2015-05-14T14:12:50-05:00 2014-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2013-07-01 431276738 Carondelet Health CARO 8169424400 1000 Carondelet Drive Kansas City MO 641144673 Steve Cleary Director of Taxation 8169424400 2015-05-14 1 Cody Cain P00902498 5137847100 2013 2016-02-25 16:41:14Z Steve Cleary 1000 Carondelet Drive Kansas City MO 641144673 39946433 0 0928 X www.carondelethealth.org X 1983 MO Provide compassionate, quality health care for the body, mind & spirit. 16 11 223 52 101741 -8250 16411 0 42165349 36510222 3840790 602619 2495861 2140614 48518411 39253455 0 101719 0 0 13520926 13363385 0 0 0 27262608 27358840 40783534 40823944 7734877 -1570489 68684078 66918101 49557948 63031374 19126130 3886727 X Carondelet Health (CH) is a Catholic organization dedicated to the healing ministry of Jesus Christ. Our commitment to human dignity compels us to provide compassionate, quality health care for the body, mind and spirit, with a special concern for the poor. We are responsible stewards serving the needs of all people from conception to death. 0 0 36611941 101719 36570334 Providing St. Joseph Medical Center, St. Mary's Medical Center, Carondelet Home Care Services, Carondelet Cardiology Services, Inc., St. Joseph Medical Center Foundation and St. Mary's Medical Center Foundation with management services and support. Carondelet Health is comprised of two acute care hospitals (St. Joseph Medical Center and St. Mary's Medical Center), a home health agency and two Foundations. Carondelet Health serves the south and eastern metropolitan areas of Kansas City. The combined primary and secondary service areas of the two hospitals reach approximately two-thirds of the entire Kansas City population of 1.6 million people. Carondelet Health seeks to improve the physical, mental, social and spiritual health status of its surrounding community. See Schedule O for Community Benefit Report. 36611941 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 X 0 0 223 1 1 1 0 0 0 0 0 0 0 0 0 X 16 11 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Steve Cleary 8169424400 1000 Carondelet Drive Kansas City MO 64114 David Hokanson Chairperson 1.00 2.00 X X 0 0 0 Mary Joan Harris CSJ PhD Vice Chairperson 1.00 0.00 X X 0 0 0 Faith Wilson PhD Secretary 1.00 1.00 X X 0 0 0 Fleury Yelvington CEO/President 40.00 6.00 X X 1170800 0 37924 Rene Bollier MD Board Member 1.00 0.00 X 0 0 0 John J Borsa MD Board Member 1.00 0.00 X 0 0 0 Susan Fenner PhD Board Member 1.00 0.00 X 0 0 0 Patrick Greenwood MD Board Member 1.00 0.00 X 0 0 0 Robert J Henkel Board Member 1.00 50.00 X 0 4376097 69523 Joseph Houlehan Board Member 1.00 0.00 X 0 0 0 Joseph R Impicciche Board Member 1.00 50.00 X 0 3102348 115026 Quentin Jennings Board Member 1.00 0.00 X 0 0 0 Thomas McCullough Board Member 1.00 0.00 X 0 0 0 Bonnie Phipps Board Member 1.00 50.00 X 0 1809356 25111 Edward J Reardon II Board Member 1.00 0.00 X 0 0 0 Ann Schorgheide CSJ PhD Board Member 1.00 0.00 X 0 0 0 Anthony J Speranzo Board Member 1.00 50.00 X 0 5530530 67180 Steve Cleary CFO 40.00 8.00 X 349261 0 37977 Michael Dorsey CEO - SJMC 40.00 6.00 X 412527 0 36617 Annette Small CEO - SMMC 40.00 4.00 X 214961 0 37772 Stephen Stoops MD Medical Director 40.00 0.00 X 383663 0 40006 Donna Sumner Intern - VP Human Resources 40.00 1.00 X 170790 0 22040 David Ireland Director Carondelet Heart 40.00 0.00 X 239668 0 18370 Dorene Shipley Foundation Director 40.00 40.00 X 159251 0 19383 Melinda Carter Director Pharmacy 40.00 0.00 X 154252 0 15621 Amy Mehaffey Regional Dir of Cardiology Services 40.00 0.00 X 135873 0 27410 Larry Rubin End 212 Former VP Facility Management 0.00 0.00 X 34989 0 0 Ginger Bliss End 513 Former VP Strategic Planning 0.00 0.00 X 250172 0 14954 3676207 14818331 584914 17 1 1 0 Hall Render Killian Heath & Lyman 201 W Beaver Rd Ste 315 Troy MI 48084 Legal Services 880515 Ceilo Inc 200 S Executive Drive Suite 400 Brookfield WI 53005 Recruiting Services 515559 KCCA Lees's Summit Ventures LLC 3200 NE Ralph Powell Rd Lees Summit MO 64064 Real Estate 368750 Beacon Partners 97 Libbey Parkway suite 400 Weymouth MA 02189 IS Consulting 206529 McKesson Technologies