THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO DTD 01251995: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO DTD 01251995 (EIN 31-0537486)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-10
IRS object ID: 201301309349302005
Schema version: 2011v1.5
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-10T11:38:06-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	440160260	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	312 WALNUT STREET SUITE 3000	AddressLine1
City	CINCINNATI	City
State	OH	State
ZIP Code	45202	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	310537486	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	GOOD	NameControl
Phone	5135696575	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	619 OAK STREET - ACCOUNTING 3 WEST	AddressLine1
City	CINCINNATI	City
State	OH	State
ZIP Code	45206	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL CROFTON	Name
Title	VP-FINANCE	Title
Phone	5135696575	Phone
Date Signed	2013-05-10	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
PTIN	P00961884	PTIN
Phone	5136218300	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JOHN PROUT	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	619 OAK STREET - ACCOUNTING 3 WEST	AddressLine1
City	CINCINNATI	City
State	OH	State
ZIP Code	45206	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	540031205	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.TRIHEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1852	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY IT SERVES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	3880	TotalNbrEmployees
Total Nbr Volunteers	1344	TotalNbrVolunteers
Total Gross UBI	516609	TotalGrossUBI
Net Unrelated Business Txbl Income	-361321	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1819755	ContributionsGrantsPriorYear
Contributions Grants Current Year	1629240	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	477423089	ProgramServiceRevenuePriorYear
Program Service Revenue CY	518618062	ProgramServiceRevenueCY
Investment Income Prior Year	26589936	InvestmentIncomePriorYear
Investment Income Current Year	9368293	InvestmentIncomeCurrentYear
Other Revenue Prior Year	12262151	OtherRevenuePriorYear
Other Revenue Current Year	9623333	OtherRevenueCurrentYear
Total Revenue Prior Year	518094931	TotalRevenuePriorYear
Total Revenue Current Year	539238928	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	571927	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	571823	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	221197407	SalariesEtcPriorYear
Salaries Etc Current Year	229114192	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	238726565	OtherExpensePriorYear
Other Expenses Current Year	265823926	OtherExpensesCurrentYear
Total Expenses Prior Year	460495899	TotalExpensesPriorYear
Total Expenses Current Year	495509941	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	57599032	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	43728987	RevenuesLessExpensesCY
Total Assets BOY	696050814	TotalAssetsBOY
Total Assets EOY	723288138	TotalAssetsEOY
Total Liabilities BOY	233617196	TotalLiabilitiesBOY
Total Liabilities EOY	252211328	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	462433618	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	471076810	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	417736345	Expense
Grants	571823	Grants
Revenue	523184293	Revenue
Description	SEE SCHEDULE H	Description
Total Program Service Expense	417736345	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	296	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	3880	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	0	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MICHAEL CROFTON	NamePerson
Telephone Number	5135695677	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	619 OAK STREET - ACCOUNTING 3 WEST	AddressLine1
City	CINCINNATI	City
State	OH	State
ZIP Code	45206	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ROBERT WALKER
CHAIRPERSON	1.00	X	X	0	0	0
STEPHEN SCHRANTZ
SECRETARY	1.00	X	X	0	0	0
MICHAEL MCGRAW
VICE CHAIR/TREASURER	1.00	X	X	0	0	0
PAUL EDGETT III
TRUSTEE	1.00	X		0	590178	84389
MICHAEL HAVERKAMP
TRUSTEE	1.00	X		0	0	0
THOMAS FINN
TRUSTEE	1.00	X		0	0	0
MYRTIS POWELL
TRUSTEE	1.00	X		0	0	0
SR MARY ELLEN MURPHY
TRUSTEE	1.00	X		0	0	0
SILVANIA NG MD
TRUSTEE (MED STAFF PRES)	1.00	X		0	45000	0
MARC ALEXANDER MD
TRUSTEE (MED STAFF PRES)	1.00	X		45000	0	0
JOHN PROUT
PRESIDENT/CEO (SCH O)	1.00	X	X	0	1226184	296426
STEPHEN BLATT MD
TRUSTEE (SCH O)	1.00	X		6000	123037	15131
STUART DONOVAN MD
TRUSTEE (MED STAFF PRES)	1.00	X		0	12000	0
CRAIG EISENTROUT MD
TRUSTEE (START 9/2011)	1.00	X		0	0	0
WAYNE SHIRCLIFF
TRUSTEE (START 1/2012)	1.00	X		0	0	0
DONNA NIENABER ESQ
ASSISTANT SECRETARY (SCH O)	1.00		X	0	481624	151957
CRAIG RUCKER
ASSISTANT TREASURER (SCH O)	1.00		X	0	543549	129732
DAVE DORNHEGGEN
CHIEF OPERATING OFFICER-GS	60.00			0	360703	111194	X
WILLIAM GRONEMAN
EXECUTIVE VP (SCH O)	1.00			0	548818	164974	X
GERALD OLIPHANT
EXEC VP & COO (SCH O)	1.00			0	598073	124115	X
GEORGES FEGHALI MD
CHIEF MEDICAL OFFICER (SCH O)	1.00			0	513570	155997	X
ROBERT ROHS MD
PHYSICIAN	40.00			336977	0	38855		X
DAVID DHANRAJ MD
PHYSICIAN	40.00			239923	0	32900		X
MICHAEL HOLBET MD
PHYSICIAN	40.00			237937	0	32147		X
HELEN KOSELKA MD
PHYSICIAN	40.00			199135	0	49291		X
MICHAEL SMITH MD
PHYSICIAN	40.00			168297	0	0		X
MICHAEL CROFTON
FORMER OFFICER (SCH O)	0.00			0	278995	75312			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1233269	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	5321731	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1462420	TotalOtherCompensation
Number Individuals GT100 K	79	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	CLINICAL ENGINEERING	5368511
TRI-STATE HEALTHCARE LAUNDRY INC
551 S LOOP ROAD	EDGEWOOD	KY	41017	LAUNDRY	1635481
AMERICAN NURSING CARE INC
1700 EDISON DRIVE SUITE 300	MILFORD	OH	45150	NURSING	1345552
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289	ATLANTA	GA	30368	FOOD SERVICE	794380
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRIVE SUITE 300	MILFORD	OH	45150	PATIENT TRANSPORTATION	793336

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	44	NumberOfContractorsGT100K
Related Organizations	1629240	RelatedOrganizations
Total Contributions	1629240	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
PATIENT SERVICES	621990	524613418	524106812	506606
JOA REVENUE	990009	3765197	3765197
AFFILIATED ORG. RENTAL	532000	1459390			$1,459,390
EQUITY CHANGE IN ORGS.	990009	-11219943	-11219943

Field	Value	IRS element (for citing)
Total Program Service Revenue	518618062	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	10102870	TotalRevenueColumn
Unrelated Business Revenue	10003	UnrelatedBusinessRevenue
Exclusion	$10,092,867	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	846932	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	846932	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	846932	TotalRevenueColumn
Exclusion	$846,932	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	57700	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	758260	Securities
Other	34017	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-758260	Securities
Other	23683	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-734577	TotalRevenueColumn
Exclusion	-$734,577	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA	722100	2244174	$2,244,174
PHARMACY	446110	2083042		2083042
RESEARCH	900099	1442985		1442985

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3006200	TotalRevenueColumn
Related Or Exempt Function Income	3006200	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	8776401	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	539238928	TotalRevenueColumn
Related Or Exempt Function Income	523184293	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	516609	UnrelatedBusinessRevenue
Exclusion	$13,908,786	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	561723	Total
Program Services	561723	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	10100	Total
Program Services	10100	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2757526	Total
Management And General	2757526	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	177715301	Total
Program Services	150307596	ProgramServices
Management And General	27407705	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	10761852	Total
Program Services	8106569	ProgramServices
Management And General	2655283	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	24735309	Total
Program Services	19253373	ProgramServices
Management And General	5481936	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	13144204	Total
Program Services	11229638	ProgramServices
Management And General	1914566	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1659231	Total
Program Services	1596915	ProgramServices
Management And General	62316	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2071619	Total
Management And General	2071619	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	146382	Total
Management And General	146382	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1306807	Total
Management And General	1306807	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	19420724	Total
Program Services	14352694	ProgramServices
Management And General	5068030	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3284878	Total
Program Services	299809	ProgramServices
Management And General	2985069	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5769776	Total
Program Services	3061023	ProgramServices
Management And General	2708753	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	11636173	Total
Program Services	706159	ProgramServices
Management And General	10930014	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	10141057	Total
Program Services	8872546	ProgramServices
Management And General	1268511	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	468559	Total
Program Services	294072	ProgramServices
Management And General	174487	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6462562	Total
Program Services	6462562	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	5538384	Total
Management And General	5538384	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	22142649	Total
Program Services	18741973	ProgramServices
Management And General	3400676	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4169916	Total
Program Services	3777184	ProgramServices
Management And General	392732	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL/DIETARY SUPPLIE	109317565	109014563	303002
BAD DEBTS	44707741	44707741
OHIO HOSPITAL FEE	7516037	7516037
REPAIRS AND MAINTENANCE	6927345	6470900	456445

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3136521	Total
Program Services	2393168	ProgramServices
Management And General	743353	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	495509941	Total
Program Services	417736345	ProgramServices
Management And General	77773596	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	24981720	BOY
EOY	18016875	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	49421712	BOY
EOY	49075276	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	99690	BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3005214	BOY
EOY	3195353	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	167400	BOY
EOY	44164	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	538366688	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	350035574	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	183815482	BOY
EOY	188331114	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	41516113	BOY
EOY	42391998	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	366526724	BOY
EOY	367126008	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	26516759	BOY
EOY	55107350	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	696050814	BOY
EOY	723288138	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	52467167	BOY
EOY	56371056	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	91310	BOY
