Form990
Click to see list of attachments
Click to see list of attachments
Click to see list of attachments
Department of the TreasuryInternal 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)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2021 , and ending 12-31-2021
BCheck if applicable:
CName of organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
703 MAIN STREET
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PATERSON, NJ075032621
D Employer identification number

27-1344467
E Telephone number

G Gross receipts $ 1,031,452,270
F Name and address of principal officer:
KEVIN J SLAVIN
703 MAIN STREET
PATERSON,NJ075032621
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.STJOSEPHSHEALTH.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 MediumBullet5557
K Form of organization:  
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE QUALITY HEALTHCARE WITH A SPECIAL CONCERN FOR THE POOR AND UNDERSERVED.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 62
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 50
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 6,375
6 Total number of volunteers (estimate if necessary) ............. 6 132
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 999,410
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 623,086
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 170,638,275 86,062,121
9 Program service revenue (Part VIII, line 2g) ......... 750,103,576 833,329,640
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 16,200,275 22,578,568
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 8,661,597 21,829,242
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 945,603,723 963,799,571
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 6,123,562 3,724,698
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) 528,551,105 538,419,036
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet1,709,514    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 367,611,095 381,743,733
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 902,285,762 923,887,467
19 Revenue less expenses. Subtract line 18 from line 12....... 43,317,961 39,912,104
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,092,329,735 1,081,595,215
21 Total liabilities (Part X, line 26)............. 851,700,002 738,624,283
22 Net assets or fund balances. Subtract line 21 from line 20..... 240,629,733 342,970,932
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
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: WE ARE COMMITTED TO PROVIDING EXCEPTIONAL QUALITY CARE WHICH SUSTAINS AND IMPROVES BOTH INDIVIDUAL AND COMMUNITY HEALTH, WITH A SPECIAL CONCERN FOR THOSE WHO ARE POOR, VULNERABLE AND UNDERSERVED.
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 $ 795,305,069 including grants of $ 3,724,698 ) (Revenue $ 849,941,308 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet795,305,069
Form 990 (2021)
Form 990 (2021)
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 Rev. Proc. 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 IIIClick 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 V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. 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
Yes
 
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
 
No
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.........Click to see attachment
14b
Yes
 
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.....Click to see attachment
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...Click to see attachment
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. ....Click to see attachment
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............ Click to see attachment
18
Yes
 
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...................Click to see attachment
19
Yes
 
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
 
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.....Click to see attachment
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
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........Click to see attachment
22
Yes
 
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 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
Yes
 
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
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
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. 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 on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
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
386
b
Enter the number of Forms W-2G included on 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
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
6,375
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
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
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
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
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
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
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
62
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
50
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on 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 on 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 on 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
NJ
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 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:
MediumBulletCHRISTOPHER CAULFIELD703 MAIN STREET   PATERSON,NJ07513 (973) 754-2000
Form 990 (2021)
Form 990 (2021)
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 the 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, Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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.

See the instructions for the order in which to list the persons above.
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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(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) ALBERT CANDIDO......................................................................
SECRETARY
2.00
.................
0.00
X   X       0 0 0
(2) ALFRED LEE......................................................................
TRUSTEE
2.00
.................
0.00
X           0 0 0
(3) ANNEMARIE APPLETON......................................................................
TRUSTEE
2.00
.................
0.00
X           0 0 0
(4) ANTHONY GRIFFO MD......................................................................
TRUSTEE
2.00
.................
0.00
X           0 0 0
(5) ANTHONY LOSARDO MD......................................................................
TRUSTEE
2.00
.................
0.00
X           171,265 0 0
(6) ANTOINETTE LOYAS......................................................................
VICE CHAIR
2.00
.................
0.00
X   X       0 0 0
(7) ANTOINETTE CECERE MD......................................................................
TRUSTEE THRU 2/21
40.00
.................
0.00
X           0 0 0
(8) ATHANASIA KONTOS......................................................................
TRUSTEE
2.00
.................
0.00
X           0 0 0
(9) BERNADETTE COUNTRYMAN......................................................................
TRUSTEE
2.00
.................
0.00
X           0 0 0
(10) BETH POLITO......................................................................
TRUSTEE
2.00
.................
0.00
X           0 0 0
(11) CATHERINE KIERNAN......................................................................
TRUSTEE
2.00
.................
0.00
X           0 0 0
(12) CECILIA MCKENNEY......................................................................
TRUSTEE
2.00
.................
0.00
X           0 0 0
(13) DAVID INCORVAIA......................................................................
TRUSTEE
2.00
.................
0.00
X           0 0 0
(14) DEAN EMMOLO......................................................................
CHAIRMAN
2.00
.................
0.00
X   X       0 0 0
(15) DENNIS MARCO MD......................................................................
TRUSTEE/SECRETARY/TREASURER
2.00
.................
0.00
X   X       0 0 0
(16) DOLORES PAVLAK......................................................................
TRUSTEE
2.00
.................
0.00
X           0 0 0
(17) DONNA BOLES......................................................................
TRUSTEE
2.00
.................
0.00
X           0 0 0
Form 990 (2021)
Form 990 (2021)
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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(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) DONNA M DE CANDIDO........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(19) GABRIELLA LOCONTE........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(20) GAMIL MAKER MD........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(21) GENNARO RUBINO MD........................................................................
TRUSTEE
40.00
.......................0.00
X           275,582 0 17,273
(22) GUALBERTO MEDINA........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(23) JAI PAREKH MD MBA FAAO........................................................................
TRUSTEE
2.00
.......................1.00
X           65,000 0 0
(24) JAMES KRANZ........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(25) JOANN KARASIEWICZ........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(26) JOHN MORONE MD........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(27) JOHN R CIOLETTI........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(28) JOHN SUTTER MD........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(29) JOSEPH AMICO........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(30) JOSEPH FARNESE MD........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(31) JOSEPH VITALE JR MD........................................................................
TRUSTEE
2.00
.......................0.00
X           11,325 0 0
(32) LORELANE TINDOC MD........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(33) LOUIS ROMANO........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(34) MANJU GUPTA........................................................................
TRUSTEE THRU 6/21
2.00
.......................0.00
X           633 0 0
(35) MANNAN RAZZAK MD........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(36) MARIE BREUSS........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(37) MARJORY LANGER MD........................................................................
TRUSTEE THRU 6/21
2.00
.......................0.00
X           402,504 0 29,705
(38) MARTIN NEILAN MD........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(39) MARY MEEHAN........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(40) MICHAEL AGNELLI MD........................................................................
TRUSTEE
2.00
.......................0.00
X           296,827 0 3,952
(41) MICHAEL DELISI MD........................................................................
TRUSTEE/CO-CHAIR
40.00
.......................0.00
X           487,894 0 19,757
(42) MICHAEL J ARMSTRONG........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(43) MICHAEL LAMACCHIA MD........................................................................
TRUSTEE
2.00
.......................0.00
X           554,986 0 27,485
(44) MICHAEL MAINERO MD........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(45) NELSON GOMES........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(46) NILESH PATEL MD........................................................................
TRUSTEE
2.00
.......................0.00
X           446,616 0 22,190
(47) PATRICIA DAVINO........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(48) REV MSGR GEORGE F HUNDT........................................................................
TRUSTEE THRU 9/21
2.00
.......................0.00
X           0 0 0
(49) RICHARD J ABBATE........................................................................
TRUSTEE THRU 9/21
2.00
.......................0.00
X           0 0 0
(50) ROBERT BUDELMAN III........................................................................
TRUSTEE & VP CDO
55.00
.......................0.00
X           356,681 0 26,844
(51) ROBERT PAZ........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(52) ROBERTO SOLIS MD........................................................................
TRUSTEE
2.00
.......................0.00
X           662,184 0 402
(53) ROGER JOHNSON........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(54) ROMAN OBEN........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(55) RONALD J GARNER........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(56) SAMI ABDULMASSIH MD........................................................................
TRUSTEE
2.00
.......................0.00
X           217,599 0 3,074
(57) SISTER ELLEN DAUWER........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(58) SISTER JOAN REPKA........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(59) SISTER MARILYN C THIE........................................................................
TRUSTEE THRU 9/21
2.00
.......................0.00
X           0 0 0
(60) SISTER MARY MORLEY........................................................................
LIAISON TO SJH SETON MINISTRIES INC. TRUSTEE
2.00
.......................0.00
X           0 0 0
(61) SISTER MAUREEN SULLIVAN........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(62) SISTER PATRICIA CODEY ESQ........................................................................
TRUSTEE THRU 9/21
2.00
.......................0.00
X           0 0 0
(63) SISTER ROSEMARY SMITH........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(64) SUSAN REED CPA CFA........................................................................
TREASURER
2.00
.......................0.00
X   X       0 0 0
(65) SWATI PAREKH........................................................................
TRUSTEE
2.00
.......................0.00
X           309,384 0 2,911
(66) TALIA GRIEP........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(67) THOMAS G MARINARO........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(68) TIMOTHY MATTESON........................................................................
TRUSTEE
2.00
.......................0.00
X           0 0 0
(69) WILFREDO FERNANDEZ........................................................................
CHAIRPERSON
2.00
.......................0.00
X   X       0 0 0
(70) CASWELL SAMMS........................................................................
SR. VP, CHIEF FINANCIAL OFFICER
55.00
.......................0.00
    X       684,826 0 27,345
(71) KEVIN J SLAVIN........................................................................
PRESIDENT & CHIEF EXECUTIVE OFFICER
55.00
.......................0.00
    X       2,094,141 0 6,981
(72) LISA SCHMITTGALL........................................................................
EXEC VP, CHIEF ADMIN. OFFICER
55.00
.......................0.00
    X       1,057,970 0 14,066
(73) CHRISTOPHER TROTZ MD........................................................................
VP, PHYSICIAN SERVICES
55.00
.......................0.00
      X     256,384 0 10,715
(74) JAMES HAYNES........................................................................
VP, FACILITIES OPERATIONS THRU 10/21
55.00
.......................0.00
      X     439,640 0 28,301
(75) JAMES LABAGNARA JR MD........................................................................
VP, MED. AFFAIRS THRU 12/21
55.00
.......................0.00
      X     375,893 0 10,458
(76) JENNIFER MENDRZYCKI........................................................................
SR. VP, SITE EXEC AND OUTPATIENT SERVICES
53.00
.......................2.00
      X     714,480 0 34,533
(77) JOSEPH DUFFY MD........................................................................
SR. VP, CMO
55.00
.......................0.00
      X     735,313 0 4,765
(78) JUDITH PADULA........................................................................
VP, CHIEF NURSING OFFICER THRU 12/21
55.00
.......................0.00
      X     488,441 0 15,804
(79) KENNETH M MORRIS JR........................................................................
VP, EXTERNAL AFFAIRS
55.00
.......................0.00
      X     400,627 0 23,311
(80) LINDA A REED........................................................................
VP, CHIEF INFORMATION OFFICER
55.00
.......................0.00
      X     595,700 0 28,993
(81) MICHAEL ALWELL........................................................................
VICE PRESIDENT, REVENUE CYCLE
55.00
.......................0.00
      X     469,438 0 28,756
(82) MICHAEL CAIROLI........................................................................
VP, WAYNE SITE ADMIN.
55.00
.......................0.00
      X     242,105 0 28,557
(83) MOIRA CONNOLLY ESQ........................................................................
VP, CHIEF COMP. OFF. THRU 9/21
53.00
.......................2.00
      X     298,418 0 3,302
(84) PADMAJA UPADYA MD........................................................................
VP, CHIEF MEDICAL OFFICER, SJWMC
55.00
.......................0.00
      X     382,227 0 940
(85) PIA HOUSE WALKER........................................................................
VP, CHIEF HUMAN RESOURCES OFFICER
55.00
.......................0.00
      X     514,315 0 28,532
(86) SISTER PATRICIA MENNOR........................................................................
VP, MISSION
55.00
.......................0.00
      X     369,713 0 13,668
(87) THOMAS CASEY........................................................................
VP, MARKETING AND PUBLIC RELATIONS
55.00
.......................0.00
      X     359,671 0 1,778
(88) TODD C BROWER........................................................................
SENIOR VP, GENERAL COUNSEL
55.00
.......................0.00
      X     823,069 0 28,163
(89) JANE WHITE........................................................................
VP ONCOLOGY
55.00
.......................0.00
      X     256,384 0 40,969
(90) ALDO D KHOURY MD........................................................................
MEDICAL DOCTOR
55.00
.......................0.00
        X   986,991 0 33,934
(91) JOHN M DANKS MD........................................................................
MEDICAL DOCTOR
55.00
.......................0.00
        X   1,097,981 0 13,689
(92) MARK W CONNOLLY MD........................................................................
CHAIRMAN, DEPT. OF SURGERY
55.00
.......................0.00
        X   2,508,658 0 31,170
(93) MATTHEW A GROSSMAN........................................................................
MEDICAL DOCTOR
55.00
.......................0.00
        X   992,260 0 27,737
(94) SILVIO PODDA MD........................................................................
MEDICAL DOCTOR
55.00
.......................0.00
        X   952,280 0 26,972
(95) DENNIS ROEMER........................................................................
SR. VP, CFO THRU 11/20
0.00
.......................0.00
          X 1,122,643 0 4,016
(96) JOHN P BRUNO........................................................................
FORMER VP, HUMAN RESOURCES
0.00
.......................0.00
          X 217,474 0 3,236
(97) JONATHAN BARKHORN........................................................................
FMR. VP, PHYS. SVCS. THRU 10/20
0.00
.......................0.00
          X 450,000 0 0
(98) ROBERT C HOOD........................................................................
FMR. SR. VP, POP. HEALTH
0.00
.......................0.00
          X 512,962 0 21,346
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 24,658,484 0 695,630
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet1,219
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
PROLINK HEALTHCARE

