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St Joseph Medical Center: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
St Joseph Medical Center (EIN 44-0546292)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201331349349305418
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T14:02:38-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN440546292EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Joseph Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone8169424400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 Carondelet DriveAddressLine1
CityKansas CityCity
StateMOState
ZIP Code64114ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSteve ClearyName
TitleCFO - Carondelet HealthTitle
Phone8169424400Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRebecca LyonsName
PTINP01487105PTIN
Phone5137847100Phone
Date Prepared2013-05-06DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSteve ClearyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 Carondelet DriveAddressLine1
CityKansas CityCity
StateMOState
ZIP Code64114ZIPCode
FieldValueIRS element (for citing)
Gross Receipts192938171GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.carondelethealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1874YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionProvides quality medical care regardless of race, creed, sex, origin, handicap, or ability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees1157TotalNbrEmployees
Total Nbr Volunteers690TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year134669ContributionsGrantsPriorYear
Contributions Grants Current Year161200ContributionsGrantsCurrentYear
Program Service Revenue Prior Year196070914ProgramServiceRevenuePriorYear
Program Service Revenue CY186569862ProgramServiceRevenueCY
Investment Income Prior Year6046163InvestmentIncomePriorYear
Investment Income Current Year2617961InvestmentIncomeCurrentYear
Other Revenue Prior Year2212500OtherRevenuePriorYear
Other Revenue Current Year2897296OtherRevenueCurrentYear
Total Revenue Prior Year204464246TotalRevenuePriorYear
Total Revenue Current Year192246319TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY25527GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year67037389SalariesEtcPriorYear
Salaries Etc Current Year63221386SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year122806520OtherExpensePriorYear
Other Expenses Current Year115860193OtherExpensesCurrentYear
Total Expenses Prior Year189845909TotalExpensesPriorYear
Total Expenses Current Year179107106TotalExpensesCurrentYear
Revenues Less Expenses Prior Year14618337RevenuesLessExpensesPriorYear
Revenues Less Expenses CY13139213RevenuesLessExpensesCY
Total Assets BOY170168491TotalAssetsBOY
Total Assets EOY149644583TotalAssetsEOY
Total Liabilities BOY48497787TotalLiabilitiesBOY
Total Liabilities EOY23664444TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY121670704NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY125980139NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSt. Joseph Medical Center 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. At St. Joseph Medical Center we are committed to providing our patients with the best care possible, in a safe and compassionate environment.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense27666388Expense
Revenue26324728Revenue
DescriptionMedical inpatient services encompass 3,779 inpatient admissions and 18,710 patient days. St. Joseph Medical Center provides diagnostic services and high quality care to patients admitted with a wide range of diagnoses. Services include radiology disciplines such as MRI, CT-Scans, Ultrasound as well as laboratory tests, respiratory procedures, therapy treatments and pharmacy services such as bedside nursing care.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense30085769Expense
Revenue31881581Revenue
DescriptionCardiology services include 1,908 inpatient admissions, 8,045 inpatient days and 3,740 outpatient visits. The Carondelet Heart Institute is a "hospital within a hospital" at St. Joseph Medical Center, focusing on cardiovascular services. Our team of interventional specialists provides treatment for patients diagnosed with conditions such as angina, cardiomyopathy, coronary artery disease, heart attack, peripheral disease, etc. A full range of tests (such as angiography, echocardiography, carotid doppler, stress echocardiography, and EKG's) are employed to make accurate diagnoses. Carondelet Heart Institute's team of highly trained specialists are well-qualified to perform a range of interventional services such as carotid stenting, coronary angioplasty, coronary stenting, and open heart surgery, that address cardiac and vascular challenges. St. Joseph Medical Center is also involved in preventive services for cardiovascular disease with participation in the Go Red for Women national campaign to raise awareness about heart disease in women. Cardiac Rehabilitation at the Carondelet Heart Institute is an exercise and education program, especially designed to help heart patients reduce or control cardiac risk factors, improve cardiovascular fitness and actually learn to thrive with heart disease. The Personal Heart Advocate is a specially trained cardiovascular registered nurse who is dedicated to the patient's individual needs and will assist them through the sometimes complex maze of testing and inpatient procedures.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense43384037Expense
