THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO DTD 01251995: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO DTD 01251995 (EIN 31-0537486)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-11
IRS object ID: 201121319349302552
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-11T14:32:49-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CATHOLIC HEALTH INITIATIVES	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	198 INVERNESS DRIVE WEST	AddressLine1
City	ENGLEWOOD	City
State	CO	State
ZIP Code	80112	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	310537486	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Good Samaritan Hospital	BusinessNameLine1
Business Name Line2	of Cincinnati Ohio	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	GOOD	NameControl
Phone	5135695126	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 of Finance	Title
Date Signed	2011-05-09	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MARK STOCKI	Name
Phone	7208741500	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	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 St Accounting-3 West	AddressLine1
City	Cincinnati	City
State	OH	State
ZIP Code	45206	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	481199476	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	WWW.TRIHEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1852	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	The organization's mission is to improve the health status of the community it serves.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	3827	TotalNbrEmployees
Total Nbr Volunteers	758	TotalNbrVolunteers
Total Gross UBI	800420	TotalGrossUBI
Net Unrelated Business Txbl Income	-567957	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3862390	ContributionsGrantsPriorYear
Contributions Grants Current Year	2011657	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	441158984	ProgramServiceRevenuePriorYear
Program Service Revenue CY	452506006	ProgramServiceRevenueCY
Investment Income Prior Year	-8916094	InvestmentIncomePriorYear
Investment Income Current Year	17517998	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5838799	OtherRevenuePriorYear
Other Revenue Current Year	7757833	OtherRevenueCurrentYear
Total Revenue Prior Year	441944079	TotalRevenuePriorYear
Total Revenue Current Year	479793494	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	56600	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	565970	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	169439038	SalariesEtcPriorYear
Salaries Etc Current Year	209583482	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	264044139	OtherExpensePriorYear
Other Expenses Current Year	225744205	OtherExpensesCurrentYear
Total Expenses Prior Year	433539777	TotalExpensesPriorYear
Total Expenses Current Year	435893657	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	8404302	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	43899837	RevenuesLessExpensesCY
Total Assets BOY	519946074	TotalAssetsBOY
Total Assets EOY	587586475	TotalAssetsEOY
Total Liabilities BOY	217623706	TotalLiabilitiesBOY
Total Liabilities EOY	236475946	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	302322368	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	351110529	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	371838013	Expense
Grants	565970	Grants
Revenue	451878043	Revenue
Description	SEE SCHEDULE H	Description
Total Program Service Expense	371838013	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	278	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3827	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	CRAIG RUCKER	NamePerson
Telephone Number	5135696577	TelephoneNumber

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

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	Reportable Comp From OrganizationReportableCompFromOrganization	FormerFormer
PAUL EDGETT
Trustee	1.0	X	436412	72959
Stephen Schrantz
Vice Chairman	1.0	X			X
James Schwab
Chairman	1.0	X			X
Robert Hoverson
Secretary (End 11/2009)	1.0	X			X
Michael Havercamp
Trustee (Start 12/2009)	1.0	X
Robert Walker
Treasurer	1.0	X			X
Thomas Finn
Trustee	1.0	X
Myrtis Powell
Trustee (Start 10/2009)	1.0	X
Sr Mary Ellen Murphy
Trustee	1.0	X
Michael McGraw
Secretary (Start 9/2009)	1.0	X			X
Edward Harness Jr
Trustee	1.0	X
Silvania Ng MD
Trustee (Start 1/2010)	1.0	X
Marc Alexander MD
Trustee (Start 1/2010)	1.0	X
Mark Serrianne
Trustee (End 8/2009)	1.0	X
Yvonne Washington
Trustee (End 9/2009)	1.0	X
George Kerlakian MD
Trustee (End 12/2009)	1.0	X
Craig Eisentrout MD
Trustee (End 12/2009)	1.0	X
John Prout
President/CEO (Sch O)	20.0	X	1075342	134799	X
Craig Rucker
ASSISTANT TREASURER (Sch O)	20.0		440236	82847	X
Donna Nienaber Esq
Assistant Secretary (Sch O)	20.0		361282	116135	X
Dave Dornheggen
COO	40.0		325846	86661		X
William Groneman
Exec VP (Sch O)	20.0		466760	133992		X
Gerald Oliphant
Exec VP & COO (Sch O)	20.0		470122	106917		X
Georges Feghali
CMO (Sch O)	20.0		463745	129908		X
Samatha Mast MD
Physician	40.0			26981			X	206231
Michael Baggish MD
Physician	40.0			72183			X	429519
Robert Rohs MD
Physician	40.0			39667			X	363487
Richard Welling MD
Physician	40.0			73807			X	255199
Helen Koselka MD
Physician	40.0			46994			X	199008
Mike Crofton
FORMER OFFICER	20.0		235898	61113					X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1453444	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	4275643	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1184963	TotalOtherCompensation
Number Individuals GT100 K	49	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	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	1589387
American Nursing Care Inc
1700 Edison Drive Suite 300	Milford	OH	45150	Nursing	1046534
Morrison Management Specialists
PO Box 102289	Atlanta	GA	303682289	Food Service	805851
Cardiology Associates of Cincinnati
3219 Clifton Avenue	Cincinnati	OH	45220	Physician	754154
Health Alliance of Greater Cincinna
3200 Burnet Ave	Cincinnati	OH	45229	Medical	622688

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	40	NumberOfContractorsGT100K
Related Organizations	2011417	RelatedOrganizations
All Other Contributions	240	AllOtherContributions
Total Contributions	2011657	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient Services	900099	452389503	451761540	627963
Joint Operating Revenue	900099	4433830	4433830
Rental Income	900099	2373717	2373717
EQUITY CHANGES OF UNCONSOLIDATED ORGS	900099	-6691044	-6691044

Field	Value	IRS element (for citing)
Total Program Service Revenue	452506006	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	10060232	TotalRevenueColumn
Unrelated Business Revenue	845	UnrelatedBusinessRevenue
Exclusion	$10,059,387	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	114621	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	145938	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-31317	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-31317	TotalRevenueColumn
Exclusion	-$31,317	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	7489697	Securities
Other	1228112	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	1260044	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	7489697	Securities
Other	-31932	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	7457766	TotalRevenueColumn
Exclusion	$7,457,766	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Cafeteria	722100	2246070	$2,246,070
Pharmacy Services	446110	1403666	$1,403,666
Research Revenue	900099	853020	$853,020

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3286394	TotalRevenueColumn
Unrelated Business Revenue	171612	UnrelatedBusinessRevenue
Exclusion	$3,114,782	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	7789150	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	479793494	TotalRevenueColumn
Related Or Exempt Function Income	451878043	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	800420	UnrelatedBusinessRevenue
Exclusion	$25,103,374	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	540470	Total
Program Services	540470	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	25500	Total
Program Services	25500	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	0	Total

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	164741655	Total
Program Services	139772276	ProgramServices
Management And General	24969379	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8243947	Total
Program Services	6056241	ProgramServices
Management And General	2187706	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	24408166	Total
Program Services	19268445	ProgramServices
Management And General	5139721	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12189714	Total
Program Services	10540750	ProgramServices
Management And General	1648964	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1369993	Total
Program Services	1301044	ProgramServices
Management And General	68949	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1794906	Total
Management And General	1794906	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	201240	Total
Management And General	201240	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1014397	Total
Program Services	968301	ProgramServices
Management And General	46096	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	17289900	Total
Program Services	13233274	ProgramServices
Management And General	4056626	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2380939	Total
Program Services	288346	ProgramServices
Management And General	2092593	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5840706	Total
Program Services	3644362	ProgramServices
Management And General	2196344	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6922593	Total
Program Services	708930	ProgramServices
Management And General	6213663	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	10739025	Total
Program Services	9239777	ProgramServices
Management And General	1499248	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	339277	Total
Program Services	217384	ProgramServices
Management And General	121893	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	6564445	Total
Program Services	6564445	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	5554176	Total
Management And General	5554176	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	22218784	Total
Program Services	18373869	ProgramServices
Management And General	3844915	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	6650010	Total
Program Services	5789858	ProgramServices
Management And General	860152	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical/Dietary Supplies	92572836	92311110	261726
Bad Debts	29864399	29864399
Repairs and maintenance	6311059	5887817	423242
OHIO HOSPITAL FEE	5239848	5239848
PURCHASED EQUIPMENT	680599	680599

