2013-05-14T20:00:44-05:00 2012-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2011-07-01 521311775 ST JOSEPH PHYSICIAN ENTERPRISE INC STJO 4103371602 7601 Osler Drive Towson MD 21204 DOUG WICKERHAM 2012-10-03 true Pamela Krohn P01210500 3032989100 2011 2016-02-24 21:20:13Z BETH O'BRIEN SVP OPERATIONS 3900 Olympic Boulevard 400 Erlanger KY 410183509 37900425 false X WWW.SJMC.ORG X 2008 MD ST. JOSEPH PHYSICIAN ENTERPRISE, INC. (SJPE) STRIVES TO PROMOTE AND DEVELOP HEALTHY COMMUNITIES THROUGH ITS INTEGRATED MODEL OF EMPLOYED PHYSICIANS AND ITS ALLIANCE WITH ST. JOSEPH MEDICAL CENTER, INC. 7 1 240 1 0 0 10425416 11971625 26202473 25928800 0 0 0 0 36627889 37900425 0 0 0 0 26751244 26253975 0 0 0 9882427 11615688 36633671 37869663 -5782 30762 3803580 4054668 4059010 4279336 -255430 -224668 X THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. false false 31778068 0 25928800 SEE SCHEDULE O 31778068 true true false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false true false false false false false true false false false false true 0 0 240 true false false false false false false false false false false X 7 1 false false false false true true true true true false false true true true true true false false true false MD X Cathy Dal Santo VP Financial Rptg 3032989100 198 Inverness Drive West Englewood CO 80112 X CHARLES NEUMANN 5.00 X X 0 348000 0 GAIL CUNNINGHAM 1.00 X X 0 106384 0 JEFFREY NORMAN 1.00 X X 0 692317 38291 EDWARD GILLISS ESQ 1.00 X 0 0 0 KENNETH SIBILA 40.00 X 224803 0 19088 MARK SABA 40.00 X 299220 0 43398 MICHAEL SCHULTZ 40.00 X 577199 172520 43608 TODD PHILLIPS 5.00 X 0 203904 23460 RICHARD IMBIMBO 5.00 X 0 304616 48253 LINDA ADLER 40.00 X 320546 0 43349 MICHAEL LANGBAUM 40.00 X 398957 0 34622 STEPHEN POLLOCK MD MD 40.00 X 635336 0 39394 FARHAN MAJEED 40.00 X 585051 0 41187 JUDITH ROSSITER 40.00 X 495435 103948 46058 MAHMOOD ALIKHAN 40.00 X 592167 0 33242 MARK KRASNA 40.00 X 129467 758284 40838 RC FINNEY JR 40.00 X 501524 28360 41710 JANICE DUNN 0.00 X 0 161761 19021 4759705 2880094 555519 74 true true true MCKESSON TECHNOLOGIES INC PO BOX 98347 CHICAGO IL 60693 BILLING SERVICES 1434418 PPICPREFERRED PROF INS CO 11605 MIRACLE HILLS DR STE 200 OMAHA NE 681544467 MALPRACTICE INSURANCE 966498 HH&W LLC 100 PAINTERS MILL ROAD STE 900 OWINGS MILLS MD 21117 RENTAL SERVICES 317656 MEDICAL MUTUAL PO BOX 8016 225 INTERNATIONAL CIR HUNT VALLEY MD 210308016 MALPRACTICE INSURANCE 258924 EQUATION CONSULTING INC 2650 S DECKER LAKE BLVD SUITE 122 SALT LAKE CITY UT 84119 LEADERSHIP AND CONSULTING SERVICES 247293 12 11971625 11971625 PATIENT SERVICES 900099 25928013 25928013 RENTAL INCOME 900099 787 787 0 0 0 0 25928800 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37900425 25928800 0 0 0 0 0 0 2664426 2397983 266443 0 19988271 18967240 1021031 1215524 1142593 72931 1219387 1146224 73163 1166367 1096385 69982 0 0 0 0 0 0 5447177 2335989 3111188 135 110 25 599985 488988 110997 0 0 1102547 898576 203971 84682 69016 15666 0 4270 3480 790 0 0 222601 178081 44520 1616866 1317746 299120 BAD DEBTS 1218735 1218735 RESTRUCTING LOSSES 684429 684429 EDUCATION 72237 58873 13364 