TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) JEFFREY FULTON PHYSICIAN	40			X	558,750	31,109
(2) JAMES SHAER PHYSICIAN	40			X	580,151	144,630
(3) SHELLEY TAYLOR-ODILLE TRUSTEE	1	X			1,258	0
(4) STEVEN SHEAKOSKI SEHC MEDICAL STAFF PRESIDENT	1	X			14,540	0
(5) DANIEL FITZPATRICK SJHC MEDICAL STAFF PRESIDENT	1	X			12,750	0
(6) SAM KOOPERMAN TRUSTEE	1	X			0	0
(7) LEONARD D SCHIAVONE TRUSTEE	1	X			1,278	0
(8) SUZANNE FLEMING CHAIRPERSON	1	X	X		1,230	0
(9) DARYL CAMERON VICE CHAIRPERSON	1	X	X		0	0
(10) MARY BETH HOUSER SECRETARY	1	X	X		0	0
(11) MOUNIR AWAD SEBHC MEDICAL STAFF PRESIDENT	1	X			38,543	0
(12) SR MARYANN GOLONKA HM SECRETARY	1	X	X		0	0
(13) SR CAROLE ANNE GRISWOLD HM TRUSTEE	1	X			0	0
(14) BETTY JO LICATA TREASURER	1	X	X		0	0
(15) EUGENE POTESTA MD TRUSTEE	1	X			0	0
(16) BRIAN CORBIN TRUSTEE	1	X			0	0
(17) SCOTT SCHULICK TRUSTEE	1	X			0	0

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JAY WILLIAMS TRUSTEE	1	X				0	0	0
(19) BIPIN PATEL MD TRUSTEE	1	X				1,490	0	0
(20) DONALD KLINE SVP OF FINANCE	40		X			463,817	0	32,274
(21) EUGENIA AUBEL SEMC PRESIDENT BOARDMAN	40			X		226,223	0	17,283
(22) DON KOENIG EXECUTIVE VP OF OPERATIONS	40			X		355,184	0	44,733
(23) JOHN FINIZIO SJMC PRESIDENT	40			X		251,105	0	25,041
(24) CHARLES FOLKWEIN VP ANCILLARY SERVICES	40			X		230,943	0	23,684
(25) NICHOLAS KREATSOULAS CHIEF MEDICAL OFFICER	40			X		380,375	0	30,007
(26) PAUL OLIVIER VP BUSINESS DEVELOPMENT	40			X		185,428	0	40,532
(27) JOSEPH SHOAFF VP LEGAL SERV/GENERAL COUNSEL	40			X		181,672	0	26,256
(28) MOLLY SEALS SVP HUMAN RESOURCES & LEARNING	40			X		276,662	0	21,193
(29) CATHERINE TOLBERT SVP NURSING/CLINICAL SERVICES	40			X		243,963	0	25,848
(30) MICHAEL SEISER VP INFORMATION SYSTEMS	40			X		189,981	0	28,641
(31) ROBERT SHRODER PRESIDENT & CEO	40	X	X			764,290	0	86,772
(32) JOHN STARCHER JR TRUSTEE, CHP SVP, DIVISIONAL CEO	1	X				0	934,158	149,846
(33) TIMOTHY HUNTER PHYSICIAN	40				X	720,201	0	93,662
(34) THOMAS ZARLINGO PHYSICIAN	40				X	582,158	0	23,743
(35) WILLIAM WOODS PHYSICIAN	40				X	1,050,337	0	60,125

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	70,000	70,000
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	7,640	7,640
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	4,222,996	3,589,547	633,449
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	200,139,837	170,118,861	30,020,976
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	2,651,824	2,254,050	397,774
9	Other employee benefits .......	30,188,667	25,660,367	4,528,300
10	Payroll taxes ...........	14,155,525	12,032,196	2,123,329
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	0
c	Accounting ...........	437,514		437,514
d	Lobbying ...........	18,613	15,821	2,792
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	0
g	Other ..........	41,544,799	35,313,079	6,231,720
12	Advertising and promotion ....	2,087,214	1,774,132	313,082
13	Office expenses .......	110,416,589	93,854,101	16,562,488
14	Information technology ......	14,579,419	12,392,506	2,186,913
15	Royalties ..	0
16	Occupancy ...........	11,284,231	9,591,596	1,692,635
17	Travel ............	1,216,589	1,034,101	182,488
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	325,731	276,871	48,860
20	Interest ...........	9,494,760	8,070,546	1,424,214
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	29,600,101	25,160,086	4,440,015
23	Insurance ..............	5,131,610	4,361,869	769,741
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	BAD DEBT EXPENSE	26,515,765	26,515,765
b	CONSULTING EXPENSE	7,949,668	6,757,218	1,192,450
c	EQUIPMENT RENTAL	9,044,211	7,687,579	1,356,632
d	RECRUITMENT EXPENSE	1,054,355	896,202	158,153
e	SERVICE CONTRACTS	12,542,207	10,660,876	1,881,331
f	All other expenses	7,760,700	6,596,595	1,164,105	0
25	Total functional expenses. Add lines 1 through 24f	542,440,565	464,691,604	77,748,961	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation	0

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	49,595,147	1	31,007,199
2	Savings and temporary cash investments .......		2
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	67,078,383	4	85,358,522
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	14,887,238	8	14,952,284
9	Prepaid expenses and deferred charges ............	6,435,550	9	4,269,493
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	712,013,721
b	Less: accumulated depreciation. .....	10b	486,242,912	241,355,048	10c	225,770,809
11	Investments—publicly traded securities ..........	2,097,740	11	2,545,567
12	Investments—other securities. See Part IV, line 11 ......		12	0
13	Investments—program-related. See Part IV, line 11 ..		13	0
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	241,717,410	15	301,745,880
16	Total assets. Add lines 1 through 15 (must equal line 34)...	623,166,516	16	665,649,754
	17	Accounts payable and accrued expenses .	60,229,760	17	62,056,379
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	535,209	23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	192,890,295	25	186,674,011
26	Total liabilities. Add lines 17 through 25.....	253,655,264	26	248,730,390
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	367,003,646	27	414,052,561
28	Temporarily restricted net assets .....	2,507,606	28	2,866,803
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	369,511,252	33	416,919,364
34	Total liabilities and net assets/fund balances .....	623,166,516	34	665,649,754

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

HUMILITY OF MARY HEALTH PARTNERS

Employer identification number

34-0505560

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

HUMILITY OF MARY HEALTH PARTNERS

Employer identification number

34-0505560

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization HUMILITY OF MARY HEALTH PARTNERS
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization HUMILITY OF MARY HEALTH PARTNERS
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
HUMILITY OF MARY HEALTH PARTNERS

Employer identification number

34-0505560

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

HUMILITY OF MARY HEALTH PARTNERS

Employer identification number

34-0505560

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

$ 0

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Yes

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Yes

19,867

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

18,613

Total. lines 1c through 1i ...................................

38,480

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
Description of other lobbying activities	Schedule C, Part II-B, Line 1i	LOBBYING ACTIVITIES PERFORMED INCLUDE BOTH THE USE OF VOLUNTEERS ENCOURAGED TO WRITE LETTERS TO PUBLIC OFFICIALS ON ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE TO PROVIDE HEALTH SERVICES TO THE COMMUNITIES SERVED, AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. PAID MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDUM, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS REGARDING ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE PROVIDING HEALTHCARE SERVICES TO ITS PATIENTS AND TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. PAID STAFF MEMBERS HAVE, ON LIMITED OCCASIONS, WRITTEN TO LEGISLATORS ON SUCH ISSUES. THE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE THE ORGANIZATION'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT OUR SYSTEM. THE ORGANIZATION FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND OUR HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDER SERVED IN THE COMMUNITIES WE SERVE. TO CARRY OUT THESE EFFORTS, THE ORGANIZATION PARTNERS WITH EXPERT CONSULTANTS AND PROFESSIONAL TRADE ASSOCIATIONS TO BUILD AWARENESS AND EXECUTE SPECIFIC STRATEGIES THAT WILL YIELD A FAVORABLE OUTCOME FOR PATIENT CARE IN THE ORGANIZATION'S FACILITIES WHERE THEY ARE TREATED.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HUMILITY OF MARY HEALTH PARTNERS

Employer identification number

34-0505560

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.

			Held at the End of the Year
a	Total number of conservation easements .......................	2a	1
b	Total acreage restricted by conservation easements ..................	2b	17
c	Number of conservation easements on a certified historic structure included in (a) .....	2c	0
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d	0

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

$ 2,249

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	10,453,704		10,453,704
b	Buildings ................	167,997,834	96,654,502	71,343,332
c	Leasehold improvements ............			0
d	Equipment ................	318,827,349	268,521,610	50,305,739
e	Other .................	214,734,834	121,066,800	93,668,034
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				225,770,809

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) BOARD DESIGNATED FUNDS				251,719,903
(2) INVESTMENT - JV'S & PARTNERSHIPS				3,606,012
(3) PENSION ASSET				40,196,155
(4) PHYSICIAN ACCOUNTS RECEIVABLE				3,730,394
(5) PPIC INSURANCE				2,386,604
(6) OTHER				106,812



Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				301,745,880

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes		0
DEFERRED REVENUE		555,217
LONG TERM PHYSICIAN GUARANTEES		2,004,269
MEDICAL OFFICE BUILDING COMMITMENTS		6,839,634
NOTE PAYABLE TO AFFILIATE		165,477,954
OTHER LIABILITIES		322,659
PATIENT ACCOUNT CREDITS		4,185,386
POST RETIREMENT BENEFITS		5,981,637
SERP LIABILITY		1,307,255

Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		186,674,011
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
Conservation easements financial reporting	Schedule D, Part II, Line 9	CONSERVATION EASEMENTS ARE NOT SEPARATELY REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.
FIN 48 (ASC 740) footnote	Schedule D, Part X, Line 2	THE COMPANY (CATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES) COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2010 AND 2009, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2010 OR 2009.

Schedule D (Form 990) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE G
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization
HUMILITY OF MARY HEALTH PARTNERS

Employer identification number

34-0505560

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and e-mail solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.

(i) Name and address of individual or entity (fundraiser)	(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
	(ii) Activity	Yes	No	(iv) Gross receipts from activity		(vi) Amount paid to (or retained by) organization
Total .................

List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2010

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.

		(a) Event #1 SHOE SALE (event type)	(b) Event #2 BOOK SALE (event type)	(c) Other Events (total number)	(d) Total Events (Add col. (a) through col. (c))
1	Gross receipts . . .	52,200	21,116		73,316
2	Less: Charitable contributions . . .				0
3	Gross income (line 1 minus line 2) . . .	52,200	21,116	0	73,316
4	Cash prizes . . .				0
5	Non-cash prizes . .				0
6	Rent/facility costs . .				0
7	Food and beverages . .				0
8	Entertainment . . .				0
9	Other direct expenses .	45,317	18,023		63,340
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				63,340
11	Net income summary. Combine lines 3 and 10 in column (d)............				9,976

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (Add col. (a) through col. (c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," Explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," Explain:

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ...........................

YesNo

Schedule G (Form 990 or 990-EZ) 2010

Page 3

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Provide the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)

Identifier	ReturnReference	Explanation

Schedule G (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HUMILITY OF MARY HEALTH PARTNERS

Employer identification number

34-0505560

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..			23,346,333	7,389,817	15,956,516	3.090 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .			71,710,699	59,849,362	11,861,337	2.300 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....			0	0	0	0 %
dTotal Charity Care and Means-Tested Government Programs .....	0	0	95,057,032	67,239,179	27,817,853	5.390 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....			1,528,532	70,058	1,458,474	0.280 %
f Health professions education (from Worksheet 5) ..			14,168,066	4,398,889	9,769,177	1.890 %
g Subsidized health services (from Worksheet 6) ..			40,373,156	29,610,872	10,762,284	2.090 %
h Research (from Worksheet 7)			533,680	0	533,680	0.100 %
i Cash and in-kind contributions to community groups (from Worksheet 8) ..			90,180	0	90,180	0.020 %
jTotal Other Benefits ...	0	0	56,693,614	34,079,819	22,613,795	4.380 %
kTotal. Add lines 7d and 7j. ..	0	0	151,750,646	101,318,998	50,431,648	9.770 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing			0	0	0	0 %
2	Economic development			7,687	0	7,687	0 %
3	Community support			15,624	600	15,024	0 %
4	Environmental improvements			0	0	0	0 %
5	Leadership development and training for community members			0	0	0	0 %
6	Coalition building			62,108	0	62,108	0.010 %
7	Community health improvement advocacy			0	0	0	0 %
8	Workforce development			0	0	0	0 %
9	Other			0	0	0	0 %
10	Total	0	0	85,419	600	84,819	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense (at cost).....

6,528,181

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

1,590,435

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

138,159,974

Enter Medicare allowable costs of care relating to payments on line 5.....

135,789,958

Subtract line 6 from line 5. This is the surplus or (shortfall)........

