Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
CATHOLIC HEALTH PARTNERS
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
615 Elsinore Place
 
Room/suite
City or town, state or country, and ZIP + 4
Cincinnati, OH45202
D Employer identification number

31-1161086
E Telephone number

G Gross receipts $ 194,577,283
F Name and address of principal officer:
JAMES GRAVELL
615 Elsinore Place
Cincinnati,OH45202
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.HEALTH-PARTNERS.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:
 
L Year of formation: 1985
M State of legal domicile: OH
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: CATHOLIC HEALTH PARTNERS (CHP) EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. CHP DEMONSTRATES BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE.
2 Check this box MediumBullet
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 16
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 415
6 Total number of volunteers (estimate if necessary) .... 6 16
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 2,048,465
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 246,145 1,500,250
9 Program service revenue (Part VIII, line 2g) ......... 181,813,544 197,466,645
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 74,207,708 -4,389,612
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 16,683,857 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 272,951,254 194,577,283
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 7,742 3,034
14 Benefits paid to or for members (Part IX, column (A), line 4) ....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 38,526,331 49,921,752
16a Professional fundraising fees (Part IX, column (A), line 11e)....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 132,371,374 148,584,968
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 170,905,447 198,509,754
19 Revenue less expenses. Subtract line 18 from line 12...... 102,045,807 -3,932,471
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 3,113,519,045 4,125,025,256
21 Total liabilities (Part X, line 26)............ 3,166,450,312 4,192,579,895
22 Net assets or fund balances. Subtract line 21 from line 20 ..... -52,931,267 -67,554,639
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signature
Big Right Arrow
Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4
Big Right Arrow




EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: CHP WILL PROVIDE ASSISTANCE, SUPPORT AND DIRECTION TO ALL OF THE HEALTH CARE INSTITUTIONS AND ACTIVITIES OPERATED AND MAINTAINED BY ITS SUBSIDIARIES. THE MISSION OF CHP IN PERFORMING THESE ACTIVITIES SHALL BE TO PROVIDE A MEANS BY WHICH THE SPONSORS MANIFEST THE HEALING MINISTRY OF JESUS. THROUGH GOVERNANCE, MANAGEMENT, DEVELOPMENT OF LEADERSHIP AND USE OF RESOURCES, CHP INTENDS TO GIVE SUBSTANCE AND DIRECTION TO A DYNAMIC CATHOLIC HEALTH MINISTRY.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 156,992,761 including grants of $ 3,034 ) (Revenue $ 197,466,645 )
CHP'S HOME OFFICE 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.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 156,992,761
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I
.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part II
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part V
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
Yes
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2...........
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
3,104
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
415
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ , GK , IC , NL , UK
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
18
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
16
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NC
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
JAMES GRAVELL
615 ELSINORE PLACE
CINCINNATI,OH45202
(513) 639-2800
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) KENNETH C PAGE
HEALTHSPAN CEO
50         X   100,096 263,066 44,165
(2) DONALD KOENIG
FORMER HIGHEST COMPENSATED EMPLOYEE
0           X 0 355,184 44,733
(3) SISTER MARILYN TROWBRIDGE SFP
TRUSTEE
2 X           0 0 0
(4) ANDREA PRICE
PRESIDENT & CEO, MHP-NORTHERN REGION
2       X     0 513,285 68,962
(5) JEFFREY A ASHIN
PRESIDENT & CEO, MHP-TN
2       X     0 403,762 18,477
(6) EDWIN M OLEY
PRESIDENT & CEO, CHPO
2       X     0 470,096 234,801
(7) MARK WIENER
PRESIDENT & CEO, CMHP
2       X     0 442,002 51,509
(8) STEVEN GRINNELL
PRESIDENT & CEO, MHP-KY
2       X     0 395,728 36,787
(9) DAVID NOWISKI
VICE PRESIDENT, FINANCE
50         X   453,165 0 46,844
(10) K BRENT SOMERS
TRUSTEE
2 X           1,306 0 0
(11) MYLES SHEEHAN SJ MD
TRUSTEE
2 X           0 0 0
(12) DEBORAH YOUNGBLOOD
VICE PRESIDENT, REVENUE CYCLE
50         X   356,259 0 49,845
(13) ROGER LOGAN
VICE PRESIDENT, PHYSICIAN AFFILIATIONS
50         X   357,946 0 41,479
(14) JON ABELES
SENIOR VICE PRESIDENT, TALENT MGMT & DIVERSITY
50         X   517,640 0 83,003
(15) THOMAS URBAN
FORMER KEY EMPLOYEE
0           X 0 506,495 106,603
(16) DEBORAH BLOOMFIELD
FORMER KEY EMPLOYEE
0           X 0 440,904 72,297
(17) JEROME JUDD
VICE PRESIDENT, TREASURY
50       X     347,145 0 87,375
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) REBECCA SYKES
SENIOR VICE PRESIDENT, CIO
50       X     713,771 0 154,787
(19) JOHN STARCHER JR
SENIOR VICE PRESIDENT, DIVISIONAL CEO
50       X     934,158 0 149,846
(20) ROBERT SHRODER
SENIOR VICE PRESIDENT & CEO, HMHP
2       X     764,290 0 86,772
(21) JAMES REBER
SENIOR VP, PRESIDENT & CEO, WCOH
2       X     764,431 0 169,864
(22) STEVEN MICKUS
SENIOR VICE PRESIDENT, CHP COO, DIVISIONAL CEO
50       X     1,473,700 0 289,519
(23) JAMES MAY
SENIOR VICE PRESIDENT, DIVISIONAL CEO
2       X     937,068 0 177,170
(24) DEBRA LONDON
FORMER KEY EMPLOYEE
0           X 0 555,634 40,369
(25) A DAVID JIMENEZ
DIVISIONAL CEO
2       X     1,104,107 1,685 144,414
(26) JAMES GRAVELL
SENIOR VICE PRESIDENT, TREASURER & CFO
50     X       855,934 0 149,080
(27) JANE CROWLEY
EXECUTIVE VICE PRESIDENT & CHIEF ADMIN OFFICER
50       X     1,044,097 0 250,416
(28) JEFFREY COPELAND
SENIOR VP, INSURANCE & PHYSICIAN SERVICES
50       X     646,417 0 136,666
(29) MICHAEL BEZNEY
SENIOR VICE PRESIDENT & GENERAL COUNSEL
50       X     989,916 0 141,709
(30) GLORIA YSASI-DIAZ
TRUSTEE
2 X           1,075 0 0
(31) SISTER PATRICIA VETRANO RSM
TRUSTEE
2 X           0 0 0
(32) KATHERINE VESTAL PHD
TRUSTEE
2 X           0 0 0
(33) JANET REID PHD
TRUSTEE
2 X           0 0 0
(34) JAMES PATTON CPA
BOARD CHAIR
4 X   X       224 0 0
(35) SISTER JEAN ORSUTO HM
TRUSTEE
2 X           0 0 0
(36) JOEL LEVINE JD
TRUSTEE
2 X           0 0 0
(37) DAVID LEACH MD
TRUSTEE
2 X           0 0 0
(38) SISTER JUNE KETTERER SGM
TRUSTEE
2 X           0 0 0
(39) SISTER GERALDINE HOYLER CSC CPA
TRUSTEE
2 X           0 0 0
(40) SISTER KATHLEEN ANN GREEN RSM
TRUSTEE
2 X           0 0 0
(41) SISTER JEANNE GLISKY SFP
TRUSTEE
2 X           0 0 0
(42) CATHLEEN P ELDRIDGE
VICE CHAIR
3 X   X       0 0 0
(43) MICHAEL CONNELLY
PRESIDENT & CEO
50 X   X       2,044,970 0 273,336
(44) GEORGE BO-LINN MD
TRUSTEE
2 X           0 0 0
(45) EVAN BENJAMIN MD
TRUSTEE
2 X           0 0 0
(46) KEVIN COOK
PRESIDENT & CEO, NEPA
2       X     0 339,984 24,010
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 14,407,715 4,687,825 3,174,838
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet116
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
CARDINAL HEALTH
7000 CARDINAL PLACE
DUBLIN,OH43017
MEDICAL PRODUCTS/SERVICES 219,844,013
DANIS BUILDING CONSTRUCTION CO
3233 NEWMARK DRIVE
MIAMISBURG,OH45342
CONSTRUCTION 59,431,241
DELL
7489 COLLECTION CENTER DRIVE
CHICAGO,IL60693
INFORMATION TECHNOLOGY 51,927,778
MEDTRONIC USA INC
12099 COLLECTION CENTER DRIVE
CHICAGO,IL60693
MEDICAL TECHNOLOGY 42,719,567
CATHOLIC HEALTH INITIATIVES
3900 OLYMPIC BLVD
ERLANGER,KY60693
CLINICAL ENGINEERING 26,277,682
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 MediumBullet1,686
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 1,500,250
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
 
