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JEWISH HOSPITAL & ST MARYS HEALTHCARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
JEWISH HOSPITAL & ST MARYS HEALTHCARE INC (EIN 61-1029768)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201223189349304862
Schema version
2011v1.3
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)
Timestamp2012-11-13T17:22:48-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 W Main St Ste 1700 PO Box 1178AddressLine1
CityLouisvilleCity
StateKYState
ZIP Code402011178ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN611029768EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JEWISH HOSPITAL & ST MARY'S HEALTHCARE INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% RONALD J FARRInCareOfName
Name ControlJEWINameControl
Phone5025403888Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1539 S 4TH STREETAddressLine1
CityLOUISVILLECity
StateKYState
ZIP Code40202ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRONALD J FARRName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2012-11-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5025810435Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRonald FarrNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1200 Abraham Flexner WayAddressLine1
CityLouisvilleCity
StateKYState
ZIP Code40202ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1018586155GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.JHSMH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionIN CONSONANCE WITH OUR JEWISH AND CATHOLIC BELIEFS, TRADITIONS AND HERITAGE OF SERVICE, IT IS THE MISSION OF JHSMH TO PROVIDE HEALTH CARE SERVICES OF WORLD CLASS QUALITY TO ALL PEOPLE.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees7488TotalNbrEmployees
Total Nbr Volunteers702TotalNbrVolunteers
Total Gross UBI557555TotalGrossUBI
Net Unrelated Business Txbl Income500799NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5765870ContributionsGrantsPriorYear
Contributions Grants Current Year5555006ContributionsGrantsCurrentYear
Program Service Revenue Prior Year914023129ProgramServiceRevenuePriorYear
Program Service Revenue CY874813862ProgramServiceRevenueCY
Investment Income Prior Year9338160InvestmentIncomePriorYear
Investment Income Current Year10816022InvestmentIncomeCurrentYear
Other Revenue Prior Year10168845OtherRevenuePriorYear
Other Revenue Current Year6797358OtherRevenueCurrentYear
Total Revenue Prior Year939296004TotalRevenuePriorYear
Total Revenue Current Year897982248TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4937756GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY5782514GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year350902184SalariesEtcPriorYear
Salaries Etc Current Year350067278SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2528375TotalFundrsngExpCurrentYear
Other Expense Prior Year547551916OtherExpensePriorYear
Other Expenses Current Year500729447OtherExpensesCurrentYear
Total Expenses Prior Year903391856TotalExpensesPriorYear
Total Expenses Current Year856579239TotalExpensesCurrentYear
Revenues Less Expenses Prior Year35904148RevenuesLessExpensesPriorYear
Revenues Less Expenses CY41403009RevenuesLessExpensesCY
Total Assets BOY809069662TotalAssetsBOY
Total Assets EOY842256263TotalAssetsEOY
Total Liabilities BOY585057763TotalLiabilitiesBOY
Total Liabilities EOY606509141TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY224011899NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY235747122NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionIN CONSONANCE WITH OUR JEWISH AND CATHOLIC BELIEFS, TRADITIONS AND HERITAGE OF SERVICE, IT IS THE MISSION OF JHSMH TO PROVIDE HEALTH CARE SERVICES OF WORLD CLASS QUALITY TO ALL PEOPLE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense569947830Expense
Revenue715030073Revenue
Description1. Acute Care and Outpatient Services -------------------------------------- Jewish Hospital --------------- Jewish Hospital opened in 1905 with a mission to provide all patients with the highest quality care and a strong emphasis on research and education. Today, Jewish Hospital is a 462-bed, internationally renowned, high-tech tertiary referral center developing leading-edge advancements in service lines including but not limited to hand and microsurgery, heart and lung care, orthopaedics, neuroscience, organ transplantation and outpatient care. Many of the hospital's clinical programs have achieved national rankings for excellence. In 2011, Jewish Hospital received the American Stroke Association's Get With The Guidelines - Stroke (GWTG-Stroke) Gold Performance Achievement Award. The award recognizes both hospitals' commitment and success in implementing a higher standard of stroke care by ensuring that stroke patients receive treatment according to nationally accepted standards and recommendations. In addition, the facility received the Anthem Blue Cross and Blue Shield Blue Distinction Award for Hip, Knee and Spine Surgery, recognizing the experience and training of the program's surgeons, the quality management programs, integrated care and patient education. The facility also received the KODA Tissue Donation Performance Award and was ranked No. 1 in Louisville in the US News World Reports best hospitals metro area rankings. Noted for numerous medical "firsts" in Kentucky, the nation and the world, Jewish Hospital is the site of the nation's first successful hand transplant, Kentucky's first double hand transplant and the world's first and second successful AbioCor Implantable Replacement Heart transplants. Jewish Hospital was the first in the Louisville area to offer robotically-assisted heart procedures. The hospital is federally designated to perform all five solid organ transplants - heart, lung, liver, kidney and pancreas. In 2010, the hospital opened the Center for Advanced Heart Failure and Cardiothoracic Transplantation, a one-stop location for patients experiencing heart failure. Patients can learn about clinical trials, Ventricular Assist Devices, transplantation options along with other potential treatment plans and visit with a physician and a clinical coordinator. The facility also opened a designated Chest Pain Observation Unit. In addition, the hospital partners with the Louisville Science Center and Greater Louisville Medical Society to run Pulse of Surgery, a program that broadcasts live heart surgeries to the Science Center for school groups to learn about wellness and potential healthcare careers. Other services at Jewish Hospital include: Inpatient Care 24/7 Emergency Care Full Range of Diagnostic Services Surgical Care including: outpatient surgery and the da Vinci S Surgical System for minimally invasive procedures Heart Care including: a full continuum of care from prevention to rehabilitation Neuroscience Orthopaedics Sports Medicine Vascular Care Sts. Mary & Elizabeth Hospital ------------------------------ Built on a tradition of care and energized by advancements in 21st century medicine, Sts. Mary & Elizabeth Hospital is one of Louisville's best community hospitals. This 331-bed primary care hospital offers advanced treatment in vascular care, cancer care, cardiac care, wound care, lung disease, orthopaedics, general surgery and emergency services. Serving the south Louisville community for more than a century, Sts. Mary & Elizabeth Hospital has cared for generations of families in this community. In 2011, Anthem Blue Cross and Blue Shield in Kentucky has designated Sts. Mary & Elizabeth Hospital (SMEH) as Blue Distinction Centers for Knee and Hip Replacement. The Blue Distinction designation is awarded by the Blue Cross and Blue Shield companies to medical facilities that have demonstrated expertise in delivering quality healthcare in the areas of bariatric surgery, cardiac care, complex and rare cancers, knee and hip replacement, spine surgery and transplants. Located on the Sts. Mary's & Elizabeth Hospital medical campus, The Women's Center, offers the latest medical technology for breast and bone health in a women-only environment The Center offers the latest in digital technology including, soft-pad mammography, computer-aided detection, stereotactic breast biopsies, ultrasound and bone-density testing. Sts. Mary & Elizabeth Hospital is also home to Jewish Bariatric Care, a surgical weight-loss solution - known as the LAP-BAND System - with a long-term, comprehensive support program. In 2011, the American Society of Metabolic and Bariatric Surgery and the Surgical Review Corporation announced that Jewish Bariatric