2013-05-14T14:02:38-05:00 2012-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2011-07-01 440546292 St Joseph Medical Center STJO 8169424400 1000 Carondelet Drive Kansas City MO 64114 Steve Cleary 8169424400 2013-05-14 1 Rebecca Lyons P01487105 5137847100 2013-05-06 2011 2016-02-24 21:20:13Z Steve Cleary 1000 Carondelet Drive Kansas City MO 64114 192938171 0 0928 X www.carondelethealth.org X 1874 MO Provides quality medical care regardless of race, creed, sex, origin, handicap, or ability to pay. 6 2 1157 690 0 0 134669 161200 196070914 186569862 6046163 2617961 2212500 2897296 204464246 192246319 2000 25527 0 0 67037389 63221386 0 0 0 122806520 115860193 189845909 179107106 14618337 13139213 170168491 149644583 48497787 23664444 121670704 125980139 X St. 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. 0 0 27666388 26324728 Medical 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. 30085769 31881581 Cardiology 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. 43384037 45389152 Surgical 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. 38843320 0 83892756 All 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. 38843320 83892756 139979514 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 1 326 0 1 1157 1 0 0 0 0 0 0 0 0 0 0 0 X 6 2 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 X Fleury Yelvington Sch O 2.00 X X 0 954787 53367 Steve Cleary Sch O 2.00 X X 0 311916 59188 Michael Dorsey start 1011 2.00 X X 0 77518 11490 Scott Kashman end 711 2.00 X X 0 326081 36004 Donald Clement MD Ex-officio 2.00 X 0 0 0 John Dunlap MD 1.00 X 2000 0 0 Spencer Kerly MD Ex-Officio 2.00 X 0 0 0 Carla Brogdon Sch O 2.00 X 0 52908 14886 Karen Lee end 312 2.00 X 0 349976 17883 Jane Falk 40.00 X 197535 0 34664 Thomas Gialde 40.00 X 148385 0 43450 Alan Greenwood 40.00 X 203958 0 32587 John Hally 40.00 X 142843 0 43570 Anita Rivera 40.00 X 137126 0 24690 831847 2073186 371779 16 0 1 0 Physician Reference Lab LLC PO Box 802262 Kansas City MO 64180 Lab Services 4214856 Excel Constructors (Sch O) 8041 W 47th Street Overland Park KS 66203 Construction Services 2968320 TriMedx 6325 Digital Way Ste 400 Indianapolis IN 46278 Bio-Med Services 1981563 Trane Service Group 1316 Adams Kansas City MO 66103 Heating and Cooling Services 1402970 Aramark Healthcare Support Svcs PO Box 651009 Charlotte NC 28265 Food Services 1386525 27 134012 19268 7920 161200 Net Patient Revenue 621990 186569862 186569862 186569862 2615216 2615216 318119 460121 -142002 -142002 -142002 43850 41105 2745 2745 2745 324387 190626 133761 133761 Life Flight 621990 1144256 1144256 Medicaid Incentive 900099 446109 446109 Plant Services Revenue 900099 396817 396817 918355 918355 2905537 192246319 187488217 0 4596902 25527 25527 43000 43000 52784190 47633886 5150304 1561629 1410405 151224 5031984 4544701 487283 3800583 3451117 349466 152657 152657 12523 12523 14335737 13598921 736816 37556 32250 5306 35227262 34832366 394896 40616 40616 4404537 2751648 1652889 84048 80389 3659 1588 1588 1759035 1363428 395607 6004795 4577315 1427480 832217 832217 Corporate Allocation 27622412 412316 27210096 Bad Debts 14395889 14395889 0 0 MO State Assessment Fee 8349579 8349579 0 0 Purchased Services 1922015 1204201 717814 0 677727 441155 236572 179107106 139979514 39127592 0 7901283 4731044 20163980 20965430 3385417 3304651 1123012 1503488 115623341 50470835 62270733 65152506 2079616 3223872 174234 73244450 50589358 170168491 149644583 48497787 23664444 48497787 23664444 X 121595615 125848028 75089 132111 121670704 125980139 170168491 149644583 X 13139213 -8829778 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 12523 12523 0 Explanation of Lobbying Activities: Part II-B, Line 1: Lobbying 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. 0 0 1931137 1931137 68622356 26025397 42596959 41606603 23847619 17758984 3463245 597819 2865426 65152506 Estimated Settlement from Third Parties 58778 Donor Restricted 19865 Gift Shop Other Assets 3653 Interest in investments held by Ascension Health Alliance's Alpha Fund 50507062 50589358 Self Insurance Liability 1025422 Intercompany Debt to Ascension Health Alliance 21553941 Gift Shop Accounts Payable 25685 Valuation Allowance 900000 Other Non-Current 159396 23664444 1 1 X 1 X 1 X 1 1 1 0 1 1 1678546 1678546 0.01020 19204022 14802610 4401412 0.02670 20882568 14802610 6079958 0.03690 47 4409 589029 50234 538795 0.00330 3 1953 7658355 6346956 1311399 0.00800 62 50 336681 336681 0.00200 112 6412 8584065 6397190 2186875 0.01330 112 6412 29466633 21199800 8266833 0.05020 11 3056 3056 0.00000 15 4035 4035 0.00000 26 7091 7091 0 3731256 76201816 83173918 -6972102 X 1 1 1 1 St Joseph Medical Center

1000 Carondelet Drive Kansas City MO 64114