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 1,500,250
 Program Service Revenue Business Code
2a REGIONAL ASSESSMENTS 541,610 41,349,183 41,349,183    
b AFFILIATE INTEREST 900,099 84,298,981 84,298,981    
c INCOME FROM JV & PARTNERSHIPS 900,003 9,982,293 9,560,877 421,416  
d CHP INSURANCE LTD 900,003 5,688,503 5,688,503    
e EXEMPT FUNCTION INCOME 621,980 56,147,685 54,520,636 1,627,049  
f All other program service revenue . 0 0 0 0
g Total. Add lines 2a–2f........MediumBullet 197,466,645
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 31,748,489     31,748,489
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 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).......MediumBullet 0      
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory -36,138,101  
b Less: cost or other basis and sales expenses    
c Gain or (loss) -36,138,101 0
d Net gain or (loss)..........MediumBullet -36,138,101     -36,138,101
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
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...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ......MediumBullet 0
12 Total revenue. See Instructions....MediumBullet 194,577,283 195,418,180 2,048,465 -4,389,612
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
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 3,034 3,034
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 0  
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 .... 14,833,563 11,718,515 3,115,048  
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 25,395,291 20,464,568 4,930,723  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 4,146,857 3,317,486 829,371  
9 Other employee benefits ....... 3,604,429 2,883,543 720,886  
10 Payroll taxes ........... 1,941,612 1,553,290 388,322  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 486,224   486,224  
c Accounting ........... 1,760,602   1,760,602  
d Lobbying ........... 0      
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 1,324,794 1,059,835 264,959  
g Other .......... 41,986,164 33,588,931 8,397,233  
12 Advertising and promotion .... 1,300 1,040 260  
13 Office expenses ....... 1,003,740 802,992 200,748  
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 7,947,865 6,358,292 1,589,573  
17 Travel ............ 1,280,296 1,024,237 256,059  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 2,944,695 2,355,756 588,939  
20 Interest ........... 75,933,334 60,746,667 15,186,667  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 13,186,421 10,549,137 2,637,284  
23 Insurance .............. 82,169 65,735 16,434  
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 TAXES 22,735   22,735  
b MISCELLANEOUS 624,629 499,703 124,926  
c
d
e
f All other expenses 0 0 0 0
25 Total functional expenses. Add lines 1 through 24f 198,509,754 156,992,761 41,516,993 0
26 Joint costs. Check here MediumBullet 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      
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing ..........   1  
2 Savings and temporary cash investments ....... 70,641,509 2 106,732,402
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 296,852,888 4 123,645,079
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 ..............   8  
9 Prepaid expenses and deferred charges ............ 4,118,074 9 5,933,639
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 119,273,257
b Less: accumulated depreciation. ..... 10b 47,384,894 33,188,718 10c 71,888,363
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ...... 1,238,871,196 12 2,197,846,397
13 Investments—program-related. See Part IV, line 11 .. 1,442,339,801 13 1,593,553,468
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 27,506,859 15 25,425,908
16 Total assets. Add lines 1 through 15 (must equal line 34)... 3,113,519,045 16 4,125,025,256
Liabilities 17 Accounts payable and accrued expenses . 58,275,944 17 134,475,727
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 1,779,440,387 20 2,168,691,869
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 ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 1,328,733,981 25 1,889,412,299
26 Total liabilities. Add lines 17 through 25..... 3,166,450,312 26 4,192,579,895
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... -52,989,688 27 -68,435,415
28 Temporarily restricted net assets ..... 58,421 28 880,776
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet 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 ..... -52,931,267 33 -67,554,639
34 Total liabilities and net assets/fund balances ..... 3,113,519,045 34 4,125,025,256
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
194,577,283
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
198,509,754
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
-3,932,471
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
-52,931,267
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-10,690,901
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
-67,554,639
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID: 10000128
Software Version: v2010.1.0
Form 990, Special Condition Description:
Special Condition Description
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.
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
CATHOLIC HEALTH PARTNERS
 
Employer identification number

31-1161086
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
No
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(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?
Yes No Yes No Yes No
(1) COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
 
