Form990
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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 private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 01-01-2014 , and ending 12-31-2014
BCheck if applicable:
CName of organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
301 PROSPECT AVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SYRACUSE, NY132031899
D Employer identification number

15-0532254
E Telephone number

G Gross receipts $ 609,982,025
F Name and address of principal officer:
LOWELL A SEIFTER ESQ
301 PROSPECT AVE
SYRACUSE,NY13203
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
SJHSYR.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1895
M State of legal domicile: NY
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: RELIGIOUS & CHARITABLE, TEACHING HOSPITAL
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 18
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 11
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 4,695
6 Total number of volunteers (estimate if necessary) ............. 6 577
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 152,610
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 11,772,969 10,320,951
9 Program service revenue (Part VIII, line 2g) ......... 544,358,253 542,194,840
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,625,028 1,810,270
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 19,906,207 49,265,863
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 578,662,457 603,591,924
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 14,094 0
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) 291,022,907 307,055,709
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).... 269,629,657 293,203,335
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 560,666,658 600,259,044
19 Revenue less expenses. Subtract line 18 from line 12....... 17,995,799 3,332,880
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 625,165,669 648,957,477
21 Total liabilities (Part X, line 26)............. 397,768,725 438,829,997
22 Net assets or fund balances. Subtract line 21 from line 20..... 227,396,944 210,127,480
Part II
Signature Block
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Firm's name MediumBullet
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Cat. No. 11282Y Form 990 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: OUR MISSION: WE ARE PASSIONATE HEALERS DEDICATED TO HONORING THE SACRED IN OUR SISTERS AND BROTHERS.OUR VISION: TO BE WORLD-RENOWNED FOR PASSIONATE PATIENT CARE AND OUTSTANDING CLINICAL OUTCOMES.CORE VALUES: IN THE SPIRIT OF GOOD STEWARDSHIP, WE HEAL BY PRACTICING: COMPASSION THROUGH OUR KINDNESS, CONCERN AND GENUINE CARING; REVERENCE IN HONORING THE DIGNITY OF THE HUMAN SPIRIT; EXCELLENCE BY EXPECTING THE BEST OF OURSELVES AND OTHERS; INTEGRITY BY BEING AND SPEAKING THE TRUTH.
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 $ 128,994,887 including grants of $   ) (Revenue $ 144,301,556 )
HEART DISEASE AND STROKECARDIOVASCULAR DISEASE IS THE LEADING CAUSE OF DEATH IN THE NATION, NEW YORK STATE AND ONONDAGA COUNTY. SINCE ST. JOSEPH'S PERFORMED THE FIRST OPEN HEART SURGERY IN CENTRAL NEW YORK IN 1958, IT HAS CONTINUED TO LEAD THE WAY IN THE PREVENTION, DETECTION AND TREATMENT OF HEART DISEASE. FOR EXAMPLE:- SURGEONS PERFORM OVER 1,150 OPEN-HEART PROCEDURES.- INTERVENTIONAL CARDIOLOGISTS PERFORM NEARLY 5,100 CARDIAC CATHETERIZATIONS AND OVER 1,920 PERCUTANEOUS CORONARY INTERVENTIONS.- SPECIALISTS CONDUCT MORE THAN 555 ELECTROPHYSIOLOGY CASES, INCLUDING THREE-DIMENSIONAL MAPPINGS.- ELECTROPHYSIOLOGISTS AND SURGEONS IMPLANT APPROXIMATELY 772 CARDIAC DEFIBRILLATORS AND PACEMAKERS.ST. JOSEPH'S HOSPITAL HAS BEEN NAMED TO THE 2014 EDITION OF "100 GREAT COMMUNITY HOSPITALS," A LIST BASED ON COMMUNITY HOSPITALS' ACCOLADES, QUALITY AND SERVICE TO THEIR COMMUNITIES BY BECKER'S HOSPITAL REVIEW.ACCORDING TO THE BECKER'S HOSPITAL REVIEW ARTICLE, THE HOSPITALS THAT MADE THE LIST HAVE FEWER THAN 550 BEDS AND HAS CONTINUALLY WORKED TO PROVIDE THE QUALITY OF CARE AND THE EXPERIENCE PATIENTS DESERVE AND EXPECT.ST. JOSEPH'S HOSPITAL HEALTH CENTER HAS BEEN RANKED AS THE "BEST REGIONAL HOSPITAL" IN NEW YORK STATE BY U.S. NEWS. ST. JOSEPH'S IS THE ONLY HOSPITAL IN OUR REGION TO HAVE ACHIEVED THIS RECOGNITION.TO HELP PATIENTS MAKE SMART, WELL-INFORMED CHOICES, U.S. NEWS HAS PUBLISHED ANNUAL HOSPITAL RANKINGS FOR MORE THAN TWO AND A HALF DECADES. THE U.S. NEWS 2015-16 "BEST REGIONAL HOSPITALS" RANKINGS ARE BASED IN PART ON WHICH HOSPITALS EARNED NATIONAL RANKINGS, AS WELL AS HOW EACH HOSPITAL PERFORMED IN KEY AREAS OF COMMON CARE. ST. JOSEPH'S WAS RANKED AS A HIGH PERFORMING HOSPITAL FOR HEART BYPASS, KNEE REPLACEMENT AND HIP REPLACEMENT SURGERIES.CONSUMER REPORTS HAS RANKED ST. JOSEPH'S HOSPITAL HEALTH CENTER AMONG THE HIGHEST IN THE UNITED STATES WHEN IT COMES TO HEART SURGERY. THE RATING FOR HEART BYPASS SURGERY AND AORTIC VALVE REPLACEMENT SURGERY, PLUS THE TWO COMBINED, PUTS ST. JOSEPH'S IN A VERY ELITE CLASS - WHICH INCLUDES ONLY 15 HOSPITALS OUT OF MORE THAN 400 NATIONWIDE. THE NATIONAL RANKING ADDS TO SEVERAL OTHER RECOGNITIONS ST. JOSEPH'S HAS RECEIVED FOR ITS CARDIAC CARE SERVICES, INCLUDING HEALTHGRADES 100 BEST HOSPITALS FOR CORONARY INTERVENTION , TOP 10% IN THE NATION FOR CORONARY INTERVENTIONAL PROCEDURES, AND THE SOCIETY OF CHEST PAIN CENTER AND SOCIETY FOR THORACIC SURGEONS (THREE OUT OF THREE STAR RATED). IN ADDITION, ST. JOSEPH'S CARDIAC CARE PROGRAM IS THE AREA'S ONLY NATIONALLY CERTIFIED CARDIAC REHABILITATION PROGRAM, HAS BEEN SELECTED AS THE ONLY HOSPITAL IN CENTRAL NEW YORK TO PROVIDE TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR), AND IS THE ONLY HOSPITAL IN CNY OFFERING PPM AND ICD LEAD MANAGEMENT INCLUDING LEAD EXTRACTIONS.ST. JOSEPH'S IS FULLY ACCREDITED FOR CARDIAC CATHETERIZATION BY ACCREDITATION FOR CARDIOVASCULAR EXCELLENCE (ACE), THE FIRST HOSPITAL IN NEW YORK AND THE SECOND IN THE UNITED STATES TO ACCOMPLISH ACCREDITATION IN ALL THREE CARDIOVASCULAR QUALITY DISCIPLINES WITH THE ACE: DIAGNOSTIC CATH, PCI AND CAROTID ARTERY STENTING.THE 12TH ANNUAL HEALTHGRADES QUALITY IN AMERICA STUDY ISSUED IN OCTOBER, 2009, RANKED ST. JOSEPH'S AMONG THE TOP FIVE PERCENT IN THE NATION FOR OVERALL CARDIAC SERVICES, CARDIAC SURGERY AND CORONARY INTERVENTIONAL PROCEDURES. IN ADDITION, ST. JOSEPH'S IS A RECIPIENT OF THE FOLLOWING HEALTHGRADES:- CARDIAC CARE EXCELLENCE AWARD - FIVE YEARS IN A ROW- CORONARY INTERVENTION EXCELLENCE AWARD - FOUR YEARS IN A ROW- CARDIAC SURGERY EXCELLENCE AWARD - FOUR YEARS IN A ROWHEALTHGRADES RANKED THE HOSPITAL:- #1 IN NEW YORK STATE FOR CARDIAC SURGERY THREE YEARS IN A ROWHEALTHGRADES RATED ST. JOSEPH'S:- FIVE STARS (BEST) FOR CARDIAC SURGERY - FOUR YEARS IN A ROW- FIVE STARS (BEST) FOR CORONARY BYPASS SURGERY- FIVE STARS (BEST) FOR VALVE REPLACEMENT SURGERY - FIVE YEARS IN A ROW- FIVE STARS (BEST) FOR CORONARY INTERVENTIONAL PROCEDURES - EIGHT YEARS IN A ROW- FIVE STARS (BEST) FOR TREATMENT OF HEART ATTACKST. JOSEPH'S HOLDS RECOGNITION AS A BLUE DISTINCTION CENTER FOR CARDIAC CARE FROM EXCELLUS BLUECROSS BLUESHIELD.EKG TRANSMISSION FROM AMBULANCES: ST. JOSEPH'S EMERGENCY DEPARTMENT RECEIVES EKGS FROM AMBULANCES IN THE FIELD THAT ARE EN ROUTE TO THE HOSPITAL. THE NEW, WEB-BASED SYSTEM, CALLED LIFENET STEMI MANAGEMENT SOLUTION FROM PHYSIO-CONTROL, ALLOWS EMERGENCY MEDICAL TECHNICIANS (EMTS) TO ALERT THE ED STAFF TO INCOMING PATIENTS WITH A DANGEROUS FORM OF HEART ATTACK KNOWN AS STEMI (ST ELEVATION MYOCARDIAL INFARCTION). STEMI POSES A SERIOUS THREAT TO THE HEART MUSCLE, AND THE QUICKER PATIENTS RECEIVE TREATMENT THE MORE LIKELY THEY ARE TO HAVE A POSITIVE OUTCOME. EMTS USE THE SYSTEM TO TRANSMIT 12-LEAD EKGS FROM THE FIELD DIRECTLY TO THE ED. THIS HELPS SAVE TIME, WHICH IS THE KEY TO SAVING HEART MUSCLE.BY HAVING THE OPPORTUNITY TO READ THE EKG SOONER, THE ED PHYSICIANS CAN ACTIVATE THE AMI TEAM, THE SPECIFIC STAFF WHO CARE FOR HEART ATTACK PATIENTS, EARLIER. THIS EARLY WARNING SYSTEM PROVIDES AN ENORMOUS BENEFIT TO HEART ATTACK PATIENTS BECAUSE IT WILL RESULT IN A REDUCTION OF DOOR TO WIRE TIMES. THE TOOL IS PARTICULAR HELPFUL DURING OFF-SHIFTS AND WEEKENDS WHEN IT MAY TAKE A BIT LONGER TO CONVENE THE AMI TEAM.ACCORDING TO LOCAL AMBULANCE CORPS, THIS TECHNOLOGY IS A HUGE STEP TOWARD BETTER PATIENT CARE, PARTICULARLY FOR THOSE AMBULANCE CORPS THAT SERVE COUNTIES WITHOUT CARDIAC CATHETERIZATION LABS. OFTEN THOSE EMS PROVIDERS HAVE TO MANAGE UNSTABLE PATIENTS FOR MORE THAN 30 MILES TO DELIVER THEM TO THE LEVEL OF CARE THEY REQUIRE. THE CAPABILITY OF TRANSMITTING 12 LEAD EKGS HELPS PATIENTS GET THE CARE THEY NEED SOONER, SAVING BOTH LIVES AND HEART MUSCLE.CERTIFIED CHEST PAIN CENTER: IN 2013, ST. JOSEPH'S HOSPITAL RECEIVED CHEST PAIN CENTER ACCREDITATION FROM THE SOCIETY OF CHEST PAIN CENTERS. ST. JOSEPH'S IS THE ONLY HOSPITAL IN CENTRAL NEW YORK WITH THIS ACCREDITATION.ST. JOSEPH'S UNDERTOOK A RIGOROUS RE-EVALUATION AND REFINEMENT OF HEART CARE PROCESSES TO INTEGRATE THE INDUSTRY'S BEST PRACTICES AND NEWEST PARADIGMS INTO ITS CARDIAC CARE SERVICES. THE HOSPITAL'S STATE-OF-THE-ART CARDIOVASCULAR PROGRAM WORKS SEAMLESSLY WITH AREA EMERGENCY MEDICAL SERVICES TO ENSURE THAT PATIENTS GET THE TREATMENT THEY NEED DURING THE CRITICAL EARLY STAGES OF A HEART ATTACK.AS AN ACCREDITED CHEST PAIN CENTER, ST. JOSEPH'S ENSURES PATIENTS WHO COME TO THE HOSPITAL COMPLAINING OF CHEST PAIN OR DISCOMFORT ARE GIVEN THE IMMEDIATE TREATMENT NECESSARY TO AVOID AS MUCH HEART DAMAGE AS POSSIBLE. PROTOCOL-BASED PROCEDURES DEVELOPED BY LEADING EXPERTS IN CARDIAC CARE TO REDUCE TIME OF TREATMENT IN THE CRITICAL EARLY STAGES OF A HEART ATTACK ARE PART OF ST. JOSEPH'S OVERALL CARDIAC SERVICES.IN ADDITION TO CHEST PAIN CENTER ACCREDITATION, ST. JOSEPH'S IS THE ONLY HOSPITAL IN SYRACUSE DESIGNATED AS A MISSION LIFELINE STEMI HOSPITAL BY THE AMERICAN HEART ASSOCIATION FOR ITS SYSTEMATIC AND MULTIDISCIPLINARY APPROACH TO TREATING HEART ATTACKS.SEE CONTINUATION ON SCHEDULE O, PAGE 84
4b (Code:   ) (Expenses $ 26,572,906 including grants of $   ) (Revenue $ 16,787,083 )
