THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO DTD 01251995: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO DTD 01251995 (EIN 31-0537486)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-10
- IRS object ID
- 201231319349302153
- Schema version
- 2010v3.4
- 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 F
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-10T13:17:31-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-07-01 | 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 | 2012-05-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5136218300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 519094931 | 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 | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3893 | TotalNbrEmployees |
| Total Nbr Volunteers | 1093 | TotalNbrVolunteers |
| Total Gross UBI | 599620 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -356418 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2011657 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1819755 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 452506006 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 477423089 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 17517998 | InvestmentIncomePriorYear |
| Investment Income Current Year | 26589936 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 7757833 | OtherRevenuePriorYear |
| Other Revenue Current Year | 12262151 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 479793494 | TotalRevenuePriorYear |
| Total Revenue Current Year | 518094931 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 565970 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 571927 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 209583482 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 221197407 | 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 | 225744205 | OtherExpensePriorYear |
| Other Expenses Current Year | 238726565 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 435893657 | TotalExpensesPriorYear |
| Total Expenses Current Year | 460495899 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 43899837 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 57599032 | RevenuesLessExpensesCY |
| Total Assets BOY | 587586475 | TotalAssetsBOY |
| Total Assets EOY | 696050814 | TotalAssetsEOY |
| Total Liabilities BOY | 236475946 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 233617196 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 351110529 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 462433618 | 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 | 393386491 | Expense |
| Grants | 571927 | Grants |
| Revenue | 486942795 | Revenue |
| Description | SEE SCHEDULE H | Description |
| Total Program Service Expense | 393386491 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 0 | 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 | 1 | 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 | 274 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3893 | 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 | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | 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 | 1 | 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 | 0 | InvestmentInJointVenture |
| 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 |
Form990 Part VII Section A Form990PartVIISectionA (25 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 (START 3/2011) | 1.00 | X | X | 0 | 0 | 0 | |||
| JAMES SCHWAB | |||||||||
| CHAIRPERSON (END 2/2011) | 1.00 | X | X | 0 | 0 | 0 | |||
| STEPHEN SCHRANTZ | |||||||||
| VICE CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | |||
| MICHAEL MCGRAW | |||||||||
| SECRETARY/TREASURER | 1.00 | X | X | 0 | 0 | 0 | |||
| PAUL EDGETT III | |||||||||
| TRUSTEE | 1.00 | X | 0 | 596461 | 78607 | ||||
| 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 | ||||
| EDWARD HARNESS JR | |||||||||
| TRUSTEE (END 3/11) | 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 | 1216064 | 299811 | |||
| DONNA NIENABER ESQ | |||||||||
| ASSISTANT SECRETARY (SCH O) | 1.00 | X | 0 | 480976 | 138646 | ||||
| CRAIG RUCKER | |||||||||
| ASSISTANT TREASURER (SCH O) | 1.00 | X | 0 | 492908 | 115752 | ||||
| DAVE DORNHEGGEN | |||||||||
| CHIEF OPERATING OFFICER-GSH | 60.00 | 0 | 347377 | 109208 | X | ||||
| WILLIAM GRONEMAN | |||||||||
| EXECUTIVE VP (SCH O) | 1.00 | 0 | 511263 | 166581 | X | ||||
| GERALD OLIPHANT | |||||||||
| EXEC VP & COO (SCH O) | 1.00 | 0 | 547879 | 117654 | X | ||||
| GEORGES FEGHALI MD | |||||||||
| CHIEF MEDICAL OFFICER (SCH O) | 1.00 | 0 | 493357 | 137101 | X | ||||
| ROBERT ROHS MD | |||||||||
| PHYSICIAN | 40.00 | 341719 | 0 | 40185 | X | ||||
| MICHAEL HOLBERT MD | |||||||||
| PHYSICIAN | 40.00 | 265559 | 0 | 22576 | X | ||||
| MICHAEL MARCOTTE MD | |||||||||
| PHYSICIAN | 40.00 | 200367 | 0 | 42394 | X | ||||
| HELEN KOSELKA MD | |||||||||
| PHYSICIAN | 40.00 | 200630 | 0 | 47826 | X | ||||
| SAMATHA MAST MD | |||||||||
| PHYSICIAN | 40.00 | 155921 | 0 | 23245 | X | ||||
| MICHAEL CROFTON | |||||||||
| FORMER OFFICER (SCH O) | 0.00 | 0 | 261091 | 67993 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1209196 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4992376 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1407579 | TotalOtherCompensation |
| Number Individuals GT100 K | 59 | 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 |
|---|---|---|---|---|---|
| TRI-STATE HEALTHCARE LAUNDRY INC | |||||
| 551 S LOOP ROAD | EDGEWOOD | KY | 41017 | LAUNDRY | 1610272 |
| AMERICAN NURSING CARE INC | |||||
| 1700 EDISON DRIVE SUITE 300 | MILFORD | OH | 45150 | NURSING | 1244326 |
| PHYSICIANS ANESTHESIA SERVICES INC | |||||
| 20 MEDICAL VILLAGE DRIVE | EDGEWOOD | KY | 41017 | ANESTHESIA | 970250 |
| MORRISON MANAGEMENT SPECIALISTS | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | FOOD SERVICE | 763142 |
| ESKRIBE INC | |||||
| 6770 COMMERCE COURT | BLACKLICK | OH | 43004 | MEDICAL TRANSCRIPTION | 655719 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 43 | NumberOfContractorsGT100K |
| Related Organizations | 1818228 | RelatedOrganizations |
| All Other Contributions | 1527 | AllOtherContributions |
| Total Contributions | 1819755 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICES | 621990 | 475555556 | 475030106 | 525450 |
| JOA REVENUE | 990009 | 7810951 | 7810951 | |
| AFFILIATED ORG. RENTAL | 532000 | 1331214 | 1331214 | |
| EQUITY CHANGE IN ORGS. | 990009 | -7274632 | -7274632 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 477423089 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9875083 | TotalRevenueColumn |