Revenue45389152Revenue
DescriptionSurgical services include 1,865 inpatient admissions, 11,522 patient days and 3,594 outpatient surgeries. St. Joseph Medical Center offers a wide range of both invasive and non-invasive surgical procedures and is equipped with the latest diagnostic and surgical equipment operated by our highly qualified nursing staff and physicians. Our Medical Center embraces every major discipline of care ranging from minimally invasive procedures to complex multi-disciplinary surgical interventions. We offer a wide range of outpatient and inpatient surgical interventions including open heart surgery, vascular surgery, surgical management of breast disease, surgical oncology, neurosurgery, orthopedic surgery, gynecological surgery, ENT procedures and ophthalmology procedures.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense38843320Expense
Grants0Grants
Revenue83892756Revenue
DescriptionAll other program services include Neurology, Oncology, Rehab services, Women's Services, Emergency Room, Radiology, Sleep Lab, GI Lab, Pain Center and other outpatient areas. These services represent 5,001 inpatient admissions with 10,686 patient days, 31,473 emergency department visits and 50,388 other outpatient visits.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp38843320TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev83892756TotalOfOtherProgramServiceRev
Total Program Service Expense139979514TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096326NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1157NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Steve ClearyBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8169424400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 Carondelet DriveAddressLine1
CityKansas CityCity
StateMOState
ZIP Code64114ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Fleury Yelvington Sch O
CEO-CH/President2.00XX095478753367
Steve Cleary Sch O
CFO2.00XX031191659188
Michael Dorsey start 1011
Director/CEO2.00XX07751811490
Scott Kashman end 711
CEO-SJMC2.00XX032608136004
Donald Clement MD Ex-officio
Medical Staff Officer2.00X000
John Dunlap MD
Medical Staff Officer1.00X200000
Spencer Kerly MD Ex-Officio
Medical Staff Officer2.00X000
Carla Brogdon Sch O
Assistant Secretary2.00X05290814886
Karen Lee end 312
Director of Nursing2.00034997617883X
Jane Falk
Director40.00197535034664X
Thomas Gialde
Pharmacist40.00148385043450X
Alan Greenwood
Director of Surgery40.00203958032587X
John Hally
Pharmacist40.00142843043570X
Anita Rivera
Pharmacist40.00137126024690X
FieldValueIRS element (for citing)
Total Reportable Comp From Org831847TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2073186TotalReportableCompFrmRltdOrgs
Total Other Compensation371779TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Physician Reference Lab LLC
PO Box 802262Kansas CityMO64180Lab Services4214856
Excel Constructors (Sch O)
8041 W 47th StreetOverland ParkKS66203Construction Services2968320
TriMedx
6325 Digital Way Ste 400IndianapolisIN46278Bio-Med Services1981563
Trane Service Group
1316 AdamsKansas CityMO66103Heating and Cooling Services1402970
Aramark Healthcare Support Svcs
PO Box 651009CharlotteNC28265Food Services1386525
FieldValueIRS element (for citing)
Number Of Contractors GT100 K27NumberOfContractorsGT100K
Membership Dues134012MembershipDues
Related Organizations19268RelatedOrganizations
All Other Contributions7920AllOtherContributions
Total Contributions161200TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient RevenueDescription
Business Code621990BusinessCode
Total Revenue Column186569862TotalRevenueColumn
Related Or Exempt Function Income186569862RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue186569862TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2615216TotalRevenueColumn
Exclusion$2,615,216ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real318119Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real460121Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-142002Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-142002TotalRevenueColumn
Exclusion-$142,002ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other43850Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other41105Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other2745Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2745TotalRevenueColumn
Exclusion$2,745ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory324387GrossSalesOfInventory
Cost Of Goods Sold190626CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column133761TotalRevenueColumn
Exclusion$133,761ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Life Flight6219901144256$1,144,256
Medicaid Incentive900099446109$446,109
Plant Services Revenue900099396817$396,817

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column918355TotalRevenueColumn
Related Or Exempt Function Income918355RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2905537TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column192246319TotalRevenueColumn
Related Or Exempt Function Income187488217RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,596,902ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total25527Total
Program Services25527ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total43000Total