MISSION SERVICES & OTHERPRIMARY CARE CENTERS & MENTAL HEALTHPRIMARY CARE CENTERSCOMMITTED TO IMPROVING ACCESS TO HEALTH CARE SERVICES FOR THOSE WHO ARE UNDERSERVED, ST. JOSEPH'S HAS ESTABLISHED PRIMARY CARE SITES IN AREAS WHERE MANY OF THESE INDIVIDUALS LIVE. THIS HELPS ADDRESS A KNOWN BARRIER, WHICH IS ACCESS TO TRANSPORTATION FOR THOSE WITHOUT INSURANCE OR WHO USE MEDICAID. WESTSIDE FAMILY HEALTH CENTER: THE WESTSIDE FAMILY HEALTH CENTER PRIMARILY SERVES PATIENTS OF ALL AGES FROM SYRACUSES NEAR WEST SIDE. THE BI-LINGUAL STAFF PROVIDES OBSTETRICS, GYNECOLOGICAL CARE, PEDIATRIC WELL AND SICK VISITS, IMMUNIZATIONS, PHYSICAL EXAMS, BLOOD DRAWS, NUTRITION AND FINANCIAL COUNSELING, AND REFERRALS TO SPECIALISTS, AS NEEDED. PHYSICIANS ARE AVAILABLE 24-HOURS-A-DAY, SEVEN-DAYS-A-WEEK. THE CENTER SAW 9,588 PATIENT VISITS IN 2014. MANY FAMILIES COME FROM CUBA, PUERTO RICO, UKRAINE, SOMALIA, SUDAN, BOSNIA AND BURMA AND 85 PERCENT OF PATIENTS ARE NON-ENGLISH SPEAKING OR HAVE LIMITED ENGLISH PROFICIENCY. THE PATIENT POPULATION IS 44 PERCENT HISPANIC, 22 PERCENT AFRICAN-AMERICAN, AND TWO PERCENT NATIVE AMERICAN. SEVENTY-THREE PERCENT OF PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY.MATERNAL CHILD HEALTH CENTER OBSTETRIC AND PEDIATRIC OFFICES: LOCATED AT 516 PROSPECT AVE.,SYRACUSE, ST. JOSEPH'S MATERNAL CHILD HEALTH CENTER SPECIALIZES IN WOMEN'S HEALTH CARE. IN ADDITION TO PHYSICIANS, A PHYSICIAN'S ASSISTANT, NURSE PRACTITIONER AND REGISTERED NURSES PROVIDE PREGNANCY CARE AND GYNECOLOGICAL SERVICES. LAB SERVICES, WIC ASSISTANCE, PCAP APPLICATIONS, FETAL TESTING AND SONOGRAMS, SOCIAL SERVICES, NUTRITIONAL COUNSELING, FINANCIAL COUNSELING AND PHLEBOTOMY ARE ALSO AVAILABLE AT THE MATERNAL CHILD HEALTH CENTER OB/GYN OFFICE. AT THE PEDIATRIC OFFICE, HEALTH AND FAMILY EDUCATION AND MENTAL HEALTH SCREENINGS ARE ALSO AVAILABLE, AS WELL AS AN INITIATIVE TO IMPROVE CHILD LITERACY THROUGH THE REACH OUT AND READ PROGRAM.THERE IS A STRONG CONNECTION BETWEEN PRE- AND POST-NATAL CARE FROM OUTPATIENT OBSTETRICS TO INPATIENT MATERNITY AND NEWBORN SERVICES AND THEN BACK TO OUTPATIENT OBSTETRICS AND PEDIATRIC SERVICES. SEVENTY-THREE PERCENT OF MCHC PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY. A LARGE PERCENTAGE OF PATIENTS ARE VIETNAMESE. THE MATERNAL CHILD HEALTH CENTER PEDIATRICS OFFICE, WHICH SAW 6,975 PATIENT VISITS IN 2014 PROVIDES PEDIATRIC SERVICES FOR PATIENTS UP TO AGE 17, WELL-CHILD VISITS, SICK VISITS, IMMUNIZATIONS, PHYSICAL EXAMS AND REFERRALS TO SPECIALISTS, AS NEEDED. NUTRITION AND FINANCIAL COUNSELING ALSO ARE AVAILABLE AND SOCIAL WORKERS ARE ON SITE.FAMILY MEDICINE CENTER: LOCATED ON THE HOSPITAL CAMPUS, ST. JOSEPH'S FAMILY MEDICINE CENTER IS AVAILABLE TO PROVIDE ALL THE HEALTH CARE NEEDS OF FAMILIES, INCLUDING PRENATAL, PEDIATRIC AND ADULT CARE. SERVICES INCLUDE 24-HOUR PHYSICIAN COVERAGE, OBSTETRICS, CARING FOR CHILDREN, WOMEN'S HEALTH, CARE OF HOSPITALIZED PATIENTS, AND OFFICE CARE FOR MOST MEDICAL PROBLEMS, AS WELL AS FAMILY THERAPY COUNSELING, MENTAL HEALTH SCREENING, LAB SERVICES, WIC ASSISTANCE, PCAP APPLICATIONS AND NUTRITIONAL, FINANCIAL AND SOCIAL WORK COUNSELING. IN 2014, THERE WERE 28,713 PATIENT VISITS, 77 PERCENT OF THE PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY. DENTAL OFFICE: ST. JOSEPH'S DENTAL OFFICE CARES FOR MANY OF THE AREA'S UNDERINSURED, AS WELL AS PATIENTS WITH MENTAL AND/OR PHYSICAL DISABILITIES. A 24-HOUR ON-CALL SYSTEM IS IN PLACE IN ALL OF ST. JOSEPH'S PRIMARY CARE SITES. THERE WERE 9,102 PATIENT VISITS IN 2014; 83 PERCENT OF THE PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY. ONE IN FIVE IS WHEELCHAIR-BOUND.IN ADDITION, THE PRIMARY CARE CENTERS INCORPORATE A DENTAL ASSESSMENT IN ALL AGE GROUPS AND IF NECESSARY, REFERRALS ARE MADE TO ST. JOSEPH'S DENTAL OFFICE. A FOUR-YEAR OLD PROGRAM TO TREAT PRENATAL PATIENTS IN THE PRIMARY CARE CENTERS HELPS TO PREVENT POOR OUTCOMES TO THE FETUS RELATED TO POOR DENTAL CARE. SPECIALTIES SERVICES: ST. JOSEPH'S TAKES REFERRALS FROM ITS EMERGENCY DEPARTMENT, PRIMARY CARE SERVICES AND PHYSICIANS THROUGHOUT THE COMMUNITY FOR ORTHOPEDICS/SPORTS MEDICINE, ALLERGY/ASTHMA SERVICES AND INFECTIOUS DISEASE. IN ADDITION, IT OPERATES A HAND CLINIC, SPINAL CLINIC AND BREAST AND SURGICAL CLINIC, WHERE CANCER SCREENINGS ARE ROUTINELY PERFORMED. SIXTY-SIX PERCENT OF THE PATIENTS SEEN IN SPECIALTIES SERVICES ARE MEDICAID, MEDICARE OR SELF-PAY. THERE WERE 2,956 PATIENT VISITS IN 2014.MENTAL HEALTH AND MENTAL DISORDERSIN RESPONSE TO A CRITICAL COMMUNITY NEED, ST. JOSEPH'S MENTAL HEALTH SERVICES PROMOTES POSITIVE MENTAL HEALTH AND ADDRESSES A BROAD RANGE OF PSYCHIATRIC ILLNESSES INCLUDING BIPOLAR DISORDER, DEPRESSION, PSYCHOTIC DISORDERS, MOOD AND ANXIETY DISORDERS, SUBSTANCE ABUSE AND ADDICTION, AND CHILD AND ADOLESCENT PSYCHIATRIC DISORDERS. EACH PATIENTS INDIVIDUAL TREATMENT NEEDS ARE RESPONDED TO WITH PLANNING FOR PATIENT-SPECIFIC CARE WHICH MAY INCLUDE INDIVIDUAL PSYCHOTHERAPY, GROUP THERAPY, FAMILY COUNSELING, INPATIENT CARE, PSYCHOPHARMACOLOGY, REHABILITATION SERVICES AND VOCATIONAL COUNSELING.WHILE OUTSTANDING SERVICES ARE GIVEN TO ALL PATIENTS, WITH NEARLY ONE QUARTER OF ITS PATIENT POPULATION 17 YEARS AND YOUNGER, PROVIDERS AT ST. JOSEPH'S WORK DILIGENTLY TO OFFER INNOVATIVE STATE-OF-THE-ART TREATMENT OPTIONS THAT ARE SUCCESSFUL WITH, AND CAPTURE THE INTEREST OF, CHILDREN. ST. JOSEPH'S MENTAL HEALTH SERVICES RECORDS OVER 78,266 OUTPATIENT VISITS AS WELL AS 1,303 ADMISSIONS INTO THE COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM EOB AND 693 PSYCHIATRIC ADMISSIONS.ST. JOSEPH'S, THE LARGEST PROVIDER OF MENTAL HEALTH SERVICES IN ONONDAGA COUNTY, HAS OFFERED COMPREHENSIVE MENTAL HEALTH CARE TO THE COMMUNITY SINCE 1947. DESIGNATED BY NEW YORK STATE AS A COMMUNITY MENTAL HEALTH CENTER SINCE 1967, ST. JOSEPH'S PROVIDES A FULL CONTINUUM OF MENTAL HEALTH SERVICES. IN ADDITION TO A 30-BED INPATIENT UNIT, ST. JOSEPH'S OFFERS OUTPATIENT PSYCHOTHERAPY, ADULT AND CHILDREN'S DAY TREATMENT PROGRAMS, REHABILITATION AND SUPPORTED EMPLOYMENT PROGRAMS, TRANSITIONAL LIVING SERVICES, ACCESS FOR THE HOMELESS AND LINK, A SCHOOL-BASED PROGRAM FOR CHILDREN AND FAMILIES. IN PARTNERSHIP WITH UNIVERSITY HOSPITAL, ST. JOSEPH'S ALSO OPERATES THE REGIONS ONLY PSYCHIATRIC EMERGENCY PROGRAM, PROVIDING COMPASSIONATE CARE FOR COMMUNITY MEMBERS DURING SOME OF THEIR MOST SERIOUS PSYCHIATRIC CRISES. THE MISSION OF ST. JOSEPH'S MENTAL HEALTH SERVICES REFLECTS A CONCERN WITH PREVENTING MENTAL ILLNESS, PROMOTING MENTAL HEALTH AND PROVIDING COMPREHENSIVE CARE FOR THOSE PERSONS SUFFERING FROM MENTAL DISORDERS. MENTAL HEALTH SERVICES PLACES EMPHASIS ON CONSIDERATION OF BIOLOGICAL, CULTURAL, ETHNIC, FAMILY AND SOCIAL ENVIRONMENT IN TREATING PATIENTS, AS WELL AS THE BELIEF THAT COMPREHENSIVE AND APPROPRIATE TREATMENT CAN BEST BE IMPLEMENTED AT THE LEAST RESTRICTIVE LEVEL OF CARE THAT IS THERAPEUTICALLY ADVISABLE. ADEQUATE CARE OF THE MENTALLY ILL HAS BECOME AN URGENT NEED IN THE CENTRAL NEW YORK COMMUNITY, AND ST. JOSEPH'S CONTINUES TO FIND WAYS TO PROVIDE GREATER ACCESS TO MENTAL HEALTH CARE FOR THOSE IN NEED.ST. JOSEPH'S MENTAL HEALTH SERVICES AND CPEP PARTNER WITH A VARIETY OF LOCAL ORGANIZATIONS, INCLUDING SUNY UPSTATE DEPARTMENT OF PSYCHIATRY, ONONDAGA COUNTY DEPARTMENT OF MENTAL HEALTH, SOCIAL SERVICES AND PROBATION, ONONDAGA CASE MANAGEMENT SERVICES, INC., UNITED WAY OF CENTRAL NY, ONONDAGA WRAPAROUND, THE SYRACUSE RESCUE MISSION, SALVATION ARMY, EMERGENCY SHELTER BARNABAS HOUSE, STATE STREET APARTMENTS BOOTH HOUSE, LOCAL LAW ENFORCEMENT, UNIVERSITY HOSPITAL, ONONDAGA CASE MANAGEMENT SERVICES, INC., FAMILY TAPESTRY, ELMCREST CHILDREN'S CENTER, HILLSIDE CHILDREN'S CENTER, LIBERTY RESOURCES, INC., CENTRAL NEW YORK SERVICES, INC., NORTH SYRACUSE SCHOOL DISTRICT, EAST-SYRACUSE MINOA SCHOOL DISTRICT AND THE SYRACUSE BEHAVIORAL HEALTH CENTER.PROGRAMS:- ADULT OUTPATIENT AND CHILDREN AND YOUTH OUTPATIENT CLINICS- COMPREHENSIVE HOMELESS ACCESS TO NONTRADITIONAL CLINICAL EXPERIENCES (CHANCE)- PERSONALIZED RECOVERY ORIENTED SERVICES (PROS)- INNOVATIONS IN VOCATIONAL SUPPORT ASSISTED COMPETITIVE EMPLOYMENT (ACE PROJECT) - NEW CONNECTIONS CLUBHOUSE- PSYCHIATRIC HOME CARE SERVICES- RESIDENTIAL SERVICES PROGRAM- ST. JOSEPH'S VOCATIONAL SERVICES- VOLUNTEER PROGRAM FOR SYRACUSE BEHAVIORAL HEALTH CLIENTS- LEADING, INTEGRATING, NETWORKING FOR KIDS (LINK)- COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP)- CPEP MOBILE CRISIS OUTREACH PROGRAM- CHILDREN'S HEALTH INNOVATION PROJECT (CHIP)- CPEP FACILITY EXPANSION AND RE-LOCATION- DOCTORS ACROSS NEW YORK PHYSICIAN LOAN REPAYMENT PROGRAM
4c (Code:   ) (Expenses $ 20,393,601 including grants of $   ) (Revenue $ 20,311,633 )
HOME CAREST. JOSEPH'S CERTIFIED HOME HEALTH CARE AGENCY: THE ST. JOSEPH'S HOSPITAL HEALTH CENTER NETWORK OFFERS IN-HOME SERVICES TO A DIVERSE POPULATION THROUGH ITS AFFILIATE ORGANIZATION, FRANCISCAN HEALTH SUPPORT, AND THE HOSPITAL-OWNED ST. JOSEPH'S CERTIFIED HOME HEALTH CARE AGENCY. HOME CARE HELPS PATIENTS TRANSITION FROM HOSPITAL TO HOME AND SUPPORTS PEOPLE WHO ARE AT HOME BY PROVIDING SERVICES THEY NEED TO AVOID READMISSION TO THE HOSPITAL OR A NURSING HOME. THE TWO AGENCIES CONDUCTED NEARLY 202,674 HOME VISITS LAST YEAR, HELPING MANY IN CENTRAL NEW YORK TO REMAIN IN THE COMFORT OF THEIR OWN HOMES. OUR CERTIFIED HOME HEALTH CARE AGENCY IS RANKED AMONG THE TOP 100 HOME CARE AGENCIES IN THE NATION AND PROVIDES SUCH SERVICES AS SKILLED NURSING; PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY; HOME HEALTH AIDE AND PERSONAL CARE SERVICES; SOCIAL SERVICES; AND NUTRITIONAL CARE. FRANCISCAN HEALTH SUPPORT OFFERS HOME HEALTH AIDE AND PERSONAL CARE SERVICES, SKILLED NURSING, AND MEDICAL EQUIPMENT.TOGETHER, THE TWO AGENCIES COMBINE FORCES TO PROVIDE THE BEST POSSIBLE CARE TO THOSE THEY SERVE, OFTEN THOSE IN THE COMMUNITY WHO ARE MOST AT NEED, INCLUDING THE ELDERLY, HOMEBOUND, ACUTELY ILL, OR DYING.THE NEED FOR HOME CARE SERVICES IN THE COMMUNITY HAS INCREASED GREATLY DUE TO THE EXPANDING ELDERLY POPULATION, THE EVER-SHORTENING HOSPITAL STAY, AND NURSING HOME DIVERSION INITIATIVES AND OUR AGENCIES CONTINUE TO INCREASE EFFORTS TO MEET THIS DEMAND AND THE NEEDS OF THE COMMUNITY.
(Code:   ) (Expenses $ 321,818,480 including grants of $   ) (Revenue $ 409,745,596 )
4d Other program services (Describe in Schedule O.)
(Expenses $ 321,818,480 including grants of $   ) (Revenue $ 409,745,596 )
4e Total program service expensesMediumBullet497,779,874
Form 990 (2014)
Form 990 (2014)
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 IClick to see attachment..........
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 IIIClick to see attachment............................
5
 
