Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ST JOSEPH COMMUNITY HEALTH
Employer identification number
71-0897107
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
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
No
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
h
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
(A)
CATHOLIC HEALTH INITIATIVES
470617373
9
Yes
Yes
Yes
0
Total
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
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)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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
Gross receipts from related activities, etc. (see instructions)
..................
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.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
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
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
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)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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
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.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
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) 2013
Additional Data
Software ID:
13000248
Software Version:
2013v3.1
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ST JOSEPH COMMUNITY HEALTH
Employer identification number
71-0897107
Return Reference
Explanation
FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION
THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. FIDELITY TO THE GOSPEL URGES THE CORPORATION TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT CREATES HEALTHIER COMMUNITIES. THE CORPORATION, SPONSORED BY A LAY-RELIGIOUS PARTNERSHIP, CALLS OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS
INTRODUCTION ST. JOSEPH COMMUNITY HEALTH (SJCH) IS A NON-PROFIT ORGANIZATION THAT WORKS TO ENSURE CHILDREN REACH KINDERGARTEN WITH THE HEALTH AND FAMILY CAPACITY NECESSARY TO SUPPORT LEARNING. ST. JOSEPH ACHIEVES THIS GOAL THROUGH 3 PRIMARY PROGRAMS: HOME VISITING, ENHANCED REFERRAL SERVICES, AND ADVOCACY. DURING FISCAL YEAR FY 2014 SJCH PROVIDED BENEFITS TO THE ECONOMICALLY DISADVANTAGED IN THE AMOUNT OF $2,779,229 AND TO THE BROADER COMMUNITY IN THE AMOUNT OF $854,856. THOSE DOLLARS REPRESENTED 53,241 CONTACTS WITH RESIDENTS OF THE STATE OF NEW MEXICO. BENEFITS FOR THOSE LIVING IN POVERTY: COMMUNITY HEALTH SERVICES NUMBER OF PERSONS- 10,392; COMMUNITY BENEFIT- $2,342,530 SUBSIDIZED HEALTH SERVICES (RUBIN EYE CARE) NUMBER OF PERSONS- 18,786; COMMUNITY BENEFIT- $18,224 OTHER BENEFIT PROVIDED TO THE POOR NUMBER OF PERSONS- 5,141; COMMUNITY BENEFIT- $418,475 TOTAL BENEFITS FOR THOSE LIVING IN POVERTY: NUMBER OF PERSONS- 34,319; COMMUNITY BENEFIT- $2,779,229 BENEFITS FOR BROADER COMMUNITY: COMMUNITY HEALTH SERVICES NUMBER OF PERSONS- 18,922; COMMUNITY BENEFIT- $489,706 SUBSIDIZED HEALTH SERVICES (NEW MEXICO CHILDREN'S CANCER FUND) NUMBER OF PERSONS- 0; COMMUNITY BENEFIT- $37,252 DONATIONS NUMBER OF PERSONS- 0; COMMUNITY BENEFIT- $327,462 COMMUNITY BUILDING OPERATIONS NUMBER OF PERSONS- 0; COMMUNITY BENEFIT- $436 TOTAL BENEFITS FOR THE BROADER COMMUNITY: NUMBER OF PERSONS- 18,922; COMMUNITY BENEFIT- $854,856 TOTAL BENEFITS FOR THOSE LIVING IN POVERTY AND THE BROADER COMMUNITY: NUMBER OF PERSONS- 53,241; COMMUNITY BENEFIT- $3,634,085 COMMUNITY OUTREACH FOR THOSE LIVING IN POVERTY HOME VISITING THIS PROGRAM IS THE FLAGSHIP PROGRAM OF SJCH PROVIDING HOME VISITS BY TRAINED PROFESSIONALS TO EXPECTANT MOMS AND FAMILIES WITH FIRST BORN CHILDREN. SJCH UTILIZES AN OUTCOMES-BASED MODEL (FIRST BORN) THAT HAS PROVEN RESULTS IN IMPROVING CHILD AND FAMILY OUTCOMES. THE BENEFITS OF EARLY INTERVENTION AND HEALTH PROMOTION IN MATERNAL AND CHILD HEALTH