EOY	68349	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	147851989	BOY
EOY	146120324	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	33206730	BOY
EOY	49651599	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	233617196	BOY
EOY	252211328	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	457130498	BOY
EOY	465440222	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5303120	BOY
EOY	5636588	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	462433618	BOY
EOY	471076810	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	696050814	BOY
EOY	723288138	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	43728987	ReconcilationRevenueExpenses
Reconcilation Other Changes	-35085795	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$13,505	OtherActivitiesAmount
Total Lobbying Expenditures IIB	13505	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	DURING THE TAX YEAR, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("HOSPITAL") PAID ANNUAL MEMBERSHIP DUES TO VARIOUS NATIONAL, STATE AND LOCAL ORGANIZATIONS, A PORTION ($2,307) OF WHICH RELATED TO LOBBYING ACTIVITIES. IN ADDITION, TRIHEALTH, INC., A RELATED ORGANIZATION OF HOSPITAL, WHICH PROVIDES ADMINISTRATIVE SUPPORT SERVICES TO HOSPITAL, PAID ANNUAL MEMBERSHIP DUES TO VARIOUS NATIONAL, STATE AND LOCAL ORGANIZATIONS A PORTION OF WHICH RELATED TO LOBBYING ACTIVITIES. A PORTION OF THE AFOREMENTIONED ADMINISTRATIVE SUPPORT SERVICES ARE ALLOCATED TO HOSPITAL AND $6,402 OF THE AMOUNT SHOWN ON LINE 1I REPRESENTS HOSPITAL'S SHARE OF THESE LOBBYING EXPENSES. FINALLY, HOSPITAL'S CONTROLLING ORGANIZATION, CATHOLIC HEALTH INITIATIVES, PAYS ANNUAL DUES TO THE AMERICAN HOSPITAL ASSOCIATION ("AHA") AND CATHOLIC HOSPITAL ASSOCIATION ("CHA"), A PORTION OF WHICH IS ALLOCATED TO LOBBYING ACTIVITIES. FOR THE TAX YEAR, THE AMOUNT SHOWN ON LINE 1I ABOVE REPRESENTS HOSPITAL'S SHARE OF ALLOCATED LOBBYING EXPENSES: AHA $3,325; CHA $1,471.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12288282	BeginningOfYearBalance
Contributions	339635	Contributions
End Of Year Balance	12627917	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12221795	BeginningOfYearBalance
Contributions	66487	Contributions
End Of Year Balance	12288282	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12018000	BeginningOfYearBalance
Contributions	203795	Contributions
End Of Year Balance	12221795	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11923322	BeginningOfYearBalance
Contributions	94678	Contributions
End Of Year Balance	12018000	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13520112	OtherCostOrOtherBasis
Book Value	13520112	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	303308413	OtherCostOrOtherBasis
Depreciation	193868824	Depreciation
Book Value	109439589	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3735588	OtherCostOrOtherBasis
Depreciation	2693539	Depreciation
Book Value	1042049	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	187795272	OtherCostOrOtherBasis
Depreciation	153473211	Depreciation
Book Value	34322061	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	30007303	OtherCostOrOtherBasis
Book Value	30007303	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	188331114	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	CHI OPERATING INVESTMENT PROGRAM	Description
Book Value	367126008	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	367126008	TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
INVESTMENT IN UNCONSOLIDATED ORGANIZATIONS	34426619
CAPITAL LEASES	33551
MALPRACTICE INSURANCE/WORKERS COMPENSATION RECEIVABLE	20647180

Field	Value	IRS element (for citing)
Total Book Value Other Assets	55107350	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
RETIREMENT PLAN LIABILITY	$31,973,942
ENVIRONMENTAL REMEDIATION LIABILITY	$1,453,422
UNCLAIMED PROPERTY	$547,591
MALPRACTICE INSURANCE/WORKERS COMPENSATION LIABILITY	$15,676,644

Field	Value	IRS element (for citing)
Total Of Amounts	49651599	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	ReturnReference
Explanation	THE FINANCIAL STATEMENTS OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("COMPANY") ARE AUDITED WITH ITS SUBSIDIARIES. FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE COMPANY'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, HOSPITAL'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.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18519785	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6136102	DirectOffsettingRevenue
Net Community Benefit Expense	12383683	NetCommunityBenefitExpense
Percent Of Total Expense	0.02750	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	80281668	TotalCommunityBenefitExpense
Direct Offsetting Revenue	52483613	DirectOffsettingRevenue
Net Community Benefit Expense	27798055	NetCommunityBenefitExpense
Percent Of Total Expense	0.06170	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	98801453	TotalCommunityBenefitExpense
Direct Offsetting Revenue	58619715	DirectOffsettingRevenue
Net Community Benefit Expense	40181738	NetCommunityBenefitExpense
Percent Of Total Expense	0.08920	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1348984	TotalCommunityBenefitExpense
Direct Offsetting Revenue	54008	DirectOffsettingRevenue
Net Community Benefit Expense	1294976	NetCommunityBenefitExpense
Percent Of Total Expense	0.00290	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23001602	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9898176	DirectOffsettingRevenue
Net Community Benefit Expense	13103426	NetCommunityBenefitExpense
Percent Of Total Expense	0.02910	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4962024	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3856825	DirectOffsettingRevenue
Net Community Benefit Expense	1105199	NetCommunityBenefitExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2703619	TotalCommunityBenefitExpense
Net Community Benefit Expense	2703619	NetCommunityBenefitExpense
Percent Of Total Expense	0.00600	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	319375	TotalCommunityBenefitExpense
Net Community Benefit Expense	319375	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	32335604	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13809009	DirectOffsettingRevenue
Net Community Benefit Expense	18526595	NetCommunityBenefitExpense
Percent Of Total Expense	0.04120	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	131137057	TotalCommunityBenefitExpense
Direct Offsetting Revenue	72428724	DirectOffsettingRevenue
Net Community Benefit Expense	58708333	NetCommunityBenefitExpense
Percent Of Total Expense	0.13040	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	290000	TotalCommunityBuildingExpense
Net Community Building Expense	290000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	290000	TotalCommunityBuildingExpense
Net Community Building Expense	290000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$44,707,741	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	94414528	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	96363756	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1949228	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	GOOD SAMARITAN HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	375 DIXMYTH AVENUE	AddressLine1
City	CINCINNATI	City
State	OH	State
ZIP Code	45220	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GOOD SAMARITAN HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	100.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Other Factors	X	OtherFactors
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	5	NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
GOOD SAMARITAN MEDICAL CENTER
6949 GOOD SAMARITAN DRIVE	CINCINNATI	OH	45247	EMERGENCY DEPARTMENT/OUTPATIENT SERVICES
GOOD SAMARITAN PHYSICAL THERAPY
8748 UNION CENTRE DRIVE	WEST CHESTER	OH	45069	PHYSICAL THERAPY
GOOD SAMARITAN HOSPITAL OUTPATIENT CTR
6350 GLENWAY AVENUE	CINCINNATI	OH	45211	OUTPATIENT PHYSICIAN CLINIC
GOOD SAMARITAN HOSPITAL WEIGHT MGMT CTR
3219 CLIFTON AVENUE SUITE 225	CINCINNATI	OH	45220	WEIGHT MANAGEMENT SERVICES
GOOD SAMARITAN HOSPITAL WOMEN'S CENTER
3219 CLIFTON AVENUE SUITE 100	CINCINNATI	OH	45220	WOMEN'S HEALTH SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanation	IdentifierIdentifier
PART I, LINE 3C: THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO UTILIZES THE FEDERAL POVERTY GUIDELINES ("FPG") IN DETERMINING CHARITY CARE ELIGIBILITY. SEE THE RESPONSES TO PART I, LINE 3A AND 3B.AN INDIVIDUAL'S INCOME UNDER FPG IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR CHARITY CARE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT A PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
PART I, LINE 6A: IN 1995, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND BETHESDA HOSPITAL, INC. FORMED A PARTNERSHIP CALLED TRIHEALTH, INC. TO CREATE AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE THEY SERVE, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION. THE COMMUNITY BENEFIT PROVIDED BY THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO IS TRACKED ON A STANDALONE BASIS, HOWEVER ITS COMMUNITY BENEFIT IS REPORTED IN COMBINATION WITH BETHESDA HOSPITAL, INC.'S COMMUNITY BENEFIT IN A REPORT PREPARED BY TRIHEALTH, INC.
PART I, LINE 7: FOR THE AMOUNTS REPORTED AT COST IN PART I, LINE 7, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO UTILIZED WORKSHEET 2 - RATIO OF PATIENT CARE COST-TO-CHARGES, WHICH WAS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H, TO CALCULATE THE COST-TO-CHARGE RATIO.
PART I, LINE 7G: THE SUBSIDIZED HEALTH SERVICES COMMUNITY BENEFIT AMOUNT REPORTED IN PART I, LINE 7(G) DOES NOT INCLUDE COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART I, L7 COL(F): $44,707,741 OF BAD DEBT EXPENSES THAT WAS INCLUDED IN FORM 990, PART IX, LINE 25, COLUMN (A) HAS BEEN REMOVED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES IN SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II: THE UPTOWN CONSORTIUM ("CONSORTIUM") IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3). IT IS MADE UP OF THE FIVE LARGEST EMPLOYERS OF CINCINNATI'S "UPTOWN" INCLUDING THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO. "UPTOWN" GENERALLY INCLUDES THE NEIGHBORHOODS OF AVONDALE, CLIFTON, CLIFTON HEIGHTS, CORRYVILLE, FAIRVIEW, MT. AUBURN AND UNIVERSITY HEIGHTS. THE CONSORTIUM IS DEDICATED TO BUILDING THE HUMAN, SOCIAL AND PHYSICAL IMPROVEMENT OF UPTOWN CINCINNATI. IT WILL UNDERTAKE A VARIETY OF INVESTMENT AND PROGRAM ACTIVITIES IN UPTOWN TO HELP PROVIDE HOUSING, HEALTH CARE AND JOB OPPORTUNITIES.
PART III, LINE 4: NET PATIENT ACCOUNTS RECEIVABLE (PART OF FOOTNOTE A)NET PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE HAVE BEEN ADJUSTED TO THE ESTIMATED AMOUNTS EXPECTED TO BE COLLECTED. THESE ESTIMATED AMOUNTS ARE SUBJECT TO FURTHER ADJUSTMENTS UPON REVIEW BY THIRD-PARTY PAYORS.THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT PERIODICALLY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY AS NECESSARY THE PROVISIONS FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH THE COMPANY. FINANCIAL INSTRUMENTS THAT POTENTIALLY SUBJECT THE COMPANY TO CONCENTRATIONS OF CREDIT RISK CONSIST PRIMARILY OF NON-GOVERNMENTAL PATIENT ACCOUNTS RECEIVABLE. THE COMPANY GRANTS CREDIT WITHOUT COLLATERAL TO ITS PATIENTS, MOST OF WHOM ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. THE PERCENTAGES OF GROSS PATIENT ACCOUNTS RECEIVABLE FROM PATIENTS AND THIRD-PARTY PAYORS AT JUNE 30 APPROXIMATED THE FOLLOWING: 2012 - MEDICARE 17%, MEDICAID 4%, MANAGED CARE 23%, SELF PAY 20%, COMMERCIAL AND OTHER 36%2011 - MEDICARE 18%, MEDICAID 3%, MANAGED CARE 21%, SELF PAY 22%, COMMERCIAL AND OTHER 36%AS FOR THE AMOUNT OF BAD DEBT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO DOES NOT REPORT ACTUAL BAD DEBT EXPENSE AS COMMUNITY BENEFIT. IF UPON FURTHER RESEARCH, IT IS ULTIMATELY DETERMINED THAT A PORTION OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER TRIHEALTH'S CHARITY CARE POLICY, THOSE COSTS WOULD BE RECLASSIFIED, AS APPROPRIATE, TO COMMUNITY BENEFIT AT THAT TIME.