4600 MONTGOMERY RD STE 300
CINCINNATI,OH45212
TEMPORARY STAFFING 7,173,144
CARDIOLOGY ASSOCIATES

999 MCBRIDE AVE STE B204
WEST PATERSON,NJ07424
CARDIOLOGY 3,960,751
SYMMETRY WORKFORCE SOLUTIONS LLC

220 MONMOUTH RD
OAKHURST,NJ07755
TEMPORARY STAFFING 3,629,459
ADVANCED CARDIOLOGY PRACTICE LLC

246 HAMBURG TPKE STE 201
WAYNE,NJ07470
CARDIOLOGY 3,461,716
NORTH AMERICAN PARTNERS IN ANESTHESIA

68 SOUTH SERVICE RD
MELVILLE,NY11747
ANAESTHESIOLOGY 2,725,339
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet64
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 371,715
d Related organizations1d 3,665,314
e Government grants (contributions)1e 77,489,353
f All other contributions, gifts, grants, and similar amounts not included above1f 4,535,739
g Noncash contributions included in lines 1a - 1f:$ 1g 33,960
h Total. Add lines 1a-1f.......MediumBullet 86,062,121
 Program Service RevenueAmt Business Code
2a NET PATIENT SRVC REV. 621110 777,874,376 777,874,376    
b PHYSICIAN BILLING 621110 55,455,264 55,455,264    
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 833,329,640
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 17,590,428     17,590,428
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   2,625,399 6a
b Less: rental expenses   755,254 6b
c Rental income or (loss)   1,870,145 6c
d Net rental income or (loss).......MediumBullet 1,870,145   598,695 1,271,450
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 4,183,450 67,469,779 7a
b Less: cost or other basis and sales expenses 0 66,665,089 7b
c Gain or (loss) 4,183,450 804,690 7c
d Net gain or (loss).........MediumBullet 4,988,140     4,988,140
8a Gross income from fundraising events (not including $ 371,715of contributions reported on line 1c). See Part IV, line 18 ....
8a 405,589
b Less: direct expenses ... 8b 223,506
c Net income or (loss) from fundraising events..MediumBullet 182,083   182,083
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 35,780
b Less: direct expenses ... 9b 8,850
c Net income or (loss) from gaming activities..MediumBullet 26,930     26,930
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a PHARMACY 446110 4,971,945 4,945,736 26,209  
b PARKING 812930 2,737,701     2,737,701
c EDUCATION/TRAINING 900099 1,639,745 1,639,745    
d All other revenue .... 10,400,693 10,026,187 374,506  
e Total. Add lines 11a–11d ...... MediumBullet 19,750,084
12 Total revenue. See instructions.....MediumBullet 963,799,571 849,941,308 999,410 26,796,732
Form 990 (2021)
Form 990 (2021)
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 .... 3,714,698 3,714,698
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 10,000 10,000
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 ........... 17,406,875 14,878,343 2,469,219 59,313
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 2,331,667 1,992,968 330,754 7,945
7 Other salaries and wages........ 430,957,677 368,356,526 61,132,685 1,468,466
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 12,530,522 10,805,069 1,725,453  
9 Other employee benefits ....... 45,340,712 38,950,589 6,237,002 153,121
10 Payroll taxes ........... 29,851,583 25,741,020 4,110,563  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,687,743 1,455,341 232,402  
c Accounting ........... 654,052 563,989 90,063  
d Lobbying ........... 259,949 224,113 35,836  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 1,272,434 1,077,417 174,348 20,669
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 3,761,555 3,243,589 517,966  
12 Advertising and promotion .... 962,214 829,717 132,497  
13 Office expenses ....... 32,784,062 28,269,738 4,514,324  
14 Information technology ...... 22,679,182 19,556,259 3,122,923  
15 Royalties ..        
16 Occupancy ........... 61,114,693 52,699,200 8,415,493  
17 Travel ............ 955,133 823,611 131,522  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 14,963,037 13,049,669 1,913,368  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 36,863,195 31,867,581 4,995,614  
23 Insurance ... 14,544,305 12,541,554 2,002,751  
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 MEDICAL SUPPLIES EXP. 123,285,513 101,445,887 21,839,626  
b PHYSICIAN FEES 19,959,879 17,211,404 2,748,475  
c HEALTHCARE REFORM ACT 5,173,122 5,173,122    
d EQUIP REPAIR/MAINT. 5,085,134 5,085,134    
e All other expenses 35,738,531 35,738,531    
25 Total functional expenses. Add lines 1 through 24e 923,887,467 795,305,069 126,872,884 1,709,514
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 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 31,479,572 1 34,500,555
2 Savings and temporary cash investments ......... 19,740,369 2 17,032,394
3 Pledges and grants receivable, net ...... 19,514,715 3 13,160,689
4 Accounts receivable, net ............. 77,261,891 4 80,209,783
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
371,544 5 268,794
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ........... 1,621,809 7 1,703,188
8 Inventories for sale or use ............ 13,953,587 8 25,161,689
9 Prepaid expenses and deferred charges ...... 4,537,112 9 13,822,979
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 962,900,491
b Less: accumulated depreciation 10b 589,995,287 380,165,205 10c 372,905,204
11 Investments—publicly traded securities . 90,250,121 11 93,315,330
12 Investments—other securities. See Part IV, line 11 ..... 384,589,372 12 334,014,881
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ............... 2,110,000 14 2,110,000
15 Other assets. See Part IV, line 11 ........... 66,734,438 15 93,389,729
16 Total assets. Add lines 1 through 15 (must equal line 33)... 1,092,329,735 16 1,081,595,215
Liabilities 17 Accounts payable and accrued expenses ..... 179,551,781 17 180,059,269
18 Grants payable ...   18  
19 Deferred revenue ......... 61,762,389 19 28,416,000
20 Tax-exempt bond liabilities ......... 355,691,986 20 249,955,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties .. 28,015 23 81,200,000
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 254,665,831 25 198,994,014
26 Total liabilities. Add lines 17 through 25.. 851,700,002 26 738,624,283
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 219,052,316 27 299,641,083
28 Net assets with donor restrictions ........... 21,577,417 28 43,329,849
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 240,629,733 32 342,970,932
33 Total liabilities and net assets/fund balances ........ 1,092,329,735 33 1,081,595,215
Form 990 (2021)
Form 990 (2021)
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
963,799,571
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
923,887,467
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
39,912,104
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
240,629,733
5
Net unrealized gains (losses) on investments ...............
5
-1,191,917
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
63,621,012
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
342,970,932
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 on
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 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number

27-1344467
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................1
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- 10 above (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 UNIVERSITY MEDICAL CENTER
 
221487602 3 Yes   3,665,314 0
Total
1
3,665,314 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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 failed 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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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 5 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) 2021

Schedule A (Form 990) 2021
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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 on 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) 2021

Schedule A (Form 990) 2021
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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
 
No
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
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
No
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 box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
No
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 lines 5b and 5c 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
 
No
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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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
 
No
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
No
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
 
No
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined on line 9a) 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
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
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
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
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 on lines 11b and 11c below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described on 11a above?
11b
 
No
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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
Yes
 
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
 
No
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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

Schedule A (Form 990) 2021
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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 0.015 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 0.035 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
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2021 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2021
(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2021. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2022. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
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, SUPPLEMENTAL INFORMATION PUBLIC CHARITY STATUS: ST. JOSEPH'S UNIVERSITY MEDICAL CENTER IS A HOSPITAL DESCRIBED IN SECTION 170(B)(1)(A)(III). THE FOLLOWING ORGANIZATIONS ARE AN ORGANIZATION DESCRIBED IN SECTION 509(A)(3), ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR SECTION 509(A)(2). IT IS REPORTED AS TYPE I ON PART IV TO DIRECTLY SUPPORT ST. JOSEPH'S UNIVERSITY MEDICAL CENTER. - ST. JOSEPH'S HOSPITAL & MEDICAL CENTER FOUNDATION, - HARBOR HOUSE, INC. - 200 HOSPITAL PLAZA - ST. JOSEPH'S EMERGENCY PHYSICIANS, INC. - ST. JOSEPH'S FACULTY PHYSICIANS, INC. - ST. JOSEPH'S PHYSICIANS, INC. - ST. JOSEPH'S PHYSICIANS HEALTHCARE GROUP, INC. - ST. JOSEPH'S SUBSPECIALTY PHYSICIANS, INC.
SCHEDULE A, PART IV, LINE 1 THE ST. JOSEPH'S UNIVERSITY MEDICAL CENTER FOUNDATION IS ORGANIZED TO PROMOTE, BY DONATION, LOAN OR OTHERWISE, THE INTERESTS AND PROGRAMS OF ST. JOSEPH'S UNIVERSITY MEDICAL CENTER (SJUMC). ITS SOLE MEMBER IS ST JOSEPH'S HEALTH, INC. AND THE SYSTEM HAS RIGHT AND POWER TO APPOINT GROUP RETURN. HARBOR HOUSE, INC. IS ORGANIZED TO PROVIDE ELDERLY OR DISABLED PERSONS WITH HOUSING FACILITIES AND SERVICES. THE BYLAWS DESIGNATE ITS TRUSTEES FROM THE TRUSTEES OF SJUMC OR NON-TRUSTEES WITH SJUMC BOARD APPROVAL. THE REMOVAL, APPROVAL OR RESIGNATION OF TRUSTEE IN SJUMC RESULTS IN AUTOMATIC TRUSTEE REVOCATION FOR HARBOR HOUSE, INC. THE SOLE MEMBER OF HARBOR HOUSE, INC. IS SJUMC. 200 HOSPITAL PLAZA IS ORGANIZED TO PROVIDE HOSPITAL HOUSING, PARKING, AND OTHER FACILITIES FOR EMPLOYEES, PATIENTS, VISITORS, DOCTORS, AND OTHERS AFFILIATED WITH SJUMC. THE SOLE MEMBER IS ST JOSEPHS HEALTH, INC. ("THE SYSTEM"). THE SYSTEM DETERMINES WHEN BOARD ELECTIONS ARE HELD AND CAN REMOVE ANY TRUSTEE AND OFFICER AT ANY TIME IF IT IS IN THE BEST INTEREST OF 200 HOSPITAL PLAZA. ST. JOSEPH'S EMERGENCY PHYSICIANS INC.'S SOLE MEMBER IS SJUMC. SJUMC IS RESPONSIBLE FOR ELECTING THE TRUSTEES OF ST. JOSEPH'S EMERGENCY PHYSICIANS INC. ST. JOSEPH'S FACULTY PHYSICIANS INC.'S SOLE MEMBER IS SJUMC. SJUMC IS RESPONSIBLE FOR ELECTING THE TRUSTEES OF ST. JOSEPH'S FACULTY PHYSICIANS INC. ST. JOSEPH'S PHYSICIANS INC.'S SOLE MEMBER IS SJUMC. SJUMC IS RESPONSIBLE FOR ELECTING THE TRUSTEES OF ST. JOSEPH'S PHYSICIANS INC. ST. JOSEPH'S SUBSPECIALTY PHYSICIANS INC.'S SOLE MEMBER IS SJUMC. SJUMC IS RESPONSIBLE FOR ELECTING THE TRUSTEES OF ST. JOSEPH'S SUBSPECIALTY PHYSICIANS INC. ST. JOSEPH'S PHYSICIANS HEALTHCARE GROUP INC.'S SOLE MEMBER IS SJUMC. SJUMC IS RESPONSIBLE FOR ELECTING THE TRUSTEES OF ST. JOSEPH'S PHYSICIANS HEALTHCARE GROUP INC.
Schedule A (Form 990) 2021


Additional Data


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Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Name of the organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number

27-1344467
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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2021)
Schedule B (Form 990) (2021) Page 2
Name of organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number
27-1344467
Part I
Contributors
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) (2021)
Schedule B (Form 990) (2021)
Page 3
Name of organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number

27-1344467
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) (2021)
Schedule B (Form 990) (2021)
Page 4
Name of organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number

27-1344467
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) (2021)
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SCHEDULE C
(Form 990)

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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
If the organization answered "Yes" on 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" on 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" on 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 JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number

27-1344467
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. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

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-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
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) 2018 (b) 2019 (c) 2020 (d) 2021 (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) 2021


Schedule C (Form 990) 2021
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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(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? ..........................................................
 
No
 
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
 
259,949
j
Total. Add lines 1c through 1i ....................................................................................................
259,949
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: LOBBYING ACTIVITIES THE HOSPITAL DOES NOT CONDUCT ANY DIRECT LOBBYING ACTIVITIES; HOWEVER, THE HOSPITAL HAS HIRED INDEPENDENT CONSULTING FIRMS TO PURSUE LEGISLATIVE ENDEAVORS ON BEHALF OF THE HOSPITAL. IN 2021, THE HOSPITAL PAID WASHINGTON STRATEGIC CONSULTING, INC. $67,500 FOR THEIR EFFORTS. THE HOSPITAL PAID MEMBERSHIP DUES TO CATHOLIC HEALTH ASSOCIATION (CHA), NJHA, HOSPITAL ALLIANCE NJ., AND TO AMERICA ESSENTIALS HOSPITALS. A PORTION OF THESE DUES WERE USED FOR LOBBYING ACTIVITIES.
Schedule C (Form 990) 2021


Additional Data


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SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number

27-1344467
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB 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 FASB 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 on 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 FASB ASC 958 relating to these items:
a
Revenue included on 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) 2021

Schedule D (Form 990) 2021
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" on 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" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 123,142 123,142 123,142 123,142 291,432
b Contributions ...          
c Net investment earnings, gains, and losses 47 39 3,500 1,792 637
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
47 39 3,500 1,792  
f Administrative expenses ....          
g End of year balance ...... 123,142 123,142 123,142 123,142 292,069
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 Bullet100.000 %
c
Term endowment SchDMd Bullet  
The percentages on 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)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on 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 .....   12,510,942 12,510,942
b Buildings ....   506,603,424 286,875,939 219,727,485
c Leasehold improvements   18,971,222 14,793,926 4,177,296
d Equipment ....   414,963,420 288,325,422 126,637,998
e Other .....   9,851,483   9,851,483
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 372,905,204
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on 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........    
(3) Other
(A) MUNICIPAL BONDS
1,581,427 F

(B) CORPORATE OBLIGATIONS
327,288,664 F

(C) MUTUAL FUNDS
5,144,790 F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 334,014,881
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)INVESTMENT IN JOINT VENTURES 30,928,500
(2)OTHER ASSETS 5,716,102
(3)BENEFICIAL INTEREST IN TRUST 6,931,903
(4)OPERATING RIGHT OF USE ASSETS 24,595,556
(5)ASSETS HELD BY RELATED ORGANIZATIONS 25,217,668
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 93,389,729
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 198,994,014
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) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on 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' on 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: THE FOUNDATION MAINTAINS A DONOR-RESTRICTED FUND WHOSE PURPOSE IS TO PROVIDE FOR THE CARE AND TREATMENT OF PATIENTS AFFLICTED WITH CANCER. IN CLASSIFYING SUCH FUND FOR FINANCIAL STATEMENT PURPOSES AS EITHER NET ASSETS WITH OR WITHOUT DONOR RESTRICTIONS, THE BOARD OF TRUSTEES LOOKS TO THE EXPLICIT DIRECTIONS OF THE DONOR WHERE APPLICABLE AND THE PROVISIONS OF THE LAWS OF THE STATE OF NEW JERSEY. THE BOARD HAS DETERMINED THAT, ABSENT DONOR STIPULATIONS TO THE CONTRARY, THE PROVISIONS OF NEW JERSEY STATE LAW DO NOT IMPOSE EITHER RESTRICTION ON THE INCOME OR CAPITAL APPRECIATION DERIVED FROM THE ORIGINAL GIFT.
Schedule D (Form 990) 2021


Additional Data


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SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number

27-1344467
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region
(f) Total expenditures
for and investments
in the region
NORTH AMERICA 0 0 PROGRAM SERVICES CAPTIVE INSURANCE 9,203,326
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 9,203,326
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 9,203,326
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount
of noncash
assistance
(h) Description
of noncash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
noncash
assistance
(g) Description
of noncash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
PART III ACCOUNTING METHOD:  
PART I, LINE 3, COLUMN (F) THE ORGANIZATION USES THE ACCRUAL METHOD OF ACCOUNTING TO ACCOUNT FOR ITS FOREIGN EXPENDITURES.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2021
Additional Data


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SCHEDULE G (Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number

27-1344467
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990) 2021
Schedule G (Form 990) 2021
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.









