TY 2024 Form 990

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) DUSTIN RICCIO MD...................................................................... PRESIDENT/CEO	53.00 ................. 2.00	X	X	1,361,876	341,477
(2) CASWELL SAMMS...................................................................... SVP/CFO	55.00 ................. 0.00	X	X	1,006,739	124,742
(3) JOSEPH DUFFY MD...................................................................... C0-CHAIR	2.00 ................. 0.00	X	X	869,113	82,731
(4) CHRISTOPHER TROTZ...................................................................... CO-CHAIR (THRU 10/1/24)	2.00 ................. 0.00	X	X	827,988	37,524
(5) PADMAJA UPADYA MD...................................................................... VP, CHIEF MEDICAL OFFIER, SJWMC	2.00 ................. 0.00	X		470,918	45,152
(6) RICHARD J ABBATE...................................................................... TRUSTEE	2.00 ................. 0.00	X		0	0
(7) JOSEPH AMICO...................................................................... TRUSTEE	2.00 ................. 0.00	X		0	0
(8) FARHAN AYOUB MD...................................................................... TRUSTEE (THRU 11/1/24)	2.00 ................. 0.00	X		0	0
(9) MARIE BREUSS...................................................................... TRUSTEE (THRU 2/27/24)	2.00 ................. 0.00	X		0	0
(10) JOHN R CIOLETTI...................................................................... TRUSTEE	2.00 ................. 0.00	X		0	0
(11) MOIRA CONNOLLY ESQ...................................................................... TRUSTEE	2.00 ................. 0.00	X		0	0
(12) PATRICIA K DAVINO...................................................................... TRUSTEE	2.00 ................. 0.00	X		0	0
(13) DONNA M DECANDIDO...................................................................... VICE CHAIR	2.00 ................. 0.00	X	X	0	0
(14) DANIEL DELGADO...................................................................... TRUSTEE	2.00 ................. 0.00	X		0	0
(15) RONALD J GARNER...................................................................... TREASURER	1.00 ................. 1.00	X	X	0	0
(16) DAVID INCORVAIA...................................................................... TRUSTEE	2.00 ................. 0.00	X		0	0
(17) ROGER JOHNSON...................................................................... TRUSTEE (THRU 2/27/24)	2.00 ................. 0.00	X		0	0

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) ATHANASIA KONTOS........................................................................ CHAIR	2.00 .......................0.00	X	X				0	0
(19) GABRIELLA LOCONTE........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(20) TIMOTHY J MATTESON ESQ........................................................................ TREASURER	2.00 .......................0.00	X	X				0	0
(21) SWATI PAREKH MD........................................................................ SECRETARY	2.00 .......................0.00	X	X				354,918	10,725
(22) CECILIA K MCKENNEY........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(23) BETH POLITO........................................................................ TRUSTEE (THRU 3/11/24)	2.00 .......................0.00	X					0	0
(24) DEBORAH A NAPPI CPA........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(25) ROMAN OBEN........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(26) SAMI ABDULMASSIH MD........................................................................ TRUSTEE	2.00 .......................0.00	X					246,738	9,076
(27) MICHAEL AGNELLI MD........................................................................ TRUSTEE	2.00 .......................0.00	X					326,516	8,991
(28) ANTHONY GRIFFO........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(29) CHRISTINE LEROY MD........................................................................ TRUSTEE	2.00 .......................0.00	X					321,229	10,087
(30) DENNIS MARCO........................................................................ TREASURER	2.00 .......................0.00	X	X				0	0
(31) PATRICK MICHAEL MD........................................................................ TRUSTEE	2.00 .......................0.00	X					484,198	4,752
(32) MARTIN NEILAN MD........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(33) GENE RUBINO MD........................................................................ TRUSTEE	2.00 .......................0.00	X					316,517	9,015
(34) BIJAL SHETH MD........................................................................ TRUSTEE	2.00 .......................0.00	X					342,558	6,702
(35) JOSEPH VITALE JR MD........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(36) MICHAEL LAMACCHIA MD........................................................................ TREASURER/SECRETARY	2.00 .......................0.00	X	X				548,225	14,701
(37) ANTHONY LOSARDO MD........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(38) MICHAEL MAINERO MD........................................................................ TRUSTEE	1.00 .......................1.00	X					0	0
(39) GAMIL MAKAR MD........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(40) JOHN MORONE MD........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(41) NILESH PATEL MD........................................................................ TRUSTEE	2.00 .......................0.00	X					434,132	21,351
(42) MANNAN RAZZAK MD........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(43) ROBERTO SOLIS MD........................................................................ TRUSTEE	1.00 .......................1.00	X					601,530	6,457
(44) JOHN SUTTER MD........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(45) AJAY BANSAL........................................................................ TRUSTEE (AS OF 9/2024)	1.00 .......................1.00	X					0	0
(46) DONNA BOLES........................................................................ TRUSTEE	1.00 .......................1.00	X					0	0
(47) SISTER ELLEN DAUWER SC........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(48) TANYA DUNBAR........................................................................ TRUSTEE (AS OF 9/2024)	1.00 .......................1.00	X					0	0
(49) DEAN EMMOLO........................................................................ TRUSTEE	1.00 .......................1.00	X					0	0
(50) KATHLEEN FAGAN........................................................................ TRUSTEE	1.00 .......................1.00	X					0	0
(51) WILFREDO FERNANDEZ........................................................................ CHAIR	1.00 .......................1.00	X	X				0	0
(52) TALIA GRIEP........................................................................ TREASURER	1.00 .......................1.00	X	X				0	0
(53) SISTER KAREN HELFENSTEIN SC........................................................................ TRUSTEE	1.00 .......................1.00	X					0	0
(54) GEORGE HUNDT........................................................................ TRUSTEE	1.00 .......................1.00	X					0	0
(55) ALFRED LEE........................................................................ TRUSTEE	1.00 .......................1.00	X					0	0
(56) GUALBERTO MEDINA........................................................................ SECRETARY	1.00 .......................1.00	X	X				0	0
(57) WILLIAM O'SHAUGHNESSY........................................................................ TRUSTEE	1.00 .......................1.00	X					0	0
(58) JAI PAREKH MD MBA FAAO........................................................................ TRUSTEE	1.00 .......................1.00	X					0	0
(59) ROBERT PAZ........................................................................ TRUSTEE	1.00 .......................1.00	X					0	0
(60) SISTER ROSEMARY SMITH SC........................................................................ TRUSTEE	1.00 .......................1.00	X					0	0
(61) SISTER MAUREEN SULLIVAN SC........................................................................ TRUSTEE	1.00 .......................1.00	X					0	0
(62) KEVIN J SLAVIN........................................................................ PRESIDENT/CEO (THRU 3/31/24)	53.00 .......................2.00	X	X				1,869,325	111,467
(63) MICHAEL J ARMSTRONG........................................................................ TRUSTEE	1.00 .......................1.00	X					0	0
(64) BERNADETTE COUNTRYMAN........................................................................ VICE CHAIR (THRU 3/2024)	1.00 .......................1.00	X	X				0	0
(65) SISTER MARY MORLEY........................................................................ TRUSTEE (THRU 9/2024)	1.00 .......................1.00	X					0	0
(66) LISA SCHMITTGALL........................................................................ SVP & CHF. STRAT. OFC./INTERIM COO	55.00 .......................0.00		X				939,141	113,897
(67) JENNIFER K MENDRZYCKI........................................................................ SVP & COO (THRU 5/1/24)	53.00 .......................2.00		X				286,504	35,603
(68) MICHAEL ALWELL........................................................................ VP REVENUE CYCLE	55.00 .......................0.00			X			651,162	69,453
(69) JANINE BEGASSE........................................................................ VP QUALITY & SAFETY	55.00 .......................0.00			X			470,160	52,465
(70) ROBERT BUDELMAN III........................................................................ SVP, CHIEF DEVELOPMET OFFICER	55.00 .......................0.00			X			453,251	59,659
(71) MICHAEL CAIROLI........................................................................ VP, WAYNE SITE ADMINISTRATOR	55.00 .......................0.00			X			391,560	48,992
(72) THOMAS D CASEY........................................................................ VP, MARKETING AND PUBLIC RELATIONS	55.00 .......................0.00			X			441,174	42,515
(73) KENNETH MORRIS JR........................................................................ VP EXTERNAL AFFAIRS	55.00 .......................0.00			X			484,709	50,634
(74) LINDA A REED........................................................................ SVP, CHIEF INFORMATION OFFICER	55.00 .......................0.00			X			824,402	98,102
(75) DEBORAH SMITH........................................................................ SVP, CHIEF NURSING OFFICER	55.00 .......................0.00			X			549,578	72,031
(76) ANTHONY TESORIERO........................................................................ VP, FACILITIES OPERATIONS	55.00 .......................0.00			X			385,260	45,756
(77) PIA HOUSE WALKER........................................................................ SVP, CHIEF HUMAN RESOURCES OFFICER	55.00 .......................0.00			X			612,073	82,259
(78) JANE WHITE........................................................................ VP, ONCOLOGY (THRU 10/2024)	55.00 .......................0.00			X			443,535	20,766
(79) BLEDI ZAKU........................................................................ MEDICAL DOCTOR	55.00 .......................0.00				X		1,898,244	11,476
(80) JOHN DANKS........................................................................ MEDICAL DOCTOR	55.00 .......................0.00				X		1,440,226	16,621
(81) TOGHRUL TALISHINSKIY........................................................................ MEDICAL DOCTOR	55.00 .......................0.00				X		1,182,000	16,739
(82) KAILA KRISHNAMOORTHY........................................................................ MEDICAL DOCTOR	55.00 .......................0.00				X		1,137,152	14,968
(83) ERIC T CHOI MD........................................................................ MEDICAL DOCTOR (THRU 11/7/24)	55.00 .......................0.00				X		1,102,845	15,843
(84) TODD C BROWER........................................................................ FORMER KEY EMPLOYEE (THRU 5/30/23)	0.00 .......................0.00					X	275,389	0
(85) MARK W CONNOLLY........................................................................ FORMER CHAIRMAN, DEPT OF SURG (THRU 3/31/23)	0.00 .......................0.00					X	264,167	0