Care at Sts. Mary & Elizabeth Hospital (SMEH), along with Louisville Bariatric Surgical Associates were approved for renewal as a Bariatric Surgery Center of Excellence. Aetna also recognized Sts. Mary & Elizabeth Hospital as an Aetna Institutes of Quality Bariatric Surgery Facility. In addition, Sts. Mary & Elizabeth Hospital has a Sleep Disorders Center and Wound Healing Center. The Sleep Center is accredited by the American Academy of Sleep Medicine. It provides treatment for patients with all types of sleep disorders, including sleep apnea and narcolepsy, and is equipped to meet the special needs of patients including those who are handicap and those suffering from obesity. A multitude of diagnostic and treatment options are available for patients at the Wound Healing Center, including state of the art Hyperbaric Oxygen Chambers. Sts. Mary & Elizabeth Hospital has the largest chambers available in the state. Hyperbaric chambers provide an oxygen-rich environment allowing the body's natural wound-healing mechanisms, which are oxygen dependent, are able to function more efficiently. Other services at Sts. Mary & Elizabeth Hospital include: Inpatient Care 24/7 Emergency Care Full Range of Diagnostic Services including: digital technology and interventional radiology Outpatient Care including St. Mary's Surgery Center and lab services Orthopaedics Sleep Disorders Center The Women's Center (digital technology) Bariatric Care Wound Healing Center Vascular Care Jewish Hospital Shelbyville --------------------------- Jewish Hospital Shelbyville was founded in 1906 by the King's Daughters and Sons Organization, and purchased by Jewish Hospital & St. Mary's HealthCare in 1992. This 76-bed hospital provides excellence in care to the residents of Shelby, Henry and Spencer counties. Located just 30 minutes east of downtown Louisville, Jewish Hospital Shelbyville provides a full range of comprehensive inpatient and outpatient services. The focus on growth combined with reinvestment in new technology has made this small, community hospital truly unique in its ability to provide high tech care, usually found only in larger metropolitan areas. The hospital offers: Inpatient Care 24/7 Emergency Care Critical Care General and Specialty Surgeries Cardiac & Pulmonary Rehab Spine Surgery Diagnostic Imaging, including: MRI, CT, nuclear studies, digital mammography Skilled Nursing Facility Sleep Lab Laboratory Frazier Rehab Institute Wound Healing Center Jewish Hospital Medical Center East ---------------------------------- Offering patients "health care of the future now," Jewish Hospital Medical Center East is a three-story, 210,000 square-foot outpatient facility conveniently located at the corner of Breckenridge and Dutchmans Lanes. Jewish Hospital Medical Center East offers this region's only gender-specific approach to outpatient diagnostic procedures. Services include: 24/7 Emergency Care Full range of Diagnostic Services including digital technology Outpatient Surgery Sleep Lab Frazier Rehab Jewish Hospital Medical Center Northeast ---------------------------------------- Jewish Hospital Medical Center Northeast, a four-story, 120,000 square foot facility located at 2401 Terra Crossing Boulevard, opened in August 2009. Medical Center Northeast is an outpatient diagnostic/treatment and emergency care facility designed with our patients' needs in mind. JHMCNE provides a private, relaxing patient care environment with care delivered by an experienced and highly-trained staff. It is easily accessible and within close proximity to a growing number of neighborhoods and schools. Services offered at the medical center include: 24/7 Emergency services with care provided by Board-certified Emergency Medicine physicians Advanced diagnostic medical imaging - MRI, PET/CT, CT, fluoroscopy, full-field digital mammography, nuclear medicine, x-ray, ultrasound and DEXA/bone density Comprehensive outpatient cancer treatment services including radiation therapy and infusion Holistic medicine - including massage therapy, reflexology and craniosacral therapy Cardiac services including stress testing, EKG, holter monitoring and echocardiography Laboratory services Frazier Rehab Institute outpatient services EmployDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense40538465Expense
Revenue47001075Revenue
Description2. Rehabilitation Services ------------------------------------- Frazier Rehab and Neuroscience Center ------------------------------------- Frazier Rehab Institute is a comprehensive rehabilitation system providing therapy in an acute care setting for inpatient and outpatient rehab needs. Comprehensive rehab programs, highly skilled therapists, state-of-the-art facilities and innovative therapeutic techniques have earned Frazier Rehab Institute national recognition. Patients span the age range from infancy to geriatrics with a wide variety of diagnoses which include neurological (spinal cord injury, brain injury, movement disorders, and stroke), amputations, multiple trauma, orthopaedic, arthritis, cardiopulmonary, congenital, developmental, degenerative, general medical cases and work injuries. Additionally, Frazier Rehab has a community fitness and wellness gym for individuals (and their families) with permanent physical disabilities. The fully accessible gym is designed to improve cardiovascular/aerobic fitness, muscular strength and flexibility through the use of specialized equipment. In 2011, Frazier Rehab, along with the University of Louisville, was awarded a multi-million dollar grant to establish one of fourteen national model systems for spinal cord injury in Louisville. This latest grant builds upon and advances the collaborative research program in identifying evidence-based approaches to treating spinal cord injury.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense46437368Expense
Revenue55275063Revenue
Description3. Psychiatric Health Services ------------------------------------- Our Lady of Peace -------------------- Our Lady of Peace is one of the largest private, not-for-profit psychiatric hospitals in the country, offering a full continuum of psychiatric treatment including inpatient, partial hospitalization and outpatient services for children, adolescents, and adults. Our Lady of Peace has an Access Center open 24/7 for persons in crisis situations. They even have mobile assessment services throughout the Louisville Metro area and psychiatric consultation services at Jewish Hospital and Sts. Mary & Elizabeth Hospital. Our Lady of Peace has a multi-disciplinary team of professionals which includes attending psychiatrists, nurses, social workers, teachers, activity therapists, behavioral analysts, chaplains and mental health workers. The staff is trained to address an array of emotional/behavioral/psychiatric disorders, such as depression; anxiety; post-traumatic stress; chronic pain; grief and loss; and chemical dependencies. In April 2009, Our Lady of Peace opened Kentucky's first intensive special needs Psychiatric Residential Treatment Facilities (PRTF) serving children ages 12-17. The new facilities were designed and built for children with psychiatric conditions and other special needs including mental retardation, autism or brain injury. The $2.1 million building project includes two, unique facilities in Kentucky designed to serve as "step down" residential centers for children and adolescents coming from inpatient psychiatric hospital care. Each facility includes nine beds, a food preparation area, dining area, bath and classroom. In addition, Kosair Charities Children's Peace Center at Our Lady of Peace serves as the banner for the hospital's children's programs, which include no charge assessments by professional clinicians, inpatient care, day and evening outpatient programs and specialized services such as Peace Academy, a partnership with Jefferson County Public Schools that allows children to continue their class-work while receiving treatment. In May 2012 Our Lady of Peace was notified that they had received the Kentucky Hospital Association Quality Award for Psychiatric Hospital Care for 2011.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp46831841TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt5782514TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev57507651TotalOfOtherProgramServiceRev
Total Program Service Expense703755504TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096488NumberFormsTransmittedWith1096
