Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
ST JOSEPH'S HOSPITAL HEALTH CENTER |
150532254 | 3 | Yes | 0 | 0 | |
Total 1
|
0 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART IV, SECTION C. | THE POWER AND AUTHORITY TO MAKE CHANGES TO THE MISSION, CERTIFICATE OF INCORPORATION, BY-LAWS, BOARD OF DIRECTORS AND OFFICERS FOR THE SUPPORTING ORGANIZATION, ST. JOSEPH'S PROPERTIES, INC., AND THE SUPPORTED ORGANIZATION, ST. JOSEPH'S HOSPITAL HEALTH CENTER (EIN 15-0532254), RESIDES WITH ST. JOSEPH'S HEALTH, INC. (47-4754987). |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | IN 2014, ST. JOSEPH'S HEALTH CENTER PROPERTIES MADE SIGNIFICANT CHANGES TO THEIR BYLAWS. THESE CHANGES WERE MADE TO ENSURE COMPLIANCE WITH CHANGES THAT WERE ENACTED TO THE NYS NOT FOR PROFIT LAW. THE CHANGES INCLUDE: 1) NO EMPLOYEE OF THE CORPORATION SHALL SERVE AS CHAIR OF THE BOARD OR HOLD ANY OTHER TITLE WITH SIMILAR RESPONSIBILITIES. 2) THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE FOLLOWING AUDIT FUNCTIONS: (A) ANNUALLY RETAINING OR RENEWING THE RETENTION OF, AND MONITORING THE AUDIT EFFORTS OF THE CORPORATION'S INDEPENDENT EXTERNAL AUDITORS AND REVIEWING WITH THE AUDITORS THE RESULTS OF THEIR AUDIT AND ANY RELATED MANAGEMENT LETTER; (B) REVIEWING WITH THE INDEPENDENT EXTERNAL AUDITORS THE SCOPE AND PLANNING OF THE AUDIT PRIOR TO ITS COMMENCEMENT; (C) UPON COMPLETION OF THE AUDIT, REVIEWING AND DISCUSSING WITH THE INDEPENDENT EXTERNAL AUDITORS; (I) ANY MATERIAL WEAKNESSES AND WEAKNESSES IN INTERNAL CONTROLS IDENTIFIED BY THE AUDITOR; (II) ANY RESTRICTIONS ON THE SCOPE OF THE AUDITOR'S ACTIVITIES OR ACCESS TO REQUESTED INFORMATION; (III) ANY SIGNIFICANT DISAGREEMENTS BETWEEN THE AUDITOR AND MANAGEMENT; AND (IV) THE ADEQUACY OF THE CORPORATION'S ACCOUNTING AND FINANCIAL REPORTING PROCESSES; (D) ANNUALLY CONSIDERING THE PERFORMANCE AND INDEPENDENCE OF THE INDEPENDENT EXTERNAL AUDITOR; (E) REPORTING ON THE AUDIT COMMITTEE'S ACTIVITIES WITH RESPECT TO THE CORPORATION'S AUDIT TO THE BOARD OF TRUSTEES; (F) IMPLEMENTING AND OVERSEEING THE CORPORATION'S CONFLICT OF INTEREST AND WHISTLEBLOWER POLICIES; 3) THE AUDIT COMMITTEE SHALL CONSIST OF ONLY INDEPENDENT TRUSTEES. 4) CONFLICT OF INTEREST POLICY REVISIONS; (A) COI POLICY APPLIES TO KEY EMPLOYEES IN ADDITION TO OFFICERS AND TRUSTEES; (B) DEFINITIONS WERE EXPANDED TO DEFINE KEY EMPLOYEES, AFFILIATES, RELATIVE, RELATED PARTY AND RELATED PARTY TRANSACTIONS; (C) PROCEDURES WERE ENHANCED RELATED TO DUTY TO DISCLOSE, DETERMINING IF A CONFLICT OF INTEREST EXISTS, PROCEDURES FOR ADDRESSING CONFLICTS OF INTEREST, AND MANAGING VIOLATIONS OF THE POLICY. 5) A PERSON WHO RECEIVES COMPENSATION, DIRECTOR OR INDIRECTLY, FROM THE CORPORATION FOR SERVICES IS PRECLUDED FROM VOTING ON OR PARTICIPATING IN DELIBERATIONS CONCERNING MATTERS PERTAINING TO THAT PERSON'S COMPENSATION. HOWEVER, UPON REQUEST OF THE BOARD OR COMMITTEE, THE INDIVIDUAL MAY PRESENT INFORMATION TO THE BOARD OR COMMITTEE PRIOR TO THE COMMENCEMENT OF DELIBERATIONS OR VOTING THERETO. 