2013-05-10T11:38:06-05:00 2012-06-30 440160260 BKD LLP 312 WALNUT STREET SUITE 3000 CINCINNATI OH 45202 990 2011-07-01 311778403 GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE GOOD 5135696575 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 MICHAEL CROFTON 5135696577 2013-05-10 1 P00961884 5136218300 2011 2016-02-25 16:41:14Z MORRIS COHEN 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 3675219 0 0928 X WWW.GSCOLLEGE.EDU X 2001 OH TO EDUCATE PEOPLE, IN A CATHOLIC ENVIRONMENT, FOR CAREERS IN NURSING & OTHER HEALTH RELATED FIELDS. 10 8 0 142 0 0 269743 167541 3293282 3507678 0 0 0 0 3563025 3675219 0 0 0 0 0 0 0 0 0 5704365 5934194 5704365 5934194 -2141340 -2258975 407892 284701 17049784 19185568 -16641892 -18900867 X SEE SCHEDULE O 0 0 5779489 0 3507678 SEE SCHEDULE O 5779489 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 15 0 1 0 0 0 0 0 0 0 0 0 0 0 X 10 8 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X MICHAEL CROFTON VP-FINANCE 5135696577 619 OAK STREET-ACCOUNTING 3 WEST CINCINNATI OH 45206 X JOHN PROUT 1.00 X X 0 1226184 296426 MORRIS COHEN 60.00 X X 0 172436 55117 W TODD GRAY 1.00 X X 0 0 0 STEVEN DUMBAULD MD 1.00 X 0 0 0 RICHARD HOMAN 1.00 X 0 0 0 ELAINE MCGUIRE 1.00 X 0 0 0 MEG MCCANN 1.00 X 0 0 0 MYRTIS POWELL 1.00 X 0 0 0 SR JEANNE ROACH 1.00 X 0 0 0 HAROLD KLINK 1.00 X 0 0 0 DONNA NIENABER ESQ 1.00 X 0 481624 151957 CRAIG RUCKER 1.00 X 0 543549 129732 MARY MORRIS 60.00 X 0 105892 27527 PATRICIA MCMAHON 60.00 X 0 105885 36897 MARY KATHMAN 60.00 X 0 101070 31474 0 2736640 729130 0 0 1 0 SWETS INFORMATION SERVICES 160 NINTH ST PO BOX 1459 RUNNEMEDE NJ 08078 SUBSCRIPTION MGMT 141156 1 167541 167541 TUITION 611600 3507678 3507678 3507678 3675219 3507678 0 0 190684 184068 6616 4536 2629 1907 150604 141197 9407 21965 21965 156332 156332 PAYROLL SVCS ALLOCATION 5049520 4915851 133669 DUES AND SUBSCRIPTION 311539 311539 REPAIRS AND MAINTENANCE 16243 16243 EQUIPMENT 13617 12496 1121 19154 17169 1985 5934194 5779489 154705 0 3655 4100 102000 98352 1109570 927321 302237 182249 407892 284701 24755 33765 8090 4768 17016939 19147035 17049784 19185568 X -16641892 -18900867 -16641892 -18900867 407892 284701 -2258975 0 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 36 36 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: DURING THE TAX YEAR, THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE PAID ANNUAL MEMBERSHIP DUES TO VARIOUS NATIONAL, STATE AND LOCAL ORGANIZATIONS, A PORTION OF WHICH RELATED TO LOBBYING ACTIVITIES. 120534 19036 101498 989036 908285 80751 182249 INTERCOMPANY PAYABLE 19147035 19147035 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FINANCIAL STATEMENTS OF GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE ARE AUDITED WITH ITS PARENT, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("COMPANY"). FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO'S AUDITED FINANCIAL STATEMENTS THAT REPORTS ITS AND ITS SUBSIDIARY'S LIABILITY, IF APPLICABLE, FOR UNCERTAIN TAX POSITIONS UNDER ASC 740-10-25: THE COMPANY COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT JUNE 30, 2012 AND 2011, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2012 AND 2011. IN ADDITION, GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2012 READS AS FOLLOWS: CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 EXPLANATION OF NONDISCRIMINATORY POLICY PUBLICATION SCHEDULE E, PART I, LINE 3 THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE DOES NOT PUBLICIZE ITS NONDISCRIMINATORY POLICY THROUGH NEWSPAPER OR BROADCAST MEDIA BUT PUBLISHES IN ITS CATALOG, ON ITS WEBSITE AND IN ANY BROCHURES IT PRINTS. EXPLANATION OF GOVERNMENT FINANCIAL ASSISTANCE SCHEDULE E, PART I, LINE 6 U.S. DEPARTMENT OF EDUCATION; FEDERAL FAMILY EDUCATION LOANS AND FEDERAL PELL GRANTS PROGRAM; U.S. DEPARTMENT OF ENERGY: OFFICE OF SCIENCE FINANCE ASSISTANCE PROGRAM. 0 1 0 0 0 0 0 0 0 JOHN PROUT 0 859109 0 338532 0 28543 0 286218 0 10208 0 1522610 0 0 MORRIS COHEN 0 142792 0 27753 0 1891 0 44820 0 10297 0 227553 0 0 DONNA NIENABER ESQ 0 301071 0 139124 0 41429 0 135545 0 16412 0 633581 0 0 CRAIG RUCKER 0 395101 0 130118 0 18330 0 120190 0 9542 0 673281 0 0 PART I, LINE 4B ELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENTS AND ABOVE) PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. TRIHEALTH, INC., THE RELATED ORGANIZATION THAT PAID THE SALARIES OF THE FOLLOWING INDIVIDUALS LISTED IN SCHEDULE J, PART II, CONTRIBUTED, ON BEHALF OF THE FOLLOWING INDIVIDUALS, TO A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE AMOUNTS AS NOTED: JOHN PROUT - $236,082, DONNA NIENABER, ESQ. - $68,563, CRAIG RUCKER - $78,831. THERE WERE NO DISTRIBUTIONS FROM A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN DURING THE 2011 CALENDAR YEAR. SUPPLEMENTAL INFORMATION PART III PART I, LINE 3 - METHODS USED TO ESTABLISH CEO COMPENSATION TRIHEALTH, INC., A RELATED ORGANIZATION OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE WHO PAID THE INDIVIDUALS, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: * COMPENSATION COMMITTEE; * INDEPENDENT COMPENSATION CONSULTANT; * COMPENSATION SURVEY OR STUDY; AND * APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4A - SEVERANCE PAYMENTS THE REPORTABLE INDIVIDUALS OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE ARE PAID BY TRIHEALTH, INC., A RELATED ORGANIZATION RECOGNIZED BY THE IRS AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN IRC SECTION 501(C)(3). THESE INDIVIDUALS DO NOT HAVE EMPLOYMENT AGREEMENTS SO NO SPECIAL SEVERANCE ARRANGEMENTS BEYOND THE STANDARD EMPLOYEE SEVERANCE PACKAGE. GENERAL SEVERANCE PAY IS BASED ON LENGTH OF SERVICE. IN ADDITION, NOTICE PAY, IF APPLICABLE UNDER TRIHEALTH, INC. POLICY, MAY BE ADDED TO THE SEVERANCE PACKAGE AND THE AMOUNT OF NOTICE PAY WILL BE DETERMINED BY HUMAN RESOURCES IN ACCORDANCE WITH TRIHEALTH, INC. POLICY. PAYMENTS OF SEVERANCE PAY ARE CONDITIONED UPON SIGNING A SEPERATION AND RELEASE AGREEMENT. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. DURING THE 2011 CALENDAR YEAR. DESCRIPTION OF ORGANIZATION MISSION: FORM 990, PART III, LINE 1 THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. PROGRAM SERVICE ACCOMPLISHMENTS: FORM 990, PART III, LINE 4A THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE ("COLLEGE") IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION ("IRC SEC.") 501(A) AS AN ORGANIZATION DESCRIBED IN IRC SEC. 501(C)(3). IT WAS ORIGINALLY ESTABLISHED IN 1896 AS PART OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("HOSPITAL"). FOR OVER 115 YEARS, THE COLLEGE HAS ADAPTED TO SERVE THE EVOLVING NEEDS OF BOTH ASPIRING HEALTH CARE PROFESSIONALS AND THE GREATER CINCINNATI COMMUNITY. IN 2001, THE COLLEGE WAS FORMED AS A SEPARATE PRIVATE INDEPENDENT COLLEGE AND RECEIVED APPROVAL FROM THE OHIO BOARD OF REGENTS AND THE OHIO BOARD OF NURSING TO GRANT THE ASSOCIATE OF APPLIED SCIENCE IN NURSING DEGREE. IT IS ACCREDITED BY THE HIGHER LEARNING COMMISSION AND BY THE NATIONAL LEAGUE FOR NURSING ACCREDITING COMMISSION AND IS A MEMBER OF THE NORTH CENTRAL ASSOCIATION. THE COLLEGE PROVIDES NURSING AND HEALTH CARE EDUCATION IN A UNIQUE CATHOLIC AND HOSPITAL-BASED COLLEGE ENVIRONMENT WHICH PROVIDES THE COMMUNITY WITH WELL-ROUNDED, RESPONSIBLE, REGISTERED NURSE PROFESSIONALS WHO CAN FUNCTION IN A VARIETY OF SETTINGS. THE COLLEGE NORMALLY MAINTAINS A REGULAR FACULTY AND CURRICULUM AND HAS A REGULARLY ENROLLED BODY OF PUPILS OR STUDENTS IN ATTENDANCE AT THE PLACE WHERE ITS EDUCATIONAL ACTIVITIES ARE REGULARLY CARRIED ON. FINALLY, IT HAS A GOVERNING BODY IN WHICH THE MAJORITY OF MEMBERS ARE INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY. THE COLLEGE ADMITS APPROXIMATELY 130 TO 150 NEW STUDENTS EACH YEAR AND DURING THE FISCAL YEAR ENDED JUNE 30, 2012, THE COLLEGE HAD 386 TOTAL STUDENTS AND GRADUATED 81. AS PREVIOUSLY STATED, THE COLLEGE AWARDS THE ASSOCIATE OF APPLIED SCIENCE IN NURSING DEGREE TO QUALIFIED GRADUATES WHO GO ON TO SERVE THE HOSPITAL, TRIHEALTH, INC. ("TRIHEALTH"), A RELATED TAX-EXEMPT ORGANIZATION, AND THE COMMUNITY OF GREATER CINCINNATI. ALSO, THE COLLEGE BEGAN DEVELOPING TWO NEW PROGRAMS - ASSOCIATE OF SCIENCE IN HEALTH SCIENCE AND THE BACHELOR OF SCIENCE IN NURSING. IN ADDITION TO CLASSROOM LEARNING, THE COLLEGE'S EDUCATIONAL PROGRAMS CONNECT STUDENTS WITH THE EXTERNAL COMMUNITY. CLINICAL EXPERIENCES, IN A VARIETY OF SETTINGS, PLACE STUDENTS DIRECTLY IN COMMUNITY-BASED SETTINGS. THESE EXPERIENCES INCLUDE HOSPITAL, BETHESDA NORTH HOSPITAL, AN AFFILIATED TAX-EXEMPT HOSPITAL, AND CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER, AN UNAFFILIATED TAX-EXEMPT HOSPITAL AND RESEARCH CENTER. OTHER CLINICAL SITES INCLUDE HOSPICE OF CINCINNATI, CINCINNATI HEALTH DEPARTMENT, MERCY'S SKILLED NURSING FACILITIES AT MERCY FRANCISCAN WEST PARK, MERCY FRANCISCAN TERRACE AND MERCY SAINT THERESA AND SAINT JOHNS UNITED CHURCH OF CHRIST. THE COLLEGE RECOGNIZES THE RICH LEARNING OPPORTUNITIES WITHIN THE COMMUNITY AND ITS EDUCATIONAL EXPERIENCES OCCUR NOT ONLY IN THE HOSPITAL OR CLINICAL SETTING BUT ALSO WITHIN A VARIETY OF COMMUNITY AGENCIES. COMMUNITY SERVICE OPPORTUNITIES ARE INCORPORATED