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

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013
BCheck if applicable:
CName of organization
ST JOSEPH MEDICAL CENTER INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
201 International Circle
Suite 212
Room/suite
City or town, state or country, and ZIP + 4
Hunt Valley, MD21030
D Employer identification number

52-0591461
E Telephone number

G Gross receipts $ 120,855,294
F Name and address of principal officer:
MARY ELIZABETH O'BRIEN PRESIDENT
3900 Olympic Boulevard 400
Erlanger,KY410183509
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
NA
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:
 
L Year of formation: 1946
M State of legal domicile: MD
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE MISSION OF ST. JOSEPH MEDICAL CENTER, INC. IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. ON NOVEMBER 30, 2012 THE ORGANIZATION SOLD THEIR ASSETS TO UNIVERSITY OF MARYLAND MEDICAL SYSTEM AND CEASED OPERATING AS A HOSPITAL.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 3
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 0
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 2,234
6 Total number of volunteers (estimate if necessary) ............. 6 275
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 293,913
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 140,079
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,827,193 376,633
9 Program service revenue (Part VIII, line 2g) ......... 304,233,213 118,869,564
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 604,795 449,058
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,071,107 1,150,830
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 309,736,308 120,846,085
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 13,250,906 114,500
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) 123,816,492 51,660,384
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 197,999,023 76,691,233
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 335,066,421 128,466,117
19 Revenue less expenses. Subtract line 18 from line 12....... -25,330,113 -7,620,032
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 284,617,305 12,546,302
21 Total liabilities (Part X, line 26)............. 228,169,385 15,588,594
22 Net assets or fund balances. Subtract line 21 from line 20..... 56,447,920 -3,042,292
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 103,384,605 including grants of $ 114,500 ) (Revenue $ 118,662,465 )
SEE SCHEDULE H
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet103,384,605
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III............................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI....................
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II...................... Click to see attachment
32
Yes
 
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
2,234
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
3
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
0
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletJERRY FRANCIS198 Inverness Drive WestEnglewoodCO80112 (303) 298-9100
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) CAROLINE GRIFFIN ESQ........................................................................
former Secretary
 1.00
.......................0 		X   X       0 0 0
(2) DOUGLAS WICKERHAM........................................................................
Treasurer
 1.00
.......................59.00 		X   X       0 364,218 50,052
(3) EDWARD GILLISS ESQ........................................................................
former Chair
 1.00
.......................1.00 		X   X       0 0 0
(4) JEFFREY NORMAN........................................................................
former CEO
 40.00
.......................3.00 		X   X       0 445,927 36,252
(5) MARK PARRINGTON........................................................................
Vice President and Secretary
 1.00
.......................59.00 		X   X       0 411,166 38,127
(6) MARY ELIZABETH O'BRIEN........................................................................
President
 1.00
.......................59.00 		X   X       0 924,954 116,308
(7) PATRICK GOLES........................................................................
former Vice Chair
 1.00
.......................0 		X   X       0 0 0
(8) BERNARD COOK........................................................................
Board Member
 1.00
.......................0 		X           0 0 0
(9) CARMEN DEYESU........................................................................
Board Member
 1.00
.......................2.00 		X           0 0 0
(10) DAVID GONANO........................................................................
Board Member
 1.00
.......................0 		X           0 0 0
(11) GAIL CUNNINGHAM........................................................................
Board Member/President Medical Staff
 40.00
.......................1.00 		X           323,353 1,500 26,846
(12) HAMED FARIDI PH D........................................................................
Board Member
 1.00
.......................0 		X           0 0 0
(13) HARRY BRANDT MD........................................................................
Board Member
 1.00
.......................1.00 		X           0 0 0
(14) JAMES O'CONOR........................................................................
Board Member
 1.00
.......................0 		X           0 0 0
(15) LARRY WALTON........................................................................
Board Member
 1.00
.......................0 		X           0 0 0
(16) MARK BUSSARD........................................................................
Board Member
 1.00
.......................0 		X           0 0 0
(17) MARTIN BRUTSCHER........................................................................
BOARD MEMBER
 1.00
.......................2.00 		X           0 0 0
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) MONSIGNOR BRUCE JARBOE........................................................................
Board Member
 1.00
.......................0 		X           0 0 0
(19) SISTER ESTHER ANDERSON OSF........................................................................
Board Member
 1.00
.......................0 		X           0 0 0
(20) SR PATRICIA MCCARRON........................................................................
Board Member
 1.00
.......................0 		X           0 0 0
(21) WILLIAM MCCARTHY ESQ........................................................................
Board Member
 1.00
.......................1.00 		X           0 0 0
(22) CHARLES NEUMANN........................................................................
Interim CEO
 40.00
.......................6.00 		    X       0 0 0
(23) RICHARD IMBIMBO........................................................................
Treasurer/CFO
 40.00
.......................5.00 		    X       365,028 0 53,953
(24) CRAIG CARMICHAEL........................................................................
VP Support Operations
 40.00
.......................0 		      X     258,577 0 52,089
(25) DANIEL DIETRICK........................................................................
Head, Department of Surgery
 40.00
.......................0 		      X     236,475 0 19,244
(26) DIANNE WASSALL........................................................................
Director HR
 40.00
.......................0 		      X     168,062 0 33,503
(27) PAMELA JAMIESON........................................................................
VP Operations CNO
 40.00
.......................0 		      X     267,684 0 43,347
(28) TANJA OQUENDO........................................................................
VP-Human Resources
 5.00
.......................55.00 		      X     74,956 326,822 38,945
(29) TODD PHILLIPS........................................................................
CMO
 40.00
.......................5.00 		      X     360,143 0 30,980
(30) JUDITH ROSSITER........................................................................
PHYSICIAN
 10.00
.......................40.00 		        X   131,625 430,347 49,035
(31) LINDA ADLER........................................................................
Physician
 1.00
.......................40.00 		        X   2,345 465,719 43,613
(32) MICHAEL LANGBAUM........................................................................
Physician
 1.00
.......................40.00 		        X   21,568 369,320 43,082
(33) MICHAEL SCHULTZ........................................................................
Physician
 10.00
.......................41.00 		        X   131,066 733,152 44,035
(34) RICHARD MACKEY........................................................................
GENERAL SURGEON
 1.00
.......................40.00 		        X   12,860 391,041 41,551
(35) MARGARET MORTENSEN........................................................................
Executive Vice President/COO
 0.00
.......................0 		          X 119,289 0 4,934
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 2,473,031 4,864,166 765,895
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet89
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
Yes
 
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
FTI CONSULTING909 COMMERCE ROADANNAPOLISMD21401 CONSULTING SERVICES 4,188,039
SODEXO INC & AFFILIATES9801 WASHINGTONIAN BLVDGAITHERSBURGMD20878 QUALITY OF LIFE SERVICES 3,392,002
PULMONARY & CRITICAL CARE ASSOC OF BALTIMORE PA400 REDLAND COURT SUITE 208OWINGS MILLSMD21117 CRITICAL CARE SERVICES 1,964,580
ABBOTT MOLECULAR1300 ETOUHY AVEDES PLAINESIL60018 MOLECULAR DIAGNOSTICS 1,725,478
HAMMOND HANLON CAMP LLC623 FIFTH AVENUE 29TH FLOORNEW YORKNY10022 ADVISORY SERVICES 1,573,129
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet157
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 376,633
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 376,633
Program Service Revenue Business Code
2a PATIENT SERVICES 900099 116,466,374 116,466,374    
b RENTAL INCOME 900099 846,194 639,095 207,099  
c EQUITY CHANGES OF UNCONSOLIDATED ORGS 900099 1,556,996 1,556,996    
d     0      
e     0      
f All other program service revenue . 0 0 0 0
g Total. Add lines 2a–2f........MediumBullet 118,869,564
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 96,211   -225 96,436
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 186,204  
b Less: rental expenses    
c Rental income or (loss) 186,204 0
d Net rental income or (loss).......MediumBullet 186,204     186,204
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 362,056  
b Less: cost or other basis and sales expenses   9,210
c Gain or (loss) 362,056 -9,210
d Net gain or (loss)..........MediumBullet 352,847     352,847
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a PARKING LOT 812930 590,019     590,019
b GUEST ROOM FEES 721310 84,113     84,113
c LABORATORY SERVICES 621500 86,010   57,160 28,850
d All other revenue .... 204,484 0 29,879 174,605
e Total. Add lines 11a–11d ...... MediumBullet 964,626
12 Total revenue. See Instructions......MediumBullet 120,846,085 118,662,465 293,913 1,513,074
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
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 21 114,500 114,500
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 .... 2,443,342 304,279 2,139,063  
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 39,794,611 33,433,486 6,361,125  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 2,088,998 1,809,596 279,402  
9 Other employee benefits ....... 4,127,540 3,396,961 730,579  
10 Payroll taxes ........... 3,205,893 2,554,307 651,586  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 634,439   634,439  
c Accounting ........... 0      
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 0      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 21,054,388 15,345,663 5,708,725 0
12 Advertising and promotion .... 332,757 301,312 31,445  
13 Office expenses ....... 2,540,775 2,151,928 388,847  
14 Information technology ...... 5,678,555 4,562,370 1,116,185  
15 Royalties .. 0      
16 Occupancy ........... 1,760,272 1,517,398 242,874  
17 Travel ............ 70,020 50,613 19,407  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 1,778 1,440 338  
20 Interest ........... 2,941,813 2,941,813    
21 Payments to affiliates ....... 2,729,980   2,729,980  
22 Depreciation, depletion, and amortization ..... 338,635 270,908 67,727  
23 Insurance .............. 1,856,135 1,503,469 352,666  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a UNRELATED BUSINESS TAXES 59,707   59,707  
b BAD DEBTS 4,768,539 4,768,539    
c MEDICAL SUPPLIES 26,260,647 26,260,647    
d RESTRUCTING LOSSES 3,050,881   3,050,881  
e All other expenses 2,611,912 2,095,376 516,536 0
25 Total functional expenses. Add lines 1 through 24e 128,466,117 103,384,605 25,081,512 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 MediumBullet if following SOP 98-2 (ASC 958-720). 0      
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 2,220 1  
2 Savings and temporary cash investments .........   2 10,873
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 40,393,457 4 2,782,222
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6 0
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 4,864,878 8 0
9 Prepaid expenses and deferred charges .......... 826,841 9  
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 0
b Less: accumulated depreciation ..... 10b 0 154,165,171 10c 0
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ..... 20,385,386 12 0
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ............... 1,868,483 14  
15 Other assets. See Part IV, line 11 ........... 62,110,869 15 9,753,207
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 284,617,305 16 12,546,302
Liabilities 17 Accounts payable and accrued expenses ......... 45,120,139 17 4,864,975
18 Grants payable .................   18  
19 Deferred revenue ................ 600,598 19 2,409,339
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22 0
23 Secured mortgages and notes payable to unrelated third parties .. 12,477,967 23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
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.................... 169,970,681 25 8,314,280
26 Total liabilities. Add lines 17 through 25......... 228,169,385 26 15,588,594
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 56,152,046 27 -3,042,292
28 Temporarily restricted net assets ........... 295,874 28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 56,447,920 33 -3,042,292
34 Total liabilities and net assets/fund balances ........ 284,617,305 34 12,546,302
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
120,846,085
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
128,466,117
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-7,620,032
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
56,447,920
5
Net unrealized gains (losses) on investments ...............
5
741,730
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-52,611,910
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
-3,042,292
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID: 12000266
Software Version: v2012.1.0
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ST JOSEPH MEDICAL CENTER INC
 
Employer identification number

52-0591461
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the 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)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
ST JOSEPH MEDICAL CENTER INC
 
Employer identification number

52-0591461
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
ST JOSEPH MEDICAL CENTER INC
  		Employer identification number

52-0591461
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


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
ST JOSEPH MEDICAL CENTER INC
  		Employer identification number

52-0591461
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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
ST JOSEPH MEDICAL CENTER INC
  		Employer identification number

52-0591461
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 (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
ST JOSEPH MEDICAL CENTER INC
 
Employer identification number

52-0591461
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

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

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

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
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 SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable 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) 2012


Schedule C (Form 990 or 990-EZ) 2012
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)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
2,344
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
2,344
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) 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."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $1,689 AND CATHOLIC HEALTH ASSOCIATION - $655.
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST JOSEPH MEDICAL CENTER INC
 
Employer identification number

52-0591461
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds 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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a 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.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (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 XIII, the text of the footnote to its financial statements that describes these items.
b
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 $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII 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 (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................     0
b Buildings ................       0
c Leasehold improvements ............       0
d Equipment ................       0
e Other .................       0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 0
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) INTERCOMPANY RECEIVABLES 9,552,457
(2) DEPOSITS 200,750







Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 9,753,207
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
INTERCOMPANY PAYABLES 46,028
UNCLAIMED PROPERTY 215,581
ACCRUED EXPENSES 8,052,671






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 8,314,280
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI 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 XIII.) ............ 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 XIII.) ........... 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 XII 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 XIII.) ............ 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 XIII.) ............ 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 XIII
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 ST. JOSEPH MEDICAL CENTER, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2013 READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS."
Schedule D (Form 990) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0




SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet 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
2012
Open to Public Inspection
Name of the organization
ST JOSEPH MEDICAL CENTER INC
 
Employer identification number

52-0591461
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
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.
3
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.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
 