ARE WELL-DOCUMENTED AND HAVE A LIFETIME AFFECT. THE NET BENEFIT PROVIDED TO THE COMMUNITY BY THIS PROGRAM DURING FISCAL YEAR 2014 WAS $2,342,530 AND INCLUDED 10,392 CONTACTS. ENHANCED REFERRAL THIS PROGRAM OPERATES IN CONJUNCTION WITH THE HOME VISITING PROGRAM (SEE ABOVE). THE ENHANCED REFERRAL PROGRAM PROVIDES SERVICES TO ADDRESS HOUSING, LEGAL AID, TRANSPORTATION, MEDICAL CARE, ACCESS TO FOOD, CHILD CARE, EMPLOYMENT, DENTAL CARE, SCHOOL RE-ENTRY AND SPECIAL NEEDS SERVICES. ADDRESSING THESE UNDERLYING SOCIAL-ENVIRONMENTAL FACTORS HAS BEEN SHOWN TO IMPACT PHYSICAL HEALTH, EMOTIONAL/SOCIAL DEVELOPMENT, FAMILY CAPACITY AND FUNCTIONING. IN FISCAL YEAR 2014 THE ENHANCED REFERRAL PROGRAM PROVIDED A NET BENEFIT OF $341,504 TO THE BROADER COMMUNITY AND RESULTED IN 4,541 COMMUNITY CONTACTS. RUBIN EYE FUND SJCH PROVIDED FUNDING TO THE NEW MEXICO LIONS EYE FOUNDATION, AN ENTITY AFFILIATED WITH THE LIONS CLUB INTERNATIONAL, A VOLUNTEER ORGANIZATION, TO FUND SEVERAL DIFFERENT PROGRAMS CENTERED ON ALL ASPECTS OF EYE CARE INCLUDING ANNUAL SCREENING FOR CHILDREN THREE TO FIVE YEARS OLD AND THE PROVISION OF USED EYE-WEAR TO NEEDY INDIVIDUALS. THE NET BENEFIT PROVIDED TO THE COMMUNITY FOR THE FISCAL YEAR WAS APPROXIMATELY $18,224 NOT INCLUDING THE USE OF RESTRICTED FUNDS OF $68,000 AND INCLUDED 18,786 CONTACTS. MISCELLANEOUS PROGRAMS THIS CATEGORY COVERS EVENTS SPONSORED BY SJCH THROUGHOUT THE YEAR INCLUDING THE SJCH CELEBRATION OF BABIES EVENT. THE NET BENEFIT PROVIDED TO THE COMMUNITY BY THESE PROGRAMS WAS $76,971 AND YIELDED 600 COMMUNITY CONTACTS. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY COMMUNITY SUPPORT THIS PROGRAM CONSISTS MOSTLY OF DONATIONS PROVIDED BY SJCH TO VARIOUS PROGRAMS AROUND NEW MEXICO SERVING THE BROADER COMMUNITY. THE NET BENEFIT PROVIDED BY SJCH TO THE BROADER COMMUNITY WAS $327,898. ADVOCACY & COMMUNITY EDUCATION THESE PROGRAMS PROVIDE FUNDING FOR STATE-WIDE ADVOCACY AND EDUCATION EFFORTS TO SUPPORT EARLY CHILDHOOD DEVELOPMENT ISSUES/PROGRAMS. IN SUPPORTING THESE PROGRAMS SJCH PROVIDED A NET BENEFIT TO THE COMMUNITY OF $489,706 AND MADE 18,922 COMMUNITY CONTACTS. CANCER PROGRAMS SJCH PROVIDED FUNDING TO THE CHILDREN'S CANCER FUND OF NEW MEXICO WHOSE PRIMARY PURPOSE IS TO ASSIST CHILDREN AND THEIR FAMILIES IN COPING WITH THE DAY-TO-DAY EMOTIONAL, FINANCIAL AND EDUCATIONAL NEEDS OF LIVING WITH AND FIGHTING CANCER. THE NET BENEFIT PROVIDED TO THE COMMUNITY FOR THE FISCAL YEAR WAS APPROXIMATELY $37,252 NOT INCLUDING THE USE OF RESTRICTED FUNDS OF $139,000.
Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committee
PER SECTION 8.6 OF THE ORGANIZATION'S BYLAWS, THE 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, AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND TWO (2) VOTING MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE (1) YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. ANY VACANCY OF AN APPOINTED EXECUTIVE COMMITTEE MEMBERSHIP MAY BE FILLED FOR THE UNEXPIRED PORTION OF THE TERM IN THE MANNER THAT THE ORIGINAL COMMITTEE MEMBER WAS APPOINTED. EXCEPT AS PROVIDED BY LAW, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. ADDITIONALLY, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT SUCH ACTIONS TAKEN SHALL BE CONSISTENT WITH AND NOT CONFLICT WITH ANY ACTIONS OR POLICIES OF THE BOARD OF DIRECTORS OR OF THE CORPORATE MEMBER, WITH THESE BYLAWS, OR WITH APPLICABLE LAW. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE PROMPTLY REPORTED TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR OR ANNUAL MEETING OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL MEET AT SUCH TIMES AS SHALL BE DETERMINED BY THE CHAIRPERSON. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS PROCEEDINGS AND REPORT THE SAME TO THE BOARD OF DIRECTORS AT EACH REGULAR MEETING OF THE BOARD.
Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders
PER SECTION 5.1 OF THE ORGANIZATION'S BYLAWS, THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body
PURSUANT TO SECTION 6.5 OF THE ORGANIZATION'S BYLAWS, THE DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. PRIOR TO EACH ANNUAL MEETING OF THE CORPORATE MEMBER, OR SUCH OTHER MEETING CALLED FOR THE PURPOSE OF APPOINTING DIRECTORS OF THE CORPORATION, THE NOMINATING COMMITTEE SHALL SELECT AND SUBMIT TO THE BOARD OF DIRECTORS A SLATE OF NOMINEES QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. THE BOARD OF DIRECTORS SHALL REVIEW THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ON THE RECOMMENDED SLATE AND SHALL VOTE TO ACCEPT OR REFUSE EACH NOMINEE. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL THEN BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL THEN APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE GOVERNANCE MATRIX AND WITH THE RECOMMENDATION OF THE CHI DESIGNEE. NOTWITHSTANDING ANYTHING IN THESE BYLAWS TO THE CONTRARY, THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION IN ACCORDANCE WITH THIS SECTION.
Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders
THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES (CHI). PURSUANT TO SECTION 5.4.2 OF THE ORGANIZATION'S AMENDED 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 COMMUNITY HEALTH; -AMENDMENT OF THE CORPORATE DOCUMENTS OF ST. JOSEPH COMMUNITY HEALTH; -APPROVE MEMBERS OF ST. JOSEPH COMMUNITY HEALTH BOARD. -REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. JOSEPH COMMUNITY HEALTH; -APPROVAL OF ISSUANCE OF DEBT BY ST. JOSEPH COMMUNITY HEALTH; -APPROVAL OF PARTICIPATION OF ST. JOSEPH COMMUNITY HEALTH IN A JOINT VENTURE; -APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. JOSEPH COMMUNITY HEALTH; -APPROVAL OF A MERGER INVOLVING ST. JOSEPH COMMUNITY HEALTH; -APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ST. JOSEPH COMMUNITY HEALTH; -TO REQUIRE THE TRANSFER OF ASSETS BY THE ST. JOSEPH COMMUNITY HEALTH TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS; -ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR ST. JOSEPH COMMUNITY HEALTH. 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
Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body
THE DIRECTOR OF FINANCE REVIEWS THE FORM 990 AND FACILITATES THE DISTRIBUTION OF THE RETURN TO THE BOARD OF DIRECTORS. SUBSEQUENT TO DISTRIBUTION TO THE BOARD AND DIRECTOR OF FINANCE, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.
Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy
SJCH BOARD MEMBERS AND STAFF COMPLY WITH THE ST. JOSEPH CONFLICT OF INTEREST POLICY. BOTH STAFF AND BOARD MEMBERS REVIEW THE POLICY ANNUALLY AND COMPLETE CONFLICT OF INTEREST DISCLOSURE STATEMENTS. POTENTIAL CONFLICTS OF INTEREST ARE REPORTED TO THE CHIEF EXECUTIVE OFFICER OR THE BOARD CHAIRMAN FOR STAFF AND BOARD MEMBERS RESPECTIVELY. THESE INDIVIDUALS REVIEW THE SITUATION AND DETERMINE IF AN ACTUAL CONFLICT EXISTS. BOARD MEMBERS WITH A CONFLICT ABSTAIN FROM PARTICIPATING IN DISCUSSIONS OR VOTING ON THOSE MATTERS. ADDITIONALLY THE CRO (CORPORATE RESPONSIBILITY OFFICER) AS PART OF THE CORPORATE RESPONSIBILITY PROGRAM HAS OVERSIGHT RESPONSIBILITY FOR REPORTING CONFLICTS OF INTEREST TO THE FINANCE, AUDIT AND COMPLIANCE COMMITTEE.
FORM 990, PART VI, LINE 15A, PROCESS FOR DETERMINING COMPENSATION - TOP MANAGEMENT OFFICIAL
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 18, 2014. 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.
FORM 990, PART VI, LINE 15B, PROCESS FOR DETERMINING COMPENSATION - OFFICERS/KEY EMPLOYEES
FOR ALL OF THE ORGANIZATION'S TOP MANAGEMENT EXECUTIVES, OUTSIDE CONSULTANTS ANNUALLY REVIEW COMPENSATION USING MULTIPLE NATIONAL COMPARABILITY SURVEYS. ADDITIONALLY, THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES COMPENSATION AND ALL DISCLOSURES AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED.
Form 990, Part VI, Sec C, Line 19, Required documents available to the public
THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT PUBLICLY AVAILABLE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.