Management And General43000ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total52784190Total
Program Services47633886ProgramServices
Management And General5150304ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1561629Total
Program Services1410405ProgramServices
Management And General151224ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5031984Total
Program Services4544701ProgramServices
Management And General487283ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3800583Total
Program Services3451117ProgramServices
Management And General349466ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total152657Total
Management And General152657ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total12523Total
Management And General12523ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total14335737Total
Program Services13598921ProgramServices
Management And General736816ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total37556Total
Program Services32250ProgramServices
Management And General5306ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total35227262Total
Program Services34832366ProgramServices
Management And General394896ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total40616Total
Program Services40616ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4404537Total
Program Services2751648ProgramServices
Management And General1652889ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total84048Total
Program Services80389ProgramServices
Management And General3659ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1588Total
Program Services1588ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total1759035Total
Program Services1363428ProgramServices
Management And General395607ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6004795Total
Program Services4577315ProgramServices
Management And General1427480ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total832217Total
Program Services832217ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Corporate Allocation2762241241231627210096
Bad Debts143958891439588900
MO State Assessment Fee8349579834957900
Purchased Services192201512042017178140

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total677727Total
Program Services441155ProgramServices
Management And General236572ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total179107106Total
Program Services139979514ProgramServices
Management And General39127592ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7901283BOY
EOY4731044EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY20163980BOY
EOY20965430EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3385417BOY
EOY3304651EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1123012BOY
EOY1503488EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis115623341LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec50470835LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY62270733BOY
EOY65152506EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2079616BOY
EOY3223872EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY174234EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY73244450BOY
EOY50589358EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY170168491BOY
EOY149644583EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY48497787BOY
EOY23664444EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY48497787BOY
EOY23664444EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY121595615BOY
EOY125848028EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY75089BOY
EOY132111EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY121670704BOY
EOY125980139EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY170168491BOY
EOY149644583EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses13139213ReconcilationRevenueExpenses
Reconcilation Other Changes-8829778ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$12,523OtherActivitiesAmount
Total Lobbying Expenditures IIB12523TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationLobbying expenses represent the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. St. Joseph Medical Center does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Beginning Balance0BeginningBalance
Ending Balance0EndingBalance

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1931137OtherCostOrOtherBasis
Book Value1931137BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis68622356OtherCostOrOtherBasis
Depreciation26025397Depreciation
Book Value42596959BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis41606603OtherCostOrOtherBasis
Depreciation23847619Depreciation
Book Value17758984BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3463245OtherCostOrOtherBasis
Depreciation597819Depreciation
Book Value2865426BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings65152506TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Estimated Settlement from Third Parties58778
Donor Restricted19865
Gift Shop Other Assets3653
Interest in investments held by Ascension Health Alliance's Alpha Fund50507062
FieldValueIRS element (for citing)
Total Book Value Other Assets50589358TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Self Insurance Liability$1,025,422
Intercompany Debt to Ascension Health Alliance$21,553,941
Gift Shop Accounts Payable$25,685
Valuation Allowance$900,000
Other Non-Current$159,396
FieldValueIRS element (for citing)