340714704 3   No Yes   Yes   0
(2) ST RITA'S MEDICAL CENTER
 
341105619 3   No Yes   Yes   0
(3) HUMILITY OF MARY HEALTH PARTNERS
 
340505560 3   No Yes   Yes   0
(4) MERCY HEALTH PARTNERS - LOURDES INC
 
610600313 3   No Yes   Yes   0
(5) MERCY HEALTH PARTNERS - TENNESSEE
 
731627534 3   No Yes   Yes   0
(6) COMMUNITY MERCY HEALTH PARTNERS
 
310785684 3   No Yes   Yes   0
(7) MERCY HEALTH SYSTEM - NORTHERN REGION
 
341344482 3   No Yes   Yes   0
(8) MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
 
311063783 3   No Yes   Yes   0
(9) MERCY HEALTH PARTNERS - NORTHEAST PENNSYLVANIA
 
232813196 3   No Yes   Yes   0
Total                 0

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
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).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
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.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
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
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
CATHOLIC HEALTH PARTNERS
 
Employer identification number

31-1161086
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




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—
Special Rules
......................... 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)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
CATHOLIC HEALTH PARTNERS
 
Employer identification number

31-1161086
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




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
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 II
Name of organization
CATHOLIC HEALTH PARTNERS
 
Employer identification number

31-1161086
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
CATHOLIC HEALTH PARTNERS
 
Employer identification number

31-1161086
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
(c)
Use 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
(c)
Use 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
(c)
Use 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
(c)
Use 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
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
CATHOLIC HEALTH PARTNERS
 
Employer identification number

31-1161086
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
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.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$ 0
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
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

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
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
Organization's
Totals
(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? ......................................

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


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
No
(b)
Amount
1
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:
a
Volunteers? .........................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
10,721
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
301,630
j
Total. lines 1c through 1i ...................................
312,351
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
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”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
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).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
0
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
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 CHP'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT OUR SYSTEM. CHP FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND OUR HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES WE SERVE. TO CARRYOUT THESE EFFORTS, CHP 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 CHP FACILITIES WHERE THEY ARE TREATED.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID: 10000128
Software Version: v2010.1.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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
CATHOLIC HEALTH PARTNERS
 
Employer identification number

31-1161086
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 .......    
5
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? ............
6
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. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
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)? ....................................
9
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.
1a
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.
b
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 $  
2
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:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
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 ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................     0
b Buildings ................   540,184   540,184
c Leasehold improvements ............   1,537,109   1,537,109
d Equipment ................   35,077,397   35,077,397
e Other .................   82,118,567 47,384,894 34,733,673
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 71,888,363
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other 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 0  
(2)Closely-held equity interests 0  
(3)Other
(A) FUNDS HELD BY TRUSTEE
134,572,632 F

(B) BOARD DESIGNATED FUNDS
1,784,295,441 F

(C) FAS 157 PRIVATE EQUITY INVESTMENT ADJUSTMENT
7,694,781 F

(D) LONG TERM INVESTMENTS
271,283,543 F





Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 2,197,846,397
Part VIII
Investments—Program 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
(1) NOTES RECEIVABLE 1,593,553,468 F








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet 1,593,553,468
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
OTHER CURRENT LIABILITIES 6,880,009
SWAP LIABILITIES 1,882,532,290







Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,889,412,299
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

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) .................... 1 194,577,283
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 198,509,754
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 -3,932,471
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 0
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 0
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 -3,932,471
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 0
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1..................... 3 0
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 0
c Add lines 4a and 4b....................... 4c 0
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 0
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 0
e Add lines 2a through 2d...................... 2e 0
3 Subtract line 2e from line 1..................... 3 0
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 0
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 0
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
FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE COMPANY 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




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CATHOLIC HEALTH PARTNERS
 
Employer identification number

31-1161086
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. 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? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total
expenditures for region/investments
in region
CENTRAL AMERICA AND THE CARIBBEAN 0 0 PASSIVE INVESTMENTS   431,727,462
EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 PASSIVE INVESTMENTS   58,650,203
CENTRAL AMERICA AND THE CARIBBEAN 1 1 PROGRAM SERVICES SELF INSURANCE 886,927
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....      
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 1 1 491,264,592
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount of
of non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID: 10000128
Software Version: v2010.1.0



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
CATHOLIC HEALTH PARTNERS
 
Employer identification number

31-1161086
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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....
1b
Yes
 
2
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? ....
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
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.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
Yes
 
8
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 .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) KENNETH C PAGE (i)
(ii)
91,372
182,741
0
62,876
8,724
17,449
6,533
13,067
8,188
16,377
114,817
292,510
0
0
(2) DONALD KOENIG (i)
(ii)
0
299,489
0
54,165
0
1,530
0
30,072
0
14,661
0
399,917
0
0
(3) ANDREA PRICE (i)
(ii)
0
469,225
0
33,480
0
10,580
0
48,514
0
20,448
0
582,247
0
0
(4) JEFFREY A ASHIN (i)
(ii)
0
356,695
0
39,000
0
8,067
0
6,403
0
12,074
0
422,239
0
0
(5) EDWIN M OLEY (i)
(ii)
0
346,655
0
106,170
0
17,271
0
220,327
0
14,474
0
704,897
0
0
(6) MARK WIENER (i)
(ii)
0
351,931
0
84,186
0
5,885
0
26,317
0
25,192
0
493,511
0
0
(7) STEVEN GRINNELL (i)
(ii)
0
315,619
0
43,516
0
36,593
0
28,750
0
8,037
0
432,515
0
0
(8) DAVID NOWISKI (i)
(ii)
352,196
0
16,683
0
84,286
0
19,600
0
27,244
0
500,009
0
0
0
(9) DEBORAH YOUNGBLOOD (i)
(ii)
280,296
0
67,731
0
8,232
0
19,600
0
30,245
0
406,104
0
0
0
(10) ROGER LOGAN (i)
(ii)
263,578
0
62,268
0
32,100
0
17,150
0
24,329
0
399,425
0
0
0
(11) JON ABELES (i)
(ii)
346,234
0
94,938
0
76,468
0
59,762
0
23,241
0
600,643
0
0
0
(12) THOMAS URBAN (i)
(ii)
0
387,059
0
42,120
0
77,316
0
82,476
0
24,127
0
613,098
0
0
(13) DEBORAH BLOOMFIELD (i)
(ii)
0
351,691
0
79,800
0
9,413
0
57,387
0
14,910
0
513,201
0
0
(14) JEROME JUDD (i)
(ii)
259,032
0
64,341
0
23,772
0
64,990
0
22,385
0
434,520
0
0
0
(15) REBECCA SYKES (i)
(ii)
395,101
0
124,215
0
194,455
0
132,597
0
22,190
0
868,558
0
0
0
(16) JOHN STARCHER JR (i)
(ii)
500,356
0
184,208
0
249,594
0
123,176
0
26,670
0
1,084,004
0
0
0
(17) ROBERT SHRODER (i)
(ii)
394,135
0
160,841
0
209,314
0
62,781
0
23,991
0
851,062
0
0
0
(18) JAMES REBER (i)
(ii)
457,400
0
175,926
0
131,105
0
141,342
0
28,522
0
934,295
0
0
0
(19) STEVEN MICKUS (i)
(ii)
846,286
0
253,802
0
373,612
0
267,760
0
21,759
0
1,763,219
0
0
0
(20) JAMES MAY (i)
(ii)
539,480
0
210,106
0
187,482
0
146,085
0
31,085
0
1,114,238
0
0
0
(21) DEBRA LONDON (i)
(ii)
0
0
0
0
0
555,634
0
21,574
0
18,795
0
596,003
0
0
(22) A DAVID JIMENEZ (i)
(ii)
583,042
1,685
290,991
0
230,074
0
114,163
0
30,251
0
1,248,521
1,685
0
0
(23) JAMES GRAVELL (i)
(ii)
540,986
0
172,956
0
141,992
0
121,676
0
27,404
0
1,005,014
0
0
0
(24) JANE CROWLEY (i)
(ii)
653,733
0
240,869
0
149,495
0
217,950
0
32,466
0
1,294,513
0
0
0
(25) JEFFREY COPELAND (i)
(ii)
362,330
0
111,021
0
173,066
0
109,881
0
26,785
0
783,083
0
0
0
(26) MICHAEL BEZNEY (i)
(ii)
389,215
0
131,984
0
468,717
0
114,700
0
27,009
0
1,131,625
0
303,710
0
(27) MICHAEL CONNELLY (i)
(ii)
1,053,338
0
432,748
0
558,884
0
217,892
0
55,444
0
2,318,306
0
195,042
0
(28) KEVIN COOK (i)
(ii)
0
285,875
0
50,202
0
3,907
0
6,102
0
17,908
0
363,994
0
0
Schedule J (Form 990) 2010