No
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
 
No
%
c
If the organization used factors other than FPG in determining 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, as a factor in determining eligibility for free or discounted care.
4
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"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
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? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    2,644,507   2,644,507 2.140 %
b Medicaid (from Worksheet 3,
column a) .... 		    4,276,521 3,656,960 619,561 0.500 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		        0 0 %
d Total Financial Assistance
and Means-Tested
Government Programs . 		0 0 6,921,028 3,656,960 3,264,068 2.640 %
Other Benefits
 35 43,530 1,168,218 112,044 1,056,174 0.850 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		1 435 395,963   395,963 0.320 %
g Subsidized health services
(from Worksheet 6) .. 		    4,302,657 516,399 3,786,258 3.060 %
h Research (from Worksheet 7)     272,025 49,970 222,055 0.180 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		1 105 49,113   49,113 0.040 %
j Total. Other Benefits .. 37 44,070 6,187,976 678,413 5,509,563 4.450 %
k Total. Add lines 7d and 7j . 37 44,070 13,109,004 4,335,373 8,773,631 7.090 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and training for community members         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development         0 0 %
9 Other   230 13,018   13,018 0.010 %
10 Total 0 230 13,018 0 13,018 0.010 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
4,768,539
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
53,374,714
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
46,299,709
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
7,075,005
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—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) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 ST JOSEPH MEDICAL CENTER INC
7601 OSLER DRIVE
TOWSON,MD21204
HTTP://WWW.STJOSEPHTOWSON.COM/ 		X X         X      
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ST JOSEPH MEDICAL CENTER INC
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1   No
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 CHNA 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 CHNA report widely available to the public? ............. 5    
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10   No
If "Yes," indicate the FPG family income limit for eligibility for free care:   %
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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?....... 15 Yes  
16 Check all of the following 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
b
c
d
e
17 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?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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) 2012
Schedule H (Form 990) 2012
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; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
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.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
Eligibility criteria for free or discounted care Schedule H, Part I, Line 3c WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO ST. JOSEPH MEDICAL CENTER) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES IN 17 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. ST. JOSEPH MEDICAL CENTER BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. THE COST-TO-CHARGE RATIO FOR THE FIVE-MONTH PERIOD ENDED 11/30/12 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE. BASED ON THAT FORMULA, THIS RESULTS IN A 79.9% COST-TO-CHARGE RATIO. WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO.
FINANCIAL ASSISTANCE AND CERTAIN COMMUNITY BENEFITS AT COST SCHEDULE H, PART I, LINE 7A MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION ("HSCRC") DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.
Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 4,768,539
Subsidized Health Services Schedule H, Part I, Line 7g THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES.
Bad debt expense - methodology used to estimate amount Schedule H, Part III, Line 2 COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 79.9%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE.
Bad debt expense - methodology used to estimate amount as community benefit Schedule H, Part III, Line 3 ST. JOSEPH MEDICAL CENTER DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.
Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 ST. JOSEPH MEDICAL CENTER DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE (ASU) NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICES REVENUE, PROVISION FOR BAD DEBTS, AND ALLOWANCES FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH ENTITIES, THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENT OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY."
Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. ST. JOSEPH MEDICAL CENTER, INC.'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL.
Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b ST. JOSEPH MEDICAL CENTER'S DEBT COLLECTION POLICY PROVIDES THAT ST. JOSEPH MEDICAL CENTER WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT FOR TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH ST. JOSEPH MEDICAL CENTER COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE ST. JOSEPH MEDICAL CENTER COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO ST. JOSEPH MEDICAL CENTER FOR APPROPRIATE FOLLOW-UP. ST. JOSEPH MEDICAL CENTER REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT.
COMMUNITY HEALTH NEEDS ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 1 ST. JOSEPH MEDICAL CENTER, INC. ("SJMC") SOLD SUBSTANTIALLY ALL OF ITS ASSETS AND LIABILITIES TO UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION ("UMMS") ON 11/30/12 AND CEASED OPERATING AS A HOSPITAL. DUE TO THE SALE, SJMC DID NOT CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT DURING THE PERIOD 7/1/12-11/30/12. HOWEVER, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED BY UMMS IN MARCH 2013 AFTER THE SALE WAS COMPLETE.
Used federal poverty guidelines (FPG) to determine eligibility Schedule H, Part V Section B, Line 10 (1) ST JOSEPH MEDICAL CENTER, INC. - HUD LOW INCOME GUIDELINES USED.;
Used FPG to determine eligibility for providing discounted care criteria Schedule H, Part V Section B, Line 11 (1) ST JOSEPH MEDICAL CENTER, INC. - HUD LOW INCOME GUIDELINES USED.;
Other ways hospital publicized Financial Assistance Policy Schedule H, Part V Section B, Line 14g (1) ST JOSEPH MEDICAL CENTER, INC. - THE BILLING INVOICES INCLUDE INSTRUCTIONS ON HOW TO ACCESS THE COMPANY'S FINANCIAL ASSISTANCE POLICY.;
Means used to determine amounts billed Schedule H, Part V Section B, Line 20d (1) ST JOSEPH MEDICAL CENTER, INC. - CHARGES ARE BASED ON APPROVED HEALTH SERVICES COST REVIEW COMMISSION ("HSCRC") RATES.;
LINES 2, 4, & 5: COMMUNITY BENEFIT NARRATIVE AND NEEDS ASSESSMENT SCHEDULE H, PART VI ST. JOSEPH MEDICAL CENTER, INC. ("SJMC") SOLD SUBSTANTIALLY ALL OF ITS ASSETS AND LIABILITIES TO UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION ("UMMS") ON 11/30/12 AND CEASED OPERATING AS A HOSPITAL. ST. JOSEPH MEDICAL CENTER WAS FOUNDED TO ALLEVIATE A SHORTAGE OF HOSPITAL BEDS IN THE COMMUNITY IN 1864 BY THE SISTERS OF ST. FRANCIS OF PHILADELPHIA. THE HOSPITAL WAS MOVED TO ITS CURRENT LOCATION, TOWSON, MARYLAND IN 1965. AS THE FIRST CATHOLIC HOSPITAL TO SERVE THE COMMUNITY, ST. JOSEPH MEDICAL CENTER EMBRACED THE MISSION OF THE FOUNDING RELIGIOUS CONGREGATION, WHICH HAS SINCE JOINED WITH OTHER RELIGIOUS CONGREGATIONS TO FORM CATHOLIC HEALTH INITIATIVES. THE MISSION OF ST. JOSEPH MEDICAL CENTER AND CATHOLIC HEALTH INITIATIVES IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. IN ADDITION, ST. JOSEPH MEDICAL CENTER STRIVES TO DEVELOP A HEALTHY COMMUNITY AND PROVIDE CARE TO ALL IN NEED. IT ALSO HAS A BOARD OF DIRECTORS THAT IS PRIMARILY COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. THE MEDICAL CENTER HAS A RICH HERITAGE OF COMPASSIONATE SERVICE AND SUPERB CLINICAL PROGRAMS. OUR PRIMARY GOAL IS TO BUILD UPON THAT HERITAGE BY ENHANCING OUR RELATIONSHIP AMONG OUR COMMUNITY, EMPLOYEES AND PHYSICIANS WITHIN THE GREATER BALTIMORE AREA IN MARYLAND. THE EMERGENCY DEPARTMENT IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. ST. JOSEPH MEDICAL CENTER HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM. ST. JOSEPH MEDICAL CENTER SERVES ALL PERSONS IN THE COMMUNITY ON A NON-DISCRIMINATORY BASIS AND OPERATES A 24 HOUR EMERGENCY DEPARTMENT, 365 DAYS PER YEAR. COMMUNITY SERVICE HAS ALWAYS BEEN AT THE CORE OF ST. JOSEPH MEDICAL CENTER'S ACTIVITIES. EACH YEAR, SERVICES AND PROGRAMS ARE EXPANDED TO PROMOTE A HEALTHY COMMUNITY. THE PROGRAMS AND SERVICES DESCRIBED THROUGHOUT THIS REPORT NOT ONLY SERVE THE COMMUNITY, BUT ALSO REDUCE THE BURDENS ON THE GOVERNMENT. FOR EXAMPLE, IF ST. JOSEPH MEDICAL CENTER DID NOT PROVIDE CHARITY CARE, THE BURDEN OF PROVIDING CHARITY CARE WOULD FALL ON OTHER COUNTY HOSPITALS AND OTHER GOVERNMENT-SUPPORTED INSTITUTIONS. THE CANCER INSTITUTE AT ST. JOSEPH MEDICAL CENTER HAS RECEIVED ADDITIONAL FUNDING FROM THE NATIONAL CANCER INSTITUTE TO EXTEND ITS PILOT PROGRAM, EXTENDING THE REACH OF NATIONAL CANCER INSTITUTE (NCI) RESEARCH AND STATE-OF-THE-ART TREATMENT INTO COMMUNITY HOSPITALS ACROSS THE COUNTRY. ST. JOSEPH MEDICAL CENTER IS THE ONLY MARYLAND HOSPITAL TO BE CHOSEN FOR THIS PILOT PROGRAM, KNOWN AS THE NCI COMMUNITY CANCER CENTERS PROGRAM (NCCCP). ST. JOSEPH MEDICAL CENTER ENGAGES ANNUALLY IN TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS, BOTH CLINICAL AND NON-CLINICAL THROUGH SMALL AND LARGE GROUP TRAININGS AS WELL AS NATIONAL AND LOCAL ONLINE TRAININGS. ST. JOSEPH MEDICAL CENTER IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. ST. JOSEPH MEDICAL CENTER RECEIVED ITS TAX EXEMPTION NOTIFICATION FROM THE DEPARTMENT OF TREASURY ON DECEMBER 3, 1996. PREVIOUSLY, THE ORGANIZATION RECEIVED THEIR TAX-EXEMPT STATUS IN MARCH 1946 AS ST. JOSEPH HOSPITAL.
LINES 2, 4, & 5: COMMUNITY BENEFIT NARRATIVE AND NEEDS ASSESSMENT SCHEDULE H, PART VI (CONTINUATION I) I. GENERAL HOSPITAL DEMOGRAPHICS AND CHARACTERISTICS: THE CORE BASED STATISTICAL AREA ("CBSA") FOR ST. JOSEPH MEDICAL CENTER ("SJMC") HAS BEEN IDENTIFIED BY PLOTTING THE ZIP CODES OF RECIPIENTS OF FINANCIAL ASSISTANCE/CHARITY CARE IN FISCAL YEAR 2013. ST. JOSEPH MEDICAL CENTER'S CBSA FALLS PRIMARILY WITHIN BALTIMORE COUNTY, WITH A FEW OUTLYING AREAS IN HARFORD COUNTY. WHEN ILLUSTRATED IN THIS WAY IT BECOMES CLEAR THAT A SIGNIFICANT PORTION OF OUR CHARITY CARE CASES FOR FISCAL YEAR 2013 ARE CONCENTRATED IN TWO AREAS; THE NORTHERN SEGMENT OF BALTIMORE COUNTY AROUND HUNT VALLEY AND COCKEYSVILLE, AND THE EASTERN SEGMENT IN THE CARNEY/PARKVILLE AREA. THE IMMEDIATE GEOGRAPHIC AREA IN WHICH SJMC IS LOCATED IS PREDOMINANTLY A MIDDLE-CLASS/UPPER MIDDLE-CLASS POPULATION. WHILE THERE ARE PEOPLE FROM THE AREA PROXIMATE TO SJMC WHO RECEIVE CHARITY CARE, THIS IS NOT WHERE THE GREATEST NEED FOR CHARITY CARE EXISTS FOR SJMC. THE "HIDDEN" POPULATION RECEIVING A SIGNIFICANT AMOUNT OF CHARITY CARE IS A GROWING HISPANIC IMMIGRANT POPULATION IN THE HUNT VALLEY/COCKEYSVILLE AREA. THIS HAS CREATED A POCKET OF FINANCIALLY CHALLENGED PEOPLE IN AN AREA THAT IS USUALLY VIEWED AS FAIRLY AFFLUENT. ST. JOSEPH MEDICAL CENTER IS IN A NORTHERN SUBURB OF BALTIMORE. THE PRIMARY AND SECONDARY SERVICE AREA DRAWS PATIENTS FROM FRANKLINVILLE AND WESTMINSTER TO THE WEST, ABERDEEN (INCLUDING THE EASTERN SHORE) TO THE EAST, TO THE PENNSYLVANIA LINE, UP THE I-81 CORRIDOR AND AS FAR SOUTH AS LANDSDOWNE. BALTIMORE COUNTY IS DISTINCTIVE IN THE EXCEEDINGLY BROAD RANGE OF POPULATIONS IT CONTAINS, IN TERMS OF ECONOMIC, ETHNIC/RACIAL AND URBAN/RURAL CONSIDERATIONS. THERE IS QUITE A RANGE OF HEALTH CARE NEEDS IN BALTIMORE COUNTY. THE HUNT VALLEY AREA INCLUDES A POCKET OF SEVERELY UNMET HEALTH NEEDS, WHICH IS GENERALLY CONSIDERED ECONOMICALLY ADVANTAGED. THIS IS CONSISTENT WITH THE PRESENCE OF APARTMENTS THAT WERE DESIGNATED FOR GOVERNMENT SUBSIDIZED LOW-INCOME RENTALS AND NOW ARE HOME TO A HISPANIC POPULATION. SJMC'S COMMUNITY BENEFIT SERVICE AREA OVERLAPS WITH SOME AREAS OF SIGNIFICANT UNMET HEALTH CARE NEEDS IN BALTIMORE COUNTY. WHEN PLOTTING THE SERVICE AREAS OF SJMC'S CHARITY CASES BY ZIP CODE, THERE IS A STRONG CONCENTRATION OF CHARITY CASES COMING TO SJMC FROM THE HUNT VALLEY AREA. WE KNOW MANY OF THE PATIENTS FROM THIS AREA ARE PART OF THE HISPANIC COMMUNITY IN THAT LOCATION BECAUSE THEY ARE ACCESSING PRIMARY CARE SERVICES AT ST. CLARE MEDICAL OUTREACH, OUR FREE CLINIC THAT IS NORTH OF THE HOSPITAL. ST. CLARE'S PATIENT POPULATION IS 90% HISPANIC. WHEN THIS POPULATION NEEDS INPATIENT SERVICES, THEY ARE REFERRED TO SJMC BY ST. CLARE MEDICAL OUTREACH. THE ETHNIC/RACIAL CHARACTERISTICS OF OUR PRIMARY AND SECONDARY SERVICE AREAS ARE ILLUSTRATED IN MAPS IN OUR FULL COMMUNITY BENEFIT NARRATIVE, WHICH CONFIRMS WHAT THE DATA FROM THE DHHS AND MARYLAND BUREAU OF VITAL STATISTICS INDICATES, THAT OUR PRIMARY AND SECONDARY SERVICE AREAS ARE LARGELY WHITE, WITH A LESSER PRESENCE OF A BLACK POPULATION IN THAT AREA. IN THE AREA JUST SOUTH AND EAST OF COCKEYSVILLE THERE IS A PREDOMINANT PRESENCE OF THE HISPANIC POPULATION. THE MAPPING STRATEGIES THAT WE USE PROVIDE OVERLAPPING CONFIRMATION THAT THE IMMEDIATE AREA AROUND SJMC IS NOT AN AREA OF GREAT FINANCIAL NEED. NORTH OF THE HOSPITAL, WHILE IT IS PERCEIVED AS AN AFFLUENT AREA, HAS A POPULATION OF LOWER INCOME MINORITIES WITH UNMET HEALTH