Number W2 G Included14NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees7488NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRONALD J FARRNamePerson
Telephone Number5025403888TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 ABRAHAM FLEXNER WAYAddressLine1
CityLOUISVILLECity
StateKYState
ZIP Code40202ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (44 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
RONALD W ABRAMS
Trustee3.0X000
HENRY M ALTMAN JR
Trustee3.0X000
LOUANN ATLAS
Chairperson5.0X000X
Rick Chapman
TRUSTEE3.0X000
DAVID W FENNELL
TRUSTEE3.0X000
SR SUSAN GATZ
TRUSTEE3.0X000
LAMAN A GRAY JR MD
TRUSTEE3.0X000
ROBERT G HAMMER MD
TRUSTEE3.0X000
SANDRA BARR HAMMOND
TRUSTEE3.0X000
Alice Houston
Trustee3.0X000
DOUGLAS JAMES
TRUSTEE3.0X000
MARK R JONES MD
TRUSTEE3.0X000
David Kaplan
TRUSTEE3.0X000
ELAINE MUSSELMAN
TRUSTEE3.0X000
BILL SAMUELS JR
TRUSTEE3.0X000
JULIAN L SHAPERO
FORMER CHAIR3.0X000
GERALD D TEMES MD
TRUSTEE3.0X000
Paul Edgett
Trustee3.0X000
LOUIS I WATERMAN
TRUSTEE3.0X000
JO ANN ROONEY
Vice Chair3.0X000X
MARK R SWITOW
TRUSTEE3.0X000
David Laird
President & Chief Executive Of55.0555855087566X
Ron Farr
Senior VP, CFO & Treasurer55.0408990095210X
John Johnson
General Counsel55.0237568015180X
DEBORAH MOLNAR
SR VP &Chief Operating Officer55.0364690050758X
Martin Bonick
JHSMH Senior Vice President55.0362572018779X
Thomas Gessel
JHSMH Senior Vice President55.0398433013413X
Edgar Farmer
VP - Chief People Person55.0311464028459X
Michael Collins
JHSMH Vice President55.0241289026070X
Cheryl Fugatte
VP-Patient Services CNO55.0194411020219X
Mark Dean
VP-Performance Improvement55.022162402220X
Maria Russo
Chief Information Officer55.0210345013596X
JAMES KETTERHAGEN MD
CHIEF MEDICAL OFFICER55.03789460123187X
JENNIFER NOLAN
JHSMH Vice President-OLOP55.0235172020778X
SHELLEY SHAUGHNESSY
JHSMH Vice President-Amb Svcs55.0230090024979X
ELIZABETH HALL
VICE pRESIDENT, cOMPLIANCE55.0194916023046X
GERRIE LEPPERT
President-VNA Nazareth Home Ca55.0160282012440X
JAMES PAROBEK
President-SMEH55.0143798085384X
JEANETTA BOSLEY
PHYSICIAN55.0211343013725X
Randy Napier
JHSMH Vice PResident55.0213016029098X
VAL SLAYTON
Physician55.0328667027329X
ROBERT SMITH MD
PHYSICIAN55.0240597024454X
RUTH WHEATLEY
VP-TAYLOR REGIONAL HOSPITAL55.0306204015930X
ROBERT SHIRCLIFF
FORMER PRESIDENT and CEO0.039782400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6548096TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation771820TotalOtherCompensation
Number Individuals GT100 K171NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ARAMARK HEALTHCARE SUPPORT SERVICES
1101 MARKET STREETPHILADELPHIAPA19107FOOD SERVICES21394016
HARSHAW TRANE SERVICE
12700 PLANTSIDE DRIVELOUISVILLEKY40299CONSULTING8899906
PEROT SYSTEMs
2300 WEST PLANO PARKWAYPLANOTX75075IT SERVICES10470423
IASIS
805 OXMOOR WOODS PARKWAYLOUISVILLEKY40222PHYSICIAN SERVICES8140551
CATHOLIC HEALTH INITIATIVES
3100 OLYMPIC BLVDERLANGERKY41018PURCHASED SERVICES8379072
FieldValueIRS element (for citing)
Number Of Contractors GT100 K241NumberOfContractorsGT100K
Fundraising Events284662FundraisingEvents
Government Grants27500GovernmentGrants
All Other Contributions5242844AllOtherContributions
Noncash Contributions100185NoncashContributions
Total Contributions5555006TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES621990823621526823234429387097
SUPPORT SVC9000991460427914486615117664
PHARMACY4461101990971619909716
CONTRACTED SERVICES90000456439365643936
RENTAL INCOME -AFFILIATES53119043787534378753

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column6655652TotalRevenueColumn
Related Or Exempt Function Income6602858RelatedOrExemptFunctionIncome
Unrelated Business Revenue52794UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue874813862TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7051423TotalRevenueColumn
Exclusion$7,051,423ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Personal31710Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Personal31710Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column31710TotalRevenueColumn
Exclusion$31,710ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities124133930Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities120369331Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3764599Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3764599TotalRevenueColumn
Exclusion$3,764,599ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events173730GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events284662CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses202417FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-28687TotalRevenueColumn
Exclusion-$28,687ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming44450GrossIncomeGaming
Gaming Direct Expenses32159GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column12291TotalRevenueColumn
Exclusion$12,291ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
FLOOD REIMBURSEMENT9000995749965$5,749,965
GIFT SHOP453220638606$638,606
PARKING81293085549$85,549

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column307924TotalRevenueColumn
Exclusion$307,924ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue6782044TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column897982248TotalRevenueColumn
Related Or Exempt Function Income874256307RelatedOrExemptFunctionIncome
Unrelated Business Revenue557555UnrelatedBusinessRevenue
Exclusion$17,613,380ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total5583301Total
Program Services5583301ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total199213Total
Program Services199213ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5511729Total
Management And General5511729ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total280030483Total
Program Services241634378ProgramServices
Management And General38200578ManagementAndGeneral
Fundraising195527Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total17617330Total
Program Services15492564ProgramServices
Management And General2113786ManagementAndGeneral
Fundraising10980Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total26398855Total
Program Services21627199ProgramServices
Management And General4752877ManagementAndGeneral
Fundraising18779Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total20508881Total
Program Services17983744ProgramServices
Management And General2525137ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4279082Total
Program Services41843ProgramServices
Management And General4237239ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1228485Total
Program Services62246ProgramServices
Management And General1166239ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total154956Total
Management And General154956ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total587092Total
Program Services233269ProgramServices
Management And General353823ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total110706153Total
Program Services77675458ProgramServices
Management And General32796112ManagementAndGeneral
Fundraising234583Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total5814271Total
Program Services204456ProgramServices
Management And General5609815ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total40682237Total
Program Services30343401ProgramServices
Management And General10306350ManagementAndGeneral
Fundraising32486Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total17338448Total
Program Services916817ProgramServices
Management And General16421631ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total21154286Total
Program Services14739182ProgramServices
Management And General6415104ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1825134Total
Program Services1211721ProgramServices
Management And General593605ManagementAndGeneral
Fundraising19808Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total22696095Total
Program Services16066000ProgramServices
Management And General6625068ManagementAndGeneral
Fundraising5027Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total34675569Total
Program Services26186328ProgramServices
Management And General8489219ManagementAndGeneral
Fundraising22Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total8332928Total
Program Services6391879ProgramServices
Management And General1941049ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
BAD DEBTS3319089833190898
UNIV. OF LOUISVILLE SUPPORT1038771310387713
PROVIDER TAX1424185014241850
MEDICAL SUPPLIES164921001164921001

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8513249Total
Program Services4421043ProgramServices
