Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| PART III, LINE 4A-4D | SAINT JOSEPH HOSPITAL WAS FOUNDED IN 1873 BY THE SISTERS OF CHARITY OF LEAVENWORTH, MAKING IT THE FIRST PRIVATE HOSPITAL IN COLORADO. TODAY, SAINT JOSEPH CONTINUES AS ONE OF COLORADO'S LARGEST NONPROFIT HOSPITALS, THE LARGEST PRIVATE TEACHING HOSPITAL IN DENVER, AND BOASTS SOME OF THE HIGHEST RATINGS FOR SAFETY AND CLINICAL QUALITY IN THE ROCKY MOUNTAIN REGION. NAMED AMONG THE TOP 2% IN THE NATION FOR OVERALL CLINICAL EXCELLENCE BY HEALTHGRADES IN 2014, SAINT JOSEPH HOSPITAL IS ABLE TO PROVIDE SOME OF THE BEST HOSPITAL CARE IN THE REGION THANKS TO ACTIVE PARTNERSHIPS WITH SOME OF COUNTRY'S TOP HEALTH CARE PROVIDERS. BY WORKING CLOSELY WITH TOP PHYSICIANS AND MEDICAL SPECIALISTS, KAISER PERMANENTE, CHILDREN'S HOSPITAL COLORADO, AND NATIONAL JEWISH HEALTH, THE LEADING RESPIRATORY HOSPITAL IN THE NATION, SAINT JOSEPH HOSPITAL IS ABLE TO PROVIDE SOME OF THE BEST INPATIENT CARE IN COLORADO. SERVICES ADVANCED HEART & VASCULAR CARE SAINT JOSEPH HOSPITAL IS ONE OF THE OLDEST AND MOST RESPECTED HOSPITALS IN THE STATE WHEN IT COMES TO HEART AND CARDIOVASCULAR CARE. IN FACT, FOR THE PAST 30 YEARS, SAINT JOSEPH HOSPITAL HAS TREATED MORE THAN 20,000 HEART PATIENTS AND HAS PERFORMED MORE HEART SURGERIES THAN ANY OTHER HOSPITAL IN COLORADO - MAKING SAINT JOSEPH HOSPITAL ONE OF THE MOST EXPERIENCED HEART AND VASCULAR PROGRAMS IN THE ENTIRE ROCKY MOUNTAIN REGION. CENTER FOR WOMEN & INFANTS AS COLORADO'S TOP BABY HOSPITAL FOR MORE THAN A CENTURY, SAINT JOSEPH HOSPITAL COMBINES EXPERIENCE AND EXPERTISE WITH MODERN AMENITIES TO ENSURE A SAFE AND COMFORTABLE CHILDBIRTH EXPERIENCE FOR BOTH MOM AND BABY. FEATURING THE NEWEST AND MOST STATE-OF-THE-ART LABOR AND DELIVERY SUITES IN COLORADO, SAINT JOSEPH HOSPITAL COMBINES CONTEMPORARY SERVICES WITH THE UNRIVALED SKILL AND EXPERIENCE OF DENVER'S LEADING LABOR AND DELIVERY PROVIDERS. SAINT JOSEPH HOSPITAL OFFERS A FULL RANGE OF BIRTHING OPTIONS FOR MOTHERS SEEKING PERSONALIZED, HIGH-QUALITY CARE. FROM LOW- TO HIGH-RISK PREGNANCY, SAINT JOSEPH HOSPITAL CAN ADDRESS ANY NEED WITH CARE OPTIONS THAT INCLUDE: -PERSONALIZED MIDWIFE CARE FROM CERTIFIED NURSE-MIDWIVES -LEADING OBSTETRICAL CARE FROM OB/GYN PHYSICIANS -HIGH-RISK PREGNANCY MANAGEMENT FROM MATERNAL-FETAL MEDICINE SPECIALISTS DENVER'S TOP PRENATAL & CHILDBIRTH CLASSES SAINT JOSEPH HOSPITAL HAS DESIGNED SEVERAL PREGNANCY, BIRTHING AND PARENTING CLASSES TO HELP NEW MOMS AND DADS BECOME MORE CONFIDENT AND SUCCESSFUL PARENTS. BIRTHING AND BABY CLASSES AT ST. JOE'S ARE DESIGNED TO MEET YOUR UNIQUE NEEDS AND: -ARE OFFERED IN A VARIETY OF FORMATS FOR BUSY, WORKING PARENTS-TO-BE -PROVIDE