2011-11-14T15:00:12-06:00 2010-12-31 BKD LLP 312 WALNUT STREET SUITE 3000 CINCINNATI OH 45202 990 2010-01-01 311161086 CATHOLIC HEALTH PARTNERS CATH 5136392800 615 Elsinore Place Cincinnati OH 45202 JAMES GRAVELL 2011-11-07 true 5136218300 2010 2016-03-07 17:11:31Z JAMES GRAVELL 615 Elsinore Place Cincinnati OH 45202 194577283 false 0928 X WWW.HEALTH-PARTNERS.ORG X 1985 OH CATHOLIC HEALTH PARTNERS (CHP) EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. CHP DEMONSTRATES BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. 18 16 415 16 2048465 0 246145 1500250 181813544 197466645 74207708 -4389612 16683857 0 272951254 194577283 7742 3034 0 38526331 49921752 0 0 132371374 148584968 170905447 198509754 102045807 -3932471 3113519045 4125025256 3166450312 4192579895 -52931267 -67554639 CHP WILL PROVIDE ASSISTANCE, SUPPORT AND DIRECTION TO ALL OF THE HEALTH CARE INSTITUTIONS AND ACTIVITIES OPERATED AND MAINTAINED BY ITS SUBSIDIARIES. THE MISSION OF CHP IN PERFORMING THESE ACTIVITIES SHALL BE TO PROVIDE A MEANS BY WHICH THE SPONSORS MANIFEST THE HEALING MINISTRY OF JESUS. THROUGH GOVERNANCE, MANAGEMENT, DEVELOPMENT OF LEADERSHIP AND USE OF RESOURCES, CHP INTENDS TO GIVE SUBSTANCE AND DIRECTION TO A DYNAMIC CATHOLIC HEALTH MINISTRY. false 156992761 3034 197466645 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. 156992761 true true false true false false false false false true true true false true true false true false true true false false false false false false false false true true false false true false false false false false false true false false false false true true true true false false true 3104 0 true 415 true true true true CJ GK IC NL UK false false false false false false false false false X 18 16 false false false false true true true true true false false true true true true true true true true true true NC X X JAMES GRAVELL 5136392800 615 ELSINORE PLACE CINCINNATI OH 45202 X KENNETH C PAGE 50 X 100096 263066 44165 DONALD KOENIG 0 X 0 355184 44733 SISTER MARILYN TROWBRIDGE SFP 2 X 0 0 0 ANDREA PRICE 2 X 0 513285 68962 JEFFREY A ASHIN 2 X 0 403762 18477 EDWIN M OLEY 2 X 0 470096 234801 MARK WIENER 2 X 0 442002 51509 STEVEN GRINNELL 2 X 0 395728 36787 DAVID NOWISKI 50 X 453165 0 46844 K BRENT SOMERS 2 X 1306 0 0 MYLES SHEEHAN SJ MD 2 X 0 0 0 DEBORAH YOUNGBLOOD 50 X 356259 0 49845 ROGER LOGAN 50 X 357946 0 41479 JON ABELES 50 X 517640 0 83003 THOMAS URBAN 0 X 0 506495 106603 DEBORAH BLOOMFIELD 0 X 0 440904 72297 JEROME JUDD 50 X 347145 0 87375 REBECCA SYKES 50 X 713771 0 154787 JOHN STARCHER JR 50 X 934158 0 149846 ROBERT SHRODER 2 X 764290 0 86772 JAMES REBER 2 X 764431 0 169864 STEVEN MICKUS 50 X 1473700 0 289519 JAMES MAY 2 X 937068 0 177170 DEBRA LONDON 0 X 0 555634 40369 A DAVID JIMENEZ 2 X 1104107 1685 144414 JAMES GRAVELL 50 X 855934 0 149080 JANE CROWLEY 50 X 1044097 0 250416 JEFFREY COPELAND 50 X 646417 0 136666 MICHAEL BEZNEY 50 X 989916 0 141709 GLORIA YSASI-DIAZ 2 X 1075 0 0 SISTER PATRICIA VETRANO RSM 2 X 0 0 0 