No
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 IClick to see attachment........................
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 IIClick to see attachment...
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 Click to see attachment....................
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 IVClick to see attachment..............
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 VClick to see attachment......
10
Yes
 
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.Click to see attachment...................
11a
Yes
 
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 VIIClick to see attachment.......
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 VIIIClick to see attachment.......
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 Click to see attachment.................
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 other assistance to or for any foreign organization? 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 other assistance to or for foreign individuals? 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 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals 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 25a................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
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
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I.... Click to see attachment
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................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................ Click to see attachment
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......... Click to see attachment
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 .......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
Yes
 
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..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M............. Click to see attachment
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......................
32
 
No
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........ Click to see attachment
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
 
No
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...
35b
 
 
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............. Click to see attachment
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 VIClick to see attachment
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 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
418
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
Yes
 
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
4,695
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” to line 3b, 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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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 (2014)
Form 990 (2014)
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 or note to any line 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
18
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
11
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
Yes
 
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
Yes
 
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
Yes
 
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
Yes
 
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
Yes
 
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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletMEREDITH PRICE

301 PROSPECT AVE
SYRACUSE,NY132031899 (315) 703-2208
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) PAWAN RAO MD........................................................................
BOARD TRUSTEE
 10.00
.......................   		X           0 0 0
(2) WILLIAM ROBERTS MD........................................................................
BOARD TRUSTEE
 10.00
.......................   		X           0 0 0
(3) GEORGE DEPTULA ESQ........................................................................
BOARD TRUSTEE - CHAIR
 10.00
.......................1.00 		X   X       0 0 0
(4) JOHN MURPHY III........................................................................
BOARD TRUSTEE
 10.00
.......................   		X           0 0 0
(5) GINA MYERS PHD........................................................................
BOARD TRUSTEE
 10.00
.......................   		X           0 0 0
(6) VINCENT P SWEENEY........................................................................
BOARD TRUSTEE
 10.00
.......................   		X           0 0 0
(7) CHARLES ZIMMERMAN........................................................................
BOARD TRUSTEE
 10.00
.......................   		X           0 0 0
(8) SR MARY OBRIST........................................................................
BOARD TRUSTEE - SECRETARY
 10.00
.......................16.00 		X   X       0 0 0
(9) LUCINDA DRESCHER........................................................................
BOARD TRUSTEE
 10.00
.......................   		X           0 0 0
(10) SHARON MCAULIFFE ESQ........................................................................
BOARD TRUSTEE
 10.00
.......................   		X           0 0 0
(11) KATHRYN RUSCITTO........................................................................
BOARD TRUSTEE - PRESIDENT, CEO
 40.00
.......................16.00 		X   X       886,535 0 30,866
(12) SANDRA SULIK MD........................................................................
BOARD TRUSTEE- VP, CHIEF MEDICAL OFFICER
 40.00
.......................5.00 		X           363,318 0 9,533
(13) WILLIAM FISHER........................................................................
BOARD TRUSTEE
 10.00
.......................   		X           0 0 0
(14) RICHARD WALDMAN MD........................................................................
BOARD TRUSTEE
 10.00
.......................   		X           0 0 0
(15) MERRIETTE POLLARD........................................................................
BOARD TRUSTEE
 10.00
.......................   		X           0 0 0
(16) JOHN MARSHALL CPA........................................................................
BOARD TRUSTEE
 10.00
.......................   		X           0 0 0
(17) PAUL TREMONT........................................................................
BOARD TRUSTEE
 10.00
.......................   		X           0 0 0
Form 990 (2014)
Form 990 (2014)
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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) DANIELLE CUMMINGS- LIASION........................................................................
BOARD TRUSTEE
 10.00
.......................   		X           0 0 0
(19) SANTO DIFINO MD........................................................................
BOARD TRUSTEE
 10.00
.......................   		X           0 0 0
(20) ANNE MARIE CZYZ........................................................................
VICE PRESIDENT, CHIEF NURS
 40.00
.......................   		      X     362,665 0 18,477
(21) FRANK SMITH JR........................................................................
VICE PRESIDENT- SPECIAL PROGRAMS
 40.00
.......................1.00 		      X     361,223 0 23,999
(22) MARY W BROWN........................................................................
SENIOR VICE PRESIDENT, COO
 40.00
.......................   		      X     413,072 0 16,002
(23) CHARLES J FENNELL........................................................................
VICE PRESIDENT, CHIEF INFORMATION OFFICER
 40.00
.......................   		      X     264,995 0 23,335
(24) JOSEPH A SCICCHITANO........................................................................
VICE PRESIDENT- SUPPORT SERVICES
 40.00
.......................1.00 		      X     227,022 0 7,655
(25) MARK E MURPHY........................................................................
VICE PRESIDENT - CARE MGMT
 40.00
.......................   		      X     328,374 0 20,187
(26) FREDERICK LETOURNEAU........................................................................
VICE PRESIDENT - PHYSICIAN ENTERPRISE
 40.00
.......................5.00 		      X     385,261 0 23,923
(27) DEBORAH WELCH........................................................................
VICE PRESIDENT - CARE MANAGEMENT
 40.00
.......................   		      X     200,405 0 18,931
(28) LOWELL A SEIFTER JD........................................................................
SENIOR VICE PRESIDENT, GENERAL COUNSEL
 40.00
.......................   		      X     358,568 0 16,961
(29) DOUGLAS SMITH........................................................................
VICE PRESIDENT FOR DEVELOPMENT
 40.00
.......................   		      X     249,549 0 17,226
(30) SALLIE BIITTNER........................................................................
VP FOR HUMAN RESOURCES
 40.00
.......................   		      X     208,678 0 0
(31) MEREDITH PRICE........................................................................
VICE PRESIDENT, CFO
 40.00
.......................6.00 		      X     379,768 0 18,618
(32) ALFREDO LOPEZ MD........................................................................
PHYSICIAN
 40.00
.......................   		        X   271,502 0 13,108
(33) KWAME ADUSEI MD........................................................................
PHYSICIAN
 40.00
.......................   		        X   447,081 0 16,561
(34) CHAUDHURY DAVULURI MD........................................................................
PHYSICIAN
 40.00
.......................   		        X   358,421 0 17,799
(35) AFSHAN ASHFAQ MD........................................................................
PHYSICIAN
 40.00
.......................   		        X   393,687 0 15,126
(36) DIWAKAR LINGAM MD........................................................................
PHYSICIAN
 40.00
.......................   		        X   292,769 0 15,531
(37) THEODORE PASINSKI........................................................................
FORMER PRESIDENT & CEO
 25.00
.......................   		          X 196,237 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 6,949,130 0 323,838
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet335
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
 