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: JAMES PATTON, K. BRENT SOMERS, AND GLORIA YSASI-DIAZ. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE COMPENSATION.
Tax indemnification and gross-up payments Schedule J, Part I, Line 1a TAX INDEMNIFICATION AND GROSS-UP PAYMENTS WERE PROVIDED TO THE FOLLOWING LISTED INDIVIDUAL: DAVID NOWISKI. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE COMPENSATION.
Health or social club dues or initiation fees Schedule J, Part I, Line 1a BECASUE THE ORGANIZATION'S MISSION INCLUDES PROMOTING GOOD HEALTH FOR ALL, INCLUDING ITS OWN EMPLOYEES, THE ORGANIZATION PAYS PART OF THE MONTHLY DUES FOR MERCY HEALTHPLEX FACILITIES (RELATED ORGANIZATIONS WHICH ARE HEALTH CLUBS). THE BENEFIT IS AVAILABLE TO ALL EMPLOYEES, NOT JUST EXECUTIVES. THE BENEFIT WAS PROVIDED TO THE FOLLOWING LISTED INDIVIDUALS: MICHAEL CONNELLY, JAMES MAY, REBECCA SYKES, AND THOMAS URBAN. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE COMPENSATION.
Severance or change-of-control payment Schedule J, Part I, Line 4a SEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO LISTED INDIVIDUALS FOR SPECIFIED PERIODS. THE LISTED INDIVIDUALS EXECUTED RELEASES AND WAIVERS OF CLAIMS IN EXCHANGE FOR THE SEVERANCE BENEFITS. SALARY CONTINUATION AMOUNTS PROVIDED DURING THE REPORTING YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: DEBRA LONDON $557,482.
Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b THE 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 WITHHOLDING. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE: MICHAEL CONNELLY $292,365; MICHAEL BEZNEY $136,780; JEFFREY COPELAND $134,880; JANE CROWLEY $135,879; JAMES GRAVELL $111,170; A. DAVID JIMENEZ $212,477; JAMES MAY $132,881; STEVEN MICKUS $362,400; JAMES REBER $98,174; ROBERT SHRODER $178,540; JOHN STARCHER, JR. $224,469; REBECCA SYKES $151,468; THOMAS URBAN $65,043; JON ABELES $67,187; DEBRA LONDON $0.
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, 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 BOARD DETERMINES THE CEO'S INCENTIVE AWARD AND INCENTIVE AWARDS FOR OTHER LISTED INDIVIDUALS ARE DETERMINED BY THE LISTED INDIVIDUAL'S SUPERVISOR AND DISCLOSED TO THE BOARD. THE BOARD MAY AUTHORIZE MODIFIED INCENTIVE AWARDS WHEN APPROPRIATE IN ITS JUDGMENT.
TERMS AND CONDITIONS OF CHP EXECUTIVE RETENTION PLAN 457(F) SCHEDULE J, PART I, LINE 4B THE CHP EXECUTIVE 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 INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: MICHAEL BEZNEY $303,710; JEFFREY COPELAND $0; JANE CROWLEY $0; JAMES GRAVELL $0; JAMES MAY $0; STEVEN MICKUS $0; JOHN STARCHER, JR $0; REBECCA SYKES $0; JEROME JUDD $0.
TERMS AND CONDITIONS OF THE CHP DEFERRED COMPENSATION PLAN SCHEDULE J, PART I, LINE 4B THE CHP DEFERRED COMPENSATION PLAN IS A FROZEN PLAN. EXISTING ACCOUNTS ARE PAID ACCORDING TO PREVIOUS ELECTIONS. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO DEFERRED COMPENSATION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: MICHAEL CONNELLY $195,042.
TERMS AND CONDITIONS OF THE MHPSWO EXECUTIVE BENEFIT PLAN SCHEDULE J, PART I, LINE 4B THE MERCY HEALTH PARTNERS OF SOUTHWEST OHIO EXECUTIVE BENEFIT PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO ALL EXECUTIVE COUNCIL MEMBERS. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION. A BENEFIT IS CALCULATED FOR ANY INDIVIDUAL WHOSE COMPENSATION IS LIMITED IN THE QUALIFIED CASH BALANCE PLAN DUE TO INCOME WHICH EXCEEDS THE IRS MAXIMUM. THE BENEFIT IS BASED UPON FORM W-2 COMPENSATION AND IS EQUAL TO THE AMOUNT EXCLUDED FROM THE QUALIFIED PLAN. PARTICIPANTS MUST COMPLETE A TWO TIERED VESTING PROVISION. PARTICIPANTS MUST BE VESTED UNDER THE BASE QUALIFIED PLAN AND MUST COUNT 24 MONTHS AFTER TERMINATION DURING WHICH THEY DO NOT COMPETE WITH MERCY HEALTH PARTNERS OF SOUTHWEST OHIO. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO EXECUTIVE BENEFIT PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: DEBORAH BLOOMFIELD $0.
TERMS AND CONDITIONS OF THE HMHP EXECUTIVE BENEFIT 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.
Schedule J (Form 990) 2010