| Unrelated Business Revenue | 22635 | UnrelatedBusinessRevenue |
| Exclusion | $9,852,448 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 906290 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 906290 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 906290 | TotalRevenueColumn |
| Exclusion | $906,290 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 16671903 | Securities |
| Other | 1042950 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1000000 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 16671903 | Securities |
| Other | 42950 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16714853 | TotalRevenueColumn |
| Exclusion | $16,714,853 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA | 722100 | 2184090 | $2,184,090 | |
| PHARMACY | 446110 | 1836155 | $1,836,155 | |
| RESEARCH | 900099 | 1204201 | 1204201 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6131415 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6079880 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 51535 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 11355861 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 518094931 | TotalRevenueColumn |
| Related Or Exempt Function Income | 484181720 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 599620 | UnrelatedBusinessRevenue |
| Exclusion | $31,493,836 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 565806 | Total |
| Program Services | 565806 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6121 | Total |
| Program Services | 6121 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171569260 | Total |
| Program Services | 145152760 | ProgramServices |
| Management And General | 26416500 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11149602 | Total |
| Program Services | 8749035 | ProgramServices |
| Management And General | 2400567 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25809528 | Total |
| Program Services | 19911744 | ProgramServices |
| Management And General | 5897784 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12669017 | Total |
| Program Services | 10953863 | ProgramServices |
| Management And General | 1715154 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1453717 | Total |
| Program Services | 1389819 | ProgramServices |
| Management And General | 63898 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2410753 | Total |
| Management And General | 2410753 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 212408 | Total |
| Management And General | 212408 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1207057 | Total |
| Management And General | 1207057 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17343631 | Total |
| Program Services | 14620535 | ProgramServices |
| Management And General | 2723096 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2151799 | Total |
| Program Services | 305613 | ProgramServices |
| Management And General | 1846186 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6771462 | Total |
| Program Services | 4602206 | ProgramServices |
| Management And General | 2169256 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7749403 | Total |
| Program Services | 648223 | ProgramServices |
| Management And General | 7101180 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8688500 | Total |
| Program Services | 7428785 | ProgramServices |
| Management And General | 1259715 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 627767 | Total |
| Program Services | 270614 | ProgramServices |
| Management And General | 357153 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6789964 | Total |
| Program Services | 6789964 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5885160 | Total |
| Management And General | 5885160 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21089197 | Total |
| Program Services | 17546156 | ProgramServices |
| Management And General | 3543041 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4392315 | Total |
| Program Services | 4238662 | ProgramServices |
| Management And General | 153653 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL/DIETARY SUPPLIE | 101032584 | 100735403 | 297181 |
| BAD DEBTS | 36897918 | 36897918 | |
| REPAIRS AND MAINTENANCE | 6610824 | 6177489 | 433335 |
| OHIO HOSPITAL FEE | 3810209 | 3810209 | |
| O&M COST TRACK FEES | 678411 | 678411 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2923486 | Total |
| Program Services | 1907155 | ProgramServices |
| Management And General | 1016331 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 460495899 | Total |
| Program Services | 393386491 | ProgramServices |
| Management And General | 67109408 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18384195 | BOY |
| EOY | 24981720 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28099105 | BOY |
| EOY | 49421712 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 298360 | BOY |
| EOY | 99690 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1449355 | BOY |
| EOY | 3005214 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 177600 | BOY |
| EOY | 167400 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 519461641 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 335646159 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 173571630 | BOY |
| EOY | 183815482 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44927953 | BOY |
| EOY | 41516113 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 309592250 | BOY |
| EOY | 366526724 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11086027 | BOY |
| EOY | 26516759 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 587586475 | BOY |
| EOY | 696050814 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44394290 | BOY |
| EOY | 52467167 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47034 | BOY |
| EOY | 91310 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 134295401 | BOY |
| EOY | 147851989 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57739221 | BOY |
| EOY | 33206730 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 236475946 | BOY |
| EOY | 233617196 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 345900651 | BOY |
| EOY | 457130498 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5209878 | BOY |
| EOY | 5303120 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 351110529 | BOY |
| EOY | 462433618 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 587586475 | BOY |