Management And General2081043ManagementAndGeneral
Fundraising2011163Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total856579239Total
Program Services703755504ProgramServices
Management And General150295360ManagementAndGeneral
Fundraising2528375Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13187BOY
EOY13035EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY93600558BOY
EOY46175995EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3681347BOY
EOY3999944EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY210195330BOY
EOY250778412EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY398318BOY
EOY1312EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY17035573BOY
EOY15769798EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10880824BOY
EOY10867709EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis663773787LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec473823937LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY167144567BOY
EOY189949850EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY252025439BOY
EOY273358822EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY28517531BOY
EOY27722191EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY4654647BOY
EOY8266889EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY20922341BOY
EOY15352306EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY809069662BOY
EOY842256263EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY204192789BOY
EOY221582383EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY376165000BOY
EOY375430000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4677294BOY
EOY4803435EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY22680BOY
EOY4693323EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY585057763BOY
EOY606509141EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY209069954BOY
EOY221575341EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8127929BOY
EOY7370439EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6814016BOY
EOY6801342EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY224011899BOY
EOY235747122EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY809069662BOY
EOY842256263EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses41403009ReconcilationRevenueExpenses
Reconcilation Other Changes-29667786ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

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)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$154,956DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$133,899OtherActivitiesAmount
Total Lobbying Expenditures IIB288855TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING EXPENSESIdentifier
Return ReferenceSchedule C, Part II-B, Line IReturnReference
ExplanationJSHMH PAYS DUES To professional healthcare organizations. A portion of THESE DUES ARE used for lobbying activities: $96,150 Allocated Salary of employees involved with Advocacy efforts: $37,749Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance7542004BeginningOfYearBalance
Contributions145533Contributions
Investment Earnings Or Losses158207InvestmentEarningsOrLosses
Grants Or Scholarships198915GrantsOrScholarships
End Of Year Balance7646829EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance6582229BeginningOfYearBalance
Contributions169959Contributions
Investment Earnings Or Losses857243InvestmentEarningsOrLosses
Grants Or Scholarships67427GrantsOrScholarships
End Of Year Balance7542004EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6470364BeginningOfYearBalance
Contributions333991Contributions
Investment Earnings Or Losses1035497InvestmentEarningsOrLosses
Grants Or Scholarships121593GrantsOrScholarships
Other Expenditures1136030OtherExpenditures
End Of Year Balance6582229EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6470364BeginningOfYearBalance
End Of Year Balance6470364EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.89000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.11000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis18929373OtherCostOrOtherBasis
Book Value18929373BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis172874006OtherCostOrOtherBasis
Depreciation102540480Depreciation
Book Value70333526BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis15148656OtherCostOrOtherBasis
Depreciation7640097Depreciation
Book Value7508559BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis454206448OtherCostOrOtherBasis
Depreciation363643360Depreciation
Book Value90563088BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2615304OtherCostOrOtherBasis
Book Value2615304BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings189949850TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
UNUSED BOND PROCEEDS$16,731
DUE TO THIRD PARTIES$4,676,592
FieldValueIRS element (for citing)
Total Of Amounts4693323TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INCOME TAXESSCH D, PART X, LINE 2----------------------- MOST OF THE INCOME RECEIVED BY JHSMH AND CERTAIN AFFILIATES IS EXEMPT FROM TAXATION UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. SOME OF ITS SUBSIDIARIES ARE TAXABLE ENTITIES, AND SOME OF THE INCOME RECEIVED BY OTHERWISE EXEMPT ENTITIES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. JHSMH FILES FEDERAL INCOME TAX RETURNS AS WELL AS INCOME TAX RETURNS IN KENTUCKY AND INDIANA. ASC 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740 ALSO PROVIDES GUIDANCE ON DESCRIPTION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. NO AMOUNT HAS BEEN RECORDED RELATED TO ASC 740 AT EITHER DECEMBER 31, 2011 OR 2010.
INTENDED USES OF ENDOWMENT FUNDSSCH D, PART V, LINE 4------------------------ Endowed assets are to be held in perpetuity, the income from which is expendable to support various JHSMH programs as designated by the donor. Significant programs include nursing and other medical scholarships and research programs.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures1727182TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent1727182SubtotalAmountSpent
Total Amount Spent1727182TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CotruePassiveForeignInvestCo
Foreign PartnershiptrueForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CIRCLE OF CARENameOfEvent1
Gross Receipts Event1132400GrossReceiptsEvent1
Charitable Contributions Event140400CharitableContributionsEvent1
Gross Revenue Event192000GrossRevenueEvent1
Rent Facility Costs Event120351RentFacilityCostsEvent1
Other Direct Expenses Event117811OtherDirectExpensesEvent1
Name Of Event2DOCTOR'S BALLNameOfEvent2
Gross Receipts Event2325992GrossReceiptsEvent2
Charitable Contributions Event2244262CharitableContributionsEvent2
Gross Revenue Event281730GrossRevenueEvent2
Rent Facility Costs Event263285RentFacilityCostsEvent2
Entertainment Event21000EntertainmentEvent2
Other Direct Expenses Event299970OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total458392GrossReceiptsTotal
Charitable Contributions Total284662CharitableContributionsTotal
Gross Revenue Total Events173730GrossRevenueTotalEvents
Rent Facility Costs Total Events83636RentFacilityCostsTotalEvents
Entertainment Total Events1000EntertainmentTotalEvents
Other Direct Expenses Total Events117781OtherDirectExpensesTotalEvents
Direct Expense Summary Events202417DirectExpenseSummaryEvents
Net Income Summary-28687NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming44450GrossRevenueOtherGaming
Non Cash Prizes Other Gaming30423NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming1736OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming44450GrossRevenueTotalGaming
Non Cash Prizes Total Gaming30423NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming1736OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming32159DirectExpenseSummaryGaming
Net Gaming Income Summary12291NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedKYStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Own Facility1.00000PercentageOfGamingOwnFacility
Name Of Gaming Rec Keeper PersonJHSM FOUNDATIONNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1200 ABRAHAM FLEXNER WAYAddressLine1
CityLouisvilleCity
StateKYState
ZIP Code40202ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Gaming Manager Name PersonCAROL WADEGamingManagerNamePerson
Gaming Manager Services ProvidedMANAGEMENTGamingManagerServicesProvided
Gaming Manager Is Director OfficerXGamingManagerIsDirectorOfficer
Charitable Distrib RequiredtrueCharitableDistribRequired
Amount Distributed80765AmountDistributed

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CarefalseFPGReferenceFreeCare