(A) Name and business address	(B) Description of services	(C) Compensation
PT SOLUTIONS LLC 1100 CIRCLE 75 PKWY SE 14TH FL ATLANTA,NJ303393064	PHYSICAL THERAPY SERVICES	24,946,411
NORTH AMERICAN PARTNERS IN ANESTHESIA 1305 WALT WHITMAN ROAD MELVILLE,NY11747	ANESTHESIA	8,342,227
SYMMETRY WORKFORCE SOLUTIONS LLC PO BOX 646064 PITTSBURGH,PA152646064	STAFFING SERVICES	7,725,961
CARDIOLOGY ASSOCIATES 999 MCBRIDE AVE WEST PATERSON,NJ07424	CARDIOLOGY	7,043,877
HEART AND VASCULAR ASSOCIATES 22-18 BROADWAY FAIR LAWN,NJ07410	CARDIOLOGY	5,929,254
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 56

- TIN:

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

2024

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization 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). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................1

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)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) ST JOSEPH'S UNIVERSITY MEDICAL CENTER	221487602	3	Yes		2,752,221	0

Total 1					2,752,221	0

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

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)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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

Gross receipts from related activities, etc. (see instructions) ..................

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

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

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) 2024

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)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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.)..

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

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

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

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

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.

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) .

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).

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.

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.

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.

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

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) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described on 11a above?

11b

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

Section B. Type I Supporting Organizations

Yes

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.

Yes

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

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?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

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.

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.

Parent of Supported Organizations. Answer lines 3a and 3b below.

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.

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.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

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 2024 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-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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 EACH 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). EACH IS A TYPE I SUPPORTING ORGANIZATION THAT DIRECTLY SUPPORTS 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 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 THE RIGHT AND POWER TO APPOINT A 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 A 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. JOSEPH'S 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 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 PHYSICIANS HEALTHCARE GROUP INC.'S SOLE MEMBER IS SJUMC. SJUMC IS RESPONSIBLE FOR ELECTING THE TRUSTEES OF ST. JOSEPH'S PHYSICIANS HEALTHCARE GROUP 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.

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 EACH 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). EACH IS A TYPE I SUPPORTING ORGANIZATION THAT DIRECTLY SUPPORTS 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 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 THE RIGHT AND POWER TO APPOINT A 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 A 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. JOSEPH'S 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 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 PHYSICIANS HEALTHCARE GROUP INC.'S SOLE MEMBER IS SJUMC. SJUMC IS RESPONSIBLE FOR ELECTING THE TRUSTEES OF ST. JOSEPH'S PHYSICIANS HEALTHCARE GROUP 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.

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

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

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization ST JOSEPH'S HEALTH SYSTEM SUBORDINATE GROUP RETURN

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

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

right arrow

Complete if the organization is described below. 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

2024

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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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) 2024

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 right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ...................................................................................................................	Yes No

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) 2021	(b) 2022	(c) 2023	(d) 2024	(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) 2024

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

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

355,232

Total. Add lines 1c through 1i ....................................................................................................

355,232

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

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	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 2024, THE HOSPITAL PAID WASHINGTON STRATEGIC CONSULTING, INC. $115,500 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.

Return Reference

Explanation

PART II-B, LINE 1, LOBBYING ACTIVITIES

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 2024, THE HOSPITAL PAID WASHINGTON STRATEGIC CONSULTING, INC. $115,500 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) 2024

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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 July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

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)? .............................

Yes No

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.

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.

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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	123,142
b	Contributions ...
c	Net investment earnings, gains, and losses	6,072	2,627	506	47	39
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	6,072	2,627	506	47	39
f	Administrative expenses ....
g	End of year balance ......	123,142	123,142	123,142	123,142	123,142

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

100.000 %

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

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 .....	10,440,176		10,440,176
b	Buildings ....	512,559,126	321,599,819	190,959,307
c	Leasehold improvements	18,308,659	16,060,057	2,248,602
d	Equipment ....	435,458,584	345,165,286	90,293,298
e	Other .....	51,836,861		51,836,861
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				345,778,244

Schedule D (Form 990) (Rev. 1-2025)

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) CORPORATE OBLIGATIONS	246,588,262	F
(B) US BONDS/MORT. BACKED & MUTUAL FUNDS	1,705,025	F
(C) MUNICIPAL BONDS	468	F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	248,293,755

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.)

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				29,991,509
(2)OPERATING RIGHT USE OF ASSETS				106,141,102
(3)OTHER ASSETS				15,101,874
(4)DUE FROM AFFLIATES				25,528,981
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				176,763,466

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
OPERATING RIGHT TO USE ASSETS	106,141,513
ESTIMATED THIRD PARTY SETTLEMENTS	21,216,956
ACCRUED PENSION LIABILITY	7,159,682
ACCRUED MALPRACTICE INSURANCE	12,035,381
OTHER	11,474,043




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	158,027,575
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) (Rev. 1-2025)

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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right arrow

Attach to Form 990. Right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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.

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? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

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	11,349,712
















3a	Sub-total ....	0	0			11,349,712
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			11,349,712

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)

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 .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)Page 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) (Rev. 1-2025)

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) (Rev. 1-2025)

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 I, LINE 3, COLUMN (F):	THE ORGANIZATION USES THE ACCRUAL METHOD OF ACCOUNTING TO ACCOUNT FOR ITS FOREIGN EXPENDITURES.

Schedule F (Form 990) (Rev. 1-2025)

Additional Data

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Software Version:

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SCHEDULE G (Form 990)
(Rev. January 2025)

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 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

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.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

YesNo

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)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

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) (Rev. 1-2025)

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.

		(a) Event #1 2024 GALA (event type)	(b) Event #2 2024 FASHION WITH COMPASSION (event type)	(c) Other events 3 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	1,057,422	286,074	416,171	1,759,667
2	Less: Contributions . . . .	349,433	124,356	149,600	623,389
3	Gross income (line 1 minus line 2) . . . . . .	707,989	161,718	266,571	1,136,278

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .			115,063	115,063
7	Food and beverages . . .	140,518	48,639	72,691	261,848
8	Entertainment . . . .	81,333	5,750	1,415	88,498
9	Other direct expenses . . .	105,485	15,618	19,722	140,825
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				606,234
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				530,044

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.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .			40,915	40,915

2	Cash prizes . . . . .	8,970	8,970
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

8,970

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

31,945

Enter the state(s) in which the organization conducts gaming activities: NJ

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990) (Rev. 1-2025)

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

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? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

100.000 %

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

PATRICIA PAOLUCCI

Address

703 MAIN STREET PATTERSON, NJ07503

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

PATRICIA PAOLUCCI 703 MAIN STREE

Gaming manager compensation right arrow

$ 1,000

Description of services provided right arrow

PLAN AND EXECUTE GAMING ACTIVITIES

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

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

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

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.

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"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	58,239,865	41,747,828	16,492,037	1.530 %
b	Medicaid (from Worksheet 3, column a) . . . . .	283,501,919	271,365,335	12,136,584	1.130 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	341,741,784	313,113,163	28,628,621	2.660 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .	41,493,032	26,542,460	14,950,572	1.390 %
g	Subsidized health services (from Worksheet 6) . . . .	183,495,711	54,978,398	128,517,313	11.940 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	224,988,743	81,520,858	143,467,885	13.330 %
k	Total. Add lines 7d and 7j .	566,730,527	394,634,021	172,096,506	15.990 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

144,736,209

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. ......

88,956,197

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

Enter total revenue received from Medicare (including DSH and IME).....

256,808,212

Enter Medicare allowable costs of care relating to payments on line 5.....

325,200,650

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-68,392,438

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

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)									Facility reporting group
1	ST JOSEPH'S UNIVERSITY MEDICAL CTR 703 MAIN STREET PATERSON,NJ07503 WWW.STJOSEPHSHEALTH.ORG STLIC: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 STLIC:11605 SJUMC DBA SJWMC 221487602	X	X					X	A

Schedule H (Form 990) 2024

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

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

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 .................