Total Of Amounts23664444TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1678546TotalCommunityBenefitExpense
Net Community Benefit Expense1678546NetCommunityBenefitExpense
Percent Of Total Expense0.01020PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense19204022TotalCommunityBenefitExpense
Direct Offsetting Revenue14802610DirectOffsettingRevenue
Net Community Benefit Expense4401412NetCommunityBenefitExpense
Percent Of Total Expense0.02670PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense20882568TotalCommunityBenefitExpense
Direct Offsetting Revenue14802610DirectOffsettingRevenue
Net Community Benefit Expense6079958NetCommunityBenefitExpense
Percent Of Total Expense0.03690PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs47NumberOfActivitiesOrPrograms
Persons Served4409PersonsServed
Total Community Benefit Expense589029TotalCommunityBenefitExpense
Direct Offsetting Revenue50234DirectOffsettingRevenue
Net Community Benefit Expense538795NetCommunityBenefitExpense
Percent Of Total Expense0.00330PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served1953PersonsServed
Total Community Benefit Expense7658355TotalCommunityBenefitExpense
Direct Offsetting Revenue6346956DirectOffsettingRevenue
Net Community Benefit Expense1311399NetCommunityBenefitExpense
Percent Of Total Expense0.00800PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs62NumberOfActivitiesOrPrograms
Persons Served50PersonsServed
Total Community Benefit Expense336681TotalCommunityBenefitExpense
Net Community Benefit Expense336681NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs112NumberOfActivitiesOrPrograms
Persons Served6412PersonsServed
Total Community Benefit Expense8584065TotalCommunityBenefitExpense
Direct Offsetting Revenue6397190DirectOffsettingRevenue
Net Community Benefit Expense2186875NetCommunityBenefitExpense
Percent Of Total Expense0.01330PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs112NumberOfActivitiesOrPrograms
Persons Served6412PersonsServed
Total Community Benefit Expense29466633TotalCommunityBenefitExpense
Direct Offsetting Revenue21199800DirectOffsettingRevenue
Net Community Benefit Expense8266833NetCommunityBenefitExpense
Percent Of Total Expense0.05020PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Total Community Building Expense3056TotalCommunityBuildingExpense
Net Community Building Expense3056NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs15NumberOfActivitiesOrPrograms
Total Community Building Expense4035TotalCommunityBuildingExpense
Net Community Building Expense4035NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs26NumberOfActivitiesOrPrograms
Total Community Building Expense7091TotalCommunityBuildingExpense
Net Community Building Expense7091NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$3,731,256BadDebtExpenseAmount
Amount Reimbursed By Medicare76201816AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare83173918CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-6972102MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Joseph Medical CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11000 Carondelet DriveAddressLine1
CityKansas CityCity
StateMOState
ZIP Code64114ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Joseph Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
Part I, Line 6a: The annual community benefit report is completed for Carondelet Health, the parent organization for St. Joseph Medical Center.
Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a costing accounting system that addresses all patient segments (for example: inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ration were calculated and applied.
Part I, Line 7g: St. Joseph Medical Center provides several clinical services that result in a financial loss. These services include Nursery Intensive Care Unit (NICU), Cardiac Rehab, Senior Clinic and the Obstetric/Newborn program. These services are hospital programs and do not include physician clinic services.
Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 14395889.
Part II: Carondelet Health provided the following community building activities in Fiscal year 2012:- Support Groups at both St. Joseph & St. Mary's Medical Centers offer information and comfort in a supportive environment to people in the community. These include support for bereavement, Alzheimer's, stroke, breast cancer, cardiac rehab and diabetes. - Employees of Carondelet Health participated in community coalitions to address health and safety issues. St. Mary's Medical Center was actively involved in the national "Let's Move" initiative to address childhood obesity. St. Mary's participated in community sponsored physical fitness activities as part of the "Let's Move" program. - Efforts to improve public health resulted in St. Joseph Medical Center hosting a legislative update on healthcare issues to allow community leaders an opportunity to learn about healthcare issues potentially impacting their community. - Employees also participated in the Kansas City area Cover the Uninsured Coalition to improve access to health care for metro-area residents without insurance coverage. - St. Joseph Medical Center sponsored a Stroke Consortium to educate the community on the signs and dangers of strokes and participated in the BiState Stroke Consortium.- Activities also included participation in community organizations such as local Chamber of Commerce to address health/safety issues.