Additional Data


Software ID: 10000128
Software Version: v2010.1.0
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
CATHOLIC HEALTH PARTNERS
 
Employer identification number
31-1161086
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer
(i) Pool
financing
Yes No Yes No Yes No
A COUNTY OF LORAIN OHIO
 
34-6001704 543583JQ2 10-09-2003 327,700,000 REFINANCE PRIOR TAX-EXEMPT BOND DEBT AND PAY THE COSTS OF ISSUING SERIES 2003 BONDS   X   X   X
B COUNTY OF LORAIN OHIO
 
34-6001704 543583LE6 05-04-2006 450,000,000 ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP HOSPITAL FACILITIES AND PAY SERIES 2006 BONDS ISSUE COSTS X     X   X
C THE HEALTHEDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX
 
62-1220275 499523VL9 05-13-2008 375,000,000 ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP HOSPITAL FACILITIES AND PAY SERIES 2008 BONDS ISSUE COSTS   X   X   X
D COUNTY OF ALLEN OHIO (SERIES 2010A AND 2010B)
 
34-6400019 01757LCT1 04-15-2010 502,270,474 REFINANCE TAX-EXEMPT BOND DEBT, PAY SERIES 2010A AND 2010B ISSUE COST, FINANCE HOSPITAL FACILITIES   X   X   X
COUNTY OF ALLEN OHIO (SERIES 2010C AND 2010D)
 
34-6400019 01757LDW3 04-28-2010 195,000,000 FINANCE COST OF HOSPITAL FACILITES AND PAY COST OF ISSUANCE OF SERIES 2010C AND 2010D   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 112,645,000 279,650,000 0 0
2 Amount of bonds defeased . . . . 0 0 0 0
3 Total proceeds of issue . . . . 327,700,000 450,000,000 375,000,000 502,270,474
4 Gross proceeds in reserve funds . . 0 0 0 0
5 Capitalized interest from proceeds. 0 0 0 0
6 Proceeds in refunding escrow. . . . . 0 0 0 0
7 Issuance costs from proceeds . . . 2,788,900 3,484,159 1,651,981 5,112,739
8 Credit enhancement from proceeds. 7,553,724 7,901,897 621,407 0
9 Working capital expenditures from proceeds . . 0 0 0 0
10 Capital expenditures from proceeds . . 0 441,613,944 96,722,660 149,378,773
11 Other spent proceeds . . 0 0 0 43,486,107
12 Other unspent proceeds. . . 0 0 0 43,486,107
13 Year of substantial completion . . . 2003 2007 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X     X   X    
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . . X   X   X     X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X   X   X     X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X   X   X     X
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X   X   X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X     X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 % 0.40 % 0.10 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . .. . . . . . 0 % 0.40 % 0.10 % 0 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue? X   X   X     X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X   X
b Name of provider .  
 
 
 
 
 
 
 
c Term of hedge . . 0.0   0.0 0.0
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
 
 
 
 
 
 
 
c Term of GIC . . 0.0   0.0 0.0
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . . X     X   X   X
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID: 10000128
Software Version: v2010.1.0

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
CATHOLIC HEALTH PARTNERS
 
Employer identification number
31-1161086
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer
(i) Pool
financing
Yes No Yes No Yes No
A COUNTY OF LORAIN OHIO
 
34-6001704 543583JQ2 10-09-2003 327,700,000 REFINANCE PRIOR TAX-EXEMPT BOND DEBT AND PAY THE COSTS OF ISSUING SERIES 2003 BONDS   X   X   X
B COUNTY OF LORAIN OHIO
 
34-6001704 543583LE6 05-04-2006 450,000,000 ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP HOSPITAL FACILITIES AND PAY SERIES 2006 BONDS ISSUE COSTS X     X   X
C THE HEALTHEDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX
 
62-1220275 499523VL9 05-13-2008 375,000,000 ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP HOSPITAL FACILITIES AND PAY SERIES 2008 BONDS ISSUE COSTS   X   X   X
D COUNTY OF ALLEN OHIO (SERIES 2010A AND 2010B)
 
34-6400019 01757LCT1 04-15-2010 502,270,474 REFINANCE TAX-EXEMPT BOND DEBT, PAY SERIES 2010A AND 2010B ISSUE COST, FINANCE HOSPITAL FACILITIES   X   X   X
COUNTY OF ALLEN OHIO (SERIES 2010C AND 2010D)
 
34-6400019 01757LDW3 04-28-2010 195,000,000 FINANCE COST OF HOSPITAL FACILITES AND PAY COST OF ISSUANCE OF SERIES 2010C AND 2010D   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 112,645,000 279,650,000 0 0
2 Amount of bonds defeased . . . . 0 0 0 0
3 Total proceeds of issue . . . . 327,700,000 450,000,000 375,000,000 502,270,474
4 Gross proceeds in reserve funds . . 0 0 0 0
5 Capitalized interest from proceeds. 0 0 0 0
6 Proceeds in refunding escrow. . . . . 0 0 0 0
7 Issuance costs from proceeds . . . 2,788,900 3,484,159 1,651,981 5,112,739
8 Credit enhancement from proceeds. 7,553,724 7,901,897 621,407 0
9 Working capital expenditures from proceeds . . 0 0 0 0
10 Capital expenditures from proceeds . . 0 441,613,944 96,722,660 149,378,773
11 Other spent proceeds . . 0 0 0 43,486,107
12 Other unspent proceeds. . . 0 0 0 43,486,107
13 Year of substantial completion . . . 2003 2007 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X     X   X    
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . . X   X   X     X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X   X   X     X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X   X   X     X
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X   X   X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X     X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 % 0.40 % 0.10 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . .. . . . . . 0 % 0.40 % 0.10 % 0 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue? X   X   X     X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X   X
b Name of provider .  
 