PART III, LINE 8: THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO USES THE "STEPDOWN METHODOLOGY" IN DETERMINING THE MEDICARE ALLOWABLE COSTS REPORTED ON THE MEDICARE COST REPORT. THIS METHOD OF COST FINDING PROVIDES FOR THE ALLOCATION OF THE COST OF SERVICES RENDERED BY EACH GENERAL SERVICE COST CENTER TO OTHER COST CENTERS WHICH UTILIZE SUCH SERVICES. ONCE THE COSTS OF A GENERAL SERVICE COST CENTER HAVE BEEN ALLOCATED, THAT COST CENTER IS CONSIDERED CLOSED. ONCE CLOSED, IT DOES NOT RECEIVE ANY OF THE COSTS SUBSEQUENTLY ALLOCATED FROM THE REMAINING GENERAL SERVICE COST CENTERS. THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO DID NOT REPORT ANY MEDICARE SHORTFALL AS COMMUNITY BENEFIT IN PART III, LINE 7 OF THIS SCHEDULE.
PART III, LINE 9B: AS OF THE FILING OF THIS RETURN, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, AS PART OF TRIHEALTH, INC., MAINTAINS A WRITTEN DEBT COLLECTION POLICY. TRIHEALTH, INC., WHO PERFORMS THE BILLING SERVICES FOR ALL AFFILIATED HOSPITALS, WILL NOT INITIATE COLLECTION PRACTICES ON PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. BEFORE COLLECTION ACTIONS ARE TAKEN, TRIHEALTH, INC. WILL MAKE REASONABLE EFFORTS, GENERALLY AS EARLIER IN THE BILLING PROCESS AS POSSIBLE, TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. AFTER SUCH EFFORTS HAVE BEEN MADE AND A BALANCE REMAINS THAT IS THE RESPONSIBILITY OF THE PATIENT OR GUARANTOR, TRIHEALTH, INC. MAY PURSUE, IN ITS SOLE DISCRETION, WHATEVER ACTIONS IT MAY BE ENTITLED TO TAKE UNDER LAW.
PART V, SECTION B, LINE 11H: SELECT CLINIC DISCOUNT - ELIGIBLE SERVICES RENDERED IN OR ORDERED BY PHYSICIANS AT SELECT CLINICS MAY BE DISCOUNTED IN AN AMOUNT NOT TO EXCEED 85%.O/B CLINIC DISCOUNT - O/B CLINIC PATIENTS RECEIVING ELIGIBLE SERVICES WHO DO NOT QUALIFY FOR FREE CARE AND FOR WHOM THE CHARITY CARE DISCOUNT IS NOT SUFFICIENT MAY RECEIVE A DISCOUNTED FLAT FEE PRICE FOR SUCH SERVICES.UNIQUE CIRCUMSTANCES ALLOWANCE - ALLOWANCES MAY BE GRANTED TO PATIENTS WITH UNIQUE CIRCUMSTANCES WHO DO NOT QUALIFY FOR ANY OTHER FINANCIAL ASSISTANCE.	GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 13G: GOOD SAMARITAN HOSPITAL DOES NOT PROVIDE A DETAILED COPY OF ITS FINANCIAL ASSISTANCE POLICY TO PATIENTS HOWEVER IT DOES PROVIDE A SUMMARY OF THE POLICY IN A MANNER LISTED IN LINES 13A-13E.IN ADDITION, SUCH INFORMATION SHALL BE PROVIDED IN LANGUAGES CONSIDERED TO BE COMMONLY SPOKEN BY THE POPULATION GOOD SAMARITAN HOSPITAL SERVES. IF TRANSLATION OR OTHER ASSISTANCE IS NEEDED TO FACILITATE COMPLETION AND/OR UNDERSTANDING OF THE FINANCIAL ASSISTANCE POLICY AND/OR APPLICATION TRANSLATION AND OTHER REASONABLE REQUESTS FOR ASSISTANCE WILL BE PROVIDED.	GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 19D: THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ISSUES A BILLING STATEMENT TO ALL FAP ELIGIBLE INDIVIDUALS THAT STATES GROSS CHARGES FOR THE CARE RECEIVED AS THE STARTING POINT FOR APPLYING THE DISCOUNTS AND DEDUCTIONS THE FAP ELIGIBLE INDIVIDUAL IS ENTITLED TO UNDER ITS FAP, SUCH THAT THE AMOUNT THAT AN FAP ELIGIBLE INDIVIDUAL IS REQUIRED TO PAY IS (I) LESS THAN THE GROSS CHARGES FOR SUCH CARE, AND (II) TYPICALLY LESS THAN THE AMOUNTS GENERALLY BILLED TO PERSONS WITH INSURANCE. THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO'S ROBUST POLICY PROVIDES DISCOUNTS TO INDIVIDUALS WITH INCOME AT 400% OF THE FEDERAL POVERTY GUIDELINES BASED ON A SLIDING SCALE. ALTHOUGH IT IS POSSIBLE THAT THE LOWEST DISCOUNT ON SUCH SCALE MAY RESULT IN CHARGES THAT ARE MORE THAN THE AVERAGE GENERALLY BILLED TO INDIVIDUALS WITH INSURANCE, IT PREFERS TO EXTEND DISCOUNTS TO SUCH INDIVIDUALS RATHER THAN DENY THEM ELIGIBILITY UNDER THE POLICY SO THAT SUCH INDIVIDUALS RECEIVE SOME FINANCIAL ASSISTANCE RATHER THAN NONE.	GOOD SAMARITAN HOSPITAL
PART VI, LINE 2: IN 1852, THE SISTERS OF CHARITY ESTABLISHED GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("GSH") IN AN EFFORT TO ADDRESS THE NEEDS OF THE GROWING CITY OF CINCINNATI. IN 1995, GSH & BETHESDA HOSPITAL, INC. ("BETHESDA") FORMED A PARTNERSHIP TO CREATE A LOCAL HEALTH SYSTEM: TRIHEALTH, INC. ("TRIHEALTH"). TRIHEALTH'S MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY THROUGH A FULL RANGE OF HEALTH RELATED SERVICES (E.G. PREVENTION, WELLNESS & EDUCATION)THE SERVICES DESCRIBED BELOW, & OTHERS NOT LISTED, PROMOTE A HEALTHY COMMUNITY AND SEEK TO REDUCE THE BURDENS ON THE GOVERNMENT. FOR EXAMPLE, IF GSH DID NOT ADDRESS THE ROOT CAUSES OF LOW BIRTH WEIGHT & PREMATURITY, THE BURDEN TO GOVERNMENT MEDICAL PROGRAMS SUCH AS MEDICAID WOULD BE EVEN GREATER.GSH, AS PART OF TRIHEALTH, PARTICIPATED IN AND WAS A FUNDER OF THE WORK OF A COLLABORATIVE, REGIONAL EFFORT, THE A.I.M. FOR BETTER HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT (A.I.M). IN THE AREAS ASSESSED THE POPULATIONS SURVEYED WERE MORE OFTEN UNDERSERVED, INCLUDING THE UNINSURED, UNDERINSURED, LOW SOCIOECONOMIC STATUS, MINORITIES, AND OVER AGE SIXTY-FIVE, OR WITH A DIAGNOSIS OF MENTAL ILLNESS. THE A.I.M. PUBLISHED IN THE SPRING OF 2012, WILL BE THE BASIS FOR INCREASED ORGANIZATION AND COLLABORATION WITHIN AND AMONG HOSPITALS, HEALTH DEPARTMENTS AND SERVICE PROVIDERS TO BETTER ADDRESS THE HEALTH NEEDS AND DISPARITIES EXPERIENCED BY MANY PEOPLE AND FAMILIES IN THE REGION. FREE & DISCOUNTED SERVICES ARE PROVIDED FOR THOSE UNABLE TO PAY & MEETING ELIGIBILITY CRITERIA. THROUGH THE HOSPITAL CARE ASSURANCE PROGRAM (HCAP), GSH SERVES PATIENTS MEETING CRITERIA SET FORTH BY THE STATE OF OHIO. GSH POLICY IS TO PROVIDE CHARITY CARE ON A SLIDING SCALE DISCOUNTING WHEN THE FAMILY INCOME IS UP TO 400 % OF THE ANNUALLY ESTABLISHED FEDERAL POVERTY GUIDELINE. IT OFFERS AN UNINSURED DISCOUNT FOR MEDICALLY NECESSARY SERVICES FOR THOSE WHO HAVE NO INSURANCE & WHO DO NOT QUALIFY FOR OTHER FINANCIAL ASSISTANCE OPTIONS. FINANCIAL COUNSELORS ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION WHICH IS AVAILABLE ON TRIHEALTH'S WEBSITE & BROCHURES ABOUT FINANCIAL ASSISTANCE ARE VISIBLE & AVAILABLE IN HOSPITAL REGISTRATION & ADMITTING AREAS.GSH FUNDS THE PARISH NURSE MINISTRY & COMMUNITY HEALTH WORKER PROGRAMS. THESE PROGRAMS PROVIDE, AT NO CHARGE, HOME VISITS TO LOW INCOME CLIENTS IN 9 NEIGHBORHOODS. CLIENTS INCLUDE SENIORS & FRAIL ELDERLY IN THEIR HOMES OR IN CONGREGATE SUBSIDIZED HOUSING, THE MENTALLY & PHYSICALLY HANDICAPPED LIVING ALONE OR IN GROUP HOMES, & MOTHERS WHO ARE PREGNANT OR WHO HAVE RECENTLY DELIVERED A BABY. REFERRALS COME FROM HOSPITAL CARE COORDINATORS, OTHER HOSPITALS & AGENCIES. THE TEAM PROVIDES HEALTH SCREENINGS, EDUCATION ON MANAGING CHRONIC ILLNESSES, & CONNECTIONS TO ASSISTANCE. THE PURPLE (PREVENTING REPEAT PERINATAL LOSS) PROJECT CONNECTS MOTHERS WHO HAVE EXPERIENCED THE LOSS OF A PREGNANCY GREATER THAN 20 WEEKS GESTATION WITH A PARISH NURSE WHO PROVIDES EMOTIONAL & SPIRITUAL SUPPORT, NUTRITION INFORMATION & EDUCATION ON INTER-CONCEPTION HEALTH.THE INPATIENT BEHAVIORAL HEALTH UNITS AT GSH ARE AMONG THE FEW SUCH UNITS IN THE CINCINNATI COMMUNITY. THE ADULT BEHAVIORAL HEALTH INPATIENT UNIT IS A 19-BED COMPREHENSIVE PSYCHIATRIC UNIT FOR ADULT PATIENTS REQUIRING ACUTE INPATIENT CARE. THE TEAM CONSISTS OF PSYCHIATRISTS, NURSING STAFF, SOCIAL WORKERS, OCCUPATIONAL THERAPISTS, THERAPEUTIC RECREATION SPECIALISTS, & ART THERAPISTS. THE FULL SERVICES OF THE HOSPITAL ARE AVAILABLE AS REQUIRED FOR THE PATIENT'S CARE. TREATMENT FOCUSES ON SYMPTOM & MEDICATION MANAGEMENT & EDUCATION, & SAFE DISCHARGE DISPOSITION WITH A LINK TO COMMUNITY RESOURCES. THE SENIOR BEHAVIORAL HEALTH INPATIENT UNIT IS A SPECIALTY BEHAVIORAL HEALTH INPATIENT UNIT