Part III, Line 4: From the consolidated audited financial statements of Ascension Health Alliance (which includes the activity of St. Joseph Medical Center):The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the System. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies.The organization's share of bad debt expense in fiscal year 2012 was $14,395,889 at charges ($3,731,256 at cost).
Part III, Line 8: Ascension Health and related health ministries follow the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.
Part III, Line 9b: The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply.
Part V, Section B, Line 19d: For cases that apply for our charity care program, upon receipt of a completed application, collection activity will cease until a determination has been made. For presumptive charity cases (cases where an application is not necessarily completed), collection activity may continue while the due diligence is being completed or until the patient's account is reviewed. Additionally, for all patients identified as Full Charity Care Patients, Carondelet Health:- Will not place a lien on a charity care patient's primary residence or include the primary residence in the asset calculation unless the value of the property clearly indicates an ability to assume the financial obligation and subject to senior management approval.- Will not execute a lien or force the sale or foreclosure of a charity care patient's primary residence/property to pay for an outstanding medical bill.- Will not use forced court appearance to require the charity care patient or responsible party to appear in court.- Will not garnish wages.Hospital charity policy has a yearly maximum to be charged for medical care for catastrophic medical cases where a patient/guarantor medical bills exceed 20% of their gross income plus assets for the year.Uninsured Patient Discount Eligibility Criteria: An uninsured patient who does not qualify as financially or medically indigent shall receive a discount. Effective 7/1/10, the uninsured discount will be 30%. Prompt Pay: Prompt payment discounts are extended to all self-pay balances in return for immediate payment of patient/guarantor's. The prompt pay discount provides patients with balances due an alternative method of payment, as well as expedites the resolution of self-pay receivables. A prompt pay discount of 10% of charges is applicable for patients who meet the terms as stated in CH Business Office Discretionary Discount Policy.St. Joseph Medical Center
Part VI, Line 2: The health care needs of our community are assessed every year by the Mid-America Regional Council. The assessment is based on data collected through surveys of safety net clinics and information provided by the Missouri and Kansas Hospital Associations and public health records. A committee comprised of representatives from medical data to develop recommendations for improving access to health care in the community. Last fall, Carondelet Health implemented a new process that will comply with the Patient Protection and Affordable Care Act of 2010 requirement for a community health needs assessment including both qualitative and quantitative research.
Part VI, Line 3: For uninsured patients, at time of service, we interview the patient looking for "found" insurance (Medicaid, Cobra, automobile insurance or local government programs). If no insurance coverage is discovered, we discuss payment arrangements and the Hospital's financial assistance/charity programs. After time of service, when patients contact the business office regarding their patient care liability and the patients indicate a financial hardship in making payment, we discuss payment arrangements and the Hospital's financial assistance/charity program.
Part VI, Line 4: Carondelet Health is comprised of two acute care hospitals, St. Joseph Medical Center and St. Mary's Medical Center, along with Carondelet Home Care Services, a home health agency. Carondelet Health primarily serves the southern and eastern areas of metropolitan Kansas City, which comprise approximately two-thirds of the entire Kansas City population of 1.2 million people. 13.8 percent of households live at or below federal poverty guidelines and uninsured and underinsured persons represent 25 percent of the population. 42.4 percent of the population are minority and 7 percent speak a language other than English, predominantly Spanish.
Part VI, Line 5: Carondelet Health's board is comprised of individuals from throughout the community. Medical staff privileges are extended to all physicians who apply and meet qualifications. Carondelet Health provides a wide variety of resources to help improve the health of the community. Our web site provides a free comprehensive health library with information on general wellness and specific health conditions, along with additional direct links to other health care support organizations. Meeting space is offered on the campuses of St. Joseph and St. Mary's Medical Centers for use by community groups. A wide range of support groups provide counseling for patients and their families coping with health concerns. In addition, Carondelet Health's community outreach efforts provide health and wellness resources that otherwise may be unavailable to many community members, including free health screenings and health educational materials.