QUALITY, UP-TO-DATE INFORMATION ABOUT PREGNANCY, BIRTH AND BABY CARE -WILL INFORM YOU ABOUT EPIDURALS AND OTHER FREQUENTLY USED MEDICATIONS -HELP EXPECTANT PARENTS TO CONNECT WITH OTHERS - WHICH OFTEN RESULTS IN LASTING FRIENDSHIPS CANCER CENTERS OF COLORADO AT SAINT JOSEPH HOSPITAL, CANCER CENTERS OF COLORADO, WE OFFER COMPREHENSIVE CARE AND SUPPORT TO PATIENTS WHO HAVE BEEN DIAGNOSED WITH CANCER OR A BLOOD DISORDER. AS COLORADO'S ONLY ACCREDITED ACADEMIC COMPREHENSIVE CANCER PROGRAM, SAINT JOSEPH HOSPITAL, CANCER CENTERS OF COLORADO, PROVIDES THE SAME HIGH QUALITY CARE, TECHNOLOGY AND CANCER RESEARCH THAT CAN BE FOUND AT A NATIONAL CANCER INSTITUTE. YET, AS PART OF A FAITH-BASED, MISSION-DRIVEN HEALTHCARE ORGANIZATION, CANCER CENTERS OF COLORADO ALSO PUTS PATIENTS FIRST IN A WAY THAT ALLOWS OUR TEAM TO HELP CARE FOR THE BODY, MIND AND SPIRIT OF OUR PATIENTS. THIS UNIQUE BLEND OF MEDICAL EXCELLENCE AND COMPASSIONATE CARE MAKES CANCER CENTERS OF COLORADO ONE OF THE VERY BEST PLACES A PERSON CAN GO TO FOR COMPREHENSIVE CANCER CARE IN DENVER. COMMUNITY CLINICS A PART OF OUR MISSION, SAINT JOSEPH HOSPITAL PROVIDES HIGH QUALITY, PERSON-CENTERED CARE TO EVERYONE IN OUR COMMUNITY REGARDLESS OF AGE, GENDER OR CLINICAL NEED. FROM TREATING ACUTE ILLNESSES TO SUPPORTING EXPECTING MOMS THROUGH THEIR DELIVERY, THE COMMUNITY CLINICS AT SAINT JOSEPH HOSPITAL SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY AND HONOR THE VALUES THAT HAVE MADE SAINT JOSEPH HOSPITAL ONE OF DENVER'S FINEST HOSPITALS FOR MORE THAN 140 YEARS. CARITAS COMMUNITY CLINIC FOR MORE THAN 40 YEARS, THE CARITAS CLINIC, WHICH IS THE LATIN TERM FOR CHARITY AND LOVE, HAS BEEN MEETING THE DENVER COMMUNITY'S GROWING NEED FOR ACUTE ILLNESS TREATMENT, CHRONIC DISEASE MANAGEMENT, AS WELL AS PREVENTION AND SCREENING SERVICES. THE CARITAS CLINIC IS STAFFED BY INTERNAL MEDICINE RESIDENTS WHO TREAT A BROAD SPECTRUM OF ADULT ILLNESSES WHICH INCLUDES HEART, LUNG AND GASTROINTESTINAL DISEASES, DIABETES, HIGH BLOOD PRESSURE, ELEVATED CHOLESTEROL, ARTHRITIS AND OTHERS. GENERAL SURGERY RESIDENTS WORK IN THE SURGERY CLINIC, WHICH PROVIDES PRE- AND POST-OPERATIVE CARE FOR MINOR AND MAJOR SURGICAL PROCEDURES ACCOMPLISHED IN EITHER INPATIENT OR OUTPATIENT SETTINGS. ALL NECESSARY HOSPITALIZATION IS COORDINATED AT SAINT JOSEPH HOSPITAL. THE CARITAS CLINIC PROVIDES A SLIDING FEE SCHEDULE FOR SELF-PAY PATIENTS. PATIENTS ARE GIVEN THE OPPORTUNITY TO DISCUSS THEIR FINANCIAL SITUATION PRIVATELY WITH A FINANCIAL COUNSELOR WHO DETERMINES THEIR FEES ACCORDING TO FEDERAL POVERTY GUIDELINES. NO PATIENT IS EVER DENIED SERVICES DUE TO THE INABILITY TO PAY. THE CLINIC PARTICIPATES IN COLORADO ACCESS, THE STATE OF