INTO MOST CLINICAL NURSING COURSES AS IT IS A BELIEF OF THE COLLEGE THAT COMMUNITY SERVICE IS AN EXAMPLE OF A PROFESSIONAL BEHAVIOR. FOR EXAMPLE, * NURSING II STUDENTS SPEND TIME WITH HOSPICE NURSES, EITHER IN AN INPATIENT OR HOME SETTING, LEARNING TO CARE FOR THE DYING PATIENT. * NURSING III STUDENTS VISIT PRIMARY SCHOOLS, OFFERING A LATCHKEY EDUCATIONAL IN-SERVICE, "WHEN NOBODY IS HOME," THAT HIGHLIGHTS HOW CHILDREN CAN REMAIN SAFE WHEN HOME ALONE. ALSO, INTERNET, HOME, MEDICATION, AND GUN SAFETY ARE REVIEWED WITH THE CHILDREN. IN COLLABORATION WITH THE CINCINNATI HEALTH DEPARTMENT, THEY ASSIST WITH HEALTH SCREENINGS IN SOME OF THE LOCAL PUBLIC SCHOOLS. * NURSING IV STUDENTS PROVIDE HEALTH SCREENINGS AND FOOT CARE TO PEOPLE AT SAINT JOHNS UNITED CHURCH OF CHRIST'S THURSDAY FREE MEAL PROGRAM. EXAMPLES OF PROGRAMS SUPPORTED BY THE COLLEGE ARE: * HEALTHY WOMEN HEALTHY LIVES IS A PROGRAM TO MEET THE HEALTH CARE NEEDS OF UNDERSERVED WOMEN IN THE CINCINNATI AREA. FACULTY AND STUDENTS VOLUNTEER TIME AND NURSING CARE BY OFFERING HOLISTIC HEALTH SCREENING AND TEACHING. THIS PROGRAM HAS REACHED OVER FIVE THOUSAND WOMEN IN THE GREATER CINCINNATI AREA. * PARISH NURSE PROGRAM IS A TRIHEALTH PROGRAM THAT PUTS NURSES IN ECONOMICALLY DISADVANTAGED NEIGHBORHOODS TO OFFER NURSING CARE AND REFERRALS FOR MEDICAL CARE. FOOD, CLOTHING AND HOUSING ARE ALSO FACILITATED BY THIS PROGRAM. THE COLLEGE SUPPORTS THIS ENDEAVOR WITH FOOD DONATIONS. * THE LIVING HOPE TRANSITIONAL HOME PROVIDES ENCOURAGEMENT, SECURE HOUSING AND SPIRITUAL RENEWAL FOR SINGLE, HOMELESS, WOMEN WITH CHILDREN AGE 10 AND UNDER, THAT GIVES WOMEN SKILLS THAT ALLOW THEM TO BECOME STABLE AND INDEPENDENT. STUDENTS, FACULTY AND STAFF HAVE DONATED CANNED GOODS, DIAPERS, CLOTHING AND FOOD TO THIS PROGRAM. * THE COLLEGE ALSO DONATED CLOTHING ITEMS FOR "THE JOY PROM" WHICH IS A FULL-SCALE PROM FOR PEOPLE WITH SPECIAL NEEDS FROM ACROSS THE STATE, HOSTED BY CROSSROADS FELLOWSHIP. * THE COLLEGE ALSO COLLECTED GENTLY USED GAMES AND PUZZLES FOR THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO PSYCHIATRY UNIT. * ARTHRITIS WALK SUPPORTS THE ARTHRITIS FOUNDATION. MONIES ARE RAISED AND STUDENTS, FACULTY AND STAFF ARE WALKERS IN A FRIENDLY COMPETITION WITH THE CHRIST COLLEGE OF NURSING TO RAISE FUNDING FOR THIS ORGANIZATION. * UGANDA COLLECTION COLLECTS TOILETRY SUPPLIES DONATED BY STUDENTS, FACULTY AND STAFF FOR A MISSION TRIP TAKEN BY TWO FACULTY MEMBERS AND OTHER HEALTH CARE WORKERS TO UGANDA. IN ADDITION TO THE EDUCATIONAL OPPORTUNITIES, THE STUDENTS HAVE THE ADVANTAGE OF WORKING WITH THE LATEST EQUIPMENT, TECHNOLOGY AND HEALTH CARE PROFESSIONALS AT A STATE-OF-THE-ART TEACHING HOSPITAL THAT IS RECOGNIZED THROUGHOUT THE COUNTRY. THE FACULTY AND STAFF ARE COMMITTED TO HELPING THE STUDENTS SUCCEED BY PROVIDING INDIVIDUALIZED, SYSTEMATIC LEARNING OPPORTUNITIES, GUIDANCE, AND DEVELOPMENT. FINALLY FINANCIAL AID IS A MAJOR SERVICE PROVIDED BY THE COLLEGE FOR THE STUDENTS. THIS YEAR THE ADMISSIONS/FINANCIAL AID OFFICE PROCESSED $3,556,453 IN