DUES & SUBSCRIPTIONS 77544 63198 14346 484480 394851 89629 0 37869663 31778068 6091595 0 0 168815 160292 1960218 2069797 71 557364 723619 1897266 796306 1117112 1100960 0 0 0 0 0 0 3803580 4054668 760285 1702949 3298725 2576387 4059010 4279336 X -255430 -224668 -255430 -224668 3803580 4054668 30762 0 X false true true X false X X X false false false ST JOSEPH MEDICAL CENTER INC 520591461 3 true false false 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 622447 171864 450583 0 1250819 624442 626377 24000 24000 1100960 0 INTERCOMPANY PAYABLES 1609263 EXPENSE ACCRUALS 967124 2576387 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 ST. JOSEPH PHYSICIAN ENTERPRISE, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2012 READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS." true true false false false false false true false CHARLES NEUMANN 0 0 0 0 0 348000 0 0 0 0 0 348000 0 0 FARHAN MAJEED 582300 0 1995 0 756 0 20228 0 20959 0 626238 0 0 0 JANICE DUNN 0 0 0 0 0 161761 0 12085 0 6936 0 180782 0 0 JEFFREY NORMAN 0 333624 0 135859 0 222834 0 20228 0 18063 0 730608 0 41478 JUDITH ROSSITER 425959 103948 67544 0 1932 0 25128 0 20930 0 541493 103948 0 0 KENNETH SIBILA 204225 0 20000 0 578 0 18151 0 937 0 243891 0 0 0 LINDA ADLER 301409 0 18350 0 787 0 22678 0 20671 0 363895 0 0 0 MAHMOOD ALIKHAN 496499 0 85000 0 10668 0 20228 0 13014 0 625409 0 0 0 MARK KRASNA 129467 305450 0 150188 0 302646 0 20228 0 20610 129467 799122 0 0 MARK SABA 274087 0 24529 0 604 0 22678 0 20720 0 342618 0 0 0 MICHAEL LANGBAUM 300066 0 55371 0 43520 0 27578 0 7044 0 433579 0 0 0 MICHAEL SCHULTZ 566531 172520 0 0 10668 0 22678 0 20930 0 620807 172520 0 0 RC FINNEY JR 499592 28360 0 0 1932 0 22678 0 19032 0 543234 28360 0 0 RICHARD IMBIMBO 0 242700 0 15000 0 46916 0 32728 0 15525 0 352869 0 0 STEPHEN POLLOCK MD MD 544792 0 85000 0 5544 0 20228 0 19166 0 674730 0 0 0 TODD PHILLIPS 0 203049 0 0 0 855 0 16267 0 7193 0 227364 0 0 METHODS USED TO ESTABLISH CEO COMPENSATION SCHEDULE J, PART I, LINE 3 COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Severance or change-of-control payment Schedule J, Part I, Line 4a POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CATHOLIC HEALTH INITIATIVES (A RELATED ORGANIZATION) DURING THE 2011 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: JEFFREY NORMAN $112,521 THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM ST. JOSEPH MEDICAL CENTER, INC. DURING THE 2011 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: JANICE DUNN $163,566 MARK KRASNA $297,112 Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b DURING THE 2011 CALENDAR YEAR, CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: JEFFREY NORMAN. DURING 2011, NO CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: DURING 2011, THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: JEFFREY NORMAN $41,478 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2011 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2011, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: JEFFREY NORMAN $30,381 DURING THE 2011 CALENDAR YEAR, ST. JOSEPH MEDICAL