TY 2011 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) MILANN SIEGFRIED VICE CHAIRPERSON	1.0	X	X	0	0	0
(2) STEPHEN J HEYMAN CHAIRMAN	1.0	X	X	0	0	0
(3) CHARLES ANDERSON PRESIDENT	38.0	X	X	483,857	0	60,357
(4) SR M THERESE GOTTSCHALK EX-OFFICIO	1.0	X	X	0	99,996	0
(5) LEE ELLSWORTH TREASURER	1.0	X	X	0	0	0
(6) GLENN BONNER EX-OFFICIO	1.0	X		0	0	0
(7) ROBERT FARRIS DIRECTOR	1.0	X		0	0	0
(8) SR M ANASTASIA JOSEPH DIRECTOR	40.0	X		44,496	0	0
(9) ROBERT J LAFORTUNE DIRECTOR	1.0	X		0	0	0
(10) ROBERT MELICHAR MD DIRECTOR	1.0	X		0	0	0
(11) JOSEPH P MORAN III DIRECTOR	1.0	X		0	0	0
(12) JOHN MOWRY MD DIRECTOR	1.0	X		8,500	0	0
(13) RJ SULLIVAN JR EX-OFFICIO	1.0	X		0	0	0
(14) DAVID J PYNN SECRETARY	1.0	X	X	0	815,682	114,156
(15) STEVEN R ANDERSON DIRECTOR	1.0	X		0	0	0
(16) KENNETH SETTER MD DIRECTOR	1.0	X		0	0	0
(17) SR M FELICIDAD CHAVEZ DIRECTOR	39.0	X		57,312	0	4,991

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) JESSIE L DRAGOO VICE PRESIDENT NURSING CNE	40.0	X			275,434	0	47,802
(19) MICHAEL B REEVES VICE PRESIDENT CIO	1.0	X			0	302,354	66,644
(20) KATHLEEN C SMARINSKY VICE PRESIDENT	40.0	X			228,803	0	55,083
(21) DEWEY C DAVIS VICE PRESIDENT	1.0	X			0	235,137	58,801
(22) H WILLIAM ALLRED VP OF MED AFFAIRS & MED ED	40.0	X			604,447	0	19,640
(23) TIMOTHY R YOUNG PRESIDENT OMNI	1.0	X			0	450,531	74,952
(24) LEX ANDERSON EXECUTIVE VP & CFO	1.0	X			0	529,101	75,833
(25) RANDY H HAMIL CORPORATE VP REVENUE CYCLE	1.0	X			0	283,798	29,017
(26) KEVIN B STECK VP INTEGRITY & COMPLIANCE	1.0	X			0	272,993	28,117
(27) JOHN P BACHMAN CORPORATE VP HR	1.0	X			0	295,995	48,334
(28) ROBERT O LANGLAND VP FINANCIAL SERVICES	1.0	X			0	303,393	40,304
(29) SHAWN H HELDEBRANDT CHIEF MEDICAL PHYSICIST RSO	40.0		X		227,522	0	27,084
(30) KEITH A HICKEY SENIOR PHYSICIST	40.0		X		165,354	0	534
(31) PATRICIA A WRIGHT RN DIR OPERATING ROOM	40.0		X		158,200	0	8,951
(32) OLIVER D HANSON PHYSICIST II	40.0		X		158,973	0	8,486
(33) ANTONIO C DELEON MEDICAL DIRECTOR CVI	40.0		X		160,712	0	0
(34) AMY M SOKOL FORMER OFFICER-VP GEN. COUNSEL	0.0			X	0	472,914	753

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 United States. See Part IV, line 21	9,911,449	9,911,449
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. 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 ....	1,789,095	1,483,152	305,943
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	131,602,638	110,419,371	21,183,267
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	7,441,495	1,391,914	6,049,581
9	Other employee benefits .......	40,723,813	29,258,044	11,465,769
10	Payroll taxes ...........	11,144,358	9,384,268	1,760,090
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	374,163	10,000	364,163
c	Accounting ...........	817,388		817,388
d	Lobbying ...........	12,866	12,866
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	0
g	Other ..........	74,516,373	38,592,886	35,923,487
12	Advertising and promotion ....	1,147,287	437,762	709,525
13	Office expenses .......	5,446,027	312,754	5,133,273
14	Information technology ......	5,773,803		5,773,803
15	Royalties ..	0
16	Occupancy ...........	6,039,241	1,699,528	4,339,713
17	Travel ............	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	480,438	428,963	51,475
20	Interest ...........	12,290,452		12,290,452
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	20,643,722	13,360,128	7,283,594
23	Insurance ..............	2,730,757		2,730,757
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	MEDICAL SUPPLIES	109,915,937	105,567,304	4,348,633
b	PURCHASED SERVICES	20,056,883	19,344,847	712,036
c	EQUIPMENT RENTAL & MAINT.	15,222,452	12,616,668	2,605,784	0
d	COLLECTION EXPENSE	359,410	322,096	37,314
e
f	All other expenses	1,460,031	1,440,728	19,303
25	Total functional expenses. Add lines 1 through 24f	479,900,078	355,994,728	123,905,350	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	2,985	1	2,985
2	Savings and temporary cash investments .......	22,706,406	2	13,214,444
3	Pledges and grants receivable, net .........	0	3	334,862
4	Accounts receivable, net .........	89,779,364	4	90,098,156
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	0	5	0
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 ..........	0	6	0
7	Notes and loans receivable, net .............	15,094,617	7	17,961,779
8	Inventories for sale or use ..............	1,483,521	8	1,606,000
9	Prepaid expenses and deferred charges ............	546,200	9	591,068
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	489,650,261
b	Less: accumulated depreciation. .....	10b	281,803,303	235,043,146	10c	207,846,958
11	Investments—publicly traded securities ..........	152,349,519	11	185,996,656
12	Investments—other securities. See Part IV, line 11 ......	0	12	0
13	Investments—program-related. See Part IV, line 11 ..	42,325,273	13	45,368,486
14	Intangible assets .........	0	14	0
15	Other assets. See Part IV, line 11 ...........	61,785,746	15	115,700,841
16	Total assets. Add lines 1 through 15 (must equal line 34)...	621,116,777	16	678,722,235
	17	Accounts payable and accrued expenses .	60,736,479	17	48,954,341
18	Grants payable ..........	0	18	0
19	Deferred revenue ..........	0	19	0
20	Tax-exempt bond liabilities ..........	245,695,686	20	250,542,350
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	12,169,964	25	13,340,908
26	Total liabilities. Add lines 17 through 25.....	318,602,129	26	312,837,599
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	257,469,649	27	318,820,774
28	Temporarily restricted net assets .....	45,044,999	28	47,063,862
29	Permanently restricted net assets .....	0	29	0
	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 .....	302,514,648	33	365,884,636
34	Total liabilities and net assets/fund balances .....	621,116,777	34	678,722,235

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

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

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

ST JOHN MEDICAL CENTER INC

Employer identification number

73-0579286

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) 2011

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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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—2011. 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—2010. 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—2011. 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—2010. 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) 2011

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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. 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—2010. 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) 2011

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) 2011

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

OMB No. 1545-0047

2011

Name of organization

ST JOHN MEDICAL CENTER INC

Employer identification number

73-0579286

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, total 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 total 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 on line H of its
Form 990-EZ or on Part I, 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) (2011)

Page 2

Name of organization ST JOHN MEDICAL CENTER INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total 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) Total 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) Total 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) Total 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) Total 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) Total 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) (2011)

Page 3

Name of organization ST JOHN MEDICAL CENTER INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Name of organization
ST JOHN MEDICAL CENTER INC

Employer identification number

73-0579286

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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

$
Use duplicate copies of Part III if additional space is needed

(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) (2011)

Additional Data

Software ID:
Software Version:

- 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

2011

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, line 35c (Proxy Tax), then
Round Bullet

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

Name of the organization

ST JOHN MEDICAL CENTER INC

Employer identification number

73-0579286

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 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 function 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) 2011

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 (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) Total

2a	Lobbying non-taxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2011

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)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(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)? ....

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

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

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

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

Yes

12,866

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

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

Other activities? ..........................

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

12,866

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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.

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

Section 162(e) nondeductible 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, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
SUPPLEMENTAL INFORMATION 1	SCHEDULE C, PART II-B:	QUESTION 1F: PAYMENTS TO AMERICAN HOSPITAL ASSOCIATION FOR LOBBYING.

Schedule C (Form 990 or 990EZ) 2011

Additional Data

Software ID:
Software Version:

- 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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

ST JOHN MEDICAL CENTER INC

Employer identification number

73-0579286

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 can 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 education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 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, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 (ASC 958), 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 (ASC 958), 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 (ASC 958), 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) 2011

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
1a	Beginning of year balance ....	10,012,212	10,261,160	10,610,000
b	Contributions ........
c	Net investment earnings, gains, and losses ...	136,854	106,052	201,160
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	149,066	355,000	550,000
f	Administrative expenses ....
g	End of year balance ......	10,000,000	10,012,212	10,261,160

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

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

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

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	2,002,416		2,002,416
b	Buildings ................	161,316,490	66,150,948	95,165,542
c	Leasehold improvements ............	127,170,672	54,069,666	73,101,006
d	Equipment ................	188,155,640	154,011,982	34,143,658
e	Other .................	11,005,043	7,570,707	3,434,336
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				207,846,958

Schedule D (Form 990) 2011

Page 3

Part VII

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

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








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

Part VIII

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

(a) Description of investment type	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) BENEFICIAL INT SJMC FDN ASSETS	45,368,486	F








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	45,368,486

Part IX

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

(a) Description				(b) Book value
(1) INTEREST RECEIVABLE				663,953
(2) DUE FROM AFFILIATES				115,036,888







Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				115,700,841

Part X

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

1.(a) Description of Liability		(b) Book value
Federal Income Taxes		0
PENSION PLAN LIABILITY		3,362,430
DUE TO AFFILIATES		8,759,973
ASSET RETIREMENT OBLIGATION		293,409
ESTIMATED AMOUNT DUE TO MEDICARE		925,096





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		13,340,908
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) 2011

Page 4

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

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

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

Part XIV

Supplemental Information

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

Identifier	Return Reference	Explanation
SUPPLEMENTAL INFORMATION 1	SCHEDULE D, PART V, LN. 4	ST. JOHN MEDICAL CENTER WILL NOT DISBURSE THE PRINCIPAL FUNDS OF THE ENDOWMENT, BUT WILL EXPEND THE EARNINGS ON THE PRINCIPAL TO PARTIALLY OFFSET THE COST OF CHARITY CARE.

Schedule D (Form 990) 2011

Additional Data

Software ID:
Software Version:

- 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

2011

Open to Public Inspection

Name of the organization

ST JOHN MEDICAL CENTER INC

Employer identification number

73-0579286

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

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

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

Yes

100% 150% 200% Other 300 %

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

200% 250% 300% 350% 400% Other

If the organization did 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 used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance 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 discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

Yes

If "Yes," did 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.

Financial Assistance and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Financial Assistance at cost (from Worksheet 1) ..	33,671,090	3,179,513	30,491,577	6.400 %
b Medicaid (from Worksheet 3, column a) .....	44,653,738	54,752,397	-10,098,659
c Costs of other means-tested government programs (from Worksheet 3, column b) .
dTotal Financial Assistance and Means-Tested Government Programs .....	78,324,828	57,931,910	20,392,918	6.400 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	1,304,000	0	1,304,000	0.300 %
f Health professions education (from Worksheet 5) ..	20,557,000	7,614,000	12,943,000	2.700 %
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)	120,000	1,000	119,000
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....	4,080,000	0	4,080,000	0.900 %
jTotal Other Benefits ...	26,061,000	7,615,000	18,446,000	3.900 %
kTotal. Add lines 7d and 7j. ..	104,385,828	65,546,910	38,838,918	10.300 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(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
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did 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........

36,576,909

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance 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).....