X X X St Joseph Medical Center 1 1 1 200.000000000000 1 300.000000000000 1 X X X X 1 1 X X X 1 0 1 X 0 0 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. St. Joseph Medical Center 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. 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. Reports Filed With States Part VI, Line 7 MO 0 Certifications 21 6027 Scholarships 12 17500 Junior Awards 4 2000 0 1 0 0 0 0 0 0 0 Fleury Yelvington Sch O 0 482482 0 328758 0 143547 0 40633 0 12734 0 1008154 0 0 Steve Cleary Sch O 0 286774 0 0 0 25142 0 45381 0 13807 0 371104 0 0 Scott Kashman end 711 0 278049 0 0 0 48032 0 22564 0 13440 0 362085 0 0 Karen Lee end 312 0 42524 0 0 0 307452 0 5082 0 12801 0 367859 0 0 Jane Falk 157137 0 45 0 40353 0 26905 0 7759 0 232199 0 0 0 Thomas Gialde 145486 0 25 0 2874 0 32078 0 11372 0 191835 0 0 0 Alan Greenwood 196175 0 7000 0 783 0 16289 0 16298 0 236545 0 0 0 John Hally 131748 0 95 0 11000 0 36713 0 6857 0 186413 0 0 0 Anita Rivera 126210 0 140 0 10776 0 17580 0 7110 0 161816 0 0 0 Part I, Line 4b Supplemental Information Part III Part 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 Supplemental Information Part III 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. 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 Jeff Lee Family Member of Karen Lee 73189 Employment 0 Schedule L, Part IV: Business Transactions Involving Interested Persons: Jeff 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 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 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 St. Joseph Medical Center has a single corporate member, Carondelet Health. Form 990, Part VI, Section A, line 7a St. 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 7b All 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 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 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 15 In 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 19 The 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 Ascension Health PO Box 45998 St Louis MO 63145 311662306 National Health System MO Section 501(c)(3) Schedule A, Line 11a Ascension Health Alliance 0 Carondelet Health 1000 Carondelet Drive Kansas City MO 641144673 431276738 System Parent MO Section 501(c)(3) Schedule A, Line 11c Ascension Health 0 Carondelet Health Corp & Affiliates Employee Health & Dental Care 1000 Carondelet Drive Kansas City MO 641144673 431116849 VEBA MO Section 501(c)(9) N/A Carondelet Health 1 Carondelet Home Care Services 11050 Roe Suite 120 Overland Park MO 66211 431379352 Home Health Care Services MO Section 501(c)(3) Schedule A, Line 3 Carondelet Health 1 Carondelet Long-Term Care Faciliites Inc 1000 Carondelet Drive Kansas City MO 641144673 742505427 Long Term Care MO Section 501(c)(3) Schedule A, Line 9 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 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 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 South Kansas City Surgical Center LLC 10730 Nall Ste 100 Overland Park KS 66211 Health Care KS N/A Indian Creek Center Inc 1000 Carondelet Drive Kansas City MO 641144673 480956627 Management MO N/A C Carondelet Management Company Inc 11050 Roe Suite 110 Overland Park KS 66211 431352545 Health Management KS N/A C Carondelet Pharmacy 1000 Carondelet Drive Kansas City MO 641144673 431699329 Pharmacy MO N/A C Carondelet Primary Care Network Inc 1000 Carondelet Drive Kansas City MO 641144673 431596702 Health Care MO N/A C Saint Joseph Ambulatory Surgical Center LLC 1000 Carondelet Drive Kansas City MO 641144673 251905706 Health Care MO N/A C Carondelet Occupational Health Wellness & Educational Serv Inc 1000 Carondelet Drive Kansas City MO 641144673 861144194 Health Care MO N/A C Carondelet Physician Services 1000 Carondelet Drive Kansas City MO 641144673 562661163 Health Care MO N/A C Carondelet Medical Enterprises 1000 Carondelet Drive Kansas City MO 641144673 562661165 Office Admin. Services MO N/A C Carondelet Cardiology Services 1000 Carondelet Drive Kansas City MO 641144673 271322670 Cardiology Services MO N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 Carondelet Health Corp & Affil Employee Health and Dental Care Q 6710441 Journal Entry Carondelet Medical Enterprise Q 1505000 Journal Entry Carondelet Cardiology Services Q 700000 Journal Entry Carondelet Physician Services Q 1587288 Journal Entry Carondelet Health Q 11076495 Journal Entry Carondelet Cardiology Services R 623585 Journal Entry Carondelet Occupational Health Wellness and Educational Services Inc R 1183845 Journal Entry Carondelet Health N 8286724 Journal Entry Carondelet Health Q 8286724 Journal Entry Carondelet Home Care Services Q 2275271 Journal Entry Carondelet Medical Enterprise R 1946009 Journal Entry Carondelet Cardiology Services Q 10358803 Journal Entry Carondelet Occupational Health Wellness and Educational Services Inc Q 5000558 Journal Entry St Joseph Medical Center Foundation O 229619 Journal Entry St Mary's Medical Center Foundation Q 69865 Journal Entry St Mary's Medical Center Q 1978844 Journal Entry