFFICER469977INDEPENDENT CONTRACTORfalse
STACEY WALTER
SPOUSE OF STEVE WALTER (BOARD MEMBER)19233EMPLOYMENTfalse
LIMA PATHOLOGY
ANNE GIDEON (BOARD MEMBER) HAS AN OWNERSHIP INTEREST114007INDEPENDENT CONTRACTORfalse
SMS PROTECH
BARRY CLARK (BOARD MEMBER) IS AN OFFICER365512INDEPENDENT CONTRACTORfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of other program servicesForm 990, Part III, Line 4dOTHER PROGRAM EXPENSES
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.
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.
Public DisclosureForm 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 HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS BY LISTED PERSONSFORM 990 PART VII SECTION A COLUMN (B)JAMES REBER 3 BRIAN SMITH 1 JOHN MEYER 1 STEVE WALTER 1 SR DOROTHY THUM, RSM 4
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 6012639; RECORD UPDATED PENSION VALUES - -7126694; OTHER - LACP - 2359;

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 SVCOH34964243435140ST RITA'S MEDICAL CENTER
ST RITA'S PROFESSIONAL SERVICES LLC
730 W MARKET STREETLIMAOH45801262788491PHYSICIAN PRACTICESOH151953963945653ST RITA'S MEDICAL CENTER

Form990 Schedule R Part II Form990ScheduleRPartII (103 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CATHOLIC HEALTH PARTNERS
615 ELSINORE PLACECINCINNATIOH45202311161086HEALTHCARE SYSTEM PARENTOH501(C)(3)11 - Type III - FINA
CATHOLIC HEALTHCARE PARTNERS FOUNDATION
615 ELSINORE PLACECINCINNATIOH45202201072726FUNDRAISINGOH501(C)(3)7CATHOLIC HEALTH PARTNERS
CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT
615 ELSINORE PLACECINCINNATIOH45202208943658HUD PARENTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST
615 ELSINORE PLACECINCINNATIOH45202316046304RETIREMENT TRUSTOH501(C)(3)8CATHOLIC HEALTH PARTNERS
SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST
615 ELSINORE PLACECINCINNATIOH45202310990309TRUST ADMINISTRATIONOH501(C)(3)11 - Type ICATHOLIC HEALTH PARTNERS
COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
3700 KOLBE ROADLORAINOH44053270071694REGIONAL PARENTOH501(C)(3)11 - Type IICATHOLIC HEALTH PARTNERS
COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
3700 KOLBE ROADLORAINOH44053340714704HOSPITALOH501(C)(3)3COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
ALLEN MEDICAL CENTER
200 WEST LORAIN STOBERLINOH44074340864230HOSPITALOH501(C)(3)3COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION
3700 KOLBE ROADLORAINOH44053341504558FOUNDATIONOH501(C)(3)11 - Type III - FICOMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROADLORAINOH44053341268828MEDICAL OFFICE RENTALOH501(C)(3)9COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
ALLEN MEDICAL CENTER FOUNDATION
200 WEST LORAIN STOBERLINOH44074341675592FOUNDATIONOH501(C)(3)11 - Type IALLEN MEDICAL CENTER
ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN STOBERLINOH44074364504991MEDICAL OFFICE RENTALOH501(C)(3)11 - Type IIALLEN MEDICAL CENTER
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
4600 MCAULEY PLACECINCINNATIOH45242311063783REGIONAL PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERS
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION
4600 MCAULEY PLACECINCINNATIOH45242311217563FOUNDATIONOH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY HOSPITALS WEST
2446 KIPLING AVENUECINCINNATIOH45239311091597HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY HOSPITAL ANDERSON
7500 STATE ROADCINCINNATIOH45255310537085HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
THE SISTERS OF MERCY OF HAMILTON OHIO