| EOY | 696050814 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 57599032 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 53724057 | 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 | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $91,955 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $8,555 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 100510 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| EXPLANATION OF OTHER LOBBYING ACTIVITIES: | PART II-B, LINE 1I: | 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 ($1,762) 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 $3,430 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 $839; CHA $2,524. |
| PART IV, SUPPLEMENTAL INFORMATION: | PART II-B, LINE 1(F), GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING: TRIHEALTH, INC., A RELATED ORGANIZATION OF HOSPITAL, WHICH PROVIDES ADMINISTRATIVE SUPPORT SERVICES TO HOSPITAL, PAID FEES TO CASSIDY AND ASSOCIATES, A LEADER IN THE GOVERNMENT RELATIONS INDUSTRY FOR OVER THIRTY YEARS, FOR PROFESSIONAL SERVICES. A PORTION OF THE AFOREMENTIONED ADMINISTRATIVE SUPPORT SERVICES ARE ALLOCATED TO HOSPITAL AND THE AMOUNT SHOWN ON LINE 1F REPRESENTS HOSPITAL'S SHARE OF THESE EXPENSES. |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 12221795 | BeginningOfYearBalance |
| Contributions | 66487 | Contributions |
| End Of Year Balance | 12288282 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 12018000 | BeginningOfYearBalance |
| Contributions | 203795 | Contributions |
| End Of Year Balance | 12221795 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| 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 | 10489392 | OtherCostOrOtherBasis |
| Book Value | 10489392 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 297768906 | OtherCostOrOtherBasis |
| Depreciation | 183848022 | Depreciation |
| Book Value | 113920884 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7698256 | OtherCostOrOtherBasis |
| Depreciation | 3882026 | Depreciation |
| Book Value | 3816230 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 187094074 | OtherCostOrOtherBasis |
| Depreciation | 147916111 | Depreciation |
| Book Value | 39177963 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16411013 | OtherCostOrOtherBasis |
| Book Value | 16411013 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 183815482 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CHI OPERATING INVESTMENT PROGRAM | Description |
| Book Value | 366526724 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 366526724 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RETIREMENT PLAN LIABILITY | $22,799,269 |
| LEASE PAYMENT LIABILITY | $8,357,447 |
| ENVIRONMENTAL REMEDIATION LIABILITY | $1,502,422 |
| UNCLAIMED PROPERTY | $547,592 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 33206730 | TotalOfAmounts |
| Total Revenue | 518094931 | TotalRevenue |
| Total Expenses | 460495899 | TotalExpenses |
| Excess Or Deficit For Year | 57599032 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 33042181 | NetUnrealizedGLOnInvestments |
| Other | $20,681,876 | OtherAmount |
| Total Adjustments | 53724057 | TotalAdjustments |
| Excess Or Deficit Per FS | 111323089 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE FINANCIAL STATEMENTS OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("HOSPITAL") ARE AUDITED WITH ITS SUBSIDIARIES. FOLLOWING IS THE TEXT OF THE FOOTNOTE TO HOSPITAL'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, 2011 AND 2010, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2011 AND 2010. IN ADDITION, HOSPITAL'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION. 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. AS OF JUNE 30, 2011, CHI HAS NET DEFERRED TAX ASSETS OF $2.1 MILLION AND A NONCURRENT NET DEFERRED TAX LIABILITY OF $5.4 MILLION RELATED TO THESE TAXABLE ACTIVITIES. MANAGEMENT ANNUALLY REVIEWS ITS POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE PENSION PLAN/SERP FUNDED STATUS 24,738,916. TRANSFER TO CHI CAPITAL RESOURCE POOL -4,024,236. MISCELLANEOUS ADJUSTMENT -32,804. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 0 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 0 | TotalAmountSpent |
| Transfer To Foreign Corp | 1 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 0 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 1 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
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 | 19548484 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6414967 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13133517 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03100 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 71710690 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 54792091 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16918599 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03990 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 91259174 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 61207058 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 30052116 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07090 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1530924 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37149 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1493775 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 21016731 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10034128 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10982603 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02590 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5101366 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4080746 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1020620 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2565642 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2565642 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00610 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 112285 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 112285 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30326948 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14152023 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16174925 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03820 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 121586122 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 75359081 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 46227041 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10910 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 356750 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 356750 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2136 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2136 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 358886 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 358886 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $9,250,997 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 96578589 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 96576469 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 2120 | 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 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