2,370,016

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1ST ELIZABETH CARDIAC CATH LAB LLC	CARDIAC CATH AND ANGIOPLASTY	51 %	0 %	49 %
2ST ELIZABETH SOUTHWOODS IMAGING LLC	DIAGNOSTIC IMAGING	75 %	0 %	25 %
3UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC	RADIATION THERAPY SERVICES	51 %	0 %	49 %
4HMHPUSP SURGERY CENTERS LLC	OUTPATIENT SURGERY CENTER	50.1 %	0 %	49.9 %
5OSC-HMHP LLC	ORTHOPEDIC SURGERY CENTER	51 %	0 %	49 %
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?3 Name and address		Other (Describe)
1	ST ELIZABETH HEALTH CENTER 1044 BELMONT AVENUE YOUNGSTOWN,OH44501	X	X	X	X
2	ST JOSEPH HEALTH CENTER 667 EASTLAND AVENUE SE WARREN,OH44484	X	X	X	X
3	ST ELIZABETH BOARDMAN HEALTH CENTER 8401 MARKET STREET BOARDMAN,OH44512	X	X		X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:ST ELIZABETH HEALTH CENTER

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:ST JOSEPH HEALTH CENTER

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:ST ELIZABETH BOARDMAN HEALTH CENTER

Line Number of Hospital Facility (from Schedule H, Part V, Section A):3

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?35
Name and address		Type of Facility (Describe)
1	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
2	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
3	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
4	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
5	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
6	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
7	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
8	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
9	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
10	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
11	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
12	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
13	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
14	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
15	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
16	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
17	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
18	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
19	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
20	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
21	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
22	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
23	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
24	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
25	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
26	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
27	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
28	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
29	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
30	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
31	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
32	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
33	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
34	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER
35	ST ELIZABETH EMERGENCY & DIAGNOSTIC CENTER 6252 MAHONING AVE AUSTINTOWN,OH44515	FREESTANDING EMERGENCY & DIAGNOSTIC CENTER