3000 MACK ROADFAIRFIELDOH45014310538532HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO
3000 HOSPITAL DRIVEBATAVIAOH45103310830955HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
CLERMONT MERCY FOUNDATION
3000 HOSPITAL DRIVEBATAVIAOH45103311514749FOUNDATIONOH501(C)(3)11 - Type III - FITHE SISTERS OF MERCY OF CLERMONT COUNTY OHIO
MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC
7010 ROWAN HILLS DRCINCINNATIOH45227311308729RETIREMENT HOMEOH501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY SACRED HEART INC
2120 PAYNE STREETLOUISVILLEKY40206611318326RETIREMENT HOMEKY501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY LONG TERM CARE INITIATIVE
4915 CHARLESTOWN RDNEW ALBANYIN47150311332491RETIREMENT HOMEIN501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
PROVIDENCE RETIREMENT HOME AUXILIARY
4915 CHARLESTOWN RDNEW ALBANYIN47150204664839SUPPORTING ORGIN501(C)(3)11 - Type IIMERCY LONG TERM CARE INITIATIVE
MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREETCINCINNATIOH45210311222942LOW INCOME HOUSINGOH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
MERCY FRANCISCAN AT ST RAPHAEL INC
610 HIGH STREETHAMILTONOH45011202934871SERVICES TO THE POOROH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
COMMUNITY MERCY HEALTH SYSTEM
ONE S LIMESTONE STSPRINGFIELDOH45502300272454REGIONAL PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERS
COMMUNITY MERCY HEALTH PARTNERS
ONE S LIMESTONE STSPRINGFIELDOH45502310785684HOSPITALOH501(C)(3)3COMMUNITY MERCY HEALTH SYSTEM
THE COMMUNITY MERCY FOUNDATION
1343 N FOUNTAIN BLVDSPRINGFIELDOH45504311443778FOUNDATIONOH501(C)(3)7COMMUNITY MERCY HEALTH SYSTEM
COMMUNITY HOSPITAL HEALTH SERVICES COMPANY
ONE S LIMESTONE STSPRINGFIELDOH45502311181984HOSPITALOH501(C)(3)3COMMUNITY MERCY HEALTH SYSTEM
CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE
1150 E HOME ROADSPRINGFIELDOH45503260698515MEDICAL INFORMATION EXCHANGEOH501(C)(3)9COMMUNITY MERCY HEALTH SYSTEM
THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST
ONE S LIMESTONE STSPRINGFIELDOH45502346827136INDIGENT MEDICAL CAREOH501(C)(3)11 - Type INA
MERCY HEALTH SYSTEM - NORTHERN REGION
2200 JEFFERSON AVENUETOLEDOOH43604341344482REGIONAL PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERS
ST CHARLES MERCY HOSPITAL OF OREGON OHIO
2600 NAVARRE AVENUEOREGONOH43616344445373HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
ST CHARLES MERCY HEALTH FOUNDATION
2600 NAVARRE AVENUEOREGONOH43616341414900FOUNDATIONOH501(C)(3)11 - Type III - FIST CHARLES MERCY HOSPITAL OF OREGON OHIO
RIVERSIDE MERCY HOSPITAL
3404 W SYLVANIA AVETOLEDOOH43623311556401HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY HOME CARE INC
2200 JEFFERSON AVENUETOLEDOOH43604341587572HOME HEALTHCAREOH501(C)(3)9MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY COLLEGE OF NORTHWEST OHIO
2221 MADISON AVENUETOLEDOOH43604341726619MEDICAL COLLEGEOH501(C)(3)2MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY COLLEGE OF NORTHWEST OHIO FOUNDATION INC
2221 MADISON AVENUETOLEDOOH43604141963204FOUNDATIONOH501(C)(3)11 - Type IMERCY COLLEGE OF NORTHWEST OHIO
MERCY HOSPITAL OF TIFFIN OHIO
45 ST LAWRENCE DRIVETIFFINOH44883344431174HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY TIFFIN HEALTH FOUNDATION
45 ST LAWRENCE DRIVETIFFINOH44883341499894FOUNDATIONOH501(C)(3)11 - Type III - FIMERCY HOSPITAL OF TIFFIN OHIO
THE SISTERS OF MERCY OF WILLARD OHIO
110 EAST HOWARD STWILLARDOH44890341577110HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
MERCY HOSPITAL OF WILLARD FOUNDATION
110 EAST HOWARD STWILLARDOH44890113742347FOUNDATIONOH501(C)(3)11 - Type III - FITHE SISTERS OF MERCY OF WILLARD OHIO