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2195073	Total
Program Services	1320968	ProgramServices
Management And General	874105	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	435893657	Total
Program Services	371838013	ProgramServices
Management And General	64055644	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	12076148	BOY
EOY	18384195	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	49399717	BOY
EOY	28099105	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	450772	BOY
EOY	298360	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1390283	BOY
EOY	1449355	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	152400	BOY
EOY	177600	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	491739041	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	318167411	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	168866666	BOY
EOY	173571630	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	23559568	BOY
EOY	44927953	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	268842692	BOY
EOY	309592250	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	-4792172	BOY
EOY	11086027	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	519946074	BOY
EOY	587586475	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	31523894	BOY
EOY	44394290	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	63844	BOY
EOY	47034	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	143479484	BOY
EOY	134295401	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	42556484	BOY
EOY	57739221	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	217623706	BOY
EOY	236475946	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	296934331	BOY
EOY	345900651	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5388037	BOY
EOY	5209878	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	302322368	BOY
EOY	351110529	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	519946074	BOY
EOY	587586475	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	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)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$7,333	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	7333	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	990 Sch C Supplemental, Part II-B	Identifier
Return Reference	Lobbying Activities Explanation	ReturnReference
Explanation	Line 1(f), During the tax year, The Good Samaritan Hospital of Cincinnati, Ohio paid annual membership dues to various national, state and local organizations, of which $1,442 related to lobbying activities. The entity'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. The amount shown in Line 1F above represents the entity's share of allocated lobbying expenses: AHA $3,430; CHA $2,461.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9162254	OtherCostOrOtherBasis
Book Value	9162254	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	276609437	OtherCostOrOtherBasis
Depreciation	175998348	Depreciation
Book Value	100611089	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6956739	OtherCostOrOtherBasis
Depreciation	3528870	Depreciation
Book Value	3427869	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	172194650	OtherCostOrOtherBasis
Depreciation	138640194	Depreciation
Book Value	33554456	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26815962	OtherCostOrOtherBasis
Book Value	26815962	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	173571630	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	CHI OPER INVESTMENT PROGRAM	Description
Book Value	309592250	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	309592250	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Retirement Plan Liability	$47,965,262
Lease Payment Liability	$7,560,000
Environmental Remediation Liability	$1,666,367
Unclaimed Property	$547,592

Field	Value	IRS element (for citing)
Total Of Amounts	57739221	TotalOfAmounts
Total Revenue	479793494	TotalRevenue
Total Expenses	435893657	TotalExpenses
Excess Or Deficit For Year	43899837	ExcessOrDeficitForYear
Net Unrealized GL On Investments	20518410	NetUnrealizedGLOnInvestments
Other	-$15,630,086	OtherAmount
Total Adjustments	4888324	TotalAdjustments
Excess Or Deficit Per FS	48788161	ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FIN 48 FOOTNOTE	Schedule D, Part X	Good Samaritan 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. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements.
OTHER CHANGES IN NET ASSETS	Schedule D, Part XI, Line 8	PENSION & SERP ADJUSTMENTS ($12,680,522) CAPITAL RESOURCE POOL CONTRIBUTION ($2,949,564)

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14289832	TotalCommunityBenefitExpense
Net Community Benefit Expense	14289832	NetCommunityBenefitExpense
Percent Of Total Expense	0.03520	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	66487598	TotalCommunityBenefitExpense
Direct Offsetting Revenue	58194315	DirectOffsettingRevenue
Net Community Benefit Expense	8293283	NetCommunityBenefitExpense
Percent Of Total Expense	0.02040	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	80777430	TotalCommunityBenefitExpense
Direct Offsetting Revenue	58194315	DirectOffsettingRevenue
Net Community Benefit Expense	22583115	NetCommunityBenefitExpense
Percent Of Total Expense	0.05560	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1462741	TotalCommunityBenefitExpense
Direct Offsetting Revenue	152687	DirectOffsettingRevenue
Net Community Benefit Expense	1310054	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17630845	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9614782	DirectOffsettingRevenue
Net Community Benefit Expense	8016063	NetCommunityBenefitExpense
Percent Of Total Expense	0.01970	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6648955	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5602305	DirectOffsettingRevenue
Net Community Benefit Expense	1046650	NetCommunityBenefitExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1309169	TotalCommunityBenefitExpense
Net Community Benefit Expense	1309169	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	118445	TotalCommunityBenefitExpense
Net Community Benefit Expense	118445	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	27170155	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15369774	DirectOffsettingRevenue
Net Community Benefit Expense	11800381	NetCommunityBenefitExpense
Percent Of Total Expense	0.02900	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	107947585	TotalCommunityBenefitExpense
Direct Offsetting Revenue	73564089	DirectOffsettingRevenue
Net Community Benefit Expense	34383496	NetCommunityBenefitExpense
Percent Of Total Expense	0.08460	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	352000	TotalCommunityBuildingExpense
Net Community Building Expense	352000	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	3794	TotalCommunityBuildingExpense
Net Community Building Expense	3794	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	355794	TotalCommunityBuildingExpense
Net Community Building Expense	355794	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$8,039,380	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	88658904	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	90678686	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2019782	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	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (6 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	OtherOther
Good Samaritan Hospital
375 Dixmyth Avenue	Cincinnati	OH	45220	X	X	X	X	X
Good Samaritan Medical Center
6949 Good Samaritan Drive	Cincinnati	OH	45247	X	X			X
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