Part VI, Line 6: Carondelet Health is a member of Ascension Health.Ascension Health Alliance is the sole corporate member and parent organization of Ascension Health, a Catholic national health system consisting primarily of nonprofit corporations that own and operate local healthcare facilities, or Health Ministries, located in 21 of the United States and the District of Columbia.Sponsorship:Ascension Health Alliance is sponsored by Ascension Health Ministries, a Public Juridic Person. The Participating Entities of Ascension Health Ministries are the Daughters of Charity of St. Vincent de Paul in the United States, St. Louise Province, the Congregation of St. Joseph, theCongregation of the Sisters of St. Joseph of Carondelet, and the Congregation of Alexian Brothers of the Immaculate Conception Province - American Province. As more fully described in the Organizational Changes note, Alexian Brothers Health System, which was previously sponsored bythe Congregation of Alexian Brothers of the Immaculate Conception Province - American Province, became part of Ascension Health on January 1, 2012.Mission:The System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing, and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with the System's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs:- Traditional charity care includes the cost of services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured.- Unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for the persons living in poverty and other vulnerable persons.- Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed costs of programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome.- Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the poor, including health promotion and education, health clinics and screenings, and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons who are poor and community benefit programs. The cost of providing care of persons who are poor and community benefit programs is estimated using internal cost data.
MOReports Filed With StatesPart VI, Line 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
Certifications216027
Scholarships1217500
Junior Awards42000

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Fleury Yelvington Sch O
0482482032875801435470406330127340100815400
Steve Cleary Sch O
028677400025142045381013807037110400
Scott Kashman end 711
027804900048032022564013440036208500
Karen Lee end 312
04252400030745205082012801036785900
Jane Falk
157137045040353026905077590232199000
Thomas Gialde
145486025028740320780113720191835000
Alan Greenwood
1961750700007830162890162980236545000
John Hally
131748095011000036713068570186413000
Anita Rivera
1262100140010776017580071100161816000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceIdentifierIdentifierExplanationExplanation
Part I, Line 4b
Part IIISupplemental InformationPart I, Line 3: St. Joseph Medical Center relied on a related organization (Carondelet Health) that used one or more of the methods described below to establish the top management official's (Scott Kashman) compensation: - Compensation Committee - Independent Compensation Consultant - Written Employment Contract - Compensation Survey or Study, and - Approval by the Board or Compensation Committee
Part IIISupplemental InformationPart 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. A related organization that paid the salaries of the individuals listed in Schedule J, Part II, contributed to the supplemental nonqualified retirement plan in the amount as noted: - Fleury Yelvington - $114,060 - Steve Cleary - $20,265 - Scott Kashman - $21,584

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Jeff LeeBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipFamily Member of Karen LeeRelationship
Amount Of Transaction73189AmountOfTransaction
Description Of TransactionEmploymentDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSchedule L, Part IV:Identifier
Return ReferenceBusiness Transactions Involving Interested Persons:ReturnReference
ExplanationJeff Lee was employed as a nursing manager. Karen Lee was the nursing director. Both were long term employees of SJMC and Carondelet Health. Jeff was terminated on 9/25/11 and Karen was terminated on 3/8/12.All transactions reported on Part IV are reported as arms-length for fair market value.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Explanation of Attached Audited Financial Statements:Form 990, Part IV, Line 20b:The financials statements of Carondelet Health, which include the activity of St. Joseph Medical Center, fall under a limited scope audit. The activity of St. Joseph Medical Center and other member of Carondelet Health are reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Joseph Medical Center is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates (which include the activity of St. Joseph Medical Center).