No
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
THE HAYNER HOYT CORPORATION

625 ERIE BLVD WEST
SYRACUSE,NY13204 		CONSTRUCTION 22,758,718
BETTE & CRING LLC

22 CENTURY HILL DRIVE SUITE 201
LATHAM,NY12110 		CONSTRUCTION 5,289,453
GRANT THORNTON

175 W JACKSON BLVD 20TH FLOOR
CHICAGO,IL60604 		CONSULTANT 2,215,657
SJ THOMAS CO INC

140 BARTRAM AVE
LANSDOWNE,PA19050 		CONTRACTOR 1,699,291
TEK SYSTEMS

10 TENTH STREET NE SUITE 300
ATLANTA,GA30309 		CONSULTANT 1,632,687
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet22
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 2,541,042
e Government grants (contributions)1e 7,779,909
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		199,800
h Total. Add lines 1a-1f.......MediumBullet 10,320,951
Program Service RevenueAmt Business Code
2a PATIENT SERVICE REVENUE 621990 542,194,840 542,194,840    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 542,194,840
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 1,815,959     1,815,959
4 Income from investment of tax-exempt bond proceeds..MediumBullet 3,031     3,031
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 264,442  
b Less: rental expenses 102,217  
c Rental income or (loss) 162,225  
d Net rental income or (loss).......MediumBullet 162,225     162,225
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 4,212,207 2,066,957
b Less: cost or other basis and sales expenses 4,191,449 2,096,435
c Gain or (loss) 20,758 -29,478
d Net gain or (loss)..........MediumBullet -8,720     -8,720
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      
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        
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        
Miscellaneous Revenue Business Code
11a INTERCOMPANY REIMBURSEMENT REVENU 900099 27,523,566 27,523,566    
b OTHER EXEMPT OPERATING INCOME 900099 12,776,340 12,776,340    
c INCOME FROM JOINT VENTURES 621500 5,286,867 5,134,257 152,610  
d All other revenue .... 3,516,865 3,516,865    
e Total. Add lines 11a–11d ...... MediumBullet 49,103,638
12 Total revenue. See Instructions......MediumBullet 603,591,924 591,145,868 152,610 1,972,495
Form 990 (2014)
Form 990 (2014)
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 or note to any line 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 domestic organizations and domestic governments. See Part IV, line 21 ....    
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ....    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............    
4 Benefits paid to or for members ....    
5 Compensation of current officers, directors, trustees, and key employees .... 5,235,146 2,047,303 3,187,843  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages .... 237,540,419 196,524,278 41,016,141  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 7,738,314 7,159,410 578,904  
9 Other employee benefits ....... 39,256,827 29,623,749 9,633,078  
10 Payroll taxes ........... 17,285,003 14,488,405 2,796,598  
11 Fees for services (non-employees):        
a Management ...... 6,439,677 1,229,868 5,209,809  
b Legal ......... 1,251,752 224,424 1,027,328  
c Accounting ........... 441,034   441,034  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 67,159,747 55,651,364 11,508,383  
12 Advertising and promotion .... 1,804,965 412,965 1,392,000  
13 Office expenses ....... 1,955,411 947,819 1,007,592  
14 Information technology ...... 6,450,016 5,327,726 1,122,290  
15 Royalties ..        
16 Occupancy ........... 13,816,088 12,563,761 1,252,327  
17 Travel ............ 901,916 745,307 156,609  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 705,143 452,106 253,037  
20 Interest ........... 10,046,771   10,046,771  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 32,852,476 27,136,211 5,716,265  
23 Insurance .............. 1,655,310 1,469,152 186,158  
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 SUPPLY EXPENSE 123,845,504 119,596,831 4,248,673  
b BAD DEBT EXPENSE 16,768,383 16,768,383    
c OTHER EXPENSES 5,209,487 3,511,157 1,698,330  
d NYS ASSESSMENT 1,899,655 1,899,655    
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 600,259,044 497,779,874 102,479,170 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).        
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 569,741 1 5,043,418
2 Savings and temporary cash investments ......... 39,548,224 2 34,795,603
3 Pledges and grants receivable, net ........... 5,790,502 3 5,653,388
4 Accounts receivable, net ............. 91,635,055 4 84,327,477
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  
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  
7 Notes and loans receivable, net ............. 3,399,014 7 2,895,728
8 Inventories for sale or use .............. 5,940,143 8 6,351,919
9 Prepaid expenses and deferred charges .......... 5,159,242 9 5,236,301
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 654,134,523
b Less: accumulated depreciation ..... 10b 288,747,420 342,980,316 10c 365,387,103
11 Investments—publicly traded securities .......... 89,691,771 11 93,869,165
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 40,451,661 15 45,397,375
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 625,165,669 16 648,957,477
Liabilities 17 Accounts payable and accrued expenses ......... 95,863,211 17 86,901,006
18 Grants payable .................   18  
19 Deferred revenue ................   19  
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  
23 Secured mortgages and notes payable to unrelated third parties .. 238,688,031 23 285,120,932
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.................... 63,217,483 25 66,808,059
26 Total liabilities. Add lines 17 through 25......... 397,768,725 26 438,829,997
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 .............. 214,368,868 27 196,514,811
28 Temporarily restricted net assets ........... 9,905,237 28 10,380,959
29 Permanently restricted net assets ........... 3,122,839 29 3,231,710
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 ........... 227,396,944 33 210,127,480
34 Total liabilities and net assets/fund balances ........ 625,165,669 34 648,957,477
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
603,591,924
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
600,259,044
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
3,332,880
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
227,396,944
5
Net unrealized gains (losses) on investments ...............
5
5,271,800
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
-25,874,144
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
210,127,480
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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
Yes
 
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
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID:  
Software Version:  
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 Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
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
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
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 listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) 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.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (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.  
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 section 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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) 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.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (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.)..            
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
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)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
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.		  
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  
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.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
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 its Form 990PF, Part I, line 2, 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 2
Name of organization
ST JOSEPHS HOSPITAL HEALTH CENTER
  		Employer identification number

15-0532254
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


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 3
Name of organization
ST JOSEPHS HOSPITAL HEALTH CENTER
  		Employer identification number

15-0532254
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
ST JOSEPHS HOSPITAL HEALTH CENTER
  		Employer identification number

15-0532254
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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) (2014)

Additional Data


Software ID:  
Software Version:  
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 Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
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) 2014

Schedule C (Form 990 or 990-EZ) 2014
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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2011 (b) 2012 (c) 2013 (d) 2014 (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) 2014


Schedule C (Form 990 or 990-EZ) 2014
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
 
65,478
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? ..........................
Yes
 
30,138
j
Total. Add lines 1c through 1i ...............................
95,616
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
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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: LINE 1(F), GRANTS FOR LOBBYING PURPOSES DUES PAID HANYS - $29,950,IROQUOIS HEALTHCARE ALLIANCE - $15,531, AND AHA - $19,997 LINE 1(I), OTHER ACTIVITIES BROWN & WEINRAUB PLLC- $30,138
Schedule C (Form 990 or 990EZ) 2014

Additional Data


Software ID:  
Software Version:  

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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
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 value of contributions to (during year)    
3 Aggregate value of 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)
Revenue 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
Revenue 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) 2014

Schedule D (Form 990) 2014
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, for escrow or custodial account liability?
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 .... 13,028,076 16,045,585 13,325,942 15,859,880 9,069,023
b Contributions ........ 3,986,922 724,983 2,422,941 6,558,936 10,459,844
c Net investment earnings, gains, and losses 223,532 625,008 536,966 78,557 326,334
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		3,625,861 4,367,500 240,264 9,171,431 3,995,321
f Administrative expenses ....          
g End of year balance ...... 13,612,669 13,028,076 16,045,585 13,325,942 15,859,880
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 Bullet23.740 %
c
Temporarily restricted endowment SchDMd Bullet76.260 %
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)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. 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 .................   3,965,520 3,965,520
b Buildings ................   397,330,559 117,313,655 280,016,904
c Leasehold improvements ............   8,916,407 3,759,955 5,156,452
d Equipment ................   232,808,822 164,840,720 67,968,102
e Other .................   11,113,215 2,833,090 8,280,125
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 365,387,103
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE FROM SJLS 1,218,172
(2) DUE FROM SJHHC FOUNDATION 48,066
(3) DUE FROM FRANCISCAN MGT/HEALTH SUPPORT SERVICES-NET 987,800
(4) UNAMORTIZED DEBT/PENSION COSTS 1,620,431
(5) DUE FROM AFFILIATE-MDR/MRI 63,454
(6) DUE FROM AFFILIATE-LACNY 5,462,533
(7) EQUITY INTEREST IN NET ASSETS OF SJHHC FOUNDATION 21,826,460
(8) RESTRICTED ASSETS 164,264
(9) DUE FROM LIVERPOOL DIALYSIS 116,000
(10) BOND INTEREST CAP PREMIUM 86,883
(11) TELP INTEREST AMORTIZATION 19,155
(12) DUE FROM IROQUOIS/ROSEWOOD 300,479
(13) DUE FROM LORETTO 687,500
(14) DUE FROM ST. ELIZABETH 35,140
(15) 2012 BONDS - DEFERRED FINANCING 3,526,046
(16) DUE TO/FROM SJPE 571,200
(17) ST DEBT SERVICE RESERVE - 2012 6,605,000
(18) SJLS ACCRUAL -600,000
(19) LEWIS COUNTY HOSPITAL AR 8,000
(20) DEFERRED FINANCING COSTS- 2014 BONDS 2,650,476
(21) ST. JOSEPH'S IMAGING 316
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 45,397,375
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
ACCRUED POST RETIRE HEALTH BENEFITS-LT 21,747,756
ACCRUED WORKERS COMP 10,601,835
PENSION PLAN LIABILITY 12,842,779
SJHHC PROPERTIES 6,378,233
MALPRACTICE LIABILITY 8,710,726
457B PLAN LIABILITY 3,461,015
973 JAMES STREET SALE 2,399,815
THIRD PARTY PAYOR 665,900

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 66,808,059
2. Liability for uncertain tax positions. 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) 2014

Schedule D (Form 990) 2014
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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
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.
Return Reference Explanation
PART V, LINE 4: ENDOWMENTS ARE INTENDED TO SUPPORT HOSPITAL MISSION SERVICES, EDUCATION, AND TECHNOLOGY ADVANCEMENTS.
PART X, LINE 2: THE HOSPITAL, SJPHPC AND SJMPC ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. SJPHPC AND SJMPC ARE SUBJECT TO STATE INCOME TAXES. SJM AND SJLS ARE TREATED AS PARTNERSHIPS FOR INCOME TAX PURPOSES. ACCORDINGLY, INCOME OF SJM AND SJLS, IF ANY, IS PASSED THROUGH TO ITS MEMBERS FOR INCLUSION IN THEIR RESPECTIVE TAX RETURNS. THE ALLOCATION OF INCOME FROM SJM AND SJLS IS CONSIDERED TO BE EXEMPT-PURPOSE INCOME TO THE HOSPITAL. SJPE IS A FOR-PROFIT ENTITY SUBJECT TO FEDERAL AND STATE INCOME TAXES. AS OF DECEMBER 31, 2014 AND 2013, THE HEALTH CENTER DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2011 THROUGH 2014.
Schedule D (Form 990) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
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
Yes
 
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
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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) .. 		    6,813,687   6,813,687 1.170 %
b Medicaid (from Worksheet 3,
column a) .... 		    91,117,044 64,588,744 26,528,300 4.550 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    97,930,731 64,588,744 33,341,987 5.720 %
Other Benefits
     11,243,290 5,746,382 5,496,908 0.940 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    19,951,648 10,142,043 9,809,605 1.680 %
g Subsidized health services
(from Worksheet 6) .. 		    4,382,337 1,944,699 2,437,638 0.420 %
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    3,300   3,300 0 %
j Total. Other Benefits ..     35,580,575 17,833,124 17,747,451 3.040 %
k Total. Add lines 7d and 7j .     133,511,306 82,421,868 51,089,438 8.760 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development     1,257   1,257 0 %
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members     26,631   26,631 0 %
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     5,000   5,000 0 %
9 Other            
10 Total     32,888   32,888  
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
16,768,384
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
 