Field	Value	IRS element (for citing)
Income Based Criteria	(A) If applicable, describe the income-based criteria for determining eligibility for free or discounted care under the organization's charity care policy. (B) Also describe whether the organization uses an asset test or other threshold regardless of income to determine eligibility for free or discounted care. The Good Samaritan Hospital of Cincinnati, Ohio utilizes the Federal Poverty Guidelines in determining charity care eligibility. See the responses to Part I, Lines 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 the payment of medical bills would be seriously detrimental to the patient's basic financial (and ultimately physical) well-being and survival. Such a patient may be extended discounted or free care based upon the facts and circumstances.	IncomeBasedCriteria
Annual Community Benefit Expln	If the organization's community benefit report is contained in a report prepared by a related organization, rather than a separate report prepared by the organization, identify the related organization. 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.	AnnualCommunityBenefitExpln
Costing Method Used	(A)Provide an explanation of the costing methodology used to calculate the amounts reported in the table. If a cost accounting system was used, indicate whether the cost accounting system addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured or self pay). (B) Also indicate whether a cost-to-charge ratio was used for any of the figures reported in the table. Describe whether this cost-to-charge ratio was derived from Worksheet 2, and, if not, what kind of cost-to-charge ratio was used and how it was derived. If some other costing methodology was used besides a cost accounting system, cost-to-charge ratio, or a combination of the two, describe the method used. 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 for in the instructions to Schedule H, to calculate the cost-to-charge ratio.	CostingMethodUsed
Subsidized Health Services Expln	To the extent that an organization includes any costs associated with physician clinics as subsidized health services in Part I, line 7g it must describe that it has done so and report in Part VI such costs included in part I, line 7g, line 1 The Good Samaritan Hospital of Cincinnati, Ohio provides an obstetrics clinic which offers prenatal assessment for appropriate referral needs to the community and hospital services for underinsured and underserved patients. In addition, the clinic provides health education to underserved obstetrics patients. The services are provided by Registered Nurses. The Good Samaritan Hospital reported, in Part I, line 7(g), costs of $58,500 associated with this clinic.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	If applicable, state the bad debt expense included on Form 990 Part IX, line 25, column (A) but subtracted for purposes of calculating the percentage in this column. $29,864,399 of bad debt expense 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).	PercentOfTotalExpenseExpln
Bad Debt Footnote	Provide the rationale and the costing methodology used to determine the amount reported in Part III lines 2 and 3. Describe how the organization accounts for discounts and payments on patient accounts in determining bad debt expense. Also describe the method the organization uses to determine the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy, if sufficient information has been available to make a determination as to their eligibility. Also, provide if applicable, the text of the footnote to the organization's financial statements that describes bad debt expense. If the organization's financial statements include a footnote on these issues that also includes other information, report only the relevant portions of the footnote. If the organization's financial statements do not contain such a footnote, state that the organization's financial statements do not include such a footnote and explain how the financial statements account for bad debt, if at all. 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: 2010 - Medicare 24%, Medicaid 3%, Managed Care 56%, Self Pay 4%, Commercial and Other 13% 2009 - Medicare 24%, Medicaid 4%, Managed Care 55%, Self Pay 5%, Commercial and Other 12% 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 Inc.'s charity care policy, those costs would be reclassified, as appropriate, to community benefit at that time.	BadDebtFootnote
Shortfall As Community Benefit	Describe the costing methodology used to determine the Medicare allowable costs reported in the organization's Medicare Cost Report, as reflected in the amount reported in Part III, line 6. Describe, if applicable, the extent to which any shortfall reported in Part III, line 7 should be treated as a community benefit, and the rationale for the organization's position. 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.	ShortfallAsCommunityBenefit
Debt Collection Policy	If the organization has a written debt collection policy and answered "yes" to Part III, line 9b, describe the collection practices set forth in the policy that apply to patients who it knows qualify for charity care or financial assistance, whether or not such practices apply specifically to such patients or more broadly to also cover other types of patients. 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 early in the billing process as possible, to determine whether a patient is eligible for financial assistance. After such efforts have been made, if 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.	DebtCollectionPolicy
Number Of Facility Type Expln	List the number of each type of facility, other than those required to be licensed, registered or similarly recognized as a health care facility under state law (for example, 2 rehabilitation clinics, 4 diagnostic centers, 3 skilled nursing facilities, etc) one (1) outpatient services facility, one (1) physical therapy center, one (1) women's health clinic, and one (1) weight loss management center	NumberOfFacilityTypeExpln
Needs Assessment	INTRODUCTION: Mission and Charitable Purpose In 1852 the Sisters of Charity, physicians, and community members established, out of a former boarding house, the first Catholic hospital in the area. Good Samaritan Hospital was among the earliest efforts to address the needs of the growing city of Cincinnati. Almost fifteen years ago the Sisters of Charity joined with other religious congregations to form Catholic Health Initiatives, a national system. The ongoing purpose of The Good Samaritan Hospital of Cincinnati, Ohio 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 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. Good Samaritan Hospital, and its partner, Bethesda, are acute tertiary teaching hospitals. With the rest of TriHealth, they form a system of services spanning from acute care to home care, and babies to seniors. Among other services, Good Samaritan 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. Good Samaritan Hospital 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. Good Samaritan Hospital participates in Medicare and Medicaid and other government-sponsored health care programs, and has an active charity care program. Good Samaritan was granted tax exempt status as a hospital on March 25, 1946. Community service is central to Good Samaritan Hospital's mission. Services such as those described in this report, and others not listed here, promote a healthy community. Programs also seek to reduce the burdens on the government. For example, if Good Samaritan Hospital did not address the root causes of low birth weight and prematurity, the burden to government medical programs such as Medicaid would be even greater. Community Benefit Approach Located in Cincinnati, OH, Good Samaritan Hospital 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 333,013. The population within the four Ohio counties served by TriHealth is estimated to be 1,613,008 and eleven to twelve percent of this population is uninsured. Community health needs, as assessed by independent groups such as the Greater Cincinnati United Way, and the Health Foundation of Greater Cincinnati, continue to correspond with the TriHealth community needs assessment completed in 2004. The significant health needs for the greater Cincinnati area are infant mortality, obesity, depression, hypertension and diabetes. Two major strategies are in place to address infant mortality and diabetes. The remaining community health needs receive the organization's expertise and focus through ongoing hospital and physician practice initiatives. Hamilton County's infant mortality rate of nineteen percent, the highest in Ohio, led Good Samaritan Hospital to create a task force and collaborate with other hospitals and agencies including the Cincinnati Children's Hospital Medical Center. Strategies include investigating the root causes of prematurity and low birth weight. Good Samaritan Hospital provides and supports a diversity of programs of prenatal care for at-risk mothers discussed later in this report. The TriHealth Community Health Initiative for Diabetes, led by the TriHealth physician practices and outpatient clinics with diabetes educators, focuses on the ongoing management of diabetes. The chronic care model focuses on patient education and empowerment. Physician practices track effectiveness in care delivery through measures such as the hemoglobin A1C, a measure of the patient's diabetes self-management. Good Samaritan Hospital, as a part of TriHealth, has dedicated staff to assist the community benefit effort including those overseeing the planning, reporting and tracking of community benefit, as well as those providing direct service to the poor and broader community. Free and discounted services are provided for those unable to pay and meeting eligibility criteria. Through the Hospital Care Assurance Program (HCAP), Good Samaritan Hospital serves patients meeting criteria set forth by the Ohio Department of Jobs and Family Services. Good Samaritan Hospital policy is to provide charity care on a sliding scale discounting when the family income is up to 400 percent of the annually established federal poverty guideline. Good Samaritan Hospitals and owned physician practices offer an uninsured discount for medically necessary services for those who have no insurance and who do not qualify for other financial assistance options. Good Samaritan Hospital financial counselors assist patients in completing the financial assistance application which is also available on the website. Brochures about financial assistance are visible and available in hospital registration and admitting areas. The Good Samaritan Hospital provided $39.8 million in total community benefit for fiscal year 2010. This includes over $24 million care in uncompensated care. The amount of benefit for both traditional charity care and for the unpaid cost of Medicaid is slightly increased from the prior year and reflects the growing number of persons without health insurance. The Medicaid public program reimburses the hospital for services but payments may not always cover the total cost of care and medications. Good Samaritan Hospital fulfills its mission of compassion to the vulnerable members of the community it serves. The Good Samaritan Hospital of Cincinnati, Ohio, as a part of TriHealth, Inc., has dedicated staff to assist the community benefit effort including those overseeing the planning, reporting and tracking of community benefit, as well as those providing direct service to the poor and broader community. Community Building Activities 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, the Work Resource Center of Cincinnati which provides skills training for individuals with disabilities and disadvantages to increase their independence through employment. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT I. Community Outreach for the Poor The following two descriptions represent significant programs provided by Good Samaritan Hospital, targeting the poor and underserved in the community. Good Samaritan Hospital funds the Parish Nurse Ministry and Community Health Worker programs comprised of a dozen paid full time equivalents in nurses and community health workers. The team provides, at no charge, home visits to referred low income clients in nine neighborhoods. Clients include seniors and frail elderly in their homes or in congregate subsidized housing, the mentally and physically handicapped living alone or in group homes, and mothers who are pregnant or who have recently delivered a baby. Client contacts average between 500 to 800 per month. Referrals come from hospital care coordinators as well as other hospitals and community agencies. The team provides consistent health screenings, teaches clients how to manage chronic illnesses and connects clients to support and assistance services. Parish Nurse and Community Health Workers along with four collaborating agencies address prematurity and low birth wei	NeedsAssessment
Patient Education Assistance	Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's charity care policy. 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.	PatientEducationAssistance
Community Information	Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.	CommunityInformation
Community Building Activities	Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.	CommunityBuildingActivities
Other Information	Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting health of the community (e.g. open medical staff, community board, use of surplus funds, etc). Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.	OtherInformation
Affiliated Health Care System	If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served. 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. Almost fifteen years ago, TriHealth joined Catholic Health Initiatives, a national faith-based nonprofit health care organization with headquarters in Englewood, Colorado. CHI's exempt purpose is to serve as an integral part of its national system of hospitals and other charitable entities, which are described as market-based organizations, or MBOs. An MBO is a direct provider of care or services within a defined market area that may be an integrated health system and/or a stand-alone hospital or other facility or service provider. CHI serves as the parent corporation of its MBOs which are comprised of 73 hospitals; 40 long-term care, assisted- and residential-living facilities; and two community health-services organizations. Together, these facilities provided $590 million in charity care and community benefit in the 2010 fiscal year, including services for the poor, free clinics, education and research.	AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant
Healthy Mom and Babies Inc
2270 Banning Road	Cincinnati	OH	45239	311155292	501(c)(3)	100000
Uptown Consortium Inc
629 Oak Street Ste 306	Cincinnati	OH	45206	200688727	501(c)(3)	160650
American Heart Association-Great Rivers Affiliate
5455 N High Street	Cincinnati	OH	43214	135613797	501(c)(3)	63750
The Center for Closing the Health Gap
3120 Burnet Ave 201	Cincinnati	OH	45229	200902286	501(c)(3)	58650
Bethesda Foundation
619 Oak Street	Cincinnati	OH	45206	237374129	501(c)(3)	29580
Center for Respite Care Inc
PO Box 141301	Cincinnati	OH	45229	202544994	501(c)(3)	25500
Xavier University
3800 Victory Parkway	Cincinnati	OH	45207	310537516	501(c)(3)	12750
Bethesda Hospital Inc
619 Oak Street	Cincinnati	OH	45206	310537122	501(c)(3)	24698
Healthy Beginnings Inc
47 E Hollister 201	Cincinnati	OH	45219	311380939	501(c)(3)	52500