CENTER, INC. ("SJMC"), MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: RICHARD IMBIMBO AND TODD PHILLIPS. DURING 2011, THE FOLLOWING CONTRIBUTIONS WERE MADE BY SJMC TO THE DEFERRED COMPENSATION PLAN: RICHARD IMBIMBO $12,500 DURING 2011, NO DISTRIBUTIONS WERE MADE BY SJMC FROM THE DEFERRED COMPENSATION PLAN: DUE TO THE "SUPER" VESTING RULES UNDER THE SJMC DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2011 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2011, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: TODD PHILLIPS $9,625 Non-fixed payments Schedule J, Part I, Line 7 ST. JOSEPH PHYSICIAN ENTERPRISE, INC ("SJPE") MAINTAINS A VARIABLE PAY PLAN FOR EMPLOYEES AT THE LEVEL OF MANAGER AND ABOVE(EXCEPT FOR PHYSICIANS) THAT PUTS A CERTAIN AMOUNT OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION UNDER THE VARIABLE PAY PLAN ARE MADE BASED UPON ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES INCLUDING PERFORMANCE IN RELATION TO BUDGET, AND ACHIEVEMENT OF INDIVIDUAL GOALS. ALL COMPENSATION, INCLUDING ANY INCENTIVE COMPENSATION, IS CAPPED TO ENSURE THAT COMPENSATION REMAINS AT FAIR MARKET VALUE. PHYSICIAN INCENTIVES ARE GENERALLY FIXED WITH THE EXCEPTION OF THE SJPE HOSPITALISTS. EACH OF THE SJPE HOSPITALISTS PARTICIPATE IN AN INCENTIVE COMPENSATION ARRANGEMENT A COMPONENT OF WHICH IS DEPENDENT UPON ACHIEVEMENT OF QUALITY AND PATIENT SATISFACTION OBJECTIVES AS WELL AS ATTAINING OPTIMAL UTILIZATION OF HOSPITAL RESOURCES, DEMONSTRATING STRONG TEAM SKILLS, PROFESSIONALISM AND GOOD CITIZENSHIP. REPORTABLE INDIVIDUALS COMPENSATED BY UNRELATED ORGANIZATIONS PART II THE SERVICES PROVIDED BY CHARLES NEUMANN AS INTERIM CEO FOR ST. JOSEPH MEDICAL CENTER, INC. ("SJMC") WERE PART ON AN AGREEMENT WITH FTI CONSULTING TO PROVIDE INTERIM MANAGEMENT SERVICES TO SJMC. FEES PAID TO FTI CONSULTING ASSOCIATED WITH MR. NEUMANN'S SERVICES ARE DISCLOSED ON FROM 990, SCHEDULE J, PART II, ROW (I) AND 990, PART VII, COLUMN (D) AS A REPORTING ORGANIZATION. TOWSON MEDICAL ASSOCIATES BOARD MEMBER 25% OWNERSHIP INTEREST 1680090 SUPPORT SERVICES AND EQUIPMENT RENTAL false PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A ST. JOSEPH PHYSICIAN ENTERPRISE, INC. (SJPE) PROVIDES QUALITY PROFESSIONAL MEDICAL SERVICES TO ITS COMMUNITY IN CONJUNCTION WITH AND IN SUPPORT OF ST. JOSEPH MEDICAL CENTER, TOWSON, MD, WHICH IS ALSO A 501(C)(3) CHARITABLE, TAX EXEMPT ORGANIZATION. SJPE PROVIDES THESE SERVICES TO THE COMMUNITY WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SJPE RECOGNIZES THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PAY FOR ESSENTIAL MEDICAL SERVICES. MOREOVER, IT IS SJPE'S MISSION TO SERVE THE COMMUNITY BY PROVIDING PROFESSIONAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THE COMMITMENT OF ST. JOSEPH MEDICAL CENTER TO SERVE ALL MEMBERS OF THE COMMUNITY WITH FREE CARE AND/OR SUBSIDIZED CARE. SJPE ALSO SPONSORS HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXIST. THE STATE OF MARYLAND RANKS 41 OUT OF THE 50 STATES IN INFANT MORTALITY. IN ADDITION, 9.2% OF THE BABIES BORN IN BALTIMORE COUNTY HAVE LOW OR VERY LOW BIRTH WEIGHT, COMPARED WITH 7%+ IN THE SURROUNDING COUNTIES. ST. JOSEPH