 
 
 
 
 
 
c Term of hedge . . 0.0   0.0 0.0
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
 
 
 
 
 
 
 
c Term of GIC . . 0.0   0.0 0.0
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . . X     X   X   X
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID: 10000128
Software Version: v2010.1.0

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CATHOLIC HEALTH PARTNERS
 
Employer identification number

31-1161086
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?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
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?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
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
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?
Yes No
(1) CHAN HEALTHCARE AUDITORS
 
BD MEMBER SR. GERALDINE HOYLER, CSC IS ON THE BD OF MANAGERS FOR CHAN HEALTHCARE AUDITORS 4,399,971 INDEPENDENT CONTRACTOR   No
(2) PREMIER
 
BD MEMBER MICHAEL CONNELLY IS A BD MEMBER OF PREMIER 5,712,979 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




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
CATHOLIC HEALTH PARTNERS
 
Employer identification number

31-1161086
Identifier Return Reference Explanation
Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE CHP CORPORATE MEMBER SHALL CONSIST OF NO FEWER THAN FIVE NOR MORE THAN SEVEN PERSONS DESIGNATED BY THE DELIBERATIVE SPONSORS IN ACCORDANCE WITH THE CO-SPONSORSHIP AGREEMENT. NO PERSON MAY BE DESIGNATED OR CONTINUE TO SERVE ON THE CHP CORPORATE MEMBER UNLESS THAT PERSON EITHER IS A CONGREGATIONAL REPRESENTATIVE, A MEMBER OF THE SISTERS OF CHARITY OF MONTREAL, GREY NUNS, OR A MEMBER OF THE GOVERNING BOARD OF COVENANT.
Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a CHP CORPORATE MEMBER HAS THE RIGHT TO ELECT OR REMOVE TRUSTEES.
Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b THE SPONSORING CONGREGATIONS HAVE CERTAIN INHERENT RIGHTS TO APPROVE DECISIONS OF THE GOVERNING BODY.
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 MEMBERS OF MANAGEMENT ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. PRIOR TO THE START OF ALL BOARD AND COMMITTTEE MEETING MEMBERS ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST.
Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a THE ORGANIZATION'S FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES 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 ORGANIZATION'S BOARD OF TRUSTEES CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION OF THE CEO AND OTHER 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, AND TO PROVIDE ADVICE CONCERNING THE REASONABLENESS OF THE COMPENSATION OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES. THE COMMITTEE UTILIZES THAT ANALYSIS AND OTHER APPROPRIATE INFORMATION IN CONNECTION WITH ITS ANNUAL REVIEW AND DETERMINES THE RANGE FOR THE CEO'S COMPENSATION AND THE COMPENSATION RANGES FOR OTHER OFFICERS AND KEY EMPLOYEES. THE COMMITTEE DETERMINES THAT COMPENSATION WITHIN THESE RANGES IS REASONABLE AND IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS BENEFIT. INFORMATION WHICH THE COMMITTEE MAY CONSIDER CAN INCLUDE BUT IS NOT LIMITED TO THE PERFORMANCE OF AN INDIVIDUAL, THE PERFORMANCE OF THE ORGANIZATION, AN INDIVIDUAL'S LENGTH OF SERVICE, CREDENTIALS AND EXPERIENCE, THE ELEMENTS OF TOTAL COMPENSATION AND SALARY HISTORY, THE ORGANIZATION'S COMPENSATION TARGETS, AND COMPARABILITY DATA, INCLUDING THE DATA PREPARED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE COMMITTEE. THE COMMITTEE INCORPORATES A FORMAL PERFORMANCE APPRAISAL PROCESS IN THE CEO'S COMPENSATION REVIEW. IT UTILIZES A MULTI-PERSPECTIVE APPROACH AND PERFORMANCE MEASURES WHICH ARE LINKED TO THE ORGANIZATION'S LONG-TERM STRATEGIC PLAN, ACHIEVEMENT OF ANNUAL SYSTEM OBJECTIVES, AND PERSONAL OBJECTIVES. THE CEO IS NOT PRESENT WHEN THE COMMITTEE DISCUSSES AND ESTABLISHES HIS COMPENSATION. IN ADDITION, THE COMMITTEE DETERMINES IF THE THRESHOLD REQUIREMENTS FOR INCENTIVE AWARDS ARE MET, CONSISTING OF THE ORGANIZATION'S PERFORMANCE RESULTS FOR COMMUNITY BENEFIT, QUALITY, AND FINANCIAL PERFORMANCE. THE COMMITTEE RECOMMENDS TO THE FULL BOARD THE CEO'S INCENTIVE AWARD AND THE INCENTIVE AWARD LEVELS FOR WHICH OTHER LISTED INDIVIDUALS MAY BE ELIGIBLE. THE COMMITTEE'S REPORT CONCERNING SALARY RANGE ADJUSTMENTS AND INCENTIVE AWARDS AND THE BASIS FOR THE COMMITTEE'S DECISIONS GOES TO THE FULL BOARD FOR CONSIDERATION IN EXECUTIVE SESSION WHICH DOES NOT INCLUDE THE CEO OR OTHER OFFICERS OR KEY EMPLOYEES. THE FULL BOARD REVIEWS THE CEO'S PERFROMANCE AND DETERMINES THE ADJUSTMENTS TO BE MADE FOR THE CEO. FOR THE COO, CAO, EVP, AND SVP POSITIONS, ADJUSTMENTS AND INCENTIVE AWARDS ARE APPROVED BY THE ORGANIZATION'S CEO WITHIN SUCH BOARD-APPROVED PARAMETERS AND DISCLOSED TO THE COMMITTEE. ADJUSTMENTS AND AWARDS FOR OTHER LISTED INDIVIDUALS ARE APPROVED BY THE SUPERVISING EXECUTIVE WITHIN SUCH PARAMETERS, WITH REGIONAL BOARD APPROVAL WHEN APPROPRIATE, AND DISCLOSED TO THE COMMITTEE. INCENTIVE AWARDS ARE SUBJECT TO REPAYMENT IF THE ORGANIZATION MUST RESTATE FINANCIAL REPORTS DUE TO MATERIAL NONCOMPLIANCE WITH THE ORGANIZATION'S CODE OF RESPONSIBILITY AND STANDARDS OF REASONABLE CONDUCT.
Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b PLEASE REFER TO THE LINE 15A RESPONSE DIRECTLY ABOVE WHICH DESCRIBES THE PROCESS USED FOR BOTH THE TOP MANAGEMENT OFFICIAL AND FOR THE OTHER OFFICER AND KEY EMPLOYEES.
Public Disclosure Form 990, Part VI, Section C, Line 19 SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CHP WEBSITE (WWW.HEALTH-PARTNERS.ORG).
AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS BY LISTED PERSONS 990 PART VII SECTION A COLUMN (B) MICHAEL CONNELLY 1 MICHAEL BEZNEY 1 A. DAVID JIMENEZ 50 JAMES MAY 50 STEVEN MICKUS 50 JAMES REBER 50 ROBERT SHRODER 50 JOHN STARCHER, JR. 10 ANDREA PRICE 50 JEFFREY ASHIN 50 EDWIN M. OLEY 50 MARK WIENER 50 STEVEN GRINNELL 50 THOMAS URBAN 50 DEBORAH BLOOMFIELD 50 DONALD KOENIG 50 KEVIN COOK 50
Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 10931671; AMORTIZATION OF SWAP AGREEMENTS - -72240; CAPITAL CONTRIBUTIONS - 759483; NET ASSET TRANSFER FROM HEALTHSPAN, INC. - 735614; FAS 157 ADJUSTMENT - 1708621; PREMIER PURCHASING PARTNERS UNREPORTED NET INCOME - 66380; CHP INSURANCE LTD NET INCOME - -24820430;
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
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CATHOLIC HEALTH PARTNERS
 