KATHERINE VESTAL PHD 2 X 0 0 0 JANET REID PHD 2 X 0 0 0 JAMES PATTON CPA 4 X X 224 0 0 SISTER JEAN ORSUTO HM 2 X 0 0 0 JOEL LEVINE JD 2 X 0 0 0 DAVID LEACH MD 2 X 0 0 0 SISTER JUNE KETTERER SGM 2 X 0 0 0 SISTER GERALDINE HOYLER CSC CPA 2 X 0 0 0 SISTER KATHLEEN ANN GREEN RSM 2 X 0 0 0 SISTER JEANNE GLISKY SFP 2 X 0 0 0 CATHLEEN P ELDRIDGE 3 X X 0 0 0 MICHAEL CONNELLY 50 X X 2044970 0 273336 GEORGE BO-LINN MD 2 X 0 0 0 EVAN BENJAMIN MD 2 X 0 0 0 KEVIN COOK 2 X 0 339984 24010 14407715 4687825 3174838 116 true true false CARDINAL HEALTH 7000 CARDINAL PLACE DUBLIN OH 43017 MEDICAL PRODUCTS/SERVICES 219844013 DANIS BUILDING CONSTRUCTION CO 3233 NEWMARK DRIVE MIAMISBURG OH 45342 CONSTRUCTION 59431241 DELL 7489 COLLECTION CENTER DRIVE CHICAGO IL 60693 INFORMATION TECHNOLOGY 51927778 MEDTRONIC USA INC 12099 COLLECTION CENTER DRIVE CHICAGO IL 60693 MEDICAL TECHNOLOGY 42719567 CATHOLIC HEALTH INITIATIVES 3900 OLYMPIC BLVD ERLANGER KY 60693 CLINICAL ENGINEERING 26277682 1686 1500250 1500250 REGIONAL ASSESSMENTS 541610 41349183 41349183 AFFILIATE INTEREST 900099 84298981 84298981 INCOME FROM JV & PARTNERSHIPS 900003 9982293 9560877 421416 CHP INSURANCE LTD 900003 5688503 5688503 EXEMPT FUNCTION INCOME 621980 56147685 54520636 1627049 0 0 0 0 197466645 31748489 31748489 0 0 0 0 0 -36138101 -36138101 0 -36138101 -36138101 0 0 0 0 0 0 0 0 194577283 195418180 2048465 -4389612 3034 3034 0 0 0 14833563 11718515 3115048 0 25395291 20464568 4930723 4146857 3317486 829371 3604429 2883543 720886 1941612 1553290 388322 0 486224 486224 1760602 1760602 0 0 1324794 1059835 264959 41986164 33588931 8397233 1300 1040 260 1003740 802992 200748 0 0 7947865 6358292 1589573 1280296 1024237 256059 0 2944695 2355756 588939 75933334 60746667 15186667 0 13186421 10549137 2637284 82169 65735 16434 TAXES 22735 22735 MISCELLANEOUS 624629 499703 124926 0 0 0 0 198509754 156992761 41516993 0 0 70641509 106732402 296852888 123645079 4118074 5933639 119273257 47384894 33188718 71888363 1238871196 2197846397 1442339801 1593553468 27506859 25425908 3113519045 4125025256 58275944 134475727 1779440387 2168691869 1328733981 1889412299 3166450312 4192579895 X -52989688 -68435415 58421 880776 -52931267 -67554639 3113519045 4125025256 X -3932471 -10690901 X false true true X true true X X X false false false COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER 340714704 3 false true true 0 ST RITA'S MEDICAL CENTER 341105619 3 false true true 0 HUMILITY OF MARY HEALTH PARTNERS 340505560 3 false true true 0 MERCY HEALTH PARTNERS - LOURDES INC 610600313 3 false true true 0 MERCY HEALTH PARTNERS - TENNESSEE 731627534 3 false true true 0 COMMUNITY MERCY HEALTH PARTNERS 310785684 3 false true true 0 MERCY HEALTH SYSTEM - NORTHERN REGION 341344482 3 false true true 0 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO 311063783 3 false true true 0 MERCY HEALTH PARTNERS - NORTHEAST PENNSYLVANIA 232813196 3 false true true 0 9 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 true true false true