VerticalRevenue
(a) Event #1

GOLF OUTING
(event type)
(b) Event #2

GALA
(event type)
(c) Other events

2
(total number)
(d) Total events
(add col. (a) through col. (c))

1

Gross receipts . . . . .

359,813

195,910

221,581

777,304

2

Less: Contributions . . . .

150,679

130,372

90,664

371,715
3 Gross income (line 1 minus
line 2) . . . . . .

209,134

65,538

130,917

405,589



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . .     406 406
7 Food and beverages . . . 92,775 9,040 76,399 178,214
8 Entertainment . . . . 6,829   3,659 10,488
9 Other direct expenses . . . 17,733 6,354 10,311 34,398
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 223,506
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow 182,083
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1

Gross revenue . . . . .

 

 

35,780

35,780
VerticalDirectExpenses

2

Cash prizes . . . . .

 

 

8,850

8,850

3

Noncash prizes . . . .

 

 

 

 

4

Rent/facility costs . . . .

 

 

 

 

5

Other direct expenses . . .

 

 

 

 


6


Volunteer labor . . . .
%
%
%


7

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

8,850

8

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

26,930

9
Enter the state(s) in which the organization conducts gaming activities: NJ
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990) 2021
Schedule G (Form 990) 2021
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
100.000 %
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
PATRICIA PAOLUCCI
Address right arrow
703 MAIN STREET   PATTERSON, NJ07053
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
PATRICIA PAOLUCCI 703 MAIN STR
Gaming manager compensation right arrow $ 1,000
Description of services provided right arrow
PLAN AND EXECUTE GAMING ACTIVITIES
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990) 2021
Additional Data


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Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number

27-1344467
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) . . .
    51,939,377 43,362,734 8,576,643 0.930 %
b Medicaid (from Worksheet 3, column a) . . . . .     233,713,026 193,699,098 40,013,928 4.330 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     285,652,403 237,061,832 48,590,571 5.260 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     5,090,503 2,237,763 2,852,740 0.310 %
f Health professions education (from Worksheet 5) . . .     46,184,605 19,382,025 26,802,580 2.900 %
g Subsidized health services (from Worksheet 6) . . . .     169,837,017 77,775,713 92,061,304 9.960 %
h Research (from Worksheet 7) .     419,721 0 419,721 0.050 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .            
j Total. Other Benefits . .     221,531,846 99,395,501 122,136,345 13.220 %
k Total. Add lines 7d and 7j .     507,184,249 336,457,333 170,726,916 18.480 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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     16,344   16,344 0 %
2 Economic development     1,850,000   1,850,000 0.200 %
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building     35,000   35,000 0 %
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total     1,901,344   1,901,344 0.200 %
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 Healthcare 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
60,697,275
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
35,555,087
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
227,598,000
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
277,122,695
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-49,524,695
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 ST JOSEPH'S SURGERY MANAGEMENT
 
SURGERY CENTER MANAGEMENT 54.000 %   46.000 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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?2Name, 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 UNIVERSITY MEDICAL CTR
703 MAIN STREET
PATERSON,NJ07503
WWW.STJOSEPHSHEALTH.ORG
11605
SJUMC
221487602
X X X X X X X     A
2 SJUMC DBA ST JOSEPH'S WAYNE MED CTR
224 HAMBURG TURNPIKE
WAYNE,NJ07470
WWW.STJOSEPHSHEALTH.ORG
11603
SJUMC DBA SJWMC
221487602
X X         X     A
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 4
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)
FACILITY REPORTING GROUP - A
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):
 