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	9	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	Work Agreement Program Grants	TypeOfGrant
Number Of Recipients	7	NumberOfRecipients
Amount Of Cash Grant	25500	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule I, Part I, Q.2	Identifier
Return Reference	Procedures for monitoring the use of grants	ReturnReference
Explanation	GOOD SAMARITAN 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.	Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs	Base Compensation Filing OrgBaseCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg
PAUL EDGETT
360032	54916	21464	26104	46855	509371
John Prout
749844		325498	125103	9696	1210141	256041
Craig Rucker
286286	96468	57482	75220	7627	523083
Donna Nienaber Esq
257602	71856	31824	99929	16206	477417
Mike Crofton
175098	40921	19879	39495	21618	297011
Dave Dornheggen
204679	62071	59096	73075	13586	412507
Samatha Mast MD
							205944	287	10037	16944	233212
Michael Baggish MD
							410158	19361	52446	19737	501702
Robert Rohs MD
							217990	24219	38354	1313	403154	121278
Richard Welling MD
							244341	6858	57104	16703	329006	4000
Helen Koselka MD
							186617	11792	39887	7107	246002	599
William Groneman
288066	99003	79691	110011	23981	600752	13602
Gerald Oliphant
353704	104862	11556	85338	21579	577039
Georges Feghali
315280	107813	40652	107114	22794	593653