Form 990, Part VI, Section A, line 2Many 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 6St. Joseph Medical Center has a single corporate member, Carondelet Health.
Form 990, Part VI, Section A, line 7aSt. Joseph Medical Center has a single corporate member, Carondelet Health, who has the ability to elect members to the governing body of St. Joseph Medical Center.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to St. Joseph Medical Center financial information or corporation as a whole are subject to approval by its sole corporate member, Carondelet Health.
Form 990, Part VI, Section B, line 11Management, 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 12cThe 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 conflict 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 conflict 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 15In determining compensation of the organization's CEO (Scott Kashman), the process performed by Carondelet Health (a related organization) 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 the inidividuals at other organizations 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. Individual was not present when his compensation was decided. In determining compensation of officers 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 compensation, the other officers of the organization were compared to the individuals at other organizations 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 19The organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section A:Fleury Yelvington, Steve Cleary, and Carla Brogdon receive compensation from Carondelet Health, a related organization of St. Joseph Medical Center. The compensation they receive is for their role at Carondelet Health, and not for their role as a director of St. Joseph Medical Center.
Form 990, Part VII, Section B:The payments reported on Form 990, Part VII, Section B from Excel Constructors represents payments for both good and services. These amounts cannot be separated.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 5:Net unrealized losses on investments: -3,901,879. Transfers to/from Affiliates -4,593,478. Transfer of Funds 20,355. Restricted Contributions Used for Property 10,945. Restricted Other -15,721. Transfer to sponsor -350,000. Total to Form 990, Part XI, Line 5: -8,829,778.
Form 990, Part XII, Line 2:The financial statements of St. Joseph Medical Center fall under the limited scope audit of Carondelet Health. The activity of St. Joseph Medical Center and other members of the Carondelet Health System are reported in the consolidated financial statements of Ascension Health Alliance. No individual audit report of St. Joseph Medical Center is completed.
Form 990, Part III, Line 4:Carondelet Health Community Benefit Report For the year ended June 30, 2012 Ever since the Sisters of St. Joseph of Carondelet began treating patients in a three-story house in downtown Kansas City, the emphasis has been compassion--compassionate care that encompasses the body, mind and spirit, with a special concern for the poor. It comes in the form of a smile and gentle touch behind the technology that reaches the lives of so many patients who grace our doors. 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 just more time to settle their bills with an interest-free, extended-term payment plan, Carondelet Health will be that helping hand. Our mission inspires us to be a united community where we exceed the expectations of every individual with every interaction through unwavering advocacy. Educating the public about the challenges of those lacking health insurance include joining other organizations in Cover the Uninsured Week, along with outreach resource guides in English and Spanish. 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 healthcare 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. 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 and St. Mary's Medical Center Foundations, 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 breastfeeding classes, a breast pump and much more. HealthWise Seniors At St. Joseph Medical Center, we recognize the special health needs of our seniors. We are committed to help the aging population in our community remain as active and independent as long as possible through a variety of programs. 