ADDRESSING THE PSYCHOLOGICAL, MEDICAL, EMOTIONAL & SPIRITUAL NEEDS OF GREATER CINCINNATI'S OLDER ADULTS. THE TEAM OF PSYCHIATRISTS, PSYCHIATRIC NURSES, SOCIAL WORKERS, & ACTIVITY & OCCUPATIONAL THERAPISTS PROVIDES INDIVIDUALIZED TREATMENT FOR OLDER ADULTS WITH PHYSICAL & MENTAL HEALTH PROBLEMS.HEALTHY WOMEN HEALTHY LIVES IS A PROGRAM BASED ON THE PREMISE THAT PREVENTION, EARLY DETECTION, TREATMENT & ACCESS TO HEALTH CARE SERVICES IMPROVE INDIVIDUAL & COMMUNITY HEALTH OUTCOMES. THE FOCUS IS ON HEALTH RISKS ASSOCIATED WITH THE ONSET OF MENOPAUSE. WELL ORGANIZED SCREENING & EDUCATION EVENTS BRING THE SERVICES TO AT RISK POPULATIONS OF AFRICAN AMERICAN, APPALACHIAN, HISPANIC, UNINSURED & UNDERINSURED WOMEN FORTY YEARS OF AGE OR OLDER. SCREENING INCLUDES OSTEOPOROSIS, MAMMOGRAPHY, CHOLESTEROL, HYPERTENSION, & OBESITY. EVERY WOMAN RECEIVES A NURSE CONSULTATION, A COPY OF THEIR RESULTS & A WRITTEN PRIMARY CARE REFERRAL. WOMEN WITH ABNORMAL RESULTS ARE CONTACTED & ASSISTED IN ACCESSING PRIMARY CARE. THIS PROGRAM SERVES AS AN ENTRY POINT TO HEALTH CARE SERVICES FOR MANY WOMEN IN THE COMMUNITY.HAMILTON COUNTY'S INFANT MORTALITY RATE OF 19%, THE HIGHEST IN OHIO HAS LED GSH TO FOCUS ON MATERNAL & INFANT HEALTH PROGRAMS. STRATEGIES INCLUDE INVESTIGATING THE ROOT CAUSES OF PREMATURITY & LOW BIRTH WEIGHT.GSH HAD 6,257 DELIVERIES IN FISCAL YEAR 2012. OF THESE BIRTHS, THE PERCENTAGE OF MOTHERS WITH PRETERM LABOR WAS 13.5% (A 1.5% DECREASE OVER FY11). THE PERCENTAGE OF BABIES BORN WEIGHING LESS THAN 2,500 GRAMS WAS 14% (A SLIGHT DECREASE FROM FY11). THIS DECREASE MAY BE ATTRIBUTED IN PART TO GSH'S COLLABORATIVE EFFORTS TO REDUCE ELECTIVE DELIVERIES BEFORE THE 39TH WEEK. ADDITIONALLY, THE CARE MANAGEMENT PROVIDED TO MOTHERS BY GSH PERINATAL SOCIAL WORKERS & CARE COORDINATORS INCLUDES SPECIAL PROGRAMS IN CHEMICAL DEPENDENCY & OTHER PREGNANCY HIGH-RISK ISSUES. THE GSH PARISH NURSES & COMMUNITY HEALTH WORKERS VISIT REFERRED MOTHERS IN THEIR HOMES & WORK WITH THEM TO PROBLEM-SOLVE THE FREQUENT CHALLENGES FACED SUCH AS SAFE HOUSING & CARE OF CHILDREN, AS WELL AS HEALTHY MANAGEMENT OF THE PREGNANCY.PERINATAL CARE COORDINATION NURSES & SOCIAL WORKERS FROM GSH ASSIST MOTHERS IN THE GSH FACULTY MEDICAL CENTER. THEY ALSO TRAVEL TO CLINICS IN ORDER TO REACH OUT & HELP UNINSURED & UNDERINSURED MOTHERS ACCESS PUBLIC PROGRAMS, REFERRALS, EDUCATION, ASSESSMENT & RESOURCES.IN COLLABORATION WITH WINTON HILLS HEALTH CENTER, GSH FUNDS THE SALARIES OF TWO PHYSICIANS, SPECIALISTS IN OBSTETRICS AND GYNECOLOGY, AT THE CENTER. THIS AFFORDS HEALTH CARE ACCESS TO WOMEN IN THE AREAGSH CONTINUES A COMMITMENT TO EDUCATING THE NEXT GENERATION OF HEALTH CARE PROVIDERS, PHYSICIANS & ALLIED HEALTH PROFESSIONALS. GSH, AS PART OF TRIHEALTH, INC., SPONSORS MEDICAL RESIDENCIES. THERE WERE 28 RESIDENTS IN INTERNAL MEDICINE & 23 GENERAL SURGERY RESIDENTS AT GSH IN FISCAL YEAR 2012. 2 RESIDENTS/FELLOWS IN VASCULAR SURGERY RECEIVED EXTENDED LEARNING & PREPARATION AT GSH. 32 TOTAL RESIDENTS IN OBSTETRICS & GYNECOLOGY LEARNED IN A JOINT RESIDENCY AT BOTH BETHESDA & GSH.IN THE GSH FACULTY MEDICAL CENTER ("FMC"), A MULTI-SPECIALTY CENTER, MEDICAL RESIDENTS PROVIDE CARE TO PATIENTS UNDER THE GUIDANCE OF ATTENDING PHYSICIANS. FMC SERVICES INCLUDE OBSTETRICS & GYNECOLOGY, INTERNAL MEDICINE, VASCULAR & GENERAL SURGERY, DYSPLASIA, HIGH-RISK PREGNANCY, URO-GYNECOLOGY & GASTRO-INTESTINAL. THE FMC PHARMACIST HELPS ELIGIBLE CLIENTS COMPLETE THE MEDICATION ASSISTANCE PROGRAMS APPLICATIONS. THE GSH ON-SITE PHARMACY PROVIDES PRESCRIPTIONS FOR THOSE IN NEED, AT REDUCED OR NO COST.GSH COLLABORATES WITH LOCAL & REGIONAL COLLEGES, UNIVERSITIES & TRAINING CENTERS TO PROVIDE MENTORING, INTERNSHIPS, CLERKSHIPS, SUPERVISED EDUCATION & CLINICAL ROTATIONS TO STUDENTS IN HEALTH FIELDS. THESE PARTNERSHIPS HELP STUDENTS LEARN ABOUT & PREPARE FOR PROFESSIONS IN NURSE PRACTITIONER, RESPIRATORY THERAPY, RADIOLOGY TECHNOLOGY, STERILE PROCESSING, PHLEBOTOMY, MEDICAL LABORATORY, CLINICAL DIETETICS, PHARMACY, SPEECH, AUDIOLOGY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, NURSE MIDWIFERY, & NEONATAL NURSE PRACTITIONER. PASTORAL CARE OFFERS A CLINICAL PASTORAL EDUCATION PROGRAM EDUCATING CLERGY & OTHERS IN PASTORAL SKILLS TO MINISTER EFFECTIVELY TO THE SICK & THE DYING.GSH'S RESEARCH PROGRAM MANAGES BASIC & APPLIED SCIENTIFIC STUDIES & SPONSORED CLINICAL TRIALS. IT ALSO SUPPORTS THE EDUCATION ACTIVITIES OF STAFF PHYSICIANS & SURGEONS, TEACHING FACULTY, RESIDENTS, & ALLIED HEALTH PROFESSIONALS. WHAT IS LEARNED THROUGH THE RESEARCH & EDUCATION PROGRAMS IS SHARED WITH THE LARGER COMMUNITY. THE RESEARCH PROGRAM HELPS RESEARCHERS GIVE PROFESSIONAL PRESENTATIONS AT REGIONAL & NATIONAL MEETINGS AS HAVE STUDIES & ARTICLES PUBLISHED IN PEER-REVIEWED MEDICAL JOURNALS.THROUGH THESE PROGRAMS, GSH CONTINUES ITS SPECIAL CONCERN FOR THE VULNERABLE. EMPLOYEES, PHYSICIANS & LEADERS PROVIDING & GUIDING THESE PROGRAMS FOR COMMUNITY HEALTH ARE LIVING THE CORE VALUES OF STEWARDSHIP & RESPONSE TO COMMUNITY NEEDS.
PART VI, LINE 3: TRIHEALTH, INC. ("TRIHEALTH") PERFORMS THE BILLING SERVICES FOR ALL AFFILIATED HOSPITALS INCLUDING THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO. BROCHURES/APPLICATIONS, PROVIDED IN MULTIPLE LANGUAGES, ARE VISIBLE AND AVAILABLE IN THE REGISTRATION AND ADMITTING AREAS OF ALL TRIHEALTH AFFILIATED HOSPITALS. IN ADDITION, THE APPLICATION IS PRINTED ON THE REVERSE SIDE OF A PATIENT'S BILL WITH INSTRUCTIONS ON HOW TO COMPLETE THE APPLICATION AS WELL AS HOW TO RETURN IT. FINANCIAL COUNSELORS ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. FINALLY, TRIHEALTH INC.'S WEBSITE CONTAINS INFORMATION REGARDING ITS CHARITY CARE AND FINANCIAL ASSISTANCE PROGRAMS WITH DIRECTIONS ON HOW TO CONTACT THE APPROPRIATE PERSONNEL TO INITIATE AN APPLICATION OR ASK QUESTIONS ABOUT THE PROCESS.
PART VI, LINE 4: LOCATED IN CINCINNATI, OHIO, GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND THE TRIHEALTH SYSTEM SERVE HAMILTON, BUTLER, WARREN AND CLERMONT COUNTIES, AS WELL AS PERSONS FROM INDIANA AND KENTUCKY. OHIO'S THIRD LARGEST CITY, CINCINNATI HAS AN ESTIMATED POPULATION OF 290,270. THE POPULATION WITHIN THE FOUR OHIO COUNTIES SERVED BY TRIHEALTH IS ESTIMATED TO BE 1,500,000 AND 12% PERCENT OF THIS POPULATION IS UNINSURED. THE GEOGRAPHIC AREA SERVED BY THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO IS PREDOMINANTLY URBAN WITH A LARGE SEGMENT OF ITS PATIENTS UNINSURED, UNDERINSURED OR MEDICAID RECIPIENTS.
PART VI, LINE 5: THE ONGOING PURPOSE OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("GSH") IS TO PROVIDE CARE WITH COMPASSION. ITS MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY THROUGH HEALTH RELATED SERVICES--PREVENTION, WELLNESS AND EDUCATION. ITS BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. GSH IS AN ACUTE TERTIARY TEACHING HOSPITAL. AS PART OF TRIHEALTH A SYSTEM OF SERVICES SPANNING ACUTE CARE TO HOME CARE, BABIES TO SENIORS. IT PROVIDES A 24-HOUR EMERGENCY ROOM, FOUR INTENSIVE CARE UNITS FOR NEONATES AND ADULTS, ADULT AND GERIATRIC INPATIENT PSYCHIATRIC CARE, AND AN ACCREDITED REHABILITATION MEDICINE PROGRAM. SERVICES ARE OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. GSH HAS AN OPEN MEDICAL STAFF AND A HISTORY OF TRAINING AND EDUCATING MEDICAL RESIDENTS AND HEALTH CARE PROFESSIONALS. ITS MEDICAL AND SCIENTIFIC RESEARCH PROGRAMS INCLUDE STUDIES THAT ARE NOT COMMERCIALLY SPONSORED. GSH PARTICIPATES IN MEDICARE AND MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, AND HAS AN ACTIVE CHARITY CARE PROGRAM.SEE RESPONSE TO PART VI, LINE 2 FOR ADDITIONAL INFORMATION.