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense39928549TotalCommunityBenefitExpense
Direct Offsetting Revenue3808420DirectOffsettingRevenue
Net Community Benefit Expense36120129NetCommunityBenefitExpense
Percent Of Total Expense0.04390PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense92694394TotalCommunityBenefitExpense
Direct Offsetting Revenue82766913DirectOffsettingRevenue
Net Community Benefit Expense9927481NetCommunityBenefitExpense
Percent Of Total Expense0.01210PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense132622943TotalCommunityBenefitExpense
Direct Offsetting Revenue86575333DirectOffsettingRevenue
Net Community Benefit Expense46047610NetCommunityBenefitExpense
Percent Of Total Expense0.05600PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2924348TotalCommunityBenefitExpense
Direct Offsetting Revenue8865DirectOffsettingRevenue
Net Community Benefit Expense2915483NetCommunityBenefitExpense
Percent Of Total Expense0.00350PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense538494TotalCommunityBenefitExpense
Net Community Benefit Expense538494NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense17682438TotalCommunityBenefitExpense
Direct Offsetting Revenue15426421DirectOffsettingRevenue
Net Community Benefit Expense2256017NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense4966712TotalCommunityBenefitExpense
Net Community Benefit Expense4966712NetCommunityBenefitExpense
Percent Of Total Expense0.00600PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1365495TotalCommunityBenefitExpense
Net Community Benefit Expense1365495NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense27477487TotalCommunityBenefitExpense
Direct Offsetting Revenue15435286DirectOffsettingRevenue
Net Community Benefit Expense12042201NetCommunityBenefitExpense
Percent Of Total Expense0.01460PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense160100430TotalCommunityBenefitExpense
Direct Offsetting Revenue102010619DirectOffsettingRevenue
Net Community Benefit Expense58089811NetCommunityBenefitExpense
Percent Of Total Expense0.07060PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense43229TotalCommunityBuildingExpense
Net Community Building Expense43229NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense43229TotalCommunityBuildingExpense
Net Community Building Expense43229NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$33,190,898BadDebtExpenseAmount
Amount Reimbursed By Medicare267866654AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare249399789CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall18466865MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
SCA Prem Surg Ctr
Management Services0.510000.49000
Surgery Ctr of Loui
Management Services0.510000.49000
FieldValueIRS element (for citing)
Number Of Hospital Facilities6NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (6 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24Hours
Jewish Hospital
1200 Abraham Flexner WayLouisvilleKY40202XXXXX
Frazier Rehabilitation Instiute
2220 Abraham Flexner WayLouisvilleKY40202X
Sts Mary & Elizabeth Hospital
31850 Bluegrass AvenueLouisvilleKY40215XXX
Our Lady of Peace
42020 Newburg RoadLouisvilleKY40205XX
SHELBYVILLE HOSPITAL
5727 HOSPITAL DRIVESHELBYVILLEKY40065X
Jewish Hospital Medical Center South
61903 West Hebron LaneShepherdsvilleKY40165XXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (6 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeUses FPG DiscountedUsesFPGDiscountedExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationOther Actions TakenOtherActionsTakenNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossChargesCHNA ConductedCHNAConducted
Jewish Hospital
1truefalsefalsetrueXXXXXXtruetrueXXXXXtruefalseXXXXXtrueXfalsefalse
Frazier Rehabilitation Instiute
2truefalsefalsetrueXXXXXXtruetrueXXXXXtruefalseXXXXXXfalsefalse
Sts Mary & Elizabeth Hospital
3truefalsefalsetrueXXXXXXtruetrueXXXXXtruefalseXXXXXtrueXfalsefalse
Our Lady of Peace
4truefalsefalsetrueXXXXXXtruetrueXXXXXtruefalseXXXXXtrueXfalsefalse
SHELBYVILLE HOSPITAL
5truefalsefalsetrueXXXXXXtruetrueXXXXXtruefalseXXXXXtrueXfalsefalse
Jewish Hospital Medical Center South
6truefalsefalsetrueXXXXXXtruetrueXXXXXtruefalseXXXXXtrueXfalsefalsefalse

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities30NumberOfOtherFacilities

Other Facilities OtherFacilities (30 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
JEWISH HOSPITAL MEDICAL CENTER EAST
3920 DUTCHMANS LANELOUISVILLEKY40207AMBULATORY CARE CENTER EMERGENCY ROOM
RUDD HEART AND LUNG CENTER
201 ABRAHAM FLEXNER WAYLOUISVILLEKY40202DOCTOR OFFICES/SUITES CATH LAB
OUTPATIENT CARE CENTER
225 ABRAHAM FLEXNER WAYLOUISVILLEKY40202AMBULATORY CARE CENTER DOCTOR OFFICES
MEDICAL PLAZA - DOCTORS OFFICE BUILDING
100 EAST LIBERTY STREETLOUISVILLEKY40202DOCTOR OFFICES
SOUTHWEST AMBULATORY CARE CENTER
9700 STONESTREET ROADLOUISVILLEKY40272DIAGNOSTIC IMAGING AMBULATORY CARE EMERGENCY ROOM
JEWISH HOSPITAL NORTHEAST
2401 TERRA CROSSING BLVDLOUISVILLEKY40245AMBULATORY CARE CENTER EMERGENCY ROOM
VNA NAZARETH HOME CARE
5000 COMMERCE CROSSING DR STE 100ALOUISVILLEKY40229HOME INFUSION
CANCER BLOOD SPECIALIST
1460 BLUEGRASS AVELOUISVILLEKY40215OUTPATIENT CANCER CARE
OPEN MRI & PT SCAN (SKYCARE)
200 EAST LIBERTY STREETLOUISVILLEKY40202MRI CENTER MOBILE PET
MRI BUILDING
221 EAST CHESTNUTLOUISVILLEKY40202MRI CENTER
ST MARYS SURGICAL CENTER
4414 CHURCHMAN AVENUELOUISVILLEKY40215OUTPATIENT SURGERY
EAST CORF OUTPATIENT REHAB
4912 US HIGHWAY 42 STES 102 104LOUISVILLEKY40222OUTPATIENT REHAB FACILITY
JEWISH HOSPITAL HEALTH CENTER - MEADE CO
534 FAIRWAY DRIVEBRANDENBURGKY40108DOCTOR OFFICE
MEDICAL CENTER EAST ORF -OUTPTNT REHAB
3920 DUTCHMANS LANELOUISVILLEKY40207OUTPATIENT REHAB FACILITY
ST MARYS & ELIZABETH HOSPITAL
4402 CHURCHMAN AVE STE 106LOUISVILLEKY40215OUTPATIENT REHAB FACILITY
BULLITT COUNTY ORF - OUTPATIENT REHAB
1905 WEST HEBRON LANESHEPHARDSVILLEKY40165OUTPATIENT REHAB FACILITY
U OF L SPORT MEDICINE - OUTPATIENT REHAB
201 ABRAHAM FLEXNER WAY STE 102LOUISVILLEKY40202OUTPATIENT REHAB FACILITY
FERN VALLEY ORF AND OPS MEDICINE CENTER
100 HIGH RISE DRIVE STE 110LOUISVILLEKY40213OUTPATIENT REHAB FACILITY
NEWBURG CORF - OUTPATIENT REHAB
3430 NEWBURG ROAD STE 111LOUISVILLEKY40218OUTPATIENT REHAB FACILITY
STONESTREET ORF - OUTPATIENT REHAB
9700 STONESTREET ROADLOUISVILLEKY40272OUTPATIENT REHAB FACILITY
SOUTHWEST ORF - OUTPATIENT REHAB
6801 DIXIE HIGHWAY STE 129LOUISVILLEKY40258OUTPATIENT REHAB FACILITY
OWSLEY BROWN FRAZIER SPORTS MEDICINE
215 CENTRAL AVENUE STE 200LOUISVILLEKY40208OUTPATIENT REHAB FACILITY
SPRINGHURST CORF - OUTPATIENT REHAB
4801 OLYMPIA PARK PLAZA 1600LOUISVILLEKY40241OUTPATIENT REHAB FACILITY
CROSSROADS SOUTH
4606 HAZELWOOD AVELOUISVILLEKY40215MENTAL HEALTH COUNSELING CTR
JEFFERSONTOWN ORF - OUTPATIENT REHAB
10216 TAYLORSVILLE RD STE 950LOUISVILLEKY40299OUTPATIENT REHAB FACILITY
SOUTHERN INDIANA ORF - OUTPATIENT REHAB
2201 GREENTREE BOULEVARD NORTHCLARKSVILLEIN47129OUTPATIENT REHAB FACILITY
SOUTHERN INDIANA YMCA CORF
4812 HAMBURG PIKEJEFFERSONVILLEIN47130OUTPATIENT REHAB FACILITY
CORYDON CORF - OUTPATIENT REHAB
313 FEDERAL DRIVE NORTHWESTCORYDONKY47112OUTPATIENT REHAB FACILITY
NORTHEAST OUTPATIENT REHAB
2401 TERRA CROSSING BLVD STE 204LOUISVILLEKY40245OUTPATIENT REHAB FACILITY
MEADE COUNTY ORF - OUTPATIENT REHAB
534 HILLCREST DRIVEBRANDENBURGKY40108OUTPATIENT REHAB FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Schedule H, Part ILINE 3CJHSMH uses HUD Geographic Very Low-Income Guidelines to determine eligibility for Charity Care. A patient qualifies for 100% assistance if their annual income is below 130% of the HUD Geographic Very Low-Income Guidelines for the Louisville, Kentucky metro region. Discounted Care is provided for patients with annual income greater than 130% but not in excess of 195% of the HUD Geographic Very Low-Income Guidelines. JHMSH's method for determining Free and discounted care provides Free care at approximately 200% of the Federal Poverty Level and Discounted care up to approximately 400% of the Federal Poverty Level. In situations where patients have other assets, liquid assets are defined as investments that could be converted into cash within one year; these will be evaluated as cash available to meet living expenses. Assets that should not be considered as available to meet living expenses include: the patient's primary place of residence; adequate transportation; adequate life insurance; and sufficient financial reserves to provide normal living expenses if the wage earners are unemployed or disabled.