172,123,495

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

232,792,333

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

-60,668,838

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

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures

(see instructions)

(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) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?2 Name and address		Other (Describe)
1	ST JOHN MEDICAL CENTER INC 1923 SOUTH UTICA AVENUE TULSA,OK74104	X	X	X	X
2	ST JOHN DIALYSIS LLC 1923 SOUTH UTICA AVENUE TULSA,OK74104	X	X			SJMC OUTPATIENT DEPT

Schedule H (Form 990) 2011

Page

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)

ST JOHN MEDICAL CENTER INC

Name of Hospital Facility:

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

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
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 the community health 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 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	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a 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 Needs Assessment
	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 and 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	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 300.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	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	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted 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 (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

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	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	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)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	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		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

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)

ST JOHN DIALYSIS LLC

Name of Hospital Facility:

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

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
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 the community health 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 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	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a 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 Needs Assessment
	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 and 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	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 300.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	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	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted 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 (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

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	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	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)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	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		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care 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) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions 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, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any 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
SUPPLEMENTAL INFORMATION 1	PART I, LINE 3C:	N/A FOR ADDITIONAL INFORMATION
SUPPLEMENTAL INFORMATION 2	PART I, LINE 6A:	THE HOSPITAL IS A WHOLLY-OWNED (WHOLLY-SPONSORED) SUBSIDIARY OF ST. JOHN HEALTH SYSTEM, INC. - EIN 73-1215174 - (SJHS). SJHS PREPARED A CONSOLIDATED COMMUNITY BENEFIT REPORT FOR THE CONSOLIDATED ORGANIZATION FOR THIS TAX YEAR. THE REPORT IS MADE AVAILABLE ON DEMAND AND IS REFERENCED BY THE ORGANIZATION IN A NUMBER OF PUBLIC MEETINGS AND COMMUNITY OUTREACH ACTIVITIES. SJHS HAS CHOSEN NOT TO POST THE SUMMARIZED INFORMATION ON ITS WEB SITE OR DO MASS MAILINGS OR MASS ADVERTISING TO COMMUNICATE THE SUBSTANTIAL COMMUNITY BENEFIT PROVIDED EACH YEAR BY SJHS.
SUPPLEMENTAL INFORMATION 3	PART I, LINE 7:	COSTS WERE DETERMINED USING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, PATIENT CARE COST-TO CHARGES.
SUPPLEMENTAL INFORMATION 4	PART II: COMMUNITY BUILDING ACTIVITIES	N/A FOR ADDITIONAL INFORMATION
SUPPLEMENTAL INFORMATION 5	PART III, SECTION A, LINE 4:	THE HOSPITAL DOES NOT PUBLISH SEPARATELY AUDITED FINANCIAL STATEMENTS, BUT IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENT OF SJHS. SEE 2012 CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF SJHS. COSTS WERE DETERMINED USING A RATIO OF COST TO CHARGES METHODOLOGY CONSISTENT WITH THE DETERMINATION OF THE COST OF CHARITY CARE AND THE COST OF UNCOMPENSATED MEDICAID. THE HOSPITAL DOES NOT CONSIDER ANY AMOUNTS CHARGED TO BAD DEBT TO BE, AND HAS NOT INCLUDED ANY SUCH AMOUNTS IN ITS MEASURE OF, COMMUNITY BENEFIT.
SUPPLEMENTAL INFORMATION 6	PART III, SECTION A, LINE 8	THE COSTS OF SERVICES PROVIDED TO MEDICARE BENEFICIARIES WERE DETERMINED USING A RATIO OF COST TO CHARGES METHODOLOGY CONSISTENT WITH THE DETERMINATION OF THE COST OF CHARITY CARE AND THE COST OF UNCOMPENSATED MEDICAID. THE HOSPITAL DOES NOT CONSIDER ANY AMOUNTS RELATED TO THE SHORTFALL (IF ANY) OF REIMBURSEMENT LESS THE COST OF SERVICE TO MEDICARE BENEFICIARIES TO BE CHARITY CARE OR COMMUNITY BENEFIT AND HAS NOT INCLUDED ANY SUCH AMOUNTS IN ITS MEASURE OF COMMUNITY BENEFIT.
SUPPLEMENTAL INFORMATION 7	PART III, SECTION A, LINE 9B:	THE COLLECTION POLICY IS SUCH THAT ALL COLLECTION ACTIVITY CEASES FOR EACH PATIENT'S AMOUNT DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. FOR EXAMPLE, IF IT IS DETERMINED THAT A PATIENT IS ELIGIBLE FOR FREE CARE, ALL COLLECTION EFFORTS CEASE. IF A PATIENT IS ELIGIBLE FOR DISCOUNTED CARE - NORMAL COLLECTION EFFORTS CONTINUE ONLY ON THE PORTION DETERMINED TO STILL BE OWED BY THE PATIENT. IN FY 2012, ALL UNINSURED PATIENTS WERE ELIGIBLE FOR AUTOMATIC DISCOUNTS OF AT LEAST 30% AND UP TO 45%. IN FY 2012, ALL PATIENTS WITH FAMILY INCOME LESS THAN OR EQUAL TO 300% OF FEDERAL POVERTY GUIDELINES WERE ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE OF FREE OR DISCOUNTED CARE.
SUPPLEMENTAL INFORMATION 8	PART VI, LINE 2: NEEDS ASSESSMENT	THE HOSPITAL CONDUCTED A COMMUNITY NEEDS ASSESSMENT JOINTLY WITH ITS PARENT ENTITY - SJHS. SJHS PARTICIPATES IN ONGOING COMMUNITY-BASED NEEDS ASSESSMENTS. SOME OF THE MOST SIGNIFICANT RECENT ACTIVITY INCLUDES COMMISSIONING OF A COMMUNITY NEEDS ASSESSMENT AND PLAN FOR IMPROVING COMMUNITY HEALTH CARE CONDUCTED BY TULSA COUNTY HEALTH DEPARTMENT AND RELEASED IN 2013, AND THE LEWIN CONSULTING GROUP IN 2007. THIS LEWIN STUDY INCLUDED PARTICIPATION OF ST. JOHN HEALTH SYSTEM, THE GEORGE KAISER FAMILY FOUNDATION, TRUSTEES OF THE CHAPMAN TRUSTS, ST. FRANCIS HEALTH SYSTEM, THE UNIVERSITY OF OKLAHOMA TULSA SCHOOL OF COMMUNITY MEDICINE, MANY OF THE LOCAL AND REGIONAL SAFETY NET PROVIDER ORGANIZATIONS, INCLUDING LOCAL FCHC'S AND MANY OTHERS. THIS LEWIN STUDY AND REPORT WAS FOLLOWED IN 2009 BY A COMMUNITY-BASED NEEDS ASSESSMENT AND PLANNING PROCESS OPEN TO EVERYONE IN THE COMMUNITY AND LEAD BY THE TULSA COUNTY HEALTH DEPARTMENT AND THE RECENT 2012/2013 COMMUNITY NEEDS ASSESSMENT ALSO LEAD BY TULSA COUNTY HEALTH DEPARTMENT. THE 2013 ASSESSMENT HAS BEEN POSTED TO THE HOSPITAL AND HEALTH SYSTEM WEBSITES. MANY MAJOR COMMUNITY HEALTH CARE SERVICE ORGANIZATIONS PARTICIPATED IN THESE STUDIES. IN ADDITION TO THE ABOVE, SJHS THROUGH, ITS SUBSIDIARY ST. JOHN MEDICAL CENTER, HAS ESTABLISHED A MEDICAL ACCESS PROGRAM (MAP) THAT IS ATTEMPTING TO IMPROVE AND EXPAND ACCESS TO HEALTH CARE SERVICES TO THE MOST VULNERABLE MEMBERS OF THE TULSA COMMUNITY. ALL SJHS TULSA HOSPITALS PARTICIPATE IN THIS INITIATIVE. THIS PROGRAM IS OVERSEEN BY REPRESENTATIVES OF ST. JOHN, THE GEORGE KAISER FAMILY FOUNDATION, TRUSTEES OF THE CHAPMAN TRUSTS AND THE UNIVERSITY OF OKLAHOMA TULSA SCHOOL OF COMMUNITY MEDICINE. THE MAP PROGRAM INCLUDES PARTICIPATION OF OTHER HEALTH CARE PROVIDERS INCLUDING GOOD SAMARITAN CLINICS, DAY CENTER FOR THE HOMELESS, COMMUNITY HEALTH CONNECTIONS FQHC AND A NETWORK OF VOLUNTEER PHYSICIAN PROVIDERS AND OTHER ORGANIZATIONS. THE MAP PROGRAM REGULARLY RECEIVES INPUT FROM ALL THESE ORGANIZATIONS ON NEEDED SERVICES IN THE COMMUNITY WHICH HELPS TO PRIORITIZE THE LIMITED RESOURCES AVAILABLE TO ADDRESS COMMUNITY NEEDS.
SUPPLEMENTAL INFORMATION 9	PART VI, LINE 3: PATIENT EDUCATION - ELIGIBILITY ASSISTANCE	THE HOSPITAL HAS A TEAM OF FINANCIAL COUNSELORS WHO, PRIOR TO DISCHARGE, ATTEMPT TO VISIT IN PERSON WITH ALL UNINSURED INPATIENTS AND ALL INPATIENTS LIKELY TO QUALIFY FOR MEDICAL INDIGENCY TO EXPLAIN OUR FINANCIAL ASSISTANCE POLICIES AND HELP GUIDE THEM THROUGH THE PROCESS OF APPLYING FOR FINANCIAL ASSISTANCE. WE ALSO ATTEMPT TO MEET WITH ALL THE FAMILIES OF ALL MEDICAID BENEFICIARIES OR INDIVIDUALS WHO WE BELIEVE COULD POTENTIALLY QUALIFY FOR MEDICAID TO HELP THEM APPLY FOR COVERAGE. THE HOSPITAL MENTIONS THE EXISTENCE OF THE FINANCIAL ASSISTANCE POLICY AND PROVIDES A PHONE NUMBER TO CALL: ON ITS WEBSITE, IN ADMITTING MATERIALS, ON ALL INVOICES FOR SERVICES SENT TO PATIENTS AND IN OTHER WAYS.
SUPPLEMENTAL INFORMATION 10	PART VI, LINE 4: COMMUNITY INFORMATION	AS DESCRIBED ABOVE THE HOSPITAL IS PART OF THE ST. JOHN HEALTH SYSTEM (SJHS). ALTHOUGH SJHS PROVIDES A FULL SPECTRUM OF HEALTH RELATED SERVICES THROUGHOUT NORTHEASTERN OKLAHOMA, ITS TERTIARY OPERATIONS AND A LARGE PART OF ITS OTHER SERVICES ARE CONCENTRATED IN THE TULSA METROPOLITAN STATISTICAL AREA (THE "TULSA MSA"). ACCORDING TO THE 2010 CENSUS, THE STATE OF OKLAHOMA HAD A RESIDENT POPULATION OF 3,751,351 PERSONS COMPARED TO 3,450,654 PERSONS IN 2000. THIS IS AN 8.7% INCREASE. THE U. S. CENSUS BUREAU ESTIMATED THAT IN 2009 13.5% OF THE OKLAHOMA RESIDENT POPULATION WAS ELIGIBLE FOR MEDICARE, COMPARED TO 14.7% IN 2000. TULSA COUNTY, OKLAHOMA AND THE COUNTIES THAT MAKE UP THE TULSA MSA, ACCORDING TO THE 2010 CENSUS, HAD POPULATIONS OF 603,403 AND 1,008,460, RESPECTIVELY. THIS COMPARES TO POPULATIONS OF 563,299 AND 803,235 PERSONS, RESPECTIVELY IN 2000 AND REPRESENTS POPULATION GROWTH OF 7.1% AND 25.5%, RESPECTIVELY. THE DATA SHOW THAT THE COUNTIES IN THE TULSA MSA THAT SURROUND TULSA COUNTY GREW MUCH FASTER FROM 2000 TO 2010. AT THE SAME TIME THE POPULATION WITHIN TULSA COUNTY SHIFTED AWAY FROM THE CITY OF TULSA AND TO SUBURBS SUCH AS OWASSO AND BROKEN ARROW. THE CITIES OF BROKEN ARROW AND OWASSO WERE TWO OF THE FASTEST GROWING COMMUNITIES IN OKLAHOMA BETWEEN 2000 AND 2010. THE POPULATION OF THE CITY OF OWASSO GREW 56% TO 28,915 FROM 2000 TO 2010 AND THE POPULATION OF THE CITY OF BROKEN ARROW GREW 32% TO 98,850 FROM 2000 TO 2010. WAGONER COUNTY (SOUTHEAST OF TULSA) AND ROGERS COUNTY (NORTHEAST OF TULSA) SHOWED THE TWO HIGHEST POPULATION GROWTH RATES FROM 2000 TO 2010. EVERY COUNTY IN THE 8 COUNTY TULSA MSA EXCEPT PAWNEE COUNTY GREW IN POPULATION FROM 2000 TO 2010. WASHINGTON COUNTY, DIRECTLY NORTH OF TULSA COUNTY AND WHICH INCLUDES THE CITY OF BARTLESVILLE (AND JANE PHILLIPS MEDICAL CENTER), ALSO GREW IN POPULATION FROM 2000 TO 2010. WHEN THE POPULATION OF WASHINGTON COUNTY IS ADDED TO THE POPULATION OF THE TULSA COUNTY, THE 2010 COMBINED POPULATION WAS 1,059,436. THERE IS SIGNIFICANT DISPARITY IN THE GENERAL HEALTH OF POPULATIONS WITHIN THE SERVICE AREA DEPENDING UPON WHERE AN INDIVIDUAL LIVES AND TO WHAT SOCIO ECONOMIC AND ETHNIC GROUP THEY BELONG. CITIZENS WHO RESIDE IN "NORTH TULSA" AND IN SOME AREAS OF "EAST" AND "WEST" TULSA GENERALLY HAVE POORER HEALTH AND SHORTER LIFE SPANS THAN INDIVIDUALS WHO LIVE IN "SOUTH" TULSA. MEMBERS OF MINORITY GROUPS (MANY OF WHOM RESIDE IN THE GEOGRAPHIC AREAS DESCRIBED ABOVE) SHARE THESE SAME HEALTH CHARACTERISTICS. IT HAS BEEN DEMONSTRATED THAT THESE INDIVIDUALS HAVE LESS ACCESS TO REGULAR HEALTH CARE SERVICES, INCLUDING SPECIALTY CARE AND MANY SEEK EVEN THEIR PRIMARY CARE IN HOSPITAL EMERGENCY ROOMS, INCLUDING ALL OF THE SJHS HOSPITALS. SOME SIGNIFICANT MINORITY GROUPS IN THE HOSPITAL'S AND SJHS'S PRINCIPAL SERVICE AREA INCLUDE NATIVE AMERICANS, HISPANICS AND AFRICAN AMERICANS. EACH OF THESE GROUPS SHARE COMMON SOCIO ECONOMIC CHALLENGES MAKING THEM MORE LIKELY TO BE POOR AND BE UNINSURED FOR HEALTH CARE. EACH OF THESE GROUPS HAVE UNIQUE ETHNIC HEALTH RISK FACTORS THAT CONTRIBUTE TO HEALTH STATUS THAT IS GENERALLY POORER THAN THEIR WHITE COUNTERPARTS. HOWEVER, EVEN AMONG THE WHITE POPULATION IN THE HOSPITAL'S SERVICE AREA THERE IS SIGNIFICANT ADVERSE HEALTH CARE STATUS. IN GENERAL OKLAHOMA (INCLUDING THE HOSPITAL'S SERVICE AREA) RANKS NEAR THE BOTTOM IN MANY IF NOT MOST MEASURES OF HEALTH STATUS IN THE U.S. IN GENERAL, THERE ARE HIGH RATES OF SMOKING, DIABETES, OBESITY, UPPER RESPIRATORY ILLNESS, CHRONIC HEART CONDITIONS AND MANY OTHER FACTORS. IN GENERAL THERE ARE HIGH RATES OF UNINSURED AND UNDERINSURED INDIVIDUALS AND FAMILIES IN THE COMMUNITIES AND GEOGRAPHIES SERVED BY THE HOSPITAL WHICH CREATE MANY CHALLENGES IN MEETING THE DEMAND FOR BASIC SERVICES AND IN IMPROVING THE HEALTH STATUS OF THE POPULATION.
SUPPLEMENTAL INFORMATION 11	PART VI, LN 5:PROMOTION OF COMMUNITY HEALTH & LN 6:AFFILIATED HEALTH CARE	ANSWERS TO THESE TWO QUESTIONS ARE COMBINED BELOW. AS PREVIOUSLY DISCUSSED THE HOSPITAL IS PART OF ST. JOHN HEALTH SYSTEM (ST. JOHN). ST. JOHN IS A GROWING INTEGRATED DELIVERY SYSTEM THAT SERVES NORTHEASTERN OKLAHOMA AND THE SURROUNDING AREA. IT HAS GROWN SIGNIFICANTLY IN RECENT YEARS, WITH INCREASING REVENUES FROM OUTPATIENT AND PHYSICIAN PROFESSIONAL SERVICES AS WELL AS OTHER POST-ACUTE SERVICES. ACUTE CARE SERVICES ARE PROVIDED ON FIVE MAJOR HOSPITAL CAMPUSES THAT ARE OWNED BY ST. JOHN. THE OWNED HOSPITALS ARE ST. JOHN MEDICAL CENTER (THE TERTIARY CENTER IN TULSA, OKLAHOMA), JANE PHILLIPS MEDICAL CENTER IN BARTLESVILLE, ST. JOHN OWASSO IN OWASSO, OKLAHOMA, ST. JOHN BROKEN ARROW, AND ST. JOHN SAPULPA, A CRITICAL ACCESS HOSPITAL IN SAPULPA, OKLAHOMA. ACUTE CARE SERVICES ARE ALSO PROVIDED AT THREE ADDITIONAL RURAL CRITICAL ACCESS HOSPITALS WHICH ARE OWNED OR MANAGED BY JANE PHILLIPS AND AT OSUMC WHICH IS MANAGED BY ST. JOHN. DIAGNOSTIC SERVICES AND CERTAIN ACUTE CARE SERVICES ARE ALSO PROVIDED IN A VARIETY OF FREE STANDING (INCLUDING HOSPITAL-BASED) SETTINGS. THE ST. JOHN SYSTEM NOW INCLUDES MORE THAN 400 EMPLOYED PHYSICIANS AND "MID-LEVEL PROVIDERS", AND SEVERAL URGENT CARE CLINICS, AS WELL AS RETIREMENT AND SKILLED NURSING FACILITIES INCLUDING SOME TARGETED SPECIFICALLY TO SERVE LOW-INCOME AND PHYSICALLY DISABLED INDIVIDUALS) AND OTHER HEALTH CARE PROVIDERS. ST. JOHN IS ATTEMPTING TO PROMOTE COMMUNITY HEALTH IN SEVERAL WAYS. MOST OF THE AFFILIATED PRIMARY CARE PHYSICIANS HAVE OR ARE ESTABLISHING "MEDICAL HOME" MODELS OF CARE THAT ARE ATTEMPTING TO IMPROVE HEALTH STATUS OF THEIR PATIENTS BY BETTER EMPHASIZING PREVENTIVE CARE AND HEALTH SCREENING AND BY BETTER MANAGEMENT OF CHRONIC DISEASE. THE AFFILIATED PRIMARY CARE PHYSICIANS UTILIZE A SOPHISTICATED ELECTRONIC MEDICAL RECORD THAT HELPS PROVIDE REAL TIME INFORMATION TO MAKE IT EASIER TO MANAGE PATIENTS' CARE. THE HOSPITAL AND THE OTHER HOSPITALS IN THE SYSTEM HAVE INVESTED HEAVILY IN CLINICAL INFORMATION SYSTEMS AND ELECTRONIC MEDICAL RECORDS TO BETTER MANAGE PATIENT CARE DURING EACH EPISODE OF ACUTE CARE. ST. JOHN IS INVESTING IN NEW SYSTEMS OF CARE TO PROVIDE BETTER COORDINATION OF CARE BETWEEN ALL THE DIFFERENT PROVIDERS RESPONSIBLE FOR PORTIONS OF EACH PATIENT'S CARE WITH AN EMPHASIS ON PREVENTION, SCREENING AND COORDINATION OF CHRONIC CARE. THE HOSPITAL AND SJHS HAVE INVESTED IN TERTIARY SERVICES THAT ARE NEEDED BY THE COMMUNITY. EXAMPLES OF WHICH INCLUDE DEVELOPMENT OF OKLAHOMA'S ONLY ACS LEVEL II TRAUMA CENTER (THE HIGHEST ACCREDITED CENTER IN TULSA), NORTHEASTERN OKLAHOMA'S ONLY JCAHO-ACCREDITED STROKE CENTER, NEONATAL INTENSIVE CARE, SOPHISTICATED MEDICAL TECHNOLOGY INCLUDING ALL-DIGITAL DIAGNOSTIC RADIOLOGY, CYBERKNIFE AND OTHER FORMS OF RADIATION THERAPY, DAVINCI ROBOTIC SURGERY, AN ENDOVASCULAR OPERATING SUITE, ORTHOPEDIC AND NEURO SURGICAL CENTERS OF EXCELLENCE, SOPHISTICATED CARDIOVASCULAR CARE THAT EMPHASIZED RAPID AND EFFECTIVE INTERVENTION FOR HEART ATTACK VICTIMS AND PREVENTIVE CARE FOR THOSE WITH CHRONIC HEART CONDITIONS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND HAS COMMUNITY, RELIGIOUS AND PHYSICIAN REPRESENTATIVES SERVING ON ITS BOARD. SJHS HAS CREATED AND IS CONTINUING TO CREATE SYSTEMS AND POLICIES TO PROMOTE BETTER COORDINATION OF CARE AND ALLOCATION OF RESOURCES THROUGHOUT THE SYSTEM. THE HOSPITAL PARTICIPATES IN MANY COMMUNITY-WIDE HEALTH SCREENING AND HEALTH EDUCATION EVENTS AS WELL AS HOSTING MANY SUCH EVENTS THAT ARE OPEN TO THE PUBLIC. THE HOSPITAL AND SJHS CONTINUE TO INVEST IN MEDICAL EDUCATION TO SUPPORT THE EXPANSION OF PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS THAT WILL SERVE THE CURRENT AND FUTURE GENERATIONS OF PATIENTS IN THE SERVICE AREA. THE HOSPITAL PARTICIPATES IN SJHS'S COORDINATED EFFORT TO ASSESS COMMUNITY NEED COLLABORATIVELY WITH OTHER INTERESTED PARTIES IN THE COMMUNITY AND TO ALLOCATE CAPITAL AND HUMAN RESOURCES TO ADDRESS THE NEEDS OF THE ENTIRE SERVICE AREA. FINALLY AS ONE OF ONLY TWO MAJOR TAX-EXEMPT HEALTH SYSTEMS IN OUR SERVICE AREA, ST. JOHN REINVESTS 100% OF ANY PROFITS GENERATED INTO NEW OR EXPANDED SERVICES FOR THE COMMUNITY. THE INVESTOR-OWNED COUNTERPARTS IN THE SERVICE AREA ARE MOTIVATED TO LIMIT SERVICES TO THE UNDERSERVED AND UNINSURED SO THAT THEY CAN GENERATE HIGHER PROFITS TO RETURN AT LEAST A SUBSTANTIAL PORTION OF THOSE PROFITS TO THEIR INVESTORS. SOME OF PHYSICIAN AND INVESTOR-OWNED FACILITIES IN THE SERVICE AREA PROVIDE LITTLE OR NO SERVICES TO MEDICAID BENEFICIARIES AND TO THE UNINSURED, BUT AGGRESSIVELY COMPETE FOR COMMERCIALLY-INSURED PATIENTS FROM WHICH THE ST. JOHN AND THE OTHER TAX-EXEMPT PROVIDERS DERIVE MOST OF THE PROFITS THAT ALLOW FOR OUR INVESTMENT IN SERVICES TO THE COMMUNITY.
SUPPLEMENTAL INFORMATION 12	PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT	THE HOSPITAL DOES NOT OPERATE IN ANY STATES REQUIRING A COMMUNITY BENEFIT REPORT TO BE FILED.