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 (14 entries)
| ExplanationExplanation |
|---|
| 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): $36,897,918 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.IN ADDITION, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ASSISTS, THROUGH VOLUNTEERING, VARIOUS ORGANIZATIONS INCLUDING THE WORK RESOURCE CENTER OF CINCINNATI WHICH PROVIDES SKILLS TRAINING FOR INDIVIDUALS WITH DISABILITIES AND DISADVANTAGES TO INCREASE THEIR INDEPENDENCE THROUGH EMPLOYMENT. |
| 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: 2011 - MEDICARE 18%, MEDICAID 3%, MANAGED CARE 21%, SELF PAY 22%, COMMERCIAL AND OTHER 36%2010 - MEDICARE 18%, MEDICAID 4%, MANAGED CARE 19%, SELF PAY 23%, 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 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. PROGRAMS 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.CURRENTLY, GSH, AS PART OF TRIHEALTH, IS INVOLVED IN THE PLANNING & IMPLEMENTATION OF A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT WITH AN ANTICIPATED COMPLETION TIMELINE OF 2012. THE ASSESSMENT REPORT WILL ASSIST PARTNER HOSPITALS & AGENCIES IN ADDRESSING UNMET HEALTH NEEDS, WITH AN OVERALL AIM OF IMPROVING POPULATION HEALTH. COMMUNITY HEALTH NEEDS, AS ASSESSED IN PRIOR YEARS BY INDEPENDENT GROUPS SUCH AS THE GREATER CINCINNATI UNITED WAY AS WELL AS THE HEALTH FOUNDATION OF GREATER CINCINNATI, HAVE SHOWN SIGNIFICANT HEALTH NEEDS FOR THE GREATER CINCINNATI AREA IN INFANT MORTALITY, OBESITY, DEPRESSION, HYPERTENSION & DIABETES. TWO MAJOR STRATEGIES ARE IN PLACE TO ADDRESS INFANT MORTALITY & DIABETES. THE REMAINING COMMUNITY HEALTH NEEDS RECEIVE TRIHEALTH'S EXPERTISE & FOCUS THROUGH ONGOING HOSPITAL & PHYSICIAN PRACTICE INITIATIVES.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 TRIHEALTHS WEBSITE & BROCHURES ABOUT FINANCIAL ASSISTANCE ARE VISIBLE & AVAILABLE IN HOSPITAL REGISTRATION & ADMITTING AREAS.GSH PROVIDED $46.2 MILLION IN TOTAL COMMUNITY BENEFIT FOR FISCAL YEAR 2011. OF THAT TOTAL, $30.1 MILLION REPRESENTED UNCOMPENSATED CARE. THE UNPAID COST OF MEDICARE IS NOT INCLUDED IN COMMUNITY BENEFIT.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 NEWLY DEVELOPED 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 GREATER 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. IN FISCAL YEAR 2011 OVER 500 WOMEN WERE SERVED BY THIS PROGRAM. 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 6385 DELIVERIES IN FISCAL YEAR 2011. OF THESE BIRTHS, THE PERCENTAGE OF MOTHERS WITH PRETERM LABOR WAS 15% (A 2% INCREASE OVER FY10). THE PERCENTAGE OF BABIES BORN WEIGHING LESS THAN 2500 GRAMS WAS 14% (A SLIGHT DECREASE FROM FY10). 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.GSH 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 2011. 2 FELLOWS IN VASCULAR SURGERY RECEIVED EXTENDED LEARNING & PREPARATION IN THEIR FELLOWSHIP 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 HELPED RESEARCHERS GIVE 65 PROFESSIONAL PRESENTATIONS AT REGIONAL & NATIONAL MEETINGS. AN ESTIMATED 45 STUDIES & ARTICLES WERE 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 296,943. THE POPULATION WITHIN THE FOUR OHIO COUNTIES SERVED BY TRIHEALTH IS ESTIMATED TO BE 1,580,560 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 6: 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 7: 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 | RESIDENCY SUPPORT |
| HEALTHY MOM AND BABIES INC | |||||||
| 2270 BANNING ROAD | CINCINNATI | OH | 45239 | 311155292 | 501(C)(3) | 103500 | CHARITY CARE |
| HARMONY GARDEN | |||||||
| 1776 MENTOR AVE BOX 221 | CINCINNATI | OH | 45212 | 205461244 | 501(C)(3) | 10000 | VIOLENCE PREVENTION GRANT |
| UPTOWN CONSORTIUM INC | |||||||
| 629 OAK STREET SUITE 306 | CINCINNATI | OH | 45206 | 200688727 | 501(C)(3) | 147900 | GENERAL PURPOSE |
| VOLUNTEERS IN MEDICAL MISSIONS | |||||||
| PO BOX 756 | SENECA | SC | 29679 | 621361564 | 501(C)(3) | 6250 | MEDICAL SERVICE TRIP |
| THE CENTER FOR CLOSING THE HEALTH GAP IN GREATER CINCINNATI | |||||||
| 3120 BURNET AVENUE SUITE 201 | CINCINNATI | OH | 45229 | 200902286 | 501(C)(3) | 107865 | GENERAL PURPOSE |
| BETHESDA FOUNDATION | |||||||
| 619 OAK STREET | CINCINNATI | OH | 45206 | 237374129 | 501(C)(3) | 34300 | GENERAL PURPOSE |
| 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) | 6120 | GENERAL PURPOSE |
| HEALTH IMPROVEMENT COLLABORATIVE OF GREATER CINCINNATI INC | |||||||
| 2100 SHERMAN AVE NO 100 | CINCINNATI | OH | 45212 | 311449807 | 501(C)(3) | 23945 | GENERAL PURPOSE |
| COLLEGE OF MOUNT SAINT JOSEPH | |||||||
| 5701 DELHI ROAD | CINCINNATI | OH | 45233 | 237179567 | 501(C)(3) | 10200 | GENERAL PURPOSE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 11 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | EDUCATIONAL ASSISTANCE (I.E. TUITION PAYMENT, INTERPRETER SERVICES, ETC.) | TypeOfGrant |
| Number Of Recipients | 1 | NumberOfRecipients |
| Amount Of Cash Grant | 6121 | AmountOfCashGrant |
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 | 384470 | 0 | 112138 | 0 | 99853 | 0 | 59749 | 0 | 18858 | 0 | 675068 | 0 | 77989 |
| JOHN PROUT | |||||||||||||
| 0 | 826309 | 0 | 325512 | 0 | 64243 | 0 | 290415 | 0 | 9396 | 0 | 1515875 | 0 | 0 |
| DONNA NIENABER ESQ | |||||||||||||
| 0 | 285693 | 0 | 112845 | 0 | 82438 | 0 | 122081 | 0 | 16565 | 0 | 619622 | 0 | 0 |
| CRAIG RUCKER | |||||||||||||
| 0 | 356895 | 0 | 119103 | 0 | 16910 | 0 | 108173 | 0 | 7579 | 0 | 608660 | 0 | 0 |
| DAVE DORNHEGGEN | |||||||||||||
| 0 | 255360 | 0 | 71524 | 0 | 20493 | 0 | 95545 | 0 | 13663 | 0 | 456585 | 0 | 0 |
| WILLIAM GRONEMAN | |||||||||||||
| 0 | 340571 | 0 | 112569 | 0 | 58123 | 0 | 143853 | 0 | 22728 | 0 | 677844 | 0 | 15009 |
| GERALD OLIPHANT | |||||||||||||
| 0 | 394187 | 0 | 128877 | 0 | 24815 | 0 | 96037 | 0 | 21617 | 0 | 665533 | 0 | 0 |
| GEORGES FEGHALI MD | |||||||||||||
| 0 | 345269 | 0 | 124696 | 0 | 23392 | 0 | 114648 | 0 | 22453 | 0 | 630458 | 0 | 0 |
| ROBERT ROHS MD | |||||||||||||
| 338496 | 0 | 0 | 0 | 3223 | 0 | 39472 | 0 | 713 | 0 | 381904 | 0 | 0 | 0 |
| MICHAEL HOLBERT MD | |||||||||||||
| 265102 | 0 | 0 | 0 | 457 | 0 | 22012 | 0 | 564 | 0 | 288135 | 0 | 0 | 0 |