NEEDS THAT CREATE A HIDDEN POCKET OF NEED IN AN OTHERWISE ADVANTAGED AREA. SIGNIFICANT DEMOGRAPHIC AND SOCIAL DETERMINANTS COMMUNITY BENEFIT SERVICE AREA (CBSA) TARGET POPULATION BY SEX, RACE AND AVERAGE AGE: 2012 TOTAL POPULATION - BALTIMORE COUNTY 805,029 TOTAL MALE POPULATION 380,409 TOTAL FEMALE POPULATION 424,620 FEMALES, CHILD BEARING AGE (15-44) 165,852 AGE PERCENTAGE IN BALTIMORE COUNTY UNDER 5 YEARS 6.0% UNDER 18 22% 65 YEARS AND OLDER 14.6% RACE/ETHNICITY DISTRIBUTION WHITE NON-HISPANIC: 520,185 OR 64.6% OF TOTAL BALTIMORE COUNTY POPULATION BLACK NON-HISPANIC: 209,738 OR 26.1% OF TOTAL BALTIMORE COUNTY POPULATION HISPANIC: 33,735 OR 4.2% OF TOTAL BALTIMORE COUNTY POPULATION ASIAN & PACIFIC IS. NON-HISPANIC: 40,077 OR 5.0% OF TOTAL BALTIMORE COUNTY POPULATION ALL OTHERS: .1% TOTAL POPULATION: 805,029 SOURCE: MARYLAND DHMH, STATE HEALTH IMPROVEMENT PROCESS WWW.PLANNING.MARYLAND.GOV/MSDC/CENSUS/CEN2010/SF1/AGERACEPROF/AGERACE_BACO.PDF PERCENTAGE OF HOUSEHOLDS WITH INCOMES BELOW FEDERAL POVERTY GUIDELINES WITHIN THE CBSA: BALTIMORE COUNTY HAS 8.1%, WHICH IS BELOW THE STATE AVERAGE OF 9.1%. THE MEDIAN HOUSEHOLD INCOME, WITHIN THE CBSA, WAS $63,494 COMPARED WITH THE STATE AVERAGE OF $70,017. THE PERCENTAGE OF UNINSURED PEOPLE WITHIN THE CBSA WAS 13.2% COMPARED WITH THE STATE AVERAGE OF 11.3% PERCENTAGE OF MEDICAID RECIPIENTS WITHIN THE CBSA: THE AVERAGE MONTHLY NUMBER OF MEDICAID ELIGIBLE PATIENTS SERVED IN BALTIMORE COUNTY DURING FISCAL YEAR 2012 WAS 132,558. THE AVERAGE MONTHLY NUMBER OF MEDICAID ENROLLEES IN BALTIMORE COUNTY DURING FISCAL YEAR 20102 WAS 99,086. MEDICAID ENROLLMENT IN THE CBSA FOR THE YEARS 2007-2011 WAS 52.09 PER 1000 RESIDENTS OR 5.29%. LIFE EXPECTANCY, BY COUNTY, WITHIN THE CBSA (INCLUDING BY RACE AND ETHNICITY WHERE DATA ARE AVAILABLE): NATIONAL BASELINE 77.9 YEARS CURRENT MARYLAND BASELINE 78.6 YEARS BALTIMORE COUNTY 76.9 YEARS CBSA 80.6 YEAR MORTALITY RATES BY COUNTY WITHIN THE CBSA (*DEATHS PER 1000 LIVE BIRTHS) 2010 MARYLAND 496 BALTIMORE COUNTY 66 INFANT MORTALITY RATE (%) 6.7% IN BOTH MARYLAND AND BALTIMORE COUNTY 2011 MARYLAND 493 BALTIMORE COUNTY 62 INFANT MORTALITY RATE (%) 6.7% IN MARYLAND AND 6.3% IN BALTIMORE COUNTY WHILE 96% OF BALTIMORE COUNTY RESIDENTS HAVE ACCESS TO HEALTHY FOOD, WHICH IS ABOVE THE 62% MARYLAND RANKING, WITHIN OUR CBSA THERE ARE TWO AREAS DESIGNATED AS "FOOD DESERTS" BY THE USDA. THE MAPPING OF THESE FOOD DESERT AREAS SHOW HOW CLOSE AN AREA WITH LIMITED ACCESS TO NUTRITIOUS FOOD IS TO SJMC. IN THIS AREA LIVE 6,160 PEOPLE, 1,909 OF THOSE PEOPLE (31% OF THE TRACT POPULATION) HAVE LOW/POOR ACCESS TO NUTRITIOUS FOOD. THERE ARE TWO CONTIGUOUS CENSUS TRACTS JUST NORTH OF SJMC. THE COMBINED POPULATION OF THESE TWO TRACTS IS 9,843 PEOPLE. 65% OF THE SLIGHTLY NORTHERN TRACT AND 40.6% OF THE PEOPLE IN THE OTHER TRACT HAVE LOW ACCESS TO NUTRITIOUS FOOD. THIS IS THE SAME AREA IDENTIFIED EARLIER AS HAVING "HIDDEN POCKETS" OF A LOW-INCOME HISPANIC POPULATION. IN BALTIMORE COUNTY 10.7% OF PEOPLE OVER 25 DO NOT HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO THE MARYLAND RATE OF 12.1%. TRANSPORTATION ST. JOSEPH MEDICAL CENTER AND ITS FREE CLINIC, ST. CLARE MEDICAL OUTREACH, ARE ACCESSIBLE TO THE PUBLIC THROUGH THE NORTH/SOUTH BUS THAT RUNS ON THE MAJOR YORK CORRIDOR. HOWEVER, GETTING TO YORK ROAD, IF ONE LIVES A DISTANCE FROM IT, IS AN OBSTACLE TO PEOPLE WHO ARE ELDERLY OR SICK. THIS IS THE SAME PROBLEM THAT CONTRIBUTES TO THE "FOOD DESERTS" IN OUR CBSA - WHILE THE YORK ROAD CORRIDOR IS A MAJOR NORTH/SOUTH ARTERY IN GREATER BALTIMORE COUNTY, IF SOMEONE LIVES A DISTANCE FROM YORK ROAD, THAT CAN BE AN IMPEDIMENT TO USING PUBLIC TRANSPORTATION.
LINES 2, 4, & 5: COMMUNITY BENEFIT NARRATIVE AND NEEDS ASSESSMENT SCHEDULE H, PART VI (CONTINUATION II) II. COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE PERIOD 7/1/11 - 6/30/12 1. IDENTIFICATION OF COMMUNITY HEALTH NEEDS ST. JOSEPH MEDICAL CENTER IDENTIFIES UNMET COMMUNITY HEALTH CARE NEEDS IN OUR COMMUNITY IN A VARIETY OF WAYS. WE USE A RANGE OF AVAILABLE NEEDS ASSESSMENTS AND REPORTS, INCLUDING THE RANGE OF REPORTS AVAILABLE ON THE DHMH WEBSITE AND PARTICULARLY THE SHIP WEBSITE. WE USE PUBLICALLY AVAILABLE DATA AS WELL AS PURCHASED DATA TO IDENTIFY HEALTH CARE NEEDS. IN ADDITION, EXTERNAL PARTICIPANTS TO OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS INCLUDE OUR PATIENT-FAMILY ADVISORY FOR THE HOSPITAL AS WELL AS THE PATIENT-COMMUNITY ADVISORY COUNCIL OF OUR CANCER INSTITUTE, WHICH INCLUDES REPRESENTATIVES FROM SEVERAL ORGANIZATIONS THAT BRING TO OUR CANCER INSTITUTE THE PERSPECTIVE OF MINORITY AND UNDERSERVED POPULATIONS. 2. WITH WHOM HAS THE HOSPITAL WORKED? IN FISCAL YEAR 2012, THE VICE PRESIDENT OF MISSION INTEGRATION OF SJMC REPRESENTED THE HOSPITAL ON THE BALTIMORE COUNTY HEALTH COALITION, WHICH WAS CHARGED BY DR. GREGORY BRANCH, THE BALTIMORE COUNTY HEALTH OFFICER, TO IDENTIFY HEALTH NEEDS IN BALTIMORE COUNTY, PRIORITIZE THEM AND IDENTIFY THOSE THAT NEED THE MOST URGENT ATTENTION. THE MEETINGS OF THE COALITION PROVIDED AN OPPORTUNITY FOR ALL PARTICIPANTS TO BENEFIT FROM THE PERSPECTIVE THE MEMBER BROUGHT FROM WORK WITH THEIR OWN CONSTITUENCIES IN IDENTIFYING UNMET HEALTH NEEDS IN THE COUNTY. THE COALITION MEMBERS INCLUDED: * BALTIMORE COUNTY CITIZEN * BALTIMORE COUNTY DEPARTMENT OF AGING * BALTIMORE COUNTY DEPARTMENT OF HEALTH * BALTIMORE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES * BALTIMORE COUNTY DEPARTMENT OF PLANNING * BALTIMORE COUNTY DEPARTMENT OF RECREATION AND PARKS * BALTIMORE COUNTY DEPARTMENT OF SOCIAL SERVICES * BALTIMORE COUNTY FIRE DEPARTMENT * BALTIMORE COUNTY POLICE DEPARTMENT * BALTIMORE COUNTY PUBLIC LIBRARY * BALTIMORE COUNTY PUBLIC SCHOOLS * BALTIMORE COUNTY PUBLIC SCHOOLS PTA * BALTIMORE MEDICAL SYSTEMS * CHASE BREXTON HEALTH SERVICES, INC. * CHILD CARE LINKS OF BALTIMORE COUNTY * COALITION FOR A HEALTHY MARYLAND * DIAMOND PLAN FROM COVENTRY HEALTH CARE * GALILEE BAPTIST CHURCH * GOUCHER COLLEGE * GREATER BALTIMORE MEDICAL HEALTH CARE SYSTEM * FRANKLIN SQUARE MEDICAL CENTER * JOHNS HOPKINS BAYVIEW MEDICAL CENTER * KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. * LOCAL MANAGEMENT BOARD * MARYLAND HOUSE OF DELEGATES * MARYLAND PARTNERSHIP FOR PREVENTION, INC. * MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE - MINORITY OUTREACH * MOSAIC COMMUNITY SERVICES * NORTHWEST HOSPITAL CENTER * PROLOGUE, INC. * SAINT AGNES HOSPITAL * SAINT JOSEPH MEDICAL CENTER * SET THE CAPTIVES FREE OUTREACH CENTER * STELLA MARIS * STEVENSON UNIVERSITY * THE COMMUNITY COLLEGE OF BALTIMORE COUNTY * TOWSON UNIVERSITY * UNITED HEALTHCARE * UNIVERSITY OF MARYLAND BALTIMORE COUNTY * UNIVERSITY OF MARYLAND EXTENSION - BALTIMORE COUNTY * YMCA OF CENTRAL MARYLAND AFTER REVIEWING DATA, THE BALTIMORE COUNTY HEALTH COALITION IDENTIFIED TWO HEALTH CARE ISSUES AS PRIORITIES: 1. REDUCE LOW BIRTH WEIGHT (LBW) & VERY LOW BIRTH WEIGHT (VLBW) * COUNTY BASELINE OF 8.8% (WITH 12.4% BLACK & 7 AND WHITE) * MARYLAND BASELINE OF 9.2% (WITH 13% BLACK AND 7% WHITE) * MARYLAND'S 2014 TARGET IS 8.5% 2. REDUCE THE PROPORTION OF YOUNG CHILDREN AND ADOLESCENTS WHO ARE OBESE * COUNTY BASELINE OF 12.0% * MARYLAND BASELINE 11.9% * MARYLAND'S 2014 TARGET IS 11.3% WHILE ST. JOSEPH MEDICAL CENTER HAS A VERY SMALL IN-PATIENT PEDIATRIC UNIT AND DOES NOT HAVE MANY INTERACTIONS WITH PEDIATRICIANS WITH WHOM THEY COULD WORK WITH REGARDING OBESITY IN YOUNG CHILDREN, SJMC DOES HAVE A THRIVING PERINATAL PRACTICE THAT PROVIDES CARE TO LOW-INCOME WOMEN WITH HIGH RISK PREGNANCIES. IN ADDITION, THE WOMEN'S HEALTH ASSOCIATES SERVICE OF SJMC PROVIDES OBSTETRICAL AND GYNECOLOGICAL SERVICES TO WOMEN ON A SLIDING SCALE OR AT NO COST. THEIR STAFF OF FIVE OBSTETRICIANS AND SIX NURSE MIDWIVES SEES APPROXIMATELY 5,000 PATIENTS EACH YEAR AND DELIVERS OVER 500 BABIES EACH YEAR AT SJMC. THIS IS A SERVICE THAT IS IDEAL FOR ADDRESSING THE LOW-BIRTH WEIGHT/VERY LOW-BIRTH WEIGHT GOAL OF BALTIMORE COUNTY. SJMC'S FREE PRIMARY CARE CLINIC, ST. CLARE MEDICAL OUTREACH, LOCATED NORTH OF THE HOSPITAL ON A MAJOR NORTH-SOUTH BUS LINE, SERVES A PATIENT POPULATION THAT HAS NO HEALTH INSURANCE OF ANY SORT (INCLUDING MEDICAID). HISTORICALLY, THIS CLINIC WAS LOCATED IN DOWNTOWN BALTIMORE AND SERVED THOSE WHO CAME TO THE ARCHDIOCESAN-SPONSORED HISPANIC MINISTRY (NOW CALLED THE ESPERANZA CENTER), WHICH SERVED THE HISPANIC AND HISPANIC-IMMIGRANT POPULATION IN BALTIMORE. WHEN THE CLINIC WAS MOVED IN 2010 TO ITS CURRENT LOCATION, THE PREDOMINANTLY HISPANIC PATIENT POPULATION FOLLOWED. THE STAFF OF THE CLINIC INCLUDES A BILINGUAL PRIMARY CARE PHYSICIAN AS WELL AS MID-LEVEL PRACTITIONERS AND NURSES, WHO ARE ALSO BILINGUAL. THE STAFF ALSO INCLUDES A BILINGUAL HEALTH EDUCATOR/COACH WHO WORKS WITH THE PATIENTS ONE-ON-ONE REGARDING HEALTHY NUTRITION CHOICES FOR CONTROL OF DIABETES AND HYPERTENSION. THIS FREE CLINIC SERVES MANY PATIENTS WHO LIVE IN THE PREVIOUSLY IDENTIFIED "FOOD DESERTS" AS WELL AS PATIENTS WHO LIVE IN THE HIDDEN POCKETS OF LOW-INCOME PEOPLE IN THE MORE AFFLUENT AREAS OF HUNT VALLEY AND COCKEYSVILLE. THE STAFF OF ST. CLARE MEDICAL OUTREACH PROVIDES VALUABLE INSIGHTS AND INFORMATION REGARDING THE UNMET HEALTH CARE NEEDS OF THIS POPULATION AS WELL AS ITSELF BEING A SIGNIFICANT PROVIDER OF HEALTH CARE TO PATIENTS, WHO OTHERWISE WOULD NOT HAVE ACCESS TO ON-GOING QUALITY HEALTH CARE. THE STAFF OF ST. CLARE MEDICAL OUTREACH REFER PATIENTS NEEDING THE SERVICES OF A SPECIALIST TO PHYSICIANS EMPLOYED BY ST. JOSEPH MEDICAL CENTER AND ACCOMPANY THEM TO APPOINTMENTS TO SERVE AS TRANSLATORS, AS NEEDED. THEY HAVE WORKED TO IDENTIFY NON-SJMC EMPLOYED PHYSICIANS WHO WILL PROVIDE PRO BONO CARE TO PATIENTS NEEDING THE SERVICE OF OTHER SPECIALTIES NOT COVERED BY SJMC'S EMPLOYED PHYSICIANS. THE NEEDS IDENTIFIED IN THE PATIENT POPULATION OF ST. CLARE MEDICAL OUTREACH REFLECT WHAT ONE WOULD FIND IN ANY PRIMARY CARE PRACTICE, BUT WITH A VERY HIGH PERCENTAGE OF HYPERTENSION, DIABETES AS WELL AS NEUROLOGICAL AND ENDOCRINOLOGY NEEDS. THE CANCER INSTITUTE OF SJMC WORKS WITH NUEVA VIDA, A SUPPORT GROUP FOR LATINAS WITH CANCER, TO DEVELOP MORE EFFECTIVE FORMS OF OUTREACH TO THE WOMEN OF THE HISPANIC POPULATION WHO OFTEN HAVE LITTLE OR NO HEALTH INSURANCE AND WHO ACCESS HEALTH CARE LESS REGULARLY THAN WOMEN WITH HEALTH INSURANCE. A REPRESENTATIVE OF NUEVA VIDA PARTICIPATES IN THE CANCER INSTITUTE'S PATIENT-COMMUNITY ADVISORY COUNCIL AND WORKS WITH THE STAFF OF THE CANCER INSTITUTE ON CANCER SCREENINGS FOR LATINAS BY RECRUITING WOMEN FOR SCREENINGS AND ACCOMPANYING AND TRANSLATING FOR THEM DURING THE SCREENINGS. THEY ALSO PROVIDE ON-GOING CONSULTATION TO THE STAFF OF THE CANCER INSTITUTE FOR DESIGNING OUTREACH TO LATINAS FOR MORE TIMELY SCREENING AND TREATMENT. IN ADDITION TO NUEVA VIDA, THE CANCER INSTITUTE WORKS WITH SISTERS NETWORK, INC., A SUPPORT GROUP FOR AFRICAN AMERICAN WOMEN WITH BREAST CANCER. A REPRESENTATIVE FROM SISTERS NETWORK ALSO SITS ON THE PATIENT-COMMUNITY ADVISORY COUNCIL OF THE CANCER INSTITUTE AND WORKS WITH THE CANCER INSTITUTE STAFF TO IDENTIFY AFRICAN AMERICAN WOMEN FOR BREAST CANCER SCREENINGS AND TO PROVIDE ON-GOING SUPPORT FOR THOSE WOMEN DIAGNOSED WITH BREAST CANCER. THE GUIDANCE AND INPUT FROM BOTH NUEVA VIDA AND SISTERS NETWORK HELP THE CANCER INSTITUTE'S OUTREACH STAFF IDENTIFY EFFECTIVE WAYS TO REACH THE MEMBERS OF THEIR RESPECTIVE COMMUNITIES, PARTICULARLY THOSE WOMEN WHO ARE NOT REACHED BY TRADITIONAL FORMS OF OUTREACH. SJMC USED THE ASSISTANCE CENTER OF TOWSON CHURCHES, AN ECUMENICAL PROGRAM THAT PROVIDES HELP TO POOR AND NEEDY FAMILIES IN THE COMMUNITY PROVIDING FOOD ASSISTANCE, EVICTION ASSISTANCE, UTILITY CUTOFF PREVENTION, PAYMENT FOR PRESCRIPTIONS AND LUNCHES FOR THE HOMELESS, TO IDENTIFY COMMUNITY NEEDS. ITS SERVICE AREA INCORPORATES 21 ZIP CODES IN CENTRAL BALTIMORE COUNTY EXTENDING UP TO THE PENNSYLVANIA LINE. THIS IS AN ON-GOING RELATIONSHIP. IN OCTOBER OF 2011 SJMC MADE A THREE-YEAR PLEDGE TO THE ARCHDIOCESAN ESPERANZA CENTER IN DOWNTOWN BALTIMORE (SERVING A HISPANIC POPULATION AS WELL AS HISPANIC IMMIGRANTS) FOR $100,000/YEAR FOR THEIR ESPERANZA HEALTH PARTNERS INITIATIVE. IN JUNE OF 2012, ST. JOSEPH MEDICAL CENTER ENTERED INTO A COLLABORATIVE AGREEMENT WITH GREATER BALTIMORE MEDICAL CENTER AND SHEPPARD PRATT HOSPITAL TO CONDUCT THEIR COMMUNITY HEALTH NEEDS ASSESSMENT. THAT ASSESSMENT IS UNDERWAY AND WILL BE COMPLETED BY JANUARY OF 2013. THE THREE INSTITUTIONS HAVE ENGAGED THE SERVICES OF AN OUTSIDE COMPANY TO CONDUCT THE CHNA.
Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 ST. JOSEPH MEDICAL CENTER ("SJMC") INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, SJMC PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN SJMC OUTPATIENT FACILITIES. IN ADDITION, SJMC REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER SJMC'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. SJMC REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON ENGLISH-SPEAKING INDIVIDUALS. SJMC'S STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES.
Affiliated health care system Schedule H, Part VI, Line 6 ST. JOSEPH MEDICAL CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $762 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2013 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES - INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN -- PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. ST. JOSEPH MEDICAL CENTER OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE ST. JOSEPH MEDICAL CENTER FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE BALTIMORE, MARYLAND COMMUNITIES.
State filing of community benefit report Schedule H, Part VI, Line 7 MD
Schedule H (Form 990) 2012
Additional Data