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
METHODS USED TO ESTABLISH CEO COMPENSATION	Schedule J, Part 1, Q. 3	COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER OF GOOD SAMARITAN HOSPITAL WAS ESTABLISHED AND PAID BY TRIHEALTH INC., A RELATED ORGANIZATION. TRI HEALTH INC. USED THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION. 1)COMPENSATION COMMITTEE, 2)INDEPENDENT COMPENSATION CONSULTANT, 3)COMPENSATION SURVEY OR STUDY, 4)APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
NON-QUALIFIED DEFERRED COMPENSATION PLAN	Schedule J, Part 1, Q. 4B	Eligible executives (generally Vice Presidents and above) participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. TriHealth, Inc., the related organization that paid the salaries of the following individuals listed in Schedule J, Part II, contributed, on behalf of the following individuals, to a supplemental nonqualified retirement plan in the amounts as noted: Michael Crofton - $11,894, Dave Dornheggen - $34,260, Georges Feghali, MD - $65,434, William Groneman - $62,814, Donna Nienaber, Esq. - $45,985, Gerald Oliphant - $61,222, John Prout - $93,797, Craig Rucker - $52,321. In addition, the following individual listed in Schedule J, Part II, received a payment from a supplemental nonqualified retirement plan which was treated as taxable compensation by TriHealth, Inc.: William Groneman - $13,602.
Bonus Program	Schedule J, Part I, Q. 7	A physician has a base salary but is also eligible for a bonus. The bonus is contingent on the profitability of his practice. Essentially, the profitability of his practice gets paid to him as a bonus up to a max of $100K.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FORM 990, Part VI, Q. 1	EXECUTIVE COMMITTEE COMPOSITION AND AUTHORITY	PURSUANT TO SECTION 8.1.1 OF THE BYLAWS OF GOOD SAMARITAN HOSPITAL ("GSH"), THE BOARD OF TRUSTEES MAY ESTABLISH AN 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 CEO, THE SECRETARY AND TWO OTHER BOARD MEMBERS ALL IN ACCORDANCE WITH THE NETWORK AFFILIATION AGREEMENT. PURSUANT TO SECTION 8.1.5 OF THE CORPORATION'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 CORPORATION'S BYLAWS, FOUR MEMBERS OF THE EXECUTIVE COMMITTEE SHALL CONSTITUTE A QUORUM FOR THE TRANSACTIONS OF BUSINESS AND THE ACT OF FOUR OF THEM SHALL CONSTITUTE THE ACT OF THE COMMITTEE.
Form 990, Part VI, Q. 6	Members or Stockholders	Good Samaritan Hospital has two corporate members, Catholic Health Initiatives, a Colorado Nonprofit Corporation, is the sole voting member and TriHealth, Inc, an Ohio nonprofit corporation, is the sole non-voting member.
Form 990, Part VI, Q. 7	MEMBERS/STOCKHOLDERS ELECTING GOVERNING BODY MEMBERS	In accordance with the Organization's Corporate ByLaws, the Trustees of the Corporation (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 an 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, Q. 7B	APPROVAL OF GOVERNING BODY DECISIONS BY MEMBERS/STOCKHOLDERS	The organization's sole corporate voting member is Catholic Health Initiatives (CHI). Pursuant to Section 5.4.2 of the organization's bylaws and the Network Affiliation Agreement, the Voting Member shall have the specific rights set forth in the governance 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 Good Samaritan Hospital, Amendment of the corporate documents of the Good Samaritan Hospital, Approval of members of the Good Samaritan Hospital board, Removal of a member of the governing body of the Good Samaritan Hospital, Approval of issuance of debt by the Good Samaritan Hospital, Approval of participation of Good Samaritan Hospital in a joint venture, Approval of formation of a new corporation by Good Samaritan Hospital, Approval of a merger involving the Good Samaritan Hospital, Approval of the sale of all or substantially all of the assets of the Good Samaritan Hospital, To require the transfer of assets by the Good Samaritan Hospital to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts, Adoption of long range and strategic plans for Good Samaritan Hospital. Pursuant to Section 5.5.2 of the organization's bylaws and the Network Affiliation 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 organization, recommend such other or different actions as it deems appropriate.
Form 990, Part VI, Q. 11A	Process, if any, the organization uses to review Form 990	MEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF THIS FORM 990 PRIOR TO FILING THE RETURN. HOWEVER, FOR THE PROTECTION OF DONOR PRIVACY, SCHEDULE B - SCHEDULE OF CONTRIBUTORS WAS REMOVED FROM THE COPY PROVIDED TO THE BOARD. SUBSEQUENT TO PRESENTATION TO THE BOARD, THE 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, Q. 12C	Procedures for monitoring and enforcing the COI policy	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 the 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, Q. 15	Process for Determining Compensation	In determining compensation of The Good Samaritan Hospital of Cincinnati, Ohio's officers, directors, and key employees, 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, Q. 19	PUBLIC AVAILABILITY OF GOVERNING DOCUMENTS/FINANCIAL STATEMENTS/COI POLICY	The organization's governing documents, Conflicts of Interest Policy and financial statements are available upon request. The organization's financial statements are included in the Catholic Health Initiatives' consolidated audited financial statements that are available at www.catholichealthinit.org or at http://www.DacBond.com.
Form 990, Part VII	Estimate of Hours Devoted to Related Organizations	Officers, Directors and Key Employees (as noted with a Sch O reference) for The Good Samaritan Hospital of Cincinnati, Ohio provide services to TriHealth, Inc. (a related organization who paid 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 was paid to these individuals in fulfillment of their duties as full-time, 60 hours-per-week employees of TriHealth.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (132 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
St Joseph Community Health Services
300 Central SW Suite 300	Albuquerque	NM	87102	710897107	Community	NM	501(c)(3)	11a	CHI
St Joseph Community Health Foundation
300 Central SW Suite 300	Albuquerque	NM	87102	850253087	Foundation	NM	501(c)(3)	7	SJCHS
St Francis of Baker City
3325 Pocahontas Road	Baker City	OR	97814	930412495	Hospital	OR	501(c)(3)	3	CHI
St Elizabeth Health Care Foundation
3325 Pocahontas Road	Baker City	OR	97814	943164869	Foundation	OR	501(c)(3)	7	SEHS
Flaget Memorial Hospital Foundation Inc
4305 New Shepherdsville Road	Bardstown	KY	40004	562351341	Fundraising	KY	501(c)(3)	11a	FH
Flaget Healthcare DBA Flaget Memorial
4305 New Shepherdsville Road	Bardstown	KY	40004	611345363	Hospital	KY	501(c)(3)	3	CHI
Lakewood Health Center
600 Main Avenue South	Baudette	MN	56623	410758434	LTerm Care	MN	501(c)(3)	3	CHI
Appletree Court
601 Oak Street	Breckenridge	MN	56520	411850500	Senior Homes	MN	501(c)(3)	9	SFH
Healthcare and Wellness Foundation
2400 St Francis Drive	Breckenridge	MN	56520	760761782	Foundation	MN	501(c)(3)	11a	SFMC
St Francis Home
2400 St Francis Drive	Breckenridge	MN	56520	410729978	LTerm Care	MN	501(c)(3)	9	CHI
St Francis Medical Center
2400 St Francis Drive	Breckenridge	MN	56520	410695598	Healthcare	MN	501(c)(3)	3	CHI
Carrington Health Center
800 North 4th Street	Carrington	ND	58421	450227311	Healthcare	ND	501(c)(3)	3	CHI
Saint Clare's Community Care
66 Ford Road	Denville	NJ	07834	222876836	Healthcare	NJ	501(c)(3)	11b	SCHS
Saint Clare's Foundation Inc
66 Ford Road	Denville	NJ	07834	222502997	Fundraising	NJ	501(c)(3)	7	SCHS
Good Samaritan College of Nursing & Heal
375 Dixmyth Ave	Cincinnati	OH	45220	311778403	Education	KY	501(c)(3)	2	GHS
Total Healthcare
PO Box 7021	Colorado Springs	CO	80933	840927232	Healthcare	CO	501(c)(3)	3	CHI Colorado
Memorial Health Care System Inc
2525 De Sales Avenue	Chattanooga	TN	37404	620532345	Hospital	TN	501(c)(3)	3	CHI
Memorial Health Care System Foundation
2525 De Sales Avenue	Chattanooga	TN	37404	621839548	Foundation	TN	501(c)(3)	7	MHCS
Memorial Health Partners Foundation Inc
6028 Shallowford Road	Chattanooga	TN	37421	030417049	Healthcare	TN	501(c)(3)	9	MHCS
The Community Limited Care Dialysis Cent
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	237419853	Dialysis	OH	501(c)(2)	none	GSH
Good Samaritan Foundation of Cincinnati
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	311206047	Foundation	OH	501(c)(3)	11a	GSH
The Good Samaritan Hospital of Cincinnat
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	310537486	Hospital	OH	501(c)(3)	3	TRI-HEALTH
Saint Clare's Hospital
66 Ford Road	Denville	NJ	07834	223319886	Hospital	NJ	501(c)(3)	3	CHI
St Francis Life Care Corporation
19 Pocono Road	Denville	NJ	07834	222536017	Elderly Care	NJ	501(c)(3)	9	SCHS
TriHealth Physician Institute
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	311074519	Physicians	OH	501(c)(3)	11a	GSH
Catholic Health Initiatives Colorado Fou
961 East Colorado Avenue	Colorado Springs	CO	80903	840902211	Foundation	CO	501(c)(3)	7	CHI Colorado
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
Catholic Health Initiatives
1999 Broadway Suite 4000	Denver	CO	80202	470617373	Healthcare	CO	501(c)(3)	9	CHI
Catholic Health Care Federation
1999 Broadway Suite 4000	Denver	CO	80202	208473567	Jurdic Person	CO	501(c)(3)	11a	CHI
Global Health Initiatives
1999 Broadway Suite 4000	Denver	CO	80202	201536108	Ministries	CO	501(c)(3)	11a	CHI
Health SET
4200 West Conejos Place 436	Denver	CO	80204	841102943	Low Inc.Care	CO	501(c)(3)	7	CHI Colorado
Bishop Drumm Retirement Center
1111 6th Avenue	Des Moines	IA	50314	420725196	LTerm Care	IA	501(c)(3)	9	CHI-IA Corp
Mercy Medical Center - Des Moines AKA
1111 6th Avenue	Des Moines	IA	50314	420680448	Hospital	IA	501(c)(3)	3	CHI-IA Corp
House of Mercy
1111 6th Avenue	Des Moines	IA	50314	421323808	Shelter	IA	501(c)(3)	7	CHI-IA Corp
Mercy Auxiliary of Central Iowa
1111 6th Avenue	Des Moines	IA	50314	426076069	Auxiliary	IA	501(c)(3)	11a	CHI-IA Corp
Mercy Clinics Inc
1111 6th Avenue	Des Moines	IA	50314	421193699	Physician	IA	501(c)(3)	9	CHI-IA Corp
Mercy College of Health Sciences
1111 6th Avenue	Des Moines	IA	50314	421511682	Education	IA	501(c)(3)	2	CHI-IA Corp
Mercy Foundation of Des Moines IA
1111 6th Avenue	Des Moines	IA	50314	237358794	Foundation	IA	501(c)(3)	7	CHI-IA Corp