| MICHAEL MARCOTTE MD | |||||||||||||
| 200367 | 0 | 0 | 0 | 0 | 0 | 23063 | 0 | 19331 | 0 | 242761 | 0 | 0 | 0 |
| HELEN KOSELKA MD | |||||||||||||
| 199148 | 0 | 870 | 0 | 612 | 0 | 40963 | 0 | 6863 | 0 | 248456 | 0 | 0 | 0 |
| SAMATHA MAST MD | |||||||||||||
| 155681 | 0 | 0 | 0 | 240 | 0 | 11108 | 0 | 12137 | 0 | 179166 | 0 | 0 | 0 |
| MICHAEL CROFTON | |||||||||||||
| 0 | 191909 | 0 | 48549 | 0 | 20633 | 0 | 45715 | 0 | 22278 | 0 | 329084 | 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 - $240,770 DONNA NIENABER, ESQ. - $67,368 CRAIG RUCKER - $63,874 MICHAEL CROFTON - $14,108 GERALD OLIPHANT - $73,468 DAVE DORNHEGGEN - $39,203 WILLIAM GRONEMAN - $75,052 GEORGES FEGHALI, MD - $72,079. 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 - $15,009 (TRIHEALTH, INC.) PAUL EDGETT III - $77,989 (CATHOLIC HEALTH INITIATIVES) | |
| 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. SEVERANCE PAY IS BASED ON LENGTH OF SERVICE. 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 2010 CALENDAR YEAR. | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 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., BOTH AFFILIATED ENTITIES OF TRIHEALTH, INC. SYLVANIA NG, MD, EDWARD HARNESS, ROBERT L. WALKER, MICHAEL HAVERKAMP, 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 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 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 GAINS ON INVESTMENTS: 33,042,181. CHANGE PENSION PLAN/SERP FUNDED STATUS 24,738,916. TRANSFER TO CHI CAPITAL RESOURCE POOL -4,024,236. MISCELLANEOUS ADJUSTMENT -32,804. TOTAL TO FORM 990, PART XI, LINE 5: 53,724,057. |
| VOLUNTEER INFORMATION | FORM 990, PART I, LINE 6 | DURING THE TAX YEAR, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO WAS ASSISTED BY 1,093 VOLUNTEERS WHO DONATED 100,605 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 XI, 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXMYTH PROPERTIES LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 619 OAK STREET | AddressLine1 |
| City | CINCINNATI | City |
| State | OH | State |
| ZIP Code | 45206 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | REAL ESTATE HOLDING | PrimaryActivities |
| Legal Domicile State | OH | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (127 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CATHOLIC HEALTH INITIATIVES | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470617373 | HEALTHCARE | CO | 501(C)(3) | 9 | CHI | 1 | |
| BORNEMANN HEALTHCARE CORPORATION | |||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | 232187242 | HEALTHCARE | PA | 501(C)(3) | 11A | 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 NATIONAL FOUNDATION | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 270930004 | FUNDRAISING | CO | 501(C)(3) | 11A | CHI | 1 | |
| CHI NATIONAL SERVICES | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 452532084 | HEALTHCARE | CO | 501(C)(3) | 9 | CHI | 1 | |
| CHI NATIONAL HOME CARE | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 451261716 | HEALTHCARE | CO | 501(C)(3) | 11A | CHI | 1 | |
| GLOBAL HEALTH INITIATIVES | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 201536108 | MINISTRIES | CO | 501(C)(3) | 11A | CHI | 1 | |
| ST JOSEPH PHYSICIAN ENTERPRISES | |||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521311775 | PHYSICIANS | MD | 501(C)(3) | 11A | CHI | 1 | |
| ST VINCENT INFIRMARY MEDICAL CENTER | |||||||||||
| 2 ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710236917 | HEALTHCARE | AR | 501(C)(3) | 3 | CHI | 1 | |
| ST ANTHONY'S HOSPITAL ASSOCIATION | |||||||||||
| 4 HOSPITAL DRIVE | MORRILTON | AR | 72110 | 710245507 | HEALTHCARE | AR | 501(C)(3) | 3 | SVIMC | 1 | |
| ST VINCENT FOUNDATION | |||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 510169537 | FUNDRAISING | AR | 501(C)(3) | 11A | SVIMC | 1 | |
| ST VINCENT MEDICAL GROUP | |||||||||||
| 2 ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710830696 | HEALTHCARE | AR | 501(C)(3) | 9 | SVIMC | 1 | |
| CHI COLORADO | |||||||||||
| 188 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 840405257 | HEALTHCARE | CO | 501(C)(3) | 3 | CHI | 1 | |
| MERCY REGIONAL MEDICAL CENTER OF DURANGO | |||||||||||
| 1010 THREE SPRINGS BLVD | DURANGO | CO | 81301 | 840405515 | HEALTHCARE | CO | 501(C)(3) | 3 | CHI | 1 | |
| CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | |||||||||||
| 961 EAST COLORADO AVENUE | COLORADO SPRINGS | CO | 80903 | 840902211 | FUNDRAISING | CO | 501(C)(3) | 7 | CHI COLORADO | 1 | |
| HEALTH SET | |||||||||||
| 4200 WEST CONEJOS PLACE 436 | DENVER | CO | 80204 | 841102943 | LOW INC.CARE | CO | 501(C)(3) | 7 | CHI COLORADO | 1 | |
| PUEBLO STEPUP | |||||||||||
| 1925 EAST ORMAN AVENUE SUITE G52 | PUEBLO | CO | 81004 | 841234295 | COMMUNITY | CO | 501(C)(3) | 7 | CHI | 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 | |
| TOTAL HEALTHCARE | |||||||||||
| PO BOX 7021 | COLORADO SPRINGS | CO | 80933 | 840927232 | HEALTHCARE | CO | 501(C)(3) | 3 | CHI COLORADO | 1 | |
| CHI-IOWA CORP | |||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420680448 | HEALTHCARE | IA | 501(C)(3) | 3 | MHN | 1 | |
| BISHOP DRUMM RETIREMENT CENTER | |||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420725196 | LTERM CARE | IA | 501(C)(3) | 9 | CHI-IA CORP | 1 | |
| HOUSE OF MERCY | |||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421323808 | SHELTER | IA | 501(C)(3) | 7 | 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 AUXILIARY OF CENTRAL IOWA | |||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 426076069 | AUXILIARY | IA | 501(C)(3) | 11A | CHI-IA CORP | 1 | |
| MERCY PROFESSIONAL PRACTICE ASSOCIATES INC | |||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421470935 | PHYSICIAN | IA | 501(C)(3) | 9 | CHI-IA CORP | 1 | |
| MERCY MEDICAL CENTER - CENTERVILLE FKA ST JOSEPH'S MERCY HOSPITAL | |||||||||||
| 1 ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HEALTHCARE | IA | 501(C)(3) | 3 | CHI-IA CORP | 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 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 | |
| CHI KENTUCKY INC | |||||||||||
| 3900 OLYMPIC BLVD SUITE 400 | ERLANGER | KY | 41018 | 202741651 | HEALTHCARE | KY | 501(C)(3) | 11A | CHI | 1 | |
| SAINT JOSEPH HEALTH SYSTEM INC | |||||||||||
| 150 N EAGLE CREEK DR | LEXINGTON | KY | 40509 | 611334601 | HEALTHCARE | KY | 501(C)(3) | 3 | CHI | 1 | |
| CONTINUING CARE HOSPITAL | |||||||||||
| 150 NORTH EAGLE CREEK DRIVE | LEXINGTON | KY | 40509 | 611400619 | LTACH | KY | 501(C)(3) | 3 | SJHS | 1 | |
| FLAGET HEALTHCARE DBA FLAGET MEMORIAL HOSPITAL | |||||||||||