Software ID: 12000266
Software Version: v2012.1.0
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
2012
Open to Public
Inspection
Name of the organization
ST JOSEPH MEDICAL CENTER INC
 
Employer identification number
52-0591461
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
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. Part II can be duplicated if additional space is needed.
(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) CATHOLIC CHARITIES INC
320 CATHEDRAL STREET
BALTIMORE,MD21201 		51-0065685 501(C)(3) 100,000       GENERAL ASSISTANCE
(2) MARYLAND PATIENT SAFETY CENTER
6820 DEERPATH ROAD
ELKRIDGE,MD21075 		26-2188491 501(C)(3) 9,500       GENERAL ASSISTANCE
(3) BASILICA OF THE ASSUMPTION HISTORIC TRUST
408 N CHARLES STREET
BALTIMORE,MD21201 		52-1065433 501(C)(3) 5,000       GENERAL ASSISTANCE


















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
3
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
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.
Part III can be duplicated 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, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 ST. JOSEPH MEDICAL CENTER, INC. PROVIDED GRANTS TO OTHER TAX EXEMPT/501(C) ORGANIZATIONS. THE BENEFICIARY OF THE GRANT IS RESPONSIBLE FOR USING THE FUNDS IN ACCORDANCE WITH THE GRANT REQUIREMENTS. ALL GRANT SPENDING IS REVIEWED BEFORE GRANT SPENDING IS REIMBURSED. PERIODIC REPORTING IS COORDINATED BETWEEN THE BENEFICIARY AND ST. JOSEPH MEDICAL CENTER, INC.
Schedule I (Form 990) 2012


Additional Data


Software ID: 12000266
Software Version: v2012.1.0


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST JOSEPH MEDICAL CENTER INC
 
Employer identification number

52-0591461
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
 
 
3
Indicate which, if any, of the following the filing organization used 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.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
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 (E) amounts for that individual.
(A) Name and Title (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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)CRAIG CARMICHAELVP SUPPORT OPERATIONS (i)
(ii)		 195,530
0 		31,725
0 		31,322
0 		31,150
0 		20,939
0 		310,666
0 		30,675
0
(2)DANIEL DIETRICKHEAD, DEPARTMENT OF SURGERY (i)
(ii)		 236,475
0 		0
0 		0
0 		19,244
0 		0
0 		255,719
0 		0
0
(3)DIANNE WASSALLDIRECTOR HR (i)
(ii)		 143,584
0 		23,619
0 		859
0 		14,695
0 		18,808
0 		201,565
0 		0
0
(4)DOUGLAS WICKERHAMTREASURER (i)
(ii)		 0
272,548 		0
71,272 		0
20,398 		0
30,596 		0
19,456 		0
414,270 		0
0
(5)GAIL CUNNINGHAMBOARD MEMBER/PRESIDENT MEDICAL STAFF (i)
(ii)		 321,904
1,500 		0
0 		1,449
0 		20,596
0 		6,250
0 		350,199
1,500 		0
0
(6)JEFFREY NORMANFORMER CEO (i)
(ii)		 0
1 		0
0 		0
445,926 		0
20,596 		0
15,656 		0
482,179 		0
0
(7)JUDITH ROSSITERPHYSICIAN (i)
(ii)		 131,625
410,873 		0
0 		0
19,474 		28,096
0 		0
20,939 		159,721
451,286 		0
0
(8)LINDA ADLERPHYSICIAN (i)
(ii)		 2,345
215,169 		0
250,400 		0
150 		23,096
0 		0
20,517 		25,441
486,236 		0
0
(9)MARGARET MORTENSENEXECUTIVE VICE PRESIDENT/COO (i)
(ii)		 0
0 		0
0 		119,289
0 		0
0 		4,934
0 		124,223
0 		0
0
(10)MARK PARRINGTONVICE PRESIDENT AND SECRETARY (i)
(ii)		 0
307,116 		0
80,464 		0
23,586 		0
23,096 		0
15,031 		0
449,293 		0
0
(11)MARY ELIZABETH O'BRIENPRESIDENT (i)
(ii)		 0
714,927 		0
139,200 		0
70,827 		0
106,965 		0
9,343 		0
1,041,262 		0
43,883
(12)MICHAEL LANGBAUMPHYSICIAN (i)
(ii)		 21,568
338,317 		0
29,700 		0
1,303 		28,096
0 		0
14,986 		49,664
384,306 		0
0
(13)MICHAEL SCHULTZPHYSICIAN (i)
(ii)		 131,066
625,537 		0
0 		0
107,615 		23,096
0 		0
20,939 		154,162
754,091 		0
0
(14)PAMELA JAMIESONVP OPERATIONS CNO (i)
(ii)		 232,462
0 		0
0 		35,222
0 		30,549
0 		12,798
0 		311,031
0 		31,848
0
(15)RICHARD IMBIMBOTREASURER/CFO (i)
(ii)		 289,414
0 		46,188
0 		29,426
0 		34,709
0 		19,244
0 		418,981
0 		26,618
0
(16)RICHARD MACKEYGENERAL SURGEON (i)
(ii)		 12,860
310,428 		0
79,979 		0
634 		20,596
0 		0
20,955 		33,456
411,996 		0
0
(17)TANJA OQUENDOVP-HUMAN RESOURCES (i)
(ii)		 59,216
224,847 		15,563
0 		177
101,975 		0
22,142 		4,879
11,924 		79,835
360,888 		0
9,233
(18)TODD PHILLIPSCMO (i)
(ii)		 48,481
0 		0
0 		311,662
0 		20,596
0 		10,384
0 		391,123
0 		9,625
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Severance or change-of-control payment Schedule J, Part I, Line 4a POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CATHOLIC HEALTH INITIATIVES (A RELATED ORGANIZATION) DURING THE 2012 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: JEFFREY NORMAN - $450,083 THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM ST. JOSEPH MEDICAL CENTER DURING THE 2012 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: MARGARET MORTENSEN - $120,486 TODD PHILLIPS - $287,718
Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b DURING THE 2012 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: MARY ELIZABETH O'BRIEN DURING 2012 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: MARY ELIZABETH O'BRIEN - $83,869 DURING 2012 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: MARY ELIZABETH O'BRIEN - $43,883 DURING THE 2012 CALENDAR YEAR ST. JOSEPH MEDICAL CENTER ("SJMC") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: CRAIG CARMICHAEL RICHARD IMBIMBO PAMELA JAMIESON TANJA OQUENDO TODD PHILLIPS DURING 2012 THE FOLLOWING CONTRIBUTIONS WERE MADE BY SJMC TO THE DEFERRED COMPENSATION PLAN: CRAIG CARMICHAEL - $9,694 RICHARD IMBIMBO - $14,113 PAMELA JAMIESON - $11,283 TANJA OQUENDO - $1,546 DURING 2012 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: CRAIG CARMICHAEL - $30,675 RICHARD IMBIMBO - $26,618 PAMELA JAMIESON - $31,848 TANJA OQUENDO - $9,233 TODD PHILLIPS - $9,625 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2012 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2012, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: TODD PHILLIPS - $1,375
Non-fixed payments Schedule J, Part I, Line 7 ST. JOSEPH MEDICAL CENTER MAINTAINS A VARIABLE PAY PLAN FOR EMPLOYEES AT THE LEVEL OF MANAGER AND ABOVE (EXCEPT FOR PHYSICIANS) THAT PUTS A CERTAIN AMOUNT OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION UNDER THE VARIABLE PAY PLAN ARE MADE BASED UPON ACHIEVEMENT OF INDIVIDUAL GOALS. ALL COMPENSATION, INCLUDING ANY INCENTIVE COMPENSATION, IS CAPPED TO ENSURE THAT COMPENSATION REMAINS AT FAIR MARKET VALUE.
Schedule J (Form 990) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST JOSEPH MEDICAL CENTER INC
 
Employer identification number

52-0591461
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) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) MCBEE ASSOCIATES
  		BOARD MEMBER 20% OWNERSHIP INTEREST 250,000 CONSULTING SERVICES   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) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0




SCHEDULE N
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Liquidation, Termination, Dissolution, or Significant Disposition of Assets
bullet Complete if the organization answered "Yes" to Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.
bullet Attach certified copies of any articles of dissolution, resolutions, or plans.
bullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ST JOSEPH MEDICAL CENTER INC
 
Employer identification number
52-0591461
Part I
Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" to Form 990, Part IV, line 31, or Form 990-EZ, line 36.
Part I can be duplicated if additional space is needed.
1(a)Description of asset(s)
distributed or transaction
expenses paid		 (b)Date of
distribution		 (c)Fair market value of
asset(s) distributed or
amount of transaction
expenses		 (d)Method of
determining FMV for
asset(s) distributed or
transaction expenses		 (e)EIN of recipient (f)Name and address of recipient (g)IRC section
of recipient(s) (if
tax-exempt) or type
of entity




















Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .
2a
 
 
b
Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .
2b
 
 
c
Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . .
2c
 
 
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? . . . . .
2d
 
 
e
If the organization answered "Yes" to any of the questions in this line, provide the name of the person involved and explain in Part III. bullet
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.
Cat. No. 50087Z
Schedule N (Form 990 or 990-EZ) (2012)

Schedule N (Form 990 or 990-EZ) (2012)
Page 2
Part I
Liquidation, Termination, or Dissolution (continued)
Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.
Yes
No
3
Did the organization distribute its assets in accordance with its governing instrument(s)? If “No,” describe in Part III . . . . . . . . . . .
3
 
 
4a
Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? . . . . . .
4a
 
 
b
If “Yes,” did the organization provide such notice? . . . . . . . . . . . . . . . . . . . . . . . . . .
4b
 
 
5
Did the organization discharge or pay all of its liabilities in accordance with state laws? . . . . . . . . . . . . . . . . .
5
 
 
6a
Did the organization have any tax-exempt bonds outstanding during the year? . . . . . . . . . . . . . . . . . . . .
6a
 
 
b
Did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws? .
6b
 
 
c
If "Yes" to line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If “No,” explain in Part III.

Part II
Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" to Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.
1(a) Description of asset(s)
distributed or transaction
expenses paid		 (b) Date of
distribution		 (c) Fair market value of
asset(s) distributed or
amount of transaction
expenses		 (d) Method of
determining FMV for
asset(s) distributed or
transaction expenses		 (e) EIN of recipient (f) Name and address of recipient (g) IRC section
of recipient(s) (if
tax-exempt) or type
of entity
PERSONAL PROPERTY 11-30-2012 32,502,000 PURCHASE PRICE 52-1362793 UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP
 
22 SOUTH GREENE STREET
BALTIMORE,MD21201 		501(C)(3)
REAL PROPERTY 11-30-2012 171,230,000 PURCHASE PRICE 52-1362793 UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP
 
22 SOUTH GREENE STREET
BALTIMORE,MD21201 		501(C)(3)














Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .
2a
 
 
b
Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .
2b
 
 
c
Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .
2c
 
 
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization’s significant disposition of assets? . . . . . . .
2d
 
 
e
If the organization answered "Yes" to any of the questions in this line, provide the name of the person involved and explain in Part III. bullet
Schedule N(Form 990 or 990-EZ) (2012)

Schedule N (Form 990 or 990-EZ) (2012)
Page 3
Part III
Supplemental Information. Complete to provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Interested person who became a director or trustee of transferee organization Schedule N, Part II, Line 2a ST. JOSEPH MEDICAL CENTER, INC. SOLD SUBSTANTIALLY ALL OF ITS ASSETS AND LIABILITIES TO UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION ON 11/30/12. THE FOLLOWING INDIVIDUALS REMAINED BOARD MEMBERS AFTER THE SALE: * CAROLINE GRIFFIN, ESQ * EDWARD GILLISS, ESQ * PATRICK GOLES * BERNARD COOK * CARMEN DEYESU * DAVID GONANO * HAMED FARIDI, PH D * HARRY BRANDT, MD * JAMES O'CONOR * MARK BUSSARD * MARTIN BRUTSCHER * MONSIGNOR BRUCE JARBO * SISTER ESTHER ANDERSON, OSF * SR. PATRICIA MCCARRON * WILLIAM MCCARTHY, ESQ * LARRY WALTON * GAIL CUNNINGHAM
Interested person who became an employee or independent contractor of transferee organization Schedule N, Part II, Line 2b ST. JOSEPH MEDICAL CENTER, INC. SOLD SUBSTANTIALLY ALL OF ITS ASSETS AND LIABILITIES TO UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION ON 11/30/12. THE FOLLOWING INDIVIDUALS BECAME EMPLOYEES OF UNIVERSITY OF MARYLAND MEDICAL SYSTEM AFTER THE SALE: * GAIL CUNNINGHAM * RICHARD IMBIMBO * CRAIG CARMICHAEL * DANIEL DIETRICK * PAMELA JAMIESON * DIANNE WASSALL
Schedule N (Form 990 or 990-EZ) (2012)