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
137,345,048
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
156,373,720
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-19,028,672
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 %
11 LABORATORY ALLIANCE OF CNY
  		LABORATORY SERVICES 33.330 % 0 % 0 %
22 MDR
  		MRI SERVICES 40.000 % 0 % 60.000 %
33 SJLS
  		DIALYSIS SERVICES 51.000 % 0 % 49.000 %
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVE
SYRACUSE,NY13203 		X X   X     X   HOME CARE AGENCY, OP PRIMARY CARE AND OP MENTAL HEALTH SERVICES  
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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'S HOSPITAL HEALTH CENTER INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.SJHSYR.ORG
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

ST JOSEPH'S HOSPITAL HEALTH CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

ST JOSEPH'S HOSPITAL HEALTH CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ................................ 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 5: ST. JOSEPH'S CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2012 THROUGH 2013, IN COLLABORATION WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT, UPSTATE UNIVERSITY HOSPITAL AND CROUSE HOSPITAL. IN ADDITION, THE LERNER CENTER FOR PUBLIC HEALTH PROMOTION AT THE MAXWELL SCHOOL FOR CITIZENSHIP AND PUBLIC AFFAIRS AT SYRACUSE UNIVERSITY FACILITATED COMMUNITY FORUMS IN COLLABORATION WITH THE ONONDAGA COUNTY ADVISORY BOARD OF HEALTH, THE SYRACUSE CITY SCHOOLS, AND SAY YES TO EDUCATION. THE ASSESSMENT PROCESS WAS ALSO INCLUSIVE OF FEEDBACK FROM THE FOLLOWING STAKEHOLDER GROUPS: CATHOLIC CHARITIES OF ONONDAGA COUNTY; THURSDAY MORNING ROUNDTABLE MEETING - STATE OF ONONDAGA COUNTY HEALTH; ONONDAGA COUNTY MEDICAL SOCIETY; NYS HEALTH ADVISORY BOARD; FOCUS ACADEMY; COMMUNITY PHYSICIANS; PATIENTS; NEIGHBORHOOD RESIDENTS AND LOCAL BUSINESS, RELIGIOUS AND POLITICAL LEADERS.
ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 6A: UPSTATE UNIVERSITY HOSPITAL AND CROUSE HOSPITAL
ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 7D: THE CHNA WAS AVAILABLE TO BE MAILED OUT BY REQUEST FREE OF CHARGE.
ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 11: THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF PREVENTING CHRONIC DISEASE:A.) A DIABETES EDUCATION INITIATIVE HAS BEEN IMPLEMENTED AT PRIMARY CARE CENTER - WEST, TARGETING THE POOR AND UNDERSERVED. PATIENTS ARE PROVIDED COUNSELING BY A DIETITIAN WITH GUIDANCE ON MANAGING DIABETES AND OTHER CHRONIC CONDITIONS. B.) UNDER THE GUIDANCE OF A ST. JOSEPH'S DIETITIAN, "PRE-DIABETIC" PATIENTS WERE ENROLLED IN A DIABETES EDUCATION GROUP WITH THE YMCA, WITH THE GOAL OF PROMOTING WEIGHT LOSS.C.) TO IMPROVE HEALTH OUTCOMES FOR ADULTS WITH TWO OR MORE CHRONIC CONDITIONS IN ONONDAGA COUNTY, ST. JOSEPH'S INVESTED SIGNIFICANT TIME AND RESOURCES IN BECOMING THE LEAD HEALTH HOME PROGRAM IN ONONDAGA COUNTY. THROUGH THE HEALTH HOME PROGRAM, MEDICAID PATIENTS IN THE COMMUNITY WITH 2+ CHRONIC CONDITIONS ARE PROVIDED CASE MANAGEMENT SERVICES TO ENSURE THAT THE SUPPORT SERVICES REQUIRED TO KEEP COMMUNITY MEMBERS HEALTHY ARE IN PLACE AND ACCESSIBLE TO OUR COMMUNITY'S MOST VULNERABLE.D.) TO PREVENT CHRONIC DISEASE, AN ADDITIONAL FOCUS IS THE IMPROVEMENT OF ACCESS TO PRIMARY CARE. ST. JOSEPH'S HAS IMPLEMENTED A PATIENT NAVIGATOR PROGRAM IN THE EMERGENCY DEPARTMENT AND AT PRIMARY CARE CENTERS, TO ASSIST VULNERABLE COMMUNITY MEMBERS/PATIENTS WITH ACCESSING APPROPRIATE CARE AND TRANSITIONING BETWEEN CARE SETTINGS. AT THIS TIME THE NAVIGATOR PROGRAM IS FULLY FUNCTIONAL.E.) TO PREVENT CHRONIC DISEASE, ST. JOSEPH'S ALSO TARGETED THE IMPROVEMENT OF ACCESS TO DENTAL CARE IN OUR COMMUNITY. TO DO THIS, A GRANT HAS BEEN SUBMITTED FOR A MOBILE DENTAL CLINIC, WHICH, ONCE OPERATIONALIZED, WILL BE STATIONED WITHIN UNDERSERVED NEIGHBORHOODS IN ONONDAGA COUNTY. TO-DATE THE CLINIC PLAN IS UNDER REVIEW FOR APPROVAL BY THE NYS DOH PRIOR TO LAUNCH OF THE PROGRAM.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF REDUCING OBESITY IN CHILDREN AND ADULTS:A.) ST. JOSEPH'S HAS COMMITTED TO THE IMPLEMENTATION OF THE HEALTHY SHOPPER REWARDS PROGRAM IN COLLABORATION WITH THE LERNER CENTER OF SYRACUSE UNIVERSITY; NOJAIM'S SUPERMARKET; AND THE NEAR WESTSIDE INITIATIVE. THE PROGRAM WILL ULTIMATELY OFFER SHOPPERS IN THIS UNDERSERVED NEIGHBORHOOD THE OPPORTUNITY TO ACCESS INCENTIVES FOR PURCHASING NUTRITIOUS FOOD, AS DEEMED SO BY THE NUVAL FOOD SCORING/LABELING SYSTEM. AT THIS TIME, THE REWARDS PROGRAM IS READY TO BE LAUNCHED, AND CLINICIANS AT PRIMARY CARE CENTER - WES HAVE BEEN TRAINED IN HOW TO USE THE NUVAL WEBSITE AS A TOOL FOR PATIENT COUNSELING.THE ULTIMATE GOAL OF THIS PROGRAM IS TO INTEGRATE, WITH CONSENT, INDIVIDUAL PURCHASING DATA INTO THE MEDICAL RECORD, TO PROVIDE A COMPREHENSIVE APPROACH TO REDUCING OBESITY THROUGH THE IMPROVEMENT OF NUTRITIONAL HABITS. B.) THROUGH A NORTH SIDE COMMUNITY HEALTH IMPROVEMENT PROJECT, ST. JOSPEH'S HAS DONATED FRUITS AND VEGETABLES REGULARLY TO A FOOD PANTRY SERVING SOME OF THE CITY'S MOST VULNERABLE RESIDENTS. IN ADDITION, ST. JOSEPH'S OFFERED A HEALTHY COOKING DEMONSTRATION FOR PANTRY CLIENTS, UTILIZING INGREDIENTS AVAILABLE WITHIN THE PANTRY.C.) TO FURTHER ADDRESS OBESITY, ST. JOSEPH'S HAS ALTERED THE CAFETERIA MENU TO OFFER HEALTHIER FOOD OPTIONS IN THE WORKPLACE. SEVERAL MENU CHANGES HAVE BEEN IMPLEMENTED RESULTING IN AN INCREASED PERCENTAGE OF "HEALTHY" MEALS OPTIONS CONSUMED BY STAFF. FURTHER DEVELOPMENT OF THIS INITIATIVE IS FOCUSED ON THE IMPLEMENTATION OF POLICIES THAT SUPPORT USE OF HEALTHY FOODS IN CAFETERIA/PATIENT ROOM SERVICE MENU.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF REDUCING ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE AND SECONDHAND SMOKE EXPOSURE:A.) THROUGH ITS TOBACCO CESSATION CENTER, ST. JOSEPH'S HAS FOCUSED ON DECREASING THE PREVALENCE OF CIGARETTE USE AND DECREASING THE EXPOSURE TO SMOKE AND OTHER SECONDHAND PRODUCTS BY PROVIDING TRAINING TO LOCAL CLINICIANS. PLANS ARE ALSO IN PLACE TO FURTHER STREAMLINE COMMUNICATIONS/REFERRALS BETWEEN PROVIDERS AND THE CESSATION CENTER TO ENSURE INCREASED COMPLIANCE WITH PATIENT FOLLOW-UP.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF PROMOTING MENTAL HEALTH AND PREVENTING SUBSTANCE ABUSE:A.) TO DECREASE THE INCIDENCE OF NEONATAL ABSTINENCE SYNDROME, A RECOMMENDED EDUCATION PROGRAM (SBIRT) HAS BEEN IDENTIFIED THROUGH A COMMUNITY COLLABORATIVE ADDRESSING NEONATAL ABSTINENCE. SEVERAL PROVIDERS HAVE BEEN EDUCATED ON THE PROGRAM'S BEST PRACTICES, AND ADDITIONAL EDUCATION IS PLANNED.B.) TO PROMOTE MENTAL, EMOTIONAL AND BEHAVIORAL WELL-BEING THROUGH THE EARLY DETECTION OF BEHAVIORAL HEALTH ISSUES, A BEHAVIORAL HEALTH SCREEN HAS BEEN INCORPORATED INTO PRIMARY CARE CLINIC VISIT PROTOCOL. PROVIDERS AND NURSES HAVE BEEN TRAINED, AND THE PROTOCOL IS FULLY OPERATIONAL.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF PROMOTING A HEALTHY AND SAFE ENVIRONMENT:A.) TO REDUCE FALL RISKS AMONG VULNERABLE POPULATIONS, ST. JOSEPH'S HAS HOSTED A COMMUNITY FALLS DAY OPEN TO ALL COMMUNITY MEMBERS, PROVIDING EDUCATION ON THE PREVENTION OF FALLS. IN ADDITION, PLANS ARE UNDERWAY TO PROVIDE EDUCATION TO COMMUNITY PROVIDERS, AND TO PROVIDE A TOOLKIT FOR VULNERABLE PERSONS.PRIORITIES NOT ADDRESSED:IT WAS DETERMINED THAT TO BE MOST EFFECTIVE IN THE IMPROVEMENT OF COMMUNITY HEALTH, WE SHOULD ALIGN AND FOCUS OUR RESOURCES CONSISTENT WITH ST. JOSEPH'S ORGANIZATIONAL STRENGTHS, DIRECTION AND MISSION. WHILE ST. JOSEPH'S HOSPITAL HEALTH CENTER ACKNOWLEDGES THAT THE IMPLEMENTATION STRATEGY PLAN DOES NOT ADDRESS ALL THE COMMUNITY HEALTH NEEDS IDENTIFIED, WE BELIEVE THE FOCUS AREAS SELECTED IN THIS PLAN WILL INDIRECTLY HAVE A POSITIVE IMPACT ON OTHER ITEMS REFLECTED IN THE CHNA.
ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 22D: INPATIENT CLAIMS WILL BE ADJUSTED TO THE MEDICARE RATE BEFORE THE FA DISCOUNT IS APPLIED. OUTPATIENT CLAIMS WILL BE DISCOUNTED 50% BEFORE FA DISCOUNT IS APPLIED.
PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 16A WEBSITE: WWW.SJHSYR.ORG
ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 16C WEBSITE: WWW.SJHSYR.ORG
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section D. 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?8
Name and address Type of Facility (describe)
1 ST JOSEPH'S HOME HEALTH CARE
7246 JANUS PARK DRIVE
LIVERPOOL,NY13088 		HOME HEALTH CARE SERVICES
2 LABORATORY ALLIANCE OF CENTRAL NEW YORK
1304 BUCKLEY ROAD
SYRACUSE,NY13212 		CLINICAL AND ANATOMIC PATHOLOGY TESTING
3 REGIONAL DIALYSIS CENTER
973 JAMES STREET
SYRACUSE,NY13203 		HEMODIALYSIS AND PERITONEAL
4 NORTHEAST SURGERY CENTER
4208 MEDICAL CENTER DRIVE
FAYETTEVILLE,NY13066 		WOUND CARE, ORTHO, GENERAL SURGERY, UROLOGY
5 NORTH SURGERY CENTER
5100 WEST TAFT ROAD
LIVERPOOL,NY13088 		GENERAL SURGERY, UROLOGY, ENT, ORTHOPEDICS, PODIATRY
6 CNY INFUSION SERVICES
333 BUTTERNUT DRIVE SUITE 102
DEWITT,NY13214 		INFUSION THERAPIES
7 SLEEP LABORATORY SERVICES
945 EAST GENESSE STREET SUITE 300
SYRACUSE,NY13210 		TREATS CHRONIC SLEEP DISORDERS
8 ST FRANCIS SOCIAL ADULT DAY CARE
1108 COURT STREET
SYRACUSE,NY13208 		SUPPORTIVE SERVICES FOR THE ELDERLY
9
10
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
PART I, LINE 7: COMBINATION OF THE RATIO OF COSTS TO CHARGES AS WELL AS SPECIFICALLY IDENTIFIED COSTS AND OFFSETS DERIVED FROM ACCOUNTING AND PATIENT ACCOUNTING SYSTEMS. WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENFITS AT COST, TOTAL COST EXCLUDE BAD DEBT EXPENSE.
PART I, LINE 7G: PLEASE SEE DESCRIPTION OF COMMUNITY BENEFIT ACTIVITIES NOTED IN THE 990 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 16,768,384.
PART III, LINE 4: BAD DEBT EXPENSE IS REPORTED BASED ON ALLOWANCE FOR DOUBTFUL ACCOUNTS ($18,374,200) LESS ANY RECOVERY OF BAD DEBTS ($1,605,816). AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS ESTIMATED BY MANAGEMENT BASED ON MONTHLY REVIEWS OF THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS.PART III, SECTION A, LINE 3: CHARITY CARE IS REPORTED IN PART I, LINE 7A AND IS NOT DUPLICATED IN BAD DEBT REPORTED IN PART III, SECTION A, LINE 2.PART III SECTION A LINE 4: SEE FINANCIAL STATEMENT PAGES 14 AND 15. THE HOSPITAL HAS AGREEMENTS WITH CERTAIN THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, COST-BASED REIMBURSEMENT, DISCOUNTED CHARGES AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE AND THE RELATED RECEIVABLES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS,THIRD-PARTY PAYORS AND OTHERS AS SERVICES ARE RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS.AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS ESTIMATED BY MANAGEMENT BASED ON MONTHLY REVIEWS OF THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS.REVENUE FROM THE MEDICARE AND MEDICAID PROGRAMS ACCOUNTED FORAPPROXIMATELY 45 PERCENT AND 11 PERCENT, RESPECTIVELY, OF THE HOSPITALS NET PATIENT SERVICE REVENUE FOR 2014 AND 47 PERCENT AND 9 PERCENT, RESPECTIVELY OF THE HOSPITALS NET PATIENT SERVICE REVENUE FOR 2013.LAWS AND REGULATIONS GOVERNING THE MEDICARE AND MEDICAID PROGRAMS ARE EXTREMELY COMPLEX AND SUBJECT TO INTERPRETATION. AS A RESULT, THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. NET PATIENT SERVICE REVENUE DECREASED BY APPROXIMATELY $3.3 MILLION AND INCREASED BY $1.7 MILLION IN 2014 AND 2013, RESPECTIVELY, RELATED TO EITHER SETTLEMENT OF PRIOR YEAR ISSUES OR CHANGES IN ESTIMATES ASSOCIATED WITH THIRD-PARTY ISSUES.THE HOSPITAL GRANTS UNSECURED CREDIT TO ITS PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. THE MIX OF RECEIVABLES FROM PATIENTS AND THIRD-PARTY PAYORS AT DECEMBER 31 WASAS FOLLOWS:2014MEDICARE 34%MEDICAID 16%PRIVATE PAYORS 13%INSURANCE AND ALL OTHERS 37%2013MEDICARE 39%MEDICAID 14%PRIVATE PAYORS 7%INSURANCE AND ALL OTHERS 40%
PART III, LINE 8: PLEASE SEE DESCRIPTION OF COMMUNITY BENEFIT ACTIVITIES NOTED IN THE 990 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. THE METHODOLOGY USED TO CALCULATE THE MEDICARE SHORTFALL IS MEDICARE COSTS BASED ON THE MEDICARE COST REPORT RCC LESS MEDICARE PAYMENTS FROM THE PS&R.
PART III, LINE 9B: ANY PATIENT AT SJHHC WILL RECEIVE MEDICAL TREATMENT WHETHER OR NOT THE PATIENT IS INSURED OR UNINSURED IN ACCORDANCE WITH THE POLICY AND THE PROCEDURES HEREWITH. SJHHC MAY RESERVE THE RIGHT TO REFUSE FINANCIAL AID ON PRE-SCHEDULED ELECTIVE PROCEDURES ONLY. IT IS THE INTENT OF THE FINANCIAL COUNSELING REPRESENTATIVES, TO FOLLOW-UP ON EVERY CLAIM WITHIN A 30-DAY PERIOD, IN AN EFFORT TO PROVIDE FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE PROGRAMS DEFINED IN OUR FINANCIAL ASSISTANCE POLICY. THE ACCOUNT WILL BE NOTED EACH MONTH AS TO THE FOLLOW-UP EFFORTS MADE BY THE FINANCIAL COUNSELORS BARING ANY UNFORESEEN ISSUES, DELAYS WITH PATIENT CONTACTS, DELAYS WITH THE DSS, ETC.FOR THOSE PATIENTS WHO ARE INTERESTED IN FINANCIAL ASSISTANCE, PATIENTS WILL BE CONTACTED BY A SJHHC FINANCIAL COUNSELOR (FC) AND INSTRUCTED ON THE AVAILABILITY TO ENROLL IN MEDICAID, CHILD HEALTH PLUS (CHP) AND FAMILY HEALTH PLUS (FHP), THROUGH A REFERRAL TO THOSE MEDICAID MANAGED CARE (MMC) FACILITATED ENROLLER WHO HAS A MEDICAID MANAGED CARE CONTRACT WITH SJHHC,OR A REFERRAL TO THE LOCAL COUNTY DEPARTMENT OF SOCIAL SERVICES DEPENDING ON THE PATIENTS DEMOGRAPHICS. REGARDLESS OF WHO COMPLETES THE MEDICAID APPLICATION, THE COMPLETION OF ONE MEDICAID APPLICATION ALLOWS A PATIENT ACCESS TO ENROLL IN MEDICAID, CHP OR FHP, DEPENDING ON THE COMBINED INCOME AND ASSETS OF THE PATIENT AND THEIR FAMILY (IF APPLICABLE). OTHER OPTIONSTO BE DISCUSSED WILL BE FINANCIAL AID AND MONTHLY PAYMENT PLANS.AT ALL PATIENT ACCESS POINTS THERE WILL BE FA PAMPHLETS NOTIFYING PATIENTS AND FAMILY MEMBERS OF THE EXISTENCE AND AVAILABILITY OF THE FINANCIAL COUNSELING UNIT. PATIENTS AND FAMILY MEMBERS MAY DISCUSS ALL PROGRAMS OFFERED EITHER IN PERSON OR BY PHONE.NOTE: PATIENTS WHO MAY BE ELIGIBLE FOR MEDICAID, CHILD HEALTH PLUS OR FAMILY HEALTH PLUS, WHO DO NOT COMPLY WITH THE APPLICATION REQUIREMENTS OF THEIR LOCAL DEPARTMENT OF SOCIAL SERVICES MAY NOT BE ELIGIBLE FOR FINANCIAL AID. THESE PATIENTS MAY ALSO BE SUBJECT TO BAD DEBT, IN ACCORDANCE WITH THE RULES AND REGULATIONS OF THE SJHHC BAD DEBT POLICY.IN ADDITION, OUR DATA MAILERS BEING SENT TO PATIENTS FOR ANY AMOUNT THEY MAY OWE ON A BILL NOW INCLUDES THE PHONE NUMBER OF OUR FINANCIAL COUNSELING UNIT IF THE PATIENT NEEDS FINANCIAL ASSISTANCE. THIS SECTION IS ALSO COLORIZED FOR EASY RECOGNITION.
PART VI, LINE 2: PLEASE SEE DESCRIPTION OF COMMUNITY BENEFIT ACTIVITIES NOTED IN THE 990 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.
PART VI, LINE 3: PLEASE SEE DESCRIPTION OF FINANCIAL AID POLICY AT SCHEDULE H, PART III LINE 9B FOR A DESCRIPTION OF PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE.
PART VI, LINE 4: PLEASE SEE FORM 990, PART III
PART VI, LINE 5: PLEASE SEE FORM 990, PART III
PART VI, LINE 6: PLEASE SEE FORM 990, PART III
PART VI, LINE 7, REPORTS FILED WITH STATES NY
Schedule H (Form 990) 2014
Additional Data