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for 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 financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	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.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
Community benefit report prepared by related organization	Schedule H, Part I, Line 6a	CATHOLIC HEALTH PARTNERS
Subsidized Health Services	Schedule H, Part I, Line 7g	HUMILITY OF MARY HEALTH PARTNERS PROVIDES SUBSIDIZED PHYSICIAN CLINICS THAT ARE STAFFED BY RESIDENTS UNDER THE SUPERVISION OF FACULTY THROUGH ITS MEDICAL EDUCATION PROGRAMS. ST. ELIZABETH HEALTH CENTER'S AMBULATORY CARE CLINICS, FAMILY HEALTH CENTER AND GERIATRIC CLINIC HAD 21,235 PATIENT VISITS IN 2010. THESE CLINICS PROVIDE HEALTH SERVICES TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. SERVICES INCLUDE CLINICS SPECIALIZING IN ALLERGY, BREAST CARE, DENTAL, GASTROINTESTINAL, MEDICAL, MULTIPLE SCLEROSIS, MUSCULAR DYSTROPHY, PEDIATRIC, PODIATRY AND SURGICAL CARE. ST. JOSEPH HEALTH CENTER'S WOMEN'S CARE CLINIC EMPHASIZES INDIVIDUALIZED, PATIENT-FOCUSED CARE. ITS STAFF OF PHYSICIANS AND NURSES SPECIALIZE IN OBSTETRICS AND GYNECOLOGY AND ALSO OFFER SOCIAL SERVICE COUNSELING AND NUTRITION COUNSELING. THE WOMEN'S CARE CLINIC SAW 1,168 PATIENTS IN 2010. HMHP REPORTED $3,906,101 AS SUBSIDIZED HEALTH SERVICE COSTS RELATED TO THESE CLINICS IN 2010. THESE CLINICS PROVIDE COMMUNITY BENEFIT BY IMPROVING ACCESS TO PHYSICIAN SERVICES FOR THE POOR AND UNDERSERVED.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	26,515,765
Costing Methodology used to calculate financial assistance	Schedule H, Part I, Line 7	COST OF CHARITY CARE WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. THE COST RELATED TO MEDICAID PATIENTS WAS DETERMINED USING THE HOSPITAL COST ACCOUNTING SYSTEM AND INCLUDED BOTH INPATIENTS AND OUTPATIENTS FOR TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PLANS. FOR SUBSIDIZED SERVICES THE HOSPITAL'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COST RELATED TO THE SPECIFIC SERVICE EXCLUDING TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PATIENTS. COSTS FOR CHARITY AND BAD DEBT ACCOUNTS ARE DEDUCTED USING A RATIO OF COST TO CHARGE SPECIFIC TO THAT SUBSIDIZED SERVICE. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS.
Community Building Activities	Schedule H, Part II	HMHP PROVIDES SUPPORT TO THE MORAL AND ETHICAL UPBRINGING OF HIGH-RISK YOUTH BY MENTORING THROUGH THE ADOPT A SCHOOL PROGRAM. CHILDREN WHO EXPERIENCE HIGH LEVELS OF SOCIO-ECONOMIC RISK ARE SUBSTANTIALLY MORE LIKELY THAN OTHER CHILDREN TO SUFFER NEGATIVE OUTCOMES, SUCH AS EMOTIONAL AND BEHAVIORAL PROBLEMS AND DIFFICULTIES IN SCHOOL. (THE URBAN INSTITUTE, SERIES B, #B18, 6/2000). HMHP DEVELOPED THE SAVE (SAFETY AND VIOLENCE EDUCATION) PROGRAM IN RESPONSE TO THE GROWING INCIDENCE OF INJURY AND DEATH DUE TO VIOLENCE IN THE REGION. THE GOAL OF THIS FREE PROGRAM IS TO HELP AT-RISK YOUTH LEARN THE CONSEQUENCES OF VIOLENCE AND TO TEACH THEM ALTERNATIVE WAYS TO HANDLE CONFLICT. THIS PROGRAM TARGETS YOUTH, AGES 12 AND OLDER, WHO ARE IDENTIFIED AS AT-RISK FOR COMMUNITY VIOLENCE THROUGH THE COURTS AND TRUANCY OFFICERS. IN 2010, 244 PEOPLE PARTICIPATED IN THE SAVE PROGRAM. A ROBUST ECONOMY POSITIVELY IMPACTS RESIDENTS BY INCREASING THE NUMBER OF RESIDENTS COVERED BY HEALTH INSURANCE AND IMPROVING THE CAPACITY OF THE COMMUNITY TO SUPPORT HEALTH SERVICES. HMHP SUPPORTS A ROBUST ECONOMY IN THE COMMUNITY BY SUPPORTING THE REGIONAL CHAMBER OF COMMERCE AND THE YOUNGSTOWN BUSINESS INCUBATOR. MANY HMHP LEADERS ARE ACTIVE MEMBERS OF BOARDS OF DIRECTORS OF NUMEROUS COMMUNITY ORGANIZATIONS. HUMILITY OF MARY HEALTH PARTNERS IS COMMITTED TO DISASTER RESPONSE PREPAREDNESS AND UTILIZES AN "ALL HAZARDS APPROACH" FOR MANAGING COMMUNITY RELATED DISASTER SITUATIONS. HMHP HAS AN EMERGENCY OPERATIONS/DISASTER PLAN. HMHP ENGAGES THE HOSPITAL INCIDENT COMMAND CENTER APPROACH IN RESPONSE TO A COMMUNITY-WIDE EMERGENCY OR DISASTER. PREPARING FOR DISASTERS IS AN IMPORTANT ROLE FOR THE ORGANIZATION TO ASSURE THE SAFETY AND HEALTH OF COMMUNITY RESIDENTS IN THE EVENT OF A NATURAL DISASTER, INDUSTRIAL ACCIDENT OR OTHER LARGE-SCALE EMERGENCY. HMHP PROVIDES INPATIENT AND OUTPATIENT SOCIAL SERVICES SUPPORT GROUPS FOR THOSE SUFFERING FROM DRUG AND ALCOHOL ADDITION, DEPRESSION AND BIPOLAR DISORDERS, AS WELL AS FOR TOBACCO TREATMENT AND CESSATION. THESE SERVICES ARE IMPORTANT TO SUPPORT THE ABILITY OF RESIDENTS TO GAIN AND RETAIN EMPLOYMENT AND THEREFORE ACCESS TO HEALTH INSURANCE AND IMPROVED ACCESS TO HEALTH SERVICES. LEVERAGING RESOURCES WITHIN THE COMMUNITY PROVIDES MORE EFFECTIVE SOLUTIONS AND REDUCES DUPLICATION OF SERVICES. HMHP WORKS COOPERATIVELY WITH THE AREA'S HEALTH DEPARTMENTS, HOSPITALS AND THE LOCAL UNITED WAY ORGANIZATIONS TO ADDRESS ACCESS TO HEALTH CARE AND UNMET HEALTH NEEDS. THESE ISSUES NEGATIVELY IMPACT THE HEALTH OF THE COMMUNITY BY DELAYING THE TREATMENT OF ILLNESS AND DISEASE AND INAPPROPRIATE USE OF EMERGENCY SERVICES. THE HMHP REGIONAL TOBACCO TREATMENT CENTER OFFERS PROVEN TREATMENT RESULTS WITH NO FINAL COST TO CLIENTS; TREATMENT INCLUDES MEDICATIONS AND COUNSELING. THE HMHP CENTER HAD 750 CLIENTS DURING 2010 AND, BY GRADUATION DATE, 46 PERCENT OF THOSE CLIENTS HAD QUIT SMOKING. A RECORD 93 PERCENT OF CLIENTS WHO COMPLETED THE PROGRAM WERE SUCCESSFUL IN QUITTING. AN EVALUATION BY THE COLUMBUS-BASED STRATEGIC RESEARCH GROUP OF ALL OF THE OHIO DEPARTMENT OF HEALTH FUNDED TOBACCO TREATMENT PROGRAMS FURTHER EMPHASIZED THE SUCCESS OF THE HMHP REGIONAL TOBACCO TREATMENT CENTER. THEY FOUND THAT THE HMHP CENTER HAD A QUIT RATE OF 31.8 PERCENT AT 30 DAYS POST TREATMENT, WHICH EXCEEDED NATIONAL AVERAGES. HMHP ADVOCATES AT THE LOCAL, STATE AND NATIONAL LEVELS FOR IMPROVING ACCESS TO HEALTH SERVICES FOR ALL RESIDENTS OF THE COMMUNITY, ESPECIALLY FOR THE POOR AND UNDERSERVED. HMHP ENSURES ACCESS TO HEALTH SERVICES BY RECRUITING AND PROVIDING TRANSITIONAL SUPPORT TO PHYSICIANS TO ATTRACT THEM TO THE COMMUNITY FOR SPECIALTIES WHERE THERE IS A DEMONSTRATED NEED. AN APPROPRIATE SUPPLY OF PHYSICIANS IS NECESSARY TO ENSURE THAT RESIDENTS HAVE ACCESS TO ADEQUATE AND TIMELY DIAGNOSIS AND TREATMENT FOR ALL HEALTH CONDITIONS. HMHP PROVIDES PROGRAMS TO ITS EMPLOYEES THAT IMPROVE THE SKILLS AND EMPLOYABILITY OF RESIDENTS IN THE AREA. THE HMHP PROGRAM, PATHWAYS, IS A WORK-BASED LEARNING PROGRAM FOR HMHP EMPLOYEES DEVELOPED IN COLLABORATION WITH THE MAHONING AND TRUMBULL COUNTIES' CAREER AND TECHNICAL CENTERS. IT WAS ESTABLISHED THROUGH A THREE-YEAR ROBERT WOOD JOHNSON FOUNDATION GRANT - JOBS TO CAREERS. FOLLOWING THE INITIAL THREE-YEAR PERIOD, THE HMHP DEVELOPMENT FOUNDATION COMMITTED TO KEEPING THE PROGRAM FUNDED IN THE FUTURE. PATHWAYS HAS BEEN RECOGNIZED BY THE OHIO STATE APPRENTICESHIP COUNCIL AS THE FIRST REGISTERED ACUTE-CARE HEALTH CARE APPRENTICESHIPS IN THE STATE FOR HEALTH CARE ASSOCIATES (HCAS); NURSING ASSISTANTS (NAS) AND UNIT CLERKS (UCS); UNIT SECRETARIES (NAS) AND HEALTH CARE CLERICAL ASSOCIATES (HCCAS). COMPLETION OF THE APPRENTICESHIP CERTIFICATION ENABLES EMPLOYEES TO ADVANCE TO HCA/NA II OR UC/US/HCCA II STATUS. IN 2010, THE PROGRAM WAS EXPANDED TO INCLUDE NOT ONLY PATHWAYS PARTICIPANTS, BUT ALSO EXISTING HCA/NAS AND UC/US/HCCAS AT ALL THREE HMHP HOSPITALS. THESE EMPLOYEES NOW HAVE THE OPPORTUNITY TO COMPLETE THE APPRENTICESHIP PROGRAM AND ADVANCE TO THE LEVEL II STATUS. IN 2010, 33 HMHP EMPLOYEES PARTICIPATED IN THE APPRENTICESHIPS.
Bad debt expense - financial statement footnote	Schedule H, Part III, Line 4	THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BAD DEBT IS CLASSIFIED AS AN OPERATING EXPENSE. THIS TREATMENT IS CONSISTENT WITH THE HFMA PRINCIPLES AND PRACTICES BOARD STATEMENT NO. 15 AND WITH THE AICPA AUDIT AND ACCOUNTING GUIDE FOR HEALTH CARE ORGANIZATIONS. AN AGGREGATE COST TO CHARGE RATIO WAS USED TO PROVIDE BAD DEBT AT COST FOR PART III, LINE 2. REMAINING BALANCES FOR PATIENTS THAT WE KNOW ARE ELIGIBLE FOR CHARITY CARE ARE WRITTEN OFF TO CHARITY CARE. PATIENTS WHO MIGHT BE ELIGIBLE FOR CHARITY CARE BUT ARE UNKNOWN TO US ARE WRITTEN OFF TO BAD DEBT AND THEREFORE NOT INCLUDED IN CHARITY CARE. THE ESTIMATED AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY REPORTED ON PART III, LINE 3 WAS DETERMINED AS FOLLOWS: REVIEWED DOLLAR AMOUNTS FOR TOTAL REFERRED FOR ASSISTANCE, APPROVED FOR ASSISTANCE AND APPLICATIONS DENIED BECAUSE OF INCOMPLETE INFORMATION; DEVELOPED THE PERCENTAGE OF APPROVED APPLICATIONS TO COMPLETED APPLICATIONS AND THEN APPLIED PERCENTAGE TO THOSE APPLICATIONS THAT WERE INCOMPLETE. THIS PROVIDED AN ESTIMATED AMOUNT OF THOSE APPLICATIONS THAT WERE INCOMPLETE THAT WOULD HAVE QUALIFIED FOR ASSISTANCE IF THE APPLICATION HAS BEEN COMPLETED. THE DOLLAR AMOUNT OF CHARITY CARE ACTUALLY WRITTEN-OFF REPRESENTS THOSE THAT WERE APPROVED. TO CALCULATE THE FULL ESTIMATED AMOUNT OF CHARITY CARE, A CALCULATION WAS DONE TO DETERMINE WHAT 100% OF CHARITY WOULD BE FOR THE TOTAL OF THE APPROVED APPLICATIONS AND THE ESTIMATED AMOUNT FOR THOSE APPLICATIONS THAT WERE INCOMPLETE BUT WOULD HAVE BEEN APPROVED IF COMPLETED. THE DIFFERENCE BETWEEN THIS ESTIMATED TOTAL AMOUNT AND THE ACTUAL WRITE-OFF AMOUNT FOR CHARITY CARE WAS THEN APPLIED TO THE RATIO COST-OF-CHARGES USED FOR CHARITY CARE AT COST.
Community benefit & methodology for determining medicare costs	Schedule H, Part III, Line 8	MEDICARE SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. MEDICARE PROFITABILITY WAS THE RESULT OF DSH PAYMENTS, IME PAYMENTS AND CAPITAL REIMBURSEMENT FOR ST. ELIZABETH BOARDMAN HEALTH CENTER. THE AMOUNTS ON PART III, LINE 6 WERE GENERATED BY THE MEDICARE COST REPORT WHICH UTILIZES A DEPARTMENT COST TO CHARGE METHODOLOGY.
Collection practices for patients eligible for financial assistance	Schedule H, Part III, Line 9b	PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAY AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY AS A LAST RESORT AND ONLY: (1) WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTH CARE EXPENSES BUT REFUSE TO DO SO; (2) WHEN PATIENTS REFUSE TO WORK WITH THE ORGANIZATION TO DETERMINE IF THEY QUALIFY FOR FREE OR DISCOUNTED CARE VIA FEDERAL, STATE, LOCAL OR HOSPITAL ASSISTANCE PROGRAMS; OR (3) WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL.
Needs assessment.	Schedule H, Part VI, Line 2	HUMILITY OF MARY HEALTH PARTNERS HAS JOINED WITH OTHER AREA ORGANIZATIONS IN THE PAST TO CONDUCT COMMUNITY-BASED HEALTH ASSESSMENTS. IN 2010, HMHP WORKED COLLABORATIVELY WITH OTHER AREA HOSPITALS, PUBLIC HEALTH DEPARTMENTS AND UNIVERSITIES TO CONDUCT A HEALTH NEEDS ASSESSMENT OF TRUMBULL, MAHONING AND COLUMBIANA COUNTIES. RESULTS OF THE NEEDS ASSESSMENT WILL BE AVAILABLE IN 2011 AND WILL BE INCORPORATED INTO HMHP'S STRATEGIC PLANNING PROCESS. THE RESULTS WILL GUIDE HMHP AS IT ADDRESSES IDENTIFIED COMMUNITY HEALTH NEEDS AND DEVELOPS PROGRAMS TO COLLABORATIVELY ADDRESS THOSE NEEDS WITH OTHERS IN THE COMMUNITY. A COPY OF THE FINAL REPORT WILL BE PLACED ON HMHP'S WEBSITE AND WILL BE MADE AVAILABLE TO THE PUBLIC. HMHP UTILIZES PUBLICLY AVAILABLE HEALTH STATUS INFORMATION FROM THE OHIO DEPARTMENT OF HEALTH IN PLANNING SERVICES TO ADDRESS COMMUNITY NEED. HMHP ALSO UTILIZES THOMSON REUTER® OUTPATIENT DATA WHEN PLANNING NEW SERVICES. HMHP PARTNERS WITH MANY AREA ORGANIZATIONS TO PROVIDE PROGRAMMING TO ADDRESS SPECIFIC COMMUNITY HEALTH NEEDS. EXAMPLES INCLUDE: * 300 SISTERS IN RED IS A FREE HEALTH EDUCATION AND SCREENING PROGRAM TARGETING AFRICAN AMERICAN WOMEN, WHO HAVE A HIGHER RISK OF HEART DISEASE AND A HIGHER DEATH RATE FROM BREAST CANCER. THIS ANNUAL PROGRAM IS SPONSORED BY THE YOUNGSTOWN CHAPTER OF THE LINKS, INC., HMHP, YOUNGSTOWN STATE UNIVERSITY, THIRD BAPTIST CHURCH, DELTA SIGMA THETA SORORITY, THE AMERICAN HEART ASSOCIATION AND ANTHEM. IN 2010, MORE THAN 350 WOMEN PARTICIPATED IN THIS EVENT. * ANNUAL FREE COLORECTAL, SKIN AND PROSTATE CANCER SCREENINGS ARE HELD IN COLLABORATION WITH THE AMERICAN CANCER SOCIETY, HMHP, FORUM HEALTH (NOW VALLEY CARE HEALTH SYSTEM) AND AREA PHYSICIANS. IN 2010, MORE THAN 700 PEOPLE PARTICIPATED IN THESE FREE CANCER SCREENINGS. HUMILITY OF MARY HEALTH PARTNERS IS ONE OF 13 ORGANIZATIONS THAT UNDERWRITES AND LEADS ACCESS HEALTH MAHONING VALLEY (AHMV) - AN INITIATIVE THAT BEGAN TO ADDRESS THE UNMET HEALTH NEEDS OF THOSE WHO DO NOT QUALIFY FOR GOVERNMENT-SUPPORTED HEALTH PROGRAMS. THESE INDIVIDUALS ARE NOT UNDER THE CARE OF PRIMARY CARE PHYSICIANS, AND LACK ACCESS TO QUALITY HEALTH CARE DUE TO INCOME, LACK OF INSURANCE OR PRE-EXISTING HEALTH CONDITIONS. AHMV IS SEEKING TO BE INCORPORATED AS A NOT-FOR-PROFIT. IN 2010, AN INTERIM EXECUTIVE DIRECTOR LED AHMV AND ITS BOARD OF DIRECTORS THROUGH THE DEVELOPMENT OF THE INFRASTRUCTURE NEEDED TO CREATE MEDICAL HOMES FOR THIS POPULATION IN NEED. HUMILITY OF MARY HEALTH PARTNERS ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES IT OFFERS. HMHP INCORPORATES PLANNING FOR COMMUNITY BENEFIT AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESS. HMHP RECOGNIZES THAT THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS AND NOT JUST BY DISEASE AND ILLNESS. THE COMMUNITY BENEFIT ASSESSMENT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AS WELL AS DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. HMHP HAS A DEDICATED STAFF TO ASSIST IN ITS COMMUNITY BENEFIT EFFORT. HMHP'S COMMUNITY BENEFIT COMMITTEE MEETS THROUGHOUT THE YEAR TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFIT PROGRAM. HMHP WORKS CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES AND TO AVOID DUPLICATION WHEN APPROPRIATE.
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	ALL HMHP PATIENT ACCESS ADMISSION FINANCIAL REPRESENTATIVES ARE TRAINED ON FINANCIAL ASSISTANCE PROGRAMS AVAILABLE FOR PATIENTS. THE SCOPE OF TRAINING EXTENDS TO ALL HOSPITAL SERVICE SITES AS WELL AS ALL FREESTANDING SITES. ALL ADMISSION FINANCIAL REPRESENTATIVES OR EMPLOYEES PERFORMING ACTIVITIES OF PATIENT REGISTRATION MUST COMPLETE A TWO-DAY TRAINING COURSE. HMHP POSTS ITS CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSION AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. MATERIALS REGARDING PROGRAMS ARE AVAILABLE IN ENGLISH AND SPANISH. HMHP PROVIDES A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A COPY OF THE POLICY OR A SUMMARY ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED IN PATIENT BILLS. HMHP HAS ENGAGED NCO ELIGIBILITY PROGRAMS SERVICES TO PROVIDE FREE REFERRAL SERVICES TO PATIENTS. THE PURPOSE OF NCO IS TO ASSIST THE PATIENT IN OBTAINING MEDICAL BENEFITS THROUGH FEDERAL, STATE AND HOSPITAL PROGRAMS. NCO REPRESENTATIVES WILL PROVIDE THE FOLLOWING SERVICES AT NO COST TO THE PATIENT: * EXPLORE ELIGIBILITY UNDER PUBLIC ASSISTANCE PROGRAMS * FILE APPLICATIONS ON THE PATIENT'S BEHALF * SCHEDULE AND ATTEND APPOINTMENTS * PROVIDE TRANSPORTATION WHEN NECESSARY * PROVIDE MEDICAL DOCUMENTATION OF SOCIAL SECURITY ADMINISTRATION FOR DISABILITY CLAIMS THROUGH NCO, THE PATIENT AND THEIR COUNSELOR LOOK AT WHAT OPTIONS ARE AVAILABLE. HMHP UNDERSTANDS THAT NOT EVERYONE CAN PAY FOR HEALTH CARE SERVICES. NCO HELPS BY OFFERING OPTIONS AND ASSISTANCE TO THOSE WHO ARE UNINSURED OR UNDERINSURED. NCO SERVICES EXTENDS HMHP'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY WITH EMPHASIS ON THE POOR AND UNDERSERVED BY MEETING THE NEEDS OF THOSE WITH LIMITED RESOURCES. IN 2010, NCO MANAGED 74,654 HMHP PATIENT REFERRALS FOR ASSISTANCE, AN INCREASE OF 18% FROM 2009. HMHP IS PROUD TO MAKE ITS FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH ITS WEBSITE WHICH CAN BE FOUND AT WWW. HMPARTNERS.ORG, UNDER THE "PATIENT AND HEALTH INFORMATION" TAB. THE HMHP FINANCIAL ASSISTANCE BROCHURE IS AVAILABLE ONLINE IN BOTH ENGLISH AND SPANISH. ALL HMHP ENTITIES HAVE ACCESS TO LANGUAGE LINE, A SERVICE THAT PROVIDES LANGUAGE INTERPRETERS VIA THREE-WAY PHONE CALLS. LANGUAGE LINE INTERPRETER SERVICES ARE PROVIDED AT NO COST TO PATIENTS AND THEIR FAMILIES. IN 2010, HMHP ADDED IN-DEPTH MATERIALS REGARDING LANGUAGE SERVICES AND SERVICES FOR PATIENTS WITH SPECIAL NEEDS TO ITS INTERNAL INTRANET SITE, MAKING THESE RESOURCES EASILY AVAILABLE TO ALL EMPLOYEES AS THEY INTERACT AND SERVE NON-ENGLISH PROFICIENT PATIENTS AND RESIDENTS AS WELL AS INDIVIDUALS WHO ARE BLIND, DEAF OR MUTE. AN HMHP LANGUAGE SERVICES/SPECIAL NEEDS COORDINATOR HELPS GUIDE THE ORGANIZATION TOWARDS PROVIDING CULTURALLY COMPETENT CARE TO ALL.