Additional Data


Software ID: 12000266
Software Version: v2012.1.0


SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ST JOSEPH MEDICAL CENTER INC
 
Employer identification number

52-0591461
Identifier Return Reference Explanation
Significant changes in program services Form 990, Part III, Line 3 ST. JOSEPH MEDICAL CENTER, INC. SOLD SUBSTANTIALLY ALL OF ITS ASSETS AND LIABILITIES TO UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION ON 11/30/12 AND CEASED OPERATING AS A HOSPITAL.
EXECUTIVE COMMITTEE COMPOSITION AND AUTHORITY FORM 990, PART VI, LINE 1A PURSUANT TO ARTICLE VIII, SECTION 8.6 OF THE BYLAWS, THE ST. JOSEPH MEDICAL CENTER EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION AND SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, EXCEPT AS PROVIDED BY LAW. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. ADDITIONALLY, THE EXECUTIVE COMMITTEE IS AUTHORIZED TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT SUCH ACTIONS TAKEN SHALL BE CONSISTENT WITH AND NOT CONFLICT WITH ANY ACTIONS OR POLICIES OF THE BOARD OF DIRECTORS OR THE CORPORATE MEMBER, WITH THE ORGANIZATION'S BYLAWS, OR WITH APPLICABLE LAW. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ARE RECORDED AND ARE PROMPTLY REPORTED TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR OR ANNUAL MEETING OF THE BOARD OF DIRECTORS.
Classes of members or stockholders Form 990, Part VI, Section A, Line 6 ACCORDING TO THE BYLAWS OF ST. JOSEPH MEDICAL CENTER, THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a PURSUANT TO ARTICLE V, SECTION 6 OF THE BYLAWS OF ST. JOSEPH MEDICAL CENTER, THE DIRECTORS OF THE CORPORATION SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS.
Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5.4. OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF ST. JOSEPH MEDICAL CENTER * AMENDMENT OF THE CORPORATE DOCUMENTS OF ST. JOSEPH MEDICAL CENTER * APPROVE MEMBERS OF ST. JOSEPH MEDICAL CENTER BOARD * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. JOSEPH MEDICAL CENTER * APPROVAL OF ISSUANCE OF DEBT BY ST. JOSEPH MEDICAL CENTER * APPROVAL OF PARTICIPATION OF ST. JOSEPH MEDICAL CENTER IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. JOSEPH MEDICAL CENTER * APPROVAL OF A MERGER INVOLVING ST. JOSEPH MEDICAL CENTER * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ST. JOSEPH MEDICAL CENTER * TO REQUIRE THE TRANSFER OF ASSETS BY ST. JOSEPH MEDICAL CENTER TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR ST. JOSEPH MEDICAL CENTER PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE.
Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE CHI TAX DEPARTMENT PREPARES AND REVIEWS THE TAX RETURN.
Conflict of interest policy Form 990, Part VI, Section B, Line 12c ANNUAL DISCLOSURE FORMS ARE REQUIRED TO BE COMPLETED BY EMPLOYED PHYSICIANS, EXECUTIVES AND DIRECTORS OF THE ORGANIZATION. AT THE TIME OF THE EMPLOYEE'S ANNUAL EVALUATION, THE EMPLOYEE'S DIRECT MANAGER OR SUPERVISOR SHALL REVIEW THIS POLICY WITH THE EMPLOYEE. A NEW FORM SHOULD BE COMPLETED ON AN ANNUAL BASIS. THE FORMS ARE REVIEWED BY THE VICE PRESIDENT OF HUMAN RESOURCES AND THE CORPORATE RESPONSIBILITY OFFICER. THE FOLLOWING ACTIONS ARE TAKEN WITH RESPECT TO EMPLOYEES WITH CONFLICTS: 1)ASKING THE EMPLOYEE TO DIVEST THEMSELVES OF OWNERSHIP, INTEREST, OR STOCK IN THE OTHER ENTITY; 2) REASSIGNING THE EMPLOYEE TO A DIFFERENT POSITION; AND/OR 3) HAVING THE EMPLOYEE ABSTAIN FROM MAKING A DECISION RELATED TO THE CONFLICTING ENTITY. THE DIVISIONAL VICE PRESIDENT AND THE VP OF HUMAN RESOURCES OF ST. JOSEPH MEDICAL CENTER IMPLEMENTS THE REQUIRED ACTIONS. RANDOM SAMPLES OF EMPLOYEE FILES ARE REVIEWED ANNUALLY TO ENSURE COMPLIANCE WITH THIS POLICY. EACH DIRECTOR IS REQUIRED TO PROMPTLY AND FULLY REPORT TO THE BOARD CHAIR SITUATIONS THAT MAY CREATE A CONFLICT OF INTEREST WHEN HE OR SHE BECOMES AWARE OF SUCH SITUATIONS. ANNUAL CONFLICT OF INTEREST AND DISCLOSURE STATEMENTS ARE SENT OUT TO ALL BOARD MEMBERS ASKING THEM TO DECLARE ANY CONFLICTS OF INTEREST THAT NEED TO BE DISCLOSED. THE BOARD OF DIRECTORS SHALL CAREFULLY SCRUTINIZE, AND MUST IN GOOD FAITH APPROVE OR DISAPPROVE, ANY TRANSACTION IN WHICH THE CORPORATION AND/OR ANY OF ITS AFFILIATES IS A PARTY, AND IN WHICH ONE OR MORE OF THE CORPORATION'S DIRECTORS OR OFFICERS HAS EITHER A MATERIAL FINANCIAL INTEREST OR IS A DIRECTOR OR OFFICER OF THE OTHER PARTY BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE UNDER THE CIRCUMSTANCES WITH RESPECT TO THE DIRECTOR OR OFFICER IN ORDER TO BEST PROTECT THE INTERESTS OF THE CORPORATION, INCLUDING POSSIBLE DISCIPLINARY OR CORRECTIVE ACTION.
PROCESS FOR DETERMINING CEO'S COMPENSATION FORM 990, PART VI, LINE 15A THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 17, 2013. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE.
Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b FOR THE YEAR ENDED 12/31/12, SJMC STAFF ACCUMULATED MARKET COMPARABILITY DATA THAT WAS USED TO DETERMINE APPROPRIATE COMPENSATION LEVELS FOR SJMC EXECUTIVE MANAGEMENT. SJMC MANAGEMENT PROVIDED ITS RECOMMENDATIONS TO THE SJMC BOARD FOR FINAL COMPENSATION DETERMINATION AND APPROVAL. THE BOARD APPROVED THE COMPENSATION PACKAGE AND DOCUMENTED SUCH APPROVAL IN THE MINUTES, ALONG WITH THE COMPARABILITY DATA RELIED UPON IN DETERMINING THE APPROPRIATE COMPENSATION LEVELS.
JOINT VENTURE POLICY FORM 990, PART VI, LINE 16B ST. JOSEPH MEDICAL CENTER, INC., HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER CHI'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL.
Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE ARTICLES OF INCORPORATION ARE AVAILABLE AT THE STATE OF MARYLAND HEALTH SERVICES COST REVIEW COMMISSION AT WWW.MARYLAND.GOV. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND BYLAWS ARE AVAILABLE UPON REQUEST AT ST. JOSEPH MEDICAL CENTER, INC. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG.
REPORTABLE INDIVIDUALS COMPENSATED BY UNRELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (D) THE SERVICES PROVIDED BY CHARLES NEUMANN AS INTERIM CEO FOR ST. JOSEPH MEDICAL CENTER, INC. ("SJMC") WERE PART ON AN AGREEMENT WITH FTI CONSULTING TO PROVIDE INTERIM MANAGEMENT SERVICES TO SJMC. WE ARE UNABLE TO DETERMINE THE ABOUT OF COMPENSATION PAID TO FTI CONSULTING THAT WERE ASSOCIATED WITH MR. NEUMANN'S SERVICES. THEREFORE, THERE IS NO COMPENSATION DISCLOSED ON FORM 990, SCHEDULE J, PART II, ROW (I) AND FORM 990, PART VII, COLUMN (D).
Other Expenses Form 990, Part IX, Line 11g CONTRACT LABOR-MANAGEMENT - TOTAL EXPENSE: 151666, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 151666, FUNDRAISING EXPENSES: ; CONTRACT LABOR-NURSING - TOTAL EXPENSE: 427557, PROGRAM SERVICE EXPENSE: 427557, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACT LABOR-OTHER - TOTAL EXPENSE: 274932, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 274932, FUNDRAISING EXPENSES: ; OTHER CONTRACTED PROFESSIONALS - TOTAL EXPENSE: 8792728, PROGRAM SERVICE EXPENSE: 8792728, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACT SVCS-CHI RRC FEES - TOTAL EXPENSE: 1080505, PROGRAM SERVICE EXPENSE: 1080505, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACT SVCS - CRO ALLOCATION - TOTAL EXPENSE: 185400, PROGRAM SERVICE EXPENSE: 185400, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACT SVCS-CHI CLINICAL ENG - TOTAL EXPENSE: 1049052, PROGRAM SERVICE EXPENSE: 1049052, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACT SVCS-AMBULANCE - TOTAL EXPENSE: 30922, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 30922, FUNDRAISING EXPENSES: ; CONTRACT SVCS-OTHER - TOTAL EXPENSE: 7620842, PROGRAM SERVICE EXPENSE: 3810421, MANAGEMENT AND GENERAL EXPENSES: 3810421, FUNDRAISING EXPENSES: ; CONSULTING-ADMINISTRATIVE - TOTAL EXPENSE: 1434007, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 1434007, FUNDRAISING EXPENSES: ; CONSULTING-OTHER - TOTAL EXPENSE: 6777, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 6777, FUNDRAISING EXPENSES: ;
Other changes in net assets or fund balances Form 990 , Part XI, Line 9 LOSS ON SALE OF ASSETS - -52950545; CHI CONNECT DEPRECIATION - 338635;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST JOSEPH MEDICAL CENTER INC
 
Employer identification number

52-0591461
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) 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










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to 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 entity?
Yes No
(1) ALEGENT CREIGHTON CLINIC

12809 WEST DODGE ROAD

OMAHA,NE68154
 HEALTHCARE NE 501(C)(3) 3 ACH
 
Yes
 
(2) ALEGENT CREIGHTON HEALTH

12809 WEST DODGE ROAD

OMAHA,NE68154
 HEALTHCARE NE 501(C)(3) 3 NA
 
Yes
 
(3) ALEGENT HEALTH - BERGAN MERCY HEALTH SYS

7500 MERCY ROAD

OMAHA,NE68124
 HEALTHCARE NE 501(C)(3) 3 ACH
 
Yes
 
(4) ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA

631 N 8TH STREET

MISSOURI VALLEY,IA51555
 HEALTHCARE IA 501(C)(3) 3 AHIMC
 
Yes
 
(5) ALEGENT HEALTH FOUNDATION

12809 WEST DODGE ROAD

OMAHA,NE68154
 FUNDRAISING NE 501(C)(3) 7 ACH
 
Yes
 
(6) ALEGENT HEALTH IMMANUEL MEDICAL CENTER

6901 NORTH 72ND STREET

OMAHA,NE68122
 HEALTHCARE NE 501(C)(3) 3 ACH
 
Yes
 
(7) ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE

104 W 17TH STREET

SCHUYLER,NE68661
 HEALTHCARE NE 501(C)(3) 3 AHIMC
 
Yes
 
(8) ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA

PO BOX 368

CORNING,IA50841
 HEALTHCARE IA 501(C)(3) 3 AHBMHS
 
Yes
 
(9) ALVERNA APARTMENTS

300 SE 8TH AVENUE

LITTLE FALLS,MN56345
 LTERM CARE MN 501(C)(3) 9 CHI
 
Yes
 
(10) APPLETREE COURT

601 OAK STREET

BRECKENRIDGE,MN56520
 SENIOR HOMES MN 501(C)(3) 9 SFH
 
Yes
 
(11) BISHOP DRUMM RETIREMENT CENTER

1111 6TH AVENUE

DES MOINES,IA50314
 LTERM CARE IA 501(C)(3) 9 CHI-IA CORP
 
Yes
 
(12) BORNEMANN HEALTH CORPORATION

2500 BERNVILLE RD PO BOX 316

READING,PA19603
 HEALTHCARE PA 501(C)(3) 11 - Type I CHI
 
Yes
 
(13) CARRINGTON HEALTH CENTER

800 NORTH 4TH STREET

CARRINGTON,ND58421
 HEALTHCARE ND 501(C)(3) 3 CHI
 
Yes
 
(14) CATHOLIC HEALTH INITIATIVES

198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
 HEALTHCARE CO 501(C)(3) 9 NA
 
Yes
 
(15) CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION

6385 CORPORATE DRIVE

COLORADO SPRINGS,CO80919
 FUNDRAISING CO 501(C)(3) 7 CHIC
 
Yes
 
(16) CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION

198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
 HEALTHCARE CO 501(C)(3) 11 - Type I CHI
 
Yes
 
(17) CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION

6385 CORPORATE DRIVE

COLORADO SPRINGS,CO80919
 FUNDRAISING CO 501(C)(3) 9 CHI
 
Yes
 
(18) CATHOLIC HEALTH INITIATIVES-COLORADO

188 INVERNESS DRIVE WEST SUITE 500

ENGLEWOOD,CO80112
 HEALTHCARE CO 501(C)(3) 3 CHI
 
Yes
 
(19) CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES

1111 6TH AVENUE

DES MOINES,IA50314
 HEALTHCARE IA 501(C)(3) 3 CHI
 
Yes
 
(20) CENTENNIAL MEDICAL GROUP INC

2700 STEWART PARKWAY

ROSEBURG,OR97470
 PHYSICIANS OR 501(C)(3) 9 MMC
 
Yes
 
(21) CENTRAL KANSAS MEDICAL CENTER

3515 BROADWAY

GREAT BEND,KS67530
 SURGERY CNTR KS 501(C)(3) 3 CHI
 
Yes
 
(22) CHI HEALTH CONNECT AT HOME - FARGO

4816 AMBER VALLEY PARKWAY SOUTH

FARGO,ND58104
 HEALTHCARE ND 501(C)(3) 9 CHI
 
Yes
 
(23) CHI KENTUCKY INC

3900 OLYMPIC BLVD SUITE 400

ERLANGER,KY41018
 HEALTHCARE KY 501(C)(3) 11 - Type I CHI
 
Yes
 
(24) CHI NATIONAL HOME CARE

198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
 HEALTHCARE CO 501(C)(3) 9 CHI NHC
 
Yes
 
(25) CHI NATIONAL SERVICES

198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
 HEALTHCARE CO 501(C)(3) 11 - Type I CHI
 
Yes
 
(26) CHI NEBRASKA

6940 O STREET

LINCOLN,NE68510
 HEALTHCARE NE 501(C)(3) 11 - Type I CHI
 
Yes
 
(27) COMMUNITY LIMITED CARE DIALYSIS CENTER

619 OAK STREET - ACCOUNTING 3 WEST

CINCINNATI,OH45206
 DIALYSIS OH 501(C)(2) N/A GSH
 
Yes
 
(28) COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA

631 N 8TH STREET

MISSOURI VALLEY,IA51555
 FUNDRAISING IA 501(C)(3) 11 - Type I AHCMH
 
Yes
 
(29) CONTINUING CARE HOSPITAL

150 NORTH EAGLE CREEK DRIVE

LEXINGTON,KY40509
 LTACH KY 501(C)(3) 3 SJHS
 
Yes
 
(30) COVENANT HOME CARE

198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
 HOME HEALTH PA 501(C)(3) 11 - Type II NA
 