Software ID:  
Software Version:  
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, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
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
directors, trustees, officers, including 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
 
No
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), 501(c)(4), and 501(c)(29) organizations 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
 
No
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) 2014

Schedule J (Form 990) 2014
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 in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1KATHRYN RUSCITTOBOARD TRUSTEE - PRESIDENT, CEO (i)
(ii)		 653,952
...............................
0 		100,775
...............................
0 		131,808
...............................
0 		6,264
...............................
0 		24,602
...............................
0 		917,401
...............................
0 		0
...............................
0
2SANDRA SULIK MDBOARD TRUSTEE- VP, CHIEF MEDICAL OFF (i)
(ii)		 302,765
...............................
0 		43,646
...............................
0 		16,907
...............................
0 		9,533
...............................
0 		0
...............................
0 		372,851
...............................
0 		0
...............................
0
3ANNE MARIE CZYZVICE PRESIDENT, CHIEF NURS (i)
(ii)		 305,406
...............................
0 		24,355
...............................
0 		32,904
...............................
0 		3,429
...............................
0 		15,048
...............................
0 		381,142
...............................
0 		0
...............................
0
4FRANK SMITH JRVICE PRESIDENT- SPECIAL PROGRAMS (i)
(ii)		 314,995
...............................
0 		25,969
...............................
0 		20,259
...............................
0 		11,945
...............................
0 		12,054
...............................
0 		385,222
...............................
0 		0
...............................
0
5MARY W BROWNSENIOR VICE PRESIDENT, COO (i)
(ii)		 336,000
...............................
0 		38,146
...............................
0 		38,926
...............................
0 		3,948
...............................
0 		12,054
...............................
0 		429,074
...............................
0 		0
...............................
0
6CHARLES J FENNELLVICE PRESIDENT, CHIEF INFORMATION OF (i)
(ii)		 230,984
...............................
0 		19,484
...............................
0 		14,527
...............................
0 		8,287
...............................
0 		15,048
...............................
0 		288,330
...............................
0 		0
...............................
0
7JOSEPH A SCICCHITANOVICE PRESIDENT- SUPPORT SERVICES (i)
(ii)		 198,037
...............................
0 		15,998
...............................
0 		12,987
...............................
0 		7,655
...............................
0 		0
...............................
0 		234,677
...............................
0 		0
...............................
0
8MARK E MURPHYVICE PRESIDENT - CARE MGMT (i)
(ii)		 264,992
...............................
0 		31,271
...............................
0 		32,111
...............................
0 		8,582
...............................
0 		11,605
...............................
0 		348,561
...............................
0 		0
...............................
0
9FREDERICK LETOURNEAUVICE PRESIDENT - PHYSICIAN ENTERPRIS (i)
(ii)		 314,995
...............................
0 		37,603
...............................
0 		32,663
...............................
0 		8,392
...............................
0 		15,531
...............................
0 		409,184
...............................
0 		0
...............................
0
10DEBORAH WELCHVICE PRESIDENT - CARE MANAGEMENT (i)
(ii)		 174,990
...............................
0 		13,355
...............................
0 		12,060
...............................
0 		3,400
...............................
0 		15,531
...............................
0 		219,336
...............................
0 		0
...............................
0
11LOWELL A SEIFTER JDSENIOR VICE PRESIDENT, GENERAL COUNS (i)
(ii)		 289,993
...............................
0 		36,532
...............................
0 		32,043
...............................
0 		4,907
...............................
0 		12,054
...............................
0 		375,529
...............................
0 		0
...............................
0
12DOUGLAS SMITHVICE PRESIDENT FOR DEVELOPMENT (i)
(ii)		 219,294
...............................
0 		16,461
...............................
0 		13,794
...............................
0 		1,695
...............................
0 		15,531
...............................
0 		266,775
...............................
0 		0
...............................
0
13SALLIE BIITTNERVP FOR HUMAN RESOURCES (i)
(ii)		 186,992
...............................
0 		14,206
...............................
0 		7,480
...............................
0 		0
...............................
0 		0
...............................
0 		208,678
...............................
0 		0
...............................
0
14MEREDITH PRICEVICE PRESIDENT, CFO (i)
(ii)		 331,510
...............................
0 		12,187
...............................
0 		36,071
...............................
0 		3,570
...............................
0 		15,048
...............................
0 		398,386
...............................
0 		0
...............................
0
15ALFREDO LOPEZ MDPHYSICIAN (i)
(ii)		 271,502
...............................
0 		0
...............................
0 		0
...............................
0 		2,953
...............................
0 		10,155
...............................
0 		284,610
...............................
0 		0
...............................
0
16KWAME ADUSEI MDPHYSICIAN (i)
(ii)		 447,081
...............................
0 		0
...............................
0 		0
...............................
0 		4,507
...............................
0 		12,054
...............................
0 		463,642
...............................
0 		0
...............................
0
17CHAUDHURY DAVULURI MDPHYSICIAN (i)
(ii)		 358,421
...............................
0 		0
...............................
0 		0
...............................
0 		3,463
...............................
0 		14,336
...............................
0 		376,220
...............................
0 		0
...............................
0
18AFSHAN ASHFAQ MDPHYSICIAN (i)
(ii)		 393,687
...............................
0 		0
...............................
0 		0
...............................
0 		192
...............................
0 		14,934
...............................
0 		408,813
...............................
0 		0
...............................
0
19DIWAKAR LINGAM MDPHYSICIAN (i)
(ii)		 284,769
...............................
0 		8,000
...............................
0 		0
...............................
0 		0
...............................
0 		15,531
...............................
0 		308,300
...............................
0 		0
...............................
0
20THEODORE PASINSKIFORMER PRESIDENT & CEO (i)
(ii)		 196,237
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		196,237
...............................
0 		0
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
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.
Return Reference Explanation
PART I LINE 4B AFTER-TAX 457(F) PLAN ELIGIBILITY FOR THE AFTER-TAX 457(F) PLAN SHALL BE LIMITED TO THOSE INDIVIDUALS WHO ARE PRIMARILY UPPER MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES OF THE HOSPITAL WHO ARE SELECTED IN THE SOLE DISCRETION OF THE HOSPITAL'S BOARD OF TRUSTEES OR ITS DESIGNEE. ELIGIBLE EMPLOYEES WHO HAVE BEEN SELECTED BY THE EXECUTIVE COMMITTEE OF THE BOARD ARE SET FORTH ON EXHIBIT A OF THE PLAN. ALL EMPLOYER CONTRIBUTIONS TO THE PLAN ARE IMMEDIATELY VESTED. THIS PLAN IS AN INCENTIVE TO CONTINUE TO PROVIDE VALUABLE SERVICES TO THE HOSPITAL AND AS AN INCENTIVE TO RECRUIT NEW EMPLOYEES TO PROVIDE NEEDED HEALTHCARE SERVICES TO THE COMMUNITY, AND AS SUCH IS REVIEWED ON AN ANNUAL BASIS BY THE COMPENSATION COMMITTEE. PARTICIPANTS FRANK SMITH, JR. $ 18,900 MARY W. BROWN $ 31,920 CHARLES FENNELL $ 11,550 KATHRYN RUSCITTO $130,805 MARK MURPHY $ 29,150 SANDRA SULIK, MD $ 14,217 ANNE MARIE CZYZ $ 29,014 JOSEPH A SCICCHITANO $ 9,902 FREDERICK LETOURNEAU $ 26,775 DEBORAH WELCH $ 10,500 MEREDITH PRICE $ 28,178 SALLIE BIITTNER $ 7,480 LOWELL A SEIFTER, JD $ 24,650 DOUGLAS SMITH $ 8,772
Schedule J (Form 990) 2014