PART VI, LINE 6: IN 1995, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND BETHESDA HOSPITAL, INC. FORMED A PARTNERSHIP CALLED TRIHEALTH, INC. TO CREATE AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE THEY SERVE, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION. TRIHEALTH, INC.'S SITES INCLUDE TWO HOSPITAL LOCATIONS AND VARIOUS PHYSICIAN OFFICE BUILDINGS THROUGHOUT THE GREATER CINCINNATI AREA IN ADDITION TO FITNESS, REHABILITATION, OCCUPATIONAL HEALTH, PALLIATIVE CARE SERVICES AND OUTPATIENT CENTERS. IT ALSO PROVIDES SERVICES IN HOMES AND WORKPLACES AND DELIVERS CARE AND EDUCATION COOPERATIVELY THROUGH COMMUNITY-BASED ORGANIZATIONS, SUCH AS CHURCHES, SCHOOLS, CLINICS AND SOCIAL AGENCIES.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
HEALTHY BEGINNINGS INC
47 E HOLLISTER STE 201	CINCINNATI	OH	45219	311380939	501(C)(3)	70000	SUPPORT FUNDING
HEALTHY MOM AND BABIES INC
2270 BANNING ROAD	CINCINNATI	OH	45239	311155292	501(C)(3)	100000	CHARITY CARE
ACADEMY OF MEDICINE OF CINCINNATI PROJECT ACCESS
2300 WALL STREET SUITE F	CINCINNATI	OH	45212	453029855	501(C)(3)	10000	GENERAL PURPOSE
UPTOWN CONSORTIUM INC
629 OAK STREET SUITE 306	CINCINNATI	OH	45206	200688727	501(C)(3)	147900	GENERAL PURPOSE
COALITION TO PROTECT AMERICA'S HEALTH CARE
PO BOX 30211	BETHESDA	MD	20824	522253225	501(C)(4)	7650	COMMITMENT
THE CENTER FOR CLOSING THE HEALTH GAP IN GREATER CINCINNATI
3120 BURNET AVENUE SUITE 201	CINCINNATI	OH	45229	200902286	501(C)(3)	106335	GENERAL PURPOSE
ARTHRITIS FOUNDATION INC
7124 MIAMI AVE	CINCINNATI	OH	45243	316043937	501(C)(3)	10200	SPONSORSHIP
CENTER FOR RESPITE CARE INC
PO BOX 141301	CINCINNATI	OH	45229	202544994	501(C)(3)	25500	GENERAL PURPOSE
GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC
619 OAK STREET	CINCINNATI	OH	45206	311206047	501(C)(3)	11120	SPONSORSHIP
AMERICAN HEART ASSOCIATION
5455 N HIGH STRET	COLUMBUS	OH	43214	135613797	501(C)(3)	38250	SPONSORSHIP
MAYFIELD EDUCATION AND RESEARCH FUND
506 OAK STREET	CINCINNATI	OH	45219	310921099	501(C)(3)	10200	SPONSORSHIP

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	10	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation
REFUGEE WOMEN'S SUPPORT GROUP	25	8292	INSTRUCTION IN ENGLISH AS A SECOND LANGUAGE AS WELL AS DISCUSSION RELATED TO VARIOUS HEALTH TOPICS.
INFANT FUNERAL EXPENSE	1	100	PURCHASE OF INFANT CASKET	840	FAIR MARKET VALUE
MULTIVITAMINS	20		MULTIVITAMINS	768	FAIR MARKET VALUE
BOOKS	1		BOOKS	100	FAIR MARKET VALUE

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("HOSPITAL") PROVIDES GRANTS TO OTHER ORGANIZATIONS AND INDIVIDUALS ON A VERY LIMITED BASIS. IN THOSE INSTANCES, THE DEPARTMENT GRANTING THE FUNDS IS RESPONSIBLE FOR OBTAINING AND STORING ALL NECESSARY INFORMATION FROM THE OTHER ORGANIZATION AND INDIVIDUALS RELATIVE TO HOW THE FUNDS WILL BE SPENT. GENERALLY, GRANTS ARE PROVIDED, ON BEHALF OF HOSPITAL THOUGH TRIHEALTH, INC. ("TRIHEALTH"), A SUPPORTING ORGANIZATION OF HOSPITAL, WHICH PROVIDES ADMINISTRATIVE SUPPORT SERVICES TO HOSPITAL. AS SUCH, TRIHEALTH IS RESPONSIBLE FOR MONITORING THE USE OF HOW THE FUNDS WILL BE SPENT.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PAUL EDGETT III
0	400709	0	167831	0	21638	0	62943	0	21446	0	674567	0	0
JOHN PROUT
0	859109	0	338532	0	28543	0	286218	0	10208	0	1522610	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
DAVE DORNHEGGEN
0	267779	0	72608	0	20316	0	96667	0	14527	0	471897	0	0
WILLIAM GRONEMAN
0	360315	0	120587	0	67916	0	141510	0	23464	0	713792	0	16587
GERALD OLIPHANT
0	433802	0	145983	0	18288	0	102679	0	21436	0	722188	0	0
GEORGES FEGHALI MD
0	360606	0	122375	0	30589	0	133633	0	22364	0	669567	0	0
ROBERT ROHS MD
277418	0	56154	0	3405	0	38142	0	713	0	375832	0	0	0
DAVID DHANRAJ MD
209773	0	30000	0	150	0	19018	0	13882	0	272823	0	0	0
MICHAEL HOLBET MD
237343	0	0	0	594	0	31583	0	564	0	270084	0	0	0
HELEN KOSELKA MD
196648	0	1875	0	612	0	42293	0	6998	0	248426	0	0	0
MICHAEL SMITH MD
168297	0	0	0	0	0	0	0	0	0	168297	0	0	0
MICHAEL CROFTON
0	206505	0	50637	0	21853	0	53006	0	22306	0	354307	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 4B	PART I, LINE 4B - NON-QUALIFIED DEFERRED COMPENSATION PLAN 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 MICHAEL CROFTON - $16,824 GERALD OLIPHANT - $82,817 DAVE DORNHEGGEN - $41,735 WILLIAM GRONEMAN - $80,979 GEORGES FEGHALI, MD - $76,814. IN ADDITION, THE FOLLOWING INDIVIDUALS LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY THEIR RESPECTIVE EMPLOYERS: WILLIAM GRONEMAN - $16,587
PART I, LINE 7	PART I, LINE 7: A PHYSICIAN HAS A BASE SALARY BUT IS ALSO ELIGIBLE FOR A BONUS. THE BONUS IS CONTINGENT ON THE PROFITABILITY OF HIS OR HER PRACTICE. ESSENTIALLY, THE PROFITABILITY OF HIS OR HER PRACTICE GETS PAID TO THE PHYSICIAN AS A BONUS UP TO A MAXIMUM OF $100,000.
PART III	PART I, LINE 3 - METHODS USED TO ESTABLISH CEO COMPENSATION TRIHEALTH, INC., A RELATED ORGANIZATION OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, WHO PAID THE INDIVIDUAL, 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 HOSPITAL OF CINCINNATI, OHIO ARE PAID BY TRIHEALTH, INC., A RELATED ORGANIZATION, RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3). THESE INDIVIDUALS DO NOT HAVE EMPLOYMENT AGREEMENTS SO NO SPECIAL ARRANGEMENTS EXIST BEYOND TRIHEALTH, INC.'S 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 ARE CONDITIONED UPON SIGNING A SEPARATION AND RELEASE AGREEMENT. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. DURING THE 2011 CALENDAR YEAR.	SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF THE ORGANIZATION'S 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.
	FORM 990, PART VI, SECTION A, LINE 2	THE OFFICERS, DIRECTORS AND TRUSTEES OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO LISTED IN PART VII, SECTION A HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARDS OF BETHESDA HOSPITAL, INC. AND TRIHEALTH, INC., ALL RELATED ENTITIES. SYLVANIA NG, MD, STUART DONOVAN, MD, ROBERT L. WALKER, MICHAEL HAVERKAMP, CRAIG EISENTROUT, MD AND MYRTIS POWELL HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF BETHESDA, INC., THE SINGLE CORPORATE MEMBER OF BETHESDA HOSPITAL, INC. JOHN PROUT, DONNA NIENABER, ESQ., CRAIG RUCKER, WILLIAM GRONEMAN, GERALD OLIPHANT, GEORGES FEGHALI, MD, MARC ALEXANDER, MD, STEPHEN BLATT, MD, AND DAVE DORNHEGGEN 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 GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO HAS TWO (2) CORPORATE MEMBERS. CATHOLIC HEALTH INITIATIVES, A COLORADO NON-PROFIT CORPORATION, IS THE SOLE VOTING MEMBER AND TRIHEALTH, INC., AN OHIO NON-PROFIT CORPORATION, IS THE SOLE NON-VOTING MEMBER.
	FORM 990, PART VI, SECTION A, LINE 7A	IN ACCORDANCE WITH THE CORPORATE BYLAWS OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("HOSPITAL"), THE TRUSTEES OF THE HOSPITAL (OTHER THAN THE CHIEF EXECUTIVE OFFICER AND THE PRESIDENTS OF THE MEDICAL STAFFS OF GOOD SAMARITAN HOSPITAL AND BETHESDA NORTH HOSPITAL WHO SERVE BY VIRTUE OF THEIR OFFICES) SHALL BE NOMINATED AND ELECTED BY THE VOTING MEMBER NO LATER THAN JUNE 30 OF EACH YEAR IN THE MANNER PROVIDED IN THE NETWORK AFFILIATION AGREEMENT.
	FORM 990, PART VI, SECTION A, LINE 7B	CATHOLIC HEALTH INITIATIVES ("CHI") IS THE SOLE CORPORATE VOTING MEMBER OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("HOSPITAL"). PURSUANT TO SECTION 5.4.2 OF THE HOSPITAL'S BYLAWS AND THE NETWORK AFFILIATION AGREEMENT, THE VOTING MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX, THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE HOSPITAL, * AMENDMENT OF THE CORPORATE DOCUMENTS OF THE HOSPITAL, * APPROVAL OF MEMBERS OF THE HOSPITAL'S BOARD, * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE HOSPITAL, * APPROVAL OF ISSUANCE OF DEBT BY THE HOSPITAL, * APPROVAL OF PARTICIPATION OF THE HOSPITAL IN A JOINT VENTURE, * APPROVAL OF FORMATION OF A NEW CORPORATION BY THE HOSPITAL, * APPROVAL OF A MERGER INVOLVING THE HOSPITAL, * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL, * AUTHORITY TO REQUIRE THE TRANSFER OF ASSETS BY THE HOSPITAL TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS, AND * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE HOSPITAL. PURSUANT TO SECTION 5.5.2 OF THE HOSPITAL'S BYLAWS AND THE NETWORK AFFILATION AGREEMENT, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE HOSPITAL, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE.