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 and ost-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. Free Wellness Services. Carondelet Health provides wellness services to nine churches in our service area and to designated low-income patients. Support Groups. Both medical centers offer groups for Alzheimer's, battered women, bereavement, breast cancer survivors, breastfeeding, diabetes, infant loss, 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 invited to host meetings and seminars in the medical centers for a nominal fee. Involvement with Community Events. In addition to 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 the annual community event at St. Mary's which kicks off 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, including Health Wise, our community online health magazine dedicated to interesting and educational health features. Caring for the Poor Charitable Losses by Carondelet Health of Kansas City Fiscal Year 2012 (July 1, 2011-June 30, 2012) Unpaid Medicare Cost: $18.1 million Unpaid Medicaid Cost: $ 6.7 million Traditional Charity: $ 2.8 million Community Services: $ 4.8 million Total: $32.4 million

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Ascension Health
PO Box 45998St LouisMO63145311662306National Health SystemMOSection 501(c)(3)Schedule A, Line 11aAscension Health Alliance0
Carondelet Health
1000 Carondelet DriveKansas CityMO641144673431276738System ParentMOSection 501(c)(3)Schedule A, Line 11cAscension Health0
Carondelet Health Corp & Affiliates Employee Health & Dental Care
1000 Carondelet DriveKansas CityMO641144673431116849VEBAMOSection 501(c)(9)N/ACarondelet Health1
Carondelet Home Care Services
11050 Roe Suite 120Overland ParkMO66211431379352Home Health Care ServicesMOSection 501(c)(3)Schedule A, Line 3Carondelet Health1
Carondelet Long-Term Care Faciliites Inc
1000 Carondelet DriveKansas CityMO641144673742505427Long Term CareMOSection 501(c)(3)Schedule A, Line 9Carondelet Health1
St Mary's Medical Center
201 West RD Mize RdBlue SpringsMO64014431284526Health CareMOSection 501(c)(3)Schedule A, Line 3Carondelet Health1
St Mary's Medical Center Foundation
1000 Carondelet DriveKansas CityMO641144673431918107FundraisingMOSection 501(c)(3)Schedule A, Line 11cCarondelet Health1
St Joseph Medical Center Foundation
1000 Carondelet DriveKansas CityMO641144673431388461FundraisingMOSection 501(c)(3)Schedule A, Line 11cCarondelet Health1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1South Kansas City Surgical Center LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110730 Nall Ste 100AddressLine1
CityOverland ParkCity
StateKSState
ZIP Code66211ZIPCode
FieldValueIRS element (for citing)
Primary ActivityHealth CarePrimaryActivity
Legal Domicile StateKSLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Indian Creek Center Inc
1000 Carondelet DriveKansas CityMO641144673480956627ManagementMON/AC
Carondelet Management Company Inc
11050 Roe Suite 110Overland ParkKS66211431352545Health ManagementKSN/AC
Carondelet Pharmacy
1000 Carondelet DriveKansas CityMO641144673431699329PharmacyMON/AC
Carondelet Primary Care Network Inc
1000 Carondelet DriveKansas CityMO641144673431596702Health CareMON/AC
Saint Joseph Ambulatory Surgical Center LLC
1000 Carondelet DriveKansas CityMO641144673251905706Health CareMON/AC
Carondelet Occupational Health Wellness & Educational Serv Inc
1000 Carondelet DriveKansas CityMO641144673861144194Health CareMON/AC
Carondelet Physician Services
1000 Carondelet DriveKansas CityMO641144673562661163Health CareMON/AC
Carondelet Medical Enterprises
1000 Carondelet DriveKansas CityMO641144673562661165Office Admin. ServicesMON/AC
Carondelet Cardiology Services
1000 Carondelet DriveKansas CityMO641144673271322670Cardiology ServicesMON/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Carondelet Health Corp & Affil Employee Health and Dental Care
Q6710441Journal Entry
Carondelet Medical Enterprise
Q1505000Journal Entry
Carondelet Cardiology Services
Q700000Journal Entry
Carondelet Physician Services
Q1587288Journal Entry
Carondelet Health
Q11076495Journal Entry
Carondelet Cardiology Services
R623585Journal Entry
Carondelet Occupational Health Wellness and Educational Services Inc
R1183845Journal Entry
Carondelet Health
N8286724Journal Entry
Carondelet Health
Q8286724Journal Entry
Carondelet Home Care Services
Q2275271Journal Entry
Carondelet Medical Enterprise
R1946009Journal Entry
Carondelet Cardiology Services
Q10358803Journal Entry
Carondelet Occupational Health Wellness and Educational Services Inc
Q5000558Journal Entry
St Joseph Medical Center Foundation
O229619Journal Entry
St Mary's Medical Center Foundation
Q69865Journal Entry
St Mary's Medical Center
Q1978844Journal Entry