Inc PO Box 933027 Atlanta GA 31193 Software Support 135412 8 Intercompany Admin Rev 621990 36510222 36510222 36510222 602619 602619 776488 692978 83510 83510 83510 Eqty In Earnings - Sub 621990 1882651 1882651 Security Services 621990 101741 101741 BHS/LTC Reimbursement 621990 12600 12600 60112 60112 2057104 39253455 36570334 101741 2581380 X 101719 101719 3057789 3057789 7793407 7793407 99857 99857 1731367 1731367 680965 680965 954395 954395 122004 122004 7489985 7489985 107711 107711 870279 870279 9236579 9236579 2024691 2024691 48731 48731 7798 7798 1399128 1399128 1497789 1497789 120758 120758 Restructuring Expenses 1765086 1765086 Purchased Services 735073 735073 Credit Card Trans Fees 193494 193494 CH Unassigned Expense 0 36510222 -36510222 785339 785339 40823944 36611941 4212003 0 673883 512950 258274 106953 758079 1557597 45821994 14084214 33161868 31737780 1774641 1015026 32057333 31987795 68684078 66918101 3405839 3831682 46152109 59199692 49557948 63031374 X 19126130 3886727 19126130 3886727 68684078 66918101 X -1570489 995138 -14664052 X 0 1 X 1 0 X X X 0 0 0 St Joseph Medical Center 440546292 3 - Hospital 0 1 1 0 St Mary's Medical Center 431284526 3 - Hospital 0 1 1 0 Carondelet Home Care Sevices 431379352 3 - Hospital 0 1 1 0 Carondelet Cardiology Services Inc 271322670 509(a)(3) 0 1 1 0 4 0 Part I, Line 11(h): The amount of support totaling $36,510,222 is provided to the following supported organizations: St. Mary's Medical Center, St. Joseph Medical Center, Carondelet Cardiology Services, Inc., and Carondelet Home Care Services, Inc. 20095767 20095767 19413948 9902502 9511446 746482 584267 162215 5565797 3597445 1968352 31737780 TriMedx Intercompany Receivables 177969 Prepaid Pension Plan Not Administered by Ascension Health 2154992 Interest in Investments Held by Ascension Health Alliance 14175966 Other Miscellaneous Assets 673880 Other Miscellaneous Long-Term Assets 13793286 Other Investments 1011702 31987795 AH Savings Plan Liability 9640 Intercompany Payables 15602676 Intercompany Debt with Ascension Health Alliance 42773399 Miscellaneous Noncurrent Liabilities 101058 Pension Plans Administered 92806 Current Portion of Long-Term debt 620113 59199692 X Part X, Line 2: From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Carondelet Health: The System accounts for uncertainty in income tax provisions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2014. 1 St Mary's Medical Center Foundation 1000 Carondelet Drive Kansas City MO 64114 431918107 Section 501(c)(3) 101719 General Purpose Part I, Line 2: Before funds are disbursed, all grants must go through an approval process at the foundation. After approval and disbursement of the funds, the funds are monitored by the applicable non-profit's Board of Directors. X X X X X 1 1 0 0 0 0 0 0 0 Fleury Yelvington CEO/President 499188 0 534508 0 137104 0 19995 0 17929 0 1208724 0 0 0 Robert J Henkel Board Member 0 1213720 0 2287500 0 874877 0 41702 0 27821 0 4445620 0 0 Joseph R Impicciche Board Member 0 758824 0 1988719 0 354805 0 81461 0 33565 0 3217374 0 0 Bonnie Phipps Board Member 0 735578 0 815119 0 258659 0 9725 0 15386 0 1834467 0 0 Anthony J Speranzo Board Member 0 1043175 0 2992500 0 1494855 0 32092 0 35088 0 5597710 0 0 Steve Cleary CFO 301388 0 0 0 47873 0 23160 0 14817 0 387238 0 0 0 Michael Dorsey CEO - SJMC 371433 0 0 0 41094 0 12750 0 23867 0 449144 0 0 0 Annette Small CEO - SMMC 197462 0 0 0 17499 0 14777 0 22995 0 252733 0 0 0 Stephen Stoops MD Medical Director 335204 0 0 0 48459 0 15869 0 24137 0 423669 0 0 0 Donna Sumner Intern - VP Human Resources 164030 0 0 0 6760 0 14120 0 7920 0 192830 0 0 0 David Ireland Director Carondelet Heart 216813 0 0 0 22855 0 10759 0 7611 0 258038 0 0 0 Dorene Shipley Foundation Director 141686 0 0 0 17565 0 8801 0 10582 0 178634 0 0 0 Melinda Carter Director Pharmacy 153496 0 45 0 711 0 9109 0 6512 0 169873 0 0 0 Amy Mehaffey Regional Dir of Cardiology Services 127906 0 45 0 7922 0 7387 0 20023 0 163283 0 0 0 Larry Rubin End 212 Former VP Facility Management 0 0 0 0 34989 0 0 0 0 0 34989 0 0 0 Ginger Bliss End 513 Former VP Strategic Planning 125743 0 0 0 124429 0 2985 