Schedule H (Form 990) 2011

Additional Data

Software ID:
Software Version:

- 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

2011

Open to Public
Inspection

Name of the organization
ST JOHN MEDICAL CENTER INC

Employer identification number
73-0579286

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) GOOD SAMARITAN HEALTH SERVICES7600 S LEWIS TULSA,OK74136	73-1559561	501(C)(3)	371,796				TO FUND OPERATIONS
(2) TULSA DAY CENTER FOR THE HOMELESS415 W ARCHER ST TULSA,OK74103	73-0662663	501(C)(3)	213,500				TO FUND OPERATIONS
(3) OU-TULSA CAMPUS4502 E 41ST SUITE 2B20 TULSA,OK74135	73-6017987	GOV'T ENTITY	1,940,000				TO FUND OPERATIONS
(4) UNIVERSITY OF OKLAHOMA FOUNDATION4502 E 41ST SUITE 2B20 TULSA,OK74135	73-6091755	501(c)(3)	81,250				TO FUND OPERATIONS
(5) OSU MEDICAL CENTER744 WEST 9TH ST TULSA,OK74127	26-4331175	MUNICIPAL TRUST	2,300,000				TO FUND OPERATIONS
(6) IN HIS IMAGE1717-B S UTICA AVE TULSA,OK74104	73-1369680	501(C)(3)	4,898,888				TO FUND OPERATIONS
(7) TULAKOGEE CONFERENCE CENTER INC34168 E 713 WAY WAGONER,OK744678481	45-0540384	501(C)(3)		73,850	FMV	MEDICAL FURN./EQUIP.	TO FUND OPERATIONS

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2011

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
SUPPLEMENTAL INFORMATION 1	SCHEDULE I, PART I, LINE 2	GRANTS TO ORGANIZATIONS - ST. JOHN MEDICAL CENTER, INC. (SJMC) PROVIDES FUNDS TO SELECTED UNAFFILIATED ENTITIES TO FUND THEIR OPERATIONS. SJMC DETERMINES THE AMOUNT OF THE FUNDS PROVIDED ON AN ANNUAL BASIS.