ST VINCENT MERCY MEDICAL CENTER
2213 CHERRY STREETTOLEDOOH43608344428250HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
ST VINCENT MERCY MEDICAL CENTER FOUNDATION
2213 CHERRY STREETTOLEDOOH43608237393213FOUNDATIONOH501(C)(3)11 - Type III - FIST VINCENT MERCY MEDICAL CENTER
LIFESTAR AMBULANCE INC
2200 JEFFERSON AVENUETOLEDOOH43604341354653MEDICAL TRANSPORTATIONOH501(C)(3)11 - Type IIMERCY HEALTH SYSTEM - NORTHERN REGION
RSM MEDICAL FOUNDATION
2200 JEFFERSON AVENUETOLEDOOH43624341693671HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGION
ST MARGUERITE D'YOUVILLE FOUNDATION II
2213 CHERRY STREETTOLEDOOH43608134350655FOUNDATIONOH501(C)(3)11 - Type IICATHOLIC HEALTH PARTNERS
SIMON OUTREACH SERVICES
2600 NAVARRE AVENUEOREGONOH43616341383325MEDICAL OFFICE RENTALOH501(C)(3)11 - Type IIST CHARLES MERCY HOSPITAL OF OREGON OHIO
FARLEY HEALTHCARE CORPORATION
2200 JEFFERSON AVENUETOLEDOOH43604341363204HEALTH SERVICESOH501(C)(3)9MERCY HEALTH SYSTEM - NORTHERN REGION
SRHC FOUNDATION
730 W MARKET STREETLIMAOH45801341368429FOUNDATIONOH501(C)(3)11 - Type III - FIST RITA'S MEDICAL CENTER
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400LIMAOH45801341937267MEDICAL LAB SERVICESOH501(C)(3)11 - Type III - FIST RITA'S MEDICAL CENTER
HUMILITY OF MARY HEALTH PARTNERS
1044 BELMONT AVENUEYOUNGSTOWNOH44501340505560HOSPITALOH501(C)(3)3CATHOLIC HEALTH PARTNERS
THE ASSUMPTION VILLAGE
9800 N MARKET STREETNORTH LIMAOH44452341013695NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERS
HOSPICE OF THE VALLEY
5190 MARKET STREETYOUNGSTOWNOH44512341288745HOSPICE SERVICESOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERS
HUMILITY OF MARY DEVELOPMENT FOUNDATION
1044 BELMONT AVENUEYOUNGSTOWNOH44501341826978FOUNDATIONOH501(C)(3)11 - Type III - FIHUMILITY OF MARY HEALTH PARTNERS
HUMILITY OF MARY INFORMATION SYSTEMS
250 FEDERAL PLAZA EASTYOUNGSTOWNOH44501341452943INFORMATION SERVICESOH501(C)(3)11 - Type IIHUMILITY OF MARY HEALTH PARTNERS
HUMILITY HOUSE
755 OHLTOWN ROADAUSTINTOWNOH44515341894783NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERS
LAUREL LAKE RETIREMENT COMMUNITY INC
200 LAUREL LAKE DRIVEHUDSONOH44236341481142NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERS
LAUREL LAKE RETIREMENT COMMUNITY FOUNDATION INC
200 LAUREL LAKE DRIVEHUDSONOH44236341779303FOUNDATIONOH501(C)(3)7LAUREL LAKE RETIREMENT COMMUNITY INC
ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SEWARRENOH44484346556121FUNDRAISINGOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERS
MERCY HEALTH PARTNERS - LOURDES INC
1530 LONE OAK ROADPADUCAHKY42003610600313HOSPITALKY501(C)(3)3CATHOLIC HEALTH PARTNERS
LOURDES FOUNDATION INC
1530 LONE OAK ROADPADUCAHKY42003611258960FOUNDATIONKY501(C)(3)7MERCY HEALTH PARTNERS - LOURDES INC
LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROADPADUCAHKY42003610927805FUNDRAISINGKY501(C)(3)11 - Type III - FILOURDES FOUNDATION INC
MARCUM AND WALLACE MEMORIAL HOSPITAL INC
60 MERCY COURTIRVINEKY40336610927491HOSPITALKY501(C)(3)3MERCY HEALTH PARTNERS - LOURDES INC
MARCUM AND WALLACE HOSPITAL FOUNDATION INC
60 MERCY COURTIRVINEKY40336320026557FOUNDATIONKY501(C)(3)11 - Type III - FIMARCUM AND WALLACE MEMORIAL HOSPITAL INC
MERCY HEALTH PARTNERS INC
900 EAST OAK HILL AVEKNOXVILLETN37917731627534REGIONAL PARENTTN501(C)(3)11 - Type ICATHOLIC HEALTH PARTNERS
MERCY HEALTH SYSTEM INC
900 EAST OAK HILL AVEKNOXVILLETN37917620480068HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY INC
923 EAST CENTRAL AVELAFOLLETTETN37766621817376HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
