TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) RALPH ALVARADO MEDICAL STAFF REPRESENTATIVE	10	X		0	0	0
(2) MIKE ADES BOARD OF DIRECTORS	2	X		0	0	0
(3) JEFF AMBURGEY BOARD OF DIRECTORS	2	X		0	0	0
(4) JEFF BROTHER BOARD OF DIRECTORS	2	X		0	0	0
(5) DAVID BROWN BOARD OF DIRECTORS	2	X		0	0	0
(6) MIKE FIECHTER CHAIR	3	X	X	0	0	0
(7) ROBERT GRANACHER BOARD OF DIRECTORS	2	X		0	0	0
(8) LYNN HEPER BOARD OF DIRECTORS	2	X		0	0	0
(9) BOB HEWETT VICE CHAIR	3	X	X	0	0	0
(10) MILLER HOFFMAN BOARD OF DIRECTORS	2	X		0	0	0
(11) MAUREEN MAXFIELD BOARD OF DIRECTORS	2	X		0	0	0
(12) PAT RUTHERFORD BOARD OF DIRECTORS	2	X		0	0	0
(13) MICHAEL STAHL BOARD OF DIRECTORS	2	X		0	0	0
(14) LIZ WENDELN SECRETARY	3	X	X	0	0	0
(15) GARY ERMERS CHIEF FINANCIAL OFFICER	60		X	506,498	0	80,361
(16) FRANK DELZER TREASURER	3	X	X	0	0	0
(17) EUGENE WOODS CHIEF EXECUTIVE OFFICER	60	X	X	0	706,094	41,040

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MICHAEL ROWAN CHI COO	2	X					0	1,341,312	185,967
(19) BRUCE KLOCKARS INTERIM CHIEF EXECUTIVE OFFICER	60	X	X				0	455,880	41,662
(20) ROBERT BROCK VP FINANCE & BUSINESS DEVELOPMENT	60			X			256,458	0	29,613
(21) EDWARD CARTHEW CHIEF HUMAN RESOURCES OFFICER	60			X			344,041	0	53,085
(22) VIRGINIA DEMPSEY PRESIDENT-LONDON	60			X			411,294	0	60,053
(23) MELINDA EVANS VP FINANCE/SJHS CAO	60			X			241,506	0	23,978
(24) GREG GERARD PRESIDENT-BEREA & INTERIM PRESIDENT SJMS	60			X			250,222	0	45,984
(25) ERIC GILLIAM ADMINISTRATOR	60			X			195,549	0	35,301
(26) PEGGY GREEN COO/CNO-LONDON	60			X			226,698	0	25,355
(27) KEN HAYNES PRESIDENT-SJH	60			X			543,071	0	80,419
(28) CARMEL JONES COO/VP FINANCE	60			X			22,410	178,445	36,587
(29) CHRISTINE MAYS COO/CNE	60			X			301,636	0	46,006
(30) MARK STREETY CHIEF INNOVATION OFFICER	60			X			382,171	0	67,400
(31) KATHY STUMBO PRESIDENT-MARTIN	60			X			234,201	0	60,601
(32) DANIEL VARGA CHIEF MEDICAL OFFICER	60			X			557,731	0	76,439
(33) CARLA WALTER CORP RESP & PRIVACY OFFICER	60			X			165,262	0	29,425
(34) SATHYENDRA MYSORE ANESTHESIOLOGIST	60				X		583,222	0	43,582
(35) JEFFREY MILAM ANESTHESIOLOGIST	60				X		524,880	0	35,930
(36) SHAILESH BHOPATKAR ANESTHESIOLOGIST	60				X		470,119	0	42,836
(37) AMJAD ALI HOSPITALIST PHYSICIAN	60				X		385,084	0	43,086
(38) JAMES SHOPTAW CARDIOVASCULAR SURGEON	60				X		366,741	0	38,732
(39) PATRICK ROMANO FORMER PRESIDENT-SJMS	0					X	122,618	0	17,577

(A) Name and business address	(B) Description of services	(C) Compensation
BRASFIELD & GORRIE PO BOX 11407 BIRMINGHAM,AL352460351	GENERAL CONTRACTOR	16,727,901
ANESTHESIA ASSOCIATES PO BOX 23261 LEXINGTON,KY405023400	ANESTHESIA SERVICES	3,451,634
EAGLE HOSPITAL PHYSICIANS 5901C PEACHTREE DUNWOODY RD STE 350 ATLANTA,GA30328	HOSPITALISTS	2,476,143
LOGAN'S HEALTHCARE INC PO BOX 643958 CINCINNATI,OH452643958	LAUNDRY & LINEN SERVICES	2,431,533
DOCUMENTATION SERVICES GROUP 10161 CENTURION PKWY SUITE 170 JACKSONVILLE,FL32256	MED TRANSCRIPTION	2,164,334
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 58

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	322,774	322,774
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 ....	5,156,170		5,156,170
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	230,396,082	146,042,396	84,353,686
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	12,908,645	9,810,570	3,098,075
9	Other employee benefits .......	34,760,988	26,070,741	8,690,247
10	Payroll taxes ...........	16,978,334	12,733,758	4,244,576
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	55,515		55,515
c	Accounting ...........	90,320		90,320
d	Lobbying ...........	0
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	0
g	Other ..........	98,143,877	88,316,989	9,826,888
12	Advertising and promotion ....	0
13	Office expenses .......	165,145,041	153,584,888	11,560,153
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	12,912,718	10,975,810	1,936,908
17	Travel ............	1,000,363	560,203	440,160
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	101,093	24,262	76,831
20	Interest ...........	11,125,852	11,125,852
21	Payments to affiliates .......	14,376,969		14,376,969
22	Depreciation, depletion, and amortization .....	39,092,051	17,591,423	21,500,628
23	Insurance ..............	6,821,572	6,753,356	68,216
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	UNRELATED BUSINESS TAXES	16,266	16,266
b	BAD DEBTS	65,411,113	65,411,113
c	INTERCOMPANY ALLOCATIONS	26,197,194	26,197,194
d	KENTUCKY STATE PROVIDER TAX	11,484,158	11,484,158
e	REPAIRS & MAINTENANCE	4,460,049	4,460,049
f	All other expenses	9,560,027	9,560,027	0	0
25	Total functional expenses. Add lines 1 through 24f	766,517,171	601,041,829	165,475,342	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation	0

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	879,326	1	113,782
2	Savings and temporary cash investments .......	47,181,397	2	48,531,721
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	121,011,667	4	124,269,730
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 .............	321,319	7	245,032
8	Inventories for sale or use ..............	9,820,894	8	10,136,054
9	Prepaid expenses and deferred charges ............	1,561,307	9	1,852,583
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	786,126,085
b	Less: accumulated depreciation. .....	10b	321,804,851	424,342,806	10c	464,321,234
11	Investments—publicly traded securities ..........	3,581,550	11	2,153,128
12	Investments—other securities. See Part IV, line 11 ......	96,925,055	12	111,475,893
13	Investments—program-related. See Part IV, line 11 ..	0	13	0
14	Intangible assets .........	6,390,840	14	7,607,585
15	Other assets. See Part IV, line 11 ...........	1,514,811	15	3,252,420
16	Total assets. Add lines 1 through 15 (must equal line 34)...	713,530,972	16	773,959,162
	17	Accounts payable and accrued expenses .	91,784,132	17	94,926,938
18	Grants payable ..........		18
19	Deferred revenue ..........	1,683,177	19	2,208,951
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	16,943	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities. Complete Part X of Schedule D.....	243,834,542	25	283,756,285
26	Total liabilities. Add lines 17 through 25.....	337,318,794	26	380,892,174
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	375,355,542	27	392,975,365
28	Temporarily restricted net assets .....	856,636	28	91,623
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	376,212,178	33	393,066,988
34	Total liabilities and net assets/fund balances .....	713,530,972	34	773,959,162

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SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

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

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

SAINT JOSEPH HEALTH SYSTEM INC

Employer identification number

61-1334601

Part I

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Type I

Type II

Type III - Functionally integrated

Type III - Other

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

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

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

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

Yes

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

11g(i)

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

11g(ii)

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

11g(iii)

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

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

Section A. Public Support

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

Section B. Total Support

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

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

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

Section C. Computation of Public Support Percentage

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

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

16a

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

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

17a

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

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

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

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

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

Section A. Public Support

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

Section B. Total Support

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

Section C. Computation of Public Support Percentage

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

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

Section D. Computation of Investment Income Percentage

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

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

19a

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

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

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

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

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

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

OMB No. 1545-0047

2010

Name of organization

SAINT JOSEPH HEALTH SYSTEM INC

Employer identification number

61-1334601

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

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

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

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

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

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

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

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

Page 1 of 1 of Part III

Name of organization
SAINT JOSEPH HEALTH SYSTEM INC

Employer identification number

61-1334601

Part III

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

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

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

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

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

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

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

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

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

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

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

Complete if the organization is described below.
SchCMd Bullet

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

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

SAINT JOSEPH HEALTH SYSTEM INC

Employer identification number

61-1334601

Part I-A

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

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

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

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

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

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

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

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

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

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

2a	Lobbying non-taxable amount

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

c	Total lobbying expenditures

d	Grassroots non-taxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

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

(a)

Yes

(b)

Amount

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

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

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

Yes

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

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

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

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

Yes

8,247

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

Yes

40,000

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

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

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

48,247

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Identifier	Return Reference	Explanation
EXPLANATION OF LOBBYING ACTIVITIES	SCHEDULE C, PART II-B	LINE 1B AND 1G: SAINT JOSEPH HEALTH SYSTEM (SJHS) HAS CONTRACTED WITH GENE HUFF FOR SERVICES INCLUDING LOBBYING ACTIVITIES ON BEHALF OF SJHS IN CONNECTION WITH KENTUCKY LEGISLATION THAT IS OF INTEREST TO THE HOSPITALS. HE ALSO MONITORS STATE LEGISLATIVE DEVELOPMENTS AND REPORTS TO SJHS ANY DEVELOPMENTS OR POTENTIAL DEVELOPMENTS THAT HE BECOMES AWARE OF THAT COULD AFFECT SJHS. IN ADDITION, OUTSIDE LEGAL COUNSEL PERFORMED LOBBYING ACTIVITIES ON BEHALF OF SJHS. LINE 1F: DUES WERE PAID TO AMERICAN HOSPITAL ASSOCIATION (AHA) AND CATHOLIC HOSPITAL ASSOCIATION (CHA) AND A PORTION OF THOSE DUES WERE USED FOR LOBBYING. THE AMOUNTS THAT ARE ALLOCATED TO LOBBYING ARE: AHA - $2,058 AND CHA - $6,189.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

SAINT JOSEPH HEALTH SYSTEM INC

Employer identification number

61-1334601

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


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

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

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

(ii)

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

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

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No

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


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

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

Yes No

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

Part V

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

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

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

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

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

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	17,135,233		17,135,233
b	Buildings ................	455,056,660	162,936,332	292,120,328
c	Leasehold improvements ............	4,971,705	3,771,598	1,200,107
d	Equipment ................	239,004,174	153,184,346	85,819,828
e	Other .................	69,958,313	1,912,575	68,045,738
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				464,321,234

Schedule D (Form 990) 2010

Page 3

Part VII

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

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives	0
(2)Closely-held equity interests	0
(3)Other (A) CHI OIP - FIXED INCOME	53,001,073	F
(B) CHI OIP - EQUITY SECURITIES	58,474,820	F







Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)	111,475,893

Part VIII

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

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









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

Part IX

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

(a) Description				(b) Book value









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

Part X

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

1.(a) Description of Liability		(b) Amount
Federal Income Taxes		0
INTERCOMPANY PAYABLE - CHI DEBT PROGRAM		283,273,466
ENVIRONMENTAL REMEDIATION		260,739
PROFESSIONAL STAFF FUND		167,041
SPECIAL PROGRAMS PAYABLE		51,949
CHECK CLEARING		3,090




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		283,756,285
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	777,611,381
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	766,506,183
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	11,105,198
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	11,105,198

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	SAINT JOSEPH HEALTH SYSTEM'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2011 READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. AS OF JUNE 30, 2011, CHI HAS CURRENT NET DEFERRED TAX ASSETS OF $2.1 MILLION AND A NONCURRENT NET DEFERRED TAX LIABILITY OF $5.4 MILLION RELATED TO THESE TAXABLE ACTIVITIES. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS."

Schedule D (Form 990) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

SAINT JOSEPH HEALTH SYSTEM INC

Employer identification number

61-1334601

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

100% 150% 200% Other

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

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

200% 250% 300% 350% 400% Other

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

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

Yes

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

Yes

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

Yes

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

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

Yes

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

Yes

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

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..		71,626	43,078,694	0	43,078,694	6.140 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .			71,807,997	52,468,056	19,339,941	2.760 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....			11,448,607	0	11,448,607	1.630 %
dTotal Charity Care and Means-Tested Government Programs .....	0	71,626	126,335,298	52,468,056	73,867,242	10.530 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	40	19,391	702,124	22,239	679,885	0.100 %
f Health professions education (from Worksheet 5) ..	11	222	797,975	5,588	792,387	0.110 %
g Subsidized health services (from Worksheet 6) ..	2	11	377,461	176,830	200,631	0.030 %
h Research (from Worksheet 7)			0		0	0 %
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	26	7,666	374,058	0	374,058	0.050 %
jTotal Other Benefits ...	79	27,290	2,251,618	204,657	2,046,961	0.290 %
kTotal. Add lines 7d and 7j. ..	79	98,916	128,586,916	52,672,713	75,914,203	10.820 %

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

Schedule H (Form 990) 2010

Page 2

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	1	30	210		210	0 %
2	Economic development					0	0 %
3	Community support	1		300		300	0 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members	1	16	1,000		1,000	0 %
6	Coalition building	1	991	7,803		7,803	0 %
7	Community health improvement advocacy	3	500	2,596		2,596	0 %
8	Workforce development					0	0 %
9	Other	3	31	76,775	210	76,565	0.010 %
10	Total	10	1,568	88,684	210	88,474	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

28,888,873

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

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

Section B. Medicare

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

205,168,773

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

264,892,943

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

-59,724,170

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?7 Name and address		Other (Describe)
1	SAINT JOSEPH HOSPITAL ONE SAINT JOSEPH DRIVE LEXINGTON,KY40504	X	X		X
2	SAINT JOSEPH EAST 150 NORTH EAGLE CREEK DRIVE LEXINGTON,KY40509	X	X		X
3	SAINT JOSEPH JESSAMINE 1250 KEENE ROAD NICHOLASVILLE,KY40356				X	AMBULATORY CARE CENTER
4	SAINT JOSEPH - MOUNT STERLING 225 FALCON DRIVE MOUNT STERLING,KY40353	X	X		X
5	SAINT JOSEPH - BEREA 305 ESTILL STREET BEREA,KY40403	X	X	X	X
6	SAINT JOSEPH - LONDON 1001 ST JOSEPH LANE LONDON,KY40741	X	X		X
7	SAINT JOSEPH - MARTIN 11203 MAIN STREET MARTIN,KY41649	X	X	X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

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

Name of Hospital Facility:

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

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

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

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

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

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

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

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

Identifier	ReturnReference	Explanation
Eligibility criteria for free or discounted care	Schedule H, Part I, Line 3c	WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO SAINT JOSEPH HEALTH SYSTEM, INC.) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY, IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG THE 69 URBAN AND RURAL COMMUNITIES IN 19 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. SAINT JOSEPH HEALTH SYSTEM, INC. BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	65,411,113
Costing Methodology used to calculate financial assistance	Schedule H, Part I, Line 7	A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING WORKSHEET 2 TO COMPUTE THE COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. WORKSHEET 2 WAS UTILIZED TO COMPUTE THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/11 USING THE FOLLOWING FORMULA: OPERATING EXPENSE (LESS NON-PATIENT CARE ACTIVITIES, MEDICARE PROVIDER TAXES, COMMUNITY BENEFIT EXPENSE AND COMMUNITY BUILDING EXPENSE) DIVIDED BY GROSS PATIENT REVENUE (LESS GROSS CHARGES FOR COMMUNITY BENEFIT PROGRAMS).
Bad debt expense - financial statement footnote	Schedule H, Part III, Line 4	THE COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 42.73%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. SAINT JOSEPH HEALTH SYSTEM, INC. DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. SAINT JOSEPH HEALTH SYSTEM, INC. DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY."
Community benefit & methodology for determining medicare costs	Schedule H, Part III, Line 8	USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. SAINT JOSEPH HEALTH SYSTEM, INC.'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE, WITH THE EXCEPTION OF SAINT JOSEPH BEREA AND SAINT JOSEPH MARTIN, WHICH ARE CRITICAL ACCESS HOSPITALS. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. BOTH SAINT JOSEPH BEREA AND SAINT JOSEPH MARTIN ARE DESIGNATED AS A CRITICAL ACCESS HOSPITAL ("CAH"). CAHS ARE RURAL COMMUNITY HOSPITALS THAT ARE CERTIFIED TO RECEIVE COST-BASED REIMBURSEMENT FROM MEDICARE. THE REIMBURSEMENT THAT CAHS RECEIVE IS INTENDED TO IMPROVE THEIR FINANCIAL PERFORMANCE AND THEREBY REDUCE HOSPITAL CLOSURES. CAHS ARE CERTIFIED UNDER A DIFFERENT SET OF MEDICARE CONDITIONS OF PARTICIPATION (COP). SHORTFALLS ARE CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COSTS OF CARING FOR PROGRAM BENEFICIARIES. BECAUSE SHORTFALLS ARE BASED ON COSTS, NOT CHARGES, SAINT JOSEPH BEREA AND SAINT JOSEPH MARTIN, DUE TO THEIR DESIGNATION AS A CAH, RECEIVED COST-BASED REIMBURSEMENT FOR MEDICARE PURPOSES, SAINT JOSEPH BEREA AND SAINT JOSEPH MARTIN WILL NOT EXPERIENCE MEDICARE RELATED SHORTFALLS. SAINT JOSEPH HEALTH SYSTEM, INC. BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIOLOGY AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS.
Collection practices for patients eligible for financial assistance	Schedule H, Part III, Line 9b	SAINT JOSEPH HEALTH SYSTEM, INC.'S (SJHS) DEBT COLLECTION POLICY PROVIDES THAT SJHS WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH SJHS' COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE SJHS' COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO SJHS FOR APPROPRIATE FOLLOW-UP. SAINT JOSEPH HEALTH SYSTEM, INC. REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT.
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	SAINT JOSEPH HEALTH SYSTEM, INC. (SJHS) INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, SJHS PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN SJHS' OUTPATIENT FACILITIES. IN ADDITION, SJHS REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER SJHS' FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. SJHS' REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON ENGLISH-SPEAKING INDIVIDUALS. SJHS' STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES.
Affiliated health care system	Schedule H, Part VI, Line 6	SAINT JOSEPH HEALTH SYSTEM, INC. ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $612 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2011 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES - INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN -- PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. SAINT JOSEPH HEALTH SYSTEM, INC. OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE SJHS' FOUNDATIONS, TO SERVE THE HEALTH CARE NEEDS OF THE KENTUCKY COMMUNITIES WE SERVE.
State filing of community benefit report	Schedule H, Part VI, Line 7	KY
NEEDS ASSESSMENT AND COMMUNITY INFORMATION	SCHEDULE H, PART VI, LINES 1,2,4 AND 5	SAINT JOSEPH HEALTH SYSTEM (SJHS) INCLUDES SAINT JOSEPH LEXINGTON, WHICH INCLUDES SAINT JOSEPH HOSPITAL, SAINT JOSEPH EAST, AND SAINT JOSEPH JESSAMINE RJ CORMAN AMBULATORY CARE CENTER, SAINT JOSEPH LONDON, SAINT JOSEPH BEREA, SAINT JOSEPH MARTIN, SAINT JOSEPH MOUNT STERLING, AND FLAGET MEMORIAL HOSPITAL. FOR TAX REPORTING PURPOSES, FLAGET MEMORIAL HOSPITAL IS NOT INCLUDED WITH SAINT JOSEPH HEALTH SYSTEM BECAUSE FLAGET MEMORIAL HOSPITAL WAS ORGANIZED AS A SEPARATE LEGAL ENTITY UNDER KENTUCKY LAW. THE SYSTEM, EXCLUDING FLAGET, HAS 827 LICENSED BEDS, 5,622 EMPLOYEES AND APPROXIMATELY 1,300 PHYSICIANS ON ITS MEDICAL STAFFS, INCLUDING MORE THAN 100 EMPLOYED PHYSICIANS. MOST OF THE FACILITIES HAVE FOUNDATIONS THAT ARE SEPARATE LEGAL ENTITIES. BY COMBINING THE TECHNOLOGY, SERVICES, EXPERTISE AND CARING OF EIGHT OF THE BEST HEALTH CARE FACILITIES IN THE REGION, EVERYONE IN EVERY COMMUNITY WE SERVE BENEFITS. TOGETHER AS SJHS, WE PROVIDE MORE STATE-OF-THE-ART CARE REACHING OUT TO MORE COMMUNITIES, MORE SPECIALISTS ABLE TO SERVE MORE PATIENTS, WITH THE LATEST TECHNOLOGY. SJHS' COMMITMENT TO COMMUNITY OUTREACH IS DEEPLY ROOTED IN THE WORK OF THE FOUNDING CONGREGATIONS OF RELIGIOUS WOMEN - THE SISTERS OF CHARITY OF NAZARETH, CONGREGATION OF DIVINE PROVIDENCE, AND THE SISTERS OF CHARITY OF CINCINNATI. THE HEART AND SOUL OF THESE PIONEER WOMEN IN HEALTH CARE WAS THEIR COMMITMENT TO COMMUNITY OUTREACH TO THE POOR AND UNDERSERVED. THIS TRADITION IS CARRIED ON TODAY IN EACH OF THE FACILITIES COMPRISING SJHS. MISSION THE MISSION OF SAINT JOSEPH HEALTH SYSTEM AND CATHOLIC HEALTH INITIATIVES IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. VISION OUR VISION IS TO LIVE UP TO OUR NAME AS ONE CHI: CATHOLIC: LIVING OUR MISSION AND CORE VALUES HEALTH: IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE *INITIATIVES: PIONEERING MODELS AND SYSTEMS OF CARE TO ENHANCE CARE DELIVERY TAX-EXEMPT PURPOSE THROUGHOUT SAINT JOSEPH HEALTH SYSTEM (SJHS), THE EMERGENCY DEPARTMENTS FREQUENTLY SERVE AS THE PRIMARY SOURCE OF CARE FOR MANY OF THE UNINSURED AND UNDERINSURED OF THEIR RESPECTIVE COMMUNITIES. THIS YEAR 209,404 OUTPATIENT VISITS WERE MADE TO THE EMERGENCY ROOMS THROUGHOUT THE SYSTEM. A HOSPITAL BOARD COMPRISED OF BUSINESS, PHYSICIAN, AND RELIGIOUS LEADERS ADVISES AND DIRECTS THE CEO ON ISSUES IMPACTING THE SYSTEM, AS WELL AS, STRATEGIC PLANNING AND COMMUNITY HEALTH NEEDS. ALL HOSPITALS PARTICIPATE IN MEDICARE, MEDICAID, CHAMPUS, TRICARE AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. COMMUNITY BENEFIT APPROACH OUR MISSION TO CREATE HEALTHY COMMUNITIES CONTINUALLY CHALLENGES US TO EXPLORE WITH REPRESENTATIVES OF BUSINESS, SOCIAL AGENCIES AND RELIGIOUS ORGANIZATIONS OPPORTUNITIES FOR ADDRESSING THE CHANGING NEEDS OF OUR COMMUNITIES. WE SEEK NEW WAYS TO EXTEND OUR HEALING MINISTRY THROUGH PROJECTS FOCUSED ON IMPROVING THE HEALTH AND QUALITY OF LIFE OF THOSE WE SERVE, ESPECIALLY THE POOR, THE UNDERINSURED AND UNINSURED. THROUGH THE ESTABLISHMENT OF A HEALTHY COMMUNITIES COUNCIL, SJHS IS WORKING WITH REPRESENTATIVES FROM EACH COMMUNITY WE SERVE TO IDENTIFY EXISTING PROGRAMS, EXPLORE COMMUNITY NEEDS THROUGHOUT THE SYSTEM AND DEVELOP PROJECTS. THE LOCATIONS AND DEMOGRAPHICS OF EACH COMMUNITY SERVED, BY FACILITY ARE ADDRESSED BELOW. PARTNERSHIPS ARE KEY TO THE SUCCESS OF ANY ENDEAVOR. PLANS OFTEN INCLUDE COLLABORATIVE EFFORTS WITH COUNTY HEALTH DEPARTMENTS, COMMUNITY AGENCIES, SCHOOL SYSTEMS, MENTAL HEALTH AGENCIES, AND COMMUNITY HEALTH CLINICS. SJHS FOLLOWS THE CATHOLIC HEALTH INITIATIVES STANDARDS AND GUIDELINES FOR THE PROVISION OF FINANCIAL ASSISTANCE. OUR INCOME GUIDELINES ARE BASED ON 130% OF THE HUD VERY LOW INCOME LEVELS. WE COMMUNICATE THIS CHARITY PROGRAM TO ALL PATIENTS THROUGH SIGNAGE, INFORMATION IN THE PATIENT HANDBOOK, AND ORAL COMMUNICATION. ANY PATIENT PRESENTING TO A FACILITY WITHOUT INSURANCE IS APPRISED OF THE AVAILABLE ASSISTANCE PROGRAMS INCLUDING CHARITY, MEDICAID, AND THE KENTUCKY HOSPITAL CARE PROGRAM. FINANCIAL COUNSELORS ARE AVAILABLE TO MEET WITH PATIENTS AND DISCUSS FINANCIAL ASSISTANCE OPTIONS. STAFF COUNSELORS ARE AT ALL FACILITIES IN THE REGISTRATION DEPARTMENT, IN THE EMERGENCY DEPARTMENT, AND AT ANY OFFSITE ANCILLARY LOCATION. FINANCIAL COUNSELORS ARE ALSO AVAILABLE BY PHONE AND DO A GREAT DEAL OF FOLLOW-UP WORK BY CONTACTING PATIENTS SOON TO BE TURNED OVER TO A COLLECTION AGENCY AS A LAST EFFORT TO COMMUNICATE AVAILABLE FINANCIAL ASSISTANCE ALTERNATIVES.
NEEDS ASSESSMENT AND COMMUNITY INFORMATION	SCHEDULE H, PART VI, LINES 1,2,4 AND 5	(CONTINUED) SAINT JOSEPH LEXINGTON SAINT JOSEPH HOSPITAL (SJH) AND SAINT JOSEPH EAST (SJE) ARE LOCATED IN FAYETTE COUNTY AND SAINT JOSEPH JESSAMINE RJ CORMAN AMBULATORY CARE CENTER (SJJ) IS LOCATED IN JESSAMINE COUNTY. AS OF THE 2010 CENSUS, FAYETTE COUNTY HAS A POPULATION OF 295,803 AND JESSAMINE COUNTY'S POPULATION IS 48,586. FAYETTE'S MEDIAN HOUSEHOLD INCOME, AS OF 2009, IS $46,386 WITH 17.4% OF THE POPULATION LIVING IN POVERTY. JESSAMINE COUNTY'S MEDIAN INCOME, AS OF 2009, IS $46,940 WITH 14.1% OF THE POPULATION LIVING IN POVERTY. THERE ARE TWO OTHER HOSPITALS IN FAYETTE COUNTY, CENTRAL BAPTIST HOSPITAL AND THE UNIVERSITY OF KENTUCKY. SAINT JOSEPH HOSPITAL WAS LEXINGTON'S FIRST HOSPITAL AND WAS FOUNDED IN 1877. SJH IS A 453-BED FACILITY, WITH A FULL RANGE OF SERVICES, INCLUDING THE NATIONALLY AWARD-WINNING HEART INSTITUTE AND LEADING-EDGE DA VINCI ROBOTIC SURGERY. ALSO KNOWN AS LEXINGTON'S "HEART HOSPITAL," SJH HAS PIONEERED MANY FIRSTS IN THE HEALTH CARE COMMUNITY. SAINT JOSEPH EAST, A COMMUNITY HOSPITAL WITH 152 BEDS, COMPLEMENTS SJH'S 134-YEAR HEALTH CARE MISSION THROUGH MULTIPLE SERVICES AND SPECIALTIES. AT SJE, MATERNAL AND CHILDCARE, CARDIOLOGY SERVICES, AMBULATORY SURGERY AND 24-HOUR EMERGENCY CARE ARE SUPPORTED THROUGH TRADITIONAL INPATIENT AND OUTPATIENT PROGRAMS. ADDITIONAL SPECIALTY SERVICES INCLUDE THE HEART INSTITUTE, BREAST CENTER, SLEEP WELLNESS CENTER AND THE CENTER FOR WEIGHT LOSS SURGERY. SAINT JOSEPH JESSAMINE RJ CORMAN AMBULATORY CARE CENTER OPENED ON JANUARY 2, 2009. IT IS JESSAMINE COUNTY'S FIRST AND ONLY FULL SERVICE, 24/7 EMERGENCY DEPARTMENT. IT ALSO PROVIDES DIAGNOSTIC IMAGING, LABORATORY SERVICES AND OFFICES FOR DOCTORS AND STAFF. SJH, SJE AND SJJ WORK WITH COMMUNITY PARTNERSHIPS IN AN EFFORT TO IMPROVE THE HEALTH STATUS OF ITS COMMUNITIES. THEY SUPPORT THE PARTICIPATION OF EMPLOYEES ON SEVERAL FOUNDATION AND COMMUNITY BOARDS. THEY SUPPORT, THROUGH MONETARY DONATIONS AND EMPLOYEE EDUCATORS, THE CONTINUING EDUCATION AND SUPPORT OF SEVERAL FOUNDATIONS WORKING FOR A HEALTHIER COMMUNITY (E.G., AMERICAN CANCER SOCIETY, RONALD MCDONALD HOUSE, YMCA BLACK ACHIEVERS, CAMP HORSIN' AROUND, AMERICAN HEART ASSOCIATION, AMERICAN DIABETES ASSOCIATION AND HABITAT FOR HUMANITY). SJH, SJE AND SJJ ALSO PARTICIPATE IN THE EDUCATION OF HEALTHY LIVING THROUGH OFFERING HAND HYGIENE, SLEEP WELLNESS, BARIATRIC AND DIABETES EDUCATION AT SCHOOLS AND BUSINESSES THROUGHOUT CENTRAL KENTUCKY. SJH AND SJE ALSO PARTICIPATE IN COLLABORATIONS WITH THE LOCAL GOVERNMENT, THE LEXINGTON-FAYETTE COUNTY HEALTH DEPARTMENT, AND OTHER HEALTH CARE FACILITIES TO EVALUATE AND IMPROVE COMMUNITY HEALTH. COMMUNITY OUTREACH FOR THE POOR SURGERY ON SUNDAY ANDY MOORE, MD, STARTED THE