Schedule I (Form 990) 2011

Additional Data

Software ID:
Software Version:

- 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

2011

Open to Public Inspection

Name of the organization

ST JOHN MEDICAL CENTER INC

Employer identification number

73-0579286

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 or provision 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. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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 Regulations 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) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(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 as deferred in prior Form 990
(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)	(F) Compensation reported as deferred in prior Form 990
(1) CHARLES ANDERSON	(i) (ii)	393,671 0	34,405 0	55,781 0	40,274 0	20,083 0	544,214 0	0 0
(2) DAVID J PYNN	(i) (ii)	0 718,611	0 60,775	0 36,296	0 97,673	0 16,483	0 929,838	0 0
(3) JESSIE L DRAGOO	(i) (ii)	222,286 0	21,605 0	31,543 0	35,126 0	12,676 0	323,236 0	0 0
(4) MICHAEL B REEVES	(i) (ii)	0 252,452	0 34,546	0 15,356	0 50,197	0 16,447	0 368,998	0 0
(5) KATHLEEN C SMARINSKY	(i) (ii)	199,212 0	19,363 0	10,228 0	46,743 0	8,340 0	283,886 0	0 0
(6) DEWEY C DAVIS	(i) (ii)	0 196,301	0 28,619	0 10,217	0 45,666	0 13,135	0 293,938	0 0
(7) H WILLIAM ALLRED	(i) (ii)	416,602 0	40,000 0	147,845 0	6,204 0	13,436 0	624,087 0	0 0
(8) TIMOTHY R YOUNG	(i) (ii)	0 375,806	0 54,735	0 19,990	0 60,957	0 13,995	0 525,483	0 0
(9) LEX ANDERSON	(i) (ii)	0 438,700	0 63,960	0 26,441	0 65,650	0 10,183	0 604,934	0 0
(10) AMY M SOKOL	(i) (ii)	0 79,210	0 42,228	0 351,476	0 635	0 118	0 473,667	0 0
(11) RANDY H HAMIL	(i) (ii)	0 237,288	0 34,590	0 11,920	0 26,194	0 2,823	0 312,815	0 0
(12) KEVIN B STECK	(i) (ii)	0 226,346	0 33,000	0 13,647	0 25,294	0 2,823	0 301,110	0 0
(13) JOHN P BACHMAN	(i) (ii)	0 259,123	0 23,785	0 13,087	0 29,878	0 18,456	0 344,329	0 0
(14) ROBERT O LANGLAND	(i) (ii)	0 253,591	0 36,972	0 12,830	0 23,175	0 17,129	0 343,697	0 0
(15) SHAWN H HELDEBRANDT	(i) (ii)	226,843 0	541 0	138 0	12,358 0	14,726 0	254,606 0	0 0
(16) KEITH A HICKEY	(i) (ii)	164,639 0	0 0	715 0	0 0	534 0	165,888 0	0 0
(17) PATRICIA A WRIGHT	(i) (ii)	156,978 0	746 0	476 0	3,166 0	5,785 0	167,151 0	0 0
(18) OLIVER D HANSON	(i) (ii)	158,538 0	299 0	136 0	3,184 0	5,302 0	167,459 0	0 0
(19) ANTONIO C DELEON	(i) (ii)	0 0	0 0	160,712 0	0 0	0 0	160,712 0	0 0

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
SUPPLEMENTAL INFORMATION 1	SCHEDULE J, PART I, LINE 3	ST. JOHN MEDICAL CENTER, INC. IS AN AFFILIATE OF ST. JOHN HEALTH SYSTEM (SJHS). COMPENSATION FOR ALL EXECUTIVES WITHIN THE SYSTEM IS ESTABLISHED BY SJHS USING THE FOLLOWING METHODS, LISTED ON SCHEDULE J, PART I, LINE 3: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
SUPPLEMENTAL INFORMATION 2	SCHEDULE J, PART I, LINE 4A	AMY SOKOL SEPARATED FROM EMPLOYMENT WITH ST. JOHN HEALTH SYSTEM ON DECEMBER 31, 2010. UNDER THE TERMS OF THE SEPARATION OF SERVICE, SHE RECEIVED TOTAL SEVERANCE OF $473,667 PAID DURING CALENDAR YEAR 2011.
SUPPLEMENTAL INFORMATION 3	SCHEDULE J, PART I, LINE 4B	ST. JOHN HEALTH SYSTEM, INC. IS THE CONTROLLING MEMBER ORGANIZATION OF AN INTEGRATED HEALTHCARE SYSTEM (SYSTEM). THE SYSTEM PROVIDES A VOLUNTARY SECTION 457(B) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. UNDER THIS PLAN, THE EXECUTIVES MAY ELECT TO DEFER A PORTION OF THEIR INCOME UNTIL RETIREMENT. THE CONTRIBUTIONS, ALONG WITH ANY EARNINGS, ARE TAXED UPON WITHDRAWAL. THE SYSTEM ALSO PROVIDES A SECTION 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. THE PLAN PROVIDES A DEFERRED COMPENSATION CONTRIBUTION, MADE BY THE SYSTEM, OF 9% OF BASE PAY, FUNDED AT THE CONCLUSION OF THE FISCAL YEAR. EACH CONTRIBUTION, ALONG WITH ANY EARNINGS, WILL BE HELD IN TRUST FOR TWO YEARS, AT WHICH POINT THE CONTRIBUTION WILL VEST AND WILL BE PAID OUT AS A TAXABLE LUMP SUM CASH PAYMENT. VESTING WILL ALSO OCCUR UPON DEATH, INVOLUNTARY TERMINATION WITHOUT CAUSE, VOLUNTARY TERMINATION FOR GOOD REASON, OR PLAN TERMINATION. THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII PARTICIPATED IN THIS PLAN: DAVID J. PYNN LEX ANDERSON KEVIN B. STECK MICHAEL B. REEVES KATHLEEN C. SMARINSKY DEWEY C. DAVIS TIMOTHY R. YOUNG RANDY H. HAMIL JOHN P. BACHMAN ROBERT O. LANGLAND
SUPPLEMENTAL INFORMATION 4	SCHEDULE J, PART I, LINE 7	ST. JOHN HEALTH SYSTEM, INC. IS THE CONTROLLING MEMBER ORGANIZATION OF AN INTEGRATED HEALTHCARE SYSTEM (SYSTEM). THE SYSTEM HAS ESTABLISHED AN EXECUTIVE ACCOUNTABILITY AND FINANCIAL INCENTIVE PLAN THAT ENCOURAGES THE EXECUTIVES' PARTICIPATION IN THE SIGNIFICANT IMPROVEMENTS OF THE QUALITY, FINANCIAL, GROWTH, AND HUMAN RESOURCE RELATED OPERATIONS OF THE ORGANIZATION. ELIGIBILITY IS TRIGGERED WHEN THE SYSTEM MEETS CERTAIN EARNINGS AND COMMUNITY BENEFITS TARGETS; HOWEVER PAYMENTS RECEIVED UNDER THE PLAN ARE NOT BASED ON THE EARNINGS OF THE ORGANIZATION. EXECUTIVES RECEIVE POINTS UNDER A PLAN SCORING SYSTEM FOR MEETING THEIR PREDETERMINED GOALS. THE POINTS ARE THEN ENTERED INTO THE PLAN FORMULA TO DETERMINE THE EXECUTIVES' INCENTIVE COMPENSATION. MAXIMUM PAYMENTS UNDER THE FINANCIAL INCENTIVE PLAN ARE TWENTY PERCENT OF BASE PAY FOR MOST EXECUTIVES AND 25% OF BASE PAY FOR THE SYSTEM CEO. THERE IS A SMALL DISCRETIONARY ELEMENT TO THE PLAN, GENERALLY EQUAL UP TO 6.0% OF BASE PAY (UP TO 30% OF THE TOTAL PLAN PAY OUT).

Schedule J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- 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

2011

Open to Public Inspection

Name of the organization

ST JOHN MEDICAL CENTER INC

Employer identification number

73-0579286

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) 2011

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) MIRIAM YOUNG	SIS. OF TIMOTHY R. YOUNG	53,000	EMPLOYEE OF SJHS		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) 2011

Additional Data

Software ID:
Software Version:

- 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

2011

Open to Public
Inspection

Name of the organization

ST JOHN MEDICAL CENTER INC

Employer identification number

73-0579286

Identifier	Return Reference	Explanation
GENERAL STATEMENT 1	PART III, LINE 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	OVERVIEW ST. JOHN HEALTH SYSTEM, INC. ("ST. JOHN"), AND AFFILIATES, OWN AND OPERATE A COMPREHENSIVE TERTIARY HEALTH CARE DELIVERY SYSTEM WHICH PROVIDES A FULL SPECTRUM OF HEALTH-RELATED SERVICES THROUGHOUT NORTHEASTERN OKLAHOMA. ST. JOHN, HEADQUARTERED IN TULSA, OKLAHOMA, CONDUCTS ITS OPERATIONS THROUGH TEN PRINCIPAL WHOLLY-OWNED OR WHOLLY-CONTROLLED SUBSIDIARIES: ST. JOHN MEDICAL CENTER, INC. (THE "MEDICAL CENTER"), ST. JOHN SAPULPA, INC. ("ST. JOHN SAPULPA"), JANE PHILLIPS HEALTH CORPORATION ("JANE PHILLIPS"), UTICA SERVICES, INC. ("UTICA"), ST. JOHN VILLAS, INC. ("ST. JOHN VILLAS"), ST. JOHN MANAGEMENT SERVICES, INC., ("SJMS"), OWASSO MEDICAL FACILITY, INC. ("ST. JOHN OWASSO"), ST. JOHN HEALTH SYSTEM FOUNDATION, INC. (FORMERLY ST. JOHN MEDICAL CENTER FOUNDATION, INC.) ("ST. JOHN FOUNDATION"), ST. JOHN BUILDING CORPORATION (SJBC), AND ST. JOHN BROKEN ARROW, INC. (ST. JOHN BROKEN ARROW). ST. JOHN, THESE SUBSIDIARIES, AND ALL OTHER SUBSIDIARIES UNDER ST. JOHN'S DIRECT OR INDIRECT CONTROL OR OWNERSHIP ARE REFERRED TO HEREIN AS "THE ST. JOHN SYSTEM". THE MEDICAL CENTER, LOCATED IN TULSA, OKLAHOMA, IS A FULL-SERVICE TERTIARY HOSPITAL WHICH PROVIDES A BROAD RANGE OF IN-PATIENT AND OUT-PATIENT HEALTH CARE SERVICES. THE MEDICAL CENTER IS A TERTIARY REFERRAL CENTER AND SERVES AS ONE OF TWO PRIMARY TRAUMA REFERRAL CENTERS FOR TULSA AND NORTHEASTERN OKLAHOMA. IT SERVES AS A PRIMARY TULSA TEACHING HOSPITAL FOR THE UNIVERSITY OF OKLAHOMA'S SCHOOL OF COMMUNITY MEDICINE RESIDENCY PROGRAMS FOR INTERNAL MEDICINE AND SURGERY. ON JULY 1, 2011 IT ALSO BECAME THE PRIMARY TEACHING HOSPITAL FOR THE IN HIS IMAGE FAMILY MEDICINE RESIDENCY PROGRAM. IT IS ALSO NORTHEASTERN OKLAHOMA'S ONLY "MAGNET" ACCREDITED HOSPITAL, SIGNIFYING EXCELLENCE IN NURSING CARE. ST. JOHN MEDICAL CENTER IS TULSA'S AND NORTHEASTERN OKLAHOMA'S ONLY ACS LEVEL II TRAUMA CENTER AND ONLY JOINT COMMISSION-ACCREDITED STROKE CENTER. THE MEDICAL CENTER OFFERS ADVANCED SERVICES IN TRAUMA, NEUROLOGICAL AND NEUROSURGICAL (INCLUDING STROKE) CARE, CARDIOLOGY AND CARDIOTHORACIC SURGERY, KIDNEY TRANSPLANT, ADULT, PEDIATRIC AND NEONATAL INTENSIVE CARE, CANCER TREATMENT, JOINT REPLACEMENT, AND MANY OTHER AREAS. MISSION AND VALUES AS A CATHOLIC HEALTHCARE INSTITUTION, THE MEDICAL CENTER CARRIES ON THE MISSION OF ITS SPONSORS THROUGH ST.JOHN; THAT OF CONTINUING THE HEALING MINISTRY OF JESUS CHRIST. IT OPERATES IN CONFORMANCE WITH "THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH FACILITIES". FAITHFUL TO THE SPONSORSHIP MISSION,PHILOSOPHY AND VALUES, THE MEDICAL CENTER'S MISSION IS TO: PROVIDE HIGH QUALITY HEALTHCARE, CONTRIBUTE TO THE CONTINUING IMPROVEMENT OF THE OVERALL HEALTH STATUS, AND PROMOTE THE WELL-BEING OF PEOPLE IN TULSA AND THE SURROUNDING COMMUNITIES WE SERVE, BEING ESPECIALLY SENSITIVE TO THE DIGNITY AND NEEDS OF THE SICK, THE POOR AND THE POWERLESS. THE CATCH PHRASE TO CAPTURE THIS MISSION OF SERVICE IS "MEDICAL EXCELLENCE - COMPASSIONATE CARE". IT IS ALSO OUR PROMISE TO THOSE WHO SEEK OUR SERVICES. THE BOARDS OF DIRECTORS, MANAGEMENT AND EMPLOYEES OF THE ST. JOHN SYSTEM ARE GUIDED IN THEIR DAY-TO-DAY ACTIONS AND INTERACTIONS WITH THOSE WHO SERVE AND WHO ARE SERVED BY THE CORE VALUES OF SERVICE, HUMAN DIGNITY, PRESENCE AND WISDOM. THE ST. JOHN SYSTEM AND THE MEDICAL CENTER COLLABORATE WITH OTHER INDIVIDUALS AND INSTITUTIONS IN THE COMMUNITY TO ASCERTAIN COMMUNITY NEEDS AND PROVIDE A BROAD RANGE OF SERVICES ALONG THE HEALTHCARE CONTINUUM TO HELP MEET THOSE NEEDS. PROGRAMS AND SERVICES INCLUDE PREVENTIVE, DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE PROGRAMS, INCLUDING EMPHASIS ON HEALTH PROMOTION AND DISEASE PREVENTION. ST. JOHN ALSO ADVOCATES FOR PUBLIC POLICIES WHICH ADVANCE A HEALTHY AND JUST SOCIETY. THE MEDICAL CENTER WORKS WITH LOCAL, STATE AND NATIONAL LEADERS AND ORGANIZATIONS TO BRING ABOUT A HEALTHCARE DELIVERY SYSTEM THAT PROVIDES DIGNIFIED ACCESS TO AND AFFORDABLE, HIGH QUALITY HEALTHCARE FOR ALL PERSONS. COMMUNITY NEEDS ASSESSMENT THE MEDICAL CENTER HAS COMPLETED A COMMUNITY NEEDS ASSESSMENT AND THAT ASSESSMENT HAS BEEN POSTED TO THE HOSPITAL'S WEBSITE AND ALSO THE HEALTH SYSTEM WEBSITE. GOVERNANCE THE ADMINISTRATIVE POWERS OF THE MEDICAL CENTER ARE VESTED IN ITS BOARD OF DIRECTORS, WHICH CONTROLS AND MANAGES THE PROPERTIES, AFFAIRS AND FUNDS OF THE MEDICAL CENTER, SUBJECT TO RESERVATION OF CERTAIN POWERS AND OVERSIGHT BY ST. JOHN. THE BOARD MEETS ON A REGULAR BASIS. THE MEDICAL CENTER BOARD WORKS IN CONCERT WITH AND, WHEN APPROPRIATE, UNDER THE DIRECTION OF THE ST. JOHN SYSTEM BOARD. COMMUNITY BENEFIT THE MEDICAL CENTER IS AN INTEGRAL PART OF THE MISSION OF SERVICE AND THE CONTINUUM OF MEDICAL CARE PROVIDED BY THE ST. JOHN SYSTEM. IN MEASURING AND REPORTING QUANTIFIABLE COMMUNITY BENEFIT, THE ST. JOHN SYSTEM FOLLOWS GUIDELINES PROMULGATED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND ENDORSED BY OTHER ORGANIZATIONS. UNCOMPENSATED CARE AND OTHER ELEMENTS OF COMMUNITY BENEFIT ARE MEASURED AT THE UNREIMBURSED ESTIMATED COST OF SERVICES OR RESOURCES PROVIDED.
GENERAL STATEMENT 2	PART III, LINE 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT'D)	THE ST. JOHN SYSTEM AND THE MEDICAL CENTER SERVE AS IMPORTANT SAFETY NET PROVIDERS OF A BROAD CONTINUUM OF HEALTH CARE SERVICES TO THE CITIZENS OF NORTHEASTERN OKLAHOMA AND THE SURROUNDING REGION. THE MEDICAL CENTER OPERATES A FULL-SERVICE, 24-HOUR, 365-DAY TRAUMA CENTER AND EMERGENCY ROOM PROVIDING BOTH URGENT AND EMERGENCY CARE TO ALL INDIVIDUALS, REGARDLESS OF THEIR ABILITY TO PAY. THE MEDICAL CENTER SERVES AS ONE OF ONLY THREE ADVANCED TRAUMA REFERRAL CENTERS FOR THE ENTIRE STATE OF OKLAHOMA AND TULSA'S ONLY ACCREDITED STROKE CENTER. IT ALSO SERVES AS A HOST HOSPITAL FOR THE MEDICAL RESIDENCY PROGRAMS FOR INTERNAL MEDICINE AND GENERAL SURGERY FOR THE UNIVERSITY OF OKLAHOMA'S TULSA SCHOOL OF COMMUNITY MEDICINE. IT ALSO SERVES AS THE PRIMARY TEACHING HOSPITAL FOR THE IN HIS IMAGE FAMILY MEDICINE RESIDENCY PROGRAM. THE ST. JOHN SYSTEM AND THE MEDICAL CENTER ARE WORKING COLLABORATIVELY WITH OTHER INTERESTED PARTIES TO EXPAND AND IMPROVE ACCESS TO MEDICAL CARE FOR TULSA AND NORTHEASTERN OKLAHOMA'S NEEDIEST INDIVIDUALS. THROUGH A PROGRAM NOW CALLED THE "MEDICAL ACCESS PROGRAM" OR "MAP" (ESTABLISHED WITH DONATED DOLLARS FROM THE CHAPMAN TRUSTS), THE ST. JOHN SYSTEM HAS PROVIDED DIRECT FINANCIAL SUPPORT TO UNIVERSITY OF OKLAHOMA'S BEDLAM CLINICS AND TO THE GOOD SAMARITAN AND OTHER CLINICS TO EXPAND THE OPERATIONS AND REACH OF THEIR FREE PRIMARY CARE CLINICS. THE MEDICAL CENTER ALSO OPERATES THE NORTHLAND DIAGNOSTIC CENTER AS A HOSPITAL-BASED DIAGNOSTIC IMAGING CENTER WHICH PROVIDES FREE IMAGING SERVICES TO UNINSURED INDIVIDUALS WHO ARE REFERRED BY THE ST. JOHN SYSTEM'S PARTNERS IN THE MAP INITIATIVE. MAP ALSO HAS CREATED A NETWORK OF SPECIALIST PHYSICIANS WILLING TO ACCEPT REFERRALS OF UNINSURED PATIENTS. THESE PHYSICIANS GENERALLY RECEIVE PAYMENTS FROM MAP EQUIVALENT TO WHAT THEY WOULD HAVE RECEIVED FROM MEDICARE FOR TREATING THESE UNINSURED PATIENTS. MORE INFORMATION ON THE MAP IS PRESENTED BELOW. IN ITS FISCAL YEAR ENDED SEPTEMBER 30, 2012 THE ST. JOHN SYSTEM WAS ABLE TO IDENTIFY AND QUANTIFY AN INITIAL ESTIMATE OF MORE THAN $70 MILLION OF TOTAL NET CONSOLIDATED QUANTIFIABLE COMMUNITY BENEFIT,PROVIDED TO THOUSANDS OF INDIVIDUALS DIRECTLY SERVED. IN ADDITION TO THE QUANTIFIABLE COMMUNITY BENEFIT DESCRIBED ABOVE, THE ST. JOHN SYSTEM CHARGED MILLIONS OF DOLLARS TO THE CONSOLIDATED PROVISION FOR BAD DEBTS IN 2012 WHICH WERE NOT INCLUDED IN THE TOTAL QUANTIFIABLE COMMUNITY BENEFIT FOR THE YEAR. ALSO, UNLIKE MANY OTHER NON-PROFIT HEALTH SYSTEMS BASED IN STATES OTHER THAN OKLAHOMA, THE ST. JOHN SYSTEM IS NOT EXEMPT FROM STATE AND LOCAL SALES TAXES AND, IN FACT, PAYS SALES TAX ON MANY EQUIPMENT, SUPPLIES AND OTHER PURCHASES. THE ST. JOHN SYSTEM CONSIDERS CARE FOR THE POOR TO BE AN ESSENTIAL PART OF ITS MISSION OF SERVICE TO THE COMMUNITY. THE TOTAL COST OF CARE FOR THE POOR INCLUDES THE COST OF CHARITY CARE, THE UNREIMBURSED COST OF SERVICES TO MEDICAID BENEFICIARIES (TOGETHER REFERRED TO AS "UNCOMPENSATED CARE FOR THE POOR") AND THE COST OF SPECIAL PROGRAMS OR OTHER ACTIVITIES SPECIFICALLY TARGETED TO INCREASE ACCESS TO CARE OR PROVIDE OTHER SERVICES TO THE POOR.