GRANTS, SCHOLARSHIPS, AND LOANS FOR STUDENTS, OVER A EIGHT AND ONE HALF PERCENT INCREASE OVER LAST YEAR. IN SUMMARY THE COLLEGE IS PART OF A PROUD TRADITION OF ACADEMIC EXCELLENCE AND COMMUNITY SERVICE AND SINCE ITS START IN 1896, OVER 6,000 OF ITS GRADUATES HAVE SERVED AROUND THE GLOBE. FORM 990, PART VI, SECTION A, LINE 2 JOHN PROUT AND MYRTIS POWELL HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, THE SINGLE CORPORATE MEMBER OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE. W. TODD GRAY AND JOHN PROUT HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF THE GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI, INC., A RELATED ENTITY OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE. JOHN PROUT, DONNA NIENABER, ESQ., CRAIG RUCKER AND MORRIS COHEN HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED ENTITY BOARDS OF TRIHEALTH, INC. AND ITS SUBSIDIARIES AND AFFILIATES AS WELL AS BEING EMPLOYED BY TRIHEALTH, INC. OR ITS AFFILIATES/SUBSIDIARIES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE IS THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO. FORM 990, PART VI, SECTION A, LINE 7A THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO HAS THE AUTHORITY TO APPOINT THE TRUSTEES OF THE BOARD OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO THE REGULATIONS OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE ("COLLEGE"), THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO SHALL MAKE ALL DECISIONS REGARDING ANY OF THE FOLLOWING MATTERS AFTER CONSULTATION WITH THE COLLEGE BOARD: A) THE APPROVAL OF THE HIRING, ELECTION, REMOVAL AND DISMISSAL OF THE PRESIDENT; B) THE APPROVAL OF ALL CHANGES IN THE MISSION, PURPOSES, PHILOSOPHY, OR VALUES OF THE COLLEGE; C) THE APPROVAL OF THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE COLLEGE, MERGERS OR AFFILIATIONS; D) THE APPROVAL OF THE FORMATION OF SUBSIDIARIES AND THE DISSOLUTION OR DIVESTITURE OF THE SAME; E) ANY ACTION OR FAILURE TO ACT BY THE COLLEGE, THE COLLEGE BOARD OR THE MEMBER THAT COULD ADVERSELY IMPACT THE TAX-EXEMPT STATUS OF THE COLLEGE, THE MEMBER OR AN AFFILIATE OF THE MEMBER, THE COMPLIANCE BY THE COLLEGE OR THE MEMBER WITH FEDERAL OR STATE LAW, OR THE ABILITY OF THE MEMBER TO OBTAIN PAYMENT OF ITS NET COST OF CLASSROOM AND CLINICAL EDUCATION ACTIVITIES ON A REASONABLE COST BASIS UNDER MEDICARE REIMBURSEMENT ACTIVITIES; F) ANY DECISIONS OF THE COLLEGE BOARD THAT COULD CAUSE THE COLLEGE TO VIOLATE THE ERD'S; G) THE BORROWING OF MONEY FOR CAPITAL PURPOSES OR FOR ANY PURPOSES NOT INVOLVING DAY-TO-DAY OPERATIONS OF THE COLLEGE; H) THE PURCHASE, SALE, LEASE (AS LESSEE OR LESSOR), OR DISPOSITION OF REAL PROPERTY OF THE COLLEGE; I) THE APPOINTMENT OF FISCAL AUDITORS; J) THE APPOINTMENT, EVALUATION, REAPPOINTMENT AND REMOVAL OF TRUSTEES OF THE COLLEGE, EXCEPT AS OTHERWISE PROVIDED HEREIN; K) THE FILLING OF ANY VACANCIES WHICH MIGHT OCCUR ON THE COLLEGE BOARD; L) THE ADOPTION, ALTERING, AMENDING OR REPEALING OF THE ARTICLES OF INCORPORATION AND THE CODE OF REGULATIONS; M) THE