0 11969 0 265126 0 0 0 Part I, Line 4a: Severance Payments - Larry Rubin - $34,898 Part I, Line 4b: Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. There are no distributions from the supplemental nonqualified retirement plan for the current year. Form 990, Part V, Line 1a: Number of Forms 1099 Filed: St. Joseph Medical Center, a related organization of Carondelet Health, compensates the independent contractors for Carondelet Health. The number attributable to each entity is not easily distinguishable. The total amount of Forms 1099 filed for these entities appears on Part V, Line 1a of St. Joseph Medical Center's Form 990. Form 990, Part VI, Section A, line 2 Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on related Carondelet Health entity boards. Form 990, Part VI, Section A, line 6 Carondelet Health has a single corporate member, Ascension Health. Form 990, Part VI, Section A, line 7a Carondelet Health has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of the Carondelet Health. Form 990, Part VI, Section A, line 7b Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the System. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Section B, line 11 Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Section B, line 15 In determining compensation of the organization's CEO (Fleury Yelvington), the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to other organizations in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individual was not present when her compensation was decided. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensations, the other officers or key employees of the organization were compared to other organizations employees in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individuals were not present when their compensation was decided. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Form 990, Part IX, line 11g Revenue Cycle Management Fee: Program service expenses 0. Management and general expenses 5,752,645. Fundraising expenses 0. Total expenses 5,752,645. Employee Recruiting Fee: Program service expenses 0. Management and general expenses 573,180. Fundraising expenses 0. Total expenses 573,180. Consulting Contract Fee: Program service expenses 0. Management and general expenses 405,506. Fundraising expenses 0. Total expenses 405,506. Outside Labor: Program service expenses 0. Management and general expenses 293,344. Fundraising expenses 0. Total expenses 293,344. Chan Auditors: Program service expenses 0. Management and general expenses 205,478. Fundraising expenses 0. Total expenses 205,478. Consulting Service Fees: Program service expenses 0. Management and general expenses 57,313. Fundraising expenses 0. Total expenses 57,313. Medical Services Fees: Program service expenses 0. Management and general expenses 73,750. Fundraising expenses 0. Total expenses 73,750. Market Research: Program service expenses 0. Management and general expenses 84,363. Fundraising expenses 0. Total expenses 84,363. Income Guarantee: Program service expenses 0. Management and general expenses -24,483. Fundraising expenses 0. Total expenses -24,483. Physician recruiting fees: Program service expenses 0. Management and general expenses 68,889. Fundraising expenses 0. Total expenses 68,889. Form 990, Part XI, line 9: Transfer to Affilicates -13,767,302. Defered Pension cost -896,750. Form 990, Part III, Line 4: Carondelet Health Community Benefit Report For the year ended June 30, 2014 From humble beginnings in a three-story house in downtown Kansas City, the sisters of St. Joseph of Carondelet brought compassionate care to the most humble among us. Care that connects the body, mind and spirit, with a special concern for the poor. That special concern comes in the form of new technology and caring hands that guide today's medicine to the good of all. It comes also in the form of financial assistance to uninsured patients at both St. Joseph and St. Mary's Medical Centers, regardless of their employment or credit history. Whether our patients need help applying for Medicaid assistance, or extended time to settle their bills with interest-free, extended-term