Yes
 
(31) ENUMCLAW REGIONAL HOSPITAL ASSOCIATION

1450 BATTERSBY AVENUE

ENUMCLAW,WA98022
 HEALTHCARE WA 501(C)(3) 3 FHS
 
Yes
 
(32) FLAGET HEALTHCARE INC

4305 NEW SHEPHERDSVILLE ROAD

BARDSTOWN,KY40004
 HEALTHCARE KY 501(C)(3) 3 KOH
 
Yes
 
(33) FLAGET MEMORIAL HOSPITAL FOUNDATION

4305 NEW SHEPHERDSVILLE ROAD

BARDSTOWN,KY40004
 FUNDRAISING KY 501(C)(3) 11 - Type I FH
 
Yes
 
(34) FRANCISCAN FOUNDATION

1717 SOUTH J STREET

TACOMA,WA98405
 FUNDRAISING WA 501(C)(3) 9 FHS
 
Yes
 
(35) FRANCISCAN HEALTH SYSTEM

1717 SOUTH J STREET

TACOMA,WA98405
 HEALTHCARE WA 501(C)(3) 3 CHI
 
Yes
 
(36) FRANCISCAN MEDICAL GROUP

1708 SOUTH YAKIMA AVENUE

TACOMA,WA98405
 HEALTHCARE WA 501(C)(3) 9 FHS
 
Yes
 
(37) FRANCISCAN VILLA OF SOUTH MILWAUKEE

3601 SOUTH CHICAGO AVENUE

SOUTH MILWAUKEE,WI53172
 HEALTHCARE WI 501(C)(3) 9 CHI
 
Yes
 
(38) GETTYSBURG MEDICAL CENTER

606 EAST GARFIELD AVENUE

GETTYSBURG,SD57442
 HEALTHCARE SD 501(C)(3) 3 SMHC
 
Yes
 
(39) GLOBAL HEALTH INITIATIVES

198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
 MINISTRIES CO 501(C)(3) 11 - Type I CHI
 
Yes
 
(40) GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE

619 OAK STREET - ACCOUNTING 3 WEST

CINCINNATI,OH45206
 EDUCATION OH 501(C)(3) 2 GSH
 
Yes
 
(41) GOOD SAMARITAN FOUNDATION OF CINCINNATI INC

619 OAK STREET - ACCOUNTING 3 WEST

CINCINNATI,OH45206
 FUNDRAISING OH 501(C)(3) 11 - Type I GSH
 
Yes
 
(42) GOOD SAMARITAN HOSPITAL

PO BOX 1990

KEARNEY,NE68848
 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA
 
Yes
 
(43) GOOD SAMARITAN HOSPITAL FOUNDATION

111 W 31ST STREET

KEARNEY,NE68847
 FUNDRAISING NE 501(C)(3) 7 GSH
 
Yes
 
(44) ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK

6624 FANNIN

HOUSTON,TX77030
 PHY PRACTICES TX 501(C)(3) 3 SLHS
 
Yes
 
(45) HEALTH SET

4200 WEST CONEJOS PLACE 436

DENVER,CO80204
 LOW INC.CARE CO 501(C)(3) 7 CHIC
 
Yes
 
(46) HEALTHCARE AND WELLNESS FOUNDATION

2400 ST FRANCIS DRIVE

BRECKENRIDGE,MN56520
 FUNDRAISING MN 501(C)(3) 11 - Type I SFMC
 
Yes
 
(47) HIGHLINE MEDICAL CENTER

16251 SYLVESTER RD SW

BURIEN,WA98166
 HEALTHCARE WA 501(C)(3) 3 FHS
 
Yes
 
(48) HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL

7601 OSLER DRIVE

TOWSON,MD21204
 HEALTHCARE MD 501(C)(3) 9 SJMC
 
Yes
 
(49) HOUSE OF MERCY

1111 6TH AVENUE

DES MOINES,IA50314
 SHELTER IA 501(C)(3) 7 CHI-IA CORP
 
Yes
 
(50) JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC

539 S 4TH STREET

LOUISVILLE,KY40202
 HEALTHCARE KY 501(C)(3) 3 KOH
 
Yes
 
(51) JEWISH PHYSICIAN GROUP INC

539 S 4TH STREET

LOUISVILLE,KY40202
 HEALTHCARE KY 501(C)(3) 9 JHSMH
 
Yes
 
(52) KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC

200 ABRAHAM FLEXNER WAY

LOUISVILLE,KY40202
 HEALTHCARE KY 501(C)(3) 9 CHI
 
Yes
 
(53) LAKEWOOD HEALTH CENTER

600 MAIN AVENUE SOUTH

BAUDETTE,MN56623
 HEALTHCARE MN 501(C)(3) 3 CHI
 
Yes
 
(54) LINUS OAKES INC

2700 STEWART PARKWAY

ROSEBURG,OR97470
 SENIOR LIVING OR 501(C)(3) 9 MMC
 
Yes
 
(55) LISBON AREA HEALTH SERVICES

905 MAIN STREET

LISBON,ND58054
 HEALTHCARE ND 501(C)(3) 3 CHI
 
Yes
 
(56) MEMORIAL HEALTH CARE SYSTEM FOUNDATION

2525 DE SALES AVENUE

CHATTANOOGA,TN37404
 FUNDRAISING TN 501(C)(3) 7 MHCS
 
Yes
 
(57) MEMORIAL HEALTH CARE SYSTEM INC

2525 DE SALES AVENUE

CHATTANOOGA,TN37404
 HEALTHCARE TN 501(C)(3) 3 CHI
 
Yes
 
(58) MEMORIAL HEALTH PARTNERS FOUNDATION INC

5600 BRAINERD ROAD SUITE 500

CHATTANOOGA,TN37411
 HEALTHCARE TN 501(C)(3) 9 MHCS
 
Yes
 
(59) MERCY AUXILIARY OF CENTRAL IOWA

1111 6TH AVENUE

DES MOINES,IA50314
 AUXILIARY IA 501(C)(3) 11 - Type I CHI-IA CORP
 
Yes
 
(60) MERCY CLINICS INC

1111 6TH AVENUE

DES MOINES,IA50314
 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP
 
Yes
 
(61) MERCY COLLEGE OF HEALTH SCIENCES

1111 6TH AVENUE

DES MOINES,IA50314
 EDUCATION IA 501(C)(3) 2 CHI-IA CORP
 
Yes
 
(62) MERCY FOUNDATION OF DES MOINES IA

1111 6TH AVENUE

DES MOINES,IA50314
 FUNDRAISING IA 501(C)(3) 7 CHI-IA CORP
 
Yes
 
(63) MERCY FOUNDATION INC

2700 STEWART PARKWAY

ROSEBURG,OR97470
 FUNDRAISING OR 501(C)(3) 7 MMC
 
Yes
 
(64) MERCY HEALTH CARE FOUNDATION

PO BOX 368

CORNING,IA50841
 FUNDRAISING NE 501(C)(3) 11 - Type I AHMH
 
Yes
 
(65) MERCY HEALTHCARE FOUNDATION

570 CHAUTAUQUA BOULEVARD

VALLEY CITY,ND58072
 FUNDRAISING ND 501(C)(3) 11 - Type III - FI MHVC
 
Yes
 
(66) MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS

800 MERCY DRIVE

COUNCIL BLUFFS,IA51503
 FUNDRAISING IA 501(C)(3) 11 - Type I AHBMHS
 
Yes
 
(67) MERCY HOSPITAL OF DEVILS LAKE

1031 SEVENTH STREET NE

DEVILS LAKE,ND58301
 HEALTHCARE ND 501(C)(3) 3 CHI
 
Yes
 
(68) MERCY HOSPITAL OF DEVILS LAKE FOUNDATION

1031 SEVENTH STREET NE

DEVILS LAKE,ND58301
 FUNDRAISING ND 501(C)(3) 7 CHI
 
Yes
 
(69) MERCY HOSPITAL OF VALLEY CITY

570 CHAUTAUQUA BOULEVARD

VALLEY CITY,ND58072
 HEALTHCARE ND 501(C)(3) 3 CHI
 
Yes
 
(70) MERCY MEDICAL CENTER

1301 15TH AVENUE WEST

WILLISTON,ND58801
 HEALTHCARE ND 501(C)(3) 3 CHI
 
Yes
 
(71) MERCY MEDICAL CENTER - CENTERVILLE

ONE ST JOSEPHS DRIVE

CENTERVILLE,IA52544
 HEALTHCARE IA 501(C)(3) 3 CHI-IA CORP
 
Yes
 
(72) MERCY MEDICAL CENTER INC

2700 STEWART PARKWAY

ROSEBURG,OR97470
 HEALTHCARE OR 501(C)(3) 3 CHI
 
Yes
 
(73) MERCY MEDICAL FOUNDATION

1301 15TH AVENUE WEST

WILLISTON,ND58801
 FUNDRAISING ND 501(C)(3) 11 - Type I MMC
 
Yes
 
(74) MERCY PROFESSIONAL PRACTICE ASSOCIATES INC

1111 6TH AVENUE

DES MOINES,IA50314
 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP
 
Yes
 
(75) MLIFECARES

198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
 PROPERTY MGMT MO 501(C)(3) 11 - Type I SJRMC
 
Yes
 
(76) MNMCH INC

198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
 HEALTHCARE KS 501(C)(3) 3 SJRMC
 
Yes
 
(77) MT ST JOSEPH INC

198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
 NURSING CARE OR 501(C)(3) 11 - Type I CHI
 
Yes
 
(78) NEBRASKA HEART HOSPITAL

7500 SOUTH 91ST STREET

LINCOLN,NE68526
 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA
 
Yes
 
(79) OAKES COMMUNITY HOSPITAL

314 SOUTH 8TH STREET

OAKES,ND58474
 HEALTHCARE ND 501(C)(3) 3 CHI
 
Yes
 
(80) OAKES COMMUNITY HOSPITAL FOUNDATION

1200 N 7TH STREET

OAKES,ND58474
 FUNDRAISING ND 501(C)(3) 11 - Type I OCH
 
Yes
 
(81) PUEBLO STEPUP

1925 EAST ORMAN AVE SUITE G52

PUEBLO,CO81004
 COMMUNITY CO 501(C)(3) 7 CHIC
 
Yes
 
(82) SET OF COLORADO SPRINGS INC

2864 S CIRCLE DRIVE SUITE 450

COLORADO SPRINGS,CO80906
 LTERM CARE CO 501(C)(3) 7 CHIC
 
Yes
 
(83) SAINT CLARE'S COMMUNITY CARE

25 POCONO ROAD

DENVILLE,NJ07834
 HEALTHCARE NJ 501(C)(3) 11 - Type II SCHS
 
Yes
 
(84) SAINT CLARE'S FOUNDATION

25 POCONO ROAD

DENVILLE,NJ07834
 FUNDRAISING NJ 501(C)(3) 7 SCHS
 
Yes
 
(85) SAINT CLARE'S HEALTH SERVICES INC

25 POCONO ROAD

DENVILLE,NJ07834
 MANAGEMENT NJ 501(C)(3) 7 CHI
 
Yes
 
(86) SAINT CLARE'S HOSPITAL

25 POCONO ROAD

DENVILLE,NJ07834
 HEALTHCARE NJ 501(C)(3) 3 SCHS
 
Yes
 
(87) SAINT ELIZABETH FOUNDATION

555 SOUTH 70TH STREET

LINCOLN,NE68510
 FUNDRAISING NE 501(C)(3) 7 SERMC
 
Yes
 
(88) SAINT ELIZABETH HEALTH SERVICES

555 SOUTH 70TH STREET

LINCOLN,NE68510
 HEALTHCARE NE 501(C)(3) 3 SERMC
 
Yes
 
(89) SAINT ELIZABETH REGIONAL MEDICAL CENTER

555 SOUTH 70TH STREET

LINCOLN,NE68510
 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA
 
Yes
 
(90) SAINT FRANCIS MEDICAL CENTER

2620 WEST FAIDLEY

GRAND ISLAND,NE68803
 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA
 
Yes
 
(91) SAINT FRANCIS MEDICAL CENTER FOUNDATION

PO BOX 9804

GRAND ISLAND,NE68802
 FUNDRAISING NE 501(C)(3) 7 SFMC
 
Yes
 
(92) SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC

305 ESTILL STREET

BEREA,KY40403
 FUNDRAISING KY 501(C)(3) 7 SJHS
 
Yes
 
(93) SAINT JOSEPH HEALTH SYSTEM INC

424 LEWIS HARGETT CIRCLE 160

LEXINGTON,KY40503
 HEALTHCARE KY 501(C)(3) 3 CHI
 
Yes
 
(94) SAINT JOSEPH LONDON FOUNDATION INC

1001 SAINT JOSEPH LANE

LONDON,KY40741
 FUNDRAISING KY 501(C)(3) 7 SJHS
 
Yes
 
(95) SAINT JOSEPH MEDICAL FOUNDATION INC

200 ABRAHAM FLEXNER WAY

LOUISVILLE,KY40202
 PHY PRACTICES KY 501(C)(3) 3 SJHS
 
Yes
 
(96) SAINT JOSEPH MOUNT STERLING FOUNDATION INC

225 FALCON DRIVE

MOUNT STERLING,KY40353
 FUNDRAISING KY 501(C)(3) 7 SJHS
 
Yes
 
(97) SAINT JOSEPH'S HOSPITAL FOUNDATION

30 WEST 7TH STREET

DICKINSON,ND58601
 FUNDRAISING ND 501(C)(3) 11 - Type I SJHHC
 
Yes
 
(98) SAMARITAN BEHAVIORAL HEALTH

2222 PHILADELPHIA DRIVE

DAYTON,OH45406
 HEALTHCARE OH 501(C)(3) 3 SHP
 
Yes
 
(99) SAMARITAN HEALTH FOUNDATION

2222 PHILADELPHIA DRIVE

DAYTON,OH45406
 FUNDRAISING OH 501(C)(3) 7 SHP
 
Yes
 
(100) SAMARITAN HEALTH PARTNERS

110 NORTH MAIN STREET

DAYTON,OH45402
 HEALTHCARE OH 501(C)(3) 11 - Type I CHI
 
Yes
 
(101) SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC

104 W 17TH STREET

SCHUYLER,NE68661
 FUNDRAISING NE 501(C)(3) 11 - Type I AHMHS
 
Yes
 
(102) SJMGROUP

198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
 PHYS PRACTICE MO 501(C)(3) 9 SJRMC
 
Yes
 
(103) SJRMC JOPLIN MISSOURI

198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
 HEALTHCARE MO 501(C)(3) 3 CHI
 