| 4305 NEW SHEPHERDSVILLE ROAD | BARDSTOWN | KY | 40004 | 611345363 | HEALTHCARE | KY | 501(C)(3) | 3 | CHI | 1 | |
| FLAGET MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 4305 NEW SHEPHERDSVILLE ROAD | BARDSTOWN | KY | 40004 | 562351341 | FUNDRAISING | KY | 501(C)(3) | 11A | FH | 1 | |
| SAINT JOSEPH LONDON FOUNDATION INC | |||||||||||
| 310 EAST NINTH STREET | LONDON | KY | 40741 | 260438748 | FUNDRAISING | KY | 501(C)(3) | 11A | SJHS | 1 | |
| SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC | |||||||||||
| 305 ESTILL STREET | BEREA | KY | 40403 | 260152877 | FUNDRAISING | KY | 501(C)(3) | 7 | SJHS | 1 | |
| ST JOSEPH HOSPITAL FOUNDATION INC | |||||||||||
| ONE ST JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611159649 | FUNDRAISING | KY | 501(C)(3) | 11A | SJHS | 1 | |
| SAINT JOSEPH MEDICAL FOUNDATION INC | |||||||||||
| ONE ST JOSEPH DRIVE | LEXINGTON | KY | 40504 | 311539059 | PHY PRACTICES | KY | 501(C)(3) | 3 | SJHS | 1 | |
| SAINT JOSEPH MOUNT STERLING FOUNDATION INC | |||||||||||
| 50 STERLING AVENUE | MOUNT STERLING | KY | 40353 | 272884584 | FUNDRAISING | KY | 501(C)(3) | 7 | SJHS | 1 | |
| ST JOSEPH MEDICAL CENTER INC | |||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 520591461 | HEALTHCARE | MD | 501(C)(3) | 3 | CHI | 1 | |
| ST JOSEPH MEDICAL CENTER FOUNDATION INC | |||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521681044 | FUNDRAISING | MD | 501(C)(3) | 7 | SJMC | 1 | |
| ALVERNA APARTMENTS | |||||||||||
| 300 SE 8TH AVENUE | LITTLE FALLS | MN | 56345 | 411351177 | LTERM CARE | MN | 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 | |
| ST FRANCIS HOME | |||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | 410729978 | 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 | |
| ST FRANCIS MEDICAL CENTER | |||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | 410695598 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | 1 | |
| HEALTHCARE AND WELLNESS FOUNDATION | |||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | 760761782 | FUNDRAISING | MN | 501(C)(3) | 11A | SFMC | 1 | |
| ST JOSEPH'S AREA HEALTH SERVICES | |||||||||||
| 600 PLEASANT AVENUE | PARK RAPIDS | MN | 56470 | 410695603 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | 1 | |
| UNITY FAMILY HEALTHCARE | |||||||||||
| 815 2ND STREET SE | LITTLE FALLS | MN | 56345 | 410721642 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | 1 | |
| ST JOHN'S REGIONAL MEDICAL CENTER | |||||||||||
| 2727 MCCLELLAND BLVD | JOPLIN | MO | 64804 | 440545809 | HEALTHCARE | MO | 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 | |
| MNMCH INC | |||||||||||
| 220 NORTH PENNSYLVANIA | COLUMBUS | KS | 66725 | 481216238 | HEALTHCARE | KS | 501(C)(3) | 3 | SJRMC | 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 | |
| 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 CORNING | |||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 420782518 | HEALTHCARE | IA | 501(C)(3) | 3 | AHBMHS | 1 | |
| MERCY HEALTH CARE FOUNDATION | |||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 421461064 | FUNDRAISING | NE | 501(C)(3) | 11A | AHMH | 1 | |
| MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS | |||||||||||
| 800 MERCY DRIVE | COUNCIL BLUFFS | IA | 51503 | 421178204 | FUNDRAISING | IA | 501(C)(3) | 11A | AHBMHS | 1 | |
| CHI NEBRASKA | |||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 363233121 | HEALTHCARE | NE | 501(C)(3) | 11A | CHI | 1 | |
| THE PHYSICIAN NETWORK | |||||||||||
| 8055 O STREET SUITE 300 | LINCOLN | NE | 68510 | 470780857 | PHYS PRACTICE | NE | 501(C)(3) | 11A | CHI NEBRASKA | 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 | |
| CATHOLIC HEALTH CARE FEDERATION | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 208473567 | JURDIC PERSON | CO | 501(C)(3) | 11A | CHI | 1 | |
| SAINT ELIZABETH REGIONAL MEDICAL CENTER | |||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 470379836 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | 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 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 | |
| ST MARY'S HOSPITAL | |||||||||||
| 1314 3RD AVENUE | NEBRASKA CITY | NE | 68410 | 470443636 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | 1 | |
| ST MARY'S HOSPITAL FOUNDATION | |||||||||||
| 1314 3RD AVENUE | NEBRASKA CITY | NE | 68410 | 470707604 | FUNDRAISING | NE | 501(C)(3) | 7 | SMH | 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 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 HOSPITAL | |||||||||||
| 66 FORD ROAD | DENVILLE | NJ | 07834 | 223319886 | HEALTHCARE | NJ | 501(C)(3) | 3 | CHI | 1 | |
| ST FRANCIS LIFE CARE CORPORATION | |||||||||||
| 19 POCONO ROAD | DENVILLE | NJ | 07834 | 222536017 | ELDERLY CARE | NJ | 501(C)(3) | 9 | SCHS | 1 | |
| VISITING NURSE ASSOCIATION OF SAINT CLARE'S | |||||||||||
| 191 WOODPORT ROAD | SPARTA | NJ | 07871 | 221768334 | HOME HEALTH | NJ | 501(C)(3) | 9 | SCHS | 1 | |
| ST JOSEPH COMMUNITY HEALTH SERVICES | |||||||||||
| 300 CENTRAL AVE SW SUITE 3000W | ALBUQUERQUE | NM | 87102 | 710897107 | COMMUNITY | NM | 501(C)(3) | 11A | CHI | 1 | |
| CHI HEALTH CONNECT AT HOME - FARGO | |||||||||||
| 4816 AMBER VALLEY PARKWAY | FARGO | ND | 58104 | 271966847 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | 1 | |
| CARRINGTON HEALTH CENTER | |||||||||||
| 800 NORTH 4TH STREET | CARRINGTON | ND | 58421 | 450227311 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | 1 | |
| LISBON AREA HEALTH SERVICES | |||||||||||
| 905 MAIN STREET | LISBON | ND | 58054 | 820558836 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | 1 | |
| MERCY HOSPITAL OF DEVILS LAKE | |||||||||||
| 1031 EAST SEVENTH STREET | DEVILS LAKE | ND | 58301 | 450227012 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | 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 | |
| MERCY HOSPITAL OF VALLEY CITY | |||||||||||
| 570 CHAUTAUQUA BOULEVARD | VALLEY CITY | ND | 58072 | 450226553 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | 1 | |
| MERCY MEDICAL CENTER | |||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450231183 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | 1 | |
| MERCY MEDICAL FOUNDATION | |||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450381803 | FUNDRAISING | ND | 501(C)(3) | 11A | MMC | 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 | |
| ST JOSEPH'S HOSPITAL AND HEALTH CENTER | |||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 450226429 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | 1 | |
| SAINT JOSEPH'S HOSPITAL FOUNDATION | |||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 363418207 | FUNDRAISING | ND | 501(C)(3) | 11A | SJHHC | 1 | |