MEDICAL CENTER'S WOMEN'S HEALTH ASSOCIATES (WHA), A COMPONENT OF SJPE, ADDRESSES THIS HEALTH CARE PRIORITY BY PROVIDING NEEDED GYNECOLOGICAL AND OBSTETRICAL SERVICES FOR WOMEN WHO HAVE LIMITED FINANCIAL RESOURCES AND/OR HAVE NO HEALTH INSURANCE. EACH YEAR, THE WHA STAFF OF FOUR PHYSICIANS AND SIX MIDWIVES SEES APPROXIMATELY 10,500 -11,000 PATIENTS AND DELIVERS 550 BABIES AT MINIMAL OR NO COST TO THE PATIENT. THIS PROGRAM IS FLOURISHING AND WILL CONTINUE TO PROVIDE EXCELLENT QUALITY TO THOUSANDS OF EXPECTING FAMILIES. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 ACCORDING TO THE BYLAWS OF ST JOSEPH PHYSICIAN ENTERPRISE, INC., THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a THE ORGANIZATION'S CORPORATE MEMBER HAS THE POWER TO APPOINT, REMOVE OR REPLACE THE MEMBERS OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, THE SOLE MEMBER SHALL FILL ALL VACANCIES ON THE BOARD OF TRUSTEES CREATED BY REMOVAL, RESIGNATION, OR DEATH; PROVIDED HOWEVER, THAT FOLLOWING SUCH ACTION, NO MORE THAN FORTY NINE PERCENT OF TOTAL MEMBERS OF THE BOARD OF TRUSTEES SHALL BE COMPRISED OF THE CEO OF THE CORPORATION AND THE PHYSICIAN MEMBERS. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF ST. JOSEPH PHYSICIAN ENTERPRISE, INC. * AMENDMENT OF THE CORPORATE DOCUMENTS OF ST. JOSEPH PHYSICIAN ENTERPRISE, INC. * APPROVE MEMBERS OF THE ST. JOSEPH PHYSICIAN ENTERPRISE, INC. BOARD * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. JOSEPH PHYSICIAN ENTERPRISE, INC. * APPROVAL OF ISSUANCE OF DEBT BY ST. JOSEPH PHYSICIAN ENTERPRISE, INC. * APPROVAL OF PARTICIPATION OF ST. JOSEPH PHYSICIAN ENTERPRISE, INC. IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. JOSEPH PHYSICIAN ENTERPRISE, INC. * APPROVAL OF A MERGER INVOLVING ST. JOSEPH PHYSICIAN ENTERPRISE, INC. * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ST. JOSEPH PHYSICIAN ENTERPRISE, INC. * TO REQUIRE THE TRANSFER OF ASSETS BY THE ST. JOSEPH PHYSICIAN ENTERPRISE, INC. TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR ST. JOSEPH PHYSICIAN ENTERPRISE, INC. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b ONCE THE RETURN IS PREPARED, IT WILL BE PROVIDED TO THE BOARD MEMBERS. THIS WILL BE PRIOR TO THE FILING DEADLINE. SUBSEQUENT TO REVIEW BY THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. Conflict of interest policy Form 990, Part VI, Section B, Line 12c ANNUAL DISCLOSURE FORMS ARE REQUIRED TO BE COMPLETED BY EMPLOYED PHYSICIANS, EXECUTIVES AND DIRECTORS OF THE ORGANIZATION. AT THE TIME OF THE EMPLOYEE'S ANNUAL EVALUATION, THE EMPLOYEE'S DIRECT MANAGER OR SUPERVISOR SHALL REVIEW THIS POLICY WITH THE EMPLOYEE. A NEW FORM SHOULD BE COMPLETED ON AN ANNUAL BASIS. THE FORMS ARE REVIEWED BY THE VP OF HR AND CRO. THE FOLLOWING ACTIONS MAY BE TAKEN AGAINST EMPLOYEES WITH CONFLICTS: 1) ASKING THE EMPLOYEE TO DIVEST THEMSELVES OF OWNERSHIP, INTEREST, OR STOCK IN THE OTHER ENTITY; 2) REASSIGNING THE EMPLOYEE TO A DIFFERENT POSITION; AND 3) HAVING THE EMPLOYEE ABSTAIN FROM MAKING A DECISION RELATED TO THE CONFLICTING ENTITY. THE DIVISIONAL VICE PRESIDENT, AND THE VP OF HUMAN RESOURCES OF A RELATED ORGANIZATION, ST. JOSEPH MEDICAL CENTER, INC. WILL IMPLEMENT THE REQUIRED ACTIONS. A RANDOM SAMPLE OF EMPLOYEE FILES WILL BE REVIEWED ANNUALLY TO ENSURE COMPLIANCE WITH THIS POLICY IMPLEMENT THE REQUIRED ACTIONS. PROCESS FOR DETERMINING CEO'S COMPENSATION FORM 990, PART VI, LINE 15A THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 2012. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b THE ORGANIZATION USES A THIRD-PARTY CONSULTANT TO SURVEY COMPENSATION TRENDS ANNUALLY AND RECOMMEND COMPENSATION RANGES FOR EXECUTIVE MANAGEMENT OFFICIALS. THESE RECOMMENDATIONS ARE PRESENTED TO THE BOARD FOR FINAL DETERMINATION AND APPROVAL. THE SALARIES ARE COMPARED TO INDUSTRY STANDARDS AND GUIDELINES FOR APPROPRIATENESS. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. IN ADDITION, THE STATE OF MARYLAND HEALTH SERVICES COST REVIEW COMMISSION WILL MAKE THE STATEMENTS AVAILABLE. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT PUBLICLY AVAILABLE. ESTIMATE OF HOURS DEVOTED TO RALATED ORGANIZATIONS FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) NORMAN WAS A CEO PAID BY CHI. HIS CEO DUTIES WERE SPLIT BETWEEN THE THREE FOLLOWING ORGANIZATIONS: ST. JOSEPH MEDICAL CENTER, INC AT 75%, ST. JOSEPH PHYSICIAN ENTERPRISE, INC. AT 20% AND ST. JOSEPH MEDICAL CENTER FOUNDATION, INC. AT 5%. COMPENSATION REPORTED ON FORM 990, PART VII AS PAID BY RELATED ORGANIZATIONS WAS PAID TO THESE INDIVIDUALS FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES. ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA NE 68124 470484764 HEALTHCARE NE 501(C)(3) 3 CHI true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HEALTHCARE IA 501(C)(3) 3 AHBMHS true ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) 9 CHI true APPLETREE COURT 601 OAK STREET BRECKENRIDGE MN 56520 411850500 SENIOR HOMES MN 501(C)(3) 9 SFH true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES IA 50314 420725196 LTERM CARE IA 501(C)(3) 9 CHI-IA CORP true BORNEMANN HEALTHCARE CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 232187242 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON ND 58421 450227311 HEALTHCARE ND 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) 9 NA true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 840902211 FUNDRAISING CO 501(C)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 270930004 FUNDRAISING CO 501(C)(3) 9 CHI true CATHOLIC HEALTH INITIATIVES-COLORADO 188 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 840405257 HEALTHCARE CO 501(C)(3) 3 CHI true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG OR 97470 263946191 PHYSICIANS OR 501(C)(3) 9 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 SURGERY CNTR KS 501(C)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY FARGO ND 58104 271966847 HEALTHCARE ND 501(C)(3) 3 CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(C)(3) 11 - Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(C)(3) 11 - Type I CHI NS true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(C)(3) 9 CHI true CHI NEBRASKA 6940 O STREET SUITE 200 LINCOLN NE 68510 363233121 HEALTHCARE NE 501(C)(3) 11 - 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