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 19
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  
6 a 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   No
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 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
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 Was widely publicized 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
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
19 Did the hospital facility or other authorized 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
e
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 19. (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
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2021
Schedule H (Form 990) 2021
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 2: SJUMC DBA ST. JOSEPH'S WAYNE MED. CTR, - FACILITY 1: ST. JOSEPH'S UNIVERSITY MEDICAL CTR
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY ST. JOSEPH'S HEALTH; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 72 COMMUNITY STAKEHOLDERS IN SOUTHERN PASSAIC COUNTY TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED BELOW:PHYSICIANS 10 PUBLIC HEALTH REPRESENTATIVES 2 OTHER HEALTH PROVIDERS 20 SOCIAL SERVICES PROVIDERS 10 OTHER COMMUNITY LEADERS 30 FINAL PARTICIPATION INCLUDED REPRESENTATIVES OF THE ORGANIZATIONS OUTLINED BELOW.- ST. JOSEPH'S HEALTH- CLIFTON HEALTH DEPARTMENT- 4CS OF PASSAIC COUNTY- BANGLADESHI AMERICAN WOMEN'S- DEVELOPMENT INITIATIVE- CAREFINDERSTOTAL CARE- CHABAD CENTER OF PASSAIC COUNTY- CITY OF PATERSON- CLIFTON MEDICAL CARE- CLIFTON PUBLIC SCHOOLS- COALITION ON AIDS IN PASSAIC COUNTY,- COLLABORATIVE SUPPORT PROGRAMS OF NEW JERSEY- ELMWOOD PARK SENIOR ACTIVITY CENTER OF BERGEN CO.- FACES OF FALLEN FATHERS- FAMILY INTERVENTION SERVICES- FAMILY PROMISE OF BERGEN COUNTY- HAMILTON PARTNERSHIP FOR PATERSON- HEART AND VASCULAR MEDICAL GROUP- HOME CARE OPTIONS- HVA MEDICAL GROUP- INTERNAL MEDICINE AND GERIATRIC PRACTICE- LIGHTHOUSE PREGNANCY RESOURCE CENTER- M&S PSYCHOTHERAPY AND COUNSELING- MORE THAN FRIENDS CARES INC.- NEW CITY KIDS: PATERSON- NORWESCAP, INC.- PALESTINIAN AMERICAN COMMUNITY CENTER- PASSAIC PUBLIC SCHOOLS- PATERSON ALLIANCE- PATERSON COMMUNITY CLINIC- PATERSON DIVISION OF HEALTH- PATERSON EDUCATION FUND- RENEW LIFE CENTER- ST. JOSEPH'S FAMILY MEDICINE/CLIFTON- ST. JOSEPH'S UNIVERSITY MEDICAL CENTER- ST. PAUL'S CHURCH- STRAIGHT AND NARROW- TOWNSHIP OF WAYNE- UNITED METHODIST CHURCH IN WAYNE COUNTY- UNITED METHODIST CHURCH- WANAQUE BOROUGH HEALTH DEPARTMENT- WAYNE COUNSELING AND FAMILY SERVICES- WILLIAM PATERSON UNIVERSITYPOPULATION AND SURVEY CHARACTERISTICS:47.9% WERE MEN; 52.1% WERE WOMEN; 41% WERE BETWEEN THE AGES OF 18 AND 39; 42.4% WERE BETWEEN THE AGES OF 40 AND 64; 16.6% WERE 65 YEARS OR OLDER; 43.5% WERE WHITE (NON-HISPANIC); 37.8% WERE HISPANIC; 10.7% WERE BLACK (NON-HISPANIC); 8% WERE OTHER (NON-HISPANIC).ON OCTOBER 15, 2019, ST. JOSEPH'S UNIVERSITY MEDICAL CENTER CONVENED A GROUP OF 15 COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR COMMUNITY, BASED ON FINDINGS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) BEGAN THE MEETING WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH (SEE AREAS OF OPPORTUNITY ABOVE). FINALLY, PARTICIPANTS WERE PROVIDED AN OVERVIEW OF THE PRIORITIZATION EXERCISE THAT FOLLOWED. IN ORDER TO ASSIGN PRIORITY TO THE IDENTIFIED HEALTH NEEDS (I.E., AREAS OF OPPORTUNITY), A WIRELESS AUDIENCE RESPONSE SYSTEM WAS USED IN WHICH EACH PARTICIPANT WAS ABLE TO REGISTER HIS/HER RATINGS USING A SMALL REMOTE KEYPAD. THE PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA: - SCOPE & SEVERITY - THE FIRST RATING WAS TO GAUGE THE MAGNITUDE OF THE PROBLEM IN CONSIDERATION OF THE FOLLOWING: - ABILITY TO IMPACT - A SECOND RATING WAS DESIGNED TO MEASURE THE PERCEIVED LIKELIHOOD OF THE HOSPITAL HAVING A POSITIVE IMPACT ON EACH HEALTH ISSUE, GIVEN AVAILABLE RESOURCES, COMPETENCIES, SPHERES OF INFLUENCE, ETC. INDIVIDUALS' RATINGS FOR EACH CRITERIA WERE AVERAGED FOR EACH TESTED HEALTH ISSUE, AND THEN THESE COMPOSITE CRITERIA SCORES WERE AVERAGED TO PRODUCE AN OVERALL SCORE. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS: 1. DIABETES 2. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 3. HEART DISEASE & STROKE 4. SUBSTANCE ABUSE 5. ACCESS TO HEALTHCARE 6. MENTAL HEALTH 7. TOBACCO USE 8. SEXUAL HEALTH 9. CANCER 10. HOUSING 11. INJURY & VIOLENCE 12. RESPIRATORY DISEASES 13. SEPTICEMIA COMMUNITY STAKEHOLDERS WERE ASKED TO RATE THE DEGREE TO WHICH EACH OF 20 HEALTH ISSUES IS A PROBLEM IN THEIR OWN COMMUNITY, USING A SCALE OF "MAJOR PROBLEM," "MODERATE PROBLEM," "MINOR PROBLEM, OR "NO PROBLEM AT ALL." FINDINGS ALSO ARE OUTLINED THROUGHOUT THE 2019 CHNIA REPORT, ALONG WITH THE QUALITATIVE INPUT DESCRIBING REASONS FOR THEIR CONCERNS. (NOTE THAT THESE RATINGS ALONE DO NOT ESTABLISH PRIORITIES FOR THIS ASSESSMENT; RATHER, THEY ARE ONE OF SEVERAL DATA INPUTS CONSIDERED FOR THE PRIORITIZATION PROCESS DESCRIBED EARLIER.ST. JOSEPH'S UNIVERSITY MEDICAL CENTER WILL USE THE INFORMATION FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY. WHILE THE HOSPITAL WILL LIKELY NOT IMPLEMENT STRATEGIES FOR ALL OF THE HEALTH ISSUES LISTED ABOVE, THE RESULTS OF THIS PRIORITIZATION EXERCISE WILL BE USED TO INFORM THE DEVELOPMENT OF THE HOSPITAL'S ACTION PLAN TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS IN THE COMING YEARS.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: ST. JOSEPH'S WAYNE MEDICAL CENTER
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: THE FOLLOWING "AREAS OF OPPORTUNITY" REPRESENT THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, BASED ON THE INFORMATION GATHERED THROUGH THIS COMMUNITY HEALTH NEEDS ASSESSMENT. FROM THESE DATA, OPPORTUNITIES FOR HEALTH IMPROVEMENT EXIST IN THE AREA WITH REGARD TO THE FOLLOWING HEALTH ISSUES:THE AREAS OF OPPORTUNITY WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THESE ALSO TAKE INTO ACCOUNT THOSE ISSUES OF GREATEST CONCERN TO THE COMMUNITY STAKEHOLDERS (KEY INFORMANTS) GIVING INPUT TO THIS PROCESS:- DIABETES- NUTRITION PHYSICAL ACTIVITY AND WEIGHT- HEART DISEASE AND STROKE- SUBSTANCE ABUSE- ACCESS TO HEALTHCARE- MENTAL HEALTH- TOBACCO USE- SEXUAL HEALTH- RESPIRATORY DISEASES- SEPTICEMIAST. JOSEPH'S UNIVERSITY MEDICAL CENTER CONVENED A GROUP OF 15 COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR COMMUNITY, BASED ON FINDINGS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) BEGAN THE MEETING WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH (SEE AREAS OF OPPORTUNITY ABOVE). FOLLOWING THE DATA REVIEW, PRC ANSWERED ANY QUESTIONS. FINALLY, WERE PROVIDED AN OVERVIEW OF THE PRIORITIZATION EXERCISE THAT FOLLOWED. IN ORDER TO ASSIGN PRIORITY TO THE IDENTIFIED HEALTH NEEDS (I.E., AREAS OF OPPORTUNITY), A WIRELESS AUDIENCE RESPONSE SYSTEM WAS USED IN WHICH EACH PARTICIPANT WAS ABLE TO REGISTER HIS/HER RATINGS USING A SMALL REMOTE KEYPAD. THE PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA:SCOPE & SEVERITY THE FIRST RATING WAS TO GAUGE THE MAGNITUDE OF THE PROBLEM IN CONSIDERATION OF THE FOLLOWING:- HOW MANY PEOPLE ARE AFFECTED?- HOW DOES THE LOCAL COMMUNITY DATA COMPARE TO STATE OR NATIONAL LEVELS, OR HEALTHY PEOPLE 2020 TARGETS?- TO WHAT DEGREE DOES EACH HEALTH ISSUE LEAD TO DEATH OR DISABILITY, IMPAIR QUALITY OF LIFE, OR IMPACT OTHER HEALTH ISSUES?RATINGS WERE ENTERED ON A SCALE OF 1 (NOT VERY PREVALENT AT ALL, WITH ONLY MINIMAL HEALTH CONSEQUENCES) TO 10 (EXTREMELY PREVALENT, WITH VERY SERIOUS HEALTH CONSEQUENCES).ABILITY TO IMPACT A SECOND RATING WAS DESIGNED TO MEASURE THE PERCIEVED LIKELIHOOD OF THE HOSPITAL HAVING A POSITIVE IMPACT ON EACH HEALTH ISSUE, GIVEN AVAILABLE RESOURCES, COMPETENCIES, SPHERES OF INFLUENCE, ETC. RATINGS WERE ENTERED ON A SCALE OF 1 (NO ABILITY TO IMPACT) TO 10 (GREAT ABILITY TO IMPACT).INDIVIDUALS' RATINGS FOR EACH CRITERIA WERE AVERAGED FOR EACH TESTED HEALTH ISSUE, AND THEN THESE COMPOSITE CRITERIA SCORES WERE AVERAGED TO PRODUCE AN OVERALL SCORE. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS:1. DIABETES2. NUTRITION, PHYSICAL ACTIVITY & WEIGHT3. HEART DISEASE & STROKEST. JOSEPH'S HEALTH USED THE INFORMATION FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY.GOAL 1: IMPROVE THE WELLBEING OF COMMUNITY RESIDENTS THROUGH INCREASED KNOWLEDGE ABOUT AND ACCESS TO HEALTHY FOODS AND PARTICIPATION IN PHYSICAL ACTIVITY PROGRAMS.A. PARTNER WITH THE PASSAIC COUNTY HEALTH COALITION AND AREA ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY RELATED TO NUTRITION, PHYSICAL AND HEALTHY WEIGHT ACTIVITIESB. FOCUS EDUCATIONAL OUTREACH IN THE COMMUNITY BASED ON REQUESTS RELATED TO NUTRITION, PHYSICAL ACTIVITY AND HEALTHY WEIGHT INITIATIVESC. CONTINUE TO OFFER NUTRITIONAL AND WELLNESS EDUCATION TO MONTHLY SUPPORT GROUPS ACROSS SERVICE LINES, SUCH AS HEART HEALTH, STROKE AND DIABETES SUPPORT GROUPSD. INCREASE DIETICIAN COVERAGE TO FIVE DAYS A WEEK WITH THE EMPLOYMENT OF ADDITIONAL DIETICIANSGOAL 2: IMPROVE HEALTH STATUS THROUGH CHRONIC DISEASE AND CARE MANAGEMENT ACROSS THE CONTINUUM FOR HEART DISEASE AND STROKEHEART DISEASEA. FOCUS EDUCATIONAL OUTREACH IN THE COMMUNITY BASED ON REQUESTS RELATED TO HEART DISEASE PREVENTION AND RISK FACTORS THROUGH PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION AND OTHER COMMUNITY ORGANIZATIONSB. INCREASE AWARENESS OF LIFE-SAVING PROGRAMS IN THE COMMUNITY THROUGH HANDS ON ONLY CPR AND AED TRAININGSC. BECOME AN AMERICAN COLLEGE OF CARDIOLOGY PAIN ACCREDITATION CENTERD. EXPAND CARDIAC REHAB TO BOTH HOSPITAL CAMPUSESE. FOCUS EDUCATIONAL OUTREACH IN THE COMMUNITY BASED ON REQUESTS TO OFFER HEART HEALTH INITIATIVES TARGETING WOMEN STROKEA. FOCUS EDUCATIONAL OUTREACH IN THE COMMUNITY BASED ON REQUESTS RELATED TO STROKE PREVENTION AND RISK FACTORS THROUGH PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION AND OTHER COMMUNITY ORGANIZATIONSB. ACHIEVE NJ DEPARTMENT OF HEALTH PRIMARY STROKE DESIGNATION FOR THE WAYNE CAMPUS/COMMUNITY C. FOCUS ON POST-STROKE CARE THROUGH THE ADDITION OF A NURSE NAVIGATOR AND THE OFFERING OF A WEEKLY STROKE CLINIC TO ASSIST POST-STROKE PATIENTS IN LOWERING THEIR READMISSION RATESD. EDUCATE THE MEDICAL COMMUNITY ON STROKE AWARENESS THROUGH OUTREACH TO NURSING HOMES AND PRIMARY CARE PHYSICIAN OFFICES IN ORDER TO DECREASE THE TIME FROM THE ONSET OF A STROKE TO MEDICAL TREATMENTGOAL 3: IMPROVE HEALTH STATUS THROUGH CHRONIC DISEASE AND CARE MANAGEMENT ACROSS THE CONTINUUM FOR DIABETESA. FOCUS EDUCATIONAL OUTREACH IN THE COMMUNITY BASED ON REQUESTS RELATED TO DIABETES PREVENTION AND RISK FACTORS THROUGH PARTNERSHIP WITH THE AMERICAN DIABETES ASSOCIATION AND OTHER COMMUNITY ORGANIZATIONSB. EXPAND DIABETES EDUCATION PROGRAM ON THE WAYNE CAMPUS AND EXPAND SERVICES TO THE PATERSON COMMUNITYC. SHARE EXPERIENCES AND LEARNINGS FROM SJHS INTERNAL DIABETES AWARENESS AND PREVENTION PROGRAM WITH COMMUNITY PARTNERSGOAL 4: PROMOTE BEHAVIORAL HEALTHA. CONTINUE TO OFFER BEHAVIORAL HEALTH EDUCATION AND SCREENINGS IN THE COMMUNITYB. INTEGRATE BEHAVIORAL HEALTH INTO THE PRIMARY CARE SETTINGC. INCREASE POPULATION SPECIFIC PROGRAMS AND SERVICESD. COLLABORATE WITH OTHER PROVIDERS IN CROSS-CONTINUUM INITIATIVES
PART V, SECTION B, LINE 7A & 10A: PLEASE FIND THE CHNA AND IMPLEMENTATION STRATEGY HERE: HTTPS://STJOSEPHSHEALTH.ORG/IMAGES/PDF/2019%20SJUMC%20CHNA%20SUMMARY%20REPORT.PDFHTTPS://WWW.STJOSEPHSHEALTH.ORG/IMAGES/PDF/2019%20SJWMC%20CHNA%20SUMMARY%20REPORT.PDFHTTPS://WWW.STJOSEPHSHEALTH.ORG/IMAGES/IMPLEMENTATION%20STRATEGY%201.PDFHTTPS://WWW.STJOSEPHSHEALTH.ORG/IMAGES/IMPLEMENTATION%20STRATEGY%201.PDF
PART V, SECTION B, LINE 16A, 16B & 16C: PLEASE FIND THE WEB ADDRESS FOR THE FINANCIAL ASSISTANCE POLICY (FAP) HERE:HTTPS://STJOSEPHSHEALTH.ORG/IMAGES/SJH_FINANCIAL_ASSISTANCE_POLICY.PDFPLEASE FIND THE WEB ADDRESS FOR THE FINANCIAL ASSISTANCE APPLICATION HERE:HTTPS://STJOSEPHSHEALTH.ORG/IMAGES/APPLICATION_FOR_PARTICPATION_CARE_ASSISTANCE.PDFPLEASE FIND THE WEB ADDRESS FOR THE PLAIN LANGUAGE SUMMARY HERE:HTTPS://WWW.STJOSEPHSHEALTH.ORG/IMAGES/SJH_FA_PLAINLANGUAGE.PDF
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 9
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?26
Name and address Type of Facility (describe)
1 1 - ST JOSEPH'S HEALTHCARE AND REHAB CENTER
315 EAST LINDSLEY ROAD
CEDAR GROVE,NJ07009
LONGER CARE AND SUBACUTE SERVICES
2 2 - HARBOR HOUSE
645 MAIN STREET
PATERSON,NJ07503
BEHAVIORAL HEALTH
3 3 - OUTPATIENT MENTAL HEALTH CLINIC
641 MAIN STREET
PATERSON,NJ07505
BEHAVIORAL HEALTH
4 4 - ACCESS PROGRAM
621 MAIN STREET
PATERSON,NJ07503
BEHAVIORAL HEALTH
5 5 - CARDIOVASCULAR CENTER AT WAYNE
246 HAMBURG TURNPIKE
WAYNE,NJ07470
CARDIOLOGY
6 6 - CARDIOVASCULAR CENTER AT WOODLAND PARK
999 MCBRIDE AVENUE SUITE 204
WOODLAND PARK,NJ07424
CARDIOLOGY
7 7 - CARDIOVASCULAR CENTER AT NUTLEY
181 FRANKLIN AVENUE SUITE 301
NUTLEY,NJ07110
CARDIOLOGY
8 8 - AMBULATORY IMAGING CENTER
1135 BROAD STREET
CLIFTON,NJ07013
IMAGING
9 9 - ST JOSEPHS UNIVERSITY IMAGING
246 HAMBURG TURNPIKE
WAYNE,NJ07470
IMAGING
10 10 - PED SUBSPEC FAC PRACT AT CLIFTON
1135 BROAD STREET
CLIFTON,NJ07013
PEDIATRICS
11 11 - PED SUBSPEC FAC PRACT AT HOBOKEN
158 14TH STREET
HOBOKEN,NJ07030
PEDIATRICS
12 12 - PED SUBSPEC FAC PRACT AT PARAMUS
30 WEST CENTURY ROAD
PARAMUS,NJ07652
PEDIATRICS
13 13 - PED SUBSPEC FAC PRACT AT WAYNE
1350 ROUTE 23 NORTH
WAYNE,NJ07470
PEDIATRICS
14 14 - DEPAUL AMBULATORY CENTER
11 GETTY AVENUE 275
PATERSON,NJ07503
PRIMARY CARE
15 15 - FAMILY HEALTH CENTER
11 GETTY AVENUE
PATERSON,NJ07501
PRIMARY CARE
16 16 - ST JOSEPHS FAMILY MED AT CLIFTON
1135 BROAD STREET SUITE 201
CLIFTON,NJ07013
PRIMARY CARE
17 17 - SURGERY SUBSPECIALTY FACULTY PRACTICE -
1135 BROAD STREET
CLIFTON,NJ07013
SURGERY
18 18 - SURGERY SUBSPECIALTY FACULTY PRACTICE -
57 WILLOWBROOK BOULEVARD
WAYNE,NJ07470
SURGERY
19 19 - OBGYN SUBSPECIALTY FACULTY PRACTICE - D
11 GETTY AVENUE
PATERSON,NJ07503
WOMENS HEALTH
20 20 - OBGYN SUBSPECIALTY FACULTY PRACTICE AT
525 UNION BOULEVARD
TOTOWA,NJ07512
WOMENS HEALTH
21 21 - OBGYN SUBSPECIALTY FACULTY PRACTICE AT
57 WILLOWBROOK BOULEVARD
WAYNE,NJ07470
WOMENS HEALTH
22 22 - MATERNAL FETAL MED FACULTY PRACTICE
1 BROADWAY SUITE 203
ELMWOOD PARK,NJ07407
WOMENS HEALTH
23 23 - MATERNAL FETAL MED FACULTY PRACTICE
525 UNION BOULEVARD
TOTOWA,NJ07512
WOMENS HEALTH
24 24 - COMPREHENSIVE CARE CENTER FOR HIV SERVIC
11 GETTY AVENUE
PATERSON,NJ07503
HIV SERVICES
25 25 - WILLOWBROOK AMBULATORY
57 WILLOWBROOK BOULEVARD
WAYNE,NJ07470
AMBULATORY SERVICES
26 26 - ST JOSEPHS CANCER CENTER
234 HAMBURG TURNPIKE
WAYNE,NJ07470
CANCER SERVICES
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 10
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 3C: ST. JOSEPH'S HEALTH, INC. USES THE FOLLOWING SLIDING SCALE TO DETERMINE FREE AND DISCOUNTED CARE BASED ON INCOME:-LESS THAN OR EQUAL TO 200% FPL 100% DISCOUNT -GREATER THAN 200% THROUGH 225% FPL 80% DISCOUNT-GREATER THAN 225% THROUGH 250% FPL - 60% DISCOUNT -GREATER THAN 250% THROUGH 275% FPL 40% DISCOUNT-GREATER THAN 275% THROUGH 300% FPL 20% DISCOUNT-GREATER THAN 300% FPL NO DISCOUNT IN ADDITION TO THE ABOVE INCOME CRITERIA, INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000. BOTH CRITERIA MUST BE MET TO QUALIFY FOR FREE OR DISCOUNTED CARE.
PART II, COMMUNITY BUILDING ACTIVITIES: ST. JOSEPH'S HEALTH HAS PARTNERED WITH LOCAL DEVELOPERS AND COMMUNITY INVESTMENT GROUPS DEVELOPING A STRONG BOND BETWEEN COMMUNITY INVESTMENT ACTIVITIES AND HEALTHCARE TO ADDRESS NEIGHBORHOOD AND ENVIRONMENTAL CONDITIONS THAT WOULD IMPROVE ACCESS TO NEEDED HEALTHCARE SERVICES, REDUCE INEQUITIES IN HEALTH OUTCOMES, AND CONTINUE OUR MISSION OF ENSURING THAT THE CITY'S MOST VULNERABLE RESIDENTS HAVE ACCESS TO SAFE AFFORDABLE NEIGHBORHOODS AND HEALTHCARE. ADDITIONALLY, ST. JOSEPH'S HEALTH HAS WORKED COLLABORATIVELY WITH LOCAL SOCIAL SERVICES AGENCIES AND COMMUNITY STAKEHOLDERS, SUCH AS THE HEALTH COALITION OF PASSAIC COUNTY, NEW JERSEY COMMUNITY DEVELOPMENT CORPORATION, THE CITY OF PATERSON, PASSAIC COUNTY HEALTH DEPARTMENT, THE BOYS AND GIRLS CLUB OF PASSAIC COUNTY, THE PATERSON HOUSING AUTHORITY, AND THE NEW JERSEY FAMILY SUCCESS CENTER TO ADDRESS THOSE SOCIAL DETERMINANTS OF AN INDIVIDUAL'S HEALTH, SUCH AS THE ABILITY TO ACCESS NEEDED HEALTHCARE, HOMELESSNESS, LACK OF AFFORDABLE CHILDCARE, POVERTY, UNEMPLOYMENT, AND LIMITED PUBLIC TRANSPORTATION. ST. JOSEPH'S HEALTH ENTERED INTO A PARTNERSHIP WITH THE NEW JERSEY HOUSING AND MORTGAGE FINANCING AGENCY (HMFA) TO LEVERAGE THE HOSPITAL'S EQUITY IN CONCERT WITH THE 4% LOW INCOME HOUSING CREDIT PROGRAM TO DEVELOP A 56 UNIT AFFORDABLE HOUSING DEVELOPMENT ADJACENT TO THE HOSPITAL CAMPUS WITH A SUPPORTIVE HOUSING SET-ASIDE OF 10-UNITS TARGETED TOWARD TENANTS WHO MEET NEW JERSEYS CRITERIA FOR SUPPORTIVE HOUSING AND WHO ARE ALSO FREQUENT UTILIZERS OF HOSPITAL SERVICES, PARTICULARLY THE EMERGENCY ROOM.