6) A PHYSICIAN WHO IS A VOTING MEMBER OF THE BOARD AND RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE CORPORATION FOR SERVICES IS PRECLUDED FROM DISCUSSING AND VOTING ON MATTERS PERTAINING TO THAT PHYSICIAN'S AND OTHER PHYSICIANS' COMPENSATION. NO PHYSICIAN OR PHYSICIAN TRUSTEE, EITHER INDIVIDUALLY OR COLLECTIVELY, IS PROHIBITED FROM PROVIDING INFORMATION TO THE BOARD REGARDING PHYSICIAN COMPENSATION. IN ADDITION, THE ORGANIZATION CHANGED ITS SOLE CORPORATE MEMBER TO ST. JOSEPH'S HEALTH, INC. EFFECTIVE OCTOBER 2014. |
| FORM 990, PART VI, SECTION A, LINE 6 | ST. JOSEPH'S HEALTH, INC. IS THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | ST. JOSEPH'S HEALTH, INC., AS SOLE MEMBER, MAY ELECT THE BOARD OF DIRECTORS 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 DIRECTORS AND REMOVE THE BOARD MEMBERS WITH OR WITHOUT CAUSE; - APPOINT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - APPROVE THE PURCHASE, SALE, OR 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 | PRIOR TO THE SUBMISSION OF THE FORM 990 THE BOARD OF DIRECTORS RECEIVES A COPY IN ADVANCE OF THE NEXT SCHEDULED BOARD MEETING. THIS ALLOWS THEM THE TIME TO REVIEW THE DOCUMENT PRIOR TO THE MEETING. AT THE FOLLOWING BOARD MEETING, THE MEMBERS DISCUSS ANY QUESTION OR CONCERNS AND AS APPROPRIATE FOLLOW-UP OCCURS. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONSISTENT WITH THE PROPERTIES BYLAWS WHICH REQUIRES A DUTY TO DISCLOSE, ON AN ANNUAL BASIS AT A DEFINED TIME ALL BOARD OF DIRECTORS ARE GIVEN THE CONFLICT OF INTEREST POLICY AND FORM TO REVIEW AND COMPLETE. THE PRESIDENT OF THE BOARD OF DIRECTORS 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 DIRECTOR 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 FORM THE CONFLICT OF INTEREST. THE BOARD OF DIRECTOR MEETING MINUTES REFLECT WHENEVER A BOARD MEMBER ABSTAINS FROM VOTING. |
| FORM 990, PART VI, SECTION B, LINE 15 | ST. JOSEPH'S HEALTH CENTER PROPERTIES DOES NOT HAVE ANY DIRECT COMPENSATION ARRANGEMENTS FOR A CEO, EXECUTIVE DIRECTOR, OFFICERS OR KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | ST. JOSEPH'S HEALTH CENTER PROPERTIES DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. IT DOES HOWEVER PRODUCE AN ANNUAL REPORT AS PART OF THE ST. JOSEPH'S HOSPITAL HEALTH CENTER'S ANNUAL REPORT, WHICH CONTAINS FINANCIAL INFORMATION AND IS READILY DISTRIBUTED AND MADE AVAILABLE TO THE PUBLIC. ST. JOSEPH'S HEALTH CENTER PROPERTIES, INC. ALSO PROVIDES THIS INFORMATION WHENEVER REQUESTED. |
| FORM 990, PART XI, LINE 9: | UNRESTRICTED RESTICTED NET ASSET: EQUITY TRANSFER TO AFFILIATES -2,495,337. |
| FORM 990, PART XII, 2C FINANCIAL STATEMENT AND REPORTING: | NO CHANGES HAVE BEEN MADE IN THE CURRENT YEAR AS TO HOW THE ORGANIZATION OVERSEES THE PROCESS AND REVIEW OF THE AUDITED FINANCIAL STATEMENTS. |
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