SURGERY ON SUNDAY (SOS) PROGRAM IN 2005 THANKS IN PART TO A $145,000 GRANT FROM CATHOLIC HEALTH INITIATIVES AND IN-KIND DONATIONS AMOUNTING TO $567,000. SINCE THE START, 2,000 OUTPATIENT SURGERIES HAVE BEEN PERFORMED. SOS NOW HAS 250 VOLUNTEER SURGEONS AND 450 OTHER MEDICAL AND NON-MEDICAL VOLUNTEERS. SJH NURSES PROVIDE A LARGE PORTION OF THE CARE. THE SURGERIES ARE PERFORMED IN DONATED SPACE WITHIN THE LEXINGTON SURGERY CENTER ON THE THIRD SUNDAY OF EVERY MONTH. PATIENTS ARE THE WORKING POOR WHO HAVE NO HEALTH INSURANCE. FOR INCOME-ELIGIBLE PATIENTS, ALL SERVICES AND SUPPLIES, FROM THE PRE-OPERATIVE VISIT WITH A VOLUNTEER SURGEON, TO THE IMAGING STUDIES, TO THE MEDICATIONS NEEDED BEFORE AND AFTER SURGERY, TO PHYSICAL THERAPY, TO THE POST-OPERATIVE APPOINTMENT, ARE FREE. IN RESPONSE TO THE GREAT NEED AND LONG WAITING LIST, SJH OFFERED ITS SURGICAL SPACE AND SUPPLIES TO ADD ANOTHER SUNDAY TO THE SOS ROTATION ONCE A QUARTER. SAINT JOSEPH CONTINUING CARE CLINIC SJH OPERATES A FREE HEALTH CLINIC FOR RESIDENTS OF CENTRAL KENTUCKY (PRIMARILY OF FAYETTE COUNTY) WHO ARE LOW-INCOME AND DO NOT QUALIFY FOR MEDICAID SERVICES. THE CLINIC PROVIDES PRIMARY HEALTH CARE SERVICES INCLUDING PHARMACEUTICALS. IN FISCAL YEAR 2011, THE CLINIC SERVED 1,885 PATIENTS DURING 2,825 VISITS AND PROVIDED $3,711,674 IN THE MARKET VALUE OF FREE MEDICATIONS. THE CLINIC ALSO BEGAN A REDESIGN PROCESS TO IDENTIFY WAYS TO BETTER SERVE PEOPLE WHO LEAVE THE HOSPITAL WITHOUT FOLLOW-UP CARE TO IMPROVE APPROPRIATE UTILIZATION OF SERVICES AND REDUCE READMISSIONS. PHARMAID PROGRAM AND PRESCRIPTION ASSISTANCE SJH, SJE AND SJJ STRIVE TO ENSURE PATIENTS HAVE THE PRESCRIPTIONS NEEDED TO FURTHER THEIR HEALING PROCESS WHEN THEY LEAVE THE FACILITY. A SOCIAL WORKER ASSISTS LOW-INCOME PATIENTS IN FINDING RESOURCES TO PROVIDE THEIR PRESCRIPTION MEDICATION AT LOW OR NO COST. IF THE MEDICATION IS NOT AVAILABLE THROUGH ONE OF THESE PROGRAMS, OR IF THE PATIENT DOES NOT QUALIFY, THE PASTORAL CARE TEAM UTILIZES A FUND TO HELP PATIENTS OBTAIN A THREE-DAY SUPPLY OF SELECTED MEDICATIONS AND A SEVEN-DAY SUPPLY OF MANY ANTIBIOTICS. BABY HEALTH SERVICE SJH PROVIDES SPACE AND UTILITIES TO BABY HEALTH SERVICE. BABY HEALTH SERVICE IS THE OLDEST CHILDREN'S HEALTH CLINIC IN THE COMMONWEALTH. BABY HEALTH SERVICE IS ABOUT HEALTHY FAMILIES AND A HEALTHIER COMMUNITY. ITS NAME MAY BE MISLEADING, AS ITS PATIENTS ARE CHILDREN AGE BIRTH TO 17 YEARS IN FAMILIES WITHOUT ANY FORM OF HEALTH INSURANCE AND WHOSE FAMILIES DO NOT QUALIFY FOR MEDICAID. ALL SERVICES ARE FREE FOR CHILDREN. WELL CHILD VISITS, SICK VISITS, MEDICATIONS, LAB TESTS AND IMMUNIZATIONS ARE PAID BY BABY HEALTH SERVICE. THE DOLLAR VALUE OF THE VOLUNTEER MEDICAL SERVICES AVERAGES NEARLY $300,000 ANNUALLY. STARTED IN 1914, THE NON-PROFIT HAS MORE THAN 90 YEARS OF SERVICE TO LEXINGTON'S CHILDREN AND FAMILIES. THE CLINIC IS OPEN MONDAY-FRIDAY FROM 7:30 A.M. UNTIL NOON. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY APPALACHIAN OUTREACH PROGRAM APPALACHIAN OUTREACH PROGRAM IS A COMMUNITY-BASED PROGRAM THAT PROVIDES HOME VISITS FOR PATIENTS DISCHARGED FROM SJH, SJE, SJB, SJMS AND SJL. THE SERVICES PROVIDED INCLUDE SPIRITUAL CARE, SOCIAL WORK, CLINICAL NUTRITION, AND DIETITIAN CONSULTATION/EDUCATION FOR THE PATIENT AND CAREGIVER/IMMEDIATE FAMILY. THE PROGRAM MADE 18,220 CONTACTS WITH PEOPLE IN FISCAL YEAR 2011 AS IT CELEBRATED ITS 25TH ANNIVERSARY. EASTERN KENTUCKY MOBILE CLINIC THE EASTERN KENTUCKY MOBILE HEALTH SERVICE PROVIDES PRIMARY MEDICAL/HEALTH SERVICES IN MORGAN, WOLFE AND LAWRENCE COUNTIES. THESE SITES ARE IN HIGH-RISK, VERY REMOTE RURAL AREAS OF EASTERN KENTUCKY. THE MOBILE HEALTH SERVICE UTILIZES A FORTY-FOOT LONG, EIGHT-FOOT WIDE AND TWELVE-FOOT TALL COACH TO DELIVER THE SERVICES. THE SERVICES PROVIDED INCLUDE HEALTH PROMOTION, PREVENTION, MONITORING OF ILLNESS AND REFERRALS. PRACTITIONERS ACCOMPLISH THIS THROUGH A PRIMARY CARE MODEL WHICH INCLUDES ASSESSMENTS, COUNSELING, EDUCATION, AND SCREENING. THE EASTERN KENTUCKY MOBILE HEALTH SERVICE IS IN AN EVOLUTIONARY PROCESS WITH THE ESTABLISHMENT OF PRIMARY CARE CLINICS, WITHIN OUR SIXTY COUNTY SERVICE AREA, PROVIDING TELEHEALTH CONNECTIVITY TO PRIMARY CARE AND SPECIALTY PHYSICIANS IN THE SAINT JOSEPH HEALTH SYSTEM NETWORK. PERINATAL EDUCATION SJE HAS A WELL ESTABLISHED COMMUNITY EDUCATION PROGRAM ON BREASTFEEDING, CHILDBIRTH PREPARATION, AND TEEN PARENT CARE FOR NEWBORNS. SJE ALSO HOSTS A MATERNITY FAIR ANNUALLY THAT PROVIDES EDUCATION TO HUNDREDS OF ATTENDEES.
NEEDS ASSESSMENT AND COMMUNITY INFORMATION	SCHEDULE H, PART VI, LINES 1,2,4 AND 5	(CONTINUED) EDUCATION OF MEDICAL/PARAMEDICAL PROFESSIONALS SJH, SJE AND SJJ SERVE AS CLINICAL EDUCATION SITES FOR MEDICAL PROFESSIONALS OFFERING CLASSES AND RESIDENCY PROGRAMS. HEALTH PROFESSIONALS INCLUDE MEDICAL STUDENTS, FAMILY PRACTICE RESIDENTS, PHARM D STUDENTS, PHYSICAL THERAPY STUDENTS, RESPIRATORY THERAPY STUDENTS, RADIOLOGY STUDENTS, NURSING STUDENTS, SOCIAL WORK STUDENTS, SURGICAL TECHNICIANS, AND STUDENTS EARNING MASTER'S DEGREES IN PUBLIC HEALTH. SAINT JOSEPH LONDON SAINT JOSEPH LONDON IS LOCATED IN LAUREL COUNTY IN THE CITY OF LONDON. SAINT JOSEPH LONDON (SJL) OPENED A NEW FACILITY ON AUGUST 19, 2010 THAT INCREASED ITS CAPACITY TO 120 BEDS. SJL PROVIDES A FULL RANGE OF MEDICAL, EMERGENCY, SURGICAL AND OBSTETRICAL SERVICES. THE NEW FACILITY FEATURES THE LATEST TECHNOLOGY INCLUDING EXPANDED AWARD-WINNING CARDIOVASCULAR SERVICES, LABOR AND DELIVERY ROOMS AND COMPREHENSIVE OUTPATIENT DIAGNOSTIC SERVICES. OTHER SERVICES PROVIDED IN THE COMMUNITY INCLUDE RESPIRATORY AND CARDIOVASCULAR CARE, PEDIATRICS, ORTHOPEDICS, NEUROLOGY, ENDOCRINOLOGY, AND SLEEP WELLNESS. THE HOSPITAL HAS HAD A LONG COMMITMENT TO PROVIDING A HEALING MINISTRY TO THE PEOPLE OF THE AREA. AS OF THE 2010 CENSUS DATA, LAUREL COUNTY HAS A POPULATION OF 58,849. THE CITY OF LONDON HAS A MEDIAN HOUSEHOLD INCOME OF $31,418. THE PERCENTAGE OF RESIDENTS IN LONDON WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINES IS 19.8%. THE HOSPITAL'S PRIMARY SERVICE AREA COVERS LAUREL, JACKSON, CLAY, AND WHITLEY COUNTIES. THESE COUNTIES HAVE A HIGH PERCENTAGE OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL. COMMUNITY OUTREACH FOR THE POOR PHARMACEUTICAL ASSISTANCE PROGRAM THE PHARMACEUTICAL ASSISTANCE PROGRAM WAS ESTABLISHED TO HELP UNINSURED AND UNDERINSURED INDIVIDUALS WITH THEIR MEDICATION NEEDS. SERVING LAUREL, WHITLEY, CLAY, AND KNOX COUNTIES, THE PROGRAM ADDRESSES MEDICATION NEEDS SPECIFIC TO CARDIAC, DIABETES, HYPERTENSION, CHOLESTEROL AND COPD. THROUGH THE PROGRAM 672 PEOPLE WERE ASSISTED WITH MORE THAN 1,132 FREE PRESCRIPTION MEDICATIONS PROVIDED BY PHARMACEUTICAL COMPANIES AT A MARKET VALUE OF $519,300. PART-TIME STAFF MEMBERS ASSIST INDIVIDUALS IN THE APPLICATION PROCESS AND WITH FOLLOW-UP NEEDS. SUMMER FEEDING PROGRAM ORGANIZED AND FEDERALLY FUNDED THROUGH UNITED WAY OF LAUREL CO., SJL JOINED WITH OTHER AGENCIES AND COMPANIES TO PROVIDE DAILY LUNCHES (MONDAY-FRIDAY) TO CHILDREN IN THE AREA. THE SUMMER FEEDING PROGRAM IS DESIGNED TO DELIVER LUNCH TO CHILDREN IN UNDERSERVED AREAS. LUNCHES ARE PROVIDED AT MORE THAN 50 DESIGNATED LOCATIONS WITH AGENCIES/COMPANIES ASSIGNED TO A SPECIFIC LOCATION. THIS YEAR 80 EMPLOYEES VOLUNTEERED TO SERVE MORE THAN 1,000 LUNCHES IN THE EIGHT WEEKS OF THE PROGRAM. SEED LUNCHEONS OVER THE PAST FOUR YEARS, SJL HAS PROVIDED HEALTH EDUCATION AT THE LOCAL CATHOLIC CHURCH TO SENIOR ADULTS LIVING ON FIXED INCOMES. THESE MONTHLY PROGRAMS OFFER AN OPPORTUNITY FOR SENIORS TO SOCIALIZE, HAVE LUNCH, AND HEAR ABOUT SPECIFIC HEALTH ISSUES. IT IS ALSO A TIME FOR THEM TO ASK QUESTIONS REGARDING HEALTH ISSUES AND HAVE MONTHLY HEALTH CHECKS TO ASSIST IN MONITORING THEIR WELLNESS. ON AVERAGE, BETWEEN 30 AND 35 ATTEND. FLU CLINICS THROUGH SJL'S HEALTHY COMMUNITY PROGRAM, 520 INDIVIDUALS WERE PROVIDED FREE FLU VACCINATIONS FROM JANUARY THROUGH MARCH 2011. CLINICS WERE SET UP TO MEET THE NEEDS OF THE UNINSURED/UNDERINSURED AT: KENTUCKY HOME PLACE, COMMUNITY CARE CORPORATION, OLD PERSONS ACTIVITY CENTER (OPAC), HOMELESS SHELTER, AND AT THE MONTHLY SEED LUNCHES. DONATIONS OF SUPPLIES & EQUIPMENT THE CLOSING OF THE FORMER HOSPITAL AFFORDED SJL AN OPPORTUNITY TO WORK WITH SUPPLIES OVER SEAS (SOS), A DOMESTIC ORGANIZATION DEDICATED TO RECYCLING EQUIPMENT AND SUPPLIES TO HOSPITALS AND CLINICS IN THE STATES AND FOREIGN COUNTRIES. APPROXIMATELY $59,000 IN EQUIPMENT WAS DISTRIBUTED THROUGH THE SOS AGENCY. IN LATE SPRING OF 2011, MORE THAN $400 IN MEDICAL SUPPLIES WERE DONATED TO THE HOSPITALS MINISTERING TO TORNADO VICTIMS IN ALABAMA. MEDICATION/DURABLE MEDICAL EQUIPMENT (DME) AND TRANSPORTATION IN THE PAST YEAR, SJL HAS ASSISTED PATIENTS ON LIMITED INCOMES WITH MEDICATIONS, TRANSPORTATION, AND DME NEEDS AT THEIR DISCHARGE. OFTEN MEDICATION ASSISTANCE IS GIVEN TO PATIENTS UNTIL THEY CAN RECEIVE HELP THROUGH THE PHARMACY ASSISTANCE PROGRAM AND/OR ARE ELIGIBLE FOR MEDICAID. SELF-PAY PATIENTS WHO HAVE MAJOR INFECTIONS AND REQUIRE AN ANTIBIOTIC ON DISCHARGE ARE ALSO ELIGIBLE FOR ASSISTANCE. TRANSPORTATION ASSISTANCE IS PROVIDED IN CASES WHERE PATIENTS HAVE NO MONEY OR MEDICAL CARD TO ASSIST WITH TRANSIT BUSES OR TAXIS. THROUGH THE SOCIAL SERVICES DEPARTMENT, MORE THAN $49,000 WAS DISPENSED TO MEET THESE NEEDS. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY MATERNITY FAIR THE MATERNITY FAIR IS ORGANIZED BY THE SOUTHEASTERN KENTUCKY AREA HEALTH EDUCATION CENTER (AHEC) AND ASSISTED BY SJL AND THE LAUREL COUNTY HEALTH DEPARTMENT. THE ONE-DAY EVENT HAD 181 MOTHERS AND 172 GUESTS IN ATTENDANCE FROM LAUREL, CLAY, KNOX AND WHITLEY COUNTIES. THE PROGRAM IS DESIGNED TO ASSIST YOUNG MOTHERS IN THE CARE OF THEIR NEWBORNS, INFANTS AND TODDLERS. PARTICIPATING MOMS RANGED BETWEEN THE AGES OF 15 TO 44 YEARS. THEY WERE REQUIRED TO ATTEND EDUCATIONAL BREAK-OUT SESSIONS ON RELEVANT TOPICS, SUCH AS LABOR ANESTHESIA-EPIDURALS, BREASTFEEDING & NUTRITION, PREGNANCY AND EARLY CHILDHOOD DEVELOPMENT, TO BE ELIGIBLE FOR PRIZES AND GIFTS. FIFTY-FOUR VENDORS OFFERED EDUCATIONAL MATERIALS AND INFORMATION ON A HOST OF ITEMS AND SERVICES AVAILABLE WITHIN THE COMMUNITY. CHF OUTREACH PROGRAM THROUGH SJL'S CONGESTIVE HEART FAILURE (CHF) OUTREACH PROGRAM, A FULL-TIME NURSE EDUCATES AND ASSISTS CHF PATIENTS IN MONITORING AND CONTROLLING THEIR CHRONIC DISEASE PROCESS. THIS PAST YEAR MORE THAN 175 PATIENTS WERE FOLLOWED THROUGH THE PROGRAM. IN ADDITION TO EDUCATION OF PATIENTS, THE NURSE HAS PROVIDED IN-SERVICE EDUCATION ON CARING FOR CHF PATIENTS TO THE STAFF OF HOME HEALTH AGENCIES AND NURSING HOMES. EDUCATION PROJECTS AND PROGRAMS THROUGHOUT THE YEAR SJL STAFF MEMBERS HAVE COLLABORATED WITH OTHER AGENCIES AND ORGANIZATIONS IN PROVIDING THE FOLLOWING EDUCATIONAL OPPORTUNITIES TO THE COMMUNITY: CARDIAC SYMPOSIUM, DIABETIC SYMPOSIUM, CANCER SURVIVORS DINNER AND PULMONARY SYMPOSIUM. EDUCATION OF MEDICAL/PARAMEDICAL PROFESSIONALS SJL SERVED AS A CLINICAL EDUCATION SITE FOR MORE THAN 100 STUDENTS IN THE FOLLOWING AREAS OF STUDY: NURSING, PUBLIC HEALTH, RADIOLOGY, LABORATORY, PHARMACY, RESPIRATORY THERAPY, PARAMEDICS AND CARDIAC CATH TECHNICIANS.