payment plans, Carondelet Health will be that helping hand. We believe caring for our communities means caring for those who are sick and those who are underserved. We also believe it is our responsibility to promote wellness in those we serve. Our Mission Carondelet Health consists of Catholic organizations dedicated to the healing ministry of Jesus Christ. Our commitment to human dignity compels us to provide compassionate, quality health care for body, mind and spirit, with a special concern for the poor. We are responsible stewards serving the needs of all people from conception to death. We are united in this mission. Upholding the commitment of our founding Sisters of St. Joseph of Carondelet and the Sisters of St. Mary, we turn away no one in need. Compassionate, quality care remains the standard at all our facilities. Involvement with Community Events Beyond free blood pressure, blood sugar and prostate cancer screenings, St. Joseph and St. Mary's participate in numerous health fairs, including the annual Fall Family Health Celebration at St. Joseph and St. Mary's annual Wellness Fair, traditionally opening Eastern Jackson County Family Week activities. Together the medical centers sponsor a domestic violence rally to raise awareness and support area victims. St. Joseph also coordinates a free informational seminar with the American Diabetes Association. Contributions to Community Groups. Carondelet Health contributes to many worthwhile organizations, including Cristo Rey High School, the American Cancer Society, the American Heart Association and Catholic Charities of Kansas City. It supports the Seton Center Family and Health Services by providing human resources, maintenance and wellness services; and funds after school programs for at-risk children at YMCAs in Kansas City and Blue Springs. CarondeletHealth.org offers the latest in health information and direct links to more than 50 health-related organizations and support groups. Caring for Our Community Compassion goes beyond those financially challenged. It encompasses those who are vulnerable due to age and circumstance. Carondelet Health's facilities actively commit its resources to the communities they serve, through a wide variety of programs and services for the physical, mental, social and spiritual care of area residents: Healthy Beginnings The St. Joseph Medical Center Foundation, with the support of local community agencies, make it possible to offer a unique prenatal program free of charge for patients who are on Medicaid, teens, or for others socially at risk, that could benefit from additional support. Members of this group receive three to five individual visits with a RN for one-on-one education. Participants also receive a free car seat, childbirth and breast feeding classes, a breast pump and much more. St. Joseph's Seniors Clinic addresses health needs of homebound seniors and residents of long-term care and assisted living facilities. The clinic provides a comfortable, convenient, cost-effective setting where seniors' needs can be assessed, diagnosed and treated by physicians. The clinic also provides free transportation for many patients. Seniors can now also take health assessments online and receive information on coping with: - Sleep Disorders - Emotional Health - Cognitive Health - Nutritional Health - Urinary Incontinence - Skin Issues - Fall Risk Support Groups Both medical centers offer groups for Alzheimer's, battered women, bereavement, breast cancer survivors, diabetes, Lyme disease, stroke and other areas of need. Classroom Space Space is provided for alternative high school classes offered by the Kansas City School District. Other not-for-profit agencies are welcomed to host meetings and seminars in the medical centers for a nominal fee. Caring for the Poor Charitable Losses by Carondelet Health of Kansas City Fiscal Year 2014 (July 1, 2013-June 30, 2014) Unpaid Medicaid: $6,855,854 Unpaid Medicare: $21,820,773 Traditional Charity: $4,710,113 Community Services: $2,547,666 Total: $35,934,406 Ascension Health Alliance PO Box 45998 St Louis MO 631455998 453358926 National Health system MO Section 