| VILLA NAZARETH INC | |||||||||||
| 801 PAGE DRIVE | FARGO | ND | 58103 | 450226714 | LT CARE | ND | 501(C)(3) | 9 | CHI | 1 | |
| SAMARITAN HEALTH PARTNERS | |||||||||||
| 2222 PHILADELPHIA DRIVE | DAYTON | OH | 45406 | 311107411 | HEALTHCARE | OH | 501(C)(3) | 11A | CHI | 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 | |
| THE COMMUNITY LIMITED CARE DIALYSIS CENTER | |||||||||||
| 619 OAK STREET ACCOUNTING-3 WEST | CINCINNATI | OH | 45206 | 237419853 | TITLE HOLDING | OH | 501(C)(2) | N/A | GOOD SAM HOSPITAL | 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 | |
| HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL | |||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 526050777 | HEALTHCARE | MD | 501(C)(3) | 9 | SJMC | 1 | |
| MERCY MEDICAL CENTER | |||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930386868 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | 1 | |
| CENTENNIAL MEDICAL GROUP INC | |||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 900433062 | PHYSICIANS | OR | 501(C)(3) | 9 | MMC | 1 | |
| LINUS OAKES INC | |||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930821381 | SENIOR LIVING | OR | 501(C)(3) | 9 | MMC | 1 | |
| MERCY FOUNDATION INC | |||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 936088946 | FUNDRAISING | OR | 501(C)(3) | 7 | MMC | 1 | |
| MT ST JOSEPH INC | |||||||||||
| 3060 SE STARK STREET | PORTLAND | OR | 97214 | 930386870 | NURSING CARE | OR | 501(C)(3) | 9 | 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 DOMINIC AT ONTARIO | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 930433692 | HEALTHCARE | OR | 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 JOSEPH HEALTH MINISTRIES | |||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 232342997 | HEALTH | PA | 501(C)(3) | 11A | CHI | 1 | |
| ST JOSEPH HEALTH MINISTRIES FOUNDATION | |||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 232605579 | FUNDRAISING | PA | 501(C)(3) | 11A | SJHM | 1 | |
| ST JOSEPH HEALTH SERVICES INC | |||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 201425375 | DENTAL CARE | PA | 501(C)(3) | 11A | SJHM | 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 MEDICAL GROUP | |||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | 208544021 | HEALTHCARE | PA | 501(C)(3) | 9 | BHC | 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 MARY'S HEALTHCARE CENTER | |||||||||||
| 801 EAST SIOUX AVENUE | PIERRE | SD | 57501 | 460230199 | HEALTHCARE | SD | 501(C)(3) | 3 | CHI | 1 | |
| GETTYSBURG MEDICAL CENTER | |||||||||||
| 606 EAST GARFIELD AVENUE | GETTYSBURG | SD | 57442 | 460234354 | HEALTHCARE | SD | 501(C)(3) | 3 | SMHC | 1 | |
| MEMORIAL HEALTH CARE SYSTEM INC | |||||||||||
| 2525 DE SALES AVENUE | CHATTANOOGA | TN | 37404 | 620532345 | HEALTHCARE | TN | 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 PARTNERS FOUNDATION INC | |||||||||||
| 6028 SHALLOWFORD ROAD | CHATTANOOGA | TN | 37421 | 030417049 | HEALTHCARE | TN | 501(C)(3) | 9 | MHCS | 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 | |
| ENUMCLAW REGIONAL HOSPITAL ASSOCIATION | |||||||||||
| 1450 BATTERSBY AVENUE | ENUMCLAW | WA | 98022 | 910715805 | HEALTHCARE | WA | 501(C)(3) | 3 | FHS | 1 | |
| FRANCISCAN FOUNDATION | |||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911145592 | FUNDRAISING | WA | 501(C)(3) | 9 | FHS | 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 | |
| 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 | |
| TRIHEALTH INC | |||||||||||
| 619 OAK STREET ACCOUNTING-3 WEST | CINCINNATI | OH | 45206 | 311438846 | SUPPORT AFFILIATED HOSPITALS | OH | 501(C)(3) | 11B | 1 | N/A | |
| FUND OF THE DEPARTMENT OF OBGYN OF GOOD SAMARITAN HOSPITAL | |||||||||||
| 375 DIXMYTH AVE | CINCINNATI | OH | 45220 | 316056217 | SUPPORT AFFILIATED HOSPITAL | OH | 501(C)(3) | 11A | 0 | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII (20 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | 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 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHI OPERATING INVESTMENT PROGRAM LP | |||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470727942 | INVESTMENTS | CO | CHI | INVESTMENT | 26302922 | 366526725 | 0 | $22,635 | 1 | 0.06320 | |
| NORTH RIVER SURGERY CENTER LLC | |||||||||||||||
| 2209 WILDWOOD AVENUE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | 0.57450 | N/A | |||||||
| AUDUBON LAND COMPANY LLC | |||||||||||||||
| 5390 N ACADEMY BLVD SUITE 300 | COLORADO SPRINGS | CO | 80918 | 841513085 | REAL ESTATE | CO | 0.50100 | N/A | |||||||
| ORTHOCOLORADO LLC | |||||||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80255 | 371577105 | ORTHO HOSPITAL | CO | 0.60000 | N/A | |||||||
| PENRAD IMAGING | |||||||||||||||
| 1390 KELLY JOHNSON BLVD | COLORADO SPRINGS | CO | 80920 | 841072619 | MEDICAL IMAGING | CO | 0.70000 | N/A | |||||||
| ST ANTHONY REGIONAL MTN CANCER CENTER | |||||||||||||||
| 4231 W 16TH AVENUE | DENVER | CO | 80112 | 371568013 | CANCER CENTER | CO | 0.51000 | N/A | |||||||
| ST FRANCIS LAND COMPANY | |||||||||||||||
| 5390 N ACADEMY BLVD SUITE 300 | COLORADO SPRINGS | CO | 80918 | 263134100 | REAL ESTATE | CO | 0.51000 | N/A | |||||||
| BLUEGRASS REGIONAL IMAGING CENTER | |||||||||||||||
| 1218 SOUTH BROADWAY SUITE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAGNOSTIC | KY | 0.65000 | N/A | |||||||
| ST JOSEPH-PAML LLC | |||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 452116736 | MGMT SVCS | KY | 0.62500 | N/A | |||||||
| SAINT JOSEPH - SCA HOLDINGS LLC | |||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 453801157 | OP SURGERY | DE | 0.51000 | N/A | |||||||
| SURGERY CENTER OF LEXINGTON LLC | |||||||||||||||
| 1451 HARRODSBURG ROAD | LEXINGTON | KY | 40504 | 621179539 | SURGERY CENTER | DE | 0.51000 | N/A | |||||||
| RUXTON SURGICENTER LLC | |||||||||||||||
| 8322 BELLONA AVENUE SUITE 201 | BALTIMORE | MD | 21204 | 522095835 | SURGERY CENTER | MD | 0.51000 | N/A | |||||||
| AVANTAS LLC | |||||||||||||||
| 1207 SOUTH 13 STREET | OMAHA | NE | 68108 | 392045003 | HEALTHCARE | NE | 0.95000 | N/A | |||||||
| HEALTHCARE SUPPORT SERVICES LLC | |||||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 721546196 | LAUNDRY | NE | 1.00000 | N/A | |||||||
| CENTRAL NEBRASKA HOME CARE SERVICES | |||||||||||||||
| PO BOX 1146-4510 SECOND AVENUE | KEARNEY | NE | 68848 | 470692112 | HEALTHCARE SRVC | NE | 1.00000 | N/A | |||||||
| SUPERIOR MEDICAL IMAGING LLC | |||||||||||||||
| 5000 NORTH 26TH STREET | LINCOLN | NE | 68521 | 262884555 | OP DIAGNOSTICS | NE | 0.51000 | N/A | |||||||
| CENTRAL NEBRASKA REHAB SERVICES | |||||||||||||||