NEEDS ASSESSMENT AND COMMUNITY INFORMATION	SCHEDULE H, PART VI, LINES 1,2,4 AND 5	(CONTINUED) SAINT JOSEPH BEREA SAINT JOSEPH BEREA (SJB) IS LOCATED IN MADISON COUNTY IN THE CITY OF BEREA. SAINT JOSEPH BEREA, ESTABLISHED ON THE GROUNDS OF BEREA COLLEGE IN 1898, IS A 25-BED CRITICAL CARE ACCESS HOSPITAL, SERVING THE RESIDENTS OF MADISON, JACKSON, ROCKCASTLE, ESTILL AND GARRARD COUNTIES. MADISON COUNTY HAS A POPULATION OF 82,916 AS OF THE 2010 CENSUS. IT IS A MOSTLY CAUCASIAN COMMUNITY WITH APPROXIMATELY 4.4% AFRICAN-AMERICAN AND 2.2% HISPANIC. BEREA IS CONSIDERED A RURAL, MOUNTAIN AREA, SERVING PEOPLE FROM MANY DIFFERENT ECONOMICAL AND EDUCATIONAL BACKGROUNDS, INCLUDING A VIBRANT ARTS AND CRAFTS CULTURE, COLLEGE CULTURE, RURAL TOWN CULTURE, FARMERS AND THOSE FROM VERY RURAL MOUNTAIN AREAS. AS OF THE 2009 STATE REPORT, APPROXIMATELY 19.2% OF THE RESIDENTS OF MADISON COUNTY LIVE IN POVERTY. THE HOSPITAL INCLUDES A FULLY-STAFFED 24-HOUR EMERGENCY DEPARTMENT, FAMILY MEDICINE, BEREA SPECIALTY CLINIC, DIABETES AND NUTRITION CENTER, HEART INSTITUTE, REHABILITATION SERVICES, SLEEP WELLNESS CENTER, AND SURGICAL SERVICES. ADDITIONAL SERVICES INCLUDE: SENIOR RENEWAL CENTER, WOUND CENTER AND PAIN CENTER. COMMUNITY OUTREACH FOR THE POOR A DAY OF HOPE SJB PARTICIPATES IN A COMMUNITY-WIDE PROGRAM DESIGNED TO PROVIDE RESOURCES FOR PARENTS TO IMPROVE CHILDREN'S HEALTH AND NUTRITION. ORGANIZERS PROVIDE A FREE MEAL, GROCERIES, HAIR CUTS, COMMUNITY SERVICES AND OTHER RESOURCES. SJB FINANCIAL COUNSELORS PROVIDE INFORMATION AND EDUCATION REGARDING HEALTH CARE AND OTHER PROGRAMS AVAILABLE TO LOW-INCOME FAMILIES. THIS YEAR, EMPLOYEES DONATED MITTENS AND HATS FOR THE CHILDREN AND MORE THAN 500 CHILDREN WERE SERVED. BEREA HEALTH MINISTRIES PARTNERSHIP SJB'S PARTNERSHIP WITH BEREA HEALTH MINISTRIES (BHM), A FAITH-BASED MEDICAL CLINIC, WAS FORMED IN THE SPRING OF 2010. SJB PROVIDES IN-KIND SUPPORT THAT INCLUDES OFFICE AND CLINICAL SPACE, MAINTENANCE, CLEANING, INFORMATION TECHNOLOGY AND OTHER SUPPORT AS NEEDED; IN TURN THE CLINIC PROVIDES PRIMARY CARE, EDUCATION AND SUPPORT FOR ALL PEOPLE, BUT PRIMARILY THE POOR, UNINSURED AND UNDERINSURED. SJB'S IN-KIND SUPPORT WAS $38,973. THE MINISTRY HAS BEEN ABLE TO EXTEND HOURS TO PROVIDE MORE OPTIONS TO PATIENTS THROUGH A MISSION AND MINISTRY GRANT PROVIDED BY CATHOLIC HEALTH INITIATIVES. THE GRANT IS IN ITS SECOND YEAR AND HAS HELPED BHM TO SEE AN ADDITIONAL 1,100+ PATIENTS IN FISCAL YEAR 2011. HENRIETTA CHILD FUND SJB PROVIDED FUNDING FOR ORTHOPEDIC, EMERGENCY SURGERY, ORTHOTICS AND/OR GYNECOLOGICAL CARE IN THE AMOUNT OF $27,962 FOR 29 BEREA RESIDENTS WHO WERE UNINSURED, INDIGENT PATIENTS AND MET THE POVERTY GUIDELINES. THE INDIGENT CARE PROGRAM SJB PROVIDED FREE MEDICATIONS AND/OR CHEMOTHERAPY TREATMENTS FOR 21 UNINSURED PATIENTS. THIS EFFORT WAS MADE POSSIBLE THROUGH COLLABORATIVE EFFORTS WITH VARIOUS PHARMACEUTICAL COMPANIES. LIGHTS FOR LIFE EMERGENCY MEDICAL SERVICES FUND SJB PROVIDED MORE THAN 200 PRESCRIPTIONS AT A SAVINGS OF $19,180 TO LOW-INCOME, UNINSURED PATIENTS. THIS FUND IS SUPPORTED BY EMPLOYEES AND COMMUNITY MEMBERS WITH THE PURPOSE OF HELPING THE UNINSURED AND UNDERINSURED PATIENTS. PATIENT AND FAMILY ASSISTANCE FUND SJB PROVIDED CLOSE TO $10,000 TO PATIENTS AND FAMILIES FOR ACCOMMODATIONS, MEALS, TRANSPORTATION, ETC., AS NEEDED. MANY EMPLOYEE HOURS WENT INTO PROVIDING THESE SERVICES. FUNDS WERE RAISED BY THE SJB FOUNDATION THROUGH EMPLOYEE AND COMMUNITY CONTRIBUTIONS. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY DONATIONS SJB GAVE $9,425 IN DONATIONS TO SUPPORT LOCAL FUNDRAISING EFFORTS, DISASTER RESPONSE, CHARITIES AND COMMUNITY EVENTS AND ORGANIZATIONS. ST. MARK'S CATHOLIC SCHOOL SJB EDUCATOR AND DEPARTMENTS PROVIDE MONTHLY PRESENTATIONS ON VARIOUS DISEASE AND HEALTH-RELATED EDUCATIONAL PROGRAMS FOR AWARENESS AND DISEASE PREVENTION. STUDENT VOLUNTEER PROGRAM THROUGH THE SUMMER JUNIOR VOLUNTEER PROGRAM, SJB PROVIDED TRAINING AND SUPERVISION FOR STUDENTS WHO ARE INTERESTED IN PURSUING HEALTH CARE CAREERS. NEW OPPORTUNITY SCHOOL FOR WOMEN THIS PROGRAM WAS DEVELOPED TO HELP LOW-INCOME WOMEN HAVE A SECOND CHANCE TO GAIN NEW SKILLS. IN 2011, SJB PROVIDED FREE PHYSICALS, BLOOD TESTS AND MAMMOGRAMS FOR 19 PARTICIPANTS. LIFELINE SJB ASSISTED 41 ELDERLY CITIZENS TO SUBSCRIBE TO THE LIFELINE PROGRAM. LIFELINE IS SPONSORED BY THE PUBLIC SERVICE COMMISSION OF KENTUCKY AND PROVIDES EMERGENCY PERSONAL RESPONSE FOR THE ELDERLY.
NEEDS ASSESSMENT AND COMMUNITY INFORMATION	SCHEDULE H, PART VI, LINES 1,2,4 AND 5	(CONTINUED) SAINT JOSEPH MARTIN SAINT JOSEPH MARTIN (SJM), ESTABLISHED IN 1947, IS LOCATED IN THE BEAUTIFUL APPALACHIAN MOUNTAINS IN FLOYD COUNTY. THE 25-BED CRITICAL ACCESS FACILITY PROVIDES PATIENTS WITH HOLISTIC, PERSONALIZED CARE. IN ADDITION TO THE HOSPITAL, SJM OPERATES FOUR RURAL HEALTH CLINICS LOCATED IN WHEELWRIGHT, BETSY, LAYNE, AND MARTIN. ACCORDING TO THE 2010 CENSUS, FLOYD COUNTY'S POPULATION IS 39,451. FLOYD COUNTY'S MEDIAN HOUSEHOLD INCOME WAS $25,725 IN 2010. THE PERCENTAGE OF RESIDENTS IN FLOYD COUNTY WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINES IS 30.3%. COMMUNITY OUTREACH FOR THE POOR IN FISCAL YEAR 2011, SJM'S CHARITY CARE WAS 11.6 MILLION DOLLARS OR 56.2 PERCENT OF ITS NET PATIENT SERVICE REVENUE. SOCIAL SERVICES PROGRAMS THROUGH SJM'S SOCIAL SERVICES PROGRAMS, 596 PEOPLE WERE ASSISTED WITH TRANSPORTATION, MEDICATION, SUPPLIES AND OTHER BASIC NEEDS TOTALING NEAR $16,000. PATIENT FINANCIAL COUNSELORS SJM FINANCIAL COUNSELORS MADE 7,750 PATIENT CONTACTS TO ASSIST INDIVIDUALS WITH MEDICAL BILLS AND TO SEEK ASSISTANCE WITH PROGRAMS SUCH AS KENTUCKY HOSPITAL CARE PROGRAM (KHCP). CHRISTMAS BASKET PROGRAM SJM ASSISTED THE EFFORTS OF EMPLOYEES WHO DONATED 1,374 ITEMS FOR 63 FAMILIES THROUGH THE CHRISTMAS BASKET PROGRAM. THE PROGRAM IS ORGANIZED THROUGH SOCIAL SERVICES IN COLLABORATION WITH MARTIN FIRST BAPTIST CHURCH. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY DENTAL/ORAL HEALTH CARE INITIATIVE THE DENTAL/ORAL HEALTH CARE INITIATIVE WAS FORMED AS A RESULT OF FOUR FOCUS GROUPS: CONSUMERS, HEALTH CARE PROVIDERS, BUSINESS AND INDUSTRY LEADERS, AND RELIGIOUS LEADERS WHO MET IN 2005 TO ADDRESS THE IMPORTANT ISSUE OF IMPROVING HEALTH CARE ACCESS IN OUR COMMUNITY. THE DENTAL/ORAL HEALTH CARE INITIATIVE COMPLETED ITS FIFTH YEAR SCREENING STUDENTS OF FLOYD COUNTY. THIS YEAR, GRADES 6-8 WERE ADDED AND 1,530 STUDENTS WERE SCREENED. THE DENTAL/ORAL HEALTH INITIATIVE IS A COLLABORATIVE EFFORT OF BIG SANDY HEALTH CARE, FLOYD COUNTY HEALTH DEPARTMENT, FLOYD COUNTY SCHOOLS AND SJM. FLOYD COUNTY COMMUNITIES AGAINST DRUG ADDICTION (CADA) HEALTHY FLOYD COUNTY 2010 DRUG ACTION TEAM COMBINED FORCES WITH CADA BECAUSE THE ULTIMATE GOAL OF EACH IS TO DECREASE DRUG USE IN FLOYD COUNTY. THE DRUG ACTION TEAM IS ONE OF THE THREE ORIGINAL HEALTHY FLOYD COUNTY 2010 ACTION TEAMS - DRUG, ECONOMY/EMPLOYMENT AND EDUCATION. IN JUNE, CADA HOSTED THE "DRUG ABUSE KILLS - RIDE FOR LIFE" EVENT, A POKER RUN. TWENTY-TWO RIDERS ENJOYED THE RIDE THROUGH SEVERAL NEIGHBORING COUNTIES AND CLOSE TO $5,000 WAS RAISED FOR EDUCATION AND DRUG REHABILITATION TREATMENT VOUCHERS. SJM PARTICIPATED WITH OPERATION UNITE (UNLAWFUL NARCOTICS INVESTIGATION TREATMENT AND EDUCATION), A FEDERAL PROGRAM INITIATED BY REP. HAL ROGERS TO ASSIST IN DEALING WITH THE LOCAL DRUG EPIDEMIC, FOR THE "SHOOT HOOPS - NOT DRUGS" EVENT. RELAY FOR LIFE SJM SUPPORTED THE EFFORTS OF EMPLOYEES' FUNDRAISING EVENTS THAT RAISED CLOSE TO $16,000 FOR AMERICAN CANCER SOCIETY'S RELAY FOR LIFE; THIS SURPASSED THEIR GOAL OF $10,000 AND EXCEEDED THE PREVIOUS YEAR'S EFFORTS BY $4,000. SENIOR HEALTH FEST SJM HOSTED ITS ANNUAL SENIOR HEALTH FEST IN OCTOBER SERVING MORE THAN 90 SENIORS. FREE FLU SHOTS AND BLOOD PRESSURE SCREENINGS WERE PROVIDED. THE SENIORS WERE TREATED TO LUNCH AND ENTERTAINED BY THE SWINGING SENSATIONS. SCHOOL PROGRAMS SJM'S COMMUNITY HEALTH OUTREACH DEPARTMENT COLLABORATES WITH ALL AREA SCHOOLS AND MANY COMMUNITY ORGANIZATIONS TO PROVIDE PREVENTION PROGRAMS. THE FOLLOWING PROGRAMS WERE PRESENTED TO MORE THAN 4,000 STUDENTS: LET'S TALK ABOUT DRUGS (PRIMARY); TOBACCO PREVENTION (PRIMARY, MIDDLE AND HIGH SCHOOLS); NUTRITION (PRIMARY AND MIDDLE SCHOOLS); HEART HEALTH/CPR INFORMATION (MIDDLE AND HIGH SCHOOLS); CPR HEARTSAVER (MIDDLE AND HIGH SCHOOLS); STUDENT SELF-BREAST EXAM (HIGH SCHOOLS). SJM CONTINUES TO BE DEDICATED TO RESPECT - AN ABSTINENCE-BASED PROGRAM FOR 6TH AND 7TH GRADE FEMALES, WHICH BEGAN IN 1994. REAL CARE DOLLS ARE AN INTEGRAL PART OF THE PROGRAM. THE PROGRAM WAS CONDUCTED IN SIX OF THE SEVEN MIDDLE SCHOOLS IN FLOYD COUNTY SERVING MORE THAN 100 STUDENTS. A PARENT SAID THE FOLLOWING ABOUT THE PROGRAM: "I THINK IT SHOULD BE THAT THEY HAVE TO DO THIS, NOT OPTIONAL. IT WAS A GREAT TRAINING EXPERIENCE FOR (MY DAUGHTER). THANK YOU FOR HAVING THIS PROGRAM." DONATIONS SJM DONATED MORE THAN $2,000 TO SUPPORT LOCAL EFFORTS THAT ALIGNED WITH COMMUNITY NEEDS AND ITS MISSION.
NEEDS ASSESSMENT AND COMMUNITY INFORMATION	SCHEDULE H, PART VI, LINES 1,2,4 AND 5	(CONTINUED) SAINT JOSEPH MOUNT STERLING SAINT JOSEPH MOUNT STERLING (SJMS) IS LOCATED IN MONTGOMERY COUNTY IN THE CITY OF MOUNT STERLING. SJMS, FOUNDED IN 1918, IS COMMITTED TO SERVING THE PEOPLE OF THE MOUNT STERLING AREA, INCLUDING MONTGOMERY, BATH, MENIFEE, AND POWELL COUNTIES. A REPLACEMENT HOSPITAL WAS BUILT AND SJMS MOVED TO ITS NEW FACILITY ON JUNE 16, 2011. LOCATED ON A 30-ACRE CAMPUS, THE NEW 114,000-SQUARE-FOOT FACILITY FEATURES 40 ALL-PRIVATE ROOMS, THE LATEST TECHNOLOGY INCLUDING MRI SERVICES AND DIGITAL MAMMOGRAPHY, AN INFUSION CENTER, AND ORIGINAL ARTWORK FROM KENTUCKY ARTISTS. THE TWO-STORY FACILITY WILL ALLOW FOR THE EXPANSION OF SEVERAL SERVICE LINES, SUCH AS CARDIOLOGY, IMAGING, OB-GYN AND SAME-DAY SURGERY. THE HOSPITAL WILL REACH MORE COMMUNITY MEMBERS FROM THE LOCAL AND SURROUNDING AREAS WITH ITS MODERN HOSPITAL, AND CONTINUE ITS IMPRESSIVE RECORD OF DELIVERING QUALITY HEALTH CARE. AS OF THE 2010 CENSUS DATA, MONTGOMERY COUNTY HAS A POPULATION OF 26,499 AND A MEDIAN HOUSEHOLD INCOME OF $32,964. THE PERCENTAGE OF RESIDENTS IN MONTGOMERY COUNTY WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINES IS 21.1%. COMMUNITY OUTREACH FOR THE POOR THE BETTER BREATHER'S CLUB THE BETTER BREATHER'S CLUB IS A FREE SOCIAL/EDUCATIONAL SUPPORT GROUP FOR PATIENTS, THEIR FAMILIES AND/OR FRIENDS WITH CHRONIC LUNG DISEASE SUCH AS COPD. THE BETTER BREATHER'S CLUB HELPS PEOPLE BETTER UNDERSTAND AND DEAL WITH THEIR LUNG DISEASE AND GIVES THEM THE OPPORTUNITY TO DISCUSS THEIR CONCERNS WITH OTHER PEOPLE WITH THE SAME ISSUES. AT EACH MEETING, THERE IS AN AVERAGE OF TEN PARTICIPANTS AND EDUCATIONAL TOPICS ARE DISCUSSED, SUCH AS RESPIRATORY MEDICATIONS, THE DISEASE PROCESS AND ILLNESS PREVENTION, AS WELL AS OTHER TOPICS THAT MAY BE REQUESTED BY THE PATIENTS. THE HEALTHY HEARTS CLUB THE HEALTHY HEARTS CLUB IS A FREE EDUCATIONAL SUPPORT GROUP FOR PATIENTS WITH HEART DISEASE AND THEIR FAMILIES/FRIENDS. HEALTHY HEARTS CLUB OFFERS SUPPORT FOR PEOPLE WHO HAVE BEEN DIAGNOSED WITH HEART PROBLEMS OR PEOPLE WHO ARE TRYING TO PREVENT HEART DISEASE. AN EDUCATIONAL TOPIC IS OFFERED EACH MONTH THAT INFORMS THESE PATIENTS OF NEW TREATMENTS, EXERCISE AND PREVENTION STRATEGIES. THERE IS AN AVERAGE OF TEN PARTICIPANTS EACH MONTH. SMOKING CESSATION CLASSES SMOKING CESSATION CLASSES ARE OFFERED BY THE CARDIOPULMONARY REHABILITATION STAFF. THE COOPER CLAYTON METHOD FOR SMOKING CESSATION IS OFFERED TO EMPLOYEES AS WELL AS THE COMMUNITY AT LARGE FREE OF CHARGE. THE MONTGOMERY COUNTY HEALTH DEPARTMENT PARTNERS WITH SJMS IN PROVIDING THE FIRST TWO WEEKS OF NICOTINE REPLACEMENT FOR FREE TO HELP WITH THE INITIAL COST FOR PEOPLE WHO WISH TO QUIT SMOKING. THERE IS AN AVERAGE OF TEN PARTICIPANTS EACH MONTH. WALK TO REMEMBER THE "WALK TO REMEMBER" EVENT WAS HELD IN OCTOBER 2010 AT EASY WALKER PARK AND ABOUT 75 PEOPLE PARTICIPATED. THE EVENT SUPPORTS THOSE IN THE COMMUNITY WHO HAVE SUFFERED THE LOSS OF A CHILD. THE WOMEN'S CARE DEPARTMENT WAS THE PRIMARY SPONSOR AND RESPIRATORY, SAME DAY SURGERY, PURCHASING, HUMAN RESOURCES AND RISK MANAGEMENT WERE INTEGRAL MEMBERS OF THE EVENT'S SUCCESS. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY EDUCATION OF MEDICAL/PARAMEDICAL PROFESSIONALS SJMS PARTICIPATED AS A TRAINING SITE FOR SULLIVAN UNIVERSITY PHARMACY TECHNICIAN PROGRAM, APPALACHIAN COLLEGE OF PHARMACY AND UNIVERSITY OF KENTUCKY. THIS FISCAL YEAR, NINE STUDENTS PARTICIPATED LOGGING 1,300 HOURS. THE PHARMACY TECHNICIAN EXTERNSHIP REPRESENTS A HANDS-ON OPPORTUNITY TO EXPERIENCE THE PHARMACY OPERATIONS. THE PHARMACY TECHNICIAN EXTERNSHIP IS A 200-HOUR EXPERIENTIAL ENCOUNTER CONSISTING OF 100 HOURS OF COMMUNITY PHARMACY EXPERIENCE AND 100 HOURS OF HOSPITAL PHARMACY EXPERIENCE. STUDENTS ARE SCHEDULED BASED ON THE AVAILABILITY OF THE PRACTICE SITE AND THE STUDENTS' SCHEDULES FOR EACH OF THE TWO EXPERIENCES. UPON COMPLETION OF THE EXTERNSHIP, STUDENTS ARE REQUIRED TO RECAP THEIR EXPERIENCE VIA A WRITTEN REFLECTION AND SUBSEQUENT PRESENTATION OF THEIR REFLECTIONS ON THEIR EXPERIENCE ACTIVITIES. THE PURPOSE OF THE PHARMACY TECHNICIAN EXTERNSHIP IS TO BRIDGE THE INFORMATION LEARNED IN THE CLASSROOM TO REAL-LIFE EXPERIENCES IN A PHARMACY WORKPLACE. TO SUCCESSFULLY MATRICULATE BEYOND THIS PROGRAM, THE STUDENT MUST MASTER ALL PRIMARY LEARNING OBJECTIVES AND ANY ADDITIONAL LEARNING OBJECTIVES AS DIRECTED BY THE DIRECTOR OF THE PHARMACY TECHNICIAN PROGRAM.