	FORM 990, PART VI, SECTION A, LINE 8A	IT IS THE COMMON PRACTICE OF THE ORGANIZATION TO DISSEMINATE A COPY OF THE PROPOSED MINUTES OF THE PREVIOUS MEETING TO THE BOARD OR COMMITTEE PRIOR TO THE NEXT MEETING AND TO DISCUSS AND APPROVE SUCH MINUTES AT THE NEXT MEETING. FOR 8 OF THE 9 MEETINGS OF THE BOARD AND EXECUTIVE COMMITTEE, THE MINUTES WERE CONTEMPORANEOUSLY DOCUMENTED. ON ONE OCCASION, HOWEVER, MINUTES FROM THE IMMEDIATELY PREVIOUS MEETING WERE NOT PUT ON THE AGENDA FOR A SPECIAL MEETING OF THE BOARD. SUCH MINUTES WERE REVIEWED AND APPROVED AT THE NEXT REGULAR MEETING OF THE BOARD, WHICH OCCURRED 91 DAYS AFTER THE PREVIOUS MEETING OCCURRED.
	FORM 990, PART VI, SECTION B, LINE 11	MEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF THIS FORM 990 PRIOR TO FILING. 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 ORGANIZATION 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 HOSPITAL OF CINCINNATI, OHIO'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 HOSPITAL OF CINCINNATI, OHIO'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. IN ADDITION, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINT.ORG OR AT HTTP://WWW.DACBOND.COM.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -10,121,036. CHANGE PENSION PLAN/SERP FUNDED STATUS -19,375,764. TRANSFER TO CHI CAPITAL RESOURCE POOL -5,755,356. MISCELLANEOUS ADJUSTMENT 166,361. TOTAL TO FORM 990, PART XI, LINE 5: -35,085,795.
VOLUNTEER INFORMATION	FORM 990, PART I, LINE 6	DURING THE TAX YEAR, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO WAS ASSISTED BY 1,344 VOLUNTEERS WHO DONATED OVER 132,255 HOURS.
EXECUTIVE COMMUNITY COMPOSITION AND AUTHORITY	FORM 990, PART VI, LINE 1	PURSUANT TO ARTICLE SECTION 8.1.1 OF THE BYLAWS OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("HOSPITAL"), THE BOARD OF TRUSTEES MAY ESTABLISH AN THE EXECUTIVE COMMITTEE WHICH MAY EXERCISE SUCH POWER AND AUTHORITY OF THE BOARD OF TRUSTEES IN INTERVALS BETWEEN MEETINGS OF THE BOARD AS AUTHORIZED BY THE BOARD. THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND THE CHIEF EXECUTIVE OFFICER, THE SECRETARY AND TWO OTHER BOARD MEMBERS IN ACCORDANCE WITH THE NETWORK AFFILIATION AGREEMENT. PURSUANT TO SECTION 8.1.5 OF THE HOSPITAL'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS SHALL CONSIST OF AT LEAST THREE MEMBERS OF THE BOARD OF TRUSTEES. FURTHER, PURSUANT TO SECTION 8.1.1 OF THE HOSPITAL'S BYLAWS, FOUR MEMBERS OF THE EXECUTIVE COMMITTEE SHALL CONSTITUTE A QUORUM FOR THE TRANSACTIONS OF BUSINESS AND THE ACT OF THE FOUR OF THEM SHALL CONSTITUTE THE ACT OF THE COMMITTEE.
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 HOSPITAL OF CINCINNATI, OHIO 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.
CHANGE IN PROCESS OF AUDIT OVERSIGHT OR SELECTION OF INDEPENDENT AUDITOR	FORM 990, PART XII, LINE 2C	THE FINANCIAL STATEMENTS OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("HOSPITAL") ARE AUDITED WITH ITS SUBSIDIARIES. 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 BY HOSPITAL.
EVALUATION OF PARTICIPATION IN JOINT VENTURE AGREEMENTS	FORM 990, PART VI, LINE 16B	THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR PROCEDURE REGARDING JOINT VENTURES. HOWEVER, CATHOLIC HEALTH INITIATIVES, A RELATED ORGANIZATION, HAS A SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT WHICH INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (129 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
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		1	N/A
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	363233121	HEALTHCARE	NE	501(C)(3)	11A	CHI	1
CHI-IOWA CORP
1111 6TH AVENUE	DES MOINES	IA	50314	420680448	HEALTHCARE	IA	501(C)(3)	3	CHI	1
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK STREET ACCOUNTING-3 WEST	CINCINNATI	OH	45206	237419853	DIALYSIS	OH	501(C)(2)		GOOD SAM HOSPITAL	1
CONTINUING CARE HOSPITAL
150 NORTH EAGLE CREEK DRIVE	LEXINGTON	KY	40509	611400619	LTACH	KY	501(C)(3)	3	SJHS	1
COVENANT HOME CARE
1223 POTTSVILLE PIKE	SHOEMAKERSVILLE	PA	19555	232018429	HOME HEALTH	PA	501(C)(3)	11B		1	N/A
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 BATTERSBY AVENUE	ENUMCLAW	WA	98022	910715805	HEALTHCARE	WA	501(C)(3)	3	FHS	1
FLAGET HEALTHCARE DBA FLAGET MEMORIAL HOSPITAL
4305 NEW SHEPHERDSVILLE ROAD	BARDSTOWN	KY	40004	611345363	HEALTHCARE	KY	501(C)(3)	3	KOH	1
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE ROAD	BARDSTOWN	KY	40004	562351341	FUNDRAISING	KY	501(C)(3)	11A	FH	1
FRANCISCAN FOUNDATION
1717 SOUTH J STREET	TACOMA	WA	98405	911145592	FUNDRAISING	WA	501(C)(3)	9	FHS	1
FRANCISCAN HEALTH SYSTEM FKA FRANCISCAN HEALTH SYSTEM - WEST
1717 SOUTH J STREET	TACOMA	WA	98405	910564491	HEALTHCARE	WA	501(C)(3)	3	CHI	1
FRANCISCAN MEDICAL GROUP
1708 SOUTH YAKIMA AVENUE	TACOMA	WA	98405	911939739	HEALTHCARE	WA	501(C)(3)	9	FHS	1
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 SOUTH CHICAGO AVENUE	SOUTH MILWAUKEE	WI	53172	391093829	HEALTHCARE	WI	501(C)(3)	9	CHI	1
GETTYSBURG MEDICAL CENTER
606 EAST GARFIELD AVENUE	GETTYSBURG	SD	57442	460234354	HEALTHCARE	SD	501(C)(3)	3	SMHC	1
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	201536108	MINISTRIES	CO	501(C)(3)	11A	CHI	1
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
375 DIXMYTH AVE	CINCINNATI	OH	45220	311778403	EDUCATION	OH	501(C)(3)	2	GOOD SAM HOSPITAL	1
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK STREET ACCOUNTING-3 WEST	CINCINNATI	OH	45206	311206047	FUNDRAISING	OH	501(C)(3)	11A	GOOD SAM HOSPITAL	1
GOOD SAMARITAN HOSPITAL
PO BOX 1990	KEARNEY	NE	68848	470379755	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	1
GOOD SAMARITAN HOSPITAL FOUNDATION
PO BOX 1810	KEARNEY	NE	68848	470659443	FUNDRAISING	NE	501(C)(3)	7	GSH	1
HEALTH SET
4200 WEST CONEJOS PLACE 436	DENVER	CO	80204	841102943	LOW INC.CARE	CO	501(C)(3)	7	CHI COLORADO	1
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	760761782	FUNDRAISING	MN	501(C)(3)	11A	SFMC	1
HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL
7601 OSLER DRIVE	TOWSON	MD	21204	526050777	HEALTHCARE	MD	501(C)(3)	9	SJMC	1
HOUSE OF MERCY
1111 6TH AVENUE	DES MOINES	IA	50314	421323808	SHELTER	IA	501(C)(3)	7	CHI-IA CORP	1
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611029768	HEALTHCARE	KY	501(C)(3)	3	KOH	1
JEWISH PHYSICIAN GROUP INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611352729	HEALTHCARE	KY	501(C)(3)	9	JHSMH	1
KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611029769	HEALTHCARE	KY	501(C)(3)	9	CHI	1
LAKEWOOD HEALTH CENTER
600 MAIN AVENUE SOUTH	BAUDETTE	MN	56623	410758434	LTERM CARE	MN	501(C)(3)	3	CHI	1
LINUS OAKES INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	930821381	SENIOR LIVING	OR	501(C)(3)	9	MMC	1
LISBON AREA HEALTH SERVICES
905 MAIN STREET	LISBON	ND	58054	820558836	HEALTHCARE	ND	501(C)(3)	3	CHI	1
MEMORIAL HEALTH CARE SYSTEM FOUNDATION
2525 DE SALES AVENUE	CHATTANOOGA	TN	37404	621839548	FUNDRAISING	TN	501(C)(3)	7	MHCS	1
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVENUE	CHATTANOOGA	TN	37404	620532345	HEALTHCARE	TN	501(C)(3)	3	CHI	1
MEMORIAL HEALTH PARTNERS FOUNDATION INC
6028 SHALLOWFORD ROAD	CHATTANOOGA	TN	37421	030417049	HEALTHCARE	TN	501(C)(3)	9	MHCS	1
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVENUE	DES MOINES	IA	50314	426076069	AUXILIARY	IA	501(C)(3)	11A	CHI-IA CORP	1
MERCY CLINICS INC
1111 6TH AVENUE	DES MOINES	IA	50314	421193699	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	1
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVENUE	DES MOINES	IA	50314	421511682	EDUCATION	IA	501(C)(3)	2	CHI-IA CORP	1
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVENUE	DES MOINES	IA	50314	237358794	FUNDRAISING	IA	501(C)(3)	7	CHI-IA CORP	1
MERCY FOUNDATION INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	936088946	FUNDRAISING	OR	501(C)(3)	7	MMC	1
MERCY HEALTH CARE FOUNDATION
PO BOX 368	CORNING	IA	50841	421461064	FUNDRAISING	NE	501(C)(3)	11A	AHMH	1
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BOULEVARD	VALLEY CITY	ND	58072	450226553	FUNDRAISING	ND	501(C)(3)	11A	MHVC	1
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRIVE	COUNCIL BLUFFS	IA	51503	421178204	FUNDRAISING	IA	501(C)(3)	11A	AHBMHS	1
MERCY HOSPITAL OF DEVILS LAKE
1031 EAST SEVENTH STREET	DEVILS LAKE	ND	58301	450227012	HEALTHCARE	ND	501(C)(3)	3	CHI	1