PART III, LINE 2: THE AMOUNT REPORTED IS THE UNCOLLECTIBLE AMOUNTS FOR SELF-PAY PATIENTS.
PART III, LINE 3: THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 65% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2020 TO 73% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2021.THE SYSTEM CALCULATED THE BAD DEBT ASSOCIATED WITH SELF PAY CASES WAS $56,153,910. BASED ON HISTORICAL REVIEW OF THIS CATEGORY, APPROXIMATELY 62% OF THESE CASES WERE ELIGIBLE FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. THE 62% FACTOR WAS THEN APPLIED TO THE TOTAL SELF-PAY ACCOUNTS PLUS $453,651 OF BAD DEBTS RELATED TO CHARITY CARE PATIENTS TO DERIVE THE $35,555,087 OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE.
PART III, LINE 4: THERE IS NO BAD DEBT FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 65% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2020 TO 73% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2021. IN ADDITION, THE MEDICAL CENTER'S SELF-PAY WRITE-OFFS NET OF RECOVERIES DECREASED FROM $54.9 MILLION FOR 2020 TO $*** MILLION FOR 2021. THE MEDICAL CENTER HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2020 OR 2021.
PART III, LINE 8: THE HOSPITAL UTILIZED THE AMOUNTS REPORTED ON THE MEDICARE COST REPORT TO DETERMINE THE MEDICARE ALLOWABLE COSTS. ST. JOSEPH'S IS COMMITTED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS. THIS COST OF CARE TO OUR MEDICARE POPULATION RESULTED IN A LOSS. WE CONSIDER THIS NET LOSS TO SERVE MEDICARE PATIENTS TO BE ANOTHER FORM OF COMMUNITY BENEFIT. THE SERVICES PROVIDED INCLUDED PRIMARY CARE, EMERGENCY CARE, DENTAL SERIVCES, SUB-SPECIALITY CARE AND INPATIENT AND LONG TERM CARE SERVICES.
PART III, LINE 9B: WHEN A PATIENT IS KNOWN TO QUALIFY AND APPROVED FOR FINANCIAL ASSISTANCE, A SPECIFIC INSURANCE CODE IS ASSIGNED. THESE BILLS ARE ELECTRONICALLY TRANSMITTED TO THE MEDICAID FISCAL INTERMEDIARY. THE INTERMEDIARY PRICES AND PROCESSES THE CLAIMS. PATIENTS THAT WERE APPROVED FOR 100% ASSISTANCE, AND MADE A PAYMENT WILL BE CREDITED. SIMILARLY, A PATIENT THAT IS APPROVED FOR THE SLIDING SCALE THAT OVERPAID, WILL BE CREDITED.ALL OF OUR SELF-PAY PATIENTS ARE TREATED WITH THE SAME PROCESS. WE FIRST SCREEN PATIENTS FOR MEDICAID/CHARITY CARE, IF THEY AGREE TO THE PROCESS. IF THEY DO NOT QUALIFY FOR EITHER, OR WISH TO NOT APPLY, WE THEN OFFER THEM THE FAP. NEXT, WE FOLLOW THE NORMAL SELF-PAY COLLECTION PRACTICES FOR THE REMAINING AMOUNTS. EVERY 30 DAYS A STATEMENT FOR THE REMAINING BALANCE OWED WILL BE SENT TO THE GUARANTOR. IF AFTER, 120 DAYS, THERE IS NO RESPONSE/PAYMENT, THE ACCOUNT WILL BE REFERRED TO BAD DEBT.
PART VI, LINE 2: NEEDS ASSESSMENT:ON OCTOBER 15, 2019, ST. JOSEPH'S UNIVERSITY MEDICAL CENTER CONVENED A GROUP OF 15 COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR COMMUNITY, BASED ON FINDINGS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) BEGAN THE MEETING WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH (SEE AREAS OF OPPORTUNITY ABOVE). FINALLY, PARTICIPANTS WERE PROVIDED AN OVERVIEW OF THE PRIORITIZATION EXERCISE THAT FOLLOWED. IN ORDER TO ASSIGN PRIORITY TO THE IDENTIFIED HEALTH NEEDS (I.E., AREAS OF OPPORTUNITY), A WIRELESS AUDIENCE RESPONSE SYSTEM WAS USED IN WHICH EACH PARTICIPANT WAS ABLE TO REGISTER HIS/HER RATINGS USING A SMALL REMOTE KEYPAD. THE PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA: - SCOPE & SEVERITY - THE FIRST RATING WAS TO GAUGE THE MAGNITUDE OF THE PROBLEM IN CONSIDERATION OF THE FOLLOWING: - ABILITY TO IMPACT - A SECOND RATING WAS DESIGNED TO MEASURE THE PERCEIVED LIKELIHOOD OF THE HOSPITAL HAVING A POSITIVE IMPACT ON EACH HEALTH ISSUE, GIVEN AVAILABLE RESOURCES, COMPETENCIES, SPHERES OF INFLUENCE, ETC. INDIVIDUALS' RATINGS FOR EACH CRITERIA WERE AVERAGED FOR EACH TESTED HEALTH ISSUE, AND THEN THESE COMPOSITE CRITERIA SCORES WERE AVERAGED TO PRODUCE AN OVERALL SCORE. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS: 1. DIABETES 2. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 3. HEART DISEASE & STROKE 4. SUBSTANCE ABUSE 5. ACCESS TO HEALTHCARE 6. MENTAL HEALTH 7. TOBACCO USE 8. SEXUAL HEALTH 9. CANCER 10. HOUSING 11. INJURY & VIOLENCE 12. RESPIRATORY DISEASES 13. SEPTICEMIA COMMUNITY STAKEHOLDERS WERE ASKED TO RATE THE DEGREE TO WHICH EACH OF 20 HEALTH ISSUES IS A PROBLEM IN THEIR OWN COMMUNITY, USING A SCALE OF "MAJOR PROBLEM," "MODERATE PROBLEM," "MINOR PROBLEM, OR "NO PROBLEM AT ALL." FINDINGS ALSO ARE OUTLINED THROUGHOUT THE 2019 CHNIA REPORT, ALONG WITH THE QUALITATIVE INPUT DESCRIBING REASONS FOR THEIR CONCERNS. (NOTE THAT THESE RATINGS ALONE DO NOT ESTABLISH PRIORITIES FOR THIS ASSESSMENT; RATHER, THEY ARE ONE OF SEVERAL DATA INPUTS CONSIDERED FOR THE PRIORITIZATION PROCESS DESCRIBED EARLIER.ST. JOSEPH'S UNIVERSITY MEDICAL CENTER WILL USE THE INFORMATION FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY. WHILE THE HOSPITAL WILL LIKELY NOT IMPLEMENT STRATEGIES FOR ALL OF THE HEALTH ISSUES LISTED ABOVE, THE RESULTS OF THIS PRIORITIZATION EXERCISE WILL BE USED TO INFORM THE DEVELOPMENT OF THE HOSPITAL'S ACTION PLAN TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS IN THE COMING YEARS.THE ORGANIZATION BELIEVES ITS CHNA PROCESS TO BE COMPREHENSIVE, THEREFORE ADDITIONAL ASSESSMENTS ARE NOT CONDUCTED.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:FINANCIAL ASSISTANCE INFORMATION IS PROVIDED AND POSTED IN FOUR LANGUAGES IN ALL PATIENT REGISTRATION AREAS. PATIENTS IN NEED OF FINANCIAL ASSISTANCE HAVE AN OPPORTUNITY TO SCHEDULE AN APPOINTMENT WITH A FINANCIAL COUNSELOR TO ASK QUESTIONS AND APPLY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4: COMMUNITY INFORMATION:COMPARISON AND GENERAL COMMUNITY DESCRIPTION: SOUTHERN PASSAIC COUNTY, NEW JERSEY INCLUDES THE FOLLOWING RESIDENTIAL ZIP CODES: 07011, 07012, 07013, 07014, 07055, 07407, 07410, 07424, 07470, 07501, 07502, 07503, 07504, 07505, 07506, 07508, 07512, 07513, 07514, 07522, AND 07524. THIS COMMUNITY DEFINITION REPRESENTS THE PRIMARY AND SECONDARY SERVICE AREAS OF ST. JOSEPH'S UNIVERSITY MEDICAL CENTER AND INCLUDES RESIDENTIAL ZIP CODES.ST. JOSEPH'S HEALTH (SJH) IS A NONPROFIT, INDEPENDENT HEALTHCARE SYSTEM SPONSORED BY THE SISTERS OF CHARITY OF SAINT ELIZABETH. ST. JOSEPH'S UNIVERSITY MEDICAL CENTER LOCATED IN PATERSON AND OUR SISTER HOSPITAL ST. JOSEPH'S WAYNE MEDICAL CENTER, APPROXMATELY 7 MILES TO THE NORTH OF PATERSON IN WAYNE, NEW JERSEY.WAYNE IS A SUBURBAN COMMUNITY WITH 55,000 RESIDENTS. THE MEDIAN HOUSEHOLD INCOME IS $100,853; 5% OF HOUSEHOLDS HAD INCOME BELOW $15,000 A YEAR, WITH 4% IN POVERTY; 29% REPORTED INCOME GREATER THAN $150,000. MEDIAN AGE WAS 43.4 YEARS; 21% PERCENT OF THE POPULATION IS UNDER 18 YEARS; 17 PERCENT OF THE POPULATION IS OVER 65 YEARS OF AGE. 93% OF THE POPULATION HAS HEALTH INSURANCE COVERAGE WITH 10% OF THE POPULATION REPORTING A DISABILITY. PATERSON, IS NJ'S THIRD LARGEST CITY, WITH NEARLY 159,732 RESIDENTS. THE MEDIAN HOUSEHOLD INCOME IS $41,360. THE POPULATION PRIMARILY CONSISTS OF PEOPLE OF COLOR AND ETHNIC MINORITIES: 61% OF RESIDENTS ARE HISPANIC/LATINO, AND 26% ARE BLACK/AFRICAN AMERICAN. ALTHOUGH DIFFICULT TO QUANTIFY USING CENSUS DATA, THERE ARE ALSO SIZEABLE COMMUNITIES OF MIDDLE EASTERN AND SOUTHEAST ASIAN DESCENT. GIVEN THE NUMBER OF IMMIGRANT POPULATIONS HERE, LINGUISTIC ISOLATION IS A CHALLENGE; THERE ARE MORE THAN 20 DIFFERENT LANGUAGES SPOKEN, INCLUDING THE SOUTHEAST ASIAN LANGUAGES AND NUMEROUS DIALECTICS OF HISPANIC AND ASIAN POPULATIONS. MANY RESIDENTS ARE ENGLISH LANGUAGE LEARNERS, WITH SPANISH AND INCREASINGLY ARABIC AS THE MOST COMMON PRIMARY LANGUAGES SPOKEN. IMMIGRANTS IN OUR COMMUNITY OFTEN DEPRIORITIZE HEALTHCARE NEEDS, DUE TO CONCERNS AROUND THEIR IMMIGRATION STATUS, AFFORDABILITY, AND ACCESS; IN MANY CASES, IMMIGRANTS DO NOT ACCESS PREVENTIVE CARE AND ONLY PRESENT TO SJUMC ONCE A MEDICAL EMERGENCY ARISES. DESPITE PATERSON'S SIZE AND DIVERSITY OF ITS RESIDENTS, IT HAS ONE OF THE LOWEST PER CAPITA INCOME LEVELS IN THE STATE, AND AN UNEMPLOYMENT RATE OF AT LEAST 8%. TWENTY-SEVEN PERCENT (27%) OF THE AREA'S POPULATION LIVES IN POVERTY (THREE TIMES THE STATE AVERAGE), INCLUDING 40% OF CHILDREN UNDER AGE 18. THE POVERTY RATE IS REFLECTED BY THE NEARLY 40% OF RESIDENTS WHO RECEIVE BENEFITS FROM THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). PATERSON RESIDENTS ALSO STRUGGLE TO SECURE HEALTH INSURANCE: ESTIMATES INDICATE UP TO 20% OF RESIDENTS UNDER THE AGE OF 65 ARE UNINSURED (U.S. CENSUS BUREAU).REFLECTING OUR COMMUNITY DEMOGRAPHICS, NEARLY 80% OF SJUMC/SJWMC PATIENTS ARE COVERED BY MEDICAID OR CHARITY CARE (INDIGENT PATIENTS) OR MEDICARE (OLDER OR DISABLED PATIENTS).
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:THE DEPARTMENT OF URBAN & COMMUNITY HEALTH LEADS THE COMMUNITY ENGAGEMENT ACTIVITIES ON BEHALF OF THE SYSTEM. STAFF MEMBERS HOLD LEADERSHIP POSITIONS ON VARIOUS COMMUNITY BOARDS, INCLUDING THE TRI-COUNTY CHAMBER OF COMMERCE, PATERSON ROTARY, PATERSON ALLIANCE, UNITED WAY OF PASSAIC COUNTY, DIVERSITY AND INCLUSION COMMITTEE OF THE PASSAIC COUNTY VICINAGE, PATERSON TASKFORCE FOR SOCIAL ACTION AND BOTH THE PATERSON AND WAYNE YMCAS. ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO:KINGS DAY - CEDAR GROVE PEDESTRIAN SAFETY EVENTNALOXONE TRAINING AND DISTRIBUTIONSTOP THE BLEED CLASSMLKSTOP THE BLEED INSTRUCTOR COURSETRAUMATIC BRAIN INJURIESHEALTH FAIR-WAFA HEADS UP SENIORSFIRST AID TRAININGA WOMEN'S HEALTH SYMPOSIUM-NURSING PRACTICE COUNCIL PRESENTATIONNALOXONE TRAINING AND KIT DISRIBUTION HEART HEALTHY FAIRHEALTHY LIFESTYLESHEART HEALTH AWARENESS FOR WOMENHEART AWARENESSSMOKING & DANGERS OF E-CIGS & VAPINGWOMEN'S HEART HEALTH AWARENESSSCHOOL 12- K-2- READ ACROSS AMERICA/DR. SEUSS WKSTOP THE BLEED CLASSHEADS UP SENIORPCCC WELLNESS DAYPCCC HEALTH FAIRSGU ORIENTATIONWOMEN'S HEART HEALTH LUNCH & LEARN AT SAX LLPCOVID-19- PCCC-MOCSI VIRTUAL PRESENTATIONPRAYER FOR SOLIDARITY & PEACE PUBERTY & EMOTIONAL CHANGES DEBRIEFING- COVID-10 ANXIETY DEBRIEFING - PATERSON HOUSING AUTHORITYDEBRIEFING POST COVID-19- PATERSON HOUSING AUTHORITYSTROKE PREVENTION & MANAGEMENT COMMUNITY STROKEBP HEALTH & WELLNESSWEBINAR RECORDING ENGLISH/SPANIISHHISPANIC AFFINITY GROUPHISPANIC AFFINITY GROUP- FOOD TASTING CAFETERIA PRE-DIABETES PROGRAM WITH RAMAPO COLLEGE NURSING STUDENTS PRE-DIABETES NDPPHISPANIC AFFINITY GROUP- FOOD TASTING CAFETERIAST. JOSEPH'S HEALTH SUSTAINABLE MEAL COMMUNITY PROJECTBLM'S FOOD OUTREACH PROGRAM: EVERYBODY EATS DPP- LIFESTYLE CHANGE PRE-DIABETES NDPPHISPANIC AFFINITY GROUP- FOOD TASTING CAFETERIA BREAST CANCER AWARENESS BLM'S FOOD OUTREACH PROGRAM: EVERYBODY EATSPRE-DIABETES NDPPHISPANIC AFFINITY GROUP- FOOD TASTING CAFETERIA BLM'S FOOD OUTREACH PROGRAM: EVERYBODY EATSBLM PATERSON & ST. JOE'S FOOD DRIVE PRE-DIABETES NDPPINFECTION PREVENTION AWARENESS COMMUNITY FLU VACCINATION AWARENESS DAY - COLUMBIA BANCK RAIN DATE - FLU FEST BREAST CANCER AWARENESSBLM'S FOOD OUTREACH PROGRAM: EVERYBODY EATS PRE-DIABETES NDPPVIRTUAL PINK POWER TEA- BREAST CANCER AWARENESS PRE-DIABETES NDPPVETERAN'S DAY-VIRTUAL PRE-DIABETES NDPPPROSPECT PARK FAIR PRE-DIABETES NDPPBRAIN INJURY SUPPORT PCCC WELLNESS DAYBOYS & GIRLS CLUB- WOODLAND PARK SPRING HEALTH FAIR-MOBILE COMMUNITY HEALTH & BHATT FOUNDATIONBAE LUNCH AND LEARN HEALTHY KIDS DAY-WAYNEA FAMILY WELLNESS EVENT (HISTORIC CALVARY BAPTIST CHURCH) HEALTHY KIDS DAY-PATERSON7TH ANNUAL EMPLOYEE HEALTH FAIRSAX- HEART DISEASE AMONG WOMENBAE WELLNESS WEEK CONTINUING EDUCATION-WPUSTROKE PRESENTATION WAYNESTROKE PRESENTATION PATERSON 6TH ANNUAL CAREER DAYSCHOOL 13 CAREER DAYSCHOOL 10 CAREER DAYAUDIENCE: STUDENTS GRADES 3 THROUGH 8DANGERS OF THE SUN & SKIN CARE WAYNE DAYSISTERS ST. ELIZABETH BAD PROM 5KHEALTH FAIRAFRICAN-AMERICAN PARADE-PASSAIC - AFRICAN-AMERICAN AFFINITY GROUP AFRICAN-AMERICAN PARADE PATERSON - AFRICAN-AMERICAN AFFINITY GROUP WORKSHOPS NJCDC MEDICATION ADMINISTRATION WORKSHOPASTHMA YOUNG CHILDRENDIABETES YOUNG CHILDRENHOME SAFETY PREVENTIONHOW TO STOP SMOKING & DANGERS OF E-CIGS & VAPINGHEALTH N WELLNESS SERVICES, LLC; FSCS HEALTH CENTERS, PATERSON/ PATERSON.K12PATERSON SCHOOLS K12WOMEN MINISTRY AT MY CHURCH CHRIST TEMPLE BAPTIST CHURCH AND OTHERS ZAC CAMPWELLNESS HEALTH FAIR - JUDICIARY PASSAIC VICINAGE WAYNE TOWNSHIP'S 42ND ANNUAL HEALTH FAIRBAE LUNCH AND LEARN
PART VI, LINE 6: AFFILIATED HEALTH CARE:SAINT JOSEPH'S HEALTH INC., THE PARENT ORGANIZATION, IS SPONSORED BY THE SISTERS OF CHARITY OF SAINT ELIZABETH AND ITS AFFILIATES. AFFILIATED MEMBERS OF THE PARENT INCLUDE ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, INC. AND SUBSIDIARIES, ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. (THE MEDICAL CENTER FOUNDATION), 200 HOSPITAL PLAZA CORPORATION (200 HOSPITAL PLAZA), SJHS INSURANCE LIMITED (THE INSURANCE CAPTIVE), AND VHS MANAGEMENT, INC. AND SUBSIDIARY (VHS). SAINT JOSEPH'S UNIVERSITY MEDICAL CENTER (THE UNIVERSITY MEDICAL CENTER) WAS FOUNDED IN 1867 AND IS LOCATED IN PATERSON, NEW JERSEY. IT IS AN ACUTE-CARE HOSPITAL WITH 651 LICENSED BEDS AND 30 NEWBORN BASSINETS. THE UNIVERSITY MEDICAL CENTER IS A STATE-DESIGNATED TRAUMA CENTER AND PROVIDES A FULL RANGE OF HEALTH CARE SERVICES. EFFECTIVE JANUARY 1, 2010, ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, INC. D/B/A ST. JOSEPH'S WAYNE MEDICAL CENTER AND SUBSIDIARY (WAYNE MEDICAL CENTER) WAS MERGED WITH THE UNIVERSITY MEDICAL CENTER AND COLLECTIVELY THE ENTITIES ARE REFERRED TO HEREIN AS THE MEDICAL CENTER. WAYNE MEDICAL CENTER IS LOCATED IN WAYNE, NEW JERSEY, AND IS AN ACUTE-CARE HOSPITAL WITH 229 LICENSED BEDS. WAYNE MEDICAL CENTER PROVIDES COMPREHENSIVE MEDICAL AND SURGICAL CARE, AND EMERGENCY AND DIAGNOSTIC SERVICES FOR ITS COMMUNITY. THE MEDICAL CENTER ALSO OPERATES ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, INC. D/B/A ST. JOSEPH'S HEALTHCARE AND REHAB CENTER, A 151 BED SKILLED NURSING FACILITY LOCATED IN CEDAR GROVE, NEW JERSEY. IN ADDITION, THE MEDICAL CENTER INCLUDES THE FOLLOWING WHOLLY OWNED SUBSIDIARIES: -ST. JOSEPH'S HOSPITAL HOUSING CORP. (THE HOUSING CORP.) PROVIDE PROPERTY-MANAGEMENT SERVICES FOR NONHOSPITAL-RELATED REAL ESTATE HOLDINGS. -ST. JOSEPH'S HEALTHCARE PHYSICIAN HEALTHCARE GROUP, INC.; ST. JOSEPH'S EMERGENCY PHYSICIANS, INC.; ST. JOSEPH'S FACULTY PHYSICIANS, INC.; AND ST. JOSEPH'S PHYSICIAN'S, INC. MANAGE THE MEDICAL CENTER'S FACULTY STAFF BILLING SERVICES.-HARBOR HOUSE, INC. AND ITS SUBSIDIARIES, HARBORSIDE APARTMENTS, INC. AND HARBORVIEW THE MEDICAL CENTER IS ALSO THE MAJORITY MEMBER OF THE FOLLOWING CONSOLIDATED SUBSIDIARY: ST. JOSEPH'S SURGERY MANAGEMENT, LLC (SURGERY MANAGEMENT). SURGERY MANAGEMENT IS A LIMITED LIABILITY CORPORATION ESTABLISHED TO MANAGE THE SURGICAL SERVICES AT THE UNIVERSITY MEDICAL CENTER.THE FOUNDATION IS A PUBLIC CHARITY WHOSE PRIMARY PURPOSE IS TO RAISE FUNDS FOR THE MEDICAL CENTER AND WAYNE MEDICAL CENTER, RESPECTIVELY, AND THEIR AFFILIATED ORGANIZATIONS, AND OTHER AREA CHARITABLE ORGANIZATIONS.200 HOSPITAL PLAZA IS A NOT-FOR-PROFIT ORGANIZATION WHOSE PURPOSE IS TO FURTHER THE OPERATIONS OF THE MEDICAL CENTER BY OWNING, MANAGING, AND OPERATING PARKING FACILITIES AND ANY OTHER FACILITIES THAT MAY BE DEEMED USEFUL OR NECESSARY FOR EMPLOYEES, PATIENTS, VISITORS, DOCTORS, AND OTHER PERSONS AFFILIATED WITH THE MEDICAL CENTER.THE INSURANCE CAPTIVE, WHICH IS A WHOLLY OWNED CAPTIVE INSURANCE COMPANY DOMICILED IN BERMUDA, WAS ESTABLISHED IN 2007 TO PROVIDE THE SYSTEM WITH GENERAL LIABILITY AND PROFESSIONAL MEDICAL LIABILITY INSURANCE.VHSNJ AT HOME, LLC IS A JOINT VENTURE BETWEEN A SUBSIDIARY OF THE SYSTEM, ST. JOSEPH'S HOME HEALTH, LLC, AND HACKENSACK MERIDIAN HOME CARE SERVICES, INC. THE SYSTEM HOLDS 50% OWNERSHIP INTEREST IN THE VHSNJ AT HOME, LLC JOINT VENTURE.
PART VI, LINE 7, REPORTS FILED WITH STATES NJ
Schedule H (Form 990) 2021
Additional Data