501(c)(3) Schedule A, Line 11a N/A 0 Ascension Health PO Box 45998 St Louis MO 63145 311662309 National Health system MO Section 501(c)(3) Schedule A, Line 11a Ascension Health Alliance 0 Carondelet Home Care Services Inc 11050 Roe Suite 120 Overland Park KS 66211 431379352 Home Health Care Services KS Section 501(c)(3) Schedule A, Line 3 Carondelet Health 1 St Mary's Medical Center 201 West RD Mize Rd Blue Springs MO 64014 431284526 Health Care MO Section 501(c)(3) Schedule A, Line 3 Carondelet Health 1 St Joseph Medical Center 1000 Carondelet Drive Kansas City MO 641144673 440546292 Health Care MO Section 501(c)(3) Schedule A, Line 3 Carondelet Health 1 St Joseph Medical Center Foundation 1000 Carondelet Drive Kansas City MO 641144673 431388461 Fundraising MO Section 501(c)(3) Schedule A, Line 11c Carondelet Health 1 Carondelet Health Corp & Affiliates Emp Health & Dental Care 1000 Carondelet Dr Kansas City MO 641144673 431116849 VEBA MO Section 501(c)(9) N/A Carondelet Health 1 St Mary's Medical Center Foundation 1000 Carondelet Drive Kansas City MO 641144673 431918107 Fundraising MO Section 501(c)(3) Schedule A, Line 11c Carondelet Health 1 Carondelet Cardiology Services Inc 1000 Carondelet Drive Kansas City MO 641144673 271322670 Health Care MO Section 501(c)(3) Schedule A, Line 9 Carondelet Health 1 South Kansas City Surgical Center LLC 10730 Nall Ste 100 Overland Park KS 66211 202181884 Health Care KS Carondelet Health Related 1584733 1317009 0 0 0.50990 Indian Creek Center Inc 1000 Carondelet Drive Kansas City MO 641144673 480956627 Management MO Carondelet Health C 9412175 1.00000 1 Carondelet Management Company Inc 11050 Roe Suite 110 Overland Park KS 66211 431352545 Health Management KS Carondelet Health C 2028124 296010 1.00000 1 Carondelet Pharmacy 1000 Carondelet Drive Kansas City MO 641144673 431699329 Pharmacy MO Carondelet Health C 299216 941544 1.00000 1 Carondelet Primary Care Network Inc 1000 Carondelet Drive Kansas City MO 641144673 431596702 Health Care MO Carondelet Health C 1.00000 1 Saint Joseph Ambulatory Surgical Center LLC 1000 Carondelet Drive Kansas City MO 641144673 251905706 Health Care MO Carondelet Health C 1584989 2796804 1.00000 1 Carondelet Occupational Hlth Wellness & Edu Svcs Inc 1000 Carondelet Drive Kansas City MO 641144673 861144194 Health Care MO Carondelet Health C 20873 14743 1.00000 1 Carondelet Physician Services 1000 Carondelet Drive Kansas City MO 641144673 562661163 Health Care MO Carondelet Health C 10985785 1370363 1.00000 1 Carondelet Medical Enterprises 1000 Carondelet Drive Kansas City MO 641144673 562661165 Office Admin. Services MO Carondelet Health C -7683 91060 1.00000 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 St Joseph Medical Center J 433248 Journal Entry Carondelet Pharmacy J 55476 Journal Entry St Joseph Medical Center O 8127119 Journal Entry St Mary's Medical Center O 4339502 Journal Entry Indian Creek Center Inc O 58724 Journal Entry Carondelet Home Care Services Inc O 249918 Journal Entry Carondelet Pharmacy O 53261 Journal Entry Carondelet Physician Services O 625478 Journal Entry Carondelet Cardiology Services Inc O 584508 Journal Entry Carondelet Occupational Health Wellness & Educational Services Inc O 58724 Journal Entry St Joseph Medical Center P 13600114 Journal Entry Indian Creek Center Inc P 98270 Journal Entry Indian Creek Center Inc P 68560 Journal Entry Carondelet Home Care Services Inc P 418219 Journal Entry Carondelet Pharmacy P 89129 Journal Entry St Mary's Mecdical Center P 6337274 Journal Entry St Joseph Medical Center Foundation P 75417 Journal Entry Carondelet Physician Services P 1046690 Journal Entry Carondelet Cardiology Services Inc P 978130 Journal Entry Carondelet Occupational Health Wellness & Educational Services Inc P 98270 Journal Entry St Joseph Medical Center Q 13308266 Journal Entry Carondelet Health Corp & Affil Emp Health & Dental Care R 1734979 Journal Entry Carondelet Medical Enterprises R 370000 Journal Entry Carondelet Cardiology Services Inc R 475000 Journal Entry Carondelet Physician Services R 100000 Journal Entry Carondelet Home Care Services Inc S 739275 Journal Entry