Mercy Medical Center - Centerville FKA
1 St Josephs Drive	Centerville	IA	52544	420680308	Hospital	IA	501(c)(3)	3	CHI-IA Corp
Mercy Professional Practice Associates
1111 6th Avenue	Des Moines	IA	50314	421470935	Physician	IA	501(c)(3)	9	CHI-IA Corp
Mercy Hospital of Devils Lake
1031 East Seventh Street	Devils Lake	ND	58301	450227012	Healthcare	ND	501(c)(3)	3	CHI
Saint Joseph's Hospital Foundation
30 West 7th Street	Dickinson	ND	58601	363418207	Foundation	ND	501(c)(3)	11a	SJHHC
St Joseph's Hospital and Health Center
30 West 7th Street	Dickinson	ND	58601	450226429	Healthcare	ND	501(c)(3)	3	CHI
Mercy Regional Medical Center of Durango
1010 Three Springs Blvd	Durango	CO	81301	840405515	Hospital	CO	501(c)(3)	3	CHI
CHI Kentucky Inc
3900 Olympic Blvd Suite 400	Erlanger	KY	41018	202741651	Healthcare	KY	501(c)(3)	11a	CHI
Villa Nazareth Inc
801 Page Drive	Fargo	ND	58103	450226714	LT Care	ND	501(c)(3)	9	CHI
St Catherine Hospital
401 East Spruce Street	Garden City	KS	67846	480543721	Hospital	KS	501(c)(3)	3	CHI
St Catherine Hospital Development Found
401 East Spruce Street	Garden City	KS	67846	200598702	Foundation	KS	501(c)(3)	11a	SCH
Saint Francis Medical Center Foundation
PO Box 9804	Grand Island	NE	68802	470630267	Foundation	NE	501(c)(3)	7	SFMC
Saint Francis Medical Center
PO Box 9804	Grand Island	NE	68802	470376601	HealthCare	NE	501(c)(3)	3	CHI Nebraska
Central Kansas Medical Center
3515 Broadway	Great Bend	KS	67530	480543724	Hospital	KS	501(c)(3)	3	CHI
St Joseph Memorial Hospital
923 Carroll Ave	Larned	KS	67550	481253246	Hospital	KS	501(c)(3)	3	CKMC
MNMCH Inc
220 North Pennsylvania	Columbus	KS	66725	481216238	Hospital	KS	501(c)(3)	3	SJRMC
Mercy Lifecare Systems
2727 McClelland Blvd	Joplin	MO	64804	431305163	Property Mgmt	MO	501(c)(3)	11a	SJRMC
St John's Medical Group
2727 McClelland Blvd	Joplin	MO	64804	431882377	Phys Practice	MO	501(c)(3)	9	SJRMC
St John's Mercy Regional Foundation
2727 McClelland Blvd	Joplin	MO	64804	431308084	Foundation	MO	501(c)(3)	7	SJRMC
St John's Regional Medical Center
2727 McClelland Blvd	Joplin	MO	64804	440545809	Hospital	MO	501(c)(3)	3	CHI
Good Samaritan Hospital
PO Box 1990	Kearney	NE	68848	470379755	HealthCare	NE	501(c)(3)	3	CHI Nebraska
Good Samaritan Hospital Foundation
PO Box 1810	Kearney	NE	68848	470659443	Foundation	NE	501(c)(3)	7	GSH
St Joseph Health Ministries
2135 Noll Drive Suite C	Lancaster	PA	17603	232342997	Health	PA	501(c)(3)	11a	SJHM
St Joseph Health Ministries Foundation
2135 Noll Drive Suite C	Lancaster	PA	17603	232605579	Fundraising	PA	501(c)(3)	11a	SJHM
St Joseph Health Services Inc
2135 Noll Drive Suite C	Lancaster	PA	17603	201425375	Dental care	PA	501(c)(3)	11a	SJHM
Continuing Care Hospital
150 North Eagle Creek Drive	Lexington	KY	40509	611400619	LTACH	KY	501(c)(3)	3	SJHS
Saint Joseph Berea Hospital Foundation
305 Estill Street	Berea	KY	40403	260152877	Foundation	KY	501(c)(3)	7	SJHS
Saint Joseph Health System Inc
150 N Eagle Creek Dr	Lexington	KY	40509	611334601	Hospital	KY	501(c)(3)	3	CHI
St Joseph Hospital Foundation Inc
One St Joseph Drive	Lexington	KY	40504	611159649	Foundation	KY	501(c)(3)	11a	SJHS
Saint Joseph Medical Foundation Inc
One St Joseph Drive	Lexington	KY	40504	311539059	Phy Practices	KY	501(c)(3)	3	SJHS
Visiting Nurse Association of Saint Clar
191 Woodport Road	Sparta	NJ	07871	221768334	Home Health	NJ	501(c)(3)	9	SCHS
Saint Elizabeth Foundation
555 South 70th Street	Lincoln	NE	68510	470625523	Foundation	NE	501(c)(3)	7	SERMC
Saint Elizabeth Health Services
555 South 70th Street	Lincoln	NE	68510	363233120	Healthcare	NE	501(c)(3)	3	SERMC
CHI Nebraska
555 South 70th Street	Lincoln	NE	68510	363233121	Healthcare	NE	501(c)(3)	11a	CHI
Saint Elizabeth Regional Medical Center
555 South 70th Street	Lincoln	NE	68510	470379836	Healthcare	NE	501(c)(3)	3	CHI Nebraska
The Physician Network
8055 O Street Suite 300	Lincoln	NE	68510	470780857	Healthcare	NE	501(c)(3)	11a	CHI Nebraska
Lisbon Area Health Services
905 Main Street	Lisbon	ND	58054	820558836	Healthcare	ND	501(c)(3)	3	CHI
Alverna Apartments
300 SE 8th Avenue	Little Falls	MN	56345	411351177	Lterm Care	MN	501(c)(3)	9	CHI
Unity Family Healthcare
815 2nd Street SE	Little Falls	MN	56345	410721642	Healthcare	MN	501(c)(3)	3	CHI
St Anthony's Hospital Association
4 Hospital Drive	Morrilton	AR	72110	710245507	Healthcare	AR	501(c)(3)	3	SVIMC
St Vincent Infirmary Medical Center
2 St Vincent Circle	Little Rock	AR	72205	710236917	Healthcare	AR	501(c)(3)	3	CHI
St Vincent Medical Group
2 St Vincent Circle	Little Rock	AR	72205	710830696	Healthcare	AR	501(c)(3)	9	SVIMC
Maria-Joseph Center
4830 Salem Avenue	Dayton	OH	45416	310935118	Healthcare	OH	501(c)(3)	9	SHP
Saint Joseph London Foundation Inc
310 East Ninth Street	London	KY	40741	260438748	Foundation	KY	501(c)(3)	11a	SJHS
Samaritan Behavioral Health
601 S Edwin C Moses Blvd	Dayton	OH	45408	020633634	Hospital	OH	501(c)(3)	3	SHP
Mercy Medical Center
1512 12th Avenue Road	Nampa	ID	83686	820200896	Hospital	ID	501(c)(3)	3	CHI
Mercy Medical Center Foundation
1512 12th Avenue Road	Nampa	ID	83686	261737256	Foundation	ID	501(c)(3)	11a	Mercy Med Ct
Mercy Physician Group Inc
1512 12th Avenue Road	Nampa	ID	83686	208192593	Phys Group	ID	501(c)(3)	9	Mercy Med Ct
St Mary's Hospital
1314 3rd Avenue	Nebraska City	NE	68410	470443636	Hospital	NE	501(c)(3)	3	CHI Nebraska
St Mary's Hospital Foundation
1314 3rd Avenue	Nebraska City	NE	68410	470707604	Foundation	NE	501(c)(3)	7	SMH
Oakes Community Hospital
314 South 8th Street	Oakes	ND	58474	450231675	Hospital	ND	501(c)(3)	3	CHI
Oakes Community Hospital Foundation
314 South 8th Street	Oakes	ND	58474	710966606	Foundation	ND	501(c)(3)	11a	OCH
St Dominic at Ontario
351 SW 9th Street	Ontario	OR	97914	930433692	Hospital	OR	501(c)(3)	3	CHI
Holy Rosary Medical Center Foundation
351 SW 9th Street	Ontario	OR	97914	202683560	Foundation	OR	501(c)(3)	11a	HRMC
St Joseph's Area Health Services
600 Pleasant Avenue	Park Rapids	MN	56470	410695603	Hospital	MN	501(c)(3)	3	CHI
St Anthony Hospital
1601 SE Court Avenue	Pendleton	OR	97801	930391614	Hospital	OR	501(c)(3)	3	CHI
St Anthony Hospital Foundation
1601 SE Court Avenue	Pendleton	OR	97801	930992727	Foundation	OR	501(c)(3)	11a	SA Hospital
Gettysburg Medical Center
606 East Garfield Avenue	Gettysburg	SD	57442	460234354	Hospital	SD	501(c)(3)	3	SMHC
St Mary's Healthcare Center
801 East Sioux Avenue	Pierre	SD	57501	460230199	Healthcare	SD	501(c)(3)	3	CHI
Mt St Joseph Inc
3060 SE Stark Street	Portland	OR	97214	930386870	Nursing Care	OR	501(c)(3)	9	CHI
Pueblo Stepup
1925 East Orman Avenue Suite G52	Pueblo	CO	81004	841234295	Community	CO	501(c)(3)	7	CHI
Bornemann Healthcare Corporation
2500 Bernville Road PO Box 316	Reading	PA	19603	232187242	Healthcare	PA	501(c)(3)	11a	CHI
St Joseph Medical Center Foundation
2500 Bernville Road PO Box 316	Reading	PA	19603	232649362	Foundation	PA	501(c)(3)	11a	SJRHN
St Joseph Medical Group
2500 Bernville Road PO Box 316	Reading	PA	19603	208544021	Healthcare	PA	501(c)(3)	9	BHC
St Joseph Regional Health Network
2500 Bernville Road PO Box 316	Reading	PA	19603	231352211	Healthcare	PA	501(c)(3)	3	CHI
Linus Oakes Inc
2700 Stewart Parkway	Roseburg	OR	97470	930821381	Senior Living	OR	501(c)(3)	9	MMC
Mercy Foundation Inc
2700 Stewart Parkway	Roseburg	OR	97470	936088946	Foundation	OR	501(c)(3)	7	MMC
Mercy Medical Center
2700 Stewart Parkway	Roseburg	OR	97470	930386868	Hospital	OR	501(c)(3)	3	CHI
Franciscan Villa of South Milwaukee Inc
3601 South Chicago Avenue	South Milwaukee	WI	53172	391093829	Healthcare	WI	501(c)(3)	9	CHI
Enumclaw Community Hospital
1450 Battersby Avenue	Enumclaw	WA	98022	910715805	Hospital	WA	501(c)(3)	3	FHS
Franciscan Foundation
1717 South J Street	Tacoma	WA	98405	911145592	Fundraising	WA	501(c)(3)	9	FHS
Franciscan Health System FKA Franciscan
1717 South J Street	Tacoma	WA	98405	910564491	Healthcare	WA	501(c)(3)	3	CHI
Franciscan Medical Group
1708 South Yakima Avenue	Tacoma	WA	98405	911939739	Healthcare	WA	501(c)(3)	9	FHS
St Joseph Medical Center Foundation In
7601 Osler Drive	Towson	MD	21204	521681044	Fundraising	MD	501(c)(3)	7	SJMC
St Joseph Medical Center Inc
7601 Osler Drive	Towson	MD	21204	520591461	Hospital	MD	501(c)(3)	3	CHI
St Joseph Physician Enterprises
7601 Osler Drive	Towson	MD	21204	521311775	Physicians	MD	501(c)(3)	11a	CHI
Samaritan Health Foundation
2222 Philadelphia Drive	Dayton	OH	45406	237296923	Foundation	OH	501(c)(3)	7	SHP
Mercy Hospital of Valley City
570 Chautauqua Boulevard	Valley City	ND	58072	450226553	Hospital	ND	501(c)(3)	3	CHI
Mercy Medical Center
1301 15th Avenue West	Williston	ND	58801	450231183	Healthcare	ND	501(c)(3)	3	CHI
Mercy Medical Foundation
1301 15th Avenue West	Williston	ND	58801	450381803	Foundation	ND	501(c)(3)	11a	MMC
Samaritan Health Partners
2222 Philadelphia Drive	Dayton	OH	45406	311107411	Healthcare	OH	501(c)(3)	11a	CHI
St Vincent Foundation
Two St Vincent Circle	Little Rock	AR	72205	510169537	Fundraising	AR	501(c)(3)	11a	SVIMC
Auxiliary of Holy Rosary Hospital Inc
351 SW 9th Street	Ontario	OR	97914	943059469	Hospital	OR	501(c)(3)	9	HRMC
The Mercy Hospital of Devils Lake Fdn
1031 East Seventh Street	Devils Lake	ND	58301	352367360	Foundation	ND	501(c)(3)	11a	MHDL
Alegent Health - Bergan Mercy Health Sys
7500 Mercy Road	Omaha	NE	68124	470484764	Hospital	NE	501(c)(3)	3	CHI
Alegent Health - Mercy Hospital Corning
PO Box 368	Corning	IA	50841	420782518	Hospital	IA	501(c)(3)	3	AHBMHS
Mercy Health Care Foundation
PO Box 368	Corning	IA	50841	421461064	Foundation	NE	501(c)(3)	11a	AHMH
Mercy Hospital Foundation Council Bluff
800 Mercy Drive	Council Bluffs	IA	51503	421178204	Foundation	IA	501(c)(3)	11a	AHBMHS
CHI Institute For Research and Innovatio
198 Inverness Drive West	Englewood	CO	80112	271050565	Healthcare	CO	501(c)(3)	11a	CHI
CHI Colorado
188 Inverness Drive West	Englewood	CO	80112	840405257	Healthcare	CO	501(c)(3)	3	CHI
Saint Joseph Mount Sterling Foundation
50 Sterling Avenue	Mount Sterling	KY	40353	272884584	Foundation	KY	501(c)(3)	7	SJHS
Centennial Medical Group Inc
2700 Stewart Parkway	Roseburg	OR	97470	900433062	Physicians	OR	501(c)(3)	9	MMC
CHI National Foundation
198 Inverness Drive West	Englewood	CO	80112	270930004	Foundation	CO	501(c)(3)	11a	CHI
Saint Clare's Health Services Inc
25 Pocono Road	Denville	NJ	07834	223639733	Management	NJ	501(c)(3)	7	CHI
Good Samaritan Hospital
2222 Philadelphia Drive	Dayton	OH	45406	310536981	Hospital	OH	501(c)(3)	3	SHP