LIQUIDATION, DISSOLUTION, WINDING UP, OR ABANDONMENT OF THE COLLEGE; N) THE APPROVAL OF THE COLLEGE'S STRATEGIC PLAN, UPON THE RECOMMENDATION OF THE COLLEGE BOARD; O) THE REVIEW AND APPROVAL OF ALL YEARLY CAPITAL AND OPERATIONAL BUDGETS OF THE COLLEGE, UPON THE RECOMMENDATION OF THE COLLEGE BOARD; AND P) ANY OTHER MATTERS RESERVED FOR MEMBERS BY THE OHIO NON-PROFIT CORPORATION OR RESERVED IN THE CODE OF REGULATIONS. FORM 990, PART VI, SECTION B, LINE 11 MEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF THIS FORM 990 PRIOR TO FILING THE RETURN. HOWEVER, FOR THE PROTECTION OF DONOR PRIVACY, SCHEDULE B - SCHEDULE OF CONTRIBUTORS WAS REMOVED FROM THE COPY PROVIDED TO THE BOARD. SUBSEQUENT TO PRESENTATION TO THE BOARD, THE ORGANIZAION FILES THE RETURN MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE CERTAIN FINANCIAL INTERESTS AND FIDUCIARY RELATIONSHIPS. THE EXECUTIVE COMMITTEE AND CORPORATE COUNSEL REVIEW RESPONSES, CONDUCT FURTHER INVESTIGATION, IF NECESSARY, AND DETERMINE WHEN A CONFLICT EXISTS WITH RESPECT TO A CERTAIN TRANSACTION. IF A CONFLICT EXISTS, THE TRANSACTION IS NOT TO BE ENTERED INTO UNLESS ALTERNATIVES ARE FULLY INVESTIGATED AND, IN THEIR ABSENCE, THE BOARD, WITHOUT PARTICIPATION OF THE INTERESTED MEMBER(S), DETERMINES THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. PLANS TO MANAGE THE CONFLICT DURING THE RELATIONSHIP ARE IMPLEMENTED. ALL DISCUSSIONS ARE APPROPRIATELY DOCUMENTED. FORM 990, PART VI, SECTION B, LINE 15 IN DETERMINING COMPENSATION OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE'S OFFICERS AND DIRECTORS, THE ANNUAL PROCESS PERFORMED BY TRIHEALTH, INC. (A RELATED ORGANIZATION WHO PAID THE INDIVIDUALS) INCLUDED: * COMPENSATION COMMITTEE; * INDEPENDENT COMPENSATION CONSULTANT; * COMPENSATION SURVEY OR STUDY; AND * APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. ADDITIONALLY, ALL DISCUSSIONS AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. IN ADDITION, THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT HTTP://WWW.DACBOND.COM. EXECUTIVE COMMITTEE COMPOSITION AND AUTHORITY FORM 990, PART VI, LINE 1 PURSUANT TO ARTICLE III, SECTION 13 PARAGRAPH (A) OF THE CODE OF REGULATIONS OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE, THE COMPOSITION OF THE EXECUTIVE COMMITEE SHALL CONSIST OF THREE (3) TRUSTEES, WHO SHALL BE THE CHAIRPERSON, THE PRESIDENT AND THE CHIEF EXECUTIVE OFFICER. PURSUANT TO ARTICLE III, SECTION 13 PARAGRAPH (B) OF THE CODE OF REGULATIONS OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE, THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER AND AUTHORITY OF THE COLLEGE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE COLLEGE IN THE INTERVALS BETWEEN MEETINGS OF THE COLLEGE BOARD, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE COLLEGE BOARD OR BY STATUTE. FURTHER, PURSUANT TO ARTICLE III, SECTION 13 PARAGRAPH (C) OF THE CODE OF REGULATIONS OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE, THE EXECUTIVE COMMITTEE MAY HOLD MEETINGS AS NEEDED AND MAKE RULES FOR THE CONDUCT OF BUSINESS. ALL