SCHedule H, PART ILINE 7JHSMH is a single provider which includes several hospital facilities. Facilities that utilize a cost accounting system calculate amounts reported on Schedule H, Part I, line 7 by utilizing the cost accounting system. For those facilities that do not have a cost accounting system, amounts are determined by multiplying revenue by the cost to charge ratio calulated from Worksheet 2. Bad Debts included in Part IX, Line 25 totaled $33,190,898. This amount has been removed from total expenses calculated in Column f on Schedule H, Part II.
Schedule H, Part IIILINE 2JHSMH is a single provider which includes several hospital facilities. Facilities that utilize a cost accounting system calculate amounts reported on Schedule H, Part III, line 2 by utilizing the cost accounting system. For those facilities that do not have a cost accounting system, amounts are determined by multiplying revenue by the cost to charge ratio calulated from Worksheet 2.
Schedule H,Part IIILINE 8Costs reported on Line 6 are obtained from the Medicare cost report which are based on a cost to charge ratio.
Schedule H, Part IIILINE 9BFor patients known to have Charity eligibility, an approval letter is sent to the patient, which describes JHSMH Policies regarding qualifying for Charity Care as well as contact information for assistance. Before accounts are turned over to collections, JHSMH utilizes a Risk-Assessment Scoring system which predicts the likelihood of a patient qualifying for financial assistance and charity care. This predictive model uses 9,000 database sources comprising more than 2 billion public record sources to provide a socioeconomic score for these underserved patients. JHSMH classifies patients as Charity Care if they qualify for Presumptive Charity based on their Charity Score.
Schedule H, Part VILine 2During 2008 JHSMH initiated a community health needs assessment utilizing the Association for Community Health Improvement's Community Health Needs Assessment approach. JHSMH's approach includes six steps. 1. Establish the Assessment Infrastructure 2. Define the Purpose and Scope of Assessment 3. Collect and Analyze Data 4. Select Priorities 5. Develop Action Plan 6. Document and Communicate Results A community benefit oversight committee was established to coordinate the Community Health Needs Assessment. This committee along with input from JHSMH Leadership, JHSMH Board Mission Committee, and community leaders provided input into this process. As part of this process Key Health Findings were highlighted and communicated to the various groups above. Based on the assessment, as well as further discussions with various JHSMH team members, the following priorities were identified and action plans has been developed for 2009-2010. Cardiovascular Disease Diabetes Cancer Mental Health/Violence Prevention
Schedule H, Part VILine 31. Charity care policies and procedures will be in place at all JHSMH-owned facilities to address any instances in which patients may be eligible for financial assistance when accessing services. 2. Signs will be posted in the access areas advising patients of the availability of financial assistance. Staff members will communicate the contents of the signs to people who do not appear to be able to read. 3. Patients receiving emergency services will be treated in accordance with JHSMH emergency services policy, developed in accordance with EMTALA and other requirements. Upon registration, patients without Medicare/Medicaid, other local health care financial assistance or adequate health insurance will receive either (1) a packet of information that addresses the financial assistance policy and procedures or (2) immediate financial counseling assistance from staff. The packet will clearly indicate that JHSMH provides care, without regard to ability to pay, to individuals with limited financial resources, and explain how patients may apply for financial assistance. In instances where there are a significant number of patients not proficient in reading, writing or speaking English, additional information will be provided to complete necessary forms. 4. Upon registration, a non-emergency patient scheduling an admission or other procedure without Medicare/Medicaid, other local health care financial assistance or adequate health insurance shall receive either (1) a packet of information that addresses the financial assistance policy and procedures, including an application for such assistance, or (2) immediate financial counseling assistance from staff, including the presentation of the application for financial assistance. JHSMH's Patient Access personnel should begin the process to assess financial ability as soon as patients contact the hospital to schedule a procedure or when they register as a patient.
Schedule H, Part VILine 4Jewish Hospital & St. Mary's HealthCare, Inc. (JHSMH) is a Kentucky nonstock, nonprofit corporation organized and operated to provide a regional health care network that includes more than 70 health care facilities and 1,925 patient beds in Kentucky and southern Indiana. Kentucky has approximately 684,000 individuals who live below the Federal Poverty level which represents 16.9% of the state's population. This percentage exceeds the national average of 13.4% and ranks Kentucky's poverty level as the 6th highest in the United States. Jefferson County, Kentucky has approximately 102,000 individuals who live below the Federal Poverty LEvel. JHSMH's primary service area is Louisville Metro area and surrounding counties. However, our service area expands to the total state of Kentucky, even the entire country for some of our services provided at our facilities. Our Lady of Peace, one of the largest private, non-profit psychiatric hospitals in the country -- treats patients with emotional/behavioral/psychiatric disorders and/or chemical dependencies. This facility, with specialized units and program areas, offers short-term acute/semi-acute inpatient care programs as well as treatment alternatives such as partial hospitalization and intensive outpatient programs for children, adolescents and adults. Made up of inpatient and outpatient facilities across the region, Frazier Rehabilitation Hospital incorporates a 135-bed hospital on the Jewish Hospital Medical Campus, over twenty community-based outpatient rehab sites in Kentucky and southern Indiana, and Southern Indiana Rehab Hospital, a 60-bed inpatient hospital (owned in partnership with Floyd Memorial Hospital and Health Services and Clark Memorial Hospital). Extensive specialty rehab programs, highly skilled therapists, state-of-the-art facilities and innovative therapeutic techniques have earned national recognition for Frazier Rehab Institute, making it one of the top rehab institutions in the region. Jewish Hospital has long been a leader in heart care serving as home to a number of medical "firsts" including the worlds first Abiocor artificial heart implant, the worlds first phase-one, FDA-approved clinical trial using c-kit positive adult cardiac stem cells and Kentuckys first, nations second implantation of the HeartWare System ventricular assist device (VAD). Treating patients from across the greater Louisville region, the heart care program at Jewish Hospital offers a full continuum of care from prevention to rehabilitation, from ventricular assist devices to transplantation. The Jewish Hospital Hand Care Center serves as the first facility of its type. The Hand Care Center has specially designed hand operating rooms and serves patients needing care for hand, arm and shoulders. In addition, the Emergency Room at Jewish Hospital offers a dedicated Hand Care Emergency Room with specially trained staff on hand 24/7. Patients come from all over to receive treatment from the world-renowned physicians from Kleinert Kutz Hand Care. In addition, the Hand Care Center is home to the nations first four hand transplants and Kentuckys first double hand transplant.
Schedule H, Part VILine 5Activities included in Community Support, Coalition Building and Community Health Improvement Advocacy that promote the health of our community are discussed below: Kids Caf- The Kid's caf is a safe place where kids can come and enjoy a hot nutritious meal at no charge. JHSMH supports Kid's caf' with monetary support. Jewish Hospital & St. Mary's HealthCare (JHSMH) has been working to keep the less fortunate warm during the winter months by supporting the Blanket Louisville program, which began five years ago by the Fedher family of Louisville. Blanket Louisville was created out of a desire to help the homeless and less fortunate. The ultimate mission in collecting these blankets is to not only warm bodies, but also to warm hearts. Conference and meeting facilities within the premises are provided to outside organizations such as support groups, to present and discuss health-related topics. Working with area ministry groups in our primary service area, JHSMH provides meals for persons who are homebound. We provide a hot meal each day that is delivered by volunteers 365 days a year. Staff members at JHSMH lead the coordination and distribution of food and gift baskets for identified economically disadvantaged families in the community. These programs are offered to the community to help alleviate the economic distress brought on during the holiday season. JHSMH Team Members also provide time and support to: -SPAVA- Prevent Aggressiveness & Violence Among Adolescents -Youth Building Activities -Everyone Reads Program through Jefferson County Public Schools -Various Health Coalitions
Schedule H, Part VILine 6JHSMH and its subsidiaries are an integrated regional health care system that provide a complete array of health care services, including: three acute care hospitals, outpatient care, cancer care, occupational health, home health care, psychiatric care and rehab medicine. JHSMH is the sole corporate member of nonprofit corporations, JH Properties, Inc. (JH Properties) and Jewish Physician Group at Jewish Hospital & St. Mary's HealthCare, Inc. (JPG).