COLORADO MEDICAID PROGRAM. THE CARITAS CLINIC ALSO PARTICIPATES WITH MEDICARE, SECURE HORIZONS, AS WELL AS OTHER MEDICARE ADVANTAGE INSURANCE PLANS. PLEASE CALL YOUR INSURANCE COMPANY TO INQUIRE ABOUT BENEFITS AND PROVIDERS. CERTIFIED NURSE-MIDWIVES IN DENVER SAINT JOSEPH HOSPITAL'S CERTIFIED NURSE-MIDWIVES OFFER PERSONALIZED CARE, OUTSTANDING OUTCOMES, AND A WIDE RANGE OF PREGNANCY CARE AND BIRTH OPTIONS FOR EXPECTING FAMILIES. HAVING YOUR BABY DELIVERED BY A CERTIFIED NURSE-MIDWIFE AT SAINT JOSEPH HOSPITAL IN DENVER INVOLVES MORE THAN JUST THE DELIVERY. A NURSE-MIDWIFE IS THERE TO SUPPORT AND CARE FOR MOTHERS, THEIR PARTNERS AND FAMILIES FROM THE EARLY STAGES OF PREGNANCY, THROUGH LABOR AND DELIVERY AND INTO THE FIRST PHASE OF POST-PARTUM CARE. OUR CERTIFIED NURSE-MIDWIFE CLINIC PROVIDES A "CUSTOMIZED BIRTH PLAN" AND SUPPORTS A MOTHER'S CHOICES WHEN IT COMES TO CHILDBIRTH. OUR PHILOSOPHY OF CARE FOCUSES ON EDUCATION AND SUPPORT THAT EMPOWERS WOMEN. NURSE-MIDWIVES DO NOT MAKE DECISIONS FOR WOMEN BUT ARE THERE TO PROVIDE THE RIGHT SUPPORT AND INFORMATION SO MOTHERS CAN MAKE THEIR OWN INFORMED CHOICES ABOUT THE CARE THEY RECEIVE BEFORE, DURING AND AFTER PREGNANCY AND LABOR. EMERGENCY CARE IN DENVER WHEN A MEDICAL EMERGENCY OR UNEXPECTED ILLNESS OCCURS, THE EMERGENCY CARE PROVIDERS AT SAINT JOSEPH HOSPITAL ARE HERE TO HELP WITH ROUND-THE-CLOCK EMERGENCY CARE FOR INDIVIDUALS AND FAMILIES THROUGHOUT DENVER. OPEN 24 HOURS A DAY, 7 DAYS A WEEK, OUR TEAM OF BOARD CERTIFIED EMERGENCY PHYSICIANS, NURSES AND TECHNICIANS OFFER FULL-SERVICE EMERGENCY ROOM CARE FOR EVERYTHING FROM A CHILD'S LATE NIGHT FEVER TO A LIFE-THREATENING HEART ATTACK OR STROKE. AS A NATIONALLY ACCREDITED CHEST PAIN CENTER AND A CERTIFIED PRIMARY STROKE CENTER, THE ER AT SAINT JOSEPH HOSPITAL IN DENVER OFFERS: -24-HOUR EMERGENCY CARE AVAILABLE 365 DAYS A YEAR -BOARD CERTIFIED PHYSICIANS AND EMERGENCY TRAINED NURSES -DEDICATED MEDICAL IMAGING AND DIAGNOSTIC SERVICES -CUSTOMIZED CARE FOR PATIENTS AGES 65 AND OLDER DELIVERED THROUGH A DEVOTED SENIOR ER MEDICAL IMAGING THE MEDICAL IMAGING DEPARTMENT AT SAINT JOSEPH HOSPITAL PROVIDES SOME OF THE HIGHEST QUALITY MEDICAL IMAGING AND RADIOLOGY SERVICES IN THE DENVER METRO AREA. OUR TEAM OF EXPERIENCED RADIOLOGISTS, SKILLED NURSES, AND CARING STAFF ARE DEDICATED TO TREATING EACH PATIENT WE SEE WITH COURTESY AND RESPECT IN A SAFE AND FRIENDLY ENVIRONMENT. NATIONALLY RECOGNIZED QUALITY AND CARE SEVERAL RADIOLOGY SERVICES OFFERED AT SAINT JOSEPH HOSPITAL HAVE BEEN NATIONALLY ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR) BECAUSE THEY MEET OR EXCEED THE HIGHEST STANDARDS IN THE PATIENT CARE, SAFETY AND OUTCOMES. OUR PROGRAM IS