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..................................

Yes

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. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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) 2024

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

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

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?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

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

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

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 1: ST. JOSEPH'S UNIVERSITY MEDICAL CTR, - FACILITY 2: SJUMC DBA ST. JOSEPH'S WAYNE MED. CTR
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:	FACILITY REPORTING GROUP - APART 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, 69 COMMUNITY STAKEHOLDERS IN SOUTHERN PASSAIC COUNTY TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED BELOW:PHYSICIANS 15PUBLIC HEALTH REPRESENTATIVES 3OTHER HEALTH PROVIDERS 16SOCIAL SERVICES PROVIDERS 17OTHER COMMUNITY LEADERS 18FINAL PARTICIPATION INCLUDED REPRESENTATIVES OF THE ORGANIZATIONS OUTLINED BELOW.- 2ND BAPTIST CHURCH- 4CS OF PASSAIC COUNTY- BANGLADESHI AMERICAN WOMEN'S DEVELOPMENT INITIATIVE- CAMP YDP- CAREFINDERS TOTAL CARE LLC- CATHOLIC CHARITIES DIOCESE OF PATERSON- CHILDREN'S AID & FAMILY SERVICES THE CENTER FOR ALCOHOL & DRUG RESOURCES- CIRCLE OF CARE- CITY GREEN- CITY OF PATERSON- CITY OF PATERSON FIRE DEPARTMENT- DIVISION OF CHILD PROTECTION & PERMANENCY- ELMWOOD PARK SENIOR CENTER- FAMILY CARE NJ- FAMILY SUCCESS CENTER OF PATERSON- GREATER PATERSON OIC- HARBOR HOUSE- HEALTH COALITION OF PASSAIC COUNTY- HOME CARE OPTIONS- JOHN P. HOLLAND CHARTER SCHOOL- MENTAL HEALTH ASSOCIATION OF PASSAIC COUNTY- MORE THAN FRIENDS CARES INC.- NEW JERSEY COMMUNITY DEVELOPMENT CORP- NORTHEAST NJ LEGAL SERVICES- NORWESCAP- OASIS A HAVEN FOR WOMEN AND CHILDREN- PALESTINIAN AMERICAN COMMUNITY CENTER- PARTNERSHIP FOR MATERNAL AND CHILD HEALTH OF NORTHERN NJ- PASSAIC COUNTY SAFE KIDS- PASSAIC SCHOOL DISTRICT- PATERSON ALLIANCE- PATERSON COMMUNITY HEALTH CENTER- PATERSON JUDICIARY- PATERSON PUBLIC SCHOOLS- PATERSON SCHOOL DISTRICT- PATERSON TASK FORCE FOR COMMUNITY ACTION- REBUILDING TOGETHER NORTH JERSEY- RUTGERS COOP EXTENSION- SEMINARY BAPTIST CHURCH- SERV BEHAVORIAL HEALTH- ST. PAUL'S BAPTIST CHURCH- ST. BONAVENTURE CHURCH- ST. JOSEPH'S HEALTH- ST. JOSEPH'S WIC- ST PAUL EPISCOPAL- STAR OF HOPE MINISTRIES- TURNING POINT- UNITED METHODIST CHURCH, WAYNE, NJ- WAYNE TOWNSHIP- WAYNE TOWNSHIP HEALTH DEPARTMENT- WAYNE YMCA- WILLIAM PATERSON UNIVERSITY-SBDCTHE FOLLOWING "AREAS OF OPPORTUNITY" REPRESENT THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, BASED ON THE INFORMATION GATHERED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT. FROM THIS DATA, OPPORTUNITIES 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.1) ACCESS TO HEALTH CARE SERVICES - LACK OF HEALTH INSURANCE - BARRIERS TO ACCESS - INCONVENIENT OFFICE HOURS - COST OF PRESCRIPTIONS - COST OF PHYSICIAN VISITS - APPOINTMENT AVAILABILITY - FINDING A PHYSICIAN - LACK OF TRANSPORTATION - CULTURE/LANGUAGE - PRIMARY CARE PHYSICIAN RATIO - SPECIFIC SOURCE OF ONGOING MEDICAL CARE - EMERGENCY ROOM UTILIZATION - RATINGS OF LOCAL HEALTH CARE 2) CANCER - LEADING CAUSE OF DEATH - PROSTATE CANCER INCIDENCE 3) DIABETES - PREVALENCE OF BORDERLINE/PRE-DIABETES - PREVALENCE OF KIDNEY DISEASE - KEY INFORMANTS: DIABETES RANKED AS A TOP CONCERN. 4) HEART DISEASE & STROKE - LEADING CAUSE OF DEATH - HIGH BLOOD CHOLESTEROL PREVALENCE - OVERALL CARDIOVASCULAR RISK 5) HOUSING - HOUSING INSECURITY - HOUSING CONDITIONS 6) INFANT HEALTH & FAMILY PLANNING - PRENATAL CARE 7)INJURY & VIOLENCE - UNINTENTIONAL INJURY DEATHS INCLUDING FALLS [AGE 65+] DEATHS - KEY INFORMANTS: INJURY AND VIOLENCE RANKED AS A TOP CONCERN. 8) MENTAL HEALTH - "FAIR/POOR" MENTAL HEALTH - SYMPTOMS OF CHRONIC DEPRESSION - MENTAL HEALTH PROVIDER RATIO - KEY INFORMANTS: MENTAL HEALTH RANKED AS A TOP CONCERN. 9) NUTRITION, PHYSICAL ACTIVITY & WEIGHT - FOOD INSECURITY - DIFFICULTY ACCESSING FRESH PRODUCE - FRUIT/VEGETABLE CONSUMPTION - ACCESS TO RECREATION/FITNESS FACILITIES - OVERWEIGHT & OBESITY [ADULTS] - OVERWEIGHT & OBESITY [CHILDREN] - KEY INFORMANTS: NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT RANKED AS A TOP CONCERN. 10) ORAL HEALTH - REGULAR DENTAL CARE [ADULTS] 11) POTENTIALLY DISABLING CONDITIONS - ALZHEIMER'S DISEASE DEATHS 12) RESPIRATORY DISEASE - LEADING CAUSE OF DEATH - COVID-19 MORTALITY 13) SEXUAL HEALTH - HIV MORTALITY - HIV PREVALENCE 14) SUBSTANCE ABUSE - CIRRHOSIS/LIVER DISEASE DEATHS - UNINTENTIONAL DRUG-RELATED DEATHS - KEY INFORMANTS: SUBSTANCE ABUSE RANKED AS A TOP CONCERN. 15) TOBACCO USE - SMOKING CESSATION - USE OF VAPING PRODUCTS - KEY INFORMANTS: TOBACCO USE RANKED AS A TOP CONCERN IN DECEMBER 2022, ST. JOSEPH'S HEALTH CONVENED GROUPS OF COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) TO EVALUATE, DISCUSS, AND PRIORITIZE HEALTH ISSUES FOR THE COMMUNITY, BASED ON FINDINGS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AN IN-PERSON MEETING WAS HELD ON DECEMBER 1 AND AN ONLINE MEETING WAS HELD ON DECEMBER 12. PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) BEGAN EACH OF THESE MEETINGS 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, 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), AN ONLINE VOTING PLATFORM WAS USED IN WHICH EACH PARTICIPANT WAS ABLE TO REGISTER HIS/HER RATINGS USING A MOBILE DEVICE OR WEB BROWSER. 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: 1. HOW MANY PEOPLE ARE AFFECTED? 2. HOW DOES THE LOCAL COMMUNITY DATA COMPARE TO STATE OR NATIONAL LEVELS, OR HEALTHY PEOPLE 2030 TARGETS? 3. 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 PERCEIVED 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. MENTAL HEALTH 2. ACCESS TO HEALTH CARE SERVICES 3. SUBSTANCE ABUSE 4. DIABETES 5. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 6. HEART DISEASE & STROKE 7. HOUSING 8. RESPIRATORY DISEASE (COVID-19) 9. INFANT HEALTH 10. INJURY & VIOLENCE 11. SEXUAL HEALTH 12. CANCER 13. ORAL HEALTH 14. POTENTIALLY DISABLING CONDITIONS 15. TOBACCO USEST. JOSEPH'S HEALTH 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:	ST. JOSEPH'S WAYNE MEDICAL CENTER
PART V, SECTION B, LINE 7A & 10A:	PLEASE FIND THE CHNA AND IMPLEMENTATION STRATEGY HERE:HTTPS://STJOSEPHSHEALTH.ORG/WP-CONTENT/UPLOADS/2024/06/2022-SJUMC-CHNA.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 PLAIN LANGUAGE SUMMARY HERE:HTTPS://WWW.STJOSEPHSHEALTH.ORG/IMAGES/SJH_FA_PLAINLANGUAGE.PDF