| 3004 W FAIDLEY AVE | GRAND ISLAND | NE | 68802 | 810653461 | PHYSICAL THERAPY | NE | 0.51000 | N/A | |||||||
| ST FRANCIS MEDICAL CENTER ASSOCIATES | |||||||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911352698 | MED. OFFICE | WA | 0.54210 | N/A | |||||||
| PENINSULA RADIATION ONCOLOGY | |||||||||||||||
| 314 MARTIN LUTHER KING JR WAY 11 | TACOMA | WA | 98405 | 870808610 | HEALTHCARE SRVC | WA | 0.60000 | N/A | |||||||
| BERYWOOD OFFICE PROPERTIES LLC | |||||||||||||||
| 400 BERYWOOD TRAIL | CLEVELAND | TN | 37312 | 621875199 | PHYS OFFICE | TN | 0.63000 | 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 | ||||||
| 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 | HEALTHCARE | CO | 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 | ||||||
| SJH SERVICES CORPORATION | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232307408 | HEALTHCARE | CO | N/A | C | ||||||
| ST JOSEPH DEVELOPMENT COMPANY INC | ||||||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911480569 | RENTAL | WA | N/A | C | ||||||
| TOWSON MANAGEMENT INC | ||||||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521710750 | MANAGEMENT SERVICES | MD | N/A | C | ||||||
| NAZARETH ASSURANCE COMPANY | ||||||||||||||
| 76 ST PAUL STREET SUITE 500 | BURLINGTON | VT | 05401 | 030304831 | INSURANCE | VT | N/A | C | ||||||
| ST VINCENT COMMUNITY HEALTH SERVICES INC | ||||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710710785 | HEALTHCARE | AR | N/A | C | ||||||
| COMCARE SERVICES | ||||||||||||||
| 4231 W 16TH AVENUE | DENVER | CO | 80204 | 840904813 | INACTIVE | CO | N/A | C | ||||||
| DES MOINES MEDICAL CENTER INC | ||||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420837382 | REAL ESTATE | IA | N/A | C | ||||||
| MERCY PARK APARTMENTS LTD | ||||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421202422 | HOUSING | IA | N/A | C | ||||||
| CENTRAL KANSAS HEALTH SERVICES ASSOCIATION | ||||||||||||||
| 3515 BROADWAY | GREAT BEND | KS | 67530 | 481042853 | MEDICAL EQUIPMENT | KS | N/A | C | ||||||
| SJL PHYSICIAN MANAGEMENT SERVICES INC | ||||||||||||||
| 424 LEWIS HARGETT CR 160 | LEXINGTON | KY | 40503 | 270164198 | MANAGEMENT | KY | N/A | C | ||||||
| ST JOSEPH OFFICE PARK ASSOCIATION | ||||||||||||||
| 1401 HARRODSBURG ROAD BLDG B70 | LEXINGTON | KY | 40504 | 611079899 | MANAGEMENT | KY | N/A | C | ||||||
| MERCY HEALTH SERVICES CORPORATION | ||||||||||||||
| 2727 MCCLELLAND BLVD | JOPLIN | MO | 64804 | 431457881 | DME | MO | N/A | C | ||||||
| GOOD SAMARITAN OUTREACH SERVICES | ||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470659440 | MEDICAL CLINIC | NE | N/A | C | ||||||
| HEALTH SYSTEMS ENTERPRISES INC | ||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470664558 | MANAGEMENT | NE | N/A | C | ||||||
| SAINT CLARE'S PRIMARY CARE INC | ||||||||||||||
| 66 FORD ROAD | DENVILLE | NJ | 07834 | 222441202 | BILLING SERVICES | NJ | N/A | C | ||||||
| MEDQUEST | ||||||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450392137 | SALE OF DME | ND | N/A | C | ||||||
| CONSOLIDATED HEALTH SERVICES | ||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | 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 | ||||||
| PATIENT TRANSPORT SERVICES INC | ||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311100798 | HOME HEALTH | OH | N/A | C | ||||||
| SAMARITAN FAMILY CARE INC | ||||||||||||||
| 40 W FOURTH ST 1700 | DAYTON | OH | 45402 | 311299450 | HEALTHCARE | OH | N/A | C | ||||||
| MERCY SERVICES CORP | ||||||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930824308 | RETAIL SALES | OR | N/A | C | ||||||
| ST ANTHONY DEVELOPMENT COMPANY | ||||||||||||||
| 1415 SOUTHGATE | PENDLETON | OR | 97801 | 931216943 | ATHLETIC CLUB | OR | N/A | C | ||||||
| CGH REALTY COMPANY INC | ||||||||||||||
| 215 N 12TH ST | READING | PA | 19603 | 232326801 | REAL ESTATE | PA | N/A | C | ||||||
| CADUCEUS MEDICAL ASSOCIATES INC | ||||||||||||||
| 6028 SHALLOWFORD ROAD SUITE D | CHATTANOOGA | TN | 37422 | 621570736 | HEALTHCARE | TN | N/A | C | ||||||
| MOUNTAIN MANAGEMENT SERVICES INC | ||||||||||||||
| 6028D SHALLOWFORD ROAD | CHATTANOOGA | TN | 37422 | 621570739 | MGMT SVC ORG | TN | N/A | C | ||||||
| PHYSICIAN HEALTH SYSTEM NETWORK | ||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911746721 | HEALTH ORG. | WA | N/A | C | ||||||
| HEALTHCARE MGMT SERVICES ORG INC | ||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911865474 | HEALTH ORG. | WA | 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 | ||||||
| JAMES & HENRIETTA NISTLER UNITRUST | ||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206021899 | INVESTMENTS | ND | N/A | T | ||||||
| JOSEPH A SCHUSTER ANNUITY TRUST #1 | ||||||||||||||
| 400 UNIVERITY AVENUE | DES MOINES | IA | 50314 | 421195122 | INVESTMENTS | IA | N/A | T | ||||||
| RAY & SHIRLEY DAVID 1999 UNITRUST | ||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206037077 | INVESTMENTS | ND | N/A | T | ||||||
| TOM DEYLE CHARITABLE REMAINDER UNITRUST | ||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476192393 | INVESTMENTS | NE | N/A | T | ||||||
| DAVID DEYLE CHARITABLE REMAINDER UNITRUST | ||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476192395 | INVESTMENTS | NE | N/A | T | ||||||
| JEANNE DEYLE CHARITABLE REMAINDER UNITRUST | ||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476192398 | INVESTMENTS | NE | N/A | T | ||||||
| LODESCA MILLER CHARITABLE REMAINDER UNITRUST | ||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476186933 | INVESTMENTS | NE | N/A | T | ||||||
| ROBERT & WANDA CHARITABLE REMAINDER UNITRUST | ||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 266191916 | INVESTMENTS | NE | N/A | T | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | 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 (12 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI | ||
| B | 1396770 | CASH |
| GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI | ||
| C | 1818228 | CASH |
| GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI | ||
| N | 571138 | FMV |
| GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE | ||
| N | 4855327 | FMV |
| TRIHEALTH INC | ||
| O | 60188522 | COST |
| COMMUNITY LIMITED CARE DIALYSIS CENTER | ||
| R | 3330089 | CASH |
| CATHOLIC HEALTH INITIATIVES | ||
| I | 10807001 | FMV |
| CATHOLIC HEALTH INITIATIVES | ||
| O | 5798710 | COST |
| CATHOLIC HEALTH INITIATIVES | ||
| Q | 16258653 | FMV |
| BETHESDA HOSPITAL INC | ||
| C | 117082 | CASH |
| AMERICAN NURSING CARE | ||
| L | 1244326 | FMV |
| PATIENT TRANSPORT SERVICES INC | ||
| L | 524309 | FMV |
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