Community information.	Schedule H, Part VI, Line 4	HUMILITY OF MARY HEALTH PARTNERS SERVES A GEOGRAPHIC AREA FEATURING THE FOLLOWING COUNTIES: COLUMBIANA, MAHONING AND TRUMBULL COUNTIES IN OHIO. THE POPULATION OF HMHP'S PRIMARY SERVICE AREA IS APPROXIMATELY 556,976 (2010 CENSUS) AND IS OLDER, POORER AND HAS WORSE HEALTH STATISTICS THAN STATE AND NATIONAL AVERAGES. OUR COMMUNITY IS CHANGING AND WE ALSO SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THERE ARE 10 HOSPITALS IN THE COMMUNITY OF WHICH 6 ARE NOT-FOR-PROFIT HOSPITALS (OHIO DEPT. OF HEALTH). THE US DEPT. OF HEALTH & HUMAN SERVICES HAS DESIGNATED THE COMMUNITIES OF MAPLE RIDGE, SEBRING, BELOIT, YOUNGSTOWN AND WARREN AS A MEDICALLY UNDERSERVED AREA OR POPULATION. THE DEMOGRAPHIC AREA SERVED BY HMHP SERVES THE FOLLOWING ETHNIC AND CULTURAL GROUPS: WHITE, BLACK/AFRICAN AMERICAN, ASIAN, HISPANIC, LATINO (2000 CENSUS). APPROXIMATELY ONE PERCENT OF THE SERVICE AREA POPULATION DOES NOT SPEAK ENGLISH, OR DOES NOT SPEAK IT VERY WELL. NEARLY NINE PERCENT OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES (2000 CENSUS). ACCORDING TO THE OHIO DEPT. OF JOBS & FAMILY SERVICES, TWENTY-TWO PERCENT OF FAMILIES IN THE AREA ARE ON MEDICAID OR OTHER ASSISTANCE. CULTURAL COMPETENCE IN HEALTH CARE DESCRIBES THE ABILITY TO PROVIDE CARE TO PATIENTS WITH DIVERSE VALUES, BELIEFS AND BEHAVIORS, INCLUDING ADJUSTING THE DELIVERY OF CARE TO MEET A PATIENT'S SOCIAL, CULTURAL AND LINGUISTIC NEEDS. IN 2010, HMHP CONDUCTED A CULTURAL COMPETENCY ASSESSMENT OF ITS NEWEST HOSPITAL, ST. ELIZABETH BOARDMAN HEALTH CENTER. ASSESSMENTS OF THE OTHER TWO ACUTE CARE HOSPITALS - ST. ELIZABETH AND ST. JOSEPH HEALTH CENTERS - WAS CONDUCTED IN 2009. ACTION PLANS WERE DEVELOPED AND ARE BEING IMPLEMENTED TO ADDRESS AREAS SUCH AS USING ONLY MEDICALLY TRAINED INTERPRETERS FOR MEDICAL/CLINICAL TRANSLATIONS AND ENSURING THAT EVERY LEVEL OF THE ORGANIZATION REFLECTS THE DIVERSITY OF THE MAHONING VALLEY. HMHP'S GOAL IS TO BECOME CERTIFIED AS A CULTURALLY COMPETENT ORGANIZATION IN THE FUTURE. IN THE COMMUNITIES SERVED BY HMHP, HEART DISEASE, CANCER AND CHRONIC LOWER RESPIRATORY DISEASE (CLRD) ARE THE MAJOR HEALTH PROBLEMS AND/OR LEADING CAUSES OF DEATH (OHIO DEPT. OF HEALTH, 2010). EACH OF THESE DISEASES IS PREVENTABLE THROUGH PROPER CARE AND MAINTAINING CONTROL OF THE ILLNESS/DISEASE AS WELL AS LEADING HEALTHIER LIVES. THE SMOKING RATE IS TWENTY-TWO PERCENT OF THE ADULT POPULATION (2008 HEALTHY OHIO COMMUNITY PROFILE). HMHP WORKS CLOSELY WITH LOCAL COMMUNITY AGENCIES AND HEALTH DEPARTMENTS TO ADDRESS THESE PROBLEMS AND MINIMIZE THE EFFECTS ON THOSE WHO SUFFER. IN 2010, HMHP HAD 35,197 ADMISSIONS, 506,016 OUTPATIENT VISITS, AND 143,622 EMERGENCY ROOM VISITS.
Promotion of community health	Schedule H, Part VI, Line 5	HMHP OPERATES THREE HOSPITAL-BASED EMERGENCY ROOMS, INCLUDING A LEVEL I TRAUMA CENTER AND A LEVEL III TRAUMA CENTER; TWO FREESTANDING EMERGENCY ROOMS, A MINOR EMERGENCY AND DIAGNOSTIC CENTER AND AN URGENT CARE CENTER. THE ST. JOSEPH EMERGENCY AND DIAGNOSTIC CENTER IN ANDOVER, OHIO, IS A CRITICAL HEALTH FACILITY FOR ASHTABULA COUNTY. THIS EMERGENCY CENTER IS OPEN 24/7 TO MEET EMERGENCY AND OUTPATIENT NEEDS. SERVICES INCLUDE OUTPATIENT LABORATORY AND RADIOLOGY SERVICES AND TREATMENT OF WORK-RELATED INJURIES. THE TOTAL NUMBER OF PEOPLE SEEN AT THIS SITE IN 2010 WAS 9,182. THE HMHP EMERGENCY AND URGENT CARE FACILITIES ARE OPEN TO ALL, REGARDLESS OF ABILITY TO PAY. HMHP OPERATES HEALTH CLINICS THAT PROVIDE SERVICES ON A SLIDING SCALE BASED ON ABILITY TO PAY. HMHP OFFERS THE ONLY INPATIENT PSYCHIATRIC UNIT IN MAHONING COUNTY AS WELL AS THE REGION'S ONLY HIGH-RISK MATERNITY PROGRAM AND LEVEL II SPECIAL CARE NURSERY. HMHP ALSO OFFERS WOUND CARE, CONGESTIVE HEART FAILURE AND DIABETES MANAGEMENT SERVICES. ALL SERVICES ARE AVAILABLE TO ANYONE IN NEED, REGARDLESS OF THEIR ABILITY TO PAY. HMHP'S THREE HOSPITALS HAVE AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PEOPLE REPRESENTATIVE OF THE COMMUNITIES SERVED BY HMHP. ALL BUT ONE MEMBER OF HMHP'S BOARD OF DIRECTORS RESIDE IN THE PRIMARY SERVICE AREA. ST. ELIZABETH HEALTH CENTER (SEHC) IS A JOINT COMMISSION ACCREDITED TEACHING FACILITY OF THE NORTHEAST OHIO MEDICAL UNIVERSITY AND OFFERS RESIDENCY PROGRAMS FOR POST-GRADUATE TRAINING IN GENERAL SURGERY, FAMILY MEDICINE, INTERNAL MEDICINE AND GENERAL DENTISTRY. A TRANSITIONAL RESIDENCY AND A PHARMACEUTICAL RESIDENCY ARE ALSO AVAILABLE. ALL MEDICAL AND DENTAL RESIDENCY PROGRAMS ARE FULLY ACCREDITED. THESE PROGRAMS COLLABORATE CLOSELY WITH MEDICAL EDUCATION PROGRAMS AT ST. JOSEPH HEALTH CENTER. SEHC ALSO PROVIDES EDUCATION FOR MEDICAL STUDENTS THROUGH ITS AFFILIATION WITH NEOMED AND THE CENTERS FOR OSTEOPATHIC RESEARCH AND EDUCATION (CORE). EXPERIENCED AND DEDICATED FACULTY GUIDE HMHP RESIDENCY PROGRAMS AND PROVIDE A STIMULATING EDUCATIONAL, CLINICAL AND ACADEMIC ENVIRONMENT. ST. JOSEPH HEALTH CENTER (SJHC) OFFERS AMERICAN OSTEOPATHIC ASSOCIATION ACCREDITED INTERNSHIP AND RESIDENCY MEDICAL EDUCATION PROGRAMS THROUGH OU-COM IN INTERNAL MEDICINE, FAMILY MEDICINE, ORTHOPEDIC SURGERY AND EMERGENCY MEDICINE. SJHC IS ALSO A MEMBER OF THE CORE SYSTEM. AS A RESULT OF THE CORE AFFILIATION AT BOTH SEHC AND SJHC, MEDICAL STAFFS - BOTH MDS AND DOS - EXPOSE STUDENTS TO BOTH ALLOPATHIC AND OSTEOPATHIC MEDICINE REGARDLESS OF THEIR HMHP TRAINING SITE. HMHP'S COMMUNITY BENEFIT COST OF OPERATING THE RESIDENCY PROGRAMS IN 2010 WAS $9,024,675. MERCY COLLEGE OF NORTHWEST OHIO SCHOOL OF NURSING, ST. ELIZABETH CAMPUS, OFFERS A TWO-YEAR REGISTERED NURSE PROGRAM AT ST. ELIZABETH HEALTH CENTER; 37 STUDENTS GRADUATED IN 2010. ST. ELIZABETH, ST. JOSEPH AND ST. ELIZABETH HEALTH CENTERS SERVE AS CLINICAL SITES FOR NURSING PROGRAMS. THE THREE HOSPITALS ALSO SERVE AS CLINICAL SITES FOR LICENSED PRACTICAL NURSE PROGRAMS. IN 2010, 2,754 STUDENTS HAD CLINICAL EXPERIENCES AT HMHP FACILITIES. HMHP'S COMMUNITY BENEFIT COST OF PROVIDING CLINICAL EDUCATION FOR NURSING STUDENTS AND OTHER HEALTH PROFESSIONALS WAS $745,997 IN 2010. THE ST. ELIZABETH SCHOOL FOR NURSE ANESTHETISTS OFFERS A MASTER'S IN ADVANCED PRACTICE NURSE ANESTHETISTS AT ST. ELIZABETH HEALTH CENTER. IN 2010, 15 PEOPLE GRADUATED FROM THIS PROGRAM. HMHP PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT -SPONSORED HEALTH CARE PROGRAMS. HMHP FURTHERS ITS TAX EXEMPT PURPOSE BY PROVIDING THE FOLLOWING COMMUNITY BENEFIT PROGRAMS IN THE COMMUNITIES IN WHICH IT SERVES: * THE SMILE STATION - A MOBILE DENTAL VAN THAT VISITS SCHOOLS AND COMMUNITY CENTERS TO PROVIDE OUTREACH DENTAL CARE TO THOSE WHO MAY NOT HAVE ACCESS TO DENTAL SERVICES. IN 2010, 1,426 INDIVIDUALS RECEIVED FREE DENTAL CARE THROUGH THE SMILE STATION. * PRESCRIPTION ASSISTANCE PROGRAM - IN PARTNERSHIP WITH OTHER AREA ORGANIZATIONS, HMHP PROVIDES A PRESCRIPTION ASSISTANCE PROGRAM THAT IMPACTS THE LIVES OF HUNDREDS OF INDIVIDUALS. IN 2010, 2,368 PEOPLE RECEIVED ASSISTANCE IN OBTAINING PRESCRIBED MEDICATION; OF THAT NUMBER, 877 INDIVIDUALS WERE NEW TO THE PROGRAM. * RESOURCE MOTHERS PROGRAM - A MENTORING PROGRAM UTILIZING TRAINED RESOURCE MOTHERS WHO SERVE AS MENTORS, TEACHERS, ADVOCATES AND FRIENDS TO HELP PREGNANT AND PARENTING WOMEN ACHIEVE HEALTHIER LIFESTYLES AND CONNECT THEM WITH NEEDED HEALTH CARE AND SOCIAL SERVICES. SERVICES ARE PROVIDED TO PREGNANT WOMEN AND THEIR INFANTS UP TO ONE YEAR OF AGE AND INCLUDE HOME VISITS AND ACCOMPANYING CLIENTS TO DOCTOR APPOINTMENTS, HOSPITAL VISITS AND OTHER COMMUNITY AGENCY VISITS. IN ADDITION, EDUCATIONAL ITEMS AND BABY SUPPLIES ARE DISTRIBUTED TO CLIENTS. * HISPANIC, LATINO AND IMMIGRANT HEALTH PROGRAM - A PROGRAM THAT PROVIDES ASSISTANCE WITH ACCESS TO MEDICAL CARE, SOCIAL SERVICES, HEALTH EDUCATION, SCREENINGS AND PRESCRIPTION ASSISTANCE FOR THOSE WHO QUALIFY. THE STAFF IS FLUENT IN ENGLISH AND SPANISH AND SERVES A VITAL ROLE IN ACCOMPANYING CLIENTS TO APPOINTMENTS TO SERVE AS A GUIDE, INTERPRETER AND SUPPORT PERSON. IN 2010, 60 PEOPLE PARTICIPATED IN THE PROGRAM. ASSISTANCE WITH MORE THAN 550 MEDICAL, FINANCIAL AND SOCIAL SERVICES APPOINTMENTS WAS PROVIDED. * NEIGHBORHOOD HEALTH WATCH - A PROGRAM THAT TAKES HEALTH CARE PROVIDERS TO OUTREACH SITES TO PROVIDE HEALTH SCREENINGS AND HEALTH REFERRAL SERVICES. IN 2010, THE CLINICIANS INVOLVED IN THE PROGRAM SAW 1,252 INDIVIDUALS; 330 PEOPLE WERE NEW TO THE PROGRAM. * ST. JOE'S AT THE MALL - ST. JOE'S AT THE MALL OFFERS FREE AND LOW-COST HEALTH EDUCATION PROGRAMS, HEALTH SCREENINGS, SUPPORT GROUPS, A WALKING PROGRAM, A STRENGTHENING PROGRAM TO PREVENT OSTEOPOROSIS AND HEALTH REFERRAL SERVICES. IN 2010, MORE THAN 38,000 PEOPLE PARTICIPATED IN PROGRAMS AND SERVICES AT THIS SITE. * COMMUNITY HEALTH EDUCATION - A VARIETY OF HEALTH EDUCATION PROGRAMS ARE OFFERED BY HMHP EVERY YEAR. SEVERAL OF THESE PROGRAMS TARGET AT RISK POPULATIONS AND OFFER HEALTH SCREENINGS AND PHYSICIAN REFERRALS. THE "ONE STEP AT A TIME WALK FITNESS PROGRAM" ENCOURAGES PARTICIPANTS TO INCREASE THEIR ACTIVITY AND LOSS WEIGHT. IN TOTAL, HMHP'S COMMUNITY HEALTH EDUCATION DEPARTMENT PROVIDED MORE THAN 4,900 HEALTH SCREENINGS AND EDUCATED MORE THAN 1,330 PEOPLE IN 2010. * DIABETES EDUCATION - THE HMHP DIABETES EDUCATION PROGRAM HELPS THOSE WITH DIABETES TO CREATE A HEALTHY LIFESTYLE THROUGH EDUCATION CLASSES FOCUSING ON DIET/MEAL PLANNING, INSULIN INSTRUCTION AND GLUCOSE MONITORING. THE PROGRAM ALSO INCLUDES A "PATHWAY TO SUCCESS" INITIATIVE TO ASSIST WOMEN WITH GESTATIONAL DIABETES. A DIABETES SUPPORT GROUP AND AN OUTPATIENT INSULIN PUMP PROGRAM ARE ALSO AVAILABLE. ALL SERVICES ARE OFFERED FREE TO INDIVIDUALS WITH A DOCTOR'S REFERRAL; 890 PEOPLE WERE SERVED IN 2010. * WOMEN'S HEART DAY - AN ANNUAL PROGRAM THAT FEATURES FREE HEALTH SCREENINGS AS WELL AS HEALTH EDUCATION AND INFORMATION. MORE THAN 500 WOMEN PARTICIPATED IN 2010. HMHP'S EMERGENCY DEPARTMENTS TREAT AN INCREASING NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS. COMMUNITY GROUPS AND INDIVIDUALS SUPPORT HMHP. MORE THAN 1,100 VOLUNTEERS PROVIDED 128,248 HOURS OF VOLUNTEER ASSISTANCE AT HMHP IN 2010. HMHP RECEIVED GUIDANCE AND INPUT FROM ITS BOARD OF DIRECTORS AND THE BOARD-LEVEL MISSION/HUMAN POTENTIAL COMMITTEE IN 2010. THIS COMMITTEE WAS COMPRISED OF REPRESENTATIVES FROM AREA ORGANIZATIONS SUCH AS THE YOUNGSTOWN CITY SCHOOLS, YOUNGSTOWN CITY HEALTH DEPARTMENT, THE GREATER WARREN/YOUNGSTOWN URBAN LEAGUE AND AREA PHYSICIANS.
Affiliated health care system	Schedule H, Part VI, Line 6	HUMILITY OF MARY HEALTH PARTNERS (HMHP) IS A NOT-FOR-PROFIT INTEGRATED HEALTH SYSTEM COMPRISED OF ST. ELIZABETH HEALTH CENTER (YOUNGSTOWN), ST. JOSEPH HEALTH CENTER (WARREN), ST. ELIZABETH BOARDMAN HEALTH CENTER (BOARDMAN), HM HOME HEALTH SERVICES, THE ASSUMPTION VILLAGE (NORTH LIMA), HUMILITY HOUSE (AUSTINTOWN), HOSPICE OF THE VALLEY AND LAUREL LAKE RETIREMENT CENTER (HUDSON). HMHP INCLUDES 1,511 HOSPITAL AND RESIDENTIAL BEDS. FOUNDED BY THE SISTERS OF THE HUMILITY OF MARY IN 1911, HMHP HAS REMAINED STEADFAST IN ITS MISSION OF PROVIDING HEALTH CARE SERVICES TO ALL, REGARDLESS OF ABILITY TO PAY. HMHP'S CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE ARE PROMOTED WITHIN EACH ENTITY, BLENDING PIONEERING TECHNOLOGY AND INNOVATIVE EQUIPMENT WITH COMPASSIONATE SERVICE TO PROVIDE THE BEST CARE POSSIBLE TO THE RESIDENTS OF MAHONING, TRUMBULL AND COLUMBIANA COUNTIES. HMHP STRIVES TO DELIVER CLINICAL EXCELLENCE, COMBINED WITH UNSURPASSED SERVICE, IN AN ATMOSPHERE OF COMFORT, INDIVIDUALIZED ATTENTION AND SPIRITUALITY. HMHP'S COMMUNITY BENEFIT FOR 2010 IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $51,600,898 BENEFITS TO THE BROADER COMMUNITY $22,405,121 UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID $12,045,378 COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY $16,480,808 SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR $ 669,591 COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 8.7 PERCENT HMHP IS ONE OF EIGHT REGIONS OF CATHOLIC HEALTH PARTNERS (CHP), THE LARGEST HEALTH SYSTEM IN OHIO AND ONE OF THE LARGEST CATHOLIC HEALTH SYSTEMS IN THE UNITED STATES. CHP IS THE CONTINUATION OF THE HEALTH MINISTRY STARTED MORE THAN 150 YEARS AGO BY OUR CO-SPONSORING CONGREGATIONS: THE SISTERS OF MERCY, REGIONAL COMMUNITY OF CINCINNATI (OH); THE MID-ATLANTIC COMMUNITY, MERION STATION, PA; THE SISTERS OF THE HUMILITY OF MARY; THE FRANCISCAN SISTERS OF THE POOR; AND COVENANT HEALTH SYSTEMS. OUR SYSTEM OF REGIONAL HEALTH CARE PROVIDERS SERVED LOCAL HEALTH NEEDS IN COMMUNITIES IN OHIO, KENTUCKY, PENNSYLVANIA AND TENNESSEE IN 2010. CHP IS FOCUSED ON IMPROVING THE HEALTH OF COMMUNITIES IT SERVES BY PROVIDING INTEGRATED HEALTH SERVICES THROUGH FACILITIES THAT INCLUDE ACUTE CARE HOSPITALS, LONG-TERM CARE RESIDENCES, HOUSING SITES FOR THE ELDERLY, HOME HEALTH AGENCIES, HOSPICE PROGRAMS, OUTREACH SERVICES AND WELLNESS CENTERS. CHP HOSPITALS INCLUDE FOUR CRITICAL ACCESS FACILITIES OFFERING ESSENTIAL HEALTH SERVICES THAT WOULD OTHERWISE NOT EXIST IN THOSE COMMUNITIES. CHP CARES FOR EVERYONE WHO COMES TO ITS FACILITIES, REGARDLESS OF THEIR ABILITY TO PAY. AS IT HAS DONE FOR DECADES, CHP PROVIDES EXTENSIVE SERVICES TO THE BROADER COMMUNITY, WITH EMPHASIS ON SERVICES FOR PERSONS WHO ARE POOR AND UNDER-SERVED. CHP'S HOME OFFICE IN CINCINNATI, OHIO PROVIDES SERVICES AND SUPPORT TO THE ENTIRE SYSTEM, INCLUDING BUT NOT LIMITED TO: PROVIDING GOVERNANCE, MANAGEMENT OVERSIGHT, STRATEGIC LEADERSHIP, FOCUSING RESOURCES TO ASSURE THE HEALING MISSION, PROVIDING ACCESS TO LOWER COST DEBT FINANCING TO SUPPORT OPERATIONS, IMPROVING CLINICAL OUTCOMES AND REDUCING OPERATING COSTS. SYSTEM-WIDE COMMUNITY BENEFIT FOR 2010 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $365.1 MILLION BENEFITS TO THE BROADER COMMUNITY $77.1 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID $131.7 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY $123.2 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR $33.1 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 8.6 PERCENT