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number
15-0532254
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A ONONDAGA CIVIC DEVELOPMENT CORPORATION
  		80-0458240   07-16-2010 63,480,000 FINANCE REPLACEMENT AND RENOVATION PROJECT   X   X   X
B ONONDAGA CIVIC DEVELOPMENT CORPORATION
  		80-0458240 682832BF6 09-20-2012 143,261,750 FINANCE RENOVATION PROJECT AND REFUNDING OF 1997 BONDS   X   X   X
C ONONDAGA CIVIC DEVELOPMENT CORPORATION
  		80-0458240 682832BY5 04-24-2014 67,231,218 FINANCE CO-GENERATION, EPIC AND OTHER CAPITAL EXPENDITURES   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 6,348,000 6,675,000    
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 63,480,000 143,273,492 80,746,203  
4 Gross proceeds in reserve funds . . . . . . . . . . . . 10,826,256 10,826,256 6,831,500  
5 Capitalized interest from proceeds . . . . . . . . . . . 1,413,460 6,305,514    
6 Proceeds in refunding escrows . . . . . . . . . . . .        
7 Issuance costs from proceeds . . . . . . . . . . . . 50,000 2,064,211    
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 62,016,540 103,088,891 71,370,282  
11 Other spent proceeds . . . . . . . . . . . . . . 19,413,257 19,413,257    
12 Other unspent proceeds . . . . . . . . . . . . . . 1,459,435   1,459,435  
13 Year of substantial completion . . . . . . . . . . . . 2012 2014
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X    
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X    
16 Has the final allocation of proceeds been made? . . . . . . . . X   X     X    
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X      
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X    
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X      
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X      
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X      
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X      
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet        
6 Total of lines 4 and 5 . . . . . . . . . . . . .        
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X    
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X    
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		  X   X   X    
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X    
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X X   X      
b Exception to rebate? . . . . . . . .   X   X   X    
c No rebate due? . . . . . . . .   X   X   X    
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . . X     X   X    
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X    
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was the hedge terminated? . . . . . .                
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X    
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X    
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X   X    
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X   X    
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART II, LINE 3, COLUMN B OF THE $143,271,665 REPORTED, $143,261,750 RELATES TO THE BOND ISSUE AND $11,742 REPRESENTS INVESTMENT EARNINGS FROM INTEREST EARNED ON THE DEBT SERVICE FUND, CAPITAL INTEREST FUND AND THE PROJECT FUND FOR 2012 THROUGH 2014.
PART II, LINE 3, COLUMN C OF THE $80,747,406 REPORTED, $80,745,000 RELATES TO THE BOND ISSUE AND $1,203 REPRESENTS INVESTMENT EARNINGS FROM INTEREST EARNED ON THE DEBT SERVICE FUND, BOND FUND AND THE PROJECT FUND FOR 2014
PART II, LINE 13, COLUMN C THE PROJECTION THAT THESE BOND'S ARE FINANCING ARE NOT ESTIMATED TO BE COMPLETED UNTIL 2015
Schedule K (Form 990) 2014

Additional Data


Software ID:  
Software Version:  

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.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) 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 Benefiting 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) 2014
Schedule L (Form 990 or 990-EZ) 2014
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) SYRACUSE OFFICE ENVIRONMENT
  		BUSINESS 35% OWNED BY BOARD MEMBER & RELATIVE 405,092 BUSINESS TRANSACTION   No
(2) LOWELL SEIFTER FAMILY OF BOARD MEMBER 375,529 COMPENSATION ARRANGEMENT   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
PART IV LINES 1 - 3 1. SYRACUSE OFFICE ENVIRONMENT IS AN ENTITY THAT DOES BUSINESS WITH ST. JOSEPH'S AND IS OWNED >35% BY A BOARD MEMBER, VINCENT SWEENEY.2. LOWELL SEIFTER IS A KEY EMPLOYEE AND FAMILY MEMBER OF A BOARD MEMBER, SHARON MCAULIFFE.
Schedule L (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( TVS FOR PATIENT ROOMS ) X 216 199,800 FAIR MARKET VALUE
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that
it must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2014)
Schedule M (Form 990) (2014)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M (Form 990) (2014)
Additional Data