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number
27-1344467
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC
703 MAIN STREET
PATERSON,NJ07503
22-1487602 501(C)(3) 3,665,314 0     GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) SCHOLARSHIPS 10 10,000      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: GRANT IS MADE TO A RELATED TAX-EXEMPT ORGANIZATION AND MONITORING IS NOT REQUIRED AS FUNDS ARE USED TO FURTHER ITS EXEMPT PURPOSE. SCHOLARSHIPS ARE AWARDED BY THE SCHOLARSHIP COMMITTEE THROUGH A FORMAL APPLICATION PROCESS.
Schedule I (Form 990) 2021



Additional Data


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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" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number

27-1344467
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 on 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 on 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 on 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 on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on 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," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on 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
Yes
 
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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 on 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, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1MARK W CONNOLLY MD
CHAIRMAN, DEPT. OF SURGERY
(i)

(ii)
1,825,889
-------------
0
650,000
-------------
0
32,769
-------------
0
3,859
-------------
0
27,311
-------------
0
2,539,828
-------------
0
0
-------------
0
2KEVIN J SLAVIN
PRESIDENT & CHIEF EXECUTIVE OFFICER
(i)

(ii)
1,092,991
-------------
0
586,976
-------------
0
414,174
-------------
0
3,943
-------------
0
3,038
-------------
0
2,101,122
-------------
0
0
-------------
0
3DENNIS ROEMER
SR. VP, CFO THRU 11/20
(i)

(ii)
135,076
-------------
0
199,360
-------------
0
788,207
-------------
0
3,899
-------------
0
117
-------------
0
1,126,659
-------------
0
0
-------------
0
4JOHN M DANKS MD
MEDICAL DOCTOR
(i)

(ii)
1,076,889
-------------
0
0
-------------
0
21,092
-------------
0
3,221
-------------
0
10,468
-------------
0
1,111,670
-------------
0
0
-------------
0
5LISA SCHMITTGALL
EXEC VP, CHIEF ADMIN. OFFICER
(i)

(ii)
611,035
-------------
0
281,973
-------------
0
164,962
-------------
0
3,238
-------------
0
10,828
-------------
0
1,072,036
-------------
0
0
-------------
0
6ALDO D KHOURY MD
MEDICAL DOCTOR
(i)

(ii)
975,634
-------------
0
0
-------------
0
11,357
-------------
0
3,883
-------------
0
30,051
-------------
0
1,020,925
-------------
0
0
-------------
0
7MATTHEW A GROSSMAN
MEDICAL DOCTOR
(i)

(ii)
941,120
-------------
0
50,000
-------------
0
1,140
-------------
0
0
-------------
0
27,737
-------------
0
1,019,997
-------------
0
0
-------------
0
8SILVIO PODDA MD
MEDICAL DOCTOR
(i)

(ii)
919,756
-------------
0
25,000
-------------
0
7,524
-------------
0
0
-------------
0
26,972
-------------
0
979,252
-------------
0
0
-------------
0
9TODD C BROWER
SENIOR VP, GENERAL COUNSEL
(i)

(ii)
519,107
-------------
0
167,831
-------------
0
136,131
-------------
0
7,579
-------------
0
20,584
-------------
0
851,232
-------------
0
0
-------------
0
10JENNIFER MENDRZYCKI
SR. VP, SITE EXEC AND OUTPATIENT SER
(i)

(ii)
460,172
-------------
0
145,724
-------------
0
108,584
-------------
0
4,211
-------------
0
30,322
-------------
0
749,013
-------------
0
0
-------------
0
11JOSEPH DUFFY MD
SR. VP, CMO
(i)

(ii)
497,756
-------------
0
151,283
-------------
0
86,274
-------------
0
3,124
-------------
0
1,641
-------------
0
740,078
-------------
0
0
-------------
0
12CASWELL SAMMS
SR. VP, CHIEF FINANCIAL OFFICER
(i)

(ii)
566,001
-------------
0
14,372
-------------
0
104,453
-------------
0
0
-------------
0
27,345
-------------
0
712,171
-------------
0
0
-------------
0
13ROBERTO SOLIS MD
TRUSTEE
(i)

(ii)
637,659
-------------
0
0
-------------
0
24,525
-------------
0
402
-------------
0
0
-------------
0
662,586
-------------
0
0
-------------
0
14LINDA A REED
VP, CHIEF INFORMATION OFFICER
(i)

(ii)
386,821
-------------
0
123,574
-------------
0
85,305
-------------
0
7,579
-------------
0
21,414
-------------
0
624,693
-------------
0
0
-------------
0
15MICHAEL LAMACCHIA MD
TRUSTEE
(i)

(ii)
431,518
-------------
0
95,500
-------------
0
27,968
-------------
0
0
-------------
0
27,485
-------------
0
582,471
-------------
0
0
-------------
0
16PIA HOUSE WALKER
VP, CHIEF HUMAN RESOURCES OFFICER
(i)

(ii)
352,113
-------------
0
107,868
-------------
0
54,334
-------------
0
0
-------------
0
28,532
-------------
0
542,847
-------------
0
0
-------------
0
17ROBERT C HOOD
FMR. SR. VP, POP. HEALTH
(i)

(ii)
149,732
-------------
0
118,645
-------------
0
244,585
-------------
0
8,982
-------------
0
12,364
-------------
0
534,308
-------------
0
0
-------------
0
18MICHAEL DELISI MD
TRUSTEE/CO-CHAIR
(i)

(ii)
410,779
-------------
0
50,000
-------------
0
27,115
-------------
0
0
-------------
0
19,757
-------------
0
507,651
-------------
0
0
-------------
0
19JUDITH PADULA
VP, CHIEF NURSING OFFICER THRU 12/21
(i)

(ii)
330,754
-------------
0
101,004
-------------
0
56,683
-------------
0
3,826
-------------
0
11,978
-------------
0
504,245
-------------
0
0
-------------
0
20MICHAEL ALWELL
VICE PRESIDENT, REVENUE CYCLE
(i)

(ii)
308,441
-------------
0
92,085
-------------
0
68,912
-------------
0
0
-------------
0
28,756
-------------
0
498,194
-------------
0
0
-------------
0
21NILESH PATEL MD
TRUSTEE
(i)

(ii)
445,000
-------------
0
0
-------------
0
1,616
-------------
0
0
-------------
0
22,190
-------------
0
468,806
-------------
0
0
-------------
0
22JAMES HAYNES
VP, FACILITIES OPERATIONS THRU 10/21
(i)

(ii)
258,749
-------------
0
74,631
-------------
0
106,260
-------------
0
4,699
-------------
0
23,602
-------------
0
467,941
-------------
0
0
-------------
0
23JONATHAN BARKHORN
FMR. VP, PHYS. SVCS. THRU 10/20
(i)