false true 10721 true false true 301630 312351 false 0 Description of other lobbying activities Schedule C, Part II-B, Line 1i LOBBYING 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 CHP'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT OUR SYSTEM. CHP FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND OUR HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES WE SERVE. TO CARRYOUT THESE EFFORTS, CHP 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 CHP FACILITIES WHERE THEY ARE TREATED. 0 540184 540184 1537109 1537109 35077397 35077397 82118567 47384894 34733673 71888363 0 0 FUNDS HELD BY TRUSTEE 134572632 F BOARD DESIGNATED FUNDS 1784295441 F FAS 157 PRIVATE EQUITY INVESTMENT ADJUSTMENT 7694781 F LONG TERM INVESTMENTS 271283543 F 2197846397 NOTES RECEIVABLE 1593553468 F 1593553468 0 OTHER CURRENT LIABILITIES 6880009 SWAP LIABILITIES 1882532290 1889412299 194577283 198509754 -3932471 0 0 -3932471 0 0 0 0 0 0 0 0 0 0 0 0 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE COMPANY 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. CENTRAL AMERICA AND THE CARIBBEAN 0 0 PASSIVE INVESTMENTS 431727462 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 PASSIVE INVESTMENTS 58650203 CENTRAL AMERICA AND THE CARIBBEAN 1 1 PROGRAM SERVICES SELF INSURANCE 886927 1 1 491264592 true false true true true false X X X true true X X X X X X true true false false false false false true false KENNETH C PAGE 91372 182741 0 62876 8724 17449 6533 13067 8188 16377 114817 292510 0 0 DONALD KOENIG 0 299489 0 54165 0 1530 0 30072 0 14661 0 399917 0 0 ANDREA PRICE 0 469225 0 33480 0 10580 0 48514 0 20448 0 582247 0 0 JEFFREY A ASHIN 0 356695 0 39000 0 8067 0 6403 0 12074 0 422239 0 0 EDWIN M OLEY 0 346655 0 106170 0 17271 0 220327 0 14474 0 704897 0 0 MARK WIENER 0 351931 0 84186 0 5885 0 26317 0 25192 0 493511 0 0 STEVEN GRINNELL 0 315619 0 43516 0 36593 0 28750 0 8037 0 432515 0 0 DAVID NOWISKI 352196 0 16683 0 84286 0 19600 0 27244 0 500009 0 0 0 DEBORAH YOUNGBLOOD 280296 0 67731 0 8232 0 19600 0 30245 0 406104 0 0 0 ROGER LOGAN 263578 0 62268 0 32100 0 17150 0 24329 0 399425 0 0 0 JON ABELES 346234 0 94938 0 76468 0 59762 0 23241 0 600643 0 0 0 THOMAS URBAN 0 387059 0 42120 0 77316 0 82476 0 24127 0 613098 0 0 DEBORAH BLOOMFIELD 0 351691 0 79800 0 9413 0 57387 0 14910 0 513201 0 0 JEROME JUDD 259032 0 64341 0 23772 0 64990 0 22385 0 434520 0 0 0 REBECCA SYKES 395101 0 124215 0 194455 0 132597 0 22190 0 868558 0 0 0 JOHN STARCHER JR 500356 0 184208 0 249594 0 123176 0 26670 0 1084004 0 0 0 ROBERT SHRODER 394135 0 160841 0 209314 0 62781 0 23991 0 851062 0 0 0 JAMES REBER 457400 0 175926 0 131105 0 141342 0 28522 0 934295 0 0 0 STEVEN MICKUS 846286 0 253802 0 373612 0 267760 0 21759 0 1763219 0 0 0 JAMES MAY 539480 0 210106 0 187482 0 146085 0 31085 0 1114238 0 0 0 DEBRA LONDON 0 0 0 0 0 555634 0 21574 0 18795 0 596003 0 0 A DAVID JIMENEZ 583042 1685 290991 0 230074 0 114163 0 30251 0 1248521 1685 0 0 JAMES GRAVELL 540986 0 172956 0 