ACTIONS OF THE EXECUTIVE COMMITTEE SHALL BE REPORTED AT THE MEETING OF THE COLLEGE BOARD NEXT SUCCEEDING SUCH ACTION. CHANGE IN PROCESS OF AUDIT OVERSIGHT OR SELECTION OF INDEPENDENT AUDITOR FORM 990, PART XII, LINE 2C THE FINANCIAL STATEMENTS OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE ARE AUDITED WITH ITS PARENT, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("HOSPITAL"). HOSPITAL HAS A COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF BOTH ITS AND ITS SUBSIDIARIES FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF THE INDEPENDENT AUDITOR. DURING THE TAX YEAR, THERE WAS NOT A CHANGE IN THE PROCESS OF AUDIT OVERSIGHT AND/OR SELECTION OF AN INDEPENDENT AUDITOR. ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A OFFICERS AND DIRECTORS (AS NOTED WITH A "SCH O" REFERENCE) FOR THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE PROVIDE SERVICES TO TRIHEALTH, INC. (A RELATED ORGANIZATION WHO THE INDIVIDUALS) AND ITS SUBSIDIARIES/AFFILIATES ("TRIHEALTH"). HOURS WORKED ARE NOT TRACKED ON AN ENTITY BY ENTITY BASIS. THE COMPENSATION REPORTED ON THE FORM 990, PART VII, SECTION A WAS PAID TO THESE INDIVIDUALS IN FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOURS-PER-WEEK EMPLOYEES OF TRIHEALTH. ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA NE 68124 470484764 HEALTHCARE NE 501(C)(3) 3 CHI 1 ALEGENT HEALTH - MERCY HOSPITAL PO BOX 368 CORNING IA 50841 420782518 HEALTHCARE IA 501(C)(3) 3 AHBMHS 1 ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) 9 CHI 1 APPLETREE COURT 601 OAK STREET BRECKENRIDGE MN 56520 411850500 SENIOR HOMES MN 501(C)(3) 9 SFH 1 BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES IA 50314 420725196 LTERM CARE IA 501(C)(3) 9 CHI-IA CORP 1 BORNEMANN HEALTHCARE CORPORATION 2500 BERNVILLE ROAD PO BOX 316 READING PA 19603 232187242 HEALTHCARE PA 501(C)(3) 11A CHI 1 CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON ND 58421 450227311 HEALTHCARE ND 501(C)(3) 3 CHI 1 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) 9 N/A 1 CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 961 EAST COLORADO AVENUE COLORADO SPRINGS CO 80903 840902211 FUNDRAISING CO 501(C)(3) 7 CHI COLORADO 1 CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG OR 97470 900433062 PHYSICIANS OR 501(C)(3) 9 MMC 1 CHI COLORADO 188 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 840405257 HEALTHCARE CO 501(C)(3) 3 CHI 1 CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY FARGO ND 58104 271966847 HEALTHCARE ND 501(C)(3) 3 CHI 1 CHI INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(C)(3) 11A CHI 1 CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(C)(3) 11A CHI 1 CHI NATIONAL FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 270930004 FUNDRAISING CO 501(C)(3) 11A CHI 1 CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(C)(3) 11A CHI NHC 1 CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(C)(3) 9 CHI 1 CHI NEBRASKA 555 SOUTH 70TH STREET LINCOLN NE 68510 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