Schedule H (Form 990) 2024

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 - HARBOR HOUSE 645 MAIN STREET PATERSON,NJ07503	BEHAVIORAL HEALTH
2	2 - OUTPATIENT MENTAL HEALTH CLINIC 641 MAIN STREET PATERSON,NJ07505	BEHAVIORAL HEALTH
3	3 - ACCESS PROGRAM 621 MAIN STREET PATERSON,NJ07503	BEHAVIORAL HEALTH
4	4 - CARDIOVASCULAR CENTER AT WAYNE 246 HAMBURG TURNPIKE WAYNE,NJ07470	CARDIOLOGY
5	5 - CARDIOVASCULAR CENTER AT WOODLAND PAR 999 MCBRIDE AVENUE SUITE 204 WOODLAND PARK,NJ07424	CARDIOLOGY
6	6 - CARDIOVASCULAR CENTER AT NUTLEY 181 FRANKLIN AVENUE SUITE 301 NUTLEY,NJ07110	CARDIOLOGY
7	7 - AMBULATORY IMAGING CENTER 1135 BROAD STREET CLIFTON,NJ07013	IMAGING
8	8 - ST JOSEPHS UNIVERSITY IMAGING 246 HAMBURG TURNPIKE WAYNE,NJ07470	IMAGING
9	9 - PED SUBSPEC FAC PRACT AT CLIFTON 1135 BROAD STREET CLIFTON,NJ07013	PEDIATRICS
10	10 - PED SUBSPEC FAC PRACT AT HOBOKEN 158 14TH STREET HOBOKEN,NJ07030	PEDIATRICS
11	11 - PED SUBSPEC FAC PRACT AT PARAMUS 30 WEST CENTURY ROAD PARAMUS,NJ07652	PEDIATRICS
12	12 - PED SUBSPEC FAC PRACT AT WAYNE 1350 ROUTE 23 NORTH WAYNE,NJ07470	PEDIATRICS
13	13 - DEPAUL AMBULATORY CENTER 11 GETTY AVENUE 275 PATERSON,NJ07503	PRIMARY CARE
14	14 - FAMILY HEALTH CENTER 11 GETTY AVENUE PATERSON,NJ07501	PRIMARY CARE
15	15 - ST JOSEPHS FAMILY MED AT CLIFTON 1135 BROAD STREET SUITE 201 CLIFTON,NJ07013	PRIMARY CARE
16	16 - SURGERY SUBSPECIALTY FACULTY PRACTICE 1135 BROAD STREET CLIFTON,NJ07013	SURGERY
17	17 - SURGERY SUBSPECIALTY FACULTY PRACTICE 57 WILLOWBROOK BOULEVARD WAYNE,NJ07470	SURGERY
18	18 - OBGYN SUBSPECIALTY FACULTY PRACTICE 11 GETTY AVENUE PATERSON,NJ07503	WOMENS HEALTH
19	19 - OBGYN SUBSPECIALTY FACULTY PRACTICE 525 UNION BOULEVARD TOTOWA,NJ07512	WOMENS HEALTH
20	20 - OBGYN SUBSPECIALTY FACULTY PRACTICE 57 WILLOWBROOK BOULEVARD WAYNE,NJ07470	WOMENS HEALTH
21	21 - MATERNAL FETAL MED FACULTY PRACTICE 1 BROADWAY SUITE 203 ELMWOOD PARK,NJ07407	WOMENS HEALTH
22	22 - MATERNAL FETAL MED FACULTY PRACTICE 525 UNION BOULEVARD TOTOWA,NJ07512	WOMENS HEALTH
23	23 - COMPREHENSIVE CARE CENTER FOR HIV SER 11 GETTY AVENUE PATERSON,NJ07503	HIV SERVICES
24	24 - WILLOWBROOK AMBULATORY 57 WILLOWBROOK BOULEVARD WAYNE,NJ07470	AMBULATORY SERVICES
25	25 - ST JOSEPHS CANCER CENTER 234 HAMBURG TURNPIKE WAYNE,NJ07470	CANCER SERVICES
26	26 - AMBULATORY SURGERY CENTER AT TOTOWA 225 MINNISINK ROAD TOTOWA,NJ07512	AMBULATORY SERVICES

Schedule H (Form 990) 2024

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 DISCOUNTIN 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 I, LINE 7:	THE COST METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED FOR EACH LINE IN THE TABLE IS COST TO CHARGE RATIO PERCENTAGE.
PART III, LINE 2:	THE AMOUNT REPORTED IS THE UNCOLLECTIBLE AMOUNTS FOR SELF-PAY PATIENTS.
PART III, LINE 3:	THE SYSTEM CALCULATED THE BAD DEBT ASSOCIATED WITH SELF PAY/UNINSURED CASES WAS $135,936,956. BASED ON HISTORICAL REVIEW, APPROXIMATELY $88,472,246 OF THESE CASES WERE ELIGIBLE FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. IN ADDITION, WE IDENTIFIED BAD DEBTS TOTALING $483,951 RELATED TO CHARITY CARE PATIENTS. THUS, TOTAL BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE AMOUNTED TO $88,956,197.
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 SELF-PAY WRITE-OFFS NET OF RECOVERIES INCREASED FROM $127.1MILLION FOR 2023 TO $144.7 MILLION FOR 2024. THE MEDICAL CENTER HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2023 OR 2024.
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:	SEE ABOVE NEEDS ASSESSMENT: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 52,500 RESIDENTS. THE MEDIAN HOUSEHOLD INCOME IS $151,561; 3% OF HOUSEHOLDS HAD INCOME BELOW $15,000 A YEAR, WITH 2% IN POVERTY; 29% REPORTED INCOME GREATER THAN $150,000. MEDIAN AGE WAS 42.1 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 160,463 RESIDENTS. THE MEDIAN HOUSEHOLD INCOME IS $53,766. 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 9%. TWENTY-THREE PERCENT (23%) 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 GROVEPEDESTRIAN SAFETY EVENTNALOXONE TRAINING AND DISTRIBUTIONSTOP THE BLEED CLASSMLKSTOP THE BLEED INSTRUCTOR COURSETRAUMATIC BRAIN INJURIESHEALTH FAIR-WAFAHEADS UP SENIORSFIRST AID TRAININGA WOMEN'S HEALTH SYMPOSIUMNURSINGPRACTICE COUNCIL PRESENTATIONNALOXONE TRAINING AND KIT DISRIBUTIONHEART 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 & PEACEPUBERTY & EMOTIONAL CHANGESDEBRIEFING- COVID-10 ANXIETYDEBRIEFING - PATERSON HOUSING AUTHORITYDEBRIEFING POST COVID-19- PATERSON HOUSING AUTHORITYSTROKE PREVENTION & MANAGEMENTCOMMUNITY STROKEBP HEALTH & WELLNESSWEBINAR RECORDING ENGLISH/SPANIISHHISPANIC AFFINITY GROUPHISPANIC AFFINITY GROUP- FOOD TASTING CAFETERIAPRE-DIABETES PROGRAM WITH RAMAPO COLLEGE NURSING STUDENTSPRE-DIABETES NDPPHISPANIC AFFINITY GROUP- FOOD TASTING CAFETERIAST. JOSEPH'S HEALTH SUSTAINABLE MEAL COMMUNITY PROJECTBLM'S FOOD OUTREACH PROGRAM: EVERYBODY EATSDPP- LIFESTYLE CHANGEPRE-DIABETES NDPPHISPANIC AFFINITY GROUP- FOOD TASTING CAFETERIABREAST CANCER AWARENESSBLM'S FOOD OUTREACH PROGRAM: EVERYBODY EATSPRE-DIABETES NDPPHISPANIC AFFINITY GROUP- FOOD TASTING CAFETERIABLM'S FOOD OUTREACH PROGRAM: EVERYBODY EATSBLM PATERSON & ST. JOE'S FOOD DRIVEPRE-DIABETES NDPPINFECTION PREVENTION AWARENESSCOMMUNITY FLU VACCINATIONAWARENESS DAY - COLUMBIA BANCKRAIN DATE - FLU FESTBREAST CANCER AWARENESSBLM'S FOOD OUTREACH PROGRAM: EVERYBODY EATSPRE-DIABETES NDPPVIRTUAL PINK POWER TEA- BREAST CANCER AWARENESSPRE-DIABETES NDPPVETERAN'S DAY-VIRTUALPRE-DIABETES NDPPPROSPECT PARK FAIRPRE-DIABETES NDPPBRAIN INJURY SUPPORTPCCC WELLNESS DAYBOYS & GIRLS CLUB- WOODLAND PARKSPRING HEALTH FAIR-MOBILE COMMUNITY HEALTH & BHATT FOUNDATIONBAE LUNCH AND LEARNHEALTHY KIDS DAY-WAYNEA FAMILY WELLNESS EVENT (HISTORIC CALVARY BAPTIST CHURCH)HEALTHY KIDS DAY-PATERSON7TH ANNUAL EMPLOYEE HEALTH FAIRSAX- HEART DISEASE AMONG WOMENBAE WELLNESS WEEKCONTINUING EDUCATION-WPUSTROKE PRESENTATION WAYNESTROKE PRESENTATION PATERSON6TH ANNUAL CAREER DAYSCHOOL 13 CAREER DAYSCHOOL 10 CAREER DAYAUDIENCE: STUDENTS GRADES 3 THROUGH 8DANGERS OF THE SUN & SKIN CAREWAYNE DAYSISTERS ST. ELIZABETH BAD PROM 5KHEALTH FAIRAFRICAN-AMERICAN PARADE-PASSAIC - AFRICAN-AMERICAN AFFINITY GROUPAFRICAN-AMERICAN PARADE PATERSON - AFRICAN-AMERICAN AFFINITY GROUPWORKSHOPS NJCDCMEDICATION 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 OTHERSZAC CAMPWELLNESS HEALTH FAIR - JUDICIARY PASSAIC VICINAGEWAYNE 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 A NOT FOR PROFIT HOLDING CORPORATION WITH SETON MINISTRIES, INC. AS ITS SOLE MEMBER. SETON MINISTRIES, IS A SUBSIDIARY OF SISTERS OF CHARITY OF SAINT ELIZABETH. 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.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 HARBORVIEWTHE MEDICAL CENTER WAS 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. IN JUNE 2023, THE MEDICAL CENTER SOLD ITS INTEREST IN ST. JOSEPH'S SURGERY MANAGEMENT.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, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT:	NJ

Schedule H (Form 990) 2024

Additional Data

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Schedule I
(Form 990)
(Rev. January 2025)

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 instructions and the latest information.