GENERAL STATEMENT 3	PART III, LINE 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT'D)	"CARE FOR THE POOR" INCLUDES THE ESTIMATED COST OF CARE CLASSIFIED AS CHARITY CARE PLUS THE ESTIMATED EXCESS OF THE COST OF SERVICES PROVIDED TO MEDICAID BENEFICIARIES OVER THE PAYMENTS RECEIVED FROM MEDICAID. "CARE FOR THE POOR" DOES NOT INCLUDE THE COST OF SERVICES CLASSIFIED AND WRITTEN OFF AS BAD DEBTS OR THE EXCESS OF THE COST OF SERVICES PROVIDED TO MEDICARE BENEFICIARIES OVER THE PAYMENTS RECEIVED FROM MEDICARE. CHARITY AND UNCOMPENSATED CARE THE MEDICAL CENTER PROVIDES ITS SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. IN 2012, THE MEDICAL CENTER PROVIDED A DISCOUNT OF AT LEAST 30% OF BILLED CHARGES TO ALL UNINSURED PATIENTS. UNINSURED PATIENTS ALSO COULD QUALIFY FOR AN ADDITIONAL 15% PROMPT PAY DISCOUNT. IN ADDITION TO THESE AUTOMATIC DISCOUNTS, PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE UP TO AND INCLUDING FREE CARE. THE DETERMINATION OF THE PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS BASED ON AN OBJECTIVE DETERMINATION OF THE PATIENT'S FINANCIAL RESOURCES AND ABILITY TO PAY. IN GENERAL, ALL UNINSURED PATIENTS WITH HOUSEHOLD INCOMES OF LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR FREE OR SUBSTANTIALLY DISCOUNTED CARE. MANAGEMENT FOR ST. JOHN BELIEVES THAT ALL OF ITS BILLING AND COLLECTION POLICIES AND PROCEDURES COMPLY WITH IRS GUIDELINES AND DIRECTIVES. THE "MEDICAL ACCESS PROGRAM" ("MAP") DURING 2012, THE MEDICAL CENTER ALSO CONTINUED WORK ON AN OUTREACH PROJECT TO IMPROVE ACCESS TO MEDICAL CARE TO THE POOR THAT IS REFERRED TO AS THE "MEDICAL ACCESS PROGRAM" ("MAP"). SUPPORTED IN PART BY FUNDING FROM THE CHAPMAN TRUSTS (A COLLECTION OF PRIVATE TRUSTS OF WHICH THE MEDICAL CENTER IS ONE OF THE BENEFICIARIES), THE PROGRAM IS A COMPREHENSIVE EFFORT TO PROVIDE INCREASED ACCESS TO MEDICAL SERVICES ACROSS A BROAD CONTINUUM OF CARE TO THE POOR AND DISADVANTAGED IN THE TULSA METROPOLITAN AREA. THE PROGRAM IS A COLLABORATIVE EFFORT LED BY THE MEDICAL CENTER THAT INCLUDES FINANCIAL SUPPORT FOR NEW AND EXISTING COMMUNITY OUTREACH ACTIVITIES. KEY ELEMENTS OF THE PROGRAM INCLUDE: EXPANDED FREE PRIMARY CARE CLINIC VISITS PROVIDED PRIMARILY THROUGH DIRECT FUNDING PROVIDED TO THE UNIVERSITY OF OKLAHOMA'S BEDLAM CLINICS, GOOD SAMARITAN MOBILE CLINICS AND OTHER FREE CLINICS. THESE CLINICS HAVE BEEN ABLE TO SIGNIFICANTLY EXPAND THE NUMBER OF PRIMARY AND URGENT CARE PATIENT ENCOUNTERS EACH YEAR WITH THE ADDITIONAL FUNDING PROVIDED THROUGH MAP. PROVISION OF FREE DIAGNOSTIC IMAGING FOR ELIGIBLE PATIENTS TO RECEIVE FREE DIAGNOSTIC IMAGING SERVICES, INCLUDING BASIC X-RAY, CT, ULTRASOUND AND MRI. EXPANSION OF ACCESS TO FREE SPECIALTY MEDICAL SERVICES BY REOPENING OR EXPANDING SPECIALTY CLINICS IN COLLABORATION WITH UNIVERSITY OF OKLAHOMA AND OTHER PARTIES AND BY DIRECT REFERRALS FROM THE PRIMARY CARE CLINICS TO PRIVATE PHYSICIANS. EXAMPLES WOULD BE TREATMENT OF PATIENTS WITH CANCER DIAGNOSES, AND OTHER LIFE THREATENING ILLNESSES OR INJURIES. EXPANSION OF THIS REFERRAL PROGRAM CONTINUES. EXPANSION OF ACCESS TO FREE PRESCRIPTION AND OTHER MEDICATIONS IN COLLABORATION WITH THE PRIMARY CARE CLINICS AND OTHER PARTNERS. *IN JANUARY, 2012, ST. JOHN OPENED A "MEDICAL HOME" CLINIC FOR UNINSURED PATIENTS AS PART OF THE MAP INITIATIVE. THE MAP GREW AGAIN IN 2012 AND IT IS HOPED THAT THE MAP CAN CONTINUE TO GROW AND SERVE AS A MODEL FOR COLLABORATION AND OUTREACH THAT CAN NOT ONLY BE USED TO PROVIDE MORE EFFECTIVE HEALTH CARE IN TULSA TO ITS MOST NEEDY CITIZENS, BUT ALSO SERVE AS A MODEL FOR OTHER COMMUNITIES.
GENERAL STATEMENT 4	PART III, LINE 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT'D)	MEDICAL EDUCATION AS DESCRIBED ABOVE, THE MEDICAL CENTER PARTICIPATES IN A CITY-WIDE RESIDENT TRAINING PROGRAM ADMINISTERED BY THE UNIVERSITY OF OKLAHOMA TULSA SCHOOL OF COMMUNITY MEDICINE AND THE TULSA MEDICAL EDUCATION FOUNDATION. THE MEDICAL CENTER IS AN ENTITY WHICH HOSTS THE INTERNAL MEDICINE AND SURGICAL RESIDENCY PROGRAMS. IT ALSO HOSTS AND PROVIDES FINANCIAL SUPPORT FOR THE IN HIS IMAGE FAMILY MEDICINE RESIDENCY PROGRAM. THE MEDICAL CENTER PROVIDES ANNUAL FINANCIAL SUPPORT TO THE TULSA MEDICAL EDUCATION FOUNDATION TO FURTHER ITS EDUCATIONAL ACTIVITIES. THE MEDICAL CENTER ALSO SUPPORTS THE INITIATIVES OF THE TULSA HOSPITAL COUNCIL TO PROVIDE FINANCIAL SUPPORT TO EXPAND ENROLLMENTS IN AREA ALLIED HEALTH AND NURSING EDUCATIONAL PROGRAMS. THE MEDICAL CENTER MAINTAINS AFFILIATIONS WITH A NUMBER OF AREA MEDICAL EDUCATION FACILITIES AND ORGANIZATIONS TO PROMOTE THE OFFERING AND ENHANCEMENT OF BASIC AND CONTINUING MEDICAL, NURSING AND ALLIED HEALTH EDUCATION. EDUCATIONAL AFFILIATIONS FOR TRAINING OF NON-PHYSICIAN MEDICAL PERSONNEL INCLUDE THE FOLLOWING INSTITUTIONS: UNIVERSITY OF OKLAHOMA, LANGSTON UNIVERSITY, UNIVERSITY OF TULSA, ROGERS STATE COLLEGE, OKLAHOMA STATE UNIVERSITY, AND SEVERAL OTHER INSTITUTIONS. THE MEDICAL CENTER MAINTAINS A CONTINUING EDUCATION PROGRAM WHICH IS ACCREDITED TO AWARD CATEGORY I EDUCATION CREDITS TO PARTICIPATING PHYSICIANS. JANE PHILLIPS, THROUGH JANE PHILLIPS MEMORIAL MEDICAL CENTER, ALSO PARTICIPATES IN MEDICAL EDUCATION ACTIVITIES BY PROVIDING FINANCIAL SUPPORT TO TULSA MEDICAL EDUCATION FOUNDATION AND ACCEPTING ROTATIONAL ASSIGNMENTS FOR CERTAIN RESIDENTS AND BY PROVIDING FINANCIAL SUPPORT TO AREA SCHOOLS TO SUPPORT NURSING EDUCATION. OTHER COMMUNITY BENEFIT AND OUTREACH ACTIVITIES IN ADDITION TO UNCOMPENSATED CARE AND MEDICAL EDUCATION, THE ST. JOHN SYSTEM AND THE MEDICAL CENTER PROVIDE OTHER FORMS OF COMMUNITY BENEFIT IN THE FORM OF FREE, OR REDUCED-CHARGE EDUCATIONAL SEMINARS FOR THE GENERAL PUBLIC ON WIDE RANGING TOPICS FROM PRENATAL CARE TO CHRONIC DISEASE MANAGEMENT. THE ST. JOHN SYSTEMPARTICIPATES IN COMMUNITY-WIDE HEALTH SCREENING EVENTS, BLOOD DONATION DRIVES, AND A NUMBER OF OTHER OUTREACH ACTIVITIES TO IMPROVE THE HEALTH STATUS OF THE RESIDENTS OF NORTHEASTERN OKLAHOMA AND THE SURROUNDING AREA. OTHER PROGRAM SERVICE ACCOMPLISHMENTS AS PREVIOUSLY DISCUSSED, THE ST. JOHN SYSTEM IS ORGANIZED AND OPERATED TO PROVIDE MEDICAL EXCELLENCE AND COMPASSIONATE CARE TO THE CITIZENS OF NORTHEASTERN OKLAHOMA, WITH A SPECIAL PREFERENCE FOR THE POOR AND DISADVANTAGED. TO THAT END, THE MEDICAL CENTER PROVIDED A BROAD CONTINUUM OF SERVICES IN THE YEAR ENDED SEPTEMBER 30, 2012, INCLUDING: TOTAL HOSPITAL ADMISSIONS AND OBSERVATION PATIENTS 39,388; TOTAL BIRTHS 1,948; TOTAL HOSPITAL EMERGENCY ROOM VISITS 57,256; TOTAL SURGICAL CASES 19,222; AND TOTAL OUTPATIENT AND DIAGNOSTIC REGISTRATIONS 421,185.
GENERAL STATEMENT 5	PART III, LINE 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT'D)	SUMMARY AS INVESTOR AND PHYSICIAN-OWNED HOSPITALS AND MEDICAL FACILITIES CONTINUE TO GROW IN THE TULSA AND NORTHEASTERN OKLAHOMA MARKETPLACE, AND AS PHYSICIANS AND OTHER PRIVATE INVESTORS CONTINUE TO INVEST IN THOSE FACILITIES, THE ST. JOHN SYSTEM'S ROLE AS ONE OF THE SIGNIFICANT SAFETY-NET HEALTH CARE PROVIDERS FOR THE REGION CONTINUES TO GROW IN PROMINENCE. WHILE SOME OF THE INVESTOR AND PHYSICIAN-OWNED FACILITIES IN NORTHEASTERN OKLAHOMA UNDOUBTEDLY CONTINUE TO PROVIDE SIGNIFICANT LEVELS OF UNCOMPENSATED CARE, THE FINANCIAL INCENTIVES THAT MOTIVATED THEM TO INVEST IN HEALTH CARE AS A BUSINESS, SERVE AS DISINCENTIVES FOR THEM TO CONTINUE TO EXPAND THE AMOUNT OF UNCOMPENSATED CARE THEY PROVIDE. UNLIKE INVESTOR-OWNED FACILITIES WHICH EXIST TO GENERATE AND RETURN A PROFIT TO THEIR OWNERS, ST. JOHN REINVESTS 100% OF ANY PROFITS DERIVED INTO NEW AND EXPANDED SERVICES TO THE COMMUNITY. AS THE NUMBER AND COST OF CARE FOR THE POOR CONTINUES TO GROW AT THE ST. JOHN SYSTEM, AND INVESTOR-OWNED FACILITIES SEEK TO LIMIT THE UNCOMPENSATED CARE THEY PROVIDE AND TO GAIN LARGER SHARES OF COMMERCIALLY-INSURED PATIENTS AND PROFITABLE SERVICES LINES, THE ST. JOHN SYSTEM AND OTHER SAFETY NET PROVIDERS ARE PLACED UNDER AN INCREASING FINANCIAL CHALLENGE THAT THREATENS TO LIMIT THE AMOUNT OF CARE FOR THE POOR THAT THE ST. JOHN SYSTEM CAN RESPONSIBLY PROVIDE AND FINANCIALLY SUSTAIN IN THE FUTURE. THE ST. JOHN SYSTEM IS NOT OPTIMISTIC THAT FEDERAL AND STATE HEALTH CARE LEGISLATION AND REGULATION WILL DIMINISH THE ECONOMIC CHALLENGES FACED BY THE ST. JOHN SYSTEM IN EITHER THE SHORT TERM OR LONG TERM AS IT STRIVES TO CONTINUE ITS MISSION OF SERVICE. THE ST. JOHN SYSTEM IS VERY PROUD OF ITS HISTORY OF SERVICE TO THE COMMUNITY AND VIEWS ITS RESPONSIBILITY TO CONTINUE TO PROVIDE MEDICAL SERVICES TO EVERYONE, ESPECIALLY THE POOR AND DISADVANTAGED, VERY SERIOUSLY. AS THE ST. JOHN SYSTEM CONTINUES TO FACE GROWING FINANCIAL CHALLENGES, IT BECOMES INCREASINGLY DIFFICULT TO SUSTAIN OUR MISSION OF SERVICE. NEVERTHELESS, WE BELIEVE THAT THE QUANTIFIABLE COMMUNITY BENEFIT, AS WELL AS THE MANY OTHER AREAS OF SERVICE PROVIDED BY THE ST. JOHN SYSTEM AND IDENTIFIED IN 2011, CONTINUE A SOUND RECORD OF STEWARDSHIP AND A SIGNIFICANT CONTRIBUTION TO THE WELL BEING OF BOTH THE COLLECTIVE COMMUNITIES AND INDIVIDUALS WITHIN THOSE COMMUNITIES WE SERVE.