Schedule H (Form 990) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
HUMILITY OF MARY HEALTH PARTNERS

Employer identification number
34-0505560

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) YOUNGSTOWN WARREN REGIONAL CHAMBER OF COMMERCE11 FEDERAL PLAZA CENTRAL SUITE 1600 YOUNGSTOWN,OH44503	34-1731411	501(C)(6)	30,000	ECONOMIC DEVELOPMENT
(2) ACCESS HEALTH MAHONING VALLEY345 OAKHILL AVENUE YOUNGSTOWN,OH44502	27-4576650	501(C)(3)	25,000	ACCESS TO CARE FOR THE UNINSURED
(3) HMHP DEVELOPMENT FOUNDATION1044 BELMONT AVENUE YOUNGSTOWN,OH44501	34-1826978	501(C)(3)	15,000	COMPREHENSIVE BREAST CARE CENTER

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) SPONSORSHIP/DONATIONS	23	7,640

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
Procedures for monitoring use of grant funds	Schedule I, Part I, Line 2	HMHP IS ABLE TO MONITOR THE USE OF ANY GRANTS IT MAKES TO OTHER NON-PROFITS BY WAY OF HMHP PERSONNEL SERVING AS BOARD MEMBERS OF THE RECIPIENT ORGANIZATIONS. IF A COMMUNITY ORGANIZATION RECEIVES FUNDING FROM HMHP, BY WAY OF BOARD PRESENCE, HMHP WILL REVIEW THE FINANCIAL REPORTS AND OTHER INTERNAL DOCUMENTS OF THE ORGANIZATION AND THEREBY IS ABLE TO MONITOR THE USE OF FUNDS.

Schedule I (Form 990) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HUMILITY OF MARY HEALTH PARTNERS

Employer identification number

34-0505560

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) JEFFREY FULTON	(i) (ii)	458,374 0	99,750 0	626 0	12,180 0	18,929 0	589,859 0	0 0
(2) JAMES SHAER	(i) (ii)	428,442 0	135,099 0	16,610 0	127,489 0	17,141 0	724,781 0	0 0
(3) DONALD KLINE	(i) (ii)	335,689 0	58,525 0	69,603 0	12,180 0	20,094 0	496,091 0	58,525 0
(4) EUGENIA AUBEL	(i) (ii)	177,822 0	36,573 0	11,828 0	10,650 0	6,633 0	243,506 0	36,573 0
(5) DON KOENIG	(i) (ii)	299,489 0	54,165 0	1,530 0	30,072 0	14,661 0	399,917 0	54,165 0
(6) JOHN FINIZIO	(i) (ii)	186,523 0	35,711 0	28,871 0	11,814 0	13,227 0	276,146 0	35,711 0
(7) CHARLES FOLKWEIN	(i) (ii)	170,261 0	32,740 0	27,942 0	11,049 0	12,635 0	254,627 0	32,740 0
(8) NICHOLAS KREATSOULAS	(i) (ii)	264,475 0	49,345 0	66,555 0	12,180 0	17,827 0	410,382 0	49,345 0
(9) PAUL OLIVIER	(i) (ii)	156,793 0	28,302 0	333 0	18,416 0	22,116 0	225,960 0	28,302 0
(10) JOSEPH SHOAFF	(i) (ii)	155,188 0	26,011 0	473 0	8,767 0	17,489 0	207,928 0	26,011 0
(11) MOLLY SEALS	(i) (ii)	207,692 0	39,700 0	29,270 0	12,180 0	9,013 0	297,855 0	39,700 0
(12) CATHERINE TOLBERT	(i) (ii)	178,598 0	30,174 0	35,191 0	11,158 0	14,690 0	269,811 0	30,174 0
(13) MICHAEL SEISER	(i) (ii)	153,283 0	27,759 0	8,939 0	9,147 0	19,494 0	218,622 0	27,759 0
(14) ROBERT SHRODER	(i) (ii)	394,135 0	160,841 0	209,314 0	62,781 0	23,991 0	851,062 0	0 0
(15) JOHN STARCHER JR	(i) (ii)	0 500,356	0 184,208	0 249,594	0 123,176	0 26,670	0 1,084,004	0 0
(16) TIMOTHY HUNTER	(i) (ii)	657,655 0	61,000 0	1,546 0	73,180 0	20,482 0	813,863 0	61,000 0
(17) THOMAS ZARLINGO	(i) (ii)	579,398 0	0 0	2,760 0	7,350 0	16,393 0	605,901 0	0 0
(18) WILLIAM WOODS	(i) (ii)	482,740 0	552,111 0	15,486 0	42,884 0	17,241 0	1,110,462 0	232,500 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Travel for companions	Schedule J, Part I, Line 1a	TRAVEL FOR COMPANIONS WAS PROVIDED FOR THE FOLLOWING LISTED INDIVIDUALS: SUZANNE FLEMING, SHELLEY TAYLOR-ODILLE, LEONARD D. SCHIAVONE, M.D., AND BIPIN PATEL, M.D. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE COMPENSATION.
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b	THE HUMILITY OF MARY HEALTH PARTNERS (HMHP) SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE HMHP BOARD OF TRUSTEES OR ITS DELEGATE. THE PLAN PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 100% IN THEIR ACCOUNTS AFTER THREE YEARS OF SERVICE, EXCEPT FOR PARTICIPANTS WHO HAD ATTAINED AT LEAST TEN YEARS OF SERVICE AT PLAN INCEPTION, WHO HAD IMMEDIATE VESTING. VESTING OCCURS EARLIER UPON DEATH OR TOTAL DISABILITY. PAYMENTS ARE MADE DURING EMPLOYMENT FOR REQUIRED TAX WITHHOLDING. THE VESTED ACCOUNT BALANCE IS PAID AS A LUMP SUM AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR ARE AS FOLLOWS: DON KOENIG $0; PAUL OLIVIER $0; DON KLINE $67,871; EUGENIA AUBEL $10,235; JOHN FINIZIO $10,242; CHARLES FOLKWEIN $9,452; NICHOLAS KREATSOULAS $48,861; MOLLY SEALS $11,361; CATHERINE TOLBERT $32,718; MICHAEL SEISER $7,908.
Non-fixed payments	Schedule J, Part I, Line 7	THE ORGANIZATION PROVIDES ANNUAL INCENTIVE COMPENSATION FOR LISTED INDIVIDUALS. THE ORGANIZATION'S BOARD OF TRUSTEES ESTABLISHES OBJECTIVE THRESHOLDS FOR QUALITY, COMMUNITY BENEFIT, HUMAN POTENTIAL, AND FINANCIAL PERFORMANCE WHICH MUST BE ACHIEVED FOR INCENTIVES TO BE AWARDED. THE BOARD ALSO ESTABLISHES THRESHOLD, TARGET AND MAXIMUM LEVELS FOR INCENTIVE AWARDS. WITHIN THESE ESTABLISHED PARAMETERS, THE INCENTIVE COMPENSATION FOR THE LISTED INDIVIDUALS IS DETERMINED BY THE CEO AND DISCLOSED TO THE BOARD. THE BOARD MAY AUTHORIZE MODIFIED INCENTIVE AWARDS WHEN APPROPRIATE IN ITS JUDGMENT.
COMPENSATION OF PRESIDENT AND CEO	SCHEDULE J, PART I, LINE 3	THE COMPENSATION OF ROBERT SHRODER, PRESIDENT AND CEO, IS DETERMINED BY CATHOLIC HEALTH PARTNERS (CHP), A RELATED TAX-EXEMPT ORGANIZATION. CHP UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MR. SHRODER'S COMPENSATION.
THE CHP SERP PLAN	SCHEDULE J, PART I, LINE 4B	THE CATHOLIC HEALTH PARTNERS (CHP) SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTIVELY, VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMINATION, PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDINGS. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: ROBERT SHRODER $178,540; JOHN STARCHER, JR. $224,469.
THE CHP RETENTION PLAN	SCHEDULE J, PART I, LINE 4B	THE CATHOLIC HEALTH PARTNERS (CHP) RETENTION PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST AND CEASE TO RECEIVE CREDITS AFTER 5 YEARS OF PLAN PARTICIPATION PROVIDED THEY REMAIN EMPLOYED. VESTING AND CESSATION OF CREDITS OCCUR EARLIER FOR DEATH OR TOTAL DISABILITY WHILE EMPLOYED, INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION, OR, FOR CERTAIN PARTICIPANTS, UPON BEING OFFERED A SPECIFIED PROMOTION. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS UPON VESTING. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JOHN STARCHER, JR. $0.

Schedule J (Form 990) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HUMILITY OF MARY HEALTH PARTNERS

Employer identification number

34-0505560

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) THERESA ESPOSITO	FAMILY MEMBER OF JOHN FINIZIO (KEY EMPLOYEE)	44,097	EMPLOYMENT		No
(2) MARIA KREATSOULAS	FAMILY MEMBER OF NICHOLAS KREATSOULAS (KEY EMPLOYEE)	49,498	EMPLOYMENT		No
(3) CHRISTOPHER SEALS	FAMILY MEMBER OF MOLLY SEALS (KEY EMPLOYEE)	31,834	EMPLOYMENT		No
(4) ELAINE TOLBERT	FAMILY MEMBER OF CATHY TOLBERT (KEY EMPLOYEE)	42,358	EMPLOYMENT		No
(5) CHRISTINE SHOAFF	FAMILY MEMBER OF JOSEPH SHOAFF (KEY EMPLOYEE)	25,579	EMPLOYMENT		No
(6) KATHLEEN FOLKWEIN	FAMILY MEMBER OF CHARLES FOLKWEIN (KEY EMPLOYEE)	40,922	EMPLOYMENT		No
(7) THE SURGICAL HOSPITAL AT SOUTHWOODS	DR. AWAD, DR. POTESTA, AND A FAMILY MEMBER OF DR. KREATSOULAS HAVE OWNERSHIP INTERESTS.	619,678	INDEPENDENT CONTRACTOR		No
(8) FIFTH AVENUE OTOLARYNGOLOGIST	EUGENE POTESTA (BOARD MEMBER) HAS AN OWNERSHIP INTEREST	118,000	INDEPENDENT CONTRACTOR		No
(9) BELPARK ANESTHESIA	DR. STEPHEN SHEAKOSKI (BOARD MEMBER) HAS AN OWNERSHIP INTEREST	2,146,125	INDEPENDENT CONTRACTOR		No
(10) HEALTHSPAN INC	MOLLY SEALS (KEY EMPLOYEE) IS A BOARD MEMBER	280,740	INDEPENDENT CONTRACTOR		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

HUMILITY OF MARY HEALTH PARTNERS

Employer identification number

34-0505560

Identifier	Return Reference	Explanation
Description of other program services	Form 990, Part III, Line 4d	ALL OTHER PROGRAMS AND ACTIVITIES
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	CATHOLIC HEALTH PARTNERS (CHP) IS THE SOLE MEMBER OF HUMILITY OF MARY HEALTH PARTNERS.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	CATHOLIC HEALTH PARTNERS APPROVES MEMBERS THAT ARE APPOINTED TO THE BOARD OF TRUSTEES. ALL OF THE BOARD OF TRUSTEES HAVE FULL VOTING RIGHTS.
Decisions requiring approval by members or stockholders	Form 990, Part VI, Section A, Line 7b	CERTAIN MATTERS REQUIRE APPROVAL OF THE CHP CORPORATE MEMBER, CHP GOVERNING BODY, OR CHP CEO. THE REGULATIONS OF THE ORGANIZATION DESCRIBE THE LEVEL OF APPROVAL REQUIRED FOR VARIOUS DECISIONS.
Review of form 990 by governing body	Form 990, Part VI, Section B, Line 11b	THE FORM 990 IS PREPARED BY CHP'S TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN REVIEWED BY MANAGEMENT. UPON REVIEW, THE FORM 990 IS THEN FORWARDED TO THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE FOR APPROVAL. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION RELATED SCHEDULES AND DISCLOSURES. BOTH THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE AND THE COMPENSATION COMMITTEE ARE INDEPENDENT OF THE FILING ORGANIZATION. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING.
Conflict of interest policy	Form 990, Part VI, Section B, Line 12c	ALL BOARD MEMBERS ARE COVERED BY THE CATHOLIC HEALTH PARTNERS (CHP) CONFLICT OF INTEREST POLICY WHICH REQUIRES DISCLOSURE ON AN ANNUAL BASIS. ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY CHP CORPORATE COMPLIANCE OFFICER. AT THE BEGINNING OF EACH BOARD MEETING ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. BOARD MEMBERS DETERMINED TO HAVE A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISION-MAKING FOR THE TRANSACTION IN WHICH THE CONFLICT EXISTS.
Process used to establish compensation of other officers/key employees	Form 990, Part VI, Section B, Line 15b	THE ORGANIZATION'S FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE OFFICERS AND KEY EMPLOYEES OF HMHP IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACCOMPLISHING THE ORGANIZATION'S MISSION, TO RECOGNIZE PERFORMANCE, AND TO OPERATE IN KEEPING WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. THE COMPENSATION & EVALUATION COMMITTEE OF THE HMHP'S BOARD OF TRUSTEES CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION AND PERFORMANCE OF THE OFFICERS AND KEY EMPLOYEES. IN DOING SO, THE COMMITTEE RETAINS A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE MARKET RANGES OF BASE, INCENTIVE, AND TOTAL CASH COMPENSATION. THE COMMITTEE UTILIZES THAT ANALYSIS AND OTHER APPROPRIATE INFORMATION IN CONNECTION WITH ITS ANNUAL REVIEW AND ADJUSTMENT OF COMPENSATION RANGES. IT ALSO REVIEWS AND RECOMMENDS TO THE FULL BOARD THE THRESHOLD, TARGET, AND MAXIMUM INCENTIVE AWARDS FOR WHICH THE LISTED INDIVIDUALS MAY BE ELIGIBLE, BASED UPON THE ORGANIZATION'S PERFORMANCE RESULTS FOR COMMUNITY BENEFIT, QUALITY, PATIENT SATISFACTION, HUMAN POTENTIAL AND FINANCIAL PERFORMANCE. THE COMMITTEE'S RECOMMENDATIONS CONCERNING SALARY RANGE ADJUSTMENTS AND INCENTIVE AWARDS GO TO THE FULL BOARD FOR APPROVAL. ADJUSTMENTS AND INCENTIVE AWARDS FOR OFFICERS AND KEY EMPLOYEES ARE APPROVED BY THE ORGANIZATION'S CEO WITHIN THE PARAMETERS AS SET FORTH BY THE BOARD. ADJUSTMENTS AND AWARDS FOR THE OTHER LISTED INDIVIDUALS ARE RECOMMENDED BY THE SUPERVISING EXECUTIVE IN ACCORDANCE WITH THE PARAMETERS SET FORTH BY THE BOARD. BASE SALARY ADJUSTMENTS AND INCENTIVE AWARDS ARE DISCLOSED TO THE COMMITTEE. A FORMAL PERFORMANCE APPRAISAL PROCESS IS INCORPORATED IN THE COMPENSATION ADJUSTMENT AND AWARD PROCESS. IT UTILIZES SPECIFIC PERFORMANCE MEASURES THAT ARE LINKED TO THE ORGANIZATION'S LONG-TERM STRATEGIC PLAN, ACHIEVEMENT OF ANNUAL SYSTEM OBJECTIVES, AND PERSONNEL OBJECTIVES. COMPENSATION-RELATED DETERMINATIONS ARE CONDUCTED IN ACCORDANCE WITH APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE AND REGULATIONS TO QUALIFY FOR THE PRESUMPTION THAT THE COMPENSATION IS REASONABLE, INCLUDING BUT NOT LIMITED TO INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST, OBTAINING AND RELYING ON APPROPRIATE DATA AS TO COMPARABILITY, AND CONCURRENT DOCUMENTATION OF THE BASIS FOR THE COMPENSATION DETERMINATIONS.
Public Disclosure	Form 990, Part VI, Section C, Line 19	THE SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE.
AVERAGE HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS BY LISTED PERSONS	990 PART VII SECTION A COLUMN (B)	DONALD KLINE 3 ROBERT SHRODER 5 CHARLES FOLKWEIN 1 MICHAEL SEISER 1 JOHN STARCHER, JR. 50 LEONARD D SCHIAVONE 3 SUZANNE FLEMING 2 DARYL CAMERON 2 MARY BETH HOUSER 2 MOUNIR AWAD 2 SISTER MARYANN GOLONKA, HM 2 SISTER CAROLE ANNE GRISWOLD, HM 2 BETTY JO LICATA 2 EUGENE POTESTA 2 BRIAN CORBIN 2 SCOTT SCHULICK 2 JAY WILLIAMS 2 BIPIN PATEL 2 SAM KOOPERMAN 2 DANIEL FITZPATRICK 2 STEVEN SHEAKOSKI 2 SHELLEY TAYLOR-ODILLE 2
Other changes in net assets or fund balances	Form 990, Part XI, Line 5	NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 7712525; IMPAIRMENT OF LONG LIVED ASSETS - -3331377; PENSION LIABILITY - 2080563; TRANSFER NET ASSETS - -49216; RESTRICTED FUNDS NET ACTIVITY - 359197; OTHER - -12;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HUMILITY OF MARY HEALTH PARTNERS