Employer identification number

31-1161086
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) HEALTHSPAN LLC
225 PICTORIA DRIVE SUITE 320
CINCINNATI,OH45246
31-1431434
PPO OH 2,198,714 1,792,361 CATHOLIC 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
Yes No
(1) CATHOLIC HEALTHCARE PARTNERS FOUNDATION

615 ELSINORE PLACE

CINCINNATI,OH45202
20-1072726
FOUNDATION OH 501(C)(3) 7 CATHOLIC HEALTH PARTNERS
 
 
 
(2) CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT

615 ELSINORE PLACE

CINCINNATI,OH45202
20-8943658
HUD PARENT OH 501(C)(3) 9 CATHOLIC HEALTH PARTNERS
 
 
 
(3) CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST

615 ELSINORE PLACE

CINCINNATI,OH45202
31-6046304
RETIREMENT TRUST OH 501(C)(3) 8 CATHOLIC HEALTH PARTNERS
 
 
 
(4) 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
 
 
 
(5) COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM

3700 KOLBE ROAD

LORAIN,OH44053
27-0071694
REGIONAL HEALTH SYSTEM PARENT OH 501(C)(3) 11 - Type II CATHOLIC HEALTH PARTNERS
 
 
 
(6) 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
 
 
 
(7) ALLEN MEDICAL CENTER

200 WEST LORAIN ST

OBERLIN,OH44074
34-0864230
HOSPITAL OH 501(C)(3) 3 COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
 
 
 
(8) 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
 
 
 
(9) 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
 
 
 
(10) ALLEN MEDICAL CENTER FOUNDATION

200 WEST LORAIN ST

OBERLIN,OH44074
34-1675592
FOUNDATION OH 501(C)(3) 11 - Type I ALLEN MEDICAL CENTER
 
 
 
(11) 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
 
 
 
(12) MERCY HEALTH PARTNERS OF SOUTHWEST OHIO

4600 MCAULEY PLACE

CINCINNATI,OH45242
31-1063783
REGIONAL HEALTH SYSTEM PARENT OH 501(C)(3) 11 - Type III - FI CATHOLIC HEALTH PARTNERS
 
 
 
(13) 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
 
 
 
(14) MERCY HOSPITALS WEST

2446 KIPLING AVENUE

CINCINNATI,OH45239
31-1091597
HOSPITAL OH 501(C)(3) 3 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
 
 
 
(15) MERCY HOSPITAL ANDERSON

7500 STATE ROAD

CINCINNATI,OH45255
31-0537085
HOSPITAL OH 501(C)(3) 3 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
 
 
 
(16) 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
 
 
 
(17) 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
 
 
 
(18) 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
 
 
 
(19) 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
 
 
 
(20) MERCY SACRED HEART INC

2120 PAYNE STREET

LOUISVILLE,KY40206
61-1318326
RETIREMENT HOME KY 501(C)(3) 9 MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
 
 
 
(21) 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
 
 
 
(22) 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
 
 
 
(23) 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
 
 
 
(24) 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
 
 
 
(25) COMMUNITY MERCY HEALTH SYSTEM

ONE S LIMESTONE ST

SPRINGFIELD,OH45502
30-0272454
REGIONAL HEALTH SYSTEM PARENT OH 501(C)(3) 11 - Type III - FI CATHOLIC HEALTH PARTNERS
 
 
 
(26) COMMUNITY MERCY HEALTH PARTNERS

ONE S LIMESTONE ST

SPRINGFIELD,OH45502
31-0785684
HOSPITAL OH 501(C)(3) 3 COMMUNITY MERCY HEALTH SYSTEM
 
 
 
(27) THE COMMUNITY MERCY FOUNDATION

1343 N FOUNTAIN BLVD

SPRINGFIELD,OH45504
31-1443778
FOUNDATION OH 501(C)(3) 7 COMMUNITY MERCY HEALTH SYSTEM
 
 
 
(28) COMMUNITY HOSPITAL HEALTH SERVICES COMPANY

ONE S LIMESTONE ST

SPRINGFIELD,OH45502
31-1181984
HEALTH SERVICES OH 501(C)(3) 3 COMMUNITY MERCY HEALTH SYSTEM
 
 
 
(29) CLARK & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE

1150 E HOME ROAD

SPRINGFIELD,OH45503
26-0698515
MEDICAL INFORMATION EXCHANGE OH 501(C)(3) 9 NA
 
 
 
(30) 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
 
 
 
(31) MERCY HEALTH SYSTEM - NORTHERN REGION

2200 JEFFERSON AVENUE

TOLEDO,OH43604
34-1344482
REGIONAL HEALTH SYSTEM PARENT OH 501(C)(3) 11 - Type III - FI CATHOLIC HEALTH PARTNERS
 
 
 
(32) 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
 
 
 
(33) 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
 
 
 
(34) RIVERSIDE MERCY HOSPITAL

3404 W SYLVANIA AVE

TOLEDO,OH43623
31-1556401
HOSPITAL OH 501(C)(3) 3 MERCY HEALTH SYSTEM - NORTHERN REGION
 
 
 
(35) MERCY HOME CARE INC

2200 JEFFERSON AVENUE

TOLEDO,OH43604
34-1587572
HOME HEALTHCARE OH 501(C)(3) 9 MERCY HEALTH SYSTEM - NORTHERN REGION
 
 
 
(36) MERCY COLLEGE OF NORTHWEST OHIO

2221 MADISON AVENUE

TOLEDO,OH43604
34-1726619
MEDICAL COLLEGE OH 501(C)(3) 2 MERCY HEALTH SYSTEM - NORTHERN REGION
 
 
 
(37) 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
 
 
 