ACCREDITED IN: -BREAST MRI -BREAST ULTRASOUND -MAMMOGRAPHY -NUCLEAR MEDICINE -ULTRASOUND SAINT JOSEPH HOSPITAL IS ALSO AN ACCREDITED BREAST IMAGING CENTER OF EXCELLENCE, BY ACHIEVING ACR ACCREDITATION IN ALL BREAST IMAGING MODALITIES. DURING 2014, SAINT JOSEPH HOSPITAL, INC., HAD THE FOLLOWING RESULTS; 17,839 ADMISSIONS 202,967 OUTPATIENT VISITS - INCLUDING CLINICAL AND HOME HEALTH 53,123 EMERGENCY DEPARTMENT VISITS 4,016 BIRTHS 13,672 SURGERIES 838,732 LAB TESTS |
| FORM 990, PART V, LINE 1A | EXPLANATION FOR NUMBER REPORTED IN BOX 3 OF FORM 1096. A RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. |
| FORM 990, PART V, LINE 2A | EXPLANATION FOR NUMBER REPORTED ON FORM W-3. A RELATED ORGANIZATION IS THE COMMON PAYMASTER FOR PAYROLL AND IS RESPONSIBLE FOR FILING THE REQUIRED FORM W-3 AND RELATED FORM W-2 FOR SAINT JOSEPH HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE ARTICLES OF INCORPORATION AND BY-LAWS WERE AMENDED TO STATE THAT THE CONTROL AND MANAGEMENT OF SAINT JOSEPH HOSPITAL, INC. SHALL BE VESTED IN THE BOARD OF DIRECTORS OF SCL HEALTH - FRONT RANGE, INC., A TAX EXEMPT, NONPROFIT CORPORATION WHOSE SOLE MEMBER IS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF THE SAINT JOSEPH HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | POWER TO ELECT OR APPOINT MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF THE SAINT JOSEPH HOSPITAL, APPOINTS MEMBERS OF THE SAINT JOSEPH HOSPITAL BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS) HAS CERTAIN POWERS TO APPROVE CHANGES TO THE BYLAWS REGARDING APPOINTMENT OF BOARD MEMBERS. SCLHS ALSO HAS EXTENSIVE RESERVE POWERS OVER ANY CHANGE IN MISSION, CHANGES TO THE ARTICLES OF INCORPORATION OR BYLAWS, ACQUISITION OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, AND APPOINTMENT OF AUDITORS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION'S EXECUTIVES, DIRECTORS, MANAGERS, BOARD MEMBERS, BOARD COMMITTEE MEMBERS, MEDICAL EXECUTIVE COMMITTEE (MEC) MEMBERS AND OTHER PHYSICIANS IN DECISION MAKING ROLES OR SERVING ON COMMITTEES, COMPLETE A NEW CONFLICT OF INTEREST (COI) DISCLOSURE FORM EACH YEAR. A COPY OF THE POLICY IS DISTRIBUTED ALONG WITH THE COI FORMS. IN THE EVENT OF A CHANGE OF CIRCUMSTANCE, EACH INDIVIDUAL WHO HAS ALREADY SIGNED A COI IS EXPECTED TO NOTIFY THE ORGANIZATION OF THE CHANGE AND UPDATE THE CONFLICT OF INTEREST INFORMATION. THE STATEMENTS ARE REVIEWED AND COI ISSUES ARE ADDRESSED BY THE ORGANIZATION'S RESPONSIBILITY OFFICE (ORO) AND LEADERSHIP AT THE APPROPRIATE LEVEL: BOARD MEMBERS - BY BOARD CHAIR PHYSICIANS - BY THE MEC PRESIDENT EXECUTIVES - BY THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. DIRECTORS AND MANAGERS - BY