Schedule H, Part V (All Hospital Facilities)Lines 9 & 10JHSMH uses HUD Geographic Very Low-Income Guidelines to determine eligibility for Charity Care. A patient qualifies for 100% assistance if their annual income is below 130% of the HUD Geographic Very Low-Income Guidelines for the Louisville, Kentucky metro region. Discounted Care is provided for patients with annual income greater than 130% but not in excess of 195% of the HUD Geographic Very Low-Income Guidelines. JHMSH's method for determining Free and discounted care provides Free care at approximately 200% of the Federal Poverty Level and Discounted care up to approximately 400% of the Federal Poverty Level. In situations where patients have other assets, liquid assets are defined as investments that could be converted into cash within one year; these will be evaluated as cash available to meet living expenses. Assets that should not be considered as available to meet living expenses include: the patient's primary place of residence; adequate transportation; adequate life insurance; and sufficient financial reserves to provide normal living expenses if the wage earners are unemployed or disabled.
Schedule H, Part V (All Hospital Facilities)Line 17eBefore accounts are turned over to collections, JHSMH utilizes a Risk-Assessment Scoring system which predicts the likelihood of a patient qualifying for financial assistance and charity care. This predictive model uses 9,000 database sources comprising more than 2 billion public record sources to provide a socioeconomic score for these underserved patients. JHSMH classifies patients as Charity Care if they qualify for Presumptive Charity based on their Charity Score.
Schedule H, Part V (All Hospital Facilities)Line 19THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS BASED UPON HUD Very Low Income Guidelines STATED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
Schedule H, Part IIILine 4Patient receivables and net patient service revenue are derived primarily from patients who reside in Kentucky and southern Indiana. Patient receivables consist of amounts due from third-party payors, including federal and state programs, commercial insurance companies and individual patients, for health care services rendered. Management maintains an allowance for doubtful accounts to reserve for estimated losses based on the length of time the account has been past due and historical collection experience.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (29 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
Kosair Charities Inc
812 S 2nd StreetLouisvilleKY40202611028725501(c)(3)6000General Support
Kentucky Derby Museum
704 Central AvenueLouisvilleKY40208311023459501(c)(3)8000General Support
Colon Cancer Prevention Project
1733 Frankfort AvenueLouisvilleKY40206201510713501(c)(3)10000General Support
Southwest Community Festival
10309 Dixie HighwayLouisvilleKY40272614688315501(c)(3)10000General Support
Louisville Urban League
1535 W BroadwayLouisvilleKY40203610444771501(c)(3)10500General Support
Fund for the Arts
623 W Main StreetLouisvilleKY40202610479226501(c)(3)15000General Support
American Cancer Society
701 N Muhammad AliLouisvilleKY40201081310006501(C)(3)12500General Support
American Lung Association of Kentucky
1105 Marquis TraceLouisvilleKY40223610444714501(c)(3)13500General Support
Center for Women & Families
PO Box 2048LouisvilleKY40201610444846501(c)(3)87141VIOLENCE PREVENTION226 W Breckinridge
UNIVERSITY OF LOUISVILLE
University of LouisvilleLouisvilleKY40202611029626Gov. Unit4277106MEDICAL RESEARCH, Medical School Support
Jewish Hospital HealthCare SErvices Inc
200 Abraham Flexner WayLouisvilleKY40202208805455501(c)(3)1000000General Support
Cardiovascular Innovation Institute
302 E Muhammad Ali BlvdLouisvilleKY40202201319658501(c)(3)935000MEDICAL RESEARCH
Women for Women
325 W Main StreetLouisvilleKY40202611240049501(C)(3)16500General Support
American Heart Association
7272 Greenville AvenueDallasTX75231135613797501(c)(3)40000GENERAL SUPPORT
CATHOLIC HEALTH INITIATIVE
3900 OLYMPIC BLVD STE 400ERLANGERKY41018470617373501(c)(3)26820GENERAL SUPPORT
WESTERN KENTUCKY UNIVERSITY
216 CRAVENSBOWLING GREENKY42101611358086501(c)(3)8000GENERAL SUPPORT
INDIANA UNIVERSITY SOUTHEAST
4201 GRANT LINE RDNEW ALBANYIN47150610237560501(c)(3)8000GENERAL SUPPORT
CHRISTINE M KLEINERT INSTITUTE
225 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611110645501(c)(3)81175GENERAL SUPPORT
BELLARMINE UNIVERSITY
2001 NEWBURG RDLOUISVILLEKY40205610482955501(c)(3)8000GENERAL SUPPORT
LOUISVILLE SCIENCE CENTER
727 WEST MAIN STLOUISVILLEKY40202311005850501(c)(3)28287GENERAL SUPPORT
UNIVERSITY OF LOUISVILLE FOUNDATION
DEVELOPMENT OFFICELOUISVILLEKY40208237078461501(c)(3)1100000GENERAL SUPPORT
LOUISVILLE METRO DEPARTMENT of Health
400 EAST GRAY STLOUISVILLEKY40202GOV. UNIT85936GENERAL SUPPORT
NATIONAL FDN TO SUPPORT CELL TRANSPLANT RESEARCH
333 EAST MAINLOUISVILLEKY40202830392250501(c)(3)27442GENERAL SUPPORT
MASSACHUSETTS GENERAL HOSPITAL-DERM
50 STANDIFORD STBOSTONMA02114042697983501(c)(3)19000GENERAL SUPPORT
NETWORK CENTER FOR COMMUNITY CHANGE
334 EAST BROADWAYLOUISVILLEKY40202260505260501(c)(3)11710GENERAL SUPPORT
REACH OF LOUISVILLE INC
501 PARK AVELOUISVILLEKY40208611123801501(c)(3)24000GENERAL SUPPORT
Junior Achievement
1401 W Muhammad Ali BlvdLouisvilleKY40203610476694501(c)(3)10350
Brown Cancer Center
530 S Jackson StreetLouisvilleKY40202611293786501(c)(3)8000
Supplies Overseas International
1500 Arlington AvenueLouisvilleKY40206272624272501(c)(3)7500
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants29TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Meals on Wheels434025615FMVFood
Kids Cafe31027FMVFood
Medicine Bank1026109259FMVpharmaceuiticals
Patient Transportation451633312FMVCab Fare

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferenceSCH I, PART I, LINE 2ReturnReference
ExplanationCommunity Involvement -------------------- When community organizations seek the support and involvement of JHSMH, we will focus on opportunities that meet one (and preferably several of) the following criteria: -Improve the health of our community -Support the education, development, recruitment and retention of high quality health care professionals -Complement and advance an area of JHSMH clinical excellence -Improve the lives of people who are medically underserved -Demonstrate clear, measurable annual goals that benefit the community/target population -Demonstrate the active involvement of JHSMH team members Excluded from consideration are: -Requests from organizations outside areas in which JHSMH provides services -Requests from religious organizations for religious purposes -Requests from individuals -Requests from primary or secondary schools (unless the school has a formal partnership or contractual relationship existing with JHSMH) -Requests from political organizations -Requests for capital improvement projects -Requests for annual operating support or debt reduction -Generally, requests for multi-year sponsorships are also excluded PROCEDURE ---------------- Requests for support must be submitted in writing to the Community Involvement Committee. If a personal meeting is needed, the Committee will initiate it after a preliminary review. Requests must be submitted at least 6 weeks in advance of the date of the event or project; the Committee meets once a month to review requests. Requests should be brief and include: -A brief introduction of the organization, its mission and history -A concise explanation of the proposed partnership and how it furthers JHSMHs mission and/or funding priorities including details about the event or project date, location, etc. -A current listing of the organizations Board of Directors Responses will be sent to requestors of support in writing about the next step, if any, in the application process.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 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