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BOULEVARD	VALLEY CITY	ND	58072	450226553	HEALTHCARE	ND	501(C)(3)	3	CHI	1
MERCY LIFECARE SYSTEMS
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	431305163	PROPERTY MGMT	MO	501(C)(3)	11A	SJRMC	1
MERCY MEDICAL CENTER
1301 15TH AVENUE WEST	WILLISTON	ND	58801	450231183	HEALTHCARE	ND	501(C)(3)	3	CHI	1
MERCY MEDICAL CENTER
2700 STEWART PARKWAY	ROSEBURG	OR	97470	930386868	HEALTHCARE	OR	501(C)(3)	3	CHI	1
MERCY MEDICAL CENTER - CENTERVILLE
1 ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	420680308	HEALTHCARE	IA	501(C)(3)	3	CHI-IA CORP	1
MERCY MEDICAL FOUNDATION
1301 15TH AVENUE WEST	WILLISTON	ND	58801	450381803	FUNDRAISING	ND	501(C)(3)	11A	MMC	1
MERCY PROFESSIONAL PRACTICE ASSOCIATES INC
1111 6TH AVENUE	DES MOINES	IA	50314	421470935	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	1
MNMCH INC
220 NORTH PENNSYLVANIA	COLUMBUS	KS	66725	481216238	HEALTHCARE	KS	501(C)(3)	3	SJRMC	1
MT ST JOSEPH INC
3060 SE STARK STREET	PORTLAND	OR	97214	930386870	NURSING CARE	OR	501(C)(3)	9	CHI	1
NEBRASKA HEART HOSPITAL
7500 SOUTH 91ST STREET	LINCOLN	NE	68526	392031968	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	1
OAKES COMMUNITY HOSPITAL
314 SOUTH 8TH STREET	OAKES	ND	58474	450231675	HEALTHCARE	ND	501(C)(3)	3	CHI	1
OAKES COMMUNITY HOSPITAL FOUNDATION
314 SOUTH 8TH STREET	OAKES	ND	58474	710966606	FUNDRAISING	ND	501(C)(3)	11A	OCH	1
PUEBLO STEPUP
1925 EAST ORMAN AVENUE SUITE G52	PUEBLO	CO	81004	841234295	COMMUNITY	CO	501(C)(3)	7	CHI COLORADO	1
SET OF COLORADO SPRINGS INC
825 E PIKES PEAK AVENUE BLDG 29	COLORADO SPRINGS	CO	80903	841183335	LTERM CARE	CO	501(C)(3)	7	CHI COLORADO	1
SAINT CLARE'S COMMUNITY CARE
66 FORD ROAD	DENVILLE	NJ	07834	222876836	HEALTHCARE	NJ	501(C)(3)	11B	SCHS	1
SAINT CLARE'S FOUNDATION INC
66 FORD ROAD	DENVILLE	NJ	07834	222502997	FUNDRAISING	NJ	501(C)(3)	7	SCHS	1
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO ROAD	DENVILLE	NJ	07834	223639733	MANAGEMENT	NJ	501(C)(3)	7	CHI	1
SAINT CLARE'S HOSPITAL
66 FORD ROAD	DENVILLE	NJ	07834	223319886	HEALTHCARE	NJ	501(C)(3)	3	SCHS	1
SAINT ELIZABETH FOUNDATION
555 SOUTH 70TH STREET	LINCOLN	NE	68510	470625523	FUNDRAISING	NE	501(C)(3)	7	SERMC	1
SAINT ELIZABETH HEALTH SERVICES
555 SOUTH 70TH STREET	LINCOLN	NE	68510	363233120	HEALTHCARE	NE	501(C)(3)	3	SERMC	1
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 SOUTH 70TH STREET	LINCOLN	NE	68510	470379836	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	1
SAINT FRANCIS MEDICAL CENTER
PO BOX 9804	GRAND ISLAND	NE	68802	470376601	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	1
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804	GRAND ISLAND	NE	68802	470630267	FUNDRAISING	NE	501(C)(3)	7	SFMC	1
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL STREET	BEREA	KY	40403	260152877	FUNDRAISING	KY	501(C)(3)	7	SJHS	1
SAINT JOSEPH HEALTH SYSTEM INC
150 N EAGLE CREEK DR	LEXINGTON	KY	40509	611334601	HEALTHCARE	KY	501(C)(3)	3	CHI	1
SAINT JOSEPH LONDON FOUNDATION INC
310 EAST NINTH STREET	LONDON	KY	40741	260438748	FUNDRAISING	KY	501(C)(3)	11A	SJHS	1
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
50 STERLING AVENUE	MOUNT STERLING	KY	40353	272884584	FUNDRAISING	KY	501(C)(3)	7	SJHS	1
SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH STREET	DICKINSON	ND	58601	363418207	FUNDRAISING	ND	501(C)(3)	11A	SJHHC	1
SAMARITAN BEHAVIORAL HEALTH
601 S EDWIN C MOSES BLVD	DAYTON	OH	45408	020633634	HEALTHCARE	OH	501(C)(3)	3	SHP	1
SAMARITAN HEALTH FOUNDATION
2222 PHILADELPHIA DRIVE	DAYTON	OH	45406	237296923	FUNDRAISING	OH	501(C)(3)	7	SHP	1
SAMARITAN HEALTH PARTNERS
2222 PHILADELPHIA DRIVE	DAYTON	OH	45406	311107411	HEALTHCARE	OH	501(C)(3)	11A	CHI	1
ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	232342997	HEALTH	PA	501(C)(3)	11A	CHI	1
ST ANTHONY HOSPITAL
1601 SE COURT AVENUE	PENDLETON	OR	97801	930391614	HEALTHCARE	OR	501(C)(3)	3	CHI	1
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVENUE	PENDLETON	OR	97801	930992727	FUNDRAISING	OR	501(C)(3)	11A	SA HOSPITAL	1
ST ANTHONY'S HOSPITAL ASSOCIATION
4 HOSPITAL DRIVE	MORRILTON	AR	72110	710245507	HEALTHCARE	AR	501(C)(3)	3	SVIMC	1
ST CATHERINE HOSPITAL
401 EAST SPRUCE STREET	GARDEN CITY	KS	67846	480543721	HEALTHCARE	KS	501(C)(3)	3	CHI	1
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STREET	GARDEN CITY	KS	67846	200598702	FUNDRAISING	KS	501(C)(3)	11A	SCH	1
ST DOMINIC OF ONTARIO
351 SW 9TH STREET	ONTARIO	OR	97914	930433692	HEALTHCARE	OR	501(C)(3)	3	CHI	1
ST FRANCIS HOME
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	410729978	LTERM CARE	MN	501(C)(3)	9	CHI	1
ST FRANCIS LIFE CARE CORPORATION
19 POCONO ROAD	DENVILLE	NJ	07834	222536017	ELDERLY CARE	NJ	501(C)(3)	9	SCHS	1
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	410695598	HEALTHCARE	MN	501(C)(3)	3	CHI	1
ST FRANCIS OF BAKER CITY
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	930412495	HEALTHCARE	OR	501(C)(3)	3	CHI	1
ST JOHN'S MEDICAL GROUP
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	431882377	PHYS PRACTICE	MO	501(C)(3)	9	SJRMC	1
ST JOHN'S MERCY REGIONAL FOUNDATION
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	431308084	FUNDRAISING	MO	501(C)(3)	7	SJRMC	1
ST JOHN'S REGIONAL MEDICAL CENTER
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	440545809	HEALTHCARE	MO	501(C)(3)	3	CHI	1
ST JOSEPH COMMUNITY HEALTH SERVICES
300 CENTRAL AVE SW SUITE 3000W	ALBUQUERQUE	NM	87102	710897107	COMMUNITY	NM	501(C)(3)	11A	CHI	1
ST JOSEPH HOSPITAL FOUNDATION INC
305 ESTILL STREET	LEXINGTON	KY	40504	611159649	FUNDRAISING	KY	501(C)(3)	11A	SJHS	1
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	232649362	FUNDRAISING	PA	501(C)(3)	11A	SJRHN	1
ST JOSEPH MEDICAL CENTER FOUNDATION INC
7601 OSLER DRIVE	TOWSON	MD	21204	521681044	FUNDRAISING	MD	501(C)(3)	7	SJMC	1
ST JOSEPH MEDICAL CENTER INC
7601 OSLER DRIVE	TOWSON	MD	21204	520591461	HEALTHCARE	MD	501(C)(3)	3	CHI	1
ST JOSEPH MEDICAL FOUNDATION INC
ONE ST JOSEPH DRIVE	LEXINGTON	KY	40504	311539059	PHY PRACTICES	KY	501(C)(3)	3	SJHS	1
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	208544021	HEALTHCARE	PA	501(C)(3)	9	BHC	1
ST JOSEPH PHYSICIAN ENTERPRISES
7601 OSLER DRIVE	TOWSON	MD	21204	521311775	PHYSICIANS	MD	501(C)(3)	11A	SJMC	1
ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	231352211	HEALTHCARE	PA	501(C)(3)	3	CHI	1
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVENUE	PARK RAPIDS	MN	56470	410695603	HEALTHCARE	MN	501(C)(3)	3	CHI	1
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH STREET	DICKINSON	ND	58601	450226429	HEALTHCARE	ND	501(C)(3)	3	CHI	1
ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVENUE	NEBRASKA CITY	NE	68410	470443636	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	1
ST MARY'S HEALTHCARE CENTER
801 EAST SIOUX AVENUE	PIERRE	SD	57501	460230199	HEALTHCARE	SD	501(C)(3)	3	CHI	1
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENUE	NEBRASKA CITY	NE	68410	470707604	FUNDRAISING	NE	501(C)(3)	7	SMH	1
ST ROSE AMBULATORY AND SURGERY CENTER FKA CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY	GREAT BEND	KS	67530	480543724	SURGERY CNTR	KS	501(C)(3)	3	CHI	1
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	510169537	FUNDRAISING	AR	501(C)(3)	11A	SVIMC	1
ST VINCENT INFIRMARY MEDICAL CENTER
2 ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710236917	HEALTHCARE	AR	501(C)(3)	3	CHI	1
ST VINCENT MEDICAL GROUP
2 ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710830696	HEALTHCARE	AR	501(C)(3)	9	SVIMC	1
THE MERCY HOSPITAL OF DEVILS LAKE FDN
1031 EAST SEVENTH STREET	DEVILS LAKE	ND	58301	352367360	FUNDRAISING	ND	501(C)(3)	11A	MHDL	1
THE PHYSICIAN NETWORK
8055 Q STREET SUITE 500	LINCOLN	NE	68510	470780857	PHYS PRACTICE	NE	501(C)(3)	11A	CHI NEBRASKA	1
TOTAL HEALTHCARE
PO BOX 7021	COLORADO SPRINGS	CO	80933	840927232	HEALTHCARE	CO	501(C)(3)	3	CHI COLORADO	1
TRIHEALTH INC
619 OAK STREET ACCOUNTING-3 WEST	CINCINNATI	OH	45206	311438846	SUPPORT AFFILIATED HOSPITALS	OH	501(C)(3)	11B		1	N/A
BETHESDA HOSPITAL INC
619 OAK STREET ACCOUNTING-3 WEST	CINCINNATI	OH	45206	310537122	INPATIENT AND OUTPATIENT SERVICES	OH	501(C)(3)	3		1	N/A
FUND OF THE DEPT OF OBGYN OF GOOD SAM HOSPITAL
375 DIXMYTH AVE	CINCINNATI	OH	45220	316056217	SUPPORT AFFILIATED HOSPITAL	OH	501(C)(3)	11A		0	N/A