ADMINISTRATION THE SIGNED COI FORMS ARE MAINTAINED IN ADMINISTRATION AND IN COMPLIANCE. THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS FOR THE EXECUTIVES ARE MAINTAINED AT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AT THE BEGINNING OF BOARD AND BOARD COMMITTEE MEETINGS, THE QUESTION OF COI IS ASKED OF THOSE IN ATTENDANCE. WHEN AN ACTUAL CONFLICT IS IDENTIFIED, THE INDIVIDUAL IS EXCUSED FROM PARTICIPATING IN THE DISCUSSIONS AND DECISION-MAKING. |
| FORM 990, PART VI, SECTION B, LINE 15 | FORM 990, PART VI, SECTION B (POLICIES) LINES 15(A) & 15(B) THE ORGANIZATION'S OFFICERS ARE PAID BY A RELATED ORGANIZATION, THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) SCLHS' PROCESS FOR DETERMINING COMPENSATION FOR THE TOP MANAGEMENT AND SENIOR LEADERSHIP IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE. THIS COMMITTEE IS COMPOSED OF THREE OR MORE MEMBERS WHO ARE NOT CURRENT EMPLOYEES OF SCLHS, OR FORMER EMPLOYEES WITH NO ACTIVE INTEREST IN THE SCLHS' COMPENSATION PROGRAM, INCLUDING AT LEAST TWO MEMBERS OF THE SCLHS BOARD. SCLHS BELIEVES THAT THE INDEPENDENCE OF THESE MEMBERS IS VITAL TO THE INTEGRITY OF THE PROCESS. THE WORK OF THIS COMMITTEE INCLUDES BEING CONSTANTLY AWARE OF THE CURRENT COMPETITIVE MARKET FOR MANAGEMENT AND SENIOR LEADERS, AS WELL AS COMPILING AND MAINTAINING RECORDS OF COMPARABLE COMPENSATION AND BENEFITS DATA, INCLUDING SURVEYS AND OTHER ANALYSES, TO SUPPORT SCLHS' TOTAL COMPENSATION TO EACH INDIVIDUAL. AS PART OF THE REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF TOP MANAGEMENT AND SENIOR LEADERSHIP. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH THE MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. MINUTES ARE KEPT CONTEMPORANEOUSLY FOR EACH MEETING OF THE COMMITTEE. LIKEWISE, THE COMMITTEE IS RESPONSIBLE FOR ENSURING THAT NO "EXCESS BENEFIT" IS CONFERRED ON AN INDIVIDUAL, OR THAT SUCH COMPENSATION DOES NOT CONSTITUTE PROHIBITED INUREMENT. THIS PROCESS IS COMPLETED FOR ALL SENIOR LEADERSHIP, AT THE AFFILIATE AND SYSTEM LEVEL, AND THE COMMITTEE'S RECOMMENDATION IS THEN SUBMITTED TO THE SCLHS BOARD FOR APPROVAL. THE CHARGE OF THIS COMMITTEE ADHERES TO SCLHS' CORE VALUE OF STEWARDSHIP, ENSURING THAT THE MINISTRY'S RESOURCES HELD IN TRUST ARE NOT WASTED OR MISUSED, AND ARE DEPLOYED TO EFFECTIVELY AND EFFICIENTLY ADVANCE THE MISSION. |
| FORM 990, PART VI, SECTION C, LINE 19 | PART VI, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. |
| PART VII, SECTION B, LINE 1: | INDEPENDENT CONTRACTORS. A RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. |
| FORM 990, PART XI, LINE 9: | IN KIND GRANT TO FOUNDATION 54,000. |
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