Software ID:  
Software Version:  
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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
Return Reference Explanation
CONTINUATION, FORM 990, PART III, LINE 4A OUTREACH TO NORTHERN NEW YORK: ST. JOSEPH'S CONTINUED ITS TELEMEDICINE PROGRAM WITH SAMARITAN MEDICAL CENTER IN WATERTOWN, N.Y., TO ACHIEVE OPTIMAL CARDIAC CARE FOR CENTRAL AND NORTHERN NEW YORK. SAMARITAN HOUSES A FREESTANDING CATHETERIZATION LABORATORY THAT SERVICES THE LARGELY RURAL JEFFERSON, ST. LAWRENCE, LEWIS AND FRANKLIN COUNTIES. SAMARITAN'S CATH LAB UTILIZES THE EXPERTISE OF ST. JOSEPH'S INVASIVE CARDIOLOGISTS. ALL PATIENTS ARE SCREENED FOR RISK FACTORS AND ANY CARDIAC CATH CANDIDATES WHO DISPLAY AT-RISK SYMPTOMATOLOGY ARE REFERRED TO ST. JOSEPH'S HOSPITAL FOR INPATIENT CARDIAC CATHETERIZATION PROCEDURES, ANGIOPLASTY OR CARDIAC SURGERY INTERVENTIONS. ST. JOSEPH'S EXPRESS ADMISSION LINE IS A HOTLINE USED PRIMARILY FOR THE SPEEDY TRANSFER OF CARDIAC PATIENTS FROM RURAL HOSPITALS WITHOUT CARDIAC CATHETERIZATION LABS. IT CAN ALSO BE A LIFESAVING TOOL USED TO TRANSFER ANY PATIENT IN NEED TO THE APPROPRIATE LEVEL OF CARE AS SOON AS POSSIBLE. WHEN A PATIENT REQUIRES SPECIALTY CARE UNAVAILABLE AT HIS OR HER CURRENT HEALTH CARE FACILITY, MEDICAL PERSONNEL CALL THE EXPRESS LINE, WHICH IS ANSWERED 24-HOURS-A-DAY, SEVEN-DAYS-A-WEEK BY ST. JOSEPH'S ADMINISTRATIVE NURSING COORDINATOR. THE NURSING COORDINATOR LISTENS TO THE DESCRIPTION OF THE PATIENT'S CONDITION, CONTACTS THE ST. JOSEPH'S PHYSICIAN ON CALL FOR THE PARTICULAR SPECIALTY NEEDED, AND WITHIN MINUTES ALL THREE PARTIES ARE ENGAGED IN A THREE-WAY POTENTIALLY LIFESAVING CONVERSATION. THE ST. JOSEPH'S PHYSICIAN CAN OBTAIN CRITICAL PATIENT INFORMATION AND GIVE SPECIFIC INSTRUCTIONS FOR CARE DURING TRANSPORT, WHILE THE NURSING COORDINATOR SIMULTANEOUSLY CHECKS FOR AVAILABLE BEDS AND ALERTS THOSE NEEDED TO PREPARE FOR THE PATIENT'S ARRIVAL. TO EXPEDITE THE PROCESS, HOSPITAL REPRESENTATIVES FROM BOTH LOCATIONS THEN TAKE CARE OF PAPERWORK AND OTHER IMPORTANT INFORMATION, WHILE THE PATIENT IS ENROUTE. THE EXPRESS LINE HAS LITERALLY BEEN A LIFESAVER, BECAUSE PRECIOUS TIME IS NOT SPENT SEARCHING FOR AN OPEN BED OR TRIAGING THE PATIENT A SECOND TIME UPON ARRIVAL AT ST. JOSEPH'S, BUT ONLY ON MAKING SURE THE PATIENT RECEIVES THE BEST POSSIBLE MEDICAL CARE IMMEDIATELY AND THROUGHOUT HIS OR HER STAY. REHABILITATION: ST. JOSEPH'S OFFERS THE ONLY COMPREHENSIVE CARDIAC REHABILITATION PROGRAM THAT IS CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION AND IS THE LARGEST SUCH PROGRAM IN CENTRAL NEW YORK. IN 2014, ST. JOSEPH'S ADMITTED MORE THAN 195 PATIENTS, PROVIDING NEARLY 11,492 PATIENT VISITS. A MEDICALLY SUPERVISED EXERCISE PROGRAM IS ALSO HELD AT THE SITE. THIS PROGRAM IS SPECIFICALLY DESIGNED FOR PEOPLE WHO WANT TO EXERCISE AND MAINTAIN THEIR INDEPENDENCE, BUT WHOSE CHRONIC DISEASE STATES PUT THEM AT RISK FOR EXERCISING IN STANDARD GYMS.
FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUAL RECEIVED COMPENSATION OF MORE THAN $10,000 FROM ST. JOSEPH'S HOSPITAL HEALTH CENTER AND HAVE A FAMILY RELATIONSHIP TO A HOSPITAL BOARD MEMBER: 1. ADAM HOWE, NEPHEW OF KATHRYN RUSCITTO THE FOLLOWING KEY EMPLOYEE HAS A FAMILY RELATIONSHIP WITH A BOARD MEMBER: 1. LOWELL SEIFTER, HUSBAND OF SHARON MCAULLIFE THE FOLLOWING COMPANY RECEIVED COMPENSATION FROM A BUSINESS TRANSACTION OF MORE THAN $100,000 FROM ST. JOSEPH'S HOSPITAL HEALTH CENTER AND A BOARD MEMBER, VINCENT SWEENEY AND HIS FAMILY, OWN THE COMPANY: 1. SYRACUSE OFFICE ENVIRONMENT THE FOLLOWING INTERESTED PERSON(S) HAD A BUSINESS TRANSACTION (COMPENSATION ARRANGEMENT) OF MORE THAN $100,000 FROM ST. JOSEPH'S HOSPITAL HEALTH CENTER AND WERE BOARD MEMBERS, PLEASE SEE PART VII FOR FURTHER DETAIL: 1. KATHRYN RUSCITTO 2. SANDRA SULIK, MD
FORM 990, PART VI, SECTION A, LINE 4 THE GOVERNING DOCUMENTS WERE AMENDED IN 2014 TO REFLECT THE CHANGE OF THE SOLE CORPORATE MEMBER FROM THE GENERAL MINISTER AND COUNCIL OF THE SISTERS OF ST. FRANCIS OF THE NEUMANN COMMUNITIES, TO ST. JOSEPH'S HEALTH, INC. EFFECTIVE OCTOBER 2014. IN ADDITION, THE BYLAWS WERE AMENDED DURING 2014 TO COMPLY WITH THE NYS NONPROFIT REVITALIZATION ACT.
FORM 990, PART VI, SECTION A, LINE 6 ST. JOSEPH'S HEALTH, INC. IS THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL HEALTH CENTER.
FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE CORPORATION, ST. JOSEPH'S HEALTH, INC. MAY ELECT THE BOARD OF TRUSTEES AND REMOVE BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE CORPORATION, ST. JOSEPH'S HEALTH, INC., SHALL RETAIN THE POWER AND AUTHORITY TO: - CHANGE THE PHILOSOPHY, MISSION AND PURPOSE OF THE CORPORATION; - ADOPT AND/OR AMEND THE CERTIFICATE OF INCORPORATION; - ADOPT AND/OR AMEND THE BY-LAWS; - ELECT THE BOARD OF TRUSTEES AND REMOVE THE BOARD MEMBERS WITH OR WITHOUT CAUSE; - APPOINT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - APPROVE THE PURCHASE, SALE, LEASE, MORTGAGE OF REAL PROPERTY; AND APPROVE THE PURCHASE, SALE OF GIFT OF CAPITAL ASSETS; - APPROVE THE MERGER, CONSOLIDATION OR AFFILIATION OF THE CORPORATION WITH ANOTHER CORPORATION, ORGANIZATION OR PROGRAM; - APPROVE THE DISSOLUTION OF THE CORPORATION AND DISPOSITION OF ASSETS.
FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE AND THE BOARD OF TRUSTEES WILL REVIEW THE FORM 990 PRIOR TO ITS SUBMISSION. A COPY OF THE 990 WILL BE PROVIDED TO THE COMMITTEE AND BOARD PRIOR TO THE MEETING FOR DISCUSSION.
FORM 990, PART VI, SECTION B, LINE 12C CONSISTENT WITH THE HOSPITAL BYLAWS WHICH REQUIRES A DUTY TO DISCLOSE, ON AN ANNUAL BASIS AT A DEFINED TIME, ALL BOARD OF TRUSTEES ARE GIVEN THE CONFLICT OF INTEREST POLICY AND FORM TO REVIEW AND COMPLETE. THE PRESIDENT OF THE BOARD OF TRUSTEES TRACKS THE SUBMISSION PROCESS TO ENSURE THAT ALL FORMS ARE COMPLETED AND SUBMITTED. THE INFORMATION FROM THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AT A SUBSEQUENT BOARD MEETING. ANY NEW INDIVIDUALS APPOINTED AS A TRUSTEE WILL COMPLETE THIS REVIEW AND SUBMISSION PROCESS AFTER THEY HAVE BEEN CONFIRMED. THE INTERESTED PERSON IS REQUIRED TO LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF AND VOTE ON THE TRANSACTION OR ARRANGEMENT THAT RESULTS FROM THE CONFLICT OF INTEREST. THE BOARD OF TRUSTEE MEETING MINUTES REFLECT WHENEVER A BOARD MEMBER ABSTAINS FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL BYLAWS ESTABLISHES AN EXECUTIVE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS DETERMINED TO BE FREE OF ANY CONFLICT OF INTEREST, IS CHARGED WITH DETERMINING EXECUTIVE COMPENSATION AND ESTABLISHING PERFORMANCE CRITERIA ACCORDING TO AN APPROVED COMPENSATION PHILOSOPHY. THE COMMITTEE WORKS WITH AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING AND ADVISORY FIRM, YAFFE & COMPANY, THAT PROVIDES MARKET SURVEY DATA CONCERNING COMPENSATION AND BENEFIT LEVELS FOR FUNCTIONALLY COMPARABLE HEALTHCARE EXECUTIVES IN SIMILAR HOSPITALS ACROSS THE REGION AND THE NATION BASED ON SEVERAL FACTORS INCLUDING SIZE, GEOGRAPHY, HOSPITAL TYPE AND COMPLEXITY. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVES AND ENSURES THAT ALL FORMS OF EXECUTIVE COMPENSATION ARE REASONABLE, APPROPRIATE AND CONSISTENT WITH ITS COMPENSATION PHILOSOPHY. THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DECISIONS IN MEETING MINUTES AND REPORTS ITS DECISIONS TO THE FULL BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION C, LINE 19 ST. JOSEPH'S HOSPITAL HEALTH CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. IT DOES HOWEVER PRODUCE AN ANNUAL REPORT WHICH CONTAINS FINANCIAL INFORMATION AND IS READILY DISTRIBUTED AND MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 55,651,364. MANAGEMENT AND GENERAL EXPENSES 11,508,383. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,159,747.
FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS OF ST. JOSEPH'S FOUNDATION 108,591. PENSION & POST RETIREMENT CHANGES -531,321. EQUITY TRANSFER -24,991,914. INTEREST RATE CAP -459,511. OTHER 11.
FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990 PART IX LINE 11G PHYSICIAN CONTRACTS $19,409,708 MEDICAL PURCHASESD SERVICES 15,527,338 MAINTENANCE CONTRACTS 7,218,145 OTHER PURCHASED SERVICES 6,605,194 CONTRACTED SERVICES 5,454,689 COLLECTION AGENCY FEES 3,542,083 TEMPORARY EMPLOYMENT SERVICES 3,339,926 LAUNDRY AND LINEN 2,370,007 MAINTENANCE AND REPAIR 1,642,879 OTHER PROFESSIONAL 1,065,618 TRANSCRIPTION SERVICES 525,949 RECRUITMENT FEES 264,749 SOFTWARE SUBSCRIPTIONS 182,048 OTHER DESIGN FEES 7,685 BILLING FEES 2,906 PHOTOGRAPHY SERVICES 823
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on 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
(1) FRANCISCAN HEALTH SUPPORT LLC
333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
 SUPPORT SERVICES NY 0 0 FHS SERVICES INC
 










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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) ST JOSEPH'S HOSPITAL FOUNDATION
301 PROSPECT AVE

SYRACUSE,NY13203
22-2149775 		FUNDRASING FOR HOSPITAL NY 501 (C)(3) 11A ST JOSEPH'S HEALTH INC
 
Yes
 
(2) ST JOSEPH'S HOSPITAL PROPERTIES
301 PROSPECT AVE

SYRACUSE,NY13203
23-7219294 		PROPERTY MANAGEMENT COMPANY NY 501 (C)(3) 11A ST JOSEPH'S HEALTH INC
 
Yes
 
(3) ST JOSEPH'S PHYSICIAN HEALTH PC
301 PROSPECT AVE

SYRACUSE,NY13203
16-1516863 		PHYSICIAN PROFESSIONAL SERVICES NY 501 (C)(3) 11B ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(4) SJ MANAGEMENT COMPANY OF SYRACUSE INC
301 PROSPECT AVE

SYRACUSE,NY13203
27-1763712 		SUPPORT ST. JOSEPH'S HOSPITAL HEATLH CENTER NY 501 (C)(3) 11C ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(5) ST JOSEPH COLLEGE OF NURSING AT SJHHC
206 PROSPECT AVE

SYRACUSE,NY13203
20-2497520 		NURSING EDUCATION NY 501 (C)(3) 11A ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(6) ST JOSEPH'S MEDICAL PC
301 PROSPECT AVE

SYRACUSE,NY13203
27-3899821 		PHYSICIAN PROFESSIONAL SERVICES NY 501 (C)(3) 11B ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(7) ST JOSEPH'S HEALTH INC
301 PROSPECT AVE

SYRACUSE,NY13203
47-4754987 		PARENT COMPANY TO THE HOSPITAL, PROPERTIES AND FOUNDATION NY 501 (C)(3) 11A PARTNERS IN FRANCISCAN MINISTRIES INC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code 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) LIVERPOOL DIALYSIS CENTER LLC

1304 BUCKLEY ROAD
SYRACUSE,NY132124302
26-1890615 		DIALYSIS TREATMENTS NY ST JOSEPH'S HOSPITAL HEALTH CENTER INC
  		RELATED   30,000   No   Yes   30.000 %
(2) SYRACUSE NEIGHBORHOOD DEVELOPMENT PARTNERS LLC

990 JAMES STREET
SYRACUSE,NY13203
11-3643461 		TO ACQUIRE CERTAIN REAL PROPERTY AND TO PROMOTE NEIGHBORHOOD REVITALIZATION NY N/A
 RELATED       No     No  
(3) SJLS LLC

301 PROSPECT AVE
SYRACUSE,NY13203
20-1796650 		DIALYSIS TREATMENTS NY SJ MANAGEMENT COMPANY OF SYRACUSE INC
  		RELATED       No     No  
(4) LOURDES HEALTH SUPPORT LLC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1611707 		DURABLE MEDICAL EQUIPMENT NY FMS
  		RELATED       No     No  






Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) FRANCISCAN MANAGEMENT SERVICES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1351193 		MANAGEMENT SERVICES NY FRANCISCAN ASSOCIATES INC
  		C       Yes  
(2) FRANCISCAN HEALTH SUPPORT INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1236354 		DURABLE MEDICAL EQUIPMENT NY FRANCISCAN ASSOCIATES INC
  		C       Yes  
(3) FRANCISCAN ASSOCIATES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
20-2991688 		HOLDING COMPANY NY SJHHC PROPERTIES INC
  		C       Yes  
(4) FHS SERVICES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
27-2995699 		HEALTH SERVICE PROVIDER NY FRANCISCAN ASSOCIATES INC
  		C       Yes  
(5) SJPE PRACTICE MANAGEMENT SERVICES

301 PROSPECT AVENUE
SYRACUSE,NY13203
45-4164964 		MANAGEMENT SERVICES NY STJOSEPH'S HOSPITAL HEALTH CENTER
  		C -130,591 5,631 100.000 % Yes  
(6) HEALTH CARE MANAGEMENT ADMINISTRATORS

333 BUTTERNUT DRIVE SUITE 100
SYRACUSE,NY13214
16-1450960 		MANAGEMENT AND BILLING SERVICES NY FRANCISCAN ASSOCIATES INC
  		C       Yes  


Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on 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
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
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
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
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
Yes
 
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
Yes
 
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
Yes
 
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 related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ST JOSEPH'S HEALTH CENTER FOUNDATION

 C 2,341,242 CASH
(2) ST JOSEPH'S HEALTH CENTER PROPERTIES

 E 6,378,233 FMV
(3) ST JOSEPH'S HEALTH CENTER FOUNDATION

 D 48,066 FMV
(4) ST JOSEPH'S MEDICAL PC

 R 12,684,158 FMV
(5) ST JOSEPH'S PHYSICIAN HEALTH PC

 R 16,262,849 FMV
(6) SJ MANAGEMENT COMPANY OF SYRACUSE INC

 S -3,955,093 FMV
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 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) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2014
Additional Data


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