OMB No. 1545-0047

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

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? ........................

Yes No

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) THE VALERIE FUND 2101 MILLBURN AVENUE MAPLEWOOD,NJ07040	22-2126867	501(C)(3)	10,000	0			SPONSORSHIP
(2) ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC 703 MAIN STREET PATERSON,NJ07503	22-1487602	501(C)(3)	2,752,221	0			GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

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) Rev. 1-2025

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)
(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:	GRANTS ARE MADE TO RELATED TAX-EXEMPT ORGANIZATIONS OR OTHER PUBLIC CHARITIES WITH AN EXEMPT PURPOSE IN LINE WITH SJH AND MONITORING IS NOT REQUIRED AS FUNDS ARE USED TO FURTHER THOSE EXEMPT PURPOSES.

Schedule I (Form 990) Rev. 1-2025

Additional Data

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .....

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? ....

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

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:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

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 ............

Yes

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 ..........................

Yes

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1KEVIN J SLAVIN PRESIDENT/CEO (THRU 3/31/24)	(i) (ii)	412,663 ------------- 0	660,149 ------------- 0	796,513 ------------- 0	110,659 ------------- 0	808 ------------- 0	1,980,792 ------------- 0	0 ------------- 0
2BLEDI ZAKU MEDICAL DOCTOR	(i) (ii)	1,847,074 ------------- 0	50,000 ------------- 0	1,170 ------------- 0	7,450 ------------- 0	4,026 ------------- 0	1,909,720 ------------- 0	0 ------------- 0
3DUSTIN RICCIO MD PRESIDENT/CEO	(i) (ii)	1,325,536 ------------- 0	0 ------------- 0	36,340 ------------- 0	338,614 ------------- 0	2,863 ------------- 0	1,703,353 ------------- 0	0 ------------- 0
4JOHN DANKS MEDICAL DOCTOR	(i) (ii)	1,414,774 ------------- 0	0 ------------- 0	25,452 ------------- 0	6,944 ------------- 0	9,677 ------------- 0	1,456,847 ------------- 0	0 ------------- 0
5TOGHRUL TALISHINSKIY MEDICAL DOCTOR	(i) (ii)	1,073,151 ------------- 0	50,000 ------------- 0	58,849 ------------- 0	5,020 ------------- 0	11,719 ------------- 0	1,198,739 ------------- 0	0 ------------- 0
6KAILA KRISHNAMOORTHY MEDICAL DOCTOR	(i) (ii)	1,113,293 ------------- 0	0 ------------- 0	23,859 ------------- 0	4,673 ------------- 0	10,295 ------------- 0	1,152,120 ------------- 0	0 ------------- 0
7CASWELL SAMMS SVP/CFO	(i) (ii)	745,015 ------------- 0	205,556 ------------- 0	56,168 ------------- 0	118,457 ------------- 0	6,285 ------------- 0	1,131,481 ------------- 0	0 ------------- 0
8ERIC T CHOI MD MEDICAL DOCTOR (THRU 11/7/24)	(i) (ii)	1,025,222 ------------- 0	45,600 ------------- 0	32,023 ------------- 0	7,142 ------------- 0	8,701 ------------- 0	1,118,688 ------------- 0	0 ------------- 0
9LISA SCHMITTGALL SVP & CHF. STRAT. OFC./INTERIM COO	(i) (ii)	699,526 ------------- 0	163,750 ------------- 0	75,865 ------------- 0	107,522 ------------- 0	6,375 ------------- 0	1,053,038 ------------- 0	0 ------------- 0
10JOSEPH DUFFY MD C0-CHAIR	(i) (ii)	588,600 ------------- 0	160,466 ------------- 0	120,047 ------------- 0	82,731 ------------- 0	0 ------------- 0	951,844 ------------- 0	0 ------------- 0
11LINDA A REED SVP, CHIEF INFORMATION OFFICER	(i) (ii)	534,038 ------------- 0	146,814 ------------- 0	143,550 ------------- 0	91,578 ------------- 0	6,524 ------------- 0	922,504 ------------- 0	0 ------------- 0
12CHRISTOPHER TROTZ CO-CHAIR (THRU 10/1/24)	(i) (ii)	375,410 ------------- 0	133,859 ------------- 0	318,719 ------------- 0	34,062 ------------- 0	3,462 ------------- 0	865,512 ------------- 0	0 ------------- 0
13MICHAEL ALWELL VP REVENUE CYCLE	(i) (ii)	482,223 ------------- 0	133,380 ------------- 0	35,559 ------------- 0	65,175 ------------- 0	4,278 ------------- 0	720,615 ------------- 0	0 ------------- 0
14PIA HOUSE WALKER SVP, CHIEF HUMAN RESOURCES OFFICER	(i) (ii)	451,228 ------------- 0	127,204 ------------- 0	33,641 ------------- 0	74,616 ------------- 0	7,643 ------------- 0	694,332 ------------- 0	0 ------------- 0
15DEBORAH SMITH SVP, CHIEF NURSING OFFICER	(i) (ii)	440,049 ------------- 0	93,748 ------------- 0	15,781 ------------- 0	67,600 ------------- 0	4,431 ------------- 0	621,609 ------------- 0	0 ------------- 0
16ROBERTO SOLIS MD TRUSTEE	(i) (ii)	527,875 ------------- 0	45,600 ------------- 0	28,055 ------------- 0	6,457 ------------- 0	0 ------------- 0	607,987 ------------- 0	0 ------------- 0
17MICHAEL LAMACCHIA MD TREASURER/SECRETARY	(i) (ii)	470,956 ------------- 0	45,600 ------------- 0	31,669 ------------- 0	6,557 ------------- 0	8,144 ------------- 0	562,926 ------------- 0	0 ------------- 0
18KENNETH MORRIS JR VP EXTERNAL AFFAIRS	(i) (ii)	322,659 ------------- 0	91,601 ------------- 0	70,449 ------------- 0	47,773 ------------- 0	2,861 ------------- 0	535,343 ------------- 0	0 ------------- 0
19JANINE BEGASSE VP QUALITY & SAFETY	(i) (ii)	363,942 ------------- 0	102,601 ------------- 0	3,617 ------------- 0	49,604 ------------- 0	2,861 ------------- 0	522,625 ------------- 0	0 ------------- 0
20PADMAJA UPADYA MD VP, CHIEF MEDICAL OFFIER, SJWMC	(i) (ii)	344,505 ------------- 0	83,722 ------------- 0	42,691 ------------- 0	45,152 ------------- 0	0 ------------- 0	516,070 ------------- 0	0 ------------- 0
21ROBERT BUDELMAN III SVP, CHIEF DEVELOPMET OFFICER	(i) (ii)	343,911 ------------- 0	90,616 ------------- 0	18,724 ------------- 0	53,023 ------------- 0	6,636 ------------- 0	512,910 ------------- 0	0 ------------- 0
22PATRICK MICHAEL MD TRUSTEE	(i) (ii)	475,203 ------------- 0	0 ------------- 0	8,995 ------------- 0	3,152 ------------- 0	1,600 ------------- 0	488,950 ------------- 0	0 ------------- 0
23THOMAS D CASEY VP, MARKETING AND PUBLIC RELATIONS	(i) (ii)	282,940 ------------- 0	83,940 ------------- 0	74,294 ------------- 0	41,654 ------------- 0	861 ------------- 0	483,689 ------------- 0	0 ------------- 0
24JANE WHITE VP, ONCOLOGY (THRU 10/2024)	(i) (ii)	201,179 ------------- 0	71,628 ------------- 0	170,728 ------------- 0	18,547 ------------- 0	2,219 ------------- 0	464,301 ------------- 0	0 ------------- 0
25NILESH PATEL MD TRUSTEE	(i) (ii)	386,482 ------------- 0	45,600 ------------- 0	2,050 ------------- 0	6,713 ------------- 0	14,638 ------------- 0	455,483 ------------- 0	0 ------------- 0
26MICHAEL CAIROLI VP, WAYNE SITE ADMINISTRATOR	(i) (ii)	306,027 ------------- 0	83,612 ------------- 0	1,921 ------------- 0	43,487 ------------- 0	5,505 ------------- 0	440,552 ------------- 0	0 ------------- 0
27ANTHONY TESORIERO VP, FACILITIES OPERATIONS	(i) (ii)	300,525 ------------- 0	83,722 ------------- 0	1,013 ------------- 0	40,251 ------------- 0	5,505 ------------- 0	431,016 ------------- 0	0 ------------- 0
28SWATI PAREKH MD SECRETARY	(i) (ii)	282,356 ------------- 0	45,600 ------------- 0	26,962 ------------- 0	6,081 ------------- 0	4,644 ------------- 0	365,643 ------------- 0	0 ------------- 0
29BIJAL SHETH MD TRUSTEE	(i) (ii)	302,037 ------------- 0	20,000 ------------- 0	20,521 ------------- 0	4,147 ------------- 0	2,555 ------------- 0	349,260 ------------- 0	0 ------------- 0
30MICHAEL AGNELLI MD TRUSTEE	(i) (ii)	320,931 ------------- 0	0 ------------- 0	5,585 ------------- 0	4,086 ------------- 0	4,905 ------------- 0	335,507 ------------- 0	0 ------------- 0
31CHRISTINE LEROY MD TRUSTEE	(i) (ii)	274,550 ------------- 0	20,000 ------------- 0	26,679 ------------- 0	3,232 ------------- 0	6,855 ------------- 0	331,316 ------------- 0	0 ------------- 0
32GENE RUBINO MD TRUSTEE	(i) (ii)	291,900 ------------- 0	0 ------------- 0	24,617 ------------- 0	4,591 ------------- 0	4,424 ------------- 0	325,532 ------------- 0	0 ------------- 0
33JENNIFER K MENDRZYCKI SVP & COO (THRU 5/1/24)	(i) (ii)	237,951 ------------- 0	0 ------------- 0	48,553 ------------- 0	31,878 ------------- 0	3,725 ------------- 0	322,107 ------------- 0	0 ------------- 0
34TODD C BROWER FORMER KEY EMPLOYEE (THRU 5/30/23)	(i) (ii)	275,389 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	275,389 ------------- 0	0 ------------- 0
35MARK W CONNOLLY FORMER CHAIRMAN, DEPT OF SURG (THRU	(i) (ii)	0 ------------- 0	0 ------------- 0	264,167 ------------- 0	0 ------------- 0	0 ------------- 0	264,167 ------------- 0	0 ------------- 0
36SAMI ABDULMASSIH MD TRUSTEE	(i) (ii)	225,970 ------------- 0	20,000 ------------- 0	768 ------------- 0	4,171 ------------- 0	4,905 ------------- 0	255,814 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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 2024 TO THE FOLLOWING INDIVIDUALS: JUDITH A. PADULA - $7,383 TODD C. BROWER - $274,788 CECILIA K. MCKENNEY - $15,246 JANE WHITE - $58,402 CHRISTOPHER TROTZ - $109,140 MARK CONNOLY - $264,145
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 2024, CERTAIN EXECUTIVES PARTICPATED IN THE 457F (SERP) PROGRAM. THE FOLLOWING CONTRIBUTIONS WERE MADE IN 2024 AND ARE REPORTED IN SCHEDULE J, PART II, COL (C): KEVIN SLAVIN - $100,534 DUSTIN RICCIO - $331,010 CASWELL SAMMS - $112,695 JENNIFER MENDRZYCKI - $25,988 JOSEPH DUFFY, MD - $80,475 LISA SCHMITTGALL - $100,505 CHRISTOPHER TROTZ, MD - $29,358 LINDA REED - $84,752 PIA HOUSE-WALKER - $69,735 PADMAJA UPADYA, MD - $44,210 MICHAEL ALWELL - $58,500 KENNETH MORRIS - $40,176 THOMAS CASEY - $36,816 ROBERT BUDELMAN - $46,829 JANE WHITE - $15,708 MICHAEL CAIROLI - $37,616 ANTHONY TESORIERO - $36,720 JANINE BEGASSE - $45,000 DEBORAH SMITH - $59,802 THE FOLLOWING PAYMENTS WERE MADE IN 2024 AND ARE REPORTED IN SCHEDULE J, PART II, COL (B)(III): CASWELL SAMMS - $52,817 MICHAEL ALWELL - $29,406 LISA SCHMITTGALL - $48,562 ROBERT BUDELMAN - $16,896 THOMAS CASEY - $46,797 JOSEPH DUFFY, MD - $112,493 KENNETH MORRIS - $56,044 LINDA REED - $111,376 CHRISTOPHER TROTZ, MD - $206,465 PADMAJA UPADYA, MD - $17,781 PIA HOUSE-WALKER - $30,185 JANE WHITE - $105,162 KEVIN SLAVIN - $768,787 JENNIFER MENDRZYCKI - $38,139
PART I, LINE 7:	THE ST. JOSEPH'S HEALTH SYSTEM HAS A MANAGEMENT INCENTIVE PLAN IN PLACE ACHIEVING DEFINED OBJECTIVES THAT ARE SUPPORTIVE OF ST. JOSEPH'S PROVIDE A MAXIMUM INCENTIVE OPPORTUNITY TO PARTICIPANTS WHOM ACHIEVE PARTICIPANTS SHALL BE THOSE INCUMBENTS IN MANAGEMENT POSITIONS IN WHICH THAT IS INTENDED TO ENCOURAGE AND REWARD ELIGIBLE PLAN PARTICIPANTS FOR HEALTHCARE SYSTEM'S MISSION AND STRATEGY. THE PROGRAM IS DESIGNED TO THE MAXIMUM PERFORMANCE AND EXPECTATIONS IN MEASUREABLE AREAS. ELIGIBLE 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 2024, 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) (Rev. 1-2025)