Form990 Schedule R Part III Form990ScheduleRPartIII (17 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
Superior Medical Imaging LLC
5000 North 26th Street	Lincoln	NE	68521	262884555	OP Diagnostics	NE	SERMC	Related	-155495	993429	false	$272	false
Central Nebraska Rehab Services
3004 W Faidley Ave	Grand Island	NE	68802	810653461	Physical Therapy	NE	CHI	Related	1816979	2933623	false	$5,050	false
Mercy West Endoscopy LLC
1601 NW 114th St Suite 244	Clive	IA	50325	900129077	Ambulatory Surg	IA	CHI-IA Corp	Related	1917716	1695121	false		false
Audubon Land Company LLC
5390 N Academy Blvd Suite 300	Colorado Springs	CO	80918	841513085	Real Estate	CO	THC	Related	67577	9001605	false		false
Breckenridge Medical Clinic LLC
555 South Park Avenue Plaza 11	Breckenridge	CO	80424	651295958	Medical Clinic	CO	THC	Related			false		false
Penrad Imaging
1390 Kelly Johnson Blvd	Colorado Springs	CO	80920	841072619	Medical Imaging	CO	THC	Related	1922441	8248492	false		false
St Anthony Regional Mtn Cancer Center
4231 W 16th Avenue	Denver	CO	80112	371568013	Cancer Center	CO	THC	Related	60513	318803	false		false
St Francis Land Company
5390 N Academy Blvd Suite 300	Colorado Springs	CO	80918	263134100	Real Estate	CO	THC	Related	-180979	14886022	false		false
OrthoColorado LLC
11650 West 2nd Place	Lakewood	CO	80255	371577105	Ortho Hospital	CO	THC	Related	-5375165	15265510	false		false
Mercy Outpatient Surgery Center LLC
1512 12th Avenue Road	Nampa	ID	83686	841380439	Surgery Center	ID	MMC	Related	-812036	949357	false	$4,620	true
Peninsula Radiation Oncology
314 Martin Luther King Jr Way 11	Tacoma	WA	98405	870808610	Healthcare Srvc	WA	FHS	Related	-516076	3860362	false		false
Healthcare Support Services LLC
PO Box 9804	Grand Island	NE	688029804	721546196	Laundry	NE	CHI	Related	199968	3913481	false	$58,436	false
Bluegrass Regional Imaging Center
1218 South Broadway Suite 310	Lexington	KY	40504	611386736	Diagnostic	KY	SJ HospitalLex	Related	242456	3773725	false		false
North River Surgery Center LLC
2209 Wildwood Avenue	Sherwood	AR	72120	710799771	Ambul Surg Ctr	AR	SVIMC	Related	213989	1696001	false		false
CHI Operating Investment Program LP
198 Inverness Drive West	Englewood	CO	80112	470727942	Investments	CO	CHI	Investment	58022	4069968	false	$14,031	true
Ruxton Surgicenter LLC
8322 Bellona Avenue Suite 201	Baltimore	MD	21204	522095835	Surgery Center	MD	SJMC	Related	-75716	3421084	false		true
Central Nebraska Home Care Services
PO Box 1146-4510 Second Avenue	Kearney	NE	68848	470692112	Healthcare Srvc	NE	HSEINC	Related	-102982	1021500	false		true