141992 0 121676 0 27404 0 1005014 0 0 0 JANE CROWLEY 653733 0 240869 0 149495 0 217950 0 32466 0 1294513 0 0 0 JEFFREY COPELAND 362330 0 111021 0 173066 0 109881 0 26785 0 783083 0 0 0 MICHAEL BEZNEY 389215 0 131984 0 468717 0 114700 0 27009 0 1131625 0 303710 0 MICHAEL CONNELLY 1053338 0 432748 0 558884 0 217892 0 55444 0 2318306 0 195042 0 KEVIN COOK 0 285875 0 50202 0 3907 0 6102 0 17908 0 363994 0 0 Travel for companions Schedule J, Part I, Line 1a TRAVEL FOR COMPANIONS WAS PROVIDED FOR THE FOLLOWING LISTED INDIVIDUALS: JAMES PATTON, K. BRENT SOMERS, AND GLORIA YSASI-DIAZ. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE COMPENSATION. Tax indemnification and gross-up payments Schedule J, Part I, Line 1a TAX INDEMNIFICATION AND GROSS-UP PAYMENTS WERE PROVIDED TO THE FOLLOWING LISTED INDIVIDUAL: DAVID NOWISKI. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE COMPENSATION. Health or social club dues or initiation fees Schedule J, Part I, Line 1a BECASUE THE ORGANIZATION'S MISSION INCLUDES PROMOTING GOOD HEALTH FOR ALL, INCLUDING ITS OWN EMPLOYEES, THE ORGANIZATION PAYS PART OF THE MONTHLY DUES FOR MERCY HEALTHPLEX FACILITIES (RELATED ORGANIZATIONS WHICH ARE HEALTH CLUBS). THE BENEFIT IS AVAILABLE TO ALL EMPLOYEES, NOT JUST EXECUTIVES. THE BENEFIT WAS PROVIDED TO THE FOLLOWING LISTED INDIVIDUALS: MICHAEL CONNELLY, JAMES MAY, REBECCA SYKES, AND THOMAS URBAN. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE COMPENSATION. Severance or change-of-control payment Schedule J, Part I, Line 4a SEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO LISTED INDIVIDUALS FOR SPECIFIED PERIODS. THE LISTED INDIVIDUALS EXECUTED RELEASES AND WAIVERS OF CLAIMS IN EXCHANGE FOR THE SEVERANCE BENEFITS. SALARY CONTINUATION AMOUNTS PROVIDED DURING THE REPORTING YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: DEBRA LONDON $557,482. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b THE CHP SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTIVELY. VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMINATION. PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDING. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE: MICHAEL CONNELLY $292,365; MICHAEL BEZNEY $136,780; JEFFREY COPELAND $134,880; JANE CROWLEY $135,879; JAMES GRAVELL $111,170; A. DAVID JIMENEZ $212,477; JAMES MAY $132,881; STEVEN MICKUS $362,400; JAMES REBER $98,174; ROBERT SHRODER $178,540; JOHN STARCHER, JR. $224,469; REBECCA SYKES $151,468; THOMAS URBAN $65,043; JON ABELES $67,187; DEBRA LONDON $0. Non-fixed payments Schedule J, Part I, Line 7 THE ORGANIZATION PROVIDES ANNUAL INCENTIVE COMPENSATION FOR LISTED INDIVIDUALS. THE ORGANIZATION'S BOARD OF TRUSTEES ESTABLISHES OBJECTIVE THRESHOLDS FOR QUALITY, COMMUNITY BENEFIT, AND FINANCIAL PERFORMANCE WHICH MUST BE ACHIEVED FOR INCENTIVES TO BE AWARDED. THE BOARD ALSO ESTABLISHES THRESHOLD, TARGET AND MAXIMUM LEVELS FOR INCENTIVE AWARDS. WITHIN THESE ESTABLISHED PARAMETERS, THE BOARD DETERMINES THE CEO'S INCENTIVE AWARD AND