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
ST JOSEPH'S HEALTH SYSTEM SUBORDINATE
GROUP RETURN

Employer identification number
27-1344467

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	NJHCFFA 2016	22-2845542	645790CB0	08-24-2016	274,348,264	REFUND 2008 & CONSTRUCTION		X		X		X
B	THE PASSAIC COUNTY IMPROVEMENT AUTHORITY SERIES 2017	05-0569671	702754CY6	12-29-2017	26,855,039	REFUND 2010 BONDS & CONSTRUCTION		X		X		X
C	NJHCFFA 2022	22-2845542	645790RE8	02-25-2022	37,880,000	REIMBURSEMENT OF CAPITAL EXPENDITURES		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	34,340,000		5,115,000		1,620,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	240,012,050		21,740,039		37,880,000
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		651,873
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	50,003,786				35,365,738
11 Other spent proceeds .............	221,505,281		26,350,752		4,794,555
12 Other unspent proceeds .............
13 Year of substantial completion .............	2017		2017		2022
	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		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		X
16 Has the final allocation of proceeds been made? ..........	X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
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 ....
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 .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X	X
b Exception to rebate? ........		X		X		X
c No rebate due? .........	X		X			X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

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		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		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K, PART IV, ARBITRAGE, LINE 2C:	(A) 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 BOND C, COLUMN (A): ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY BOND C, COLUMN (F): DESCRIPTION OF PURPOSE: EQUIPMENT, REFUNDING OF A TAXABLE 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, PART IV, LINE 2C:	THE COMPUTATION FOR THE BOND ISSUED ON 2017 WAS COMPUTED IN APRIL 16, 2023.
SCHEDULE K, PART III, PRIVATE BUSINESS USE, LINE 3:	THE SYSTEM HAS SERVICE CONTRACTS, RESEARCH AGREEMENTS AND OTHER ACTIVITIES THAT MAY RESULT IN PRIVATE BUSINESS USE (PBU). SUCH ACTIVITIES ARE EXPECTED TO BE INCIDENTAL OR MEET AVAILABLE SAFE HARBORS OR EXCEPTIONS FROM PBU AND ANY PBU AMOUNTS TO BE WITHIN THE PERMITTED LEVELS OVER THE LIFE OF EACH BOND, THEREFORE, A PERCENTAGE WAS NOT DISCLOSED. ADDITIONALLY, THE SYSTEM IS IN THE PROCESS OF UPDATING ITS PRIVATE USE ANALYSIS TO ENSURE CONTINUED COMPLIANCE WITH POST ISSUANCE REQUIREMENTS. SCHEDULE K, POST-ISSUANCE COMPLIANCE WRITTEN PROCEDURES THE SYSTEM IS IN THE PROCESS OF PUTTING IN PLACE WRITTEN POST ISSUANCE COMPLIANCE PROCEDURES BY THE END OF TAX YEAR.