Employer identification number

34-0505560

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) HMHP PHYSICIANS ENTERPRISE LLC 1044 BELMONT AVENUE YOUNGSTOWN,OH44501 32-0306944	PHYSICIAN SERVICES	OH	14,798,774	1,026,843	HUMILITY OF MARY HEALTH PARTNERS

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) CATHOLIC HEALTH PARTNERS 615 ELSINORE PLACE CINCINNATI,OH45202 31-1161086	HEALTHCARE SYSTEM PARENT	OH	501(C)(3)	11 - Type III - FI	NA
(2) CATHOLIC HEALTHCARE PARTNERS FOUNDATION 615 ELSINORE PLACE CINCINNATI,OH45202 20-1072726	FUNDRAISING	OH	501(C)(3)	7	CATHOLIC HEALTH PARTNERS
(3) CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT 615 ELSINORE PLACE CINCINNATI,OH45202 20-8943658	HUD PARENT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
(4) CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST 615 ELSINORE PLACE CINCINNATI,OH45202 31-6046304	RETIREMENT TRUST	OH	501(C)(3)	8	CATHOLIC HEALTH PARTNERS
(5) SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST 615 ELSINORE PLACE CINCINNATI,OH45202 31-0990309	TRUST ADMINISTRATION	OH	501(C)(3)	11 - Type I	CATHOLIC HEALTH PARTNERS
(6) COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM 3700 KOLBE ROAD LORAIN,OH44053 27-0071694	REGIONAL PARENT	OH	501(C)(3)	11 - Type II	CATHOLIC HEALTH PARTNERS
(7) COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER 3700 KOLBE ROAD LORAIN,OH44053 34-0714704	HOSPITAL	OH	501(C)(3)	3	COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
(8) ALLEN MEDICAL CENTER 200 WEST LORAIN ST OBERLIN,OH44074 34-0864230	HOSPITAL	OH	501(C)(3)	3	COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
(9) COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION 3700 KOLBE ROAD LORAIN,OH44053 34-1504558	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
(10) COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS 3700 KOLBE ROAD LORAIN,OH44053 34-1268828	MEDICAL OFFICE RENTAL	OH	501(C)(3)	9	COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
(11) ALLEN MEDICAL CENTER FOUNDATION 200 WEST LORAIN ST OBERLIN,OH44074 34-1675592	FOUNDATION	OH	501(C)(3)	11 - Type I	ALLEN MEDICAL CENTER
(12) ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING 200 WEST LORAIN ST OBERLIN,OH44074 36-4504991	MEDICAL OFFICE RENTAL	OH	501(C)(3)	11 - Type II	ALLEN MEDICAL CENTER
(13) MERCY HEALTH PARTNERS OF SOUTHWEST OHIO 4600 MCAULEY PLACE CINCINNATI,OH45242 31-1063783	REGIONAL PARENT	OH	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS
(14) MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION 4600 MCAULEY PLACE CINCINNATI,OH45242 31-1217563	FOUNDATION	OH	501(C)(3)	7	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
(15) MERCY HOSPITALS WEST 2446 KIPLING AVENUE CINCINNATI,OH45239 31-1091597	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
(16) MERCY HOSPITAL ANDERSON 7500 STATE ROAD CINCINNATI,OH45255 31-0537085	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
(17) THE SISTERS OF MERCY OF HAMILTON OHIO 3000 MACK ROAD FAIRFIELD,OH45014 31-0538532	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
(18) THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO 3000 HOSPITAL DRIVE BATAVIA,OH45103 31-0830955	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
(19) CLERMONT MERCY FOUNDATION 3000 HOSPITAL DRIVE BATAVIA,OH45103 31-1514749	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO
(20) MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC 7010 ROWAN HILLS DR CINCINNATI,OH45227 31-1308729	RETIREMENT HOME	OH	501(C)(3)	9	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
(21) MERCY SACRED HEART INC 2120 PAYNE STREET LOUISVILLE,KY40206 61-1318326	RETIREMENT HOME	KY	501(C)(3)	9	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
(22) MERCY LONG TERM CARE INITIATIVE 4915 CHARLESTOWN RD NEW ALBANY,IN47150 31-1332491	RETIREMENT HOME	IN	501(C)(3)	9	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
(23) PROVIDENCE RETIREMENT HOME AUXILIARY 4915 CHARLESTOWN RD NEW ALBANY,IN47150 20-4664839	SUPPORTING ORG	IN	501(C)(3)	11 - Type II	MERCY LONG TERM CARE INITIATIVE
(24) MERCY FRANCISCAN SOCIAL MINISTRIES INC 1800 LOGAN STREET CINCINNATI,OH45210 31-1222942	LOW INCOME HOUSING	OH	501(C)(3)	7	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
(25) MERCY FRANCISCAN AT ST RAPHAEL INC 610 HIGH STREET HAMILTON,OH45011 20-2934871	SERVICES TO THE POOR	OH	501(C)(3)	7	MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
(26) COMMUNITY MERCY HEALTH SYSTEM ONE S LIMESTONE ST SPRINGFIELD,OH45502 30-0272454	REGIONAL PARENT	OH	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS
(27) COMMUNITY MERCY HEALTH PARTNERS ONE S LIMESTONE ST SPRINGFIELD,OH45502 31-0785684	HOSPITAL	OH	501(C)(3)	3	COMMUNITY MERCY HEALTH SYSTEM
(28) THE COMMUNITY MERCY FOUNDATION 1343 N FOUNTAIN BLVD SPRINGFIELD,OH45504 31-1443778	FOUNDATION	OH	501(C)(3)	7	COMMUNITY MERCY HEALTH SYSTEM
(29) COMMUNITY HOSPITAL HEALTH SERVICES COMPANY ONE S LIMESTONE ST SPRINGFIELD,OH45502 31-1181984	HOSPITAL	OH	501(C)(3)	3	COMMUNITY MERCY HEALTH SYSTEM
(30) CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE 1150 E HOME ROAD SPRINGFIELD,OH45503 26-0698515	MEDICAL INFORMATION EXCHANGE	OH	501(C)(3)	9	COMMUNITY MERCY HEALTH SYSTEM
(31) THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST ONE S LIMESTONE ST SPRINGFIELD,OH45502 34-6827136	INDIGENT MEDICAL CARE	OH	501(C)(3)	11 - Type I	NA
(32) MERCY HEALTH SYSTEM - NORTHERN REGION 2200 JEFFERSON AVENUE TOLEDO,OH43604 34-1344482	REGIONAL PARENT	OH	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS
(33) ST CHARLES MERCY HOSPITAL OF OREGON OHIO 2600 NAVARRE AVENUE OREGON,OH43616 34-4445373	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION
(34) ST CHARLES MERCY HEALTH FOUNDATION 2600 NAVARRE AVENUE OREGON,OH43616 34-1414900	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	ST CHARLES MERCY HOSPITAL OF OREGON OHIO
(35) RIVERSIDE MERCY HOSPITAL 3404 W SYLVANIA AVE TOLEDO,OH43623 31-1556401	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION
(36) MERCY HOME CARE INC 2200 JEFFERSON AVENUE TOLEDO,OH43604 34-1587572	HOME HEALTHCARE	OH	501(C)(3)	9	MERCY HEALTH SYSTEM - NORTHERN REGION
(37) MERCY COLLEGE OF NORTHWEST OHIO 2221 MADISON AVENUE TOLEDO,OH43604 34-1726619	MEDICAL COLLEGE	OH	501(C)(3)	2	MERCY HEALTH SYSTEM - NORTHERN REGION
(38) MERCY COLLEGE OF NORTHWEST OHIO FOUNDATION INC 2221 MADISON AVENUE TOLEDO,OH43604 14-1963204	FOUNDATION	OH	501(C)(3)	11 - Type I	MERCY COLLEGE OF NORTHWEST OHIO
(39) MERCY HOSPITAL OF TIFFIN OHIO 45 ST LAWRENCE DRIVE TIFFIN,OH44883 34-4431174	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION
(40) MERCY TIFFIN HEALTH FOUNDATION 45 ST LAWRENCE DRIVE TIFFIN,OH44883 34-1499894	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	MERCY HOSPITAL OF TIFFIN OHIO
(41) THE SISTERS OF MERCY OF WILLARD OHIO 110 EAST HOWARD ST WILLARD,OH44890 34-1577110	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION
(42) MERCY HOSPITAL OF WILLARD FOUNDATION 110 EAST HOWARD ST WILLARD,OH44890 11-3742347	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	THE SISTERS OF MERCY OF WILLARD OHIO
(43) ST VINCENT MERCY MEDICAL CENTER 2213 CHERRY STREET TOLEDO,OH43608 34-4428250	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION
(44) ST VINCENT MERCY MEDICAL CENTER FOUNDATION 2213 CHERRY STREET TOLEDO,OH43608 23-7393213	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	ST VINCENT MERCY MEDICAL CENTER
(45) LIFESTAR AMBULANCE INC 2200 JEFFERSON AVENUE TOLEDO,OH43604 34-1354653	MEDICAL TRANSPORTATION	OH	501(C)(3)	11 - Type II	MERCY HEALTH SYSTEM - NORTHERN REGION
(46) RSM MEDICAL FOUNDATION 2200 JEFFERSON AVENUE TOLEDO,OH43624 34-1693671	HOSPITAL	OH	501(C)(3)	3	MERCY HEALTH SYSTEM - NORTHERN REGION
(47) ST MARGUERITE D'YOUVILLE FOUNDATION II 2213 CHERRY STREET TOLEDO,OH43608 13-4350655	FOUNDATION	OH	501(C)(3)	11 - Type II	CATHOLIC HEALTH PARTNERS
(48) SIMON OUTREACH SERVICES 2600 NAVARRE AVENUE OREGON,OH43616 34-1383325	MEDICAL OFFICE RENTAL	OH	501(C)(3)	11 - Type II	ST CHARLES MERCY HOSPITAL OF OREGON OHIO
(49) FARLEY HEALTHCARE CORPORATION 2200 JEFFERSON AVENUE TOLEDO,OH43604 34-1363204	HEALTH SERVICES	OH	501(C)(3)	9	MERCY HEALTH SYSTEM - NORTHERN REGION
(50) ST RITA'S MEDICAL CENTER 730 W MARKET STREET LIMA,OH45801 34-1105619	HOSPITAL	OH	501(C)(3)	3	CATHOLIC HEALTH PARTNERS
(51) SRHC FOUNDATION 730 W MARKET STREET LIMA,OH45801 34-1368429	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	ST RITA'S MEDICAL CENTER
(52) NEW VISION MEDICAL LABORATORIES INC 750 W HIGH ST STE 400 LIMA,OH45801 34-1937267	MEDICAL LAB SERVICES	OH	501(C)(3)	11 - Type III - FI	ST RITA'S MEDICAL CENTER
(53) THE ASSUMPTION VILLAGE 9800 N MARKET STREET NORTH LIMA,OH44452 34-1013695	NURSING HOME	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS
(54) HOSPICE OF THE VALLEY 5190 MARKET STREET YOUNGSTOWN,OH44512 34-1288745	HOSPICE SERVICES	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS
(55) HUMILITY OF MARY DEVELOPMENT FOUNDATION 1044 BELMONT AVENUE YOUNGSTOWN,OH44501 34-1826978	FOUNDATION	OH	501(C)(3)	11 - Type III - FI	HUMILITY OF MARY HEALTH PARTNERS
(56) HUMILITY OF MARY INFORMATION SYSTEMS 250 FEDERAL PLAZA EAST YOUNGSTOWN,OH44501 34-1452943	INFORMATION SERVICES	OH	501(C)(3)	11 - Type II	HUMILITY OF MARY HEALTH PARTNERS
(57) HUMILITY HOUSE 755 OHLTOWN ROAD AUSTINTOWN,OH44515 34-1894783	NURSING HOME	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS
(58) LAUREL LAKE RETIREMENT COMMUNITY INC 200 LAUREL LAKE DRIVE HUDSON,OH44236 34-1481142	NURSING HOME	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS
(59) LAUREL LAKE RETIREMENT COMMUNITY FOUNDATION INC 200 LAUREL LAKE DRIVE HUDSON,OH44236 34-1779303	FOUNDATION	OH	501(C)(3)	7	LAUREL LAKE RETIREMENT COMMUNITY INC
(60) ST JOSEPH HEALTH CENTER AUXILIARY 677 EASTLAND SE WARREN,OH44484 34-6556121	FUNDRAISING	OH	501(C)(3)	9	HUMILITY OF MARY HEALTH PARTNERS
(61) MERCY HEALTH PARTNERS - LOURDES INC 1530 LONE OAK ROAD PADUCAH,KY42003 61-0600313	HOSPITAL	KY	501(C)(3)	3	CATHOLIC HEALTH PARTNERS
(62) LOURDES FOUNDATION INC 1530 LONE OAK ROAD PADUCAH,KY42003 61-1258960	FOUNDATION	KY	501(C)(3)	7	MERCY HEALTH PARTNERS - LOURDES INC
(63) LOURDES HOSPITAL AUXILIARY GIFT SHOP 1530 LONE OAK ROAD PADUCAH,KY42003 61-0927805	FUNDRAISING	KY	501(C)(3)	11 - Type III - FI	LOURDES FOUNDATION INC
(64) MARCUM AND WALLACE MEMORIAL HOSPITAL INC 60 MERCY COURT IRVINE,KY40336 61-0927491	HOSPITAL	KY	501(C)(3)	3	MERCY HEALTH PARTNERS - LOURDES INC
(65) MARCUM AND WALLACE HOSPITAL FOUNDATION INC 60 MERCY COURT IRVINE,KY40336 32-0026557	FOUNDATION	KY	501(C)(3)	11 - Type III - FI	MARCUM AND WALLACE MEMORIAL HOSPITAL INC
(66) MERCY HEALTH PARTNERS INC 900 EAST OAK HILL AVE KNOXVILLE,TN37917 73-1627534	REGIONAL PARENT	TN	501(C)(3)	11 - Type I	CATHOLIC HEALTH PARTNERS
(67) MERCY HEALTH SYSTEM INC 900 EAST OAK HILL AVE KNOXVILLE,TN37917 62-0480068	HOSPITAL	TN	501(C)(3)	3	MERCY HEALTH PARTNERS INC
(68) ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY INC 923 EAST CENTRAL AVE LAFOLLETTE,TN37766 62-1817376	HOSPITAL	TN	501(C)(3)	3	MERCY HEALTH PARTNERS INC
(69) MERCY HEALTH PARTNERS FOUNDATION INC 900 EAST OAK HILL AVE KNOXVILLE,TN37917 62-1247676	FOUNDATION	TN	501(C)(3)	7	MERCY HEALTH PARTNERS INC
(70) JEFFERSON MEMORIAL HOSPITAL INC 110 HOSPITAL DRIVE JEFFERSON CITY,TN37760 62-1660663	HOSPITAL	TN	501(C)(3)	3	MERCY HEALTH PARTNERS INC
(71) JEFFERSON MEMORIAL FOUNDATION INC 110 HOSPITAL DRIVE JEFFERSON CITY,TN37760 62-1660666	FOUNDATION	TN	501(C)(3)	11 - Type III - FI	JEFFERSON MEMORIAL HOSPITAL INC
(72) ST MARY'S MEDICAL CENTER OF SCOTT COUNTY INC 18797 ALBERTA STREET ONEIDA,TN37841 26-1535503	HOSPITAL	TN	501(C)(3)	3	MERCY HEALTH PARTNERS INC
(73) THE BAPTIST HEALTH SYSTEM FOUNDATION INC 101 BLOUNT AVE BOX 1788 KNOXVILLE,TN37920 58-1565290	FOUNDATION	TN	501(C)(3)	7	MERCY HEALTH PARTNERS INC
(74) BAPTIST HOSPITAL OF EAST TENNESSEE INC 137 BLOUNT AVE KNOXVILLE,TN37920 62-0506166	HOSPITAL	TN	501(C)(3)	3	MERCY HEALTH PARTNERS INC
(75) BAPTIST HOSPITAL WEST INC 10820 PARKSIDE DRIVE KNOXVILLE,TN37934 62-1870324	HOSPITAL	TN	501(C)(3)	3	MERCY HEALTH PARTNERS INC
(76) BAPTIST HOSPITAL OF COCKE COUNTY INC 435 SECOND STREET NEWPORT,TN37821 62-1133149	HOSPITAL	TN	501(C)(3)	3	MERCY HEALTH PARTNERS INC
(77) MERCY HEALTH AND REHABILITATION CENTER INC 3916 BOYDS BRIDGE PIKE KNOXVILLE,TN37917 62-1592992	REHAB CENTER	TN	501(C)(3)	9	MERCY HEALTH PARTNERS INC
(78) MERCY HEALTH PARTNERS - NORTHEAST REGION INC 746 JEFFERSON AVENUE SCRANTON,PA18510 23-2813196	REGIONAL PARENT	PA	501(C)(3)	11 - Type III - FI	CATHOLIC HEALTH PARTNERS
(79) MERCY HEALTHCARE FOUNDATION 746 JEFFERSON AVENUE SCRANTON,PA18510 23-2972928	FOUNDATION	PA	501(C)(3)	11 - Type III - FI	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
(80) MERCY HOSPITAL SCRANTON PA 746 JEFFERSON AVENUE SCRANTON,PA18510 24-0795456	HOSPITAL	PA	501(C)(3)	3	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
(81) MERCY COMMUNITY CARE CORPORATION 746 JEFFERSON AVENUE SCRANTON,PA18510 23-2310566	MEDICAL CARE	PA	501(C)(3)	9	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
(82) MERCY MED-CARE INC 746 JEFFERSON AVENUE SCRANTON,PA18510 23-2261991	HOSPITAL	PA	501(C)(3)	3	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
(83) MERCY HOSPITAL NANTICOKE 128 W WASHINGTON ST NANTICOKE,PA18634 23-2604818	HOSPITAL	PA	501(C)(3)	3	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
(84) MERCY HOSPITAL OF WILKES-BARRE 746 JEFFERSON AVENUE SCRANTON,PA18510 24-0795625	HOSPITAL	PA	501(C)(3)	3	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
(85) MERCY HEALTH CARE CENTER 746 JEFFERSON AVENUE SCRANTON,PA18510 23-2322809	HOSPITAL	PA	501(C)(3)	3	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
(86) MERCY TYLER HEALTH SYSTEMS 880 SR 6W TUNKHANNOCK,PA18657 23-2772476	SUPPORTING ORG	PA	501(C)(3)	11 - Type II	MERCY HEALTH PARTNERS - NORTHEAST REGION INC
(87) MERCY TYLER HOSPITAL 880 SR 6W TUNKHANNOCK,PA18657 24-0779665	HOSPITAL	PA	501(C)(3)	3	MERCY TYLER HEALTH SYSTEMS
(88) MERCY TYLER HOME HEALTH SERVICES 880 SR 6W TUNKHANNOCK,PA18657 23-2723529	IN-HOME MEDICAL CARE	PA	501(C)(3)	9	MERCY TYLER HEALTH SYSTEMS
(89) SIENA SPRINGS 615 ELSINORE PLACE CINCINNATI,OH45202 31-1052772	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
(90) SIENA SPRINGS II 615 ELSINORE PLACE CINCINNATI,OH45202 31-1591780	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
(91) CHARLES MEADOW CORPORATION 615 ELSINORE PLACE CINCINNATI,OH45202 34-1552671	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
(92) CHARLES CREST CORPORATION 615 ELSINORE PLACE CINCINNATI,OH45202 34-1399869	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
(93) CHARLES CREST II CORPORATION 615 ELSINORE PLACE CINCINNATI,OH45202 34-1714407	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
(94) ST THERESA VILLAGE INC 615 ELSINORE PLACE CINCINNATI,OH45202 31-1411529	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
(95) SACRED HEART VILLAGE INC 615 ELSINORE PLACE CINCINNATI,OH45202 31-1411531	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
(96) SACRED HEART VILLAGE II INC 615 ELSINORE PLACE CINCINNATI,OH45202 61-1339396	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
(97) SACRED HEART VILLAGE III INC 615 ELSINORE PLACE CINCINNATI,OH45202 61-1367719	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
(98) MCAULEY MANOR INC 615 ELSINORE PLACE CINCINNATI,OH45202 31-1548500	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
(99) DUBLIN MANOR INC 615 ELSINORE PLACE CINCINNATI,OH45202 02-0655254	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
(100) MERCY MANOR INC 615 ELSINORE PLACE CINCINNATI,OH45202 61-1344092	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
(101) ST MARY'S VILLA INC 615 ELSINORE PLACE CINCINNATI,OH45202 31-1548512	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
(102) RIVERVIEW ST MARY'S INC 615 ELSINORE PLACE CINCINNATI,OH45202 62-1782683	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS
(103) ST MARY'S VILLA AT RIVERVIEW II INC 615 ELSINORE PLACE CINCINNATI,OH45202 31-1723287	HUD HOUSING PROJECT	OH	501(C)(3)	9	CATHOLIC HEALTH PARTNERS