INCENTIVE AWARDS FOR OTHER LISTED INDIVIDUALS ARE DETERMINED BY THE LISTED INDIVIDUAL'S SUPERVISOR AND DISCLOSED TO THE BOARD. THE BOARD MAY AUTHORIZE MODIFIED INCENTIVE AWARDS WHEN APPROPRIATE IN ITS JUDGMENT. TERMS AND CONDITIONS OF CHP EXECUTIVE RETENTION PLAN 457(F) SCHEDULE J, PART I, LINE 4B THE CHP 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 INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: MICHAEL BEZNEY $303,710; JEFFREY COPELAND $0; JANE CROWLEY $0; JAMES GRAVELL $0; JAMES MAY $0; STEVEN MICKUS $0; JOHN STARCHER, JR $0; REBECCA SYKES $0; JEROME JUDD $0. TERMS AND CONDITIONS OF THE CHP DEFERRED COMPENSATION PLAN SCHEDULE J, PART I, LINE 4B THE CHP DEFERRED COMPENSATION PLAN IS A FROZEN PLAN. EXISTING ACCOUNTS ARE PAID ACCORDING TO PREVIOUS ELECTIONS. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO DEFERRED COMPENSATION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: MICHAEL CONNELLY $195,042. TERMS AND CONDITIONS OF THE MHPSWO EXECUTIVE BENEFIT PLAN SCHEDULE J, PART I, LINE 4B THE MERCY HEALTH PARTNERS OF SOUTHWEST OHIO EXECUTIVE BENEFIT PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO ALL EXECUTIVE COUNCIL MEMBERS. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION. A BENEFIT IS CALCULATED FOR ANY INDIVIDUAL WHOSE COMPENSATION IS LIMITED IN THE QUALIFIED CASH BALANCE PLAN DUE TO INCOME WHICH EXCEEDS THE IRS MAXIMUM. THE BENEFIT IS BASED UPON FORM W-2 COMPENSATION AND IS EQUAL TO THE AMOUNT EXCLUDED FROM THE QUALIFIED PLAN. PARTICIPANTS MUST COMPLETE A TWO TIERED VESTING PROVISION. PARTICIPANTS MUST BE VESTED UNDER THE BASE QUALIFIED PLAN AND MUST COUNT 24 MONTHS AFTER TERMINATION DURING WHICH THEY DO NOT COMPETE WITH MERCY HEALTH PARTNERS OF SOUTHWEST OHIO. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO EXECUTIVE BENEFIT PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: DEBORAH BLOOMFIELD $0. TERMS AND CONDITIONS OF THE HMHP EXECUTIVE BENEFIT PLAN SCHEDULE J, PART I, LINE 4B THE HUMILITY OF MARY HEALTH PARTNERS (HMHP) SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE HMHP BOARD OF TRUSTEES OR ITS DELEGATE. THE PLAN PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 100% IN THEIR ACCOUNTS AFTER THREE YEARS OF SERVICE, EXCEPT FOR PARTICIPANTS WHO HAD ATTAINED AT LEAST TEN YEARS OF SERVICE AT PLAN INCEPTION, WHO HAD IMMEDIATE VESTING. VESTING OCCURS EARLIER UPON DEATH OR TOTAL DISABILITY. PAYMENTS ARE MADE DURING EMPLOYMENT FOR REQUIRED TAX WITHHOLDING. THE VESTED ACCOUNT BALANCE IS PAID AS A LUMP SUM AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR ARE AS FOLLOWS: DON KOENIG $0. COUNTY OF LORAIN OHIO 346001704 543583JQ2 2003-10-09 327700000 REFINANCE PRIOR TAX-EXEMPT BOND DEBT AND PAY THE COSTS OF ISSUING SERIES 2003 BONDS false false false COUNTY OF LORAIN OHIO 346001704 543583LE6 2006-05-04 450000000 ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP HOSPITAL FACILITIES AND PAY SERIES 2006 BONDS ISSUE COSTS true false false THE HEALTHEDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 