Schedule K (Form 990) (Rev. 1-2025)

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Schedule L
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

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) (Rev. 1-2025)

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) CONTRIBUTOR 53	SUBSTANTIAL CONTRIB	24,946,411	MED SERVICES & PASSTHROUGH OPEX		No
(2) CONTRIBUTOR 20	SUBSTANTIAL CONTRIB	8,342,227	MEDICAL SERVICES		No
(3) CONTRIBUTOR 10	SUBSTANTIAL CONTRIB	7,043,877	MEDICAL SERVICES		No
(4) CONTRIBUTOR 65	SUBSTANTIAL CONTRIB	6,174,530	CONSTRUCTION - CAPITAL PROJECTS		No
(5) CONTRIBUTOR 1	SUBSTANTIAL CONTRIB	5,929,254	MEDICAL SERVICES		No
(6) CONTRIBUTOR 11	SUBSTANTIAL CONTRIB	4,272,818	PHYSICIAN BILLING SERVICES		No
(7) CONTRIBUTOR 46	SUBSTANTIAL CONTRIB	3,540,188	PHYSICIAN BILLING SERVICES		No
(8) CONTRIBUTOR 49	SUBSTANTIAL CONTRIB	2,172,411	PATIENT SHEETS, GOWNS, ETC		No
(9) CONTRIBUTOR 91	SUBSTANTIAL CONTRIB	591,387	INSURANCE		No
(10) CONTRIBUTOR 60	SUBSTANTIAL CONTRIB	520,380	PHARMACY IT ANALYSTS		No
(11) CONTRIBUTOR 86	SUBSTANTIAL CONTRIB	400,561	MEDICAL SERVICES		No
(12) CONTRIBUTOR 48	SUBSTANTIAL CONTRIB	379,269	LEGAL SERVICES		No
(13) CONTRIBUTOR 17	SUBSTANTIAL CONTRIB	366,667	MEDICAL SERVICES		No
(14) CONTRIBUTOR 6	SUBSTANTIAL CONTRIB	366,457	MEDICAL SERVICES		No
(15) CONTRIBUTOR 44	SUBSTANTIAL CONTRIB	274,329	LEGAL SERVICES		No
(16) CONTRIBUTOR 2	SUBSTANTIAL CONTRIB	236,516	AMBULANCE TRANSPORT		No
(17) CONTRIBUTOR 63	SUBSTANTIAL CONTRIB	206,185	CONSTRUCTION - CAPITAL PROJECTS		No
(18) CONTRIBUTOR 64	SUBSTANTIAL CONTRIB	167,438	MECHANICAL SERVICES (BOILER)		No
(19) CONTRIBUTOR 12	SUBSTANTIAL CONTRIB	158,890	RENTAL PROPERTY		No
(20) CONTRIBUTOR 39	SUBSTANTIAL CONTRIB	106,887	CONSTRUCTION		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) (Rev. 1-2025)

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SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete 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 image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2024

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 ( FOOD AND BEV )	X	13	59,402	FMV
26 Other ( MISC. EVENT PRIZES )	X	15	53,771	FMV
27 Other ( TOYS )	X	11	21,627	FMV
28 Other ( GIFT CARDS )	X	4	14,545	FMV

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

Yes

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

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

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) (2024)

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
SCHEDULE M, PART I, COLUMN (B):	THE AMOUNT REPORTED IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTORS.

Schedule M (Form 990) (2024)

Additional Data

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SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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, AND AMBULATORY CARE SERVICES AT MULTIPLE 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 6,146 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 CARE 2 DIGESTIVE HEALTH 3 NEUROLOGY AND NEUROSURGERY 4 ORTHOPEDICS 5 COMMUNITY EDUCATION SERVICES 6 COMPREHENSIVE NEURO-STROKE CENTER 7 DIALYSIS CENTER 8 EMERGENCY AND TRAUMA CARE 9 LABOR & DELIVERY AND MOTHER/BABY UNITS 10 REGIONAL PERINATAL CENTER 11 SPECIALIZED AND SAME-DAY SURGERY 12 REHABILIATATION 13 HEART CARE 14 WOMENS HEALTH ST. JOSEPH'S CHILDREN'S HOSPITAL IS A STATE-DESIGNATED CHILDREN'S HOSPITAL, WHICH MEANS THAT THE HOSPITAL HAS MET SPECIFIC STANDARDS OF PEDIATRIC HEALTH, INCLUDING OFFERING SPECIALIZED PEDIATRIC CARE LIKE A PEDIATRIC EMERGENCY DEPARTMENT, A PEDIATRIC INTENSIVE CARE UNIT AND A REGIONAL PERINATAL CENTER. WE HAVE A FULL TEAM OF PEDIATRIC EXPERTS FROM SEVERAL SURGICAL AND MEDICAL SPECIALTIES, WHO ARE SPECIALLY TRAINED TO CARE FOR CHILDREN AND WHO UNDERSTAND THE UNIQUE PHYSICAL AND EMOTIONAL NEEDS OF CHILDREN AND THEIR FAMILIES. WE PROVIDE ADVANCED INPATIENT AND OUTPATIENT MEDICAL CARE FOR CHILDREN FROM BIRTH TO 21 YEARS OF AGE. WITH MORE THAN 150 BOARD-CERTIFIED PEDIATRIC SPECIALISTS AND A CLOSE NETWORK OF COMMUNITY PEDIATRICIANS, WE CAN TAKE CARE OF EVERY CHILD ACROSS A FULL RANGE OF CONDITIONS, FROM THE COMMON TO THE MOST COMPLEX. ST. JOSEPH'S CHILDREN'S HOSPITAL IS LOCATED WITHIN THE ST. JOSEPH'S UNIVERSITY MEDICAL CENTER CAMPUS IN PATERSON, NJ. OUR CHILDREN'S HOSPITAL HAS ITS OWN ADMITTING, WAITING, AND RECOVERY ROOMS DESIGNED JUST FOR CHILDREN. OUR FACILITIES, SERVICES, AND SUPPORT PROGRAMS ARE DESIGNED SPECIFICALLY TO HELP PUT CHILDREN AT EASE AND PROVIDE PARENTS WITH THE RESOURCES THEY NEED DURING STRESSFUL TIMES. ADDITIONALLY, SJUMC CHILDREN'S HOSPITAL PROVIDES: 1 REGIONAL CRANIOFACIAL CENTER 2 EMERGENCY CARE 3 HEMATOLOGY AND ONCOLOGY/VALERIE FUND CENTER 4 PEDIATRIC CENTER FOR FEEDING AND SWALLOWING DISORDERS 5 NEONATAL INTENSIVE CARE 6 ORTHOPEDICS 7 PEDIATRIC INTENSIVE CARE 8 SURGERY SERVICES SJUMC CURRENTLY OPERATES 558 BEDS WITHIN THE FOLLOWING MEDICAL/SURGICAL - 315 INTENSIVE/CORONARY CARE - 61 OBSTETRICS/GYNECOLOGY - 54 PEDIATRICS - 54 PSYCHIATRY - 24 NEONATAL INTENSIVE CARE - 50 TOTAL (EXCLUDES 30 NEWBORN BASSINETS) 558 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 SUBSPECIALTIES 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 HEALTH TOTOWA CAMPUS IS A MULTI-SPECIALTY AMBULATORY CARE FACILITY PROVIDING ADVANCD PREVENTATIVE, DIAGNOSTIC, AND THERAPEUTIC SERVICES IN TOTOWA, NJ. 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 IS A 229-BED HOSPITAL THAT PROVIDES COMPREHENSIVE MEDICAL AND SURGICAL CARE, A FULL-SERVICE EMERGENCY DEPARTMENT, AN ACUTE REHABILITATION UNIT, AND AN OUTPATIENT INFUSION CENTER. ST. JOSEPH'S WAYNE MEDICAL CENTER HAS BEEN DESIGNATED A PATHWAY TO EXCELLENCE ORGANIZATION FOR NURSING EXCELLENCE AND RECOGNIZED WITH AN "A" GRADE FOR PATIENT SAFETY BY THE LEAPFROG GROUP, NOTING ACHIEVEMENTS IN PROTECTING PATIENTS FROM PREVENTABLE HARM AND ERRORS. ST. JOSEPH'S WAYNE MEDICAL CENTER IS ALSO DESIGNATED AS A PRIMARY STROKE CENTER AND HAS BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION / AMERICAN STROKE ASSOCIATION "GET WITH THE GUIDELINES" PROGRAM, RECOGNIZING OUR ABILITY TO MEET THE UNIQUE NEEDS OF STROKE PATIENTS. 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. ST. JOSEPH'S UNIVERSITY MEDICAL CENTER IS 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.
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 FINANCE COMMITTEE OF THE BOARD OF TRUSTEES ON NOVEMBER 7, 2025 BY THE ORGNIZATION'S TAX RETURN PREPARERS, KPMG 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 ST JOSEPH'S HEALTH SYSTEM SUBORDINATE 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 2024, 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 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, MICHAEL LAMACCHIA, MD, SWATI PAREKH, MD, MICAHEL AGNELLI, MD, SAMI ABDULMASSIH, MD, CHRISTINE LEROY, MD, PATRICK MICHAEL, MD, GENE RUBINO, MD, AND BIJAL SHETH, MD 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, VICE PRESIDENT, MISSION, AS A MEMBER OF A RELIGIOUS ORDER, IS EXEMPT FROM FEDERAL AND STATE INCOME TAX AND DOES NOT RECIEVE W-2 REPORTABLE COMPENSATION. THEREFORE, SISTER MENNOR IS NOT REPORTED AS A KEY EMPLOYEE ON PART VII OR SCHEDULE J.
FORM 990, PART XI, LINE 9:	NET PERIODIC PENSION BENEFIT -2,217,108. PENSION RELATED ADJUSTMENTS 5,770,000. CONTRIBUTIONS, GRANTS, OTHER SUPPORT - SPECIAL FUNDS -309,189. CHANGE IN PERPETUAL TRUST 233,000. TRANSFER OF ASSETS TO/FROM AFFILIATES -170,000. CHANGE IN INTEREST IN FOUNDATION 2,710,000. DECREASE IN NET ASSETS WITH DONOR RESTRICTION 2,526,293. OTHER CHANGES IN NET ASSETS -64,657.
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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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)	(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?
(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	Yes	No
(1)HARBORSIDE APARTMENTS INC 703 MAIN STREET PATERSON,NJ07503 22-3373890	HOUSING	NJ	501(C)(3)	10	N/A	Yes
(2)HARBORVIEW APARTMENTS INC 703 MAIN STREET PATERSON,NJ07503 22-3797055	HOUSING	NJ	501(C)(3)	10	N/A	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) VHSNJ AT HOME 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 81-4612753	HEALTHCARE	NJ	SJUMC	RELATED	1,889,072			No			No	50.000 %
(2) ST JOSEPH'S HOME HEALTH LLC 703 MAIN STREET PATERSON,NJ07503 82-1236513	SHELL	NJ	N/A	RELATED				No			No	50.000 %
(3) WAYNE VALLEY IMAGING INC 504 VALLEY ROAD WAYNE,NJ07470	HEALTHCARE	NJ	N/A	RELATED	435,770	1,191,696		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?
(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	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			100.000 %	Yes
(4) SJH HOUSING LLC 703 MAIN STREET PATERSON,NJ07503 85-4276345	REAL ESTATE	NJ	SJUMC	C			100.000 %	Yes