(ii)
0
-------------
0
0
-------------
0
450,000
-------------
0
0
-------------
0
0
-------------
0
450,000
-------------
0
0
-------------
0
24MARJORY LANGER MD
TRUSTEE THRU 6/21
(i)

(ii)
401,507
-------------
0
0
-------------
0
997
-------------
0
0
-------------
0
29,705
-------------
0
432,209
-------------
0
0
-------------
0
25KENNETH M MORRIS JR
VP, EXTERNAL AFFAIRS
(i)

(ii)
277,703
-------------
0
79,272
-------------
0
43,652
-------------
0
3,444
-------------
0
19,867
-------------
0
423,938
-------------
0
0
-------------
0
26JAMES LABAGNARA JR MD
VP, MED. AFFAIRS THRU 12/21
(i)

(ii)
247,245
-------------
0
125,569
-------------
0
3,079
-------------
0
8,748
-------------
0
1,710
-------------
0
386,351
-------------
0
0
-------------
0
27ROBERT BUDELMAN III
TRUSTEE & VP CDO
(i)

(ii)
246,368
-------------
0
75,115
-------------
0
35,198
-------------
0
0
-------------
0
26,844
-------------
0
383,525
-------------
0
0
-------------
0
28SISTER PATRICIA MENNOR
VP, MISSION
(i)

(ii)
252,698
-------------
0
76,095
-------------
0
40,920
-------------
0
3,781
-------------
0
9,887
-------------
0
383,381
-------------
0
0
-------------
0
29PADMAJA UPADYA MD
VP, CHIEF MEDICAL OFFICER, SJWMC
(i)

(ii)
246,805
-------------
0
78,930
-------------
0
56,492
-------------
0
0
-------------
0
940
-------------
0
383,167
-------------
0
0
-------------
0
30THOMAS CASEY
VP, MARKETING AND PUBLIC RELATIONS
(i)

(ii)
236,393
-------------
0
71,642
-------------
0
51,636
-------------
0
0
-------------
0
1,778
-------------
0
361,449
-------------
0
0
-------------
0
31SWATI PAREKH
TRUSTEE
(i)

(ii)
287,619
-------------
0
0
-------------
0
21,765
-------------
0
0
-------------
0
2,911
-------------
0
312,295
-------------
0
0
-------------
0
32MOIRA CONNOLLY ESQ
VP, CHIEF COMP. OFF. THRU 9/21
(i)

(ii)
195,137
-------------
0
71,854
-------------
0
31,427
-------------
0
2,887
-------------
0
415
-------------
0
301,720
-------------
0
0
-------------
0
33MICHAEL AGNELLI MD
TRUSTEE
(i)

(ii)
296,479
-------------
0
0
-------------
0
348
-------------
0
0
-------------
0
3,952
-------------
0
300,779
-------------
0
0
-------------
0
34JANE WHITE
VP ONCOLOGY
(i)

(ii)
223,967
-------------
0
14,933
-------------
0
17,484
-------------
0
30,254
-------------
0
10,715
-------------
0
297,353
-------------
0
0
-------------
0
35GENNARO RUBINO MD
TRUSTEE
(i)

(ii)
221,421
-------------
0
40,000
-------------
0
14,161
-------------
0
0
-------------
0
17,273
-------------
0
292,855
-------------
0
0
-------------
0
36MICHAEL CAIROLI
VP, WAYNE SITE ADMIN.
(i)

(ii)
191,380
-------------
0
35,631
-------------
0
15,094
-------------
0
1,450
-------------
0
27,107
-------------
0
270,662
-------------
0
0
-------------
0
37CHRISTOPHER TROTZ MD
VP, PHYSICIAN SERVICES
(i)

(ii)
210,325
-------------
0
14,933
-------------
0
31,126
-------------
0
0
-------------
0
10,715
-------------
0
267,099
-------------
0
0
-------------
0
38JOHN P BRUNO
FORMER VP, HUMAN RESOURCES
(i)

(ii)
0
-------------
0
0
-------------
0
217,474
-------------
0
3,236
-------------
0
0
-------------
0
220,710
-------------
0
0
-------------
0
39SAMI ABDULMASSIH MD
TRUSTEE
(i)

(ii)
217,131
-------------
0
0
-------------
0
468
-------------
0
0
-------------
0
3,074
-------------
0
220,673
-------------
0
0
-------------
0
40ANTHONY LOSARDO MD
TRUSTEE
(i)

(ii)
171,265
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
171,265
-------------
0
0
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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, LINES 4A-B SEVERANCE PAYMENTS WERE MADE IN 2021 TO THE FOLLOWING INDIVIDUALS: JONATHAN BARKHORN - $444,808 JOHN BRUNO - $217,474 JAMES HAYNES - $60,005 ROBERT HOOD - $213,334 DENNIS ROEMER - $787,855 PART I, LINE 4B: PARTICIPANTS WHO ARE EMPLOYED THROUGHOUT A PLAN YEAR SHALL BE ELIGIBLE FOR THE PLAN CONTRIBUTIONS FOR SUCH PLAN YEAR. PARTICIPANTS WHO ARE HIRED AFTER THE START OF A PLAN YEAR OR WHO BECOME ELIGIBLE FOR PARTICIPATION DURING THE COURSE OF A PLAN YEAR DUE TO PROMOTION SHALL BE ELIGIBLE TO RECEIVE A PRO-RATED SERP CONTRIBUTION. IN 2021, CERTAIN EXECUTIVES PARTICPATED IN THE 457F (SERP) PROGRAM. THE FOLLOWING CONTRIBUTIONS WERE MADE IN 2021: LINDA A. REED - $58,764 CASWELL SAMMS - $ 101,250 JENNIFER MENDRZYCKI - $86,096 THOMAS CASEY - $ 34,536 KENNETH M. MORRIS - $39,000 KEVIN J. SLAVIN - $371,833 JOSEPH DUFFY, MD - $78,750 SISTER PATRICIA MENNOR - $ 34,707 MICHAEL CAIROLI - $14,428 TODD C. BROWER - $95,685 ROBERT BUDLEMAN, III - $34,260 JUDITH PADULA - $46,068 MOIRA CONNOLLY, ESQ. - $16,386 MICHAEL ALWELL - $45,000 CHRISTOPHER TROTZ, MD - $30,254 JAMES HAYNE - $17,020 PIA HOUSE WALKER - $51,295 PADMAJA UPADYA, MD - $36,000 LISA SCHMITTGALL - $138,991 JANE WHITE - $16,612 IN ADDITION, THE FOLLOWING DISTRIBUTIONS WERE MADE IN 2021: JAMES HAYNES - $18,358
PART I, LINE 7 THE ST. JOSEPH'S HEALTH SYSTEM HAS A MANAGEMENT INCENTIVE PLAN IN PLACE THAT IS INTENDED TO ENCOURAGE AND REWARD ELIGIBLE PLAN PARTICIPANTS FOR ACHIEVING DEFINED OBJECTIVES THAT ARE SUPPORTIVE OF ST. JOSEPH'S HEALTHCARE SYSTEM'S MISSION AND STRATEGY. THE PROGRAM IS DESIGNED TO PROVIDE A MAXIMUM INCENTIVE OPPORTUNITY TO PARTICIPANTS WHOM ACHIEVE THE MAXIMUM PERFORMANCE AND EXPECTATIONS IN MEASUREABLE AREAS. ELIGIBLE PARTICIPANTS SHALL BE THOSE INCUMBENTS IN MANAGEMENT POSITIONS IN WHICH DECISION AND ACTIONS IMPACT THE OPERATIONS OF ST. JOSEPH'S HEALTHCARE SYSTEM AND/OR ITS BUSINESSES AND SUBSIDIARIES. ELIGIBILITY REQUIREMENTS MAY BE MODIFIED FROM YEAR TO YEAR. THE AWARD OPPORTUNITIES WILL BE BASED ON ATTAINMENT OF PRACTICAL PERFORMANCE MEASURES IN THE AREAS OF FINANCIAL, QUALITY PERFORMANCE, PATIENT SATISFACTION AND INDIVIDUAL GOALS. THE AWARD IS THE AMOUNT PAID TO PARTICIPANTS FOR THE ACTUAL PERFORMANCE THAT MEETS THE EXPECTATIONS OF THE CRITERIA ESTABLISHED. AT THE CLOSE OF EACH PLAN YEAR, PARTICIPANTS WILL BE EVALUATED TO DETERMINE IF PERFORMANCE IN SPECIFIC GOALS HAVE BEEN ACHIEVED.
PART I, LINE 8 DURING 2021, THE HOSPITAL'S CEO AND CFO WERE COMPENSATED AND PROVIDED WITH BENEFITS PURSUANT TO AN EMPLOYMENT AGREEMENT SATISFYING THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGS. SECTION 53.4958-1(A)(3).
Schedule J (Form 990) 2021

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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 , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number
27-1344467
Part
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 NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
 
22-2845542 645790CB0 08-24-2016 274,348,264 SEE SCHDULE K, PART VI   X   X   X
B THE PASSAIC COUNTY IMPROVEMENT AUTHORITY
 
05-0569671 702754CY6 12-29-2017 26,760,514 SEE SCHDULE K, PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 20,705,000 2,850,000    
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 274,352,050 26,855,039    
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 2,842,983 504,287    
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 50,003,786      
11 Other spent proceeds ............. 221,505,281 26,350,752    
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2017 2017
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X        
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
X   X          
16 Has the final allocation of proceeds been made? ..........   X   X        
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X          
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
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        
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X X          
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   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          
c Are there any research agreements that may result in private business use of bond-financed property? .............   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?                
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        
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        
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        
Part
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        
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X X          
b Exception to rebate? ........   X   X        
c No rebate due? ......... X     X        
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X   X        
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X        
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   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        
7 Has the organization established written procedures to monitor the requirements of section 148? ...   X   X        
Part
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        
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: NJ HEALTH CARE FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/08/2021
FORM 990, SCHEDULE K, PART I: BOND A, COLUMN (A): ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY BOND A, COLUMN (F): DESCRIPTION OF PURPOSE: EQUIPMENT, REFUNDING OF BONDS ISSUED 8/13/2008 BOND B, COLUMN (A): ISSUER NAME: THE PASSAIC COUNTY IMPROVEMENT AUTHORITY BOND B, COLUMN (F): DESCRIPTION OF PURPOSE: ADVANCED REFUNDING OF THE 10/22/2010 BOND ISSUE PART II, LINE 3: THE DIFFERENCE BETWEEN THE ISSUE PRICE PROVIDED IN PART I, COLUMN (E) AND THE TOTAL PROCEEDS IN PART II, LINE 3 FOR BOND A AND BOND B RESULTS FROM INVESTMENT EARNINGS.
Schedule K (Form 990) 2021

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990)
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.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number

27-1344467
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 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 the 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
(1) DR LABAGNARA VP, MEDICAL AFFAIRS PHYS. RECRUITMENT   X 393,932 268,794   No   No Yes  
Total ...............Small Bullet $ 268,794
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) 2021
Schedule L (Form 990) 2021
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
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) 2021


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 imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number

27-1344467
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 ( PPE ) X 2 21,748 FMV
26 Other Right pointing arrow large image ( MED SUPPLIES ) X 3 12,212 FMV
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 isn't 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 nonstandard contributions?
31
Yes
 
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 didn't 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) (2021)
Schedule M (Form 990) (2021)
Page 2
Part IISupplemental 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
PART I, COLUMN (B): THE AMOUNT REPORTED IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTORS.
Schedule M (Form 990) (2021)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)

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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number