MERCY HEALTH PARTNERS FOUNDATION INC
900 EAST OAK HILL AVEKNOXVILLETN37917621247676FOUNDATIONTN501(C)(3)7MERCY HEALTH PARTNERS INC
JEFFERSON MEMORIAL HOSPITAL INC
110 HOSPITAL DRIVEJEFFERSON CITYTN37760621660663HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
JEFFERSON MEMORIAL FOUNDATION INC
110 HOSPITAL DRIVEJEFFERSON CITYTN37760621660666FOUNDATIONTN501(C)(3)11 - Type III - FIJEFFERSON MEMORIAL HOSPITAL INC
ST MARY'S MEDICAL CENTER OF SCOTT COUNTY INC
18797 ALBERTA STREETONEIDATN37841261535503HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
THE BAPTIST HEALTH SYSTEM FOUNDATION INC
101 BLOUNT AVE BOX 1788KNOXVILLETN37920581565290FOUNDATIONTN501(C)(3)7MERCY HEALTH PARTNERS INC
BAPTIST HOSPITAL OF EAST TENNESSEE INC
137 BLOUNT AVEKNOXVILLETN37920620506166HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
BAPTIST HOSPITAL WEST INC
10820 PARKSIDE DRIVEKNOXVILLETN37934621870324HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
BAPTIST HOSPITAL OF COCKE COUNTY INC
435 SECOND STREETNEWPORTTN37821621133149HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INC
MERCY HEALTH AND REHABILITATION CENTER INC
3916 BOYDS BRIDGE PIKEKNOXVILLETN37917621592992REHAB CENTERTN501(C)(3)9MERCY HEALTH PARTNERS INC
MERCY HEALTH PARTNERS - NORTHEAST REGION INC
746 JEFFERSON AVENUESCRANTONPA18510232813196REGIONAL PARENTPA501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERS
MERCY HEALTHCARE FOUNDATION
746 JEFFERSON AVENUESCRANTONPA18510232972928FOUNDATIONPA501(C)(3)11 - Type III - FIMERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HOSPITAL SCRANTON PA
746 JEFFERSON AVENUESCRANTONPA18510240795456HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY COMMUNITY CARE CORPORATION
746 JEFFERSON AVENUESCRANTONPA18510232310566MEDICAL CAREPA501(C)(3)9MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY MED-CARE INC
746 JEFFERSON AVENUESCRANTONPA18510232261991HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HOSPITAL NANTICOKE
128 W WASHINGTON STNANTICOKEPA18634232604818HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HOSPITAL OF WILKES-BARRE
746 JEFFERSON AVENUESCRANTONPA18510240795625HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY HEALTH CARE CENTER
746 JEFFERSON AVENUESCRANTONPA18510232322809HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY TYLER HEALTH SYSTEMS
880 SR 6WTUNKHANNOCKPA18657232772476SUPPORTING ORGPA501(C)(3)11 - Type IIMERCY HEALTH PARTNERS - NORTHEAST REGION INC
MERCY TYLER HOSPITAL
880 SR 6WTUNKHANNOCKPA18657240779665HOSPITALPA501(C)(3)3MERCY TYLER HEALTH SYSTEMS
MERCY TYLER HOME HEALTH SERVICES
880 SR 6WTUNKHANNOCKPA18657232723529IN-HOME MEDICAL CAREPA501(C)(3)9MERCY TYLER HEALTH SYSTEMS
SIENA SPRINGS
615 ELSINORE PLACECINCINNATIOH45202311052772HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
SIENA SPRINGS II
615 ELSINORE PLACECINCINNATIOH45202311591780HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
CHARLES MEADOW CORPORATION
615 ELSINORE PLACECINCINNATIOH45202341552671HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
CHARLES CREST CORPORATION
615 ELSINORE PLACECINCINNATIOH45202341399869HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
CHARLES CREST II CORPORATION
615 ELSINORE PLACECINCINNATIOH45202341714407HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
ST THERESA VILLAGE INC
615 ELSINORE PLACECINCINNATIOH45202311411529HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
SACRED HEART VILLAGE INC
615 ELSINORE PLACECINCINNATIOH45202311411531HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
SACRED HEART VILLAGE II INC