Schedule R (Form 990) (Rev. 1-2025)

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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

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) SJHS INSURANCE LIMITED	L	11,349,712	FMV

Schedule R (Form 990) (Rev. 1-2025)

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)	(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
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE QUALITY HEALTHCARE WITH SPECIAL CONCERN FOR THE POOR AND UNDERSERVED.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	57
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	43
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	6,141
6	Total number of volunteers (estimate if necessary) .............	6	239
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,892,594
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	1,502,160

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	60,459,261	35,308,938
9	Program service revenue (Part VIII, line 2g) .........	898,066,573	990,370,539
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	32,922,933	18,538,553
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	34,390,408	33,806,123
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,025,839,175	1,078,024,153
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,593,810	2,762,221
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)	545,655,684	572,257,561
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 3,152,438
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	459,220,373	501,180,216
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,008,469,867	1,076,199,998
19	Revenue less expenses. Subtract line 18 from line 12.......	17,369,308	1,824,155
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,093,548,879	1,084,870,887
21	Total liabilities (Part X, line 26).............	723,080,667	698,040,276
22	Net assets or fund balances. Subtract line 21 from line 20.....	370,468,212	386,830,611

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 981,617,281 including grants of $ 2,762,221 ) (Revenue $ 1,009,020,022 )
	ACUTE CARE MEDICAL SERVICES: 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, AND AMBULATORY CARE SERVICES AT MULTIPLE FREE-STANDING AMBULATORY SITES. 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 expenses981,617,281

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	24,615,052	0	1,712,729

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	623,389
d	Related organizations		1d
e	Government grants (contributions)		1e	29,732,938

f	All other contributions, gifts, grants, and similar amounts not included above		1f	4,952,611

g	Noncash contributions included in lines 1a - 1f:$		1g	156,588

h Total. Add lines 1a-1f.......		35,308,938

		Business Code
2a	NET PATIENT SRVC REV.	621110	935,968,198	935,968,198
b	PHYSICIAN BILLING	621110	47,707,684	47,707,684
c	PHARMACY	440000	6,694,657	4,832,249	1,862,408
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		990,370,539

3 Investment income (including dividends, interest, and othersimilar amounts) ......			17,026,449			17,026,449
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	6,158,547
b	Less: rental expenses	6b	1,364,606
c	Rental income or (loss)	6c	4,793,941
d	Net rental income or (loss).......			4,793,941			4,763,755
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	63,966,441	992,407
b	Less: cost or other basis and sales expenses	7b	63,446,744	0
c	Gain or (loss)	7c	519,697	992,407
d	Net gain or (loss).........			1,512,104			1,512,104
8a	Gross income from fundraising events (not including $ 623,389of contributions reported on line 1c). See Part IV, line 18 ....
			8a	1,136,278
b	Less: direct expenses ...		8b	606,234
c	Net income or (loss) from fundraising events..			530,044			530,044
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	40,915
b	Less: direct expenses ...		9b	8,970
c	Net income or (loss) from gaming activities..			31,945			31,945
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..

Business Code
11a	PARKING		812930	3,255,920			3,255,920
b	MANAGEMENT FEES		900099	2,650,083	2,650,083
c	EDUCATION/TRAINING		611000	1,939,400	1,939,400
d	All other revenue ....			20,604,790	14,060,000		6,544,790
e	Total. Add lines 11a–11d ......			28,450,193
12	Total revenue. See instructions.....			1,078,024,153	1,007,157,614	1,892,594	33,665,007

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	2,762,221	2,762,221
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	18,952,111	17,380,125	1,506,593	65,393
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	539,556	494,802	42,892	1,862
7	Other salaries and wages........	475,358,677	435,929,963	37,788,520	1,640,194
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,754,043	5,365,728	388,315
9	Other employee benefits .......	38,455,207	35,645,759	2,602,645	206,803
10	Payroll taxes ...........	33,197,967	30,957,582	2,240,385
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,540,074	1,436,141	103,933
c	Accounting ...........	714,950	666,701	48,249
d	Lobbying ...........	355,232	331,259	23,973
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	808,812	742,829	54,981	11,002
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	3,520,563	3,282,976	237,587
12	Advertising and promotion ....	687,427	641,036	46,391
13	Office expenses .......	42,535,615	39,665,073	2,870,542
14	Information technology ......	17,862,502	16,657,040	1,205,462
15	Royalties ..
16	Occupancy ...........	134,979,950	125,870,744	9,109,206
17	Travel ............	382,239	356,443	25,796
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	14,407,122	13,501,159	905,963
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	32,657,966	30,432,074	2,225,892
23	Insurance ...	16,807,264	15,673,016	1,134,248
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.	171,013,587	146,362,712	24,650,875
b	PHYSICIAN FEES	42,926,397	40,029,482	2,896,915
c	EQUIP REPAIR/MAINT.	4,707,609	4,285,204	321,347	101,058
d	OUTSIDE SERVICES	2,042,589	1,196,620	84,597	761,372
e	All other expenses	13,230,318	11,950,592	914,972	364,754
25	Total functional expenses. Add lines 1 through 24e	1,076,199,998	981,617,281	91,430,279	3,152,438
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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			22,158	1	2,184,301
2	Savings and temporary cash investments .........			13,461,437	2	23,686,266
3	Pledges and grants receivable, net ......			45,057,210	3	46,983,249
4	Accounts receivable, net .............			101,916,149	4	118,149,990
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 .......
					5
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 ...........			2,482,995	7	62,244
8	Inventories for sale or use ............			26,552,675	8	22,284,698
9	Prepaid expenses and deferred charges ......			43,836,076	9	10,466,753
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,028,603,406
b	Less: accumulated depreciation	10b	682,825,162	355,833,814	10c	345,778,244
11	Investments—publicly traded securities .			75,007,728	11	88,529,921
12	Investments—other securities. See Part IV, line 11 .....			264,326,835	12	248,293,755
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			189,926	14	1,688,000
15	Other assets. See Part IV, line 11 ...........			164,861,876	15	176,763,466
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,093,548,879	16	1,084,870,887

17	Accounts payable and accrued expenses .....	207,145,967	17	210,013,964
18	Grants payable ...		18
19	Deferred revenue .........	3,408,031	19	1,721,434
20	Tax-exempt bond liabilities .........	295,335,940	20	328,277,303
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 ..	40,600,000	23
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	176,590,729	25	158,027,575
26	Total liabilities. Add lines 17 through 25..	723,080,667	26	698,040,276

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	337,376,149	27	347,882,932
28	Net assets with donor restrictions ...........	33,092,063	28	38,947,679
	Organizations that do not follow FASB ASC 958, check here 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 ...........	370,468,212	32	386,830,611
33	Total liabilities and net assets/fund balances ........	1,093,548,879	33	1,084,870,887

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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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) .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No