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) NWO INTEGRATED LABORATORIES MERCY LLC 2200 JEFFERSON AVENUE TOLEDO,OH43624 34-1898285	LABORATORY SERVICES	OH	NA	N/A
(2) TIFFIN AMBULATORY SURGICAL ASSOCIATES 45 ST LAWRENCE DRIVE TIFFIN,OH44833 37-1567866	AMBULATORY SURGERY CENTER	OH	NA	N/A
(3) MERCY HOSPITAL OF DEFIANCE LLC 1404 E SECOND ST DEFIANCE,OH43512 02-0701635	HOSPITAL	OH	NA	N/A
(4) WEST CENTRAL OHIO REGIONAL HEALTHCARE ALLIANCE FORT AMANDA ROAD LIMA,OH45804 34-1817078	REG HOSPITALS	OH	NA	N/A
(5) WEST CENTRAL OHIO SURGERY & ENDO CENTER 770 W HIGH ST SUITE 100 LIMA,OH45801 34-1868154	AMBULATORY SURGERY CENTER	OH	NA	N/A
(6) NEW VISION MEDICAL LAB LLC 750 W HIGH STREET LIMA,OH45801 34-1913433	LAB SERVICES	OH	NA	N/A
(7) WEST CENTRAL OHIO GROUP LTD 801 MEDICAL DRIVE LIMA,OH45804 34-1848147	ORTHOPEDIC HOSPITAL	OH	NA	N/A
(8) KIDNEY SERVICES OF WEST CENTRAL OHIO 750 W HIGH STREET SUITE 100 LIMA,OH45801 06-1644264	DIALYSIS CENTER	OH	NA	N/A
(9) ST ELIZABETH CARDIAC CATH LAB LLC 1044 BELMONT AVE YOUNGSTOWN,OH44501 30-0023795	CARDIAC CATH LAB	OH	HUMILITY OF MARY HEALTH PARTNERS	RELATED	-384,360	39,341		No	0		No	51 %
(10) ST ELIZABETH SOUTHWOODS IMAGING 250 DEBARTOLO PLACE BLDG B YOUNGSTOWN,OH44512 26-1626482	DIAGNOSTIC IMAGING	OH	HUMILITY OF MARY HEALTH PARTNERS	RELATED	-554,094	1,447,728		No	0		No	75 %
(11) UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC 1044 BELMONT AVE YOUNGSTOWN,OH44501 26-2989686	RADIATION THERAPY	OH	HUMILITY OF MARY HEALTH PARTNERS	RELATED	18,863	932,807		No	0		No	51 %
(12) HMHPUSP SURGERY CENTERS LLC 15305 DALLAS PKWY STE 1600 ADDISON,TX75001 27-1953122	SURGERY CENTER	TX	HUMILITY OF MARY HEALTH PARTNERS	RELATED	-224,568	447,425		No	0		No	50.1 %
(13) OSC-HMHP LLC 6505 MARKET ST BLDG B STE 101 BOARDMAN,OH44512 01-0724836	ORTHOPEDIC SURGERY CENTER	OH	HUMILITY OF MARY HEALTH PARTNERS	RELATED	0	0		No	0		No	51 %
(14) MERCY HEALTHPLEX ANDERSON LLC 7495 STATE ROAD CINCINNATI,OH45255 31-1589865	FITNESS FACILITY	OH	NA	N/A
(15) MERCY HEALTHPLEX FAIRFIELD LLC 3050 MACK ROAD FAIRFIELD,OH45014 31-1589867	FITNESS FACILITY	OH	NA	N/A
(16) LOURDES AMBULATORY SURGERY CENTER 225 MEDICAL CENTER DRIVE PADUCAH,KY42003 61-1258960	SURGERY CENTER	KY	NA	N/A
(17) TOMOGRAPHY ASSOCIATES LLC 2000 CHAPMAN HWY KNOXVILLE,TN37920 74-2034927	EQUIPMENT LEASING	TN	NA	N/A
(18) EAST TENNESSEE DIAGNOSTIC CENTER LLC 1450 DOWELL SPRINGS BLVD SUITE 250 KNOXVILLE,TN37909 20-4773300	DIAGNOSTIC SERVICES	TN	NA	N/A
(19) LACKAWANNA SURGERY CENTER LLC 415 ADAMS AVENUE SCRANTON,PA18503 20-5360014	AMBULATORY SURGERY CENTER	PA	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) CHP INSURANCE LTD 615 ELSINORE PLACE CINCINNATI,OH45202 98-0621978	INSURANCE	CJ	NA	C CORPORATION
(2) HEALTHSPAN INC 225 PICTORIA DRIVE STE 320 CINCINNATI,OH45246 31-1431434	PPO	OH	NA	C CORPORATION
(3) MHSWO HEALTH VENTURES INC 1 S LIMESTONE ST SPRINGFIELD,OH45502 31-1072139	PHYSICIAN PRACTICES	OH	NA	C CORPORATION
(4) NORTHPARKE MEDICAL COMMONS CONDO ASSN 333 N LIMESTONE ST SPRINGFIELD,OH45503 31-1391230	REAL PROPERTY MGMNT	OH	NA	C CORPORATION
(5) MERCY HEALTH AFFILIATES INC 2200 JEFFERSON AVENUE TOLEDO,OH43604 34-1372633	PHYSICIAN SERVICES	OH	NA	C CORPORATION
(6) PHYSICIAN'S HEALTH COLLABORATIVE 2200 JEFFERSON AVENUE TOLEDO,OH43604 20-3986844	MEDICAL & HOSPITAL SERVICES	OH	NA	C CORPORATION
(7) NORTHSIDE CORPORATION 2200 JEFFERSON AVENUE TOLEDO,OH43604 34-1318438	RESIDENT RENTALS	OH	NA	C CORPORATION
(8) MERCY WORK SOLUTIONS 2200 JEFFERSON AVENUE TOLEDO,OH43604 30-0066340	WORKERS COMPENSATION	OH	NA	C CORPORATION
(9) GENESIS HEALTH PLAN OF OHIO INC 2200 JEFFERSON AVENUE TOLEDO,OH43604 34-1819975	HMO	OH	NA	C CORPORATION
(10) MERCY HEALTH SYSTEM PHO 2200 JEFFERSON AVENUE TOLEDO,OH43604 34-1778321	MEDICAL SERVICES	OH	NA	C CORPORATION
(11) PHYSICIAN MANAGED CARE INC 2200 JEFFERSON AVENUE TOLEDO,OH43604 34-1565320	HEALTH SERVICES	OH	NA	C CORPORATION
(12) MCAULEY MANAGEMENT SERVICES INC 730 W MARKET STREET LIMA,OH45801 34-1379037	PROPERTY RENTAL	OH	NA	C CORPORATION
(13) LIMA MEDICAL SUPPLIES INC 730 W MARKET STREET LIMA,OH45801 34-0944477	MEDICAL EQUIPMENT	OH	NA	C CORPORATION
(14) COMMUNITY HEALTH PARTNERS ENTERPRISES INC 3700 KOLBE ROAD LORAIN,OH44053 34-1455525	HOLDING COMPANY	OH	NA	C CORPORATION
(15) COMMUNITY HEALTH PARTNERS PHYSICIANS INC 3700 KOLBE ROAD LORAIN,OH44053 34-1803352	PHYSICIAN PRACTICES	OH	NA	C CORPORATION
(16) AMC PHYSICIANS INC 200 W LORAIN STREET OBERLIN,OH44074 37-1439554	PHYSICIAN SERVICES	OH	NA	C CORPORATION
(17) MERCY HEALTH VENTURES INC 4600 MCAULEY PLACE CINCINNATI,OH45242 31-1185477	DIVERSIFIED ACTIVITIES	OH	NA	C CORPORATION
(18) FRANCISCAN HOMES I INC 1300 MAIN STREET CINCINNATI,OH45210 31-1313185	LOW-INCOME HOUSING	OH	NA	C CORPORATION
(19) FRANCISCAN HOMES II INC 1300 MAIN STREET CINCINNATI,OH45210 31-1336890	LOW-INCOME HOUSING	OH	NA	C CORPORATION
(20) FRANCISCAN HOMES III INC 1300 MAIN STREET CINCINNATI,OH45210 31-1394510	LOW-INCOME HOUSING	OH	NA	C CORPORATION
(21) FRANCISCAN HOMES IV INC 1300 MAIN STREET CINCINNATI,OH45210 31-1483370	LOW-INCOME HOUSING	OH	NA	C CORPORATION
(22) MERCY FRANCISCAN AT WINTON WOODS I INC 10290 MILL ROAD CINCINNATI,OH45231 31-1658668	LOW-INCOME HOUSING	OH	NA	C CORPORATION
(23) MERCY HEALTH MANAGEMENT INC 1530 LONE OAK ROAD PADUCAH,KY42003 61-1086762	MEDICAL OFFICES	KY	NA	C CORPORATION
(24) HEALTH DYNAMICS INC 900 E OAK HILL AVENUE KNOXVILLE,TN37917 62-1247729	MEDICAL EQUIPMENT SALES	TN	NA	C CORPORATION
(25) HEALTH VENTURES INC & SUBSIDIARIES P O BOX 1788 KNOXVILLE,TN37901 62-1175587	MEDICAL SERVICES	TN	NA	C CORPORATION