499523VL9 2008-05-13 375000000 ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP HOSPITAL FACILITIES AND PAY SERIES 2008 BONDS ISSUE COSTS false false false COUNTY OF ALLEN OHIO (SERIES 2010A AND 2010B) 346400019 01757LCT1 2010-04-15 502270474 REFINANCE TAX-EXEMPT BOND DEBT, PAY SERIES 2010A AND 2010B ISSUE COST, FINANCE HOSPITAL FACILITIES false false false 112645000 0 327700000 0 0 0 2788900 7553724 0 0 0 0 2003 true false true true 279650000 0 450000000 0 0 0 3484159 7901897 0 441613944 0 0 2007 false false true true 0 0 375000000 0 0 0 1651981 621407 0 96722660 0 0 2010 true false true true 0 0 502270474 0 0 0 5112739 0 0 149378773 43486107 43486107 true false false true false true true false true 0.0000 0.0000 0.0000 true false true true false true 0.0040 0.0000 0.0040 true false true true false true 0.0010 0.0000 0.0010 true false false false false false 0.0000 0.0000 0.0000 true false true false false false true false true false false false false false true false 0.0 false 0.0 false false false false false 0.0 false 0.0 false false COUNTY OF ALLEN OHIO (SERIES 2010C AND 2010D) 346400019 01757LDW3 2010-04-28 195000000 FINANCE COST OF HOSPITAL FACILITES AND PAY COST OF ISSUANCE OF SERIES 2010C AND 2010D false false false 0 0 195000000 0 0 0 1115779 163974 0 193720346 61983928 61983928 false false false true false false false false true 0.0000 0.0000 0.0000 true false true false false false false CHAN HEALTHCARE AUDITORS BD MEMBER SR. GERALDINE HOYLER, CSC IS ON THE BD OF MANAGERS FOR CHAN HEALTHCARE AUDITORS 4399971 INDEPENDENT CONTRACTOR false PREMIER BD MEMBER MICHAEL CONNELLY IS A BD MEMBER OF PREMIER 5712979 INDEPENDENT CONTRACTOR false Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE CHP CORPORATE MEMBER SHALL CONSIST OF NO FEWER THAN FIVE NOR MORE THAN SEVEN PERSONS DESIGNATED BY THE DELIBERATIVE SPONSORS IN ACCORDANCE WITH THE CO-SPONSORSHIP AGREEMENT. NO PERSON MAY BE DESIGNATED OR CONTINUE TO SERVE ON THE CHP CORPORATE MEMBER UNLESS THAT PERSON EITHER IS A CONGREGATIONAL REPRESENTATIVE, A MEMBER OF THE SISTERS OF CHARITY OF MONTREAL, GREY NUNS, OR A MEMBER OF THE GOVERNING BOARD OF COVENANT. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a CHP CORPORATE MEMBER HAS THE RIGHT TO ELECT OR REMOVE TRUSTEES. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b THE SPONSORING CONGREGATIONS HAVE CERTAIN INHERENT RIGHTS TO APPROVE DECISIONS OF THE GOVERNING BODY. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE FORM 990 IS PREPARED BY CHP'S TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN REVIEWED BY MANAGEMENT. UPON REVIEW, THE FORM 990 IS THEN FORWARDED TO THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE FOR APPROVAL. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION RELATED SCHEDULES AND DISCLOSURES. BOTH THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE AND THE COMPENSATION COMMITTEE ARE INDEPENDENT OF THE FILING ORGANIZATION. 