Form990 Schedule R Part IV Form990ScheduleRPartIV (30 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Legal Domicile Foreign CountryLegalDomicileForeignCountry
Mercy Health Services Corporation
2727 McClelland Blvd	Joplin	MO	64804	431457881	DME	MO	St John's RMC	C Corp	-1033832	2093683	1.00000
Mountain Management Services Inc
6028D Shallowford Road	Chattanooga	TN	37422	621570739	mgmt svc org	TN	MHCS	C Corp	348642	4530845	1.00000
MedQuest
1301 15th Avenue West	Williston	ND	58801	450392137	Sale of DME	ND	MHof Williston	C Corp	-16794	911494	1.00000
St Anthony Development Company
1415 Southgate	Pendleton	OR	97801	931216943	Athletic Club	OR	St Anthony H	C Corp	41861	3047938	1.00000
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990	KEARNEY	NE	68848	470659440	MEDICAL CLINIC	NE	GSHS	C Corp	-2491623	840232	1.00000
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MANAGEMENT	NE	GSHS	C Corp	10957	1559747	1.00000
Mercy Park Apartments Ltd
1111 6th Avenue	Des Moines	IA	50314	421202422	Housing	IA	CHI-IA Corp	C Corp	227244	1806199	1.00000
Des Moines Medical Center Inc
1111 6th Avenue	Des Moines	IA	50314	420837382	Real Estate	IA	CHI-IA Corp	C Corp		1123173	0.92980
Comcare Services
4231 W 16th Avenue	Denver	CO	80204	840904813	Inactive	CO	CHIC	C Corp			1.00000
Mednow Inc
1512 12th Avenue Road	Nampa	ID	83686	820389927	Outpat Pharmacy	ID	Mercy Med Ctr	C Corp	-672954	5348476	1.00000
Saint Clare's Primary Care Inc
66 Ford Road	Denville	NJ	07834	222441202	Billing Services	NJ	SCCC	C Corp	-350630	2590487	1.00000
Healthcare Mgmt Services Org Inc
1149 Market St	Tacoma	WA	98402	911865474	Health Org.	WA	FHS	C Corp			1.00000
Physician Health System Network
1149 Market St	Tacoma	WA	98402	911746721	Health Org.	WA	FHS	C Corp			1.00000
Mercy Services Corp
2700 Stewart Parkway	Roseburg	OR	97470	930824308	Retail Sales	OR	Mercy Medical	C Corp	-499409	1403001	1.00000
Caduceus Medical Associates Inc
6028 Shallowford Road Suite D	Chattanooga	TN	37422	621570736	Healthcare	TN	MHCS	C Corp		1008	1.00000
CENTRAL KANSAS HEALTH SERVICES ASSOCIATI
3515 Broadway	Great Bend	KS	67530	481042853	MEDICAL EQUIPMENT	KS	CKMC	C Corp		110125	1.00000
St Vincent Community Health Services In
Two St Vincent Circle	Little Rock	AR	72205	710710785	Healthcare	AR	SVIMC	C Corp	2404944	10195000	1.00000
Alternative Insurance Management Service
3900 Olympic Boulevard Suite 400	Erlanger	KY	41018	841112049	Management Servic	CO	CHI	C Corp		3272176	1.00000
Nazareth Assurance Company
76 St Paul Street Suite 500	Burlington	VT	05401	030304831	Insurance	VT	CHI	C Corp			1.00000
Franciscan Services Inc
198 Inverness Drive West	Englewood	CO	80112	232487967	Healthcare	CO	CHI	C Corp	194756	12598258	1.00000
SJH Services Corporation
198 Inverness Drive West	Englewood	CO	80112	232307408	Healthcare	CO	FSI	C Corp	314346	3423012	1.00000
St Joseph Development Company Inc
1717 South J Street	Tacoma	WA	98405	911480569	Rental	WA	FSI	C Corp	1677122	11984725	1.00000
Towson Management Inc
7601 Osler Drive	Towson	MD	21204	521710750	Management Servic	MD	FSI	C Corp	99315	498383	1.00000
Captive Management Initiatives
				980663022	Captive Managemen		CHI	C Corp			1.00000	CJ
First Initiatives Insurance Ltd
				980203038	Insurance		CHI	C Corp			1.00000	CJ
Center for Translational Research
198 Inverness Drive West	Englewood	CO	80112	272269511	Healthcare	CO	CHI	C Corp	-840949	1746201	1.00000
Samaritan Family Care Inc
40 W Fourth St 1700	Dayton	OH	45402	311299450	Healthcare	OH	SHP	LLC	-1199836	4894397	1.00000
SJL Physician Management Services Inc
424 Lewis Hargett Cr 160	Lexington	KY	40503	999999999	Management	KY	SJHS	C Corp			1.00000
CGH Realty Company Inc
215 N 12th St	Reading	PA	19603	232326801	Real Estate	PA	SJHM	C Corp	1007	42415	1.00000
St Joseph Office Park Association
1401 HarrodsBurg Road Bldg B70	Lexington	KY	40504	611079899	Management	KY	SJHS	C Corp	10217	572843	0.85000

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
TriHealth Physician Institute
a	41027
TriHealth Physician Institute
r	25342523
TriHealth Inc
o	58762722
Good Samaritan Foundation
c	2010623
Good Samaritan Foundation
b	1251143
Good Samaritan Foundation
r	81559
Good Samaritan Foundation
n	496718
Good Samaritan Foundation
p	2105000
Community Limited Care Dialysis Center
r	3223034
Catholic Health Initiatives
i	9900898
Catholic Health Initiatives
o	7110744
Catholic Health Initiatives
q	16628542