27-1344467
Return Reference Explanation
FORM 990, PART III, LINE 4A: ST. JOSEPH'S UNIVERSITY MEDICAL CENTER (SJUMC) PROVIDES COMPREHENSIVE ACUTE CARE SERVICES IN PATERSON, NEW JERSEY, ST. JOSEPH'S UNIVERSITY MEDICAL CENTER D/B/A ST. JOSEPH'S WAYNE MEDICAL CENTER (SJWMC) IN WAYNE, NEW JERSEY, SKILLED NURSING SERVICES THROUGH ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, INC. D/B/A ST. JOSEPH'S HEALTHCARE AND REHAB CENTER (A DIVISION OF SJUMC) IN CEDAR GROVE, NEW JERSEY AND AMBULATORY CARE SERVICES AT EIGHT FREE-STANDING AMBULATORY SITES. SJUMC IS A NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES DESIGNATED LEVEL II TRAUMA CENTER, A REGIONAL CARDIAC SURGERY CENTER, AND A REGIONAL PERINATAL CENTER WITH APPROXIMATELY 5,404 EMPLOYEES AND PHYSICIANS, THE MEDICAL CENTER IS BOTH THE LARGEST HEALTH CARE PROVIDER AND NON-GOVERNMENT EMPLOYER IN PASSAIC COUNTY. SJUMC OPERATES A 651-LICENSED-BED ACUTE CARE TERTIARY CARE HOSPITAL OF APPROXIMATELY 1.2 MILLION SQUARE FEET, SITUATED ON 25 ACRES. SJUMC OFFERS A FULL COMPLEMENT OF SPECIALTY AND SUBSPECIALTY SERVICES INCLUDING: 1 CANCER CENTER 2 COMMUNITY EDUCATION SERVICES 3 COMPREHENSIVE NEURO-STROKE CENTER 4 DIALYSIS CENTER 5 EMERGENCY SERVICES 6 LABOR & DELIVERY AND MOTHER/BABY UNITS 7 REGIONAL PERINATAL CENTER 8 SAME-DAY SURGERY 9 SPECIALIZED SURGERY 10 TELEMEDICINE 11 THE HEART CENTER AT ST. JOSEPH'S 12 THE ORTHOPEDIC INSTITUTE SJUMC IS ALSO A STATE DESIGNATED FULL-SERVICE CHILDREN'S HOSPITAL, OPERATED UNDER THE NAME "ST. JOSEPH'S CHILDREN'S HOSPITAL," WHICH PROVIDES TERTIARY CARE FOR CHILDREN FROM BIRTH TO 21 YEARS OF AGE. SJUMC OFFERS SPECIALIZED CHILDREN'S SERVICES SUCH AS A NEONATAL INTENSIVE CARE, PEDIATRIC INTENSIVE CARE, AND A DEDICATED PEDIATRIC EMERGENCY ROOM. ADDITIONALLY, SJUMC PROVIDES: 1 REGIONAL CRANIOFACIAL CENTER 2 PEDIATRIC CENTER FOR FEEDING AND SWALLOWING DISORDERS 3 CHILD DEVELOPMENT CENTER 4 REGIONAL CYSTIC FIBROSIS CENTER 5 FULL SPECTRUM OF PEDIATRIC SPECIALTY AND SUBSPECIALTY SERVICES SJUMC CURRENTLY OPERATES 559 BEDS WITHIN THE FOLLOWING MEDICAL/SURGICAL - 315 INTENSIVE/CORONARY CARE - 62 OBSTETRICS/GYNECOLOGY - 54 PEDIATRICS - 54 PSYCHIATRY - 24 NEONATAL INTENSIVE CARE - 50 TOTAL (EXCLUDES 30 NEWBORN BASSINETS) 559 SJUMC ALSO OPERATES THE FOLLOWING AMBULATORY FACILITY SITES WITHIN CLOSE PROXIMITY TO THE MAIN SJUMC CAMPUS: 1. COMPREHENSIVE CARE CENTER, AN AMBULATORY PRIMARY CARE FACILITY FOR HIV PATIENTS IN PATERSON, NJ 2. CLIFTON FAMILY PRACTICE, AN AMBULATORY PRIMARY CARE FACILITY IN CLIFTON, NJ 3. ST. JOSEPH'S PEDIATRIC SUB SPECIALTIES AT FAIRFIELD, A PEDIATRIC SUBSPECIALTY FACULTY PRACTICE FACILITY IN FAIRFIELD, NJ 4. THE MEDICAL CENTER AT WILLOWBROOK ("WILLOWBROOK") IN WAYNE, NJ, A FACULTY PRACTICE FACILITY PROVIDING PEDIATRIC, OBSTETRIC AND MEDICAL SUBSPECIALTY SERVICES AND A 20 STATION DIALYSIS CENTER 5. ST. JOSEPH'S UNIVERSITY MEDICAL CENTER AMBULATORY IMAGING CENTER, A FULL SERVICE DIAGNOSTIC AND WOMEN'S IMAGING CENTER IN CLIFTON, NJ 6. ST. JOSEPH'S HEALTHCARE AND REHAB CENTER IS LOCATED IN ESSEX COUNTY, APPROXIMATELY FIVE MILES FROM SJUMC. THIS CENTER PROVIDES 24/7 NURSING CARE, MEDICAL, PSYCHO-SOCIAL, NUTRITIONAL, THERAPEUTIC RECREATION, AND SPIRITUAL CARE IN ITS 151-BED LONG-TERM CARE AND SUBACUTE SERVICES CENTER CLINICAL SERVICES: AS PART OF ST. JOSEPH'S HEALTH INC., SJUMC COORDINATES COMPREHENSIVE BASIC AND TERTIARY SERVICES ACROSS CAMPUSES WITH ITS SISTER HOSPITAL ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, INC. D/B/A ST. JOSEPH'S WAYNE MEDICAL CENTER (SJWMC). ST. JOSEPH'S WAYNE MEDICAL CENTER (SJWMC) IS A 229-LICENSED BED ACUTE CARE COMMUNITY HOSPITAL FACILITY LOCATED IN WAYNE, NJ. THE HOSPITAL, A MEMBER OF ST. JOSEPH'S HEALTH INC., OFFERS INPATIENT AND ACUTE REHABILITATION SERVICES, DEDICATED COMPREHENSIVE ACUTE CARE REHABILITATION NURSING UNIT AND A GERIATRIC NURSING UNIT. OUTPATIENT SERVICES INCLUDE DIAGNOSTIC RADIOLOGY, PHYSICAL THERAPY SERVICES, SAME-DAY SURGERY, SLEEP CARE CENTER, AND THE JOHN VICTOR MACHUGA DIABETES EDUCATION CENTER. CERTAIN ADDITIONAL SPACE IS CURRENTLY LEASED TO A NON-PROFIT LONG TERM ACUTE CARE SERVICES PROVIDER. SJWMC CURRENTLY OPERATES 138 BEDS WITHIN THE FOLLOWING 229 LICENSED BED COMPLEMENT: MEDICAL/SURGICAL 193 INTENSIVE/CORONARY CARE 16 COMPREHENSIVE REHABILITATION 20 TOTAL 229
FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE ORGANIZATION SETON MINISTRIES, INC. IS THE SOLE MEMBER OF ST. JOSEPH'S HEALTH, INC. ST. JOSEPH'S HEALTH, INC. IS THE SOLE MEMBER OF ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER FOUNDATION, INC., AND 200 HOSPITAL PLAZA CORP. THE SOLE MEMBER OF HARBOR HOUSE, INC., ST. JOSEPH'S EMERGENCY PHYSICIANS, INC., ST. JOSEPH'S FACULTY PHYSICIANS, INC., ST. JOSEPH'S PHYSICIANS, INC., AND ST. JOSEPH'S SUBSPECIALTY PHYSICIANS, INC. IS ST. JOSEPH'S UNIVERSITY MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF THE GOVERNING BODY ST. JOSEPH'S UNIVERSITY MEDICAL CENTER SHARES A MIRROR BOARD WITH ITS MEMBER ORGANIZATION, ST. JOSEPH'S HEALTHCARE SYSTEM (THE SYSTEM IS AN OBLIGATED GROUP). UNDER SECTION 2.2 OF THE SYSTEM'S BYLAWS, THE POWER TO ELECT AND REMOVE TRUSTEES FROM THE SYSTEM'S BOARD (AND BY EXTENSION, ST. JOSEPH'S UNIVERSITY MEDICAL CENTER'S BOARD) IS RESERVED TO THE SYSTEM'S SOLE MEMBER - SETON MINISTRIES, INC.
FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY CERTAIN RIGHTS AND POWERS ARE RESERVED TO THE MEMBER PURSUANT TO THE BY-LAWS OF THE CORPORATIONS. THESE INCLUDE: APPROVAL OF THE STATEMENT OF THE MISSION OF THE INSTITUTION AND ANY SUBSEQUENT CHANGES; THE RIGHT TO ELECT AND REMOVE TRUSTEES OF THE BOARD OF THE CORPORATION AND ITS SUBSIDIARIES; APPROVAL OF AMENDMENTS TO ST. JOSEPH'S CERTIFICATE OF INCORPORATION; AND THE RIGHT TO APPROVE SIGNIFICANT CORPORATE TRANSACTIONS (E.G. MERGERS, CONSOLIDATIONS, DISSOLUTION).
FORM 990, PART VI, SECTION B, LINE 11B REVIEW PROCESS FOR FORM 990 A COPY OF THE FORM 990 WAS PRESENTED TO THE ST. JOSEPH'S HEALTH, INC.'S AUDIT COMMITTEE OF THE BOARD OF TRUSTEES IN NOVEMBER 2, 2022 BY THE ORGNIZATION'S TAX RETURN PREPARERS, ERNST & YOUNG LLP. COMMENTS AND FEEDBACK WERE SOLICITED PRIOR TO FILING AND A FINAL COPY OF THE 990 WAS PROVIDED TO EACH OF THE BOARD MEMBERS VIA ELECTRONIC MEANS.
FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY ST. JOSEPH'S HEALTH, INC. REQUIRES ALL BOARD OF TRUSTEES MEMBERS, MANAGER LEVEL AND HIGHER EMPLOYEES, OFFICERS AND MEDICAL STAFF COMMITTEE MEMBERS (REPORTING PARTIES) TO COMPLETE ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS (COIDS) THAT CONSIST OF QUESTIONS DESIGNED TO UNCOVER POTENTIAL CONFLICTS. THE ANNUAL SOLICITATION AND COMPLETION OF COIDS IS CONDUCTED ELECTRONICALLY. UPON COMPLETION AND SUBMISSION OF COIDS BY REPORTING PARTIES, AFFIRMATIVE RESPONSES TO THESE QUESTIONS ARE REVIEWED BY THE GENERAL COUNSEL AND THE CHIEF COMPLIANCE OFFICER. ANY POTENTIAL CONFLICT DISCLOSED IS IDENTIFIED AND RESOLVED IF NECESSARY. ALL DISCLOSURES AND RECOMMENDATIONS FOR RESOLUTION ARE THEN REVIEWED BY THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE PROVIDES A SUMMARY REPORT TO THE SYSTEM BOARD OF TRUSTESS. IN 2020, NO MATERIAL CONFLICTS WERE IDENTIFIED.
FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION POLICY ST. JOSEPH'S HEALTH, INC. UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIAL AND ALL OFFICERS OF THE ORGANIZATION IS REASONABLE. IN RELEVANT PART, THE BOARD OF TRUSTEES HAS ESTABLISHED A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN THE PROPOSED COMPENSATION ARRANGEMENT. THE BOARD OF TRUSTEES USES AN INDEPENDENT COMPENSATION CONSULTANT TO HELP ADVISE ON THE APPROPRIATE COMPENSATION LEVELS FOR THE AFOREMENTIONED INDIVIDUALS. THAT COMPENSATION CONSULTANT WILL USE COMPARABILITY OR BENCHMARKING DATA (BASED ON INDUSTRY SURVEYS) THAT DOCUMENTS THE COMPENSATION OF PERSONS HOLDING SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. ONCE THE COMPENSATION CONSULTANT HAS MADE ITS RECOMMENDATIONS, THE SYSTEM'S COMPENSATION COMMITTEE MUST APPROVE THE COMPENSATION, WITHOUT INPUT OR VOTING PARTICIPATION BY THE PERSON WHOSE COMPENSATION IS BEING APPROVED OR BY ANY OTHER INDIVIDUAL WITH A CONFLICT OF INTEREST. THE FINAL DETERMINATION IS THEN DOCUMENTED IN COMMITTEE MINUTES. THOSE MINUTES WILL CONTAIN THE TERMS OF THE PROPOSED COMPENSATION, THE DECISIONS OF THOSE INDIVIDUALS WHO VOTED ON THE COMPENSATION, AND THE COMPARABILITY DATA THAT WAS RELIED UPON.
FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION ST. JOSEPH'S HEALTH, INC. MAKES ITS FORM 990 AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY POSTING A COPY ON THE HOSPITAL'S WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND AT MANAGEMENT'S DISCRETION.
FORM 990, PART VII, SECTION A: THE HOURS REPORTED FOR NILESH PATEL, MD, ROBERTO SOLIS, MD, ANTHONY LOSARDO, MD, JOSEPH VITALE, MD, MARJORY LANGER, MD FACEP, JAI G. PAREKH, MD, MICHAEL LAMACCHIA, MD, SWATI PAREKH, MICAHEL AGNELLI, MD, SAMI ABDULMASSIH, MD, JOSEPH VITALE JR., MD, AND MANJU GUPTA, ARE RELATED TO TIME DEVOTED AS A TRUSTEE OF THE FILING ORGANIZATION. COMPENSATION IS RELATED TO THE INDIVIDUALS' ROLES AS INDEPENDENT CONTRACTORS AND DOES NOT REPRESENT COMPENSATION FOR BOARD DUTIES. SISTER PATRICIA MENNOR & SISTER MARILYN C. THIE, AS MEMBERS OF A RELIGIOUS ORDER, ARE EXEMPT FROM FEDERAL AND STATE INCOME TAX AND THEREFORE DO NOT RECEIVE A W-2. IN THE INTEREST OF FULL DISCLOSURE, AMOUNTS PAID TO THE SISTERS ARE REPORTED IN PART VII, SECTION A, COLUMN (F) AND SCHEDULE J, PART II, COLUMN (D).
FORM 990, PART XI, LINE 9: NET PERIODIC PENSION BENEFIT 9,668,000. PENSION RELATED ADJUSTMENTS 32,829,000. CHANGE IN NON-CONTROLLING INTEREST IN JOINT VENTURE -360,645. TRANSFER OF ASSETS TO INSURANCE CAPTIVE -6,500,000. TRANSFER OF ASSETS TO/FROM AFFILIATES 878,000. CHANGE IN INTEREST IN FOUNDATION -825,300. ADJUSTMENT TO BEGINNING OF YEAR NET ASSETS 20,304,267. ROUNDING -3,639. INCREASE IN NET ASSETS WITH DONOR RESTRICTIONS 7,892,684. DECREASE IN NON-CONTROLLING INTERESTS -261,355.
FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
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 Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN
Employer identification number

27-1344467
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) ST JOSEPH'S HEALTH PHARMACY LLC
703 MAIN STREET
PATERSON,NJ07503
83-3649808
PHARMACY NJ     SJUMC
 










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)VHS MANAGEMENT INC
783 RIVERVIEW DRIVE

TOTOWA,NJ07512
22-2681681
HOLDING CO NJ 501(C)(3) 12C N/A
 
No
(2)HARBORSIDE APARTMENTS INC
703 MAIN STREET

PATERSON,NJ07503
22-3373890
HOUSING NJ 501(C)(3) 10 N/A
 
No
(3)HARBORVIEW APARTMENTS INC
703 MAIN STREET

PATERSON,NJ07503
22-3797055
HOUSING NJ 501(C)(3) 10 N/A
 
No








For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) VHSNJ AT HOME

1350 CAMPUS PARKWAY
NEPTUNE,NJ07753
81-4612753
HEALTHCARE NJ SJUMC
 
RELATED 2,138,535     No     No 50.000 %
(2) ST JOSEPH'S SURGERY MANAGEMENT

703 MAIN STREET
PATERSON,NJ07503
46-4832908
MGMT SERVICES NJ N/A
RELATED       No     No 55.770 %
(3) ST JOSEPH'S HOME HEALTH LLC

703 MAIN STREET
PATERSON,NJ07503
82-1236513
SHELL NJ N/A
RELATED       No     No 50.000 %
(4) WAYNE VALLEY IMAGING INC

504 VALLEY ROAD
WAYNE,NJ07470
HEALTHCARE NJ N/A
RELATED 391,000 1,140,000   No     No 50.000 %






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) SJHS INSURANCE LIMITED

44 CHURCH BERMUDA
BD
CAPTIVE INSURANCE BD N/A
C       Yes  
(2) ST JOSEPH'S HOSPITAL HOUSING CORP

703 MAIN STREET
PATERSON,NJ07503
22-2145893
HOUSING NJ SJUMC
 
C     100.000 % Yes  
(3) ST JOSEPH'S HEALTH PARTNERS LLC

PO BOX 22155
NEW YORK,NY100872155
83-2385749
VALUE BASED MANAGED CARE NY SJ HEALTH INC
 
C       Yes  








Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
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
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) ST JOSEPH UNIVERSITY MEDICAL CENTER

C 3,665,314 FMV
(2) ST JOSEPH HOSPITAL & MEDICAL CENTER FOUNDATION

B 3,665,314 FMV
(3) ST JOSEPH SURGERY MGT

J 492,695 FMV
(4) ST JOSEPH SURGERY MGT

J 191,760 FMV
(5) SJHS LIMITED

L 9,203,326 FMV
(6) ST JOSEPH UNIVERSITY MEDICAL CENTER

P 708,583 FMV
(7) ST JOSEPH UNIVERSITY MEDICAL CENTER

M 687,123 FMV
(8) ST JOSEPH HOSPITAL & MEDICAL CENTER FOUNDATION

O 708,583 FMV
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 2021
Schedule R (Form 990) 2021
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) 2021

Additional Data


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