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 policy Form 990, Part VI, Section B, Line 12c ALL MEMBERS OF MANAGEMENT ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. PRIOR TO THE START OF ALL BOARD AND COMMITTTEE MEETING MEMBERS ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a THE ORGANIZATION'S FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACCOMPLISHING THE ORGANIZATION'S MISSION, TO RECOGNIZE PERFORMANCE, AND TO OPERATE IN KEEPING WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. THE COMPENSATION & EVALUATION COMMITTEE OF THE ORGANIZATION'S BOARD OF TRUSTEES CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES. IN DOING SO, THE COMMITTEE RETAINS A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE MARKET RANGES OF BASE, INCENTIVE, AND TOTAL CASH COMPENSATION, AND TO PROVIDE ADVICE CONCERNING THE REASONABLENESS OF THE COMPENSATION OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES. THE COMMITTEE UTILIZES THAT ANALYSIS AND OTHER APPROPRIATE INFORMATION IN CONNECTION WITH ITS ANNUAL REVIEW AND DETERMINES THE RANGE FOR THE CEO'S COMPENSATION AND THE COMPENSATION RANGES FOR OTHER OFFICERS AND KEY EMPLOYEES. THE COMMITTEE DETERMINES THAT COMPENSATION WITHIN THESE RANGES IS REASONABLE AND IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS BENEFIT. INFORMATION WHICH THE COMMITTEE MAY CONSIDER CAN INCLUDE BUT IS NOT LIMITED TO THE PERFORMANCE OF AN INDIVIDUAL, THE PERFORMANCE OF THE ORGANIZATION, AN INDIVIDUAL'S LENGTH OF SERVICE, CREDENTIALS AND EXPERIENCE, THE ELEMENTS OF TOTAL COMPENSATION AND SALARY HISTORY, THE ORGANIZATION'S COMPENSATION TARGETS, AND COMPARABILITY DATA, INCLUDING THE DATA PREPARED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE COMMITTEE. THE COMMITTEE INCORPORATES A FORMAL PERFORMANCE APPRAISAL PROCESS IN THE CEO'S COMPENSATION REVIEW. IT UTILIZES A MULTI-PERSPECTIVE APPROACH AND PERFORMANCE MEASURES WHICH ARE LINKED TO THE ORGANIZATION'S LONG-TERM STRATEGIC PLAN, ACHIEVEMENT OF ANNUAL SYSTEM OBJECTIVES, AND PERSONAL OBJECTIVES. THE CEO IS NOT PRESENT WHEN THE COMMITTEE DISCUSSES AND ESTABLISHES HIS COMPENSATION. IN ADDITION, THE COMMITTEE DETERMINES IF THE THRESHOLD REQUIREMENTS FOR INCENTIVE AWARDS ARE MET, CONSISTING OF THE ORGANIZATION'S PERFORMANCE RESULTS FOR COMMUNITY BENEFIT, QUALITY, AND FINANCIAL PERFORMANCE. THE COMMITTEE RECOMMENDS TO THE FULL BOARD THE CEO'S INCENTIVE AWARD AND THE INCENTIVE AWARD LEVELS FOR WHICH OTHER LISTED INDIVIDUALS MAY BE ELIGIBLE. THE COMMITTEE'S REPORT CONCERNING SALARY RANGE ADJUSTMENTS AND INCENTIVE AWARDS AND THE BASIS FOR THE COMMITTEE'S DECISIONS GOES TO THE FULL BOARD FOR CONSIDERATION IN EXECUTIVE SESSION WHICH DOES NOT INCLUDE THE CEO OR OTHER OFFICERS OR KEY EMPLOYEES. THE FULL BOARD REVIEWS THE CEO'S PERFROMANCE AND DETERMINES THE ADJUSTMENTS TO BE MADE FOR THE CEO. FOR THE COO, CAO, EVP, AND SVP POSITIONS, ADJUSTMENTS AND INCENTIVE AWARDS ARE APPROVED BY THE ORGANIZATION'S CEO WITHIN SUCH BOARD-APPROVED PARAMETERS AND DISCLOSED TO THE COMMITTEE. ADJUSTMENTS AND AWARDS FOR OTHER LISTED INDIVIDUALS ARE APPROVED BY THE SUPERVISING EXECUTIVE WITHIN SUCH PARAMETERS, WITH REGIONAL BOARD APPROVAL WHEN APPROPRIATE, AND DISCLOSED TO THE COMMITTEE. INCENTIVE AWARDS ARE SUBJECT TO REPAYMENT IF THE ORGANIZATION MUST RESTATE FINANCIAL REPORTS DUE TO MATERIAL NONCOMPLIANCE WITH THE ORGANIZATION'S CODE OF RESPONSIBILITY AND STANDARDS OF REASONABLE CONDUCT. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b PLEASE REFER TO THE LINE 15A RESPONSE DIRECTLY ABOVE WHICH DESCRIBES THE PROCESS USED FOR BOTH THE TOP MANAGEMENT OFFICIAL AND FOR THE OTHER OFFICER AND KEY EMPLOYEES. Public Disclosure Form 990, Part VI, Section C, Line 19 SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CHP WEBSITE (WWW.HEALTH-PARTNERS.ORG). AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS BY LISTED PERSONS 990 PART VII SECTION A COLUMN (B) MICHAEL CONNELLY 1 MICHAEL BEZNEY 1 A. DAVID JIMENEZ 50 JAMES MAY 50 STEVEN MICKUS 50 JAMES REBER 50 ROBERT SHRODER 50 JOHN STARCHER, JR. 10 ANDREA PRICE 50 JEFFREY ASHIN 50 EDWIN M. OLEY 50 MARK WIENER 50 STEVEN GRINNELL 50 THOMAS URBAN 50 DEBORAH BLOOMFIELD 50 DONALD KOENIG 50 KEVIN COOK 50 Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 10931671; AMORTIZATION OF SWAP AGREEMENTS - -72240; CAPITAL CONTRIBUTIONS - 759483; NET ASSET TRANSFER FROM HEALTHSPAN, INC. - 735614; FAS 157 ADJUSTMENT - 1708621; PREMIER PURCHASING PARTNERS UNREPORTED NET INCOME - 66380; CHP INSURANCE LTD NET INCOME - -24820430; HEALTHSPAN LLC 225 PICTORIA DRIVE SUITE 320 CINCINNATI OH 45246 311431434 PPO OH 2198714 1792361 CATHOLIC HEALTH PARTNERS CATHOLIC HEALTHCARE PARTNERS FOUNDATION 615 ELSINORE PLACE CINCINNATI OH 45202 201072726 FOUNDATION OH 501(C)(3) 7 CATHOLIC HEALTH PARTNERS CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT 615 ELSINORE PLACE CINCINNATI OH 45202 208943658 HUD PARENT OH 501(C)(3) 9 CATHOLIC HEALTH PARTNERS CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST 615 ELSINORE PLACE CINCINNATI OH 45202 316046304 RETIREMENT TRUST OH 501(C)(3) 8 CATHOLIC HEALTH PARTNERS SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST 615 ELSINORE PLACE CINCINNATI OH 45202 310990309 TRUST ADMINISTRATION OH 501(C)(3) 11 - Type I CATHOLIC HEALTH PARTNERS COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM 3700 KOLBE ROAD LORAIN OH 44053 270071694 REGIONAL HEALTH SYSTEM PARENT OH 501(C)(3) 11 - Type II CATHOLIC HEALTH PARTNERS COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER 3700 KOLBE ROAD LORAIN OH 44053 340714704 HOSPITAL OH 501(C)(3) 3 COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM ALLEN MEDICAL CENTER 200 WEST LORAIN ST OBERLIN OH 44074 340864230 HOSPITAL OH 501(C)(3) 3 COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION 3700 KOLBE ROAD LORAIN OH 44053 341504558 FOUNDATION OH 501(C)(3) 11 - Type III - FI COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS 3700 KOLBE ROAD LORAIN OH 44053 341268828 MEDICAL 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