UNITY FAMILY HEALTHCARE
815 2ND STREET SE	LITTLE FALLS	MN	56345	410721642	HEALTHCARE	MN	501(C)(3)	3	CHI	1
VILLA NAZARETH INC
801 PAGE DRIVE	FARGO	ND	58103	450226714	LT CARE	ND	501(C)(3)	9	CHI	1
VISITING NURSE ASSOCIATION OF SAINT CLARE'S
191 WOODPORT ROAD	SPARTA	NJ	07871	221768334	HOME HEALTH	NJ	501(C)(3)	9	SCHS	1

Form990 Schedule R Part III Form990ScheduleRPartIII (23 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
AUDUBON LAND COMPANY LLC
5390 N ACADEMY BLVD SUITE 300	COLORADO SPRINGS	CO	80918	841513085	REAL ESTATE	CO	N/A
AVANTAS LLC
11128 JOHN GALT BLVD ST 400	OMAHA	NE	68137	392045003	HEALTHCARE	NE	N/A
BERYWOOD OFFICE PROPERTIES LLC
400 BERYWOOD TRAIL	CLEVELAND	TN	37312	621875199	PHYS OFFICE	TN	N/A
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY SUITE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC	KY	N/A
CENTRAL NEBRASKA HOME CARE SERVICES
PO BOX 1146-4510 SECOND AVENUE	KEARNEY	NE	68848	470692112	HEALTHCARE SRVC	NE	N/A
CENTRAL NEBRASKA REHAB SERVICES
3004 W FAIDLEY AVE	GRAND ISLAND	NE	68802	810653461	PHYSICAL THERAPY	NE	N/A
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470727942	INVESTMENTS	CO		CHI	INVESTMENT	10720318	367126006	0	$10,003	0	0.06560
HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	LAUNDRY	NE	N/A
MRI AT ST JOSEPH MEDICAL CENTER LLC
7253 AMBASSADOR ROAD	BALTIMORE	MD	21244	521958002	MEDICAL IMAGING	MD	N/A
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVENUE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	N/A
O'DEA MEDICAL ARTS LIMITED PARTNERSHIP
7601 OSLER DRIVE	TOWSON	MD	21204	521682964	REAL ESTATE	MD	N/A
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80255	371577105	ORTHO HOSPITAL	CO	N/A
PENINSULA RADIATION ONCOLOGY
314 MARTIN LUTHER KING JR WAY 111	TACOMA	WA	98405	870808610	HEALTHCARE SRVC	WA	N/A
PENRAD IMAGING
1390 KELLY JOHNSON BLVD	COLORADO SPRINGS	CO	80920	841072619	MEDICAL IMAGING	CO	N/A
RUXTON SURGICENTER LLC
8322 BELLONA AVENUE SUITE 201	BALTIMORE	MD	21204	522095835	SURGERY CENTER	MD	N/A
SAINT JOSEPH - SCA HOLDINGS LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	453801157	OP SURGERY	DE	N/A
SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	721386840	SURGERY CENTER	KY	N/A
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD SUITE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	N/A
ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J STREET	TACOMA	WA	98405	911352698	MED. OFFICE	WA	N/A
ST JOSEPH-PAML LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	452116736	MGMT SVCS	KY	N/A
SUPERIOR MEDICAL IMAGING LLC
5000 NORTH 26TH STREET	LINCOLN	NE	68521	262884555	OP DIAGNOSTICS	NE	N/A
SURGERY CENTER OF LEXINGTON LLC
1451 HARRODSBURG ROAD	LEXINGTON	KY	40504	621179539	SURGERY CENTER	DE	N/A
SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	621179537	SURGERY CENTER	KY	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (45 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
ALTERNATIVE INSURANCE MANAGEMENT SERVICES
3900 OLYMPIC BOULEVARD SUITE 400	ERLANGER	KY	41018	841112049	MANAGEMENT SERVICES	CO	N/A	C
AMERICAN NURSING CARE
1700 EDISON DRIVE	MILFORD	OH	45150	311085414	HOME HEALTH	OH	N/A	C
AMERIMED INC
1700 EDISON DRIVE	MILFORD	OH	45150	311158699	HOME HEALTH	OH	N/A	C
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	FITNESS CLUB	KY	N/A	C
CADUCEUS MEDICAL ASSOCIATES INC
6028 SHALLOWFORD ROAD SUITE D	CHATTANOOGA	TN	37422	621570736	HEALTHCARE	TN	N/A	C
CAPTIVE MANAGEMENT INITIATIVES
				980663022	CAPTIVE MANAGEMENT		N/A	C	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001	CJ
CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	272269511	RESEARCH	CO	N/A	T
CGH REALTY COMPANY INC
215 N 12TH ST	READING	PA	19603	232326801	REAL ESTATE	PA	N/A	C
COMCARE SERVICES
4231 W 16TH AVENUE	DENVER	CO	80204	840904813	INACTIVE	CO	N/A	C
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRIVE	MILFORD	OH	45150	311378212	HOME HEALTH	OH	N/A	C
DAVID DEYLE CHARITABLE REMAINDER UNITRUST
PO BOX 1810	KEARNEY	NE	68848	476192395	INVESTMENTS	NE	N/A	T
DES MOINES MEDICAL CENTER INC
1111 6TH AVENUE	DES MOINES	IA	50314	420837382	REAL ESTATE	IA	N/A	C
FIRST INITIATIVES INSURANCE LTD
				980203038	INSURANCE		N/A	C	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001	CJ
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232487967	HEALTHCARE	CO	N/A	C
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990	KEARNEY	NE	68848	470659440	MEDICAL CLINIC	NE	N/A	C
HAROLD W RASE 1995 CHARITABLE UNITTRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	456090420	INVESTMENTS	ND	N/A	T
HAROLD W RASE 1996 CHARITABLE UNITTRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	206037112	INVESTMENTS	ND	N/A	T
HAROLD W RASE 1997 CHARITABLE UNITTRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	206037104	INVESTMENTS	ND	N/A	T
HAROLD W RASE 1999 CHARITABLE UNITTRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	206037099	INVESTMENTS	ND	N/A	T
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MANAGEMENT	NE	N/A	C
HEALTHCARE MGMT SERVICES ORG INC
1149 MARKET ST	TACOMA	WA	98402	911865474	HEALTH ORG.	WA	N/A	C
JAMES & HENRIETTA NISTLER UNITRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	206021899	INVESTMENTS	ND	N/A	T
JEANNE DEYLE CHARITABLE REMAINDER UNITRUST
PO BOX 1810	KEARNEY	NE	68848	476192398	INVESTMENTS	NE	N/A	T
JOSEPH A SCHUSTER ANNUITY TRUST #1
400 UNIVERITY AVENUE	DES MOINES	IA	50314	421195122	INVESTMENTS	IA	N/A	T
LODESCA MILLER CHARITABLE REMAINDER UNITRUST
PO BOX 1810	KEARNEY	NE	68848	476186933	INVESTMENTS	NE	N/A	T
MEDQUEST
1301 15TH AVENUE WEST	WILLISTON	ND	58801	450392137	SALE OF DME	ND	N/A	C
MERCY HEALTH SERVICES CORPORATION
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	431457881	DME	MO	N/A	C
MERCY PARK APARTMENTS LTD
1111 6TH AVENUE	DES MOINES	IA	50314	421202422	HOUSING	IA	N/A	C
MERCY SERVICES CORP
2700 STEWART PARKWAY	ROSEBURG	OR	97470	930824308	RETAIL SALES	OR	N/A	C
MOUNTAIN MANAGEMENT SERVICES INC
6028D SHALLOWFORD ROAD	CHATTANOOGA	TN	37422	621570739	MGMT SVC ORG	TN	N/A	C
NAZARETH ASSURANCE COMPANY
76 ST PAUL STREET SUITE 500	BURLINGTON	VT	05401	030304831	INSURANCE	VT	N/A	C
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRIVE	MILFORD	OH	45150	311100798	HOME HEALTH	OH	N/A	C
PHYSICIAN HEALTH SYSTEM NETWORK
1149 MARKET ST	TACOMA	WA	98402	911746721	HEALTH ORG.	WA	N/A	C
RAY & SHIRLEY DAVID 1999 UNITRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	206037077	INVESTMENTS	ND	N/A	T
ROBERT & WANDA CHARITABLE REMAINDER UNITRUST
PO BOX 1810	KEARNEY	NE	68848	266191916	INVESTMENTS	NE	N/A	T
SAINT CLARE'S PRIMARY CARE INC
66 FORD ROAD	DENVILLE	NJ	07834	222441202	BILLING SERVICES	NJ	N/A	C
SAMARITAN FAMILY CARE INC
40 W FOURTH ST 1700	DAYTON	OH	45402	311299450	HEALTHCARE	OH	N/A	C
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232307408	HEALTHCARE	CO	N/A	C
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR 160	LEXINGTON	KY	40503	270164198	MANAGEMENT	KY	N/A	C
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATE	PENDLETON	OR	97801	931216943	ATHLETIC CLUB	OR	N/A	C
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710710785	HEALTHCARE	AR	N/A	C
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J STREET	TACOMA	WA	98405	911480569	RENTAL	WA	N/A	C
ST JOSEPH OFFICE PARK ASSOCIATION
1401 HARRODSBURG ROAD BLDG B70	LEXINGTON	KY	40504	611079899	MANAGEMENT	KY	N/A	C
TOM DEYLE CHARITABLE REMAINDER UNITRUST
PO BOX 1810	KEARNEY	NE	68848	476192393	INVESTMENTS	NE	N/A	T
TOWSON MANAGEMENT INC
7601 OSLER DRIVE	TOWSON	MD	21204	521710750	MANAGEMENT SERVICES	MD	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI
B	1184857	CASH
GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI
C	1629240	CASH
GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI
N	521519	FMV
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
N	5049520	FMV
TRIHEALTH INC
O	71213686	COST
COMMUNITY LIMITED CARE DIALYSIS CENTER
R	2553742	CASH
CATHOLIC HEALTH INITIATIVES
I	10910330	FMV
CATHOLIC HEALTH INITIATIVES
O	4830354	COST
CATHOLIC HEALTH INITIATIVES
Q	16182842	FMV
BETHESDA HOSPITAL INC
A	11440	FMV
AMERICAN NURSING CARE
L	1345552	FMV
PATIENT TRANSPORT SERVICES INC
L	793336	FMV
TRIHEALTH INC
I	1250	FMV
GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI
Q	2338461	CASH
TRIHEALTH INC
B	16150000	CASH