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) HMHP DEVELOPMENT FOUNDATION	C	1,657,755	GAAP
(2) THE ASSUMPTION VILLAGE	N	201,298	GAAP
(3) HUMILITY HOUSE	N	101,269	GAAP
(4) THE ASSUMPTION VILLAGE	P	287,538	GAAP
(5) HUMILITY HOUSE	P	144,655	GAAP
(6) LAUREL LAKE RETIREMENT COMMUNITY	P	2,495,244	GAAP
(7) UROLOGIC ONCOLOGY OF MAHONING VALLEY	A	284,138	GAAP

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

1	Briefly describe the organization’s mission or most significant activities: HMHP IS A NON-PROFIT INTEGRATED HEALTH SYSTEM COMPRISED OF ST. ELIZABETH HEALTH CENTER (YOUNGSTOWN), ST. JOSEPH HEALTH CENTER (WARREN), ST. ELIZABETH BOARDMAN HEALTH CENTER (BOARDMAN), HM HOME HEALTH SERVICES, THE ASSUMPTION VILLAGE (NORTH LIMA), HUMILITY HOUSE (AUSTINTOWN), HOSPICE OF THE VALLEY AND LAUREL LAKE RETIREMENT CENTER (HUDSON). FOUNDED BY THE SISTERS OF THE HUMILITY OF MARY ALMOST 100 YEARS AGO, HMHP HAS REMAINED STEADFAST IN ITS MISSION OF PROVIDING HEALTH CARE SERVICES TO ALL REGARDLESS OF ABLITY TO PAY. HMHP'S CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE ARE PROMOTED WITHIN EACH ENTITY. BLENDING PIONEERING TECHNOLOGY AND INNOVATIVE EQUIPMENT WITH COMPASSIONATE SERVICE TO PROVIDE THE BEST CARE POSSIBLE. HMHP STRIVES TO DELIVER CLINICAL EXCELLENCE, COMBINED WITH UNSURPASSED SERVICE, IN AN ATMOSPHERE OF COMFORT, INDIVIDUALIZED ATTENTION AND SPIRITUALITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	12
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	5,423
6	Total number of volunteers (estimate if necessary) ....	6	577
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	4,303,616
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	433,946

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,887,051	4,083,699
9	Program service revenue (Part VIII, line 2g) .........	551,676,279	555,980,402
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,128,732	16,227,762
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	7,303,959	6,785,134
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	567,996,021	583,076,997
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	87,920	77,640
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	249,618,810	251,358,849
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	281,816,658	291,004,076
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	531,523,388	542,440,565
19	Revenue less expenses. Subtract line 18 from line 12......	36,472,633	40,636,432
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	623,166,516	665,649,754
21	Total liabilities (Part X, line 26)............	253,655,264	248,730,390
22	Net assets or fund balances. Subtract line 21 from line 20 .....	369,511,252	416,919,364

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 28,898,685 including grants of $ 0 ) (Revenue $ 24,993,383 )
	TRAUMA SERVICES: ST. ELIZABETH AND ST. JOSEPH HEALTH CENTERS FORM THE REGION'S ONLY TRAUMA NETWORK. ST. ELIZABETH HEALTH CENTER (SEHC) IS THE REGION'S ONLY LEVEL I TRAUMA CENTER - THE HIGHEST LEVEL POSSIBLE - FOR ADULTS. ST. JOSEPH HEALTH CENTER (SJHC) IS THE FIRST, AND MOST EXPERIENCED, LEVEL III TRAUMA CENTER IN TRUMBULL COUNTY. TOGETHER WITH A FLEET OF MOBILE INTENSIVE CARE UNITS, THESE TRAUMA FACILITIES AND TRAUMA PROFESSIONALS PROVIDE QUALITY CARE AT A MOMENT'S NOTICE. THIS REGIONAL TRAUMA NETWORK ASSURES THAT EVEN THE MOST SEVERELY INJURED PATIENTS CAN RECEIVE THE TREATMENT THEY NEED CLOSE TO HOME. AS A LEVEL I TRAUMA CENTER, SEHC HAS THE RESOURCES NECESSARY TO CARE FOR THE MOST SERIOUSLY INJURED PATIENTS. SJHC'S LEVEL III FACILITY IS A TRAUMA CENTER WITH A HIGHLY ORGANIZED SYSTEM FOR GETTING SERIOUSLY INJURED PATIENTS THE IMMEDIATE CARE THEY NEED AND PROVIDING APPROPRIATE HOSPITAL SERVICES TO CARE FOR TRAUMA PATIENTS. AS ONE OF ONLY 14 ACCREDITED LEVEL I ADULT AND/OR PEDIATRIC HOSPITAL TRAUMA CENTERS IN OHIO, THE SEHC TRAUMA TEAM CARED FOR 1,981 TRAUMA PATIENTS FROM OHIO, PENNSYLVANIA AND OTHER STATES IN 2010. THE SJHC TRAUMA TEAM CARED FOR 393 TRAUMA PATIENTS DURING 2010.

4b	(Code: ) (Expenses $ 23,346,333 including grants of $ 77,640 ) (Revenue $ 7,389,817 )
	HMHP'S PRIMARY TAX-EXEMPT PURPOSE IS TO PROVIDE HEALTH CARE TO THE NEEDY AND THE POOR. IN 2010, HMHP TREATED 62,958 CHARITY CARE PATIENTS (UNDUPLICATED INPATIENTS AND OUTPATIENTS) FOR A TOTAL OF 110,862 CASES. THE NUMBER OF CHARITY CARE PATIENTS REFLECTS AN INCREASE OF ALMOST 18% OVER 2009 CHARITY CARE NUMBERS. THE NET COST OF PROVIDING CARE TO THESE INDIVIDUALS WAS $15,956,516 IN 2010.

4c	(Code: ) (Expenses $ 13,413,444 including grants of $ 0 ) (Revenue $ 4,390,264 )
	MEDICAL EDUCATION: ST. ELIZABETH HEALTH CENTER IS A JOINT COMMISSION ACCREDITED TEACHING FACILITY OF THE NORTHEAST OHIO MEDICAL UNIVERSITY (NEOMED) AND OFFERS RESIDENCY PROGRAMS FOR POST-GRADUATE TRAINING IN GENERAL SURGERY, FAMILY MEDICINE, INTERNAL MEDICINE AND GENERAL DENTISTRY. A TRANSITIONAL RESIDENCY AND A PHARMACEUTICAL RESIDENCY ARE ALSO AVAILABLE. ALL MEDICAL AND DENTAL RESIDENCY PROGRAMS ARE FULLY ACCREDITED BY THE ACCREDITATION COUNCIL ON GRADUATE MEDICAL EDUCATION AND THE AMERICAN DENTAL ASSOCIATION. ST. JOSEPH HEALTH CENTER OFFERS AMERICAN OSTEOPATHIC ASSOCIATION ACCREDITED INTERNSHIP AND RESIDENCY MEDICAL EDUCATION PROGRAMS THROUGH OU-COM IN INTERNAL MEDICINE, FAMILY MEDICINE, ORTHOPEDIC SURGERY AND EMERGENCY MEDICINE. SJHC IS ALSO A MEMBER OF THE CORE SYSTEM. IN 2010, 24 PHYSICIANS GRADUATED FROM SEHC MEDICAL EDUCATION PROGRAMS - DENTAL RESIDENCY (4), FAMILY MEDICINE RESIDENCY (5), GENERAL SURGERY RESIDENCY (2), INTERNAL MEDICINE RESIDENCY (9) AND TRANSITIONAL RESIDENCY (4). IN 2010, 8 PHYSICIANS GRADUATED FROM SJHC MEDICAL EDUCATION PROGRAMS - EMERGENCY MEDICINE RESIDENCY (4), FAMILY MEDICINE RESIDENCY (1), INTERNAL MEDICINE RESIDENCY (1) AND ORTHOPEDIC SURGERY RESIDENCY (2).

	(Code: ) (Expenses $ 399,033,142 including grants of $ ) (Revenue $ )
	ALL OTHER PROGRAMS AND ACTIVITIES

4d	Other program services. (Describe in Schedule O.)
	(Expenses $ 399,033,142 including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 464,691,604

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	7,312,329	934,158	905,379

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 0

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		1,712,644
e	Government grants (contributions)1e		1,291,462

f	All other contributions, gifts, grants, and similar amounts not included above1f		1,079,593
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			4,083,699
			Business Code
2a	NET PATIENT SERVICE REVENUE		621,990	550,104,458	545,820,048	4,284,410
b	RENTAL INCOME FROM AFFILIATES		531,120	2,148,256	2,148,256
c	VENDOR CONTRACTS		900,099	1,972,985	1,972,985
d	EDUCATION/TRAINING		611,600	1,016,907	1,016,907
e	PARKING		812,930	282,971	282,971
f	All other program service revenue .			454,825	454,825	0	0
g	Total. Add lines 2a–2f........			555,980,402
3	Investment income (including dividends, interest
	and other similar amounts).....			3,062,226			3,062,226
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross Rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	13,805,882	96,530
b	Less: cost or other basis and sales expenses		736,876
c	Gain or (loss)	13,805,882	-640,346
d	Net gain or (loss)..........			13,165,536			13,165,536
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a		73,316
b	Less: direct expenses ...b		63,340
c	Net income or (loss) from fundraising events..			9,976			9,976
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a		478,594
b	Less: cost of goods sold ..b		376,993
c	Net income or (loss) from sales of inventory..			101,601			101,601
Miscellaneous Revenue			Business Code
11a	CAFETERIA		722,210	2,456,657			2,456,657
b	FOOD SERVICES		722,210	189,696			189,696
c	TELEPHONE/TELEVISION		517,000	11,596			11,596
d	All other revenue ....			4,015,608	0	19,206	3,996,402
e	Total. Add lines 11a–11d ......			6,673,557
12	Total revenue. See Instructions....			583,076,997	551,695,992	4,303,616	22,993,690


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			49,595,147	1	31,007,199
2	Savings and temporary cash investments .......				2
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			67,078,383	4	85,358,522
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			14,887,238	8	14,952,284
9	Prepaid expenses and deferred charges ............			6,435,550	9	4,269,493
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	712,013,721
b	Less: accumulated depreciation. .....	10b	486,242,912	241,355,048	10c	225,770,809
11	Investments—publicly traded securities ..........			2,097,740	11	2,545,567
12	Investments—other securities. See Part IV, line 11 ......				12	0
13	Investments—program-related. See Part IV, line 11 ..				13	0
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			241,717,410	15	301,745,880
16	Total assets. Add lines 1 through 15 (must equal line 34)...			623,166,516	16	665,649,754
17	Accounts payable and accrued expenses .			60,229,760	17	62,056,379
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			535,209	23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			192,890,295	25	186,674,011
26	Total liabilities. Add lines 17 through 25.....			253,655,264	26	248,730,390
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			367,003,646	27	414,052,561
28	Temporarily restricted net assets .....			2,507,606	28	2,866,803
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			369,511,252	33	416,919,364
34	Total liabilities and net assets/fund balances .....			623,166,516	34	665,649,754