Schedule H (Form 990) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
SAINT JOSEPH HEALTH SYSTEM INC

Employer identification number
61-1334601

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance
(1) LEXINGTON-FAYETTE URBAN COUNTY200 EAST MAIN STREET LEXINGTON,KY40507	61-0858140	GENERAL SERVICES	125,000				WORLD EQUESTRIAN GAMES
(2) KENTUCKY BLOOD CENTER INC3121 BEAUMONT CENTRE CIRCLE LEXINGTON,KY40513	31-6058138	501(C)(3)	30,000				CAPITAL CAMPAIGN
(3) SOS INTERNATIONAL INC1500 ARLINGTON AVENUE LOUISVILLE,KY40206	27-2624272	501(C)(3)	20,000	264,557	FMV	MEDICAL SUPPLIES	PROGRAM SUPPORT
(4) AMERICAN HEART ASSOCIATION INC7272 GREENVILLE AVENUE DALLAS,TX75231	13-5613797	501(C)(3)	52,171				GO RED SPONSORSHIP
(5) JESSAMINE COUNTY CHAMBER OF COMMERCE508 N MAIN STREET NICHOLASVILLE,KY40356	61-0515658	501(C)(6)	5,650				SPONSORSHIP EVENTS
(6) LEXINGTON CLINIC FOUNDATION INC1221 S BROADWAY LEXINGTON,KY40504	61-6037046	501(C)(3)	20,000				PROGRAM SUPPORT
(7) UNITED METHODIST RETIREMENT COMMUNITY INC1125 LEXINGTON ROAD WILMORE,KY40390	61-1164550	501(C)(3)	5,250				HOMES FOR THE ELDERLY
(8) MARCH OF DIMES FOUNDATION1275 MAMARONEK AVENUE WHITE PLAINS,NY10605	13-1846366	501(C)(3)	15,500				PROGRAM SUPPORT
(9) SAINT JOSEPH LONDON FOUNDATION1001 SAINT JOSEPH LANE LONDON,KY40741	26-0438748	501(C)(3)		10,988	BOOK	DONATED BUS FOR SALE	PROGRAM SUPPORT

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

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

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

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

Identifier	Return Reference	Explanation
Procedures for monitoring use of grant funds	Schedule I, Part I, Line 2	GRANTS AND REQUESTS FOR CONTRIBUTIONS ARE ADMINISTERED BY THE CEO AND VP OF MISSION INTEGRATION. ALL GRANT EXPENDITURES REQUIRE THE SAME APPROVAL AS NON-GRANT EXPENDITURES THROUGH THE ACCOUNTS PAYABLE MATRIX.

Schedule I (Form 990) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

SAINT JOSEPH HEALTH SYSTEM INC

Employer identification number

61-1334601

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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? ....

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

Yes

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

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

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

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

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) GARY ERMERS	(i) (ii)	360,091 0	125,506 0	20,901 0	57,929 0	22,432 0	586,859 0	0 0
(2) EUGENE WOODS	(i) (ii)	0 517,825	0 165,369	0 22,900	0 20,228	0 20,812	0 747,134	0 0
(3) MICHAEL ROWAN	(i) (ii)	0 912,104	0 405,340	0 23,868	0 166,637	0 19,330	0 1,527,279	0 0
(4) BRUCE KLOCKARS	(i) (ii)	0 313,799	0 89,607	0 52,474	0 27,578	218 13,866	218 497,324	0 0
(5) ROBERT BROCK	(i) (ii)	202,896 0	52,651 0	911 0	22,678 0	6,935 0	286,071 0	0 0
(6) EDWARD CARTHEW	(i) (ii)	241,490 0	81,349 0	21,202 0	41,488 0	11,597 0	397,126 0	0 0
(7) VIRGINIA DEMPSEY	(i) (ii)	284,524 0	101,170 0	25,600 0	47,922 0	12,131 0	471,347 0	0 0
(8) MELINDA EVANS	(i) (ii)	210,219 0	30,967 0	320 0	16,644 0	7,334 0	265,484 0	0 0
(9) GREG GERARD	(i) (ii)	166,670 0	64,086 0	19,466 0	32,722 0	13,262 0	296,206 0	0 0
(10) ERIC GILLIAM	(i) (ii)	171,750 0	23,556 0	243 0	19,405 0	15,896 0	230,850 0	0 0
(11) PEGGY GREEN	(i) (ii)	179,013 0	46,670 0	1,015 0	17,939 0	7,416 0	252,053 0	0 0
(12) KEN HAYNES	(i) (ii)	401,469 0	119,237 0	22,365 0	59,015 0	21,404 0	623,490 0	0 0
(13) CARMEL JONES	(i) (ii)	22,394 142,833	0 32,231	16 3,381	0 18,056	16,928 1,603	39,338 198,104	0 0
(14) CHRISTINE MAYS	(i) (ii)	263,669 0	36,809 0	1,158 0	32,478 0	13,528 0	347,642 0	0 0
(15) MARK STREETY	(i) (ii)	269,022 0	92,700 0	20,449 0	56,372 0	11,028 0	449,571 0	0 0
(16) KATHY STUMBO	(i) (ii)	167,379 0	47,176 0	19,646 0	39,600 0	21,001 0	294,802 0	0 0
(17) DANIEL VARGA	(i) (ii)	414,182 0	122,592 0	20,957 0	56,941 0	19,498 0	634,170 0	0 0
(18) CARLA WALTER	(i) (ii)	142,372 0	22,751 0	139 0	16,285 0	13,140 0	194,687 0	0 0
(19) SATHYENDRA MYSORE	(i) (ii)	582,382 0	0 0	840 0	22,678 0	20,904 0	626,804 0	0 0
(20) JEFFREY MILAM	(i) (ii)	522,948 0	0 0	1,932 0	20,228 0	15,702 0	560,810 0	0 0
(21) SHAILESH BHOPATKAR	(i) (ii)	469,279 0	0 0	840 0	20,228 0	22,608 0	512,955 0	0 0
(22) AMJAD ALI	(i) (ii)	298,231 0	86,497 0	356 0	22,678 0	20,408 0	428,170 0	0 0
(23) JAMES SHOPTAW	(i) (ii)	346,393 0	0 0	20,348 0	20,228 0	18,504 0	405,473 0	0 0
(24) PATRICK ROMANO	(i) (ii)	119,460 0	0 0	3,158 0	17,577 0	0 0	140,195 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

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

Identifier	Return Reference	Explanation
Severance or change-of-control payment	Schedule J, Part I, Line 4a	SAINT JOSEPH HEALTH SYSTEM'S SEVERANCE MAY BE OFFERED TO REGULAR FULL-TIME OR PART-TIME EMPLOYEES BASED ON YEARS OF SERVICE AND SCHEDULED HOURS. TO BE ELIGIBLE FOR SEVERANCE, AN EMPLOYEE MUST STAY WITH THE ORGANIZATION THROUGH THE END OF THE ANNOUNCED SEPARATION DATE AND NOT ACCEPT ANOTHER REGULAR FULL-TIME OR PART-TIME POSITION WITHIN THE ORGANIZATION. AN EMPLOYEE WILL NOT BE ELIGIBLE FOR SEVERANCE IF HE OR SHE SEPARATES FROM THE ORGANIZATION DUE TO PERFORMANCE ISSUES PRIOR TO THE JOB ELIMINATION DATE. MANAGEMENT HAS THE RIGHT TO CHANGE SEVERANCE PAY AMOUNTS AT ANY TIME AS BUSINESS NEEDS CHANGE. THE SEVERANCE PERIOD WILL IMMEDIATELY FOLLOW TERMINATION OF EMPLOYMENT. EMPLOYEES MUST SIGN A VALID AND COMPLETE WAIVER OF ALL CLAIMS PRIOR TO COMMENCEMENT OF SEVERANCE PAY. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM SAINT JOSEPH HEALTH SYSTEM DURING THE 2009 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: PATRICK ROMANO $33,319. IN ADDITION, POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE.
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b	DURING THE 2010 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: GARY ERMERS, MICHAEL ROWAN, BRUCE KLOCKARS, EDWARD CARTHEW, VIRGINIA DEMPSEY, GREG GERARD, KEN HAYNES, MARK STREETY, KATHY STUMBO, AND DANIEL VARGA. DURING 2010 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: GARY ERMERS $32,801, MICHAEL ROWAN $143,959, EDWARD CARTHEW $21,260, VIRGINIA DEMPSEY $25,244, GREG GERARD $14,939, KEN HAYNES $36,337, MARK STREETY $23,894, KATHY STUMBO $14,552, AND DANIEL VARGA $36,713. DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2010 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2010, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: BRUCE KLOCKARS $26,365.
Non-fixed payments	Schedule J, Part I, Line 7	SJHS HAS AN INCENTIVE PLAN FOR EMPLOYED PHYSICIANS. THE PLAN IS BASED ON A COMBINATION OF PHYSICIAN PRODUCTIVITY, QUALITY, AND PATIENT SATISFACTION GOALS.
METHODS USED TO ESTABLISH CEO COMPENSATION	SCHEDULE J, PART I, LINE 3A	COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

Schedule J (Form 990) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

SAINT JOSEPH HEALTH SYSTEM INC

Employer identification number

61-1334601

Part I

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

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

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

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

Part II

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

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






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

Part III

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

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

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) KRYSTAL WOODS	NIECE OF CEO	44,018	COMPENSATION OF EARNED WAGES		No
(2) SCOTT MAYS	SON OF KEY EMPLOYEE	28,005	COMPENSATION OF EARNED WAGES		No
(3) SHARON KINDER	DAUGHTER OF KEY EMPLOYEE	11,435	COMPENSATION OF EARNED WAGES		No