615 ELSINORE PLACECINCINNATIOH45202611339396HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
SACRED HEART VILLAGE III INC
615 ELSINORE PLACECINCINNATIOH45202611367719HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
MCAULEY MANOR INC
615 ELSINORE PLACECINCINNATIOH45202311548500HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
DUBLIN MANOR INC
615 ELSINORE PLACECINCINNATIOH45202020655254HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
MERCY MANOR INC
615 ELSINORE PLACECINCINNATIOH45202611344092HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
ST MARY'S VILLA INC
615 ELSINORE PLACECINCINNATIOH45202311548512HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
RIVERVIEW ST MARY'S INC
615 ELSINORE PLACECINCINNATIOH45202621782683HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS
ST MARY'S VILLA AT RIVERVIEW II INC
615 ELSINORE PLACECINCINNATIOH45202311723287HUD HOUSING PROJECTOH501(C)(3)9CATHOLIC HEALTH PARTNERS

Form990 Schedule R Part III Form990ScheduleRPartIII (19 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 CENTERRELATED-112054344844false$0false0.62
WEST CENTRAL OHIO SURGERY & ENDO CENTER
770 W HIGH ST SUITE 100LIMAOH45801341868154AMBULATORY SURGERY CENTEROHST RITA'S MEDICAL CENTERRELATED593706739536false$0false0.5657
NEW VISION MEDICAL LAB LLC
750 W HIGH STREETLIMAOH45801341913433LAB SERVICESOHST RITA'S MEDICAL CENTERRELATED71098895866false$2,832false0.8
WEST CENTRAL OHIO GROUP LTD
801 MEDICAL DRIVELIMAOH45804341848147ORTHOPEDIC HOSPITALOHST RITA'S MEDICAL CENTERRELATED89388253086339false$0false0.51
KIDNEY SERVICES OF WEST CENTRAL OHIO
750 W HIGH STREET SUITE 100LIMAOH45801061644264DIALYSIS CENTEROHST RITA'S MEDICAL CENTERRELATED3304753050097false$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
MERCY HEALTHPLEX ANDERSON LLC
7495 STATE ROADCINCINNATIOH45255311589865FITNESS FACILITYOHNAN/A
MERCY HEALTHPLEX FAIRFIELD LLC
3050 MACK ROADFAIRFIELDOH45014311589867FITNESS FACILITYOHNAN/A
LOURDES AMBULATORY SURGERY CENTER
225 MEDICAL CENTER DRIVEPADUCAHKY42003611258960SURGERY CENTERKYNAN/A
TOMOGRAPHY ASSOCIATES LLC
2000 CHAPMAN HWYKNOXVILLETN37920742034927EQUIPMENT LEASINGTNNAN/A
EAST TENNESSEE DIAGNOSTIC CENTER LLC
1450 DOWELL SPRINGS BLVD SUITE 250KNOXVILLETN37909204773300DIAGNOSTIC SERVICESTNNAN/A
LACKAWANNA SURGERY CENTER LLC
415 ADAMS AVENUESCRANTONPA18503205360014AMBULATORY SURGERY CENTERPANAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (25 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
HEALTHSPAN INC
225 PICTORIA DRIVE STE 320CINCINNATIOH45246311431434PPONAC CORPORATIONOH
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
GENESIS HEALTH PLAN OF OHIO INC
2200 JEFFERSON AVENUETOLEDOOH43604341819975HMONAC 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 CORPORATIONOH001
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
FRANCISCAN HOMES I INC
1300 MAIN STREETCINCINNATIOH45210311313185LOW-INCOME HOUSINGNAC CORPORATIONOH
FRANCISCAN HOMES II INC
1300 MAIN STREETCINCINNATIOH45210311336890LOW-INCOME HOUSINGNAC CORPORATIONOH
FRANCISCAN HOMES III INC
1300 MAIN STREETCINCINNATIOH45210311394510LOW-INCOME HOUSINGNAC CORPORATIONOH
FRANCISCAN HOMES IV INC
1300 MAIN STREETCINCINNATIOH45210311483370LOW-INCOME HOUSINGNAC 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
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
O10700113GAAP
NEW VISION MEDICAL LAB LLC
P1816613GAAP
NEW VISION MEDICAL LAB INC
P9738229GAAP
WEST CENTRAL OHIO GROUP LTD
C8670000GAAP
WEST CENTRAL OHIO SURGERY & ENDO CENTER
C479171GAAP
KIDNEY SERVICES OF WEST CENTRAL OHIO
C379038GAAP
KIDNEY SERVICES OF WEST CENTAL OHIO
L891019GAAP