DEBORAH MOLNAR
35478200099080397920109660415448000
ROBERT SHIRCLIFF
000039782400000397824000
Martin Bonick
26274800099824073500114290381351000
Thomas Gessel
22376400017466905777076360411846000
Edgar Farmer
269540030000011924019600088590339923000
Michael Collins
214493000267960145360115340267359000
David Laird
535380000204750714910160750643421000
Ron Farr
393633000153570825790126310504200000
JEANETTA BOSLEY
18461001900007733010178035470225068000
Cheryl Fugatte
1865150007896015150050690214630000
Mark Dean
6167602317501367730191203080223844000
John Johnson
2324970005071013950012300252748000
Maria Russo
20944200090305529080670223941000
Randy Napier
2002300926303523021239078590242114000
VAL SLAYTON
311341015000023260147000126290355996000
ROBERT SMITH MD
201164019000020433014604098500265051000
JAMES KETTERHAGEN MD
37622900027170857830374040502133000
RUTH WHEATLEY
24913505218104888014700012300322134000
JENNIFER NOLAN
2194590150000713013217075610255950000
SHELLEY SHAUGHNESSY
213591011500049990137940111850255069000
ELIZABETH HALL
1496060300000153100120080110380217962000
GERRIE LEPPERT
155440015000334208874035660172722000
JAMES PAROBEK
1404340003364081611037730229182000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Schedule J, Part I, Line 4ASCH J, PART I, LINE 4A------------------------- Severance Payments: Thomas Gessel $156,923 Robert Shircliff $385,253 Martin Bonick $ 94,231 Mark Dean $130,921
Schedule J, Part ILINE 6A------------------------- Jewish Hospital & St. Mary's HealthCare, Inc. has management incentive plans for Corporate Officers, Senior Vice-Presidents, Vice-Presidents and Directors. Annual payouts related to these incentive plans have two components: 1. 50% of the annual payout is based on net operating income targets. If these targets are not met, payouts are not made. 2. 50% of the annual payout is based on 3-5 strategic goals set by the individual and their leaders.
Schedule J, Part ILINE 4B------------------------- INCREASE IN ACTUARIAL VALUE OF NONQUALIFIED RETIREMENT PLAN: DEBBIE MOLNAR $ 20,192 RON FARR $ 67,879 DAVID LAIRD $ 56,791 James Ketterhagen $ 71,083 James Parobek $ 77,861 NOTE: THESE AMOUNTS REPRESENT THE ACCRUED BENEFIT AMOUNT AND ARE SUBJECT TO RISK OF FORFEITURE.
Schedule J, part ILine 1aJHSMH provides up to a $10/month benefit for gym memberships for all team members. Several Executives listed on Form 990, Part VII, Section A receive this benefit.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENTBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN320049006IssuerEIN
CUSIP Number546593ABOCUSIPNumber
Date Issued2008-07-10DateIssued
Issue Price330000000IssuePrice
Description Of PurposeKY HEALTH FACILITY REV BONDS-2DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds328180625TotalProceeds
Amount In Reserve Fund32863404AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow275797041RefundingEscrow
Issuance Costs From Proceeds2317500IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures4598903CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2008YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementstrueAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractstrueEngageBondCounselContracts
Any Research AgreementstrueAnyResearchAgreements
Engage Bond Counsel ResearchtrueEngageBondCounselResearch
Prcntge Prvt Business Use By Others0.00770PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00770TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Fifth Third Bank
See Part V378505SEE PART Vfalse
MICHAEL WATERMAN
SEE PART V104259COMPENSATION PAID BY JHSMH

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCH L, PART IVReturnReference
Explanation------------------------- 1) INTERESTED PERSON: FIFTH THIRD BANK RELATIONSHIP: LOUANN ATLAS, TRUSTEE, SERVES AS KEY EMPLOYEE DESCRIPTION AND AMOUNT: BANK FEES $254,619 LOC FEES $123,885 2)INTERESTED PERSON: MICHAEL WATERMAN RELATIONSHIP: FAMILY MEMBER OF LOUIS WATERMAN, TRUSTEEExplanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XTheme Baskets030423FMV
XDoctor Ball069942FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL PROGRAM SERVICE ACCOMPLISHMENTSForm 990, Part III, LINE 4D------------------------- 4. Foundation, Home Health, Research and Support Services VNA Nazareth Home Health ------------------------ VNA Nazareth Home Care has provided home care and wellness services for more than a century. Their innovative services and preventative health programs recognize the needs of our patients and promote the highest quality of life. In 2011, VNA Nazareth Home Care was once again named one of the top 500 home health agencies in the country, according to HomeCare Elite. Now in its fifth year, the HomeCare Elite identifies the top 25 percent of home health agencies in the United States and further highlights the top 100 and top 500 agencies overall. Winners are ranked by an analysis of performance measures in quality outcomes, quality improvement, and financial performance. VNA Nazareth Home Care has a team of registered nurses, social workers, sitters/companions, dieticians, pharmacists, aides and physical, occupational and speech therapists. Working closely with physicians, VNA provides a range of services to meet patients' goals and provides caregivers with the information and skills they need to care for loved ones at home. Programs & Services Include: Safe Sight Better Breathing Falls Prevention Healthy Heart Pharmacy Private Duty (medical care) Hearts to Homes (non-medical care) Wound and Diabetes Management Mental Health/Alzheimer's/Dementia Rehabilitation Stroke Management Telemedicine
MEMBERS OF THE ORGANIZATIONFORM 990, PART VI, SECTION A, LINE 6 & 7------------------------- CORPORATE MEMBERS ARE JEWISH HOSPITAL HEALTHCARE SERVICES, INC. (JHHS) AND CHI-KENTUCKY, INC. (CHI). JHHS and CHI appoint a proportionate share of trustees based upon their respective interests in the Corporation at the time of such appointments. Based on the By-Laws of Jewish Hospital & St. Mary's HealthCare, Inc., certain Powers have been reserved to both Corporate Members (CHI AND JHHS). The following actions may be taken by the Corporation only after the approval of both Corporate Members: a. Any amendment of the Articles of Incorporation of the Corporation or these Bylaws; b. Adoption or material modification of any annual operating or capital budgets or business plans (including the Business Plan). For the purpose of this subsection, "material" means (i) with respect to an approved annual operating budget any change equal to or greater than five percent (5%) of operating EBIDA, and (ii) with respect to an approved annual capital budget any change greater than ten percent (10%) of the approved budget; c. Adoption or material modification of strategic plans; d. Discontinuation, closure or relocation of any acute care licensed beds (including psychiatric beds) or licensed facilities; e. Approval of incurrence of all long-term debt of the Corporation or any Subsidiary of the Corporation or any other long-term liabilities of the Corporation or its Subsidiaries that is not within industry capital capacity norms; f. Any material acquisitions, mergers, divestitures, consolidations or reorganizations of the Corporation or any Subsidiary of