Part V

Supplemental Information

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

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

SAINT JOSEPH HEALTH SYSTEM INC

Employer identification number

61-1334601

Identifier	Return Reference	Explanation
New program services	Form 990, Part III, Line 2	DURING FY 2011, SAINT JOSEPH HEALTH SYSTEM, INC. HAD THE FOLLOWING PROGRAM SERVICES ADDED: * SAINT JOSEPH (LONDON, KY) - PREMIER ORTHOPEDIC AND SPORTS MEDICINE * SAINT JOSEPH (MARTIN, KY) - ANTICOAGULATION CLINIC.
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	ACCORDING TO THE BYLAWS OF SAINT JOSEPH HEALTH SYSTEM, THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	ACCORDING TO SECTION 6.5 OF THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. PRIOR TO EACH ANNUAL MEETING OF THE CORPORATE MEMBER, OR SUCH OTHER MEETING CALLED FOR THE PURPOSE OF APPOINTING DIRECTORS OF THE CORPORATION, THE NOMINATING COMMITTEE SHALL SELECT AND SUBMIT TO THE BOARD OF DIRECTORS A SLATE OF NOMINEES QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. THE BOARD OF DIRECTORS SHALL REVIEW THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ON THE RECOMMENDED SLATE AND SHALL VOTE TO ACCEPT OR REFUSE EACH NOMINEE. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL THEN BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL THEN APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH CORPORATE MEMBER'S BYLAWS AND WITH THE ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. NOTWITHSTANDING ANYTHING IN THESE BYLAWS TO THE CONTRARY, THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION IN ACCORDANCE WITH THIS SECTION.
Decisions requiring approval by members or stockholders	Form 990, Part VI, Section A, Line 7b	SAINT JOSEPH HEALTH SYSTEM'S (SJHS) CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5.4 OF SJHS' BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX, THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF SJHS - AMENDMENT OF THE CORPORATE DOCUMENTS OF SJHS - APPROVE MEMBERS OF THE SJHS BOARD - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF SJHS - APPROVAL OF ISSUANCE OF DEBT BY SJHS - APPROVAL OF PARTICIPATION OF SJHS IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY SJHS - APPROVAL OF A MERGER INVOLVING SJHS - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SJHS - TO REQUIRE THE TRANSFER OF ASSETS BY SJHS TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR SJHS IN ADDITION, PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE.
Review of form 990 by governing body	Form 990, Part VI, Section B, Line 11a	THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. SUBSEQUENT TO THE CFO REVIEW, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING.
Conflict of interest policy	Form 990, Part VI, Section B, Line 12c	EACH DIRECTOR MUST PROMPTLY AND FULLY REPORT TO THE BOARD CHAIR SITUATIONS THAT MAY CREATE A CONFLICT OF INTEREST WHEN HE OR SHE BECOMES AWARE OF SUCH SITUATIONS. IN THE CASE OF AN OFFICER, DISCLOSURE MUST BE MADE TO THE CORPORATION'S CEO WHO WILL REPORT SUCH DISCLOSURE TO THE BOARD CHAIR. IN ANY SITUATION WHEN A DIRECTOR OR OFFICER IS IN DOUBT, FULL DISCLOSURE SHOULD BE MADE SO AS TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. A WRITTEN RECORD OF THE DISCLOSURE WILL BE MADE. IN ADDITION TO THE ONGOING DISCLOSURE OBLIGATION, THE CORPORATION'S CHIEF EXECUTIVE OFFICER SHALL ANNUALLY SEND TO ALL DIRECTORS AND OFFICERS A COPY OF THIS POLICY AND THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DIRECTORS AND OFFICERS MUST PROMPTLY COMPLETE, SIGN, AND RETURN THE STATEMENT TO THE CORPORATION'S CHIEF EXECUTIVE OFFICER. THE COMPLETED STATEMENTS WILL BE REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND THE BOARD CHAIR. THE BOARD CHAIR OR DESIGNEE SHALL MAKE SUCH FURTHER INVESTIGATION OF ANY CONFLICT OF INTEREST DISCLOSURES AS HE OR SHE MAY DEEM APPROPRIATE. IF THE CONFLICT INVOLVES THE BOARD CHAIR, THE VICE CHAIR WILL ASSUME THE CHAIR'S ROLE OUTLINED IN THIS POLICY. BASED ON REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR WILL MAKE AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND WHETHER, PURSUANT TO THE POLICY, REVIEW AND APPROVAL OR OTHER ACTION BY THE BOARD OF DIRECTORS IS REQUIRED. A WRITTEN RECORD OF THE BOARD CHAIR'S DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, WILL BE MADE. THE BOARD CHAIR SHALL THEN MAKE AN APPROPRIATE REPORT TO THE EXECUTIVE COMMITTEE OF THE BOARD CONCERNING SUCH REVIEW, EVALUATION AND DETERMINATION. IF A DIFFERENCE OF OPINION EXISTS BETWEEN THE BOARD CHAIR AND ANOTHER DIRECTOR AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST OR WHETHER THE BOARD OF DIRECTORS REVIEW AND APPROVAL OF OTHER ACTION IS REQUIRED WITHIN THIS POLICY, THE MATTER SHALL BE SUBMITTED TO THE BOARD'S EXECUTIVE COMMITTEE, WHICH SHALL THEN MAKE A FINAL DETERMINATION AS TO THE MATTER PRESENTED. SUCH DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, WILL BE REFLECTED IN THE COMMITTEE MINUTES AND WILL BE REPORTED TO THE BOARD OF DIRECTORS. FOR EMPLOYEES, CONFLICT DISCLOSURE STATEMENTS ARE REVIEWED BY HUMAN RESOURCES AND THE PRESIDENT IF THERE ARE ANY POTENTIAL CONFLICTS.
Process used to establish compensation of top management official	Form 990, Part VI, Section B, Line 15a	THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 2011. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS.
Process used to establish compensation of other officers/key employees	Form 990, Part VI, Section B, Line 15b	SAINT JOSEPH HEALTH SYSTEM'S EXECUTIVE LEADERSHIP COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE TO THE BOARD. AN OUTSIDE CONSULTANT PROVIDED COMPARATIVE DATA BASED ON BASE COMPENSATION, TOTAL COMPENSATION, AND EXECUTIVE BENEFITS. PHYSICIAN COMPENSATION IS REVIEWED AND APPROVED BY PLC, MANAGEMENT PTRC, BOARD PTRC, AND ULTIMATELY THE FULL BOARD.
Public Disclosure	Form 990, Part VI, Section C, Line 19	THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINACIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT.
EXECUTIVE COMMITTEE COMPOSITION & AUTHORITY	FORM 990, PART VI, LINE 1A	PURSUANT TO SECTION 8.6 OF THE BYLAWS OF SAINT JOSEPH HEALTH SYSTEM INC., THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND UP TO TWO OTHER DIRECTORS OF THE CORPORATION, AND SHALL INCLUDE, TO THE EXTENT POSSIBLE, AT LEAST ONE MEMBER OF A SPONSORING CONGREGATION OR OTHER RELIGIOUS INSTITUTE OF THE ROMAN CATHOLIC CHURCH. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. ANY VACANCY OF AN APPOINTED EXECUTIVE COMMITTEE MEMBERSHIP MAY BE FILLED FOR THE UNEXPIRED PORTION OF THE TERM IN THE MANNER THAT THE ORIGINAL COMMITTEE MEMBER WAS APPOINTED. EXCEPT AS PROVIDED BY LAW, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. ADDITIONALLY, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS PROVIDED THAT SUCH ACTIONS TAKEN SHALL BE CONSISTENT WITH AND NOT CONFLICT WITH ANY ACTIONS OR POLICIES OF THE BOARD OF DIRECTORS OR CORPORATE MEMBER WITH THESE BYLAWS AND APPLICABLE LAW. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE PROMPTLY REPORTED TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR OR ANNUAL MEETING OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL MEET AT SUCH TIMES AS SHALL BE DETERMINED BY THE CHAIRPERSON. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS PROCEEDINGS AND REPORT THE SAME TO THE BOARD OF DIRECTORS AT EACH REGULAR MEETING OF THE BOARD.
FORMAL POLICIES CONCERNING PARTICIPATION IN JOINT VENTURES	FORM 990, PART VI, Q. 16B	SAINT JOSEPH HEALTH SYSTEM, INC. HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER CHI'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL.
ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONS	FORM 990, PART VII	COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES.
Other changes in net assets or fund balances	Form 990, Part XI, Line 5	NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 10164052; PRIOR PERIOD ADJUSTMENTS - 29638; CAPITAL RESOURCE POOL CONTRIBUTION - -5271534; EQUITY TRANSFER TO SJMSF - -1981976; CHI CONNECT DEPRECIATION - 1416078; INVESTMENT IN UNCONSOLIDATED ORGS - 1334020; DISTRIBUTIONS FROM LSC & BRI - 70322;

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

SAINT JOSEPH HEALTH SYSTEM INC

Employer identification number

61-1334601

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) IMAGING CENTER OF MOUNT STERLING LLC ONE SAINT JOSEPH DRIVE LEXINGTON,KY40504 61-1334601	MEDICAL IMAGING	KY	0	0	SJHS
(2) ONCOLOGY SERVICES OF CENTRAL KENTUCKY ONE SAINT JOSEPH DRIVE LEXINGTON,KY40504 27-0900852	ONCOLOGY	KY	0	0	SJHS
(3) JESSAMINE HEALTH SERVICES LLC DBA SAINT JOSEPH HEART INSTITUTE 424 LEWIS HARGETT CIRCLE SUITE 160 LEXINGTON,KY40503 61-1334601	HEALTHCARE	KY	0	0	SJHS