(38) MERCY HOSPITAL OF TIFFIN OHIO

45 ST LAWRENCE DRIVE

TIFFIN,OH44883
34-4431174
HOSPITAL OH 501(C)(3) 3 MERCY HEALTH SYSTEM - NORTHERN REGION
 
 
 
(39) 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
 
 
 
(40) 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
 
 
 
(41) 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
 
 
 
(42) ST VINCENT MERCY MEDICAL CENTER

2213 CHERRY STREET

TOLEDO,OH43608
34-4428250
HOSPITAL OH 501(C)(3) 3 MERCY HEALTH SYSTEM - NORTHERN REGION
 
 
 
(43) 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
 
 
 
(44) LIFESTAR AMBULANCE INC

2200 JEFFERSON AVENUE

TOLEDO,OH43604
34-1354653
MEDICAL TRANSPORTATION OH 501(C)(3) 11 - Type II MERCY HEALTH SYSTEM - NORTHERN REGION
 
 
 
(45) RSM MEDICAL FOUNDATION

2200 JEFFERSON AVENUE

TOLEDO,OH43624
34-1693671
HEALTH SERVICES OH 501(C)(3) 3 MERCY HEALTH SYSTEM - NORTHERN REGION
 
 
 
(46) ST MARGUERITE D'YOUVILLE FOUNDATION II

2213 CHERRY STREET

TOLEDO,OH43608
13-4350655
FOUNDATION OH 501(C)(3) 11 - Type II CATHOLIC HEALTH PARTNERS
 
 
 
(47) 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
 
 
 
(48) FARLEY HEALTHCARE CORPORATION

2200 JEFFERSON AVENUE

TOLEDO,OH43604
34-1363204
HEALTH SERVICES OH 501(C)(3) 9 MERCY HEALTH SYSTEM - NORTHERN REGION
 
 
 
(49) ST RITA'S MEDICAL CENTER

730 W MARKET STREET

LIMA,OH45801
34-1105619
HOSPITAL OH 501(C)(3) 3 CATHOLIC HEALTH PARTNERS
 
 
 
(50) SRHC FOUNDATION

730 W MARKET STREET

LIMA,OH45801
34-1368429
FOUNDATION OH 501(C)(3) 11 - Type III - FI ST RITA'S MEDICAL CENTER
 
 
 
(51) 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
 
 
 
(52) HUMILITY OF MARY HEALTH PARTNERS

1044 BELMONT AVENUE

YOUNGSTOWN,OH44501
34-0505560
HOSPITAL OH 501(C)(3) 3 CATHOLIC HEALTH PARTNERS
 
 
 
(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 HEALTH SYSTEM 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 HEALTH SYSTEM 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
HEALTH SERVICES 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
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 V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No 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 NA
 
N/A                
(10) ST ELIZABETH SOUTHWOODS IMAGING

250 DEBARTOLO PLACE BLDG B
YOUNGSTOWN,OH44512
26-1626482
DIAGNOSTIC IMAGING OH NA
 
N/A                
(11) UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC

1044 BELMONT AVE
YOUNGSTOWN,OH44501
26-2989686
RADIATION THERAPY OH NA
 
N/A                
(12) HMHPUSP SURGERY CENTERS LLC

15305 DALLAS PKWY STE 1600
ADDISON,TX75001
27-1953122
SURGERY CENTER TX NA
 
N/A                
(13) OSC-HMHP LLC

6505 MARKET ST BLDG B STE 101
BOARDMAN,OH44512
01-0724836
ORTHOPEDIC SURGERY CENTER OH NA
 
N/A                
(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)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership


(1) CHP INSURANCE LTD
615 ELSINORE PLACE
CINCINNATI,OH45202
98-0621978
INSURANCE CJ NA
 
C CORPORATION 20,575,195 177,174,830 100 %
(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
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
No
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 . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
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) MERCY HEALTH PARTNERS OF SOUTHWEST OHIO

A 19,417,732 GAAP
(2) COMMUNITY MERCY HEALTH PARTNERS

A 4,885,852 GAAP
(3) MERCY HEALTH PARTNERS - NORTHERN REGION

A 12,149,411 GAAP
(4) COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER

A 3,586,417 GAAP
(5) ST RITA'S MEDICAL CENTER

A 7,851,911 GAAP
(6) MERCY HEALTH PARTNERS - TENNESSEE REGION

A 17,848,853 GAAP
(7) MERCY HEALTH PARTNERS - KENTUCKY REGION

A 3,203,162 GAAP
(8) MERCY HEALTH PARTNERS - NORTHEAST REGION

A 3,441,578 GAAP
(9) HUMILITY OF MARY HEALTH PARTNERS

A 11,914,065 GAAP
(10) COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER

R 2,274,516 GAAP
(11) HUMILITY OF MARY HEALTH PARTNERS

R 5,799,720 GAAP
(12) COMMUNITY MERCY HEALTH PARTNERS

R 3,219,156 GAAP
(13) MERCY HEALTH PARTNERS OF SOUTHWEST OHIO

R 7,870,227 GAAP
(14) ST RITA'S MEDICAL CENTER

R 3,604,008 GAAP
(15) MERCY HEALTH PARTNERS - NORTHEAST REGION

R 1,930,080 GAAP
(16) MERCY HEALTH PARTNERS - KENTUCKY REGION

R 2,057,028 GAAP
(17) MERCY HEALTH PARTNERS - NORTHERN REGION

R 8,303,460 GAAP
(18) MERCY HEALTH PARTNERS -TENNESSEE REGION

R 6,290,988 GAAP
(19) MERCY HEALTH PARTNERS OF SOUTHWEST OHIO

D 359,143,828 GAAP
(20) COMMUNITY MERCY HEALTH PARTNERS

D 118,766,124 GAAP
(21) MERCY HEALTH PARTNERS - NORTHERN REGION

D 206,830,258 GAAP
(22) COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER

D 62,098,236 GAAP
(23) ST RITA'S MEDICAL CENTER

D 131,588,352 GAAP
(24) MERCY HEALTH PARTNERS - TENNESSEE REGION

D 307,940,132 GAAP
(25) MERCY HEALTH PARTNERS - KENTUCKY REGION

D 53,403,853 GAAP
(26) MERCY HEALTH PARTNERS - NORTHEAST REGION

D 60,026,908 GAAP
(27) HUMILITY OF MARY HEALTH PARTNERS

D 200,762,810 GAAP
(28) CATHOLIC HEALTHCARE PARTNERS FOUNDATION

B 1,956,000 GAAP
(29) CATHOLIC HEALTHCARE PARTNERS FOUNDATION

C 1,500,250 GAAP
Schedule R (Form 990) 2010
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 V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
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