GENERAL STATEMENT 6	PART V: STATEMENTS REGARDING OTHER IRS FILINGS AND TAX COMPLIANCE	PART V: QUESTION 1A AND 2A - ST. JOHN HEALTH SYSTEM AND SEVERAL OF ITS RELATED ORGANIZATIONS WITHIN THE SYSTEM (SYSTEM) REPORTED THE NUMBER OF INDEPENDENT CONTRACTORS COMPENSATED IN CALENDAR YEAR 2011 ON FORM 990, PART V, LINE 1A, OF THE RESPECTIVE ORGANIZATIONS. HOWEVER, ALL OF THE INDEPENDENT CONTRACTORS OF THE SYSTEM ARE REPORTED ON FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF THE U.S. INFORMATION RETURNS, OF ST. JOHN MEDICAL CENTER, INC. (SJMC), FEIN 73-0579286. EXPENSES ARE ALLOCATED TO AND REIMBURSED TO SJMC BY THE RESPECTIVE ORGANIZATIONS WITHIN THE SYSTEM, AND REPORTED ON THEIR RESPECTIVE FORMS 990, PART VII, SECTION B AND PART IX AS APPROPRIATE. ST. JOHN HEALTH SYSTEM AND SEVERAL OF ITS RELATED ENTITIES WITHIN THE SYSTEM (SYSTEM) REPORTED THE NUMBER OF EMPLOYEES EMPLOYED IN CALENDAR YEAR 2011 ON FORM 990, PART V, LINE 2A, OF THE RESPECTIVE ORGANIZATIONS. HOWEVER, ALL OF THE EMPLOYEES OF THE SYSTEM ARE REPORTED ON FORM W-3 AND FORM 941, EMPLOYER'S QUARTERLY FEDERAL TAX RETURN, OF ST. JOHN MEDICAL CENTER, INC., FEIN 73-0579286. THE SALARIES ARE REIMBURSED TO SJMC BY THE RESPECTIVE ORGANIZATIONS WITHIN THE SYSTEM, AND REPORTED ON THEIR RESPECTIVE FORMS 990 PARTS VII, IX, AND SCHEDULE J AS APPROPRIATE.
GENERAL STATEMENT 7	PART VI: SECTION A. GOVERNING BODY AND MANAGEMENT	PART VI: QUESTION 2 RELATED PARTIES: TYPE OF RELATIONSHIP: R.J. SULLIVAN, JR. AND BUSINESS JOSEPH P. MORAN, III RELATED PARTIES: TYPE OF RELATIONSHIP: DAVID J. PYNN, MICHAEL B. REEVES, BUSINESS DEWEY C. DAVIS, LEX ANDERSON, JOHN P. BACHMAN, RANDY H. HAMIL, KEVIN B. STECK, ROBERT O. LANGLAND, AND SR. M. THERESE GOTTSCHALK THE FILING ORGANIZATION IS A PART OF THE ST. JOHN HEALTH SYSTEM. THE INDICATED OFFICERS AND/OR DIRECTORS OF THE FILING ORGANIZATION HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BY VIRTUE OF THEIR POSITIONS AS DIRECTORS, OFFICERS, OR EMPLOYEES OF RELATED ENTITIES WITHIN THE SYSTEM.
GENERAL STATEMENT 8	PART VI: SECTION A. GOVERNING BODY AND MANAGEMENT	PART VI: QUESTIONS 6, 7A AND 7B - ST. JOHN HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF ST. JOHN MEDICAL CENTER, INC. AS SUCH IT HAS THE POWER (1) TO DEFINE THE PURPOSE, PHILOSOPHY AND MISSION AND ESTABLISH THE GOALS AND OBJECTIVES, (2) TO INITIATE AND/OR APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS, (3) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS, SANCTION VACANCIES, AND DETERMINE THE NUMBER OF DIRECTORS, (4) TO APPROVE THE BUDGET AND OTHER SIGNIFICANT FINANCIAL DECISIONS, AND (5) TO INITIATE AND/OR APPROVE VARIOUS OTHER ACTIONS AND POLICIES AS ENUMERATED IN ST. JOHN MEDICAL CENTER'S CERTIFICATE OF INCORPORATION AND BYLAWS, AND AS REQUIRED BY STATE LAW.
GENERAL STATEMENT 9	PART VI: SECTION B. POLICIES	PART VI: QUESTION 11B - ST. JOHN MEDICAL CENTER, INC. (SJMC) IS AN AFFILIATE OF THE ST. JOHN HEALTH SYSTEM (SJHS). SJHS HAS HIRED A THIRD PARTY PREPARER EXPERIENCED IN THE PREPARATION OF FORM 990 TO ASSIST IN THE PREPARATION OF THE RETURN. THE SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND OTHER PERSONNEL OF SJHS WILL WORK CLOSELY WITH THE PAID PREPARER IN GATHERING THE INFORMATION FOR THE RETURN AND WILL PERFORM THE INITIAL DETAILED REVIEW OF THE RETURN. THE RETURN WILL THEN BE REVIEWED BY THE SJHS SYSTEM AUDIT COMMITTEE (AS DELEGATED BY THE BOARD OF THE FILING ORGANIZATION). A COPY OF THE RETURN WILL BE PROVIDED TO ALL VOTING BOARD MEMBERS OF THE FILING ORGANIZATION PRIOR TO FILING.
GENERAL STATEMENT 10	PART VI: SECTION B. POLICIES	PART VI: QUESTION 12C - AT EVERY FISCAL YEAR END, ST. JOHN HEALTH SYSTEM (SJHS) DISTRIBUTES A COPY OF THE CURRENT CONFLICT OF INTEREST POLICY AND PROCEDURE BULLETIN, TOGETHER WITH AN EXPLANATION AND QUESTIONNAIRE TO THE MEMBERS OF THE BOARD OF DIRECTORS, ADMINISTRATIVE OFFICERS AND KEY EMPLOYEES OF SJHS, ITS SUBSIDIARIES AND AFFILIATES, INCLUDING ST. JOHN MEDICAL CENTER, INC. THE BOARD MEMBERS, ADMINISTRATIVE OFFICERS AND KEY EMPLOYEES OF SJHS, ITS SUBSIDIARIES AND AFFILIATES MUST COMPLETE THE QUESTIONNAIRE AND RETURN IT TO THE DESIGNATED SJHS OFFICIAL WITHIN TWO WEEKS OF RECEIPT. COMPLETED QUESTIONNAIRES ARE REVIEWED AND SUMMARIZED BY THE VICE PRESIDENT, CORPORATE COMPLIANCE AND INTEGRITY, OR HIS/HER DESIGNEE. THAT INDIVIDUAL THEN PRESENTS THE QUESTIONNAIRE RESULTS TO THE HEADS OF EACH HOSPITAL FOR FURTHER PROVISION TO THE VARIOUS BOARDS' AUDIT AND COMPLIANCE COMMITTEES. THE AUDIT AND COMPLIANCE COMMITTEES, AS APPROPRIATE, SUBMIT A CONFIDENTIAL REPORT TO THEIR BOARD CHAIRMAN SUMMARIZING THE QUESTIONNAIRE RESULTS. THE BOARD CHAIRMAN, AS APPROPRIATE, MAY REVIEW WITH THE EXECUTIVE COMMITTEE THE RESPONSES TO THE QUESTIONNAIRE RESULTS.
GENERAL STATEMENT 11	PART VI: SECTION B. POLICIES	PART VI: QUESTION 15A AND 15B - COMPENSATION FOR ALL EXECUTIVES IN ST. JOHN HEALTH SYSTEM (SJHS) OF WHICH ST. JOHN MEDICAL CENTER, INC. IS A PART, IS ANALYZED BY AN INDEPENDENT HEALTH CARE CONSULTING FIRM. THE ANALYSIS INCLUDES A FAIR MARKET VALUE ASSESSMENT AND ESTABLISHMENT OF A RANGE FOR EACH POSITION BASED ON RESEARCH OF COMPARABLE HEALTH CARE SYSTEMS OF SIMILAR SIZE. THE REPORT AND RECOMMENDED COMPENSATION LEVELS FOR EACH EXECUTIVE MANAGEMENT POSITION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE SJHS BOARD OF DIRECTORS.
GENERAL STATEMENT 12	PART VI: SECTION C. DISCLOSURE	PART VI: QUESTION 19 - ONLY THE CONSOLIDATED FINANCIAL STATEMENTS OF THE ST. JOHN HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC. THESE CONSOLIDATED FINANCIAL STATEMENTS, OF WHICH ST. JOHN MEDICAL CENTER, INC. IS A PART, ARE AVAILABLE THROUGH THE QUARTERLY CONTINUING DISCLOSURE FILING AS REQUIRED IN CONNECTION WITH THE TAX EXEMPT BOND FILINGS.
GENERAL STATEMENT 13	PART VII: SECTION B. INDEPENDENT CONTRACTORS	ST. JOHN MEDICAL CENTER'S FIVE HIGHEST PAID INDEPENDENT CONTRACTORS FOR THE YEAR ENDED SEPTEMBER 30, 2012 ARE AS FOLLOWS: (1) AMERISOURCEBERGEN DRUG P.O. BOX 905816; CHARLOTTE, NC 28290, PHARMACEUTICALS, $21,637,245, (2) UNIVERSITY OF OKLAHOMA 4502 E. 41ST STREET SUITE 2B20; TULSA, OK 74135, RESIDENT EDUCATION, $9,280,890 (3) OKLAHOMA HEALTHCARE AUTHORITY 4545 N. LINCOLN BLVD. SUITE 124; OKLAHOMA CITY, OK 73105, SHOPP PAYMENT PROGRAM, $7,655,318, (4) ST. JOHN HEALTH SYSTEM 1923 S. UTICA AVE.; TULSA, OK 74104, VARIOUS PROFESSIONAL SERVICES, $4,562,195, (5) INTERIM HEALTHCARE 2828 E. 51ST ST., STE. 102; TULSA, OK 74104, MEDICAL STAFFING, $2,281,341.
GENERAL STATEMENT 14	PART X: BALANCE SHEET	LINE 20 - ST. JOHN MEDICAL CENTER, INC. HAS REPORTED A LIABILITY FOR TAX EXEMPT BONDS IN PART X, LINE 20 BECAUSE IT IS A MEMBER OF AN OBLIGATED GROUP OF RELATED ORGANIZATIONS RESPONSIBLE FOR REPAYMENT OF CERTAIN BONDS. THE DETAIL FOR THESE BONDS ARE REPORTED ON THE FORM 990, SCHEDULE K OF ST. JOHN HEALTH SYSTEM, INC. (EIN: 73-1215174). THE AMOUNTS REPORTED IN PART X REPRESENT ST. JOHN MEDICAL CENTER, INC.'S ALLOCATED SHARE OF THOSE BONDS.
GENERAL STATEMENT 15	PART XI: RECONCILIATION OF NET ASSETS, LINE 5	UNREALIZED GAIN ON SECURITIES 10,223,992 CHANGE IN BENEFICIAL INTEREST IN 3,043,213 RESTRICTED ASSETS TRANSFERS TO AFFILIATES <21,623,225> ------------ TOTAL <$8,356,020> ============
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MILANN SIEGFRIED TITLE:VICE CHAIRPERSON HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHARLES ANDERSON TITLE:PRESIDENT HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:SR. M. THERESE GOTTSCHALK TITLE:EX-OFFICIO HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:GLENN BONNER TITLE:EX-OFFICIO HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ROBERT J. LAFORTUNE TITLE:DIRECTOR HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOSEPH P. MORAN, III TITLE:DIRECTOR HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:R.J. SULLIVAN, JR. TITLE:EX-OFFICIO HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID J. PYNN TITLE:SECRETARY HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:STEVEN R. ANDERSON TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:SR. M. FELICIDAD CHAVEZ TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MICHAEL B. REEVES TITLE:VICE PRESIDENT CIO HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DEWEY C. DAVIS TITLE:VICE PRESIDENT HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:TIMOTHY R. YOUNG TITLE:PRESIDENT OMNI HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LEX ANDERSON TITLE:EXECUTIVE VP & CFO HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RANDY H. HAMIL TITLE:CORPORATE VP REVENUE CYCLE HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KEVIN B. STECK TITLE:VP INTEGRITY & COMPLIANCE HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN P. BACHMAN TITLE:CORPORATE VP HR HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ROBERT O. LANGLAND TITLE:VP FINANCIAL SERVICES HOURS:39