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA,NE68124 47-0484764	HEALTHCARE	NE	501(C)(3)	3	CHI	Yes
(2) ALEGENT HEALTH - MERCY HOSPITAL CORNING PO BOX 368 CORNING,IA50841 42-0782518	HEALTHCARE	IA	501(C)(3)	3	AHBMHS	Yes
(3) ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS,MN56345 41-1351177	LTERM CARE	MN	501(C)(3)	9	CHI	Yes
(4) APPLETREE COURT 601 OAK STREET BRECKENRIDGE,MN56520 41-1850500	SENIOR HOMES	MN	501(C)(3)	9	SFH	Yes
(5) BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES,IA50314 42-0725196	LTERM CARE	IA	501(C)(3)	9	CHI-IA CORP	Yes
(6) BORNEMANN HEALTHCARE CORPORATION 2500 BERNVILLE RD PO BOX 316 READING,PA19603 23-2187242	HEALTHCARE	PA	501(C)(3)	11 - Type I	CHI	Yes
(7) CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON,ND58421 45-0227311	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(8) CATHOLIC HEALTH CARE FEDERATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 20-8473567	JURIDIC PERSON	CO	501(C)(3)	11 - Type I	CHI	Yes
(9) CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 47-0617373	HEALTHCARE	CO	501(C)(3)	9	CHI	Yes
(10) CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 961 EAST COLORADO AVENUE COLORADO SPRINGS,CO80903 84-0902211	FUNDRAISING	CO	501(C)(3)	7	CHI COLORADO	Yes
(11) CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG,OR97470 90-0433062	PHYSICIANS	OR	501(C)(3)	9	MMC	Yes
(12) CHI COLORADO 188 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 84-0405257	HEALTHCARE	CO	501(C)(3)	3	CHI	Yes
(13) CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY FARGO,ND58104 27-1966847	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(14) CHI INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-1050565	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	Yes
(15) CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER,KY41018 20-2741651	HEALTHCARE	KY	501(C)(3)	11 - Type I	CHI	Yes
(16) CHI NATIONAL FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-0930004	FUNDRAISING	CO	501(C)(3)	11 - Type I	CHI	Yes
(17) CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-1261716	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	Yes
(18) CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-2532084	HEALTHCARE	CO	501(C)(3)	9	CHI	Yes
(19) CHI NEBRASKA 555 SOUTH 70TH STREET LINCOLN,NE68510 36-3233121	HEALTHCARE	NE	501(C)(3)	11 - Type I	CHI	Yes
(20) CHI-IOWA CORP 1111 6TH AVENUE DES MOINES,IA50314 42-0680448	HEALTHCARE	IA	501(C)(3)	3	MHN	Yes
(21) CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DRIVE LEXINGTON,KY40509 61-1400619	LTACH	KY	501(C)(3)	3	SJHS	Yes
(22) ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVENUE ENUMCLAW,WA98022 91-0715805	HEALTHCARE	WA	501(C)(3)	3	FHS	Yes
(23) FLAGET HEALTHCARE DBA FLAGET MEMORIAL HOSPITAL 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN,KY40004 61-1345363	HEALTHCARE	KY	501(C)(3)	3	CHI	Yes
(24) FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN,KY40004 56-2351341	FUNDRAISING	KY	501(C)(3)	11 - Type I	FH	Yes
(25) FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA,WA98405 91-1145592	FUNDRAISING	WA	501(C)(3)	9	FHS	Yes
(26) FRANCISCAN HEALTH SYSTEM FKA FRANCISCAN HEALTH SYSTEM WEST 1717 SOUTH J STREET TACOMA,WA98405 91-0564491	HEALTHCARE	WA	501(C)(3)	3	CHI	Yes
(27) FRANCISCAN MEDICAL GROUP 1708 SOUTH YAKIMA AVENUE TACOMA,WA98405 91-1939739	HEALTHCARE	WA	501(C)(3)	9	FHS	Yes
(28) FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 SOUTH CHICAGO AVENUE SOUTH MILWAUKEE,WI53172 39-1093829	HEALTHCARE	WI	501(C)(3)	9	CHI	Yes
(29) GETTYSBURG MEDICAL CENTER 606 EAST GARFIELD AVENUE GETTYSBURG,SD57442 46-0234354	HEALTHCARE	SD	501(C)(3)	3	SMHC	Yes
(30) GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 20-1536108	MINISTRIES	CO	501(C)(3)	11 - Type I	CHI	Yes
(31) GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 375 DIXMYTH AVE CINCINNATI,OH45220 31-1778403	EDUCATION	KY	501(C)(3)	2	GHS	Yes
(32) GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK STREET ACCOUNTING-3 W CINCINNATI,OH45206 31-1206047	FUNDRAISING	OH	501(C)(3)	11 - Type I	GSH	Yes
(33) GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY,NE68848 47-0379755	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes
(34) GOOD SAMARITAN HOSPITAL FOUNDATION PO BOX 1810 KEARNEY,NE68848 47-0659443	FUNDRAISING	NE	501(C)(3)	7	GSH	Yes
(35) HEALTH SET 4200 WEST CONEJOS PLACE 436 DENVER,CO80204 84-1102943	LOW INC.CARE	CO	501(C)(3)	7	CHI COLORADO	Yes
(36) HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DRIVE BRECKENRIDGE,MN56520 76-0761782	FUNDRAISING	MN	501(C)(3)	11 - Type I	SFMC	Yes
(37) HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL 7601 OSLER DRIVE TOWSON,MD21204 52-6050777	HEALTHCARE	MD	501(C)(3)	9	SJMC	Yes
(38) HOUSE OF MERCY 1111 6TH AVENUE DES MOINES,IA50314 42-1323808	SHELTER	IA	501(C)(3)	7	CHI-IA CORP	Yes
(39) LAKEWOOD HEALTH CENTER 600 MAIN AVENUE SOUTH BAUDETTE,MN56623 41-0758434	LTERM CARE	MN	501(C)(3)	3	CHI	Yes
(40) LINUS OAKES INC 2700 STEWART PARKWAY ROSEBURG,OR97470 93-0821381	SENIOR LIVING	OR	501(C)(3)	9	MMC	Yes
(41) LISBON AREA HEALTH SERVICES 905 MAIN STREET LISBON,ND58054 82-0558836	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(42) MEMORIAL HEALTH CARE SYSTEM FOUNDATION 2525 DE SALES AVENUE CHATTANOOGA,TN37404 62-1839548	FUNDRAISING	TN	501(C)(3)	7	MHCS	Yes
(43) MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVENUE CHATTANOOGA,TN37404 62-0532345	HEALTHCARE	TN	501(C)(3)	3	CHI	Yes
(44) MEMORIAL HEALTH PARTNERS FOUNDATION INC 6028 SHALLOWFORD ROAD CHATTANOOGA,TN37421 03-0417049	HEALTHCARE	TN	501(C)(3)	9	MHCS	Yes
(45) MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVENUE DES MOINES,IA50314 42-6076069	AUXILIARY	IA	501(C)(3)	11 - Type I	CHI-IA CORP	Yes
(46) MERCY CLINICS INC 1111 6TH AVENUE DES MOINES,IA50314 42-1193699	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	Yes
(47) MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVENUE DES MOINES,IA50314 42-1511682	EDUCATION	IA	501(C)(3)	2	CHI-IA CORP	Yes
(48) MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVENUE DES MOINES,IA50314 23-7358794	FUNDRAISING	IA	501(C)(3)	7	CHI-IA CORP	Yes
(49) MERCY FOUNDATION INC 2700 STEWART PARKWAY ROSEBURG,OR97470 93-6088946	FUNDRAISING	OR	501(C)(3)	7	MMC	Yes
(50) MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING,IA50841 42-1461064	FUNDRAISING	NE	501(C)(3)	11 - Type I	AHMH	Yes
(51) MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DRIVE COUNCIL BLUFFS,IA51503 42-1178204	FUNDRAISING	IA	501(C)(3)	11 - Type I	AHBMHS	Yes
(52) MERCY HOSPITAL OF DEVILS LAKE 1031 EAST SEVENTH STREET DEVILS LAKE,ND58301 45-0227012	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(53) MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BOULEVARD VALLEY CITY,ND58072 45-0226553	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(54) MERCY LIFECARE SYSTEMS 2727 MCCLELLAND BLVD JOPLIN,MO64804 43-1305163	PROPERTY MGMT	MO	501(C)(3)	11 - Type I	SJRMC	Yes
(55) MERCY MEDICAL CENTER 1301 15TH AVENUE WEST WILLISTON,ND58801 45-0231183	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(56) MERCY MEDICAL CENTER 2700 STEWART PARKWAY ROSEBURG,OR97470 93-0386868	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes
(57) MERCY MEDICAL CENTER - CENTERVILLE 1 ST JOSEPHS DRIVE CENTERVILLE,IA52544 42-0680308	HEALTHCARE	IA	501(C)(3)	3	CHI-IA CORP	Yes
(58) MERCY MEDICAL FOUNDATION 1301 15TH AVENUE WEST WILLISTON,ND58801 45-0381803	FUNDRAISING	ND	501(C)(3)	11 - Type I	MMC	Yes
(59) MERCY PROFESSIONAL PRACTICE ASSOCIATES INC 1111 6TH AVENUE DES MOINES,IA50314 42-1470935	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	Yes
(60) MERCY REGIONAL MEDICAL CENTER OF DURANGO 1010 THREE SPRINGS BLVD DURANGO,CO81301 84-0405515	HEALTHCARE	CO	501(C)(3)	3	CHI	Yes
(61) MNMCH INC 220 NORTH PENNSYLVANIA COLUMBUS,KS66725 48-1216238	HEALTHCARE	KS	501(C)(3)	3	SJRMC	Yes
(62) MT ST JOSEPH INC 3060 SE STARK STREET PORTLAND,OR97214 93-0386870	NURSING CARE	OR	501(C)(3)	9	CHI	Yes
(63) OAKES COMMUNITY HOSPITAL 314 SOUTH 8TH STREET OAKES,ND58474 45-0231675	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(64) OAKES COMMUNITY HOSPITAL FOUNDATION 314 SOUTH 8TH STREET OAKES,ND58474 71-0966606	FUNDRAISING	ND	501(C)(3)	11 - Type I	OCH	Yes
(65) PUEBLO STEPUP 1925 EAST ORMAN AVE SUITE G52 PUEBLO,CO81004 84-1234295	COMMUNITY	CO	501(C)(3)	7	CHI	Yes
(66) SET OF COLORADO SPRINGS INC 825 E PIKES PEAK AVENUE BLDG 29 COLORADO SPRINGS,CO80903 84-1183335	LTERM CARE	CO	501(C)(3)	7	CHI COLORADO	Yes
(67) SAINT CLARE'S COMMUNITY CARE 66 FORD ROAD DENVILLE,NJ07834 22-2876836	HEALTHCARE	NJ	501(C)(3)	11 - Type II	SCHS	Yes
(68) SAINT CLARE''S FOUNDATION INC 66 FORD ROAD DENVILLE,NJ07834 22-2502997	FUNDRAISING	NJ	501(C)(3)	7	SCHS	Yes
(69) SAINT CLARE''S HEALTH SERVICES INC 25 POCONO ROAD DENVILLE,NJ07834 22-3639733	MANAGEMENT	NJ	501(C)(3)	7	CHI	Yes
(70) SAINT CLARE'S HOSPITAL 66 FORD ROAD DENVILLE,NJ07834 22-3319886	HEALTHCARE	NJ	501(C)(3)	3	CHI	Yes
(71) SAINT ELIZABETH FOUNDATION 555 SOUTH 70TH STREET LINCOLN,NE68510 47-0625523	FUNDRAISING	NE	501(C)(3)	7	SERMC	Yes
(72) SAINT ELIZABETH HEALTH SERVICES 555 SOUTH 70TH STREET LINCOLN,NE68510 36-3233120	HEALTHCARE	NE	501(C)(3)	3	SERMC	Yes
(73) SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 SOUTH 70TH STREET LINCOLN,NE68510 47-0379836	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes
(74) SAINT FRANCIS MEDICAL CENTER PO BOX 9804 GRAND ISLAND,NE68802 47-0376601	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes
(75) SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND,NE68802 47-0630267	FUNDRAISING	NE	501(C)(3)	7	SFMC	Yes
(76) SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL STREET BEREA,KY40403 26-0152877	FUNDRAISING	KY	501(C)(3)	7	SJHS	Yes
(77) SAINT JOSEPH HEALTH SYSTEM INC 150 N EAGLE CREEK DR LEXINGTON,KY40509 61-1334601	HEALTHCARE	KY	501(C)(3)	3	CHI	Yes
(78) SAINT JOSEPH LONDON FOUNDATION INC 310 EAST NINTH STREET LONDON,KY40741 26-0438748	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	Yes
(79) SAINT JOSEPH MEDICAL FOUNDATION INC ONE ST JOSEPH DRIVE LEXINGTON,KY40504 31-1539059	PHY PRACTICES	KY	501(C)(3)	3	SJHS	Yes
(80) SAINT JOSEPH MOUNT STERLING FOUNDATION INC 50 STERLING AVENUE MOUNT STERLING,KY40353 27-2884584	FUNDRAISING	KY	501(C)(3)	7	SJHS	Yes
(81) SAINT JOSEPH'S HOSPITAL FOUNDATION 30 WEST 7TH STREET DICKINSON,ND58601 36-3418207	FUNDRAISING	ND	501(C)(3)	11 - Type I	SJHHC	Yes
(82) SAMARITAN BEHAVIORAL HEALTH 601 S EDWIN C MOSES BLVD DAYTON,OH45408 02-0633634	HEALTHCARE	OH	501(C)(3)	3	SHP	Yes
(83) SAMARITAN HEALTH FOUNDATION 2222 PHILADELPHIA DRIVE DAYTON,OH45406 23-7296923	FUNDRAISING	OH	501(C)(3)	7	SHP	Yes
(84) SAMARITAN HEALTH PARTNERS 2222 PHILADELPHIA DRIVE DAYTON,OH45406 31-1107411	HEALTHCARE	OH	501(C)(3)	11 - Type I	CHI	Yes
(85) ST JOSEPH HEALTH MINISTRIES 1929 LINCOLN HWY E STE 150 LANCASTER,PA17602 23-2342997	HEALTH	PA	501(C)(3)	11 - Type I	CHI	Yes
(86) ST JOSEPH HEALTH MINISTRIES FOUNDATION 1929 LINCOLN HWY E STE 150 LANCASTER,PA17602 23-2605579	FUNDRAISING	PA	501(C)(3)	11 - Type I	SJHM	Yes
(87) ST ANTHONY HOSPITAL 1601 SE COURT AVENUE PENDLETON,OR97801 93-0391614	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes
(88) ST ANTHONY HOSPITAL FOUNDATION 1601 SE COURT AVENUE PENDLETON,OR97801 93-0992727	FUNDRAISING	OR	501(C)(3)	11 - Type I	SA HOSPITAL	Yes
(89) ST ANTHONY'S HOSPITAL ASSOCIATION 4 HOSPITAL DRIVE MORRILTON,AR72110 71-0245507	HEALTHCARE	AR	501(C)(3)	3	SVIMC	Yes
(90) ST CATHERINE HOSPITAL 401 EAST SPRUCE STREET GARDEN CITY,KS67846 48-0543721	HEALTHCARE	KS	501(C)(3)	3	CHI	Yes
(91) ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE STREET GARDEN CITY,KS67846 20-0598702	FUNDRAISING	KS	501(C)(3)	11 - Type I	SCH	Yes
(92) ST DOMINIC AT ONTARIO 351 SW 9TH STREET ONTARIO,OR97914 93-0433692	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes
(93) ST FRANCIS HOME 2400 ST FRANCIS DRIVE BRECKENRIDGE,MN56520 41-0729978	LTERM CARE	MN	501(C)(3)	9	CHI	Yes
(94) ST FRANCIS LIFE CARE CORPORATION 19 POCONO ROAD DENVILLE,NJ07834 22-2536017	ELDERLY CARE	NJ	501(C)(3)	9	SCHS	Yes
(95) ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DRIVE BRECKENRIDGE,MN56520 41-0695598	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes
(96) ST FRANCIS OF BAKER CITY 3325 POCAHONTAS ROAD BAKER CITY,OR97814 93-0412495	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes
(97) ST JOHN'S MEDICAL GROUP 2727 MCCLELLAND BLVD JOPLIN,MO64804 43-1882377	PHYS PRACTICE	MO	501(C)(3)	9	SJRMC	Yes
(98) ST JOHN'S MERCY REGIONAL FOUNDATION 2727 MCCLELLAND BLVD JOPLIN,MO64804 43-1308084	FUNDRAISING	MO	501(C)(3)	7	SJRMC	Yes
(99) ST JOHN'S REGIONAL MEDICAL CENTER 2727 MCCLELLAND BLVD JOPLIN,MO64804 44-0545809	HEALTHCARE	MO	501(C)(3)	3	CHI	Yes
(100) ST JOSEPH COMMUNITY HEALTH SERVICES 300 CENTRAL AVE SW SUITE 3000W ALBUQUERQUE,NM87102 71-0897107	COMMUNITY	NM	501(C)(3)	11 - Type I	CHI	Yes
(101) ST JOSEPH HEALTH SERVICES INC 1929 LINCOLN HWY E STE 150 LANCASTER,PA17602 20-1425375	DENTAL CARE	PA	501(C)(3)	11 - Type I	SJHM	Yes
(102) ST JOSEPH HOSPITAL FOUNDATION INC ONE ST JOSEPH DRIVE LEXINGTON,KY40504 61-1159649	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	Yes
(103) ST JOSEPH MEDICAL CENTER FOUNDATION 2500 BERNVILLE ROAD PO BOX 316 READING,PA19603 23-2649362	FUNDRAISING	PA	501(C)(3)	11 - Type I	SJRHN	Yes
(104) ST JOSEPH MEDICAL CENTER FOUNDATION INC 7601 OSLER DRIVE TOWSON,MD21204 52-1681044	FUNDRAISING	MD	501(C)(3)	7	SJMC	Yes
(105) ST JOSEPH MEDICAL CENTER INC 7601 OSLER DRIVE TOWSON,MD21204 52-0591461	HEALTHCARE	MD	501(C)(3)	3	CHI	Yes
(106) ST JOSEPH MEDICAL GROUP 2500 BERNVILLE ROAD PO BOX 316 READING,PA19603 20-8544021	HEALTHCARE	PA	501(C)(3)	9	BHC	Yes
(107) ST JOSEPH PHYSICIAN ENTERPRISES 7601 OSLER DRIVE TOWSON,MD21204 52-1311775	PHYSICIANS	MD	501(C)(3)	11 - Type I	CHI	Yes
(108) ST JOSEPH REGIONAL HEALTH NETWORK 2500 BERNVILLE ROAD PO BOX 316 READING,PA19603 23-1352211	HEALTHCARE	PA	501(C)(3)	3	CHI	Yes
(109) ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVENUE PARK RAPIDS,MN56470 41-0695603	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes
(110) ST JOSEPH'S HOSPITAL AND HEALTH CENTER 30 WEST 7TH STREET DICKINSON,ND58601 45-0226429	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(111) ST MARY'S HEALTHCARE CENTER 801 EAST SIOUX AVENUE PIERRE,SD57501 46-0230199	HEALTHCARE	SD	501(C)(3)	3	CHI	Yes
(112) ST MARY'S HOSPITAL 1314 3RD AVENUE NEBRASKA CITY,NE68410 47-0443636	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes
(113) ST MARY'S HOSPITAL FOUNDATION 1314 3RD AVENUE NEBRASKA CITY,NE68410 47-0707604	FUNDRAISING	NE	501(C)(3)	7	SMH	Yes
(114) ST ROSE AMBULATORY AND SURGERY CENTER FKA CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND,KS67530 48-0543724	SURGERY CNTR	KS	501(C)(3)	3	CHI	Yes
(115) ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 51-0169537	FUNDRAISING	AR	501(C)(3)	11 - Type I	SVIMC	Yes
(116) ST VINCENT INFIRMARY MEDICAL CENTER 2 ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0236917	HEALTHCARE	AR	501(C)(3)	3	CHI	Yes
(117) ST VINCENT MEDICAL GROUP 2 ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0830696	HEALTHCARE	AR	501(C)(3)	9	SVIMC	Yes
(118) THE COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK STREET ACCOUNTING-3 W CINCINNATI,OH45206 23-7419853	DIALYSIS	OH	501(C)(2)	N/A	GSH	Yes
(119) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH 619 OAK STREET ACCOUNTING-3 W CINCINNATI,OH45206 31-0537486	HEALTHCARE	OH	501(C)(3)	3	TRI-HEALTH	Yes
(120) THE MERCY HOSPITAL OF DEVILS LAKE FDN 1031 EAST SEVENTH STREET DEVILS LAKE,ND58301 35-2367360	FUNDRAISING	ND	501(C)(3)	11 - Type I	MHDL	Yes
(121) THE PHYSICIAN NETWORK 8055 O STREET SUITE 300 LINCOLN,NE68510 47-0780857	PHYS PRACTICE	NE	501(C)(3)	11 - Type I	CHI NEBRASKA	Yes
(122) TOTAL HEALTHCARE PO BOX 7021 COLORADO SPRINGS,CO80933 84-0927232	HEALTHCARE	CO	501(C)(3)	3	CHI COLORADO	Yes
(123) UNITY FAMILY HEALTHCARE 815 2ND STREET SE LITTLE FALLS,MN56345 41-0721642	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes
(124) VILLA NAZARETH INC 801 PAGE DRIVE FARGO,ND58103 45-0226714	LT CARE	ND	501(C)(3)	9	CHI	Yes
(125) VISITING NURSE ASSOCIATION OF SAINT CLARE'S 191 WOODPORT ROAD SPARTA,NJ07871 22-1768334	HOME HEALTH	NJ	501(C)(3)	9	SCHS	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) AUDUBON LAND COMPANY LLC 5390 N ACADEMY BLVD SUITE 300 COLORADO SPRINGS,CO80918 84-1513085	REAL ESTATE	CO	THC	RELATED	-157,673	14,390,550		No	0		No	50.1 %
(2) AVANTAS LLC 1207 SOUTH 13 STREET OMAHA,NE68108 39-2045003	HEALTHCARE	NE	AHMH	UNRELATED				No			No	95 %
(3) BERYWOOD OFFICE PROPERTIES LLC 400 BERYWOOD TRAIL CLEVELAND,TN37312 62-1875199	PHYS OFFICE	TN	MHCS	RELATED				No		Yes		63 %
(4) BLUEGRASS REGIONAL IMAGING CENTER 1218 SOUTH BROADWAY SUITE 310 LEXINGTON,KY40504 61-1386736	DIAGNOSTIC	KY	SJ HOSPITAL LEX	RELATED				No			No	65 %
(5) CENTRAL NEBRASKA HOME CARE SERVICES PO BOX 1146-4510 SECOND AVENUE KEARNEY,NE68848 47-0692112	HEALTHCARE SRVC	NE	HSE INC	RELATED	-99,941	1,021,498		No	-48,712	Yes		100 %
(6) CENTRAL NEBRASKA REHAB SERVICE 3004 W FAIDLEY AVE GRAND ISLAND,NE68802 81-0653461	PHYSICAL THERAPY	NE	CHI	RELATED	1,857,991	2,262,775		No	0		No	51 %
(7) CHI OPERATING INVESTMENT PROGRAM LP 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 47-0727942	INVESTMENTS	CO	CHI	UNRELATED	139,679,805	2,069,974,790		No	371,292	Yes		100 %
(8) HEALTHCARE SUPPORT SERVICES PO BOX 9804 GRAND ISLAND,NE68802 72-1546196	LAUNDRY	NE	CHI	RELATED	196,124	3,913,481		No	-58,436		No	100 %
(9) NORTH RIVER SURGERY CENTER LLC 2209 WILDWOOD AVENUE SHERWOOD,AR72120 71-0799771	AMBUL SURG CTR	AR	SVIMC	RELATED	198,313	1,758,688		No	0		No	57.45 %
(10) ORTHOCOLORADO LLC 11650 WEST 2ND PLACE LAKEWOOD,CO80255 37-1577105	ORTHO HOSPITAL	CO	THC	RELATED	-3,249,314	10,905,384		No	0		No	60 %
(11) PENINSULA RADIATION ONCOLOGY 314 MARTIN LUTHER KING JR WAY 11 TACOMA,WA98405 87-0808610	HEALTHCARE SRVC	WA	FHS	RELATED	131,195	3,052,504		No	0		No	60 %
(12) PENRAD IMAGING 1139 KELLY JOHNSON BLVD COLORADO SPRINGS,CO80920 84-1072619	MEDICAL IMAGING	CO	THC	RELATED	1,857,228	5,457,224		No	0		No	70 %
(13) RUXTON SURGICENTER LLC 8322 BELLONA AVENUE SUITE 201 BALTIMORE,MD21204 52-2095835	SURGERY CENTER	MD	SJMC	RELATED				No		Yes		51 %
(14) SAINT JOSEPH - SCA HOLDINGS LLC 424 LEWIS HARGETT CIRCLE STE 160 LEXINGTON,KY40503 45-3801157	OP SURGERY	DE	SJHS	RELATED	0	0		No	0		No	51 %
(15) ST ANOTHONY REGIONAL MTN CANCER CENTER 4231 W 16TH AVENUE DENVER,CO80112 37-1568013	CANCER CENTER	CO	THC	RELATED	-290,552	0		No	0		No	51 %
(16) ST FRANCIS LAND COMPANY 5390 N ACADEMY BLVD SUITE 300 COLORADO SPRINGS,CO80918 26-3134100	REAL ESTATE	CO	THC	RELATED	-180,979	14,886,022		No	0		No	51 %
(17) ST FRANCIS MEDICAL CENTER ASSOCIATES 1717 SOUTH J STREET TACOMA,WA98405 91-1352698	MED. OFFICE	WA	FHS	RELATED	116,948	1,652,280		No	0		No	54 %
(18) ST JOSEPH-PAML LLC 424 LEWIS HARGETT CIRCLE STE 160 LEXINGTON,KY40503 45-2116736	MGMT SERVICES	KY	SJHS	RELATED	0	0		No	0	Yes		62.5 %
(19) SUPERIOR MEDICAL IMAGING LLC 5000 NORTH 26TH STREET LINCOLN,NE68521 26-2884555	OP DIAGNOSTICS	NE	SERMC	RELATED				No			No	51 %
(20) SURGERY CENTER OF LEXINGTON LLC 1451 HARRODSBURG ROAD LEXINGTON,KY40504 62-1179539	SURGERY CENTER	DE	SJHS	RELATED	808,840	4,236,901		No	0		No	51 %