Yes
 
(104) SL AUGUSTA CORP

PO BOX 20269

HOUSTON,TX77225
 TITLE HOLDING TX 501(C)(2) N/A SL PROPERTIES
 
Yes
 
(105) ST JOSEPH HEALTH MINISTRIES

1929 LINCOLN HWY E STE 150

LANCASTER,PA17602
 HEALTHCARE PA 501(C)(3) 11 - Type I CHI
 
Yes
 
(106) ST LUKE'S MEDICAL TOWER CORPORATION

6624 FANNIN SUITE 1100

HOUSTON,TX77030
 PROPERTY MGMT TX 501(C)(3) 11 - Type I SL PROPERTIES
 
Yes
 
(107) ST ANTHONY HOSPITAL

1601 SE COURT AVENUE

PENDLETON,OR97801
 HEALTHCARE OR 501(C)(3) 3 CHI
 
Yes
 
(108) ST ANTHONY HOSPITAL FOUNDATION

1601 SE COURT AVENUE

PENDLETON,OR97801
 FUNDRAISING OR 501(C)(3) 11 - Type I SA HOSPITAL
 
Yes
 
(109) ST ANTHONY'S HOSPITAL ASSOCIATION

FOUR HOSPITAL DRIVE

MORRILTON,AR72110
 HEALTHCARE AR 501(C)(3) 3 SVIMC
 
Yes
 
(110) ST CATHERINE HOSPITAL

401 EAST SPRUCE STREET

GARDEN CITY,KS67846
 HEALTHCARE KS 501(C)(3) 3 CHI
 
Yes
 
(111) ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION

401 EAST SPRUCE STREET

GARDEN CITY,KS67846
 FUNDRAISING KS 501(C)(3) 11 - Type I SCH
 
Yes
 
(112) ST DOMINIC OF ONTARIO OREGON

351 SW 9TH STREET

ONTARIO,OR97914
 HEALTHCARE OR 501(C)(4) N/A CHI
 
Yes
 
(113) ST FRANCIS HOME

2400 ST FRANCIS DRIVE

BRECKENRIDGE,MN56520
 LTERM CARE MN 501(C)(3) 9 CHI
 
Yes
 
(114) ST FRANCIS LIFE CARE CORPORATION

19 POCONO ROAD

DENVILLE,NJ07834
 ELDERLY CARE NJ 501(C)(3) 9 SCHS
 
Yes
 
(115) ST FRANCIS MEDICAL CENTER

2400 ST FRANCIS DRIVE

BRECKENRIDGE,MN56520
 HEALTHCARE MN 501(C)(3) 3 CHI
 
Yes
 
(116) ST FRANCIS OF BAKER CITY

198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
 HEALTHCARE OR 501(C)(3) 3 CHI
 
Yes
 
(117) ST JOHN'S MERCY REGIONAL FOUNDATION

198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
 FUNDRAISING MO 501(C)(3) 7 SJRMC
 
Yes
 
(118) ST JOSEPH COMMUNITY HEALTH

300 CENTRAL AVENUE SW

ALBUQUERQUE,NM87102
 COMMUNITY NM 501(C)(3) 11 - Type I CHI
 
Yes
 
(119) ST JOSEPH HOSPITAL FOUNDATION INC

ONE SAITN JOSEPH DRIVE

LEXINGTON,KY40504
 FUNDRAISING KY 501(C)(3) 11 - Type I SJHS
 
Yes
 
(120) ST JOSEPH MEDICAL CENTER FOUNDATION

2500 BERNVILLE ROAD PO BOX 316

READING,PA19603
 FUNDRAISING PA 501(C)(3) 11 - Type I SJRHN
 
Yes
 
(121) ST JOSEPH MEDICAL CENTER FOUNDATION

7601 OSLER DRIVE

TOWSON,MD21204
 FUNDRAISING MD 501(C)(3) 7 SJMC
 
Yes
 
(122) ST JOSEPH MEDICAL CENTER INC

7601 OSLER DRIVE

TOWSON,MD21204
 HEALTHCARE MD 501(C)(3) 3 CHI
 
Yes
 
(123) ST JOSEPH MEDICAL GROUP

2500 BERNVILLE ROAD PO BOX 316

READING,PA19603
 HEALTHCARE PA 501(C)(3) 9 BHC
 
Yes
 
(124) ST JOSEPH PHYSICIAN ENTERPRISE INC

7601 OSLER DRIVE

TOWSON,MD21204
 PHYSICIANS MD 501(C)(3) 11 - Type I SJMC
 
Yes
 
(125) ST JOSEPH REGIONAL HEALTH NETWORK

2500 BERNVILLE ROAD PO BOX 316

READING,PA19603
 HEALTHCARE PA 501(C)(3) 3 CHI
 
Yes
 
(126) ST JOSEPH'S AREA HEALTH SERVICES

600 PLEASANT AVENUE

PARK RAPIDS,MN56470
 HEALTHCARE MN 501(C)(3) 3 CHI
 
Yes
 
(127) ST JOSEPH'S HOSPITAL AND HEALTH CENTER

30 WEST 7TH STREET

DICKINSON,ND58601
 HEALTHCARE ND 501(C)(3) 3 CHI
 
Yes
 
(128) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS

6624 FANNIN SUITE 2505

HOUSTON,TX77030
 HEALTHCARE TX 501(C)(3) 3 SL CDC
 
Yes
 
(129) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND DBA ST LUKE'S SUGA
R LAND HOSPITAL
6624 FANNIN SUITE 2505

HOUSTON,TX77030
 HEALTHCARE TX 501(C)(3) 3 SLHS
 
Yes
 
(130) ST LUKE'S HEALTH SYSTEM CORPORATION DBA CHI ST LUKE'S HEALTH

6624 FANNIN SUITE 1100

HOUSTON,TX77030
 MANAGEMENT TX 501(C)(3) 11 - Type I CHI
 
Yes
 
(131) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION

6624 FANNIN SUITE 2505

HOUSTON,TX77030
 MANAGEMENT TX 501(C)(3) 11 - Type I SLHS
 
Yes
 
(132) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE VINTAGE

6624 FANNIN SUITE 2505

HOUSTON,TX77030
 HEALTHCARE TX 501(C)(3) 3 SL CDC
 
Yes
 
(133) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION -PMC

6624 FANNIN SUITE 2505

HOUSTON,TX77030
 HEALTHCARE TX 501(C)(3) 3 SL CDC
 
Yes
 
(134) ST LUKE'S COMMUNITY HEALTH SERVICES DBA ST LUKE'S THE WOODLANDS HOSPITAL

6624 FANNIN SUITE 1100

HOUSTON,TX77030
 HEALTHCARE TX 501(C)(3) 3 SLHS
 
Yes
 
(135) ST LUKE'S HEALTH SYSTEM FOUNDATION

6624 FANNIN SUITE 1100

HOUSTON,TX77030
 INVESTMENT MANAGEMENT TX 501(C)(3) 11 - Type I SLHS
 
Yes
 
(136) ST LUKE'S PROPERTIES CORPORATION

6624 FANNIN SUITE 1100

HOUSTON,TX77030
 PROPERTY MGMT TX 501(C)(3) 11 - Type I SLHS
 
Yes
 
(137) ST LUKE'S FOUNDATION

1213 HERMANN DRIVE SUITE 855

HOUSTON,TX77004
 FUNDRAISING TX 501(C)(3) 7 SLHS
 
Yes
 
(138) ST LUKE'S MEDICAL CENTER

6624 FANNIN

HOUSTON,TX77030
 HEALTHCARE TX 501(C)(3) 3 SLHS
 
Yes
 
(139) ST MARY'S COMMUNITY HOSPITAL

1314 3RD AVENUE

NEBRASKA CITY,NE68410
 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA
 
Yes
 
(140) ST MARY'S HEALTHCARE CENTER

801 EAST SIOUX AVENUE

PIERRE,SD57501
 HEALTHCARE SD 501(C)(3) 3 CHI
 
Yes
 
(141) ST MARY'S HOSPITAL FOUNDATION

1314 3RD AVENUE

NEBRASKA CITY,NE68410
 FUNDRAISING NE 501(C)(3) 7 SMH
 
Yes
 
(142) ST VINCENT FOUNDATION

TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
 FUNDRAISING AR 501(C)(3) 11 - Type I SVIMC
 
Yes
 
(143) ST VINCENT INFIRMARY MEDICAL CENTER

TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
 HEALTHCARE AR 501(C)(3) 3 CHI
 
Yes
 
(144) ST VINCENT MEDICAL GROUP

TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
 HEALTHCARE AR 501(C)(3) 9 SVIMC
 
Yes
 
(145) ST LUKE'S SUGAR LAND PROPERTIES CORPORATION

6624 FANNIN SUITE 2505

HOUSTON,TX77030
 PROPERTY MGMT TX 501(C)(3) 11 - Type I SL CDC - SL
 
Yes
 
(146) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH

619 OAK STREET ACCOUNTING-3 W

CINCINNATI,OH45206
 HEALTHCARE OH 501(C)(3) 3 CHI
 
Yes
 
(147) THE PHYSICIAN NETWORK

2000 Q STREET SUITE 500

LINCOLN,NE68503
 PHYS PRACTICE NE 501(C)(3) 11 - Type I CHI NEBRASKA
 
Yes
 
(148) TOTAL HEALTHCARE

188 INVERNESS DRIVE WEST SUITE 500

ENGLEWOOD,CO80112
 HEALTHCARE CO 501(C)(3) 3 CHIC
 
Yes
 
(149) UNITY FAMILY HEALTHCARE

815 SE 2ND STREET

LITTLE FALLS,MN56345
 HEALTHCARE MN 501(C)(3) 3 CHI
 
Yes
 
(150) VILLA NAZARETH INC

801 PAGE DRIVE

FARGO,ND58103
 LT CARE ND 501(C)(3) 9 CHI
 
Yes
 
(151) VISITING NURSE ASSOCIATION OF ST CLARE'S

191 WOODPORT ROAD

SPARTA,NJ07871
 HOME HEALTH NJ 501(C)(3) 9 SCHS
 
Yes
 
(152) WOMEN'S AUXILIARY OF HIGHLINE COMMUNITY HOSPITAL

16251 SYLVESTER RD SW

BURIEN,WA98166
 AUXILIARY WA 501(C)(3) 11 - Type II HMC
 
Yes
 
(153) WOODLANDS DOCTOR GROUP

17200 ST LUKES WAY SUITE 170

THE WOODLANDS,TX77384
 PHY PRACTICES TX 501(C)(3) 9 SL CHS
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) AUDUBON LAND COMPANY LLC

5390 N ACADEMY BLVD SUITE 300
COLORADO SPRINGS,CO80918
84-1513085 		REAL ESTATE CO CHIC
  		RELATED 34,991 8,665,388   No 0   No 50.1 %
(2) AVANTAS LLC

11128 JOHN GALT BLVD SUITE 400
OMAHA,NE68137
39-2045003 		STAFFING OF NURSES NE AHBMHS
  		RELATED -210,405 4,806,071   No -439,536   No 95 %
(3) BERYWOOD OFFICE PROPERTIES LLC

400 BERYWOOD TRAIL
CLEVELAND,TN37312
62-1875199 		PHYS OFFICE TN MHCS
  		RELATED 57,545 1,013,237   No 0 Yes   63 %
(4) BLUEGRASS REGIONAL IMAGING CENTER

1218 SOUTH BROADWAY SUITE 310
LEXINGTON,KY40504
61-1386736 		DIAGNOSTIC KY SJHS
  		RELATED 308,428 3,317,191   No 0   No 65 %
(5) CENTRAL NEBRASKA HOME CARE SERVICES

PO BOX 1146-4510 SECOND AVENUE
KEARNEY,NE68848
47-0692112 		HEALTHCARE SRVC NE NA
  		RELATED 228,435 675,251   No 0 Yes   100 %
(6) CENTRAL NEBRASKA REHAB SERVICES

3004 W FAIDLEY AVE
GRAND ISLAND,NE68802
81-0653461 		PHYSICAL THERAPY NE SFMC
  		RELATED 1,710,199 2,712,656   No 0   No 51 %
(7) CHI OPERATING INVESTMENT PROGRAM LP

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
47-0727942 		INVESTMENTS CO CHI
  		UNRELATED 344,962,532 4,617,413,792   No 0 Yes   79.92 %
(8) HEALTHCARE SUPPORT SERVICES

PO BOX 9804
GRAND ISLAND,NE68802
72-1546196 		LAUNDRY NE NA
  		RELATED 98,583 3,190,677   No 0   No 100 %
(9) MRI AT ST JOSEPH MEDICAL CENTER LLC

7253 AMBASSADOR ROAD
BALTIMORE,MD21244
52-1958002 		MEDICAL IMAGING MD SJMC
  		RELATED 423,167 2,174,155   No 0 Yes   51 %
(10) NORTH RIVER SURGERY CENTER LLC

2209 WILDWOOD AVENUE
SHERWOOD,AR72120
71-0799771 		AMBUL SURG CTR AR SVIMC
  		RELATED 81,071 1,077,536   No 0   No 57.45 %
(11) O'DEA MEDICAL ARTS LIMITED PARTNERSHIP

7601 OSLER DRIVE
TOWSON,MD21204
52-1682964 		REAL ESTATE MD TMI
  		RELATED 9,490 0   No 0 Yes   66.58 %
(12) ORTHOCOLORADO LLC

11650 WEST 2ND PLACE
LAKEWOOD,CO80255
37-1577105 		ORTHO HOSPITAL CO THC
  		RELATED 1,846,153 8,411,844   No 0   No 60 %
(13) PENINSULA RADIATION ONCOLOGY LLC

315 MARTIN LUTHER KING JR WAY 111
TACOMA,WA98405
87-0808610 		HEALTHCARE SRVC WA FHS
  		RELATED 256,567 3,262,002   No 0   No 60 %
(14) PENRAD IMAGING

1390 KELLY JOHNSON BLVD
COLORADO SPRINGS,CO80920
84-1072619 		MEDICAL IMAGING CO CHIC
  		RELATED 715,094 3,489,436   No 0   No 70 %
(15) RUXTON SURGICENTER LLC

8322 BELLONA AVENUE SUITE 201
BALTIMORE,MD21204
52-2095835 		SURGERY CENTER MD SJMC
  		RELATED -69,345 0   No 0 Yes   51 %
(16) SAINT JOSEPH - SCA HOLDINGS LLC

1451 HARRDOSBURG ROAD
LEXINGTON,KY40504
45-3801157 		OP SURGERY DE SJHS
  		RELATED 0 0   No 0 Yes   51 %
(17) SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC

200 ABRAHAM FLEXNER WAY
LOUISVILLE,KY40202
72-1386840 		SURGERY CENTER KY JH
  		RELATED 3,388 666,017   No 0 Yes   51 %
(18) ST FRANCIS LAND COMPANY LLC

5390 N ACADEMY BLVD SUITE 300
COLORADO SPRINGS,CO80918
26-3134100 		REAL ESTATE CO CHIC
  		RELATED -130,967 13,823,763   No 0   No 51 %
(19) ST FRANCIS MEDICAL CENTER ASSOCIATES

1717 SOUTH J STREET
TACOMA,WA98405
91-1352698 		MED. OFFICE WA FHS
  		RELATED 238,717 1,907,063   No 0   No 58.46 %
(20) ST JOSEPH-PAML LLC

424 LEWIS HARGETT CIRCLE STE 160
LEXINGTON,KY40503
45-2116736 		MGMT SVCS KY SJHS
  		RELATED 30,446 1,149,003   No 0 Yes   62.5 %
(21) SUPERIOR MEDICAL IMAGING LLC

5000 NORTH 26TH STREET
LINCOLN,NE68521
26-2884555 		OP DIAGNOSTICS NE SERMC
  		RELATED -200,323 821,112   No 0 Yes   51 %
(22) SURGERY CENTER OF LEXINGTON LLC

424 LEWIS HARGETT CIRCLE STE 160
LEXINGTON,KY40503
62-1179539 		SURGERY CENTER DE SJHS
  		RELATED -200,318 4,079,584   No 0 Yes   51 %
(23) SURGERY CENTER OF LOUISVILLE LLC

200 ABRAHAM FLEXNER WAY
LOUISVILLE,KY40202
62-1179537 		SURGERY CENTER KY JH
  		RELATED -15,452 396,101   No 0 Yes   51 %
(24) ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC

3606 N 156TH STREET
OMAHA,NE68116
06-1786985 		OP DIAGNOSTICS NE ACH
  		RELATED 116,752 776,649   No 0 Yes   51 %
(25) BERGAN MERCY SURGERY CENTER LLC

7710 MERCY ROAD STE 100
OMAHA,NE68124
20-8671994 		AMBUL SURG CTR NE ACH
  		RELATED 142,085 3,294,472   No 0   No 63.94 %
(26) LAKESIDE AMBULATORY SURGICAL CENTER LLC

17031 LAKESIDE HILLS DR
OMAHA,NE68130
20-4267902 		AMBUL SURG CTR NE ACH
  		RELATED 3,465,880 1,951,221   No 0   No 51.6 %
(27) LAKESIDE ENDOSCOPY CENTER LLC

17001 LAKESIDE HILLS PLZ STE 201
OMAHA,NE68130
20-5544496 		ENDOSCOPY SRVC NE ACH
  		RELATED 1,455,294 1,013,126   No 0   No 52.28 %
(28) NEBRASKA SPINE HOSPITAL LLC

6901 N 72ND STREET
OMAHA,NE68122
27-0263191 		SPINE HOSPITAL NE ACH
  		RELATED 10,501,730 17,301,869   No 0   No 51 %
(29) PRAIRIE HEALTH VENTURES LLC

421 S 9TH ST 102
LINCOLN,NE68508
20-4962103 		TECH SERVICES NE AH-IMC
  		RELATED 1,011,804 5,564,586   No 68,565 Yes   62.7 %
(30) SAINT JOSEPH-ANC HOME CARE SERVICES

1700 EDISON DRIVE SUITE 300
MILFORD,OH45150
26-3330545 		HOME HEALTH KY JH
  		RELATED 3,208,139 9,684,824   No 0   No 96.9 %
(31) LINCOLN CK LEASING LLC

8770 BRYN MAWR SUITE 1370
CHICAGO,IL60631
26-2496856 		REAL ESTATE NE SERMC
  		RELATED 397,452 439,334   No 0   No 53.76 %
(32) HIGHLINE IMAGING LLC

275 SW 160TH ST
BURIEN,WA98166
20-0460005 		DIAGNOSTIC WA HMC
  		RELATED 840,222 1,784,058   No 0   No 80 %
(33) HC SL VINTAGE I LLC

18000 WEST SARAH LANE SUITE 250
BROOKFIELD,WI53045
27-0453767 		PROPERTY HOLD WI SL CDC - VINTAGE
  		RELATED 1,027,057 105,658,490   No 0   No 51 %
(34) ST LUKE'S HOSPITAL AT THE VINTAGE LLC

6624 FANNIN SUITE 2505
HOUSTON,TX77030
26-3734516 		HOSPITAL TX SL CDC - VINTAGE
  		RELATED -19,253,743 69,158,748   No 0 Yes   51 %
(35) PMC HOSPITAL LLC

6624 FANNIN SUITE 2505
HOUSTON,TX77030
27-3280598 		HOSPITAL TX SL CDC - PMC
  		RELATED 1,092,540 20,751,174   No 0 Yes   51 %
(36) ST LUKE'S DIAGNOSTIC CATH LAB LLP

6620 MAIN ST SUITE 1520
HOUSTON,TX77030
71-0959365 		DIAGNOSTIC TX SLHS HOLDINGS
  		RELATED 273,448 868,814   No 0   No 57.3 %
(37) ST LUKE'S LAKESIDE HOSPITAL LLC

6624 FANNIN SUITE 2505
HOUSTON,TX77030
30-0427437 		HOSPITAL TX SL CDC - WOODLANDS
  		RELATED 1,106,628 25,874,619   No 0 Yes   51 %
(38) ST LUKE'S THE WOODLANDS SLEEP CENTER LLC

6624 FANNIN SUITE 800
HOUSTON,TX77030
46-2795726 		DIAGNOSTIC TX SLHS HOLDINGS
  		RELATED 0 0   No 0   No 51 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ALTERNATIVE INSURANCE MANAGEMENT SERVICE

3900 OLYMPIC BOULEVARD SUITE 400
ERLANGER,KY41018
84-1112049 		MANAGEMENT SERVICES CO CHI
  		C CORPORATION 0 6,272,746 100 % Yes  
(2) AMERICAN NURSING CARE

1700 EDISON DRIVE
MILFORD,OH45150
31-1085414 		HOME HEALTH OH CHS
  		C CORPORATION 5,118,606 51,920,207 100 % Yes  
(3) AMERIMED INC

1700 EDISON DRIVE
MILFORD,OH45150
31-1158699 		HOME HEALTH OH ANC
  		C CORPORATION 2,134,392 14,669,219 100 % Yes  
(4) BC HOLDING COMPANY INC

1850 BLUEGRASS AVE
LOUISVILLE,KY40215
31-1542851 		FITNESS CLUB KY JH
  		C CORPORATION 0 0 100 % Yes  
(5) CADUCEUS MEDICAL ASSOCIATES INC

5600 BRAINERD ROAD SUITE 500
CHATTANOOGA,TN37411
62-1570736 		HEALTHCARE TN MHCS
  		C CORPORATION 0 1,008 100 % Yes  
(6) CAPTIVE MANAGEMENT INITIATIVES

PO BOX 10073 APO
GEORGETOWN,GRAND CAYMANKY1-1001
CJ
98-0663022 		CAPTIVE MANAGEMENT CJ CHI
  		C CORPORATION 0 0 100 % Yes  
(7) CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
27-2269511 		RESEARCH CO CIRI
  		C CORPORATION -2,286,538 1,241,259 100 % Yes  
(8) CGH REALTY COMPANY INC

2500 BERNVILLE RD
READING,PA19603
23-2326801 		REAL ESTATE PA SJHM
  		C CORPORATION 0 0 100 % Yes  
(9) COMCARE SERVICES

4231 W 16TH AVENUE
DENVER,CO80204
84-0904813 		INACTIVE CO CHIC
  		C CORPORATION 0 0 100 % Yes  
(10) CONSOLIDATED HEALTH SERVICES

1700 EDISON DRIVE
MILFORD,OH45150
31-1378212 		HOME HEALTH OH CHI
  		C CORPORATION -879,467 52,379,487 100 % Yes  
(11) DES MOINES MEDICAL CENTER INC

1111 6TH AVENUE
DES MOINES,IA50314
42-0837382 		REAL ESTATE IA CHI-IA CORP
  		C CORPORATION 61,204 1,064,032 92.98 % Yes  
(12) FIRST INITIATIVES INSURANCE LTD

PO BOX 10073 APO
GEORGETOWN,GRAND CAYMANKY1-1001
CJ
98-0203038 		INSURANCE CJ CHI
  		C CORPORATION 0 0 100 % Yes  
(13) FRANCISCAN SERVICES INC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
23-2487967 		HEALTHCARE CO CHI
  		C CORPORATION -7,868 718,254 100 % Yes  
(14) GOOD SAMARITAN OUTREACH SERVICES

PO BOX 1990
KEARNEY,NE68848
47-0659440 		MEDICAL CLINIC NE CHI NEBRASKA
  		C CORPORATION -257,418 180,468 100 % Yes  
(15) HEALTH SYSTEMS ENTERPRISES INC

PO BOX 1990
KEARNEY,NE68848
47-0664558 		MANAGEMENT NE GSH
  		C CORPORATION 87,278 1,377,820 100 % Yes  
(16) HEALTHCARE MGMT SERVICES ORG INC

1149 MARKET ST
TACOMA,WA98402
91-1865474 		HEALTH ORG. WA FHS
  		C CORPORATION 0 0 100 % Yes  
(17) MEDQUEST

1301 15TH AVENUE WEST
WILLISTON,ND58801
45-0392137 		SALE OF DME ND MMC WILLISTON
  		C CORPORATION 153,510 1,152,715 100 % Yes  
(18) MERCY PARK APARTMENTS LTD

1111 6TH AVENUE
DES MOINES,IA50314
42-1202422 		HOUSING IA CHI-IA CORP
  		C CORPORATION 369,231 1,937,218 100 % Yes  
(19) MERCY SERVICES CORP

2700 STEWART PARKWAY
ROSEBURG,OR97470
93-0824308 		RETAIL SALES OR MMC
  		C CORPORATION -440,596 1,423,377 100 % Yes  
(20) MHSERVICES CORPORATION

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
43-1457881 		DME MO SJRMC
  		C CORPORATION 0 0 100 % Yes  
(21) MOUNTAIN MANAGEMENT SERVICES INC

5600 BRAINERD ROAD SUITE 500
CHATTANOOGA,TN37411
62-1570739 		MGMT SVC ORG TN MHCS
  		C CORPORATION 96,044 6,465,179 100 % Yes  
(22) NAZARETH ASSURANCE COMPANY

PO BOX 10073 APO
GEORGETOWN,GRAND CAYMANKY1-1001
CJ
03-0304831 		INSURANCE CJ CHI
  		C CORPORATION 0 0 100 % Yes  
(23) PATIENT TRANSPORT SERVICES INC

1700 EDISON DRIVE
MILFORD,OH45150
31-1100798 		HOME HEALTH OH ANC
  		C CORPORATION -164,340 5,488,275 100 % Yes  
(24) PHYSICIAN HEALTH SYSTEM NETWORK

1149 MARKET ST
TACOMA,WA98402
91-1746721 		HEALTH ORG. WA FHS
  		C CORPORATION 0 0 100 % Yes  
(25) SAINT CLARES PRIMARY CARE INC

66 FORD ROAD
DENVILLE,NJ07834
22-2441202 		BILLING SERVICES NJ SCCC
  		C CORPORATION -357,263 1,361,242 100 % Yes  
(26) SAMARITAN FAMILY CARE INC

40 W FOURTH ST 1700
DAYTON,OH45402
31-1299450 		HEALTHCARE OH SHP
  		C CORPORATION 0 0 100 % Yes  
(27) SJH SERVICES CORPORATION

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
23-2307408 		HEALTHCARE CO FSI
  		C CORPORATION -197,039 3,331,737 100 % Yes  
(28) SJL PHYSICIAN MANAGEMENT SERVICES INC

424 LEWIS HARGETT CR 160
LEXINGTON,KY40503
27-0164198 		MANAGEMENT KY SJHS
  		C CORPORATION 0 0 100 % Yes  
(29) ST ANTHONY DEVELOPMENT COMPANY

1415 SOUTHGATE
PENDLETON,OR97801
93-1216943 		ATHLETIC CLUB OR SAH
  		C CORPORATION 114,663 2,936,102 100 % Yes  
(30) ST VINCENT COMMUNITY HEALTH SERVICES INC

TWO ST VINCENT CIRCLE
LITTLE ROCK,AR72205
71-0710785 		HEALTHCARE AR SVIMC
  		C CORPORATION 2,408,638 15,225,732 100 % Yes  
(31) ST JOSEPH DEVELOPMENT COMPANY INC

1717 SOUTH J STREET
TACOMA,WA98405
91-1480569 		RENTAL WA FSI
  		C CORPORATION 655,478 12,357,418 100 % Yes  
(32) ST JOSEPH OFFICE PARK ASSOCIATION

1401 HARRODSBURG ROAD BLDG B70
LEXINGTON,KY40504
61-1079899 		MANAGEMENT KY SJHS
  		C CORPORATION 0 882,139 85 % Yes  
(33) TOWSON MANAGEMENT INC

7601 OSLER DRIVE
TOWSON,MD21204
52-1710750 		MANAGEMENT SERVICES MD FSI
  		C CORPORATION 516,457 197,196 100 % Yes  
(34) COLLABHEALTH MANAGED SOLUTIONS INC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
46-1222808 		HOLDING CO CO CHI
  		C CORPORATION 0 23,806,707 100 % Yes  
(35) COLLABHEALTH PLAN SERVICES INC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
46-1224037 		ADMIN SERVICES CO CHMS
  		C CORPORATION -1,082,933 38,272,608 100 % Yes  
(36) HIGHLINE MEDICAL GROUP

15811 AMBAUM BLVD SW 170
BURIEN,WA98166
91-1407026 		MEDICAL SERVICES WA HMC
  		C CORPORATION -6,049,147 5,689,139 100 % Yes  
(37) SOUNDPATH HEALTH INC

32129 WEYERHAEUSER WAY S SUITE 201
FEDERAL WAY,WA98001
42-1720801 		INSURANCE WA CHPS
  		C CORPORATION -154,741 10,976,973 55.6 % Yes  
(38) SLEHS HOLDINGS INC

6624 FANNIN SUITE 800
HOUSTON,TX77030
76-0637138 		HOLDING CO TX SLHS
  		C CORPORATION 1,425,313 33,114,103 100 % Yes  
(39) ST LUKE'S ANESTHESIOLOGY ASSOCIATES

6624 FANNIN SUITE 1100
HOUSTON,TX77030
46-1517163 		MEDICAL CLINIC TX SLMC
  		C CORPORATION 0 0 100 % Yes  
(40) SLMT PARKING INC

6624 FANNIN SUITE 800
HOUSTON,TX77030
76-0637140 		PARKING TX SLHS
  		C CORPORATION 1,117,934 13,768,221 100 % Yes  
(41) ST LUKE'S 6620 MAIN CONDOMINIUM ASSOCIATION

6624 FANNIN SUITE 1100
HOUSTON,TX77030
30-0355517 		CONDOMINIUM ASSOC TX SLPC
  		C CORPORATION 0 0 100 % Yes  
(42) ST LUKE'S EPISCOPAL HOSPITAL PHYSICIAN HOSPITAL ORGANIZATION INC

6720 BERTNER
HOUSTON,TX77030
76-0377932 		PHO TX SLMC
  		C CORPORATION 6 0 60 % Yes  
(43) ST LUKE'S MEDICAL ARTS CENTER I CONDOMINIUM ASSOCIATION

6624 FANNIN SUITE 1100
HOUSTON,TX77030
30-0355518 		CONDOMINIUM ASSOC TX SLPC
  		C CORPORATION 0 0 100 % Yes  
(44) ST LUKE'S MEDICAL TOWER CONDOMINIUM ASSOCIATION

6624 FANNIN SUITE 1100
HOUSTON,TX77030
76-0298751 		CONDOMINIUM ASSOC TX SLMTC
  		C CORPORATION 0 0 100 % Yes  
(45) SUGAR LAND DOCTOR GROUP

1317 LAKE POINTE PARKWAY
SUGAR LAND,TX77478
45-4270163 		MEDICAL CLINIC TX SL CHS
  		C CORPORATION -1,159,411 566,590 100 % Yes  
(46) THE TEXAS HEART INSTITUTE AT ST LUKE'S EPISCOPAL HOSPITAL DENTON A COOLEY B
UILDING CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100
HOUSTON,TX77030
90-0064009 		CONDOMINIUM ASSOC TX SLMC
  		C CORPORATION 0 0 100 % Yes  
(47) ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC

12809 WEST DODGE ROAD
OMAHA,NE68154
47-0802396 		MANAGED CARE NE ACH
  		C CORPORATION 5,312,313 4,520,865 100 % Yes  
(48) ALL SAINTS INSURANCE COMPANY SPC LTD

PO BOX 69 GT 720 WEST BAY ROAD
GEORGETOWN,GRAND CAYMANKY-1102
CJ
INSURANCE CJ SLHS
  		C CORPORATION 0 43,866,961 100 % Yes  
(49) VINTAGE DOCTOR GROUP

6624 FANNIN SUITE 1100
HOUSTON,TX77030
 MEDICAL CLINIC TX SLMC
  		C CORPORATION 0 0 100 % Yes  
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ST JOSEPH MEDICAL CENTER FOUNDATION

 C 376,633 FMV





Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(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 V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
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


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