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- 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

2011

Open to Public Inspection

Name of the organization

ST JOHN MEDICAL CENTER INC

Employer identification number

73-0579286

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) ST JOHN DIALYSIS LLC 1923 S UTICA AVE TULSA,OK74104 73-1594503	DIALYSIS	OK	0	0	NA
(2) ST JOHN HOME CARE LLC 1923 S UTICA AVE TULSA,OK74104 38-4662704	HEALTH CARE	OK	0	0	NA

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) CRAIG COUNTY MEDICAL SERVICES CORP 1923 S UTICA AVE TULSA,OK74104 73-1487478	HEALTH CARE	OK	501(C)(3)	LINE 9	SJHS		No
(2) ST JOHN SAPULPA INC 1923 S UTICA AVE TULSA,OK74104 73-0662663	HEALTH CARE	OK	501(C)(3)	LINE 3	SJHS		No
(3) JANE PHILLIPS MEMORIAL MEDICAL CENTER 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-0606129	HEALTH CARE	OK	501(C)(3)	LINE 3	JPHC		No
(4) JANE PHILLIPS HEALTHCARE FOUNDATION 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-1250611	HEALTH CARE	OK	501(C)(3)	LINE 3	JPMMC		No
(5) JANE PHILLIPS NOWATA HOSPITAL INC 237 SOUTH LOCUST NOWATA,OK74048 73-1440267	HEALTH CARE	OK	501(C)(3)	LINE 3	JPHC		No
(6) BARTLETT HOMES INC 1008 E CLEVELAND SAPULPA,OK74066 73-1301822	HUD HOUSING	OK	501(C)(3)	LINE 7	SJS		No
(7) BETHEL MANOR INC 619 S DIVISION SAPULPA,OK74066 73-1216617	HUD HOUSING	OK	501(C)(3)	LINE 7	SJS		No
(8) BLUESTEM REG MED DEVELOPMENT FDNINC 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-1081013	FUNDRAISING	OK	501(C)(3)	LINE 9	BMC		No
(9) BARTLESVILLE MEDICAL CORPORATION 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-1492080	HEALTH CARE	OK	501(C)(3)	LINE 11B	JPMMC		No
(10) ST JOHN BUILDING CORPORATION 1923 SOUTH UTICA AVENUE TULSA,OK74104 61-1659782	REAL ESTATE	OK	501(C)(2)		SJHS		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2011

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?
(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) COMMUNITY CARE 6600 S YALE AVE STE 400 TULSA,OK74136 73-1464144	DORMANT	OK	NA	N/A
(2) SJMC PHYS BUILDING 1923 S UTICA AVE TULSA,OK74104 73-1181714	MED. OFFICE BLDG.	OK	NA	N/A
(3) SFSJ VENTURES LLC 6600 S YALE AVE STE 400 TULSA,OK74136 73-1563876	HEALTH CARE	OK	NA	N/A
(4) PLATINUM FITNESS 4808 S 109TH EAST AVE TULSA,OK74146 20-1879493	HEALTH CLUB	OK	NA	N/A
(5) TULSA HAND SURGERY 1923 S UTICA AVE TULSA,OK74104 73-1572055	OPERATE SURG.CTR.	OK	NA	N/A
(6) MEMORIAL SURGERY 1923 S UTICA AVE TULSA,OK74104 20-1167151	OPERATE ASC	OK	NA	N/A
(7) BROKEN ARROW DEV PO BOX 7712 EDMOND,OK73083 26-0748994	COMM'L RE DEVELOP	OK	NA	N/A
(8) ALL SAINTS HOME 6600 S YALE AVE STE 400 TULSA,OK74136 73-1558644	DME	OK	NA	N/A
(9) UNION PINES SURGERY 4808 S 109TH EAST AVE TULSA,OK74146 73-1622427	OPERATE ASC	OK	NA	N/A

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) REGIONAL MEDICAL LABINC 1923 SOUTH UTICA TULSA,OK74104 73-1131608	MEDICAL SERVICES	OK	NA	C
(2) ST JOHN PHYSICIANS INC 1923 SOUTH UTICA TULSA,OK74104 73-1321032	MEDICAL SERVICES	OK	NA	C
(3) PHYSICIAN SUPPORT SERVINC 1923 SOUTH UTICA TULSA,OK74104 73-1437252	MEDICAL SERVICES	OK	NA	C
(4) OMNI MEDICAL GROUP INC 1923 SOUTH UTICA TULSA,OK74104 73-1335536	MEDICAL SERVICES	OK	NA	C
(5) ST JOHN ASC MGMTCOINC 1923 SOUTH UTICA TULSA,OK74104 20-2411172	MEDICAL SERVICES	OK	NA	C
(6) ST JOHN EMERGENCY PHYSICIANS 1923 SOUTH UTICA TULSA,OK74104 20-2099141	MEDICAL SERVICES	OK	NA	C
(7) SJ URGENT CARE CLINIC INC 1923 SOUTH UTICA TULSA,OK74104 20-4990275	MEDICAL SERVICES	OK	NA	C
(8) SJ CARDIOVASCULAR SERVINC 1923 SOUTH UTICA TULSA,OK74104 20-3912018	MEDICAL SERVICES	OK	NA	C
(9) SJ CARDIOCASCULAR MEDINC 1923 SOUTH UTICA TULSA,OK74104 20-3912076	MEDICAL SERVICES	OK	NA	C
(10) SJ ANESTHESIA SERVICESINC 1923 SOUTH UTICA TULSA,OK74104 20-3690446	MEDICAL SERVICES	OK	NA	C
(11) MAGNUM HEALTHCARE INC 1923 SOUTH UTICA TULSA,OK74104 20-4827780	MEDICAL SERVICES	OK	NA	C
(12) UTICA SERVICES INC 1923 SOUTH UTICA TULSA,OK74104 73-1057650	MEDICAL SERVICES	OK	NA	C
(13) PROFESSIONAL MED INS RISK 201 MERCHANT STSUITE 2400 HONOLULU,HI96813 73-1525831	INSURANCE	HI	NA	C
(14) JP SUPPORT SERVINC 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-1530296	MEDICAL SERVICES	OK	NA	C
(15) MEDICAL MANAGEMENT SERVINC 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-1531974	HOLDING CO.	OK	NA	C
(16) JP SPECIALTY PHYSICIANSINC 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 01-0879962	MEDICAL SERVICES	OK	NA	C
(17) GEMINI MEDICAL GROUP INC 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-1503529	MEDICAL SERVICES	OK	NA	C
(18) CERES MEDPRACTICE MGMTINC 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-1522656	MEDICAL SERVICES	OK	NA	C
(19) GEMINI AFTER HRSCLINICINC 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 30-0375407	MEDICAL SERVICES	OK	NA	C
(20) SYNERGY HOSPITALIST GRPINC 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 30-0375404	MEDICAL SERVICES	OK	NA	C
(21) PROFCREDIT RECOVINC 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-1057187	COLLECTIONS SERV.	OK	NA	C
(22) DRSBLDGOF BARTLESVILLEINC 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-0759185	BLDG. RENTAL	OK	NA	C
(23) JP ENTERPRISES INC 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-1530246	HOLDING CO.	OK	NA	C
(24) COMMUNITYCARE MANAGED HEALTHCARE 218 W 6TH ST TULSA,OK74119 73-1513383	HEALTH INSURANCE	OK	NA	C
(25) BLUESTEM MEDICAL CLINICINC 1923 SOUTH UTICA TULSA,OK74104 73-1481016	MEDICAL SERVICES	OK	NA	C
(26) OUTBOUND MEDICAL NETWORKINC 1923 SOUTH UTICA TULSA,OK74104 73-1255463	MEDICAL SERVICES	OK	NA	C
(27) JA& LETA MCHAPMAN 1949 TR PO BOX 1620 TULSA,OK741011620 73-6090485	SUPPORTING ORG.	OK	NA	T
(28) LETA MCFARLIN CHAPMAN MEMTR PO BOX 1620 TULSA,OK741011620 73-6187204	SUPPORTING ORG.	OK	NA	T

Schedule R (Form 990) 2011

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 related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

Yes

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

Yes

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

Yes

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

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

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Yes

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

Yes

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

Yes

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

Yes

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

Yes

r Other transfer of cash or property from related 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) ST JOHN HEALTH SYSTEM FOUNDATION INC	K	98,589	FMV
(2) ST JOHN HEALTH SYSTEM FOUNDATION INC	L	5,906,758	FMV
(3) ST JOHN HEALTH SYSTEM FOUNDATION INC	O	5,145,082	FMV
(4)
(5)
(6)

Schedule R (Form 990) 2011

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)	(e) Are all partners section 501(c)(3) organizations?		(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(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

Schedule R (Form 990) 2011

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:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: CONTINUE THE HEALING MINISTRY OF JESUS CHRIST BY PROVIDING MEDICAL EXCELLENCE AND COMPASSIONATE CARE TO ALL WHO NEED IT WITH A SPECIAL EMPHASIS FOR THE POOR AND POWERLESS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	15
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	4,088
6	Total number of volunteers (estimate if necessary) ....	6	483
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	0
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) .........	18,369,074	18,589,782
9	Program service revenue (Part VIII, line 2g) .........	488,975,144	524,957,235
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,526,504	7,615,165
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	503,203	463,904
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	512,373,925	551,626,086
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	4,947,917	9,911,449
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)	185,634,899	192,701,399
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)....	266,242,536	277,287,230
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	456,825,352	479,900,078
19	Revenue less expenses. Subtract line 18 from line 12.......	55,548,573	71,726,008
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	621,116,777	678,722,235
21	Total liabilities (Part X, line 26).............	318,602,129	312,837,599
22	Net assets or fund balances. Subtract line 21 from line 20.....	302,514,648	365,884,636

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 355,994,728 including grants of $ 9,911,449 ) (Revenue $ 524,957,235 )
	SEE SCHEDULE O, GENERAL STATEMENTS 1 THROUGH 5

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$ 355,994,728

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,573,610	4,061,894	769,839

(A) Name and business address	(B) Description of services	(C) Compensation
SEE SCHEDULE O GENERAL STATEMENT 1		45,416,900




2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 71

				(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		8,258,726
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		10,331,056
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			18,589,782
			Business Code
2a	NET PATIENT REVENUE		621,990	436,305,711	436,305,711
b	PREMIUM REVENUE		621,990	75,602,186	75,602,186
c	TRAUMA CARE ASSISTANCE		621,990	3,179,513	3,179,513
d	FOOD SERVICE		721,000	3,489,435			3,489,435
e	FITNESS/WELLNESS/EDUCATION		900,099	3,974,891			3,974,891
f	All other program service revenue .			2,405,499	12,490		2,393,009
g	Total. Add lines 2a–2f........			524,957,235
3	Investment income (including dividends, interest
	and other similar amounts).....			3,136,513			3,136,513
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)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	66,029,561	40
b	Less: cost or other basis and sales expenses	60,788,041	762,908
c	Gain or (loss)	5,241,520	-762,868
d	Net gain or (loss)..........			4,478,652			4,478,652
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		0
Miscellaneous Revenue			Business Code
11a	MISC. INCOME		900,099	463,904			463,904
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			463,904
12	Total revenue. See Instructions....			551,626,086	515,099,900	0	17,936,404


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			2,985	1	2,985
2	Savings and temporary cash investments .......			22,706,406	2	13,214,444
3	Pledges and grants receivable, net .........			0	3	334,862
4	Accounts receivable, net .........			89,779,364	4	90,098,156
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			0	5	0
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 ..........			0	6	0
7	Notes and loans receivable, net .............			15,094,617	7	17,961,779
8	Inventories for sale or use ..............			1,483,521	8	1,606,000
9	Prepaid expenses and deferred charges ............			546,200	9	591,068
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	489,650,261
b	Less: accumulated depreciation. .....	10b	281,803,303	235,043,146	10c	207,846,958
11	Investments—publicly traded securities ..........			152,349,519	11	185,996,656
12	Investments—other securities. See Part IV, line 11 ......			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			42,325,273	13	45,368,486
14	Intangible assets .........			0	14	0
15	Other assets. See Part IV, line 11 ...........			61,785,746	15	115,700,841
16	Total assets. Add lines 1 through 15 (must equal line 34)...			621,116,777	16	678,722,235
17	Accounts payable and accrued expenses .			60,736,479	17	48,954,341
18	Grants payable ..........			0	18	0
19	Deferred revenue ..........			0	19	0
20	Tax-exempt bond liabilities ..........			245,695,686	20	250,542,350
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			12,169,964	25	13,340,908
26	Total liabilities. Add lines 17 through 25.....			318,602,129	26	312,837,599
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			257,469,649	27	318,820,774
28	Temporarily restricted net assets .....			45,044,999	28	47,063,862
29	Permanently restricted net assets .....			0	29	0
	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 .....			302,514,648	33	365,884,636
34	Total liabilities and net assets/fund balances .....			621,116,777	34	678,722,235