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) ALTERNATIVE INSURANCE MANAGEMENT SERVICES 3900 OLYMPIC BOULEVARD SUITE 400 ERLANGER,KY41018 84-1112049	MANAGEMENT SERVICES	CO	CHI	C CORPORATION	0	3,267,441	100 %
(2) AMERICAN NURSING CARE 1700 EDISON DRIVE MILFORD,OH45150 31-1085414	HOME HEALTH	OH	CHS	C CORPORATION	1,778,617	44,470,358	100 %
(3) AMERIMED INC 1700 EDISON DRIVE MILFORD,OH45150 31-1158699	HOME HEALTH	OH	ANC	C CORPORATION	2,395,230	11,869,657	100 %
(4) CADUCEUS MEDICAL ASSOCIATES INC 6028 SHALLOWFORD ROAD SUITE D CHATTANOOGA,TN37422 62-1570736	HEALTHCARE	TN	MHCS	C CORPORATION	0	1,008	100 %
(5) CAPTIVE MANAGEMENT INITIATIVES PO BOX 10073 APO GEORGETOWN,GEORGETOWN, GRAND CAYMANKY1-1001 CJ 98-0663022	CAPTIVE MANAGEMENT	CJ	CHI	C CORPORATION	0	0	100 %
(6) CENTER FOR TRANSLATIONAL RESEARCH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-2269511	HEALTHCARE	CO	CHI	C CORPORATION	-2,247,962	1,668,589	100 %
(7) CENTRAL KANSAS HEALTH SERVICES ASSOCIATION 3515 BROADWAY GREAT BEND,KS67530 48-1042853	MEDICAL EQUIPMENT	KS	CKMC	C CORPORATION	0	0	100 %
(8) CGH REALTY COMPANY INC 215 N 12TH ST READING,PA19603 23-2326801	REAL ESTATE	PA	SJHM	C CORPORATION	1,007	42,415	100 %
(9) COMCARE SERVICES 4231 W 16TH AVENUE DENVER,CO80204 84-0904813	INACTIVE	CO	CHIC	C CORPORATION	0	0	100 %
(10) CONSOLIDATED HEALTH SERVICES 1700 EDISON DRIVE MILFORD,OH45150 31-1378212	HOME HEALTH	OH	CHI	C CORPORATION	0	11,595,125	100 %
(11) DAVID DEYLE CHARITABLE REMAINDER UNITRUST PO BOX 1810 KEARNEY,NE68848 47-6192395	INVESTMENTS	NE	GSHF	TRUST	4,880	166,425	100 %
(12) DES MOINES MEDICAL CENTER INC 1111 6TH AVENUE DES MOINES,IA50314 42-0837382	REAL ESTATE	IA	CHI-IA CORP	C CORPORATION	0	1,253,452	92.98 %
(13) FIRST INITIATIVES INSURANCE LTD PO BOX 10073 APO GEORGETOWN,GEORGETOWN, GRAND CAYMANKY1-1001 CJ 98-0203038	INSURANCE	CJ	CHI	C CORPORATION	0	0	100 %
(14) FRANCISCAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2487967	HEALTHCARE	CO	CHI	C CORPORATION	-507,578	11,914,284	100 %
(15) GOOD SAMARITAN OUTREACH SERVICES PO BOX 1990 KEARNEY,NE68848 47-0659440	MEDICAL CLINIC	NE	CHI NEBRASKA	C CORPORATION	-2,921,063	355,110	100 %
(16) HAROLD W RASE 1995 CHARITABLE UNITRUST 30 WEST 7TH STREET DICKINSON,ND58601 45-6090420	INVESTMENTS	ND	SJHHC	TRUST	1,240	21,553	100 %
(17) HAROLD W RASE 1996 CHARITABLE UNITRUST 30 WEST 7TH STREET DICKINSON,ND58601 20-6037112	INVESTMENTS	ND	SJHHC	TRUST	900	15,495	100 %
(18) HAROLD W RASE 1997 CHARITABLE UNITRUST 30 WEST 7TH STREET DICKINSON,ND58601 20-6037104	INVESTMENTS	ND	SJHHC	TRUST	1,025	20,261	100 %
(19) HAROLD W RASE 1999 CHARITABLE UNITRUST 30 WEST 7TH STREET DICKINSON,ND58601 20-6037099	INVESTMENTS	ND	SJHHC	TRUST	1,313	25,027	100 %
(20) HEALTH SYSTEMS ENTERPRISES INC PO BOX 1990 KEARNEY,NE68848 47-0664558	MANAGEMENT	NE	GSH	C CORPORATION	25,289	1,443,049	100 %
(21) HEALTHCARE MGMT SERVICES ORG INC 1149 MARKET ST TACOMA,WA98402 91-1865474	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	100 %
(22) JAMES & HENRIETTA NISTLER UNITRUST 30 WEST 7TH STREET DICKINSON,ND58601 20-6021899	INVESTMENTS	ND	SJHHC	TRUST	-16,708	41,455	100 %
(23) JEANNE DEYLE CHARITABLE REMAINDER UNITRUST PO BOX 1810 KEARNEY,NE68848 47-6192398	INVESTMENTS	NE	GSHF	TRUST	4,880	166,320	100 %
(24) JOSEPH A SCHUSTER ANNUITY TRUST #1 400 UNIVERSITY AVENUE DES MOINES,IA50314 42-1195122	INVESTMENTS	IA	MFDM	TRUST	18,924	441,488	100 %
(25) LODESCA MILLER CHARITABLE REMAINDER UNITRUST PO BOX 1810 KEARNEY,NE68848 47-6186933	INVESTMENTS	NE	GSHF	TRUST	3,387	86,367	100 %
(26) MEDQUEST 1301 15TH AVENUE WEST WILLISTON,ND58801 45-0392137	SALE OF DME	ND	MH OF WILLISTON	C CORPORATION	9,852	962,554	100 %
(27) MERCY HEALTH SERVICES CORPORATION 2727 MCCLELLAND BLVD JOPLIN,MO64804 43-1457881	DME	MO	ST JOHN'S RMC	C CORPORATION	-1,533,371	1,369,083	100 %
(28) MERCY PARK APARTMENTS LTD 1111 6TH AVENUE DES MOINES,IA50314 42-1202422	HOUSING	IA	CHI-IA CORP	C CORPORATION	264,489	1,796,053	100 %
(29) MERCY SERVICES CORP 2700 STEWART PARKWAY ROSEBURG,OR97470 93-0824308	RETAIL SALES	OR	MMC	C CORPORATION	-690,267	954,798	100 %
(30) MOUNTAIN MANAGEMENT SERVICES INC 6028D SHALLOWFORD ROAD CHATTANOOGA,TN37422 62-1570739	MGMT SVC ORG	TN	MHCS	C CORPORATION	-386,020	4,667,998	100 %
(31) NAZARETH ASSURANCE COMPANY 76 ST PAUL STREET SUITE 500 BURLINGTON,VT05401 03-0304831	INSURANCE	VT	CHI	C CORPORATION	-379	123,535	100 %
(32) PATIENT TRANSPORT SERVICES INC 1700 EDISON DRIVE MILFORD,OH45150 31-1100798	HOME HEALTH	OH	ANC	C CORPORATION	662,425	5,325,941	100 %
(33) PHYSICIAN HEALTH SYSTEM NETWORK 1149 MARKET ST TACOMA,WA98402 91-1746721	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	100 %
(34) RAY & SHIRLEY DAVID 1999 UNITRUST 30 WEST 7TH STREET DICKINSON,ND58601 20-6037077	INVESTMENTS	ND	SJHHC	TRUST	1,250	24,194	100 %
(35) ROBERT & WANDA CHARITABLE REMAINDER UNITRUST PO BOX 1810 KEARNEY,NE68848 26-6191916	INVESTMENTS	NE	GSHF	TRUST	13,030	537,775	100 %
(36) SAINT CLARE''S PRIMARY CARE INC 66 FORD ROAD DENVILLE,NJ07834 22-2441202	BILLING SERVICES	NJ	SCCC	C CORPORATION	-342,970	2,177,166	100 %
(37) SAMARITAN FAMILY CARE INC 40 W FOURTH ST 1700 DAYTON,OH45402 31-1299450	HEALTHCARE	OH	SHP	C CORPORATION			100 %
(38) SJH SERVICES CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2307408	HEALTHCARE	CO	FSI	C CORPORATION	-518,360	3,180,100	100 %
(39) SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR 160 LEXINGTON,KY40503 27-0164198	MANAGEMENT	KY	SJHS	C CORPORATION	0	0	100 %
(40) ST ANTHONY DEVELOPMENT COMPANY 1415 SOUTHGATE PENDLETON,OR97801 93-1216943	ATHLETIC CLUB	OR	ST ANTHONY H	C CORPORATION	53,891	3,007,554	100 %
(41) ST VINCENT COMMUNITY HEALTH SERVICES INC TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0710785	HEALTHCARE	AR	SVIMC	C CORPORATION	2,309,129	14,049,375	100 %
(42) ST JOSEPH DEVELOPMENT COMPANY 1717 SOUTH J STREET TACOMA,WA98405 91-1480569	RENTAL	WA	FSI	C CORPORATION	-36,395	12,168,022	100 %
(43) ST JOSEPH OFFICE PARK ASSOCIATION 1401 HARRODSBURG ROAD BLDG B70 LEXINGTON,KY40504 61-1079899	MANAGEMENT	KY	SJHS	C CORPORATION	16,644	882,139	85 %
(44) TOM DEYLE CHARITABLE REMAINDER UNITRUST PO BOX 1810 KEARNEY,NE68848 47-6192393	INVESTMENTS	NE	GSHF	TRUST	4,884	166,321	100 %
(45) TOWSON MANAGEMENT INC 7601 OSLER DRIVE TOWSON,MD21204 52-1710750	MANAGEMENT SERVICES	MD	FSI	C CORPORATION	-469,016	498,393	100 %

Schedule R (Form 990) 2010

Page 3

Part V

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

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

Yes

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

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

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

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

Yes

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

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

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

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

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

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

Yes

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

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

Yes

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

Yes

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

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

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

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

Yes

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

Yes

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

Yes

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) BLUEGRASS REGIONAL IMAGING CENTER LLC	I	105,882	FMV
(2) CONTINUING CARE HOSPITAL	I	781,081	FMV
(3) CONTINUING CARE HOSPITAL	K	6,010,046	FMV
(4) SAINT JOSEPH HOSPITAL FOUNDATION INC	L	577,655	FMV
(5) CONTINUING CARE HOSPITAL	P	7,092,679	FMV
(6) SAINT JOSEPH HOSPITAL FOUNDATION INC	P	170,710	FMV
(7) SAINT JOSEPH MEDICAL FOUNDATION INC	P	887,465	FMV
(8) SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC	P	103,384	FMV
(9) SAINT JOSEPH HOSPITAL FOUNDATION INC	Q	185,102	FMV
(10) BLUEGRASS REGIONAL IMAGING CENTER LLC	R	190,993	FMV
(11) SAINT JOSEPH HOSPITAL FOUNDATION INC	C	243,416	FMV
(12) SAINT JOSEPH MOUNT STERLING FOUNDATION INC	C	211,915	FMV
(13) SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC	C	87,142	FMV

Schedule R (Form 990) 2010

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

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

Identifier	Return Reference	Explanation

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

1	Briefly describe the organization’s mission or most significant activities: SAINT JOSEPH HEALTH SYSTEM, INC. IS A FAITH-BASED ORGANIZATION UNITED IN OUR UNWAVERING COMMITMENT TO PERSON-CENTERED CARE. FOCUSED ON QUALITY AND COLLABORATION WITH OUR COMMUNITY, WE STRIVE TO MEET OUR COMMUNITIES' HEALTH RELATED NEEDS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	14
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	6,043
6	Total number of volunteers (estimate if necessary) ....	6	810
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	890,816
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,132,125	1,049,729
9	Program service revenue (Part VIII, line 2g) .........	699,193,371	727,014,725
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,198,932	6,861,722
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	25,838,225	42,685,205
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	731,362,653	777,611,381
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	365,553	322,774
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	271,326,599	300,200,219
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	427,557,228	465,994,178
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	699,249,380	766,517,171
19	Revenue less expenses. Subtract line 18 from line 12......	32,113,273	11,094,210
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	713,530,972	773,959,162
21	Total liabilities (Part X, line 26)............	337,318,794	380,892,174
22	Net assets or fund balances. Subtract line 21 from line 20 .....	376,212,178	393,066,988

Sign Here

	Signature of officer	Date

	Type or print name and title.

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


4a	(Code: ) (Expenses $ 601,041,829 including grants of $ 322,774 ) (Revenue $ 726,921,647 )
	SEE SCHEDULE H.

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 expenses$ 601,041,829

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	7,091,412	2,681,731	1,241,019

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		957,823
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		91,906
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			1,049,729
			Business Code
2a	PATIENT SERVICES		900,099	719,517,821	719,424,743	93,078
b	RENTAL INCOME		532,000	3,999,925	3,842,655	157,270
c	EQUITY CHANGES OF UNCONSOLIDATED ORGS		900,099	2,155,217	2,213,793	-58,576
d	MEDICAL SERVICES		900,099	1,199,808	1,199,808
e	REIMBURSEMENT OF EXPENSES		900,099	111,859	111,859
f	All other program service revenue .			30,095	30,095	0	0
g	Total. Add lines 2a–2f........			727,014,725
3	Investment income (including dividends, interest
	and other similar amounts).....			2,203,335		7,259	2,196,076
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross Rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	4,662,237	5,500
b	Less: cost or other basis and sales expenses		9,350
c	Gain or (loss)	4,662,237	-3,850
d	Net gain or (loss)..........			4,658,387			4,658,387
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..			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...			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..			0
Miscellaneous Revenue			Business Code
11a	INTERCOMPANY TRANSACTIONS		900,099	35,844,389			35,844,389
b	CAFETERIA		722,100	3,352,194		331,358	3,020,836
c	LABORATORY SERVICES		621,500	1,483,418		30,066	1,453,352
d	All other revenue ....			2,005,204	0	330,361	1,674,843
e	Total. Add lines 11a–11d ......			42,685,205
12	Total revenue. See Instructions....			777,611,381	726,822,953	890,816	48,847,883


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			879,326	1	113,782
2	Savings and temporary cash investments .......			47,181,397	2	48,531,721
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			121,011,667	4	124,269,730
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 .............			321,319	7	245,032
8	Inventories for sale or use ..............			9,820,894	8	10,136,054
9	Prepaid expenses and deferred charges ............			1,561,307	9	1,852,583
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	786,126,085
b	Less: accumulated depreciation. .....	10b	321,804,851	424,342,806	10c	464,321,234
11	Investments—publicly traded securities ..........			3,581,550	11	2,153,128
12	Investments—other securities. See Part IV, line 11 ......			96,925,055	12	111,475,893
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets .........			6,390,840	14	7,607,585
15	Other assets. See Part IV, line 11 ...........			1,514,811	15	3,252,420
16	Total assets. Add lines 1 through 15 (must equal line 34)...			713,530,972	16	773,959,162
17	Accounts payable and accrued expenses .			91,784,132	17	94,926,938
18	Grants payable ..........				18
19	Deferred revenue ..........			1,683,177	19	2,208,951
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			16,943	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities. Complete Part X of Schedule D.....			243,834,542	25	283,756,285
26	Total liabilities. Add lines 17 through 25.....			337,318,794	26	380,892,174
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			375,355,542	27	392,975,365
28	Temporarily restricted net assets .....			856,636	28	91,623
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			376,212,178	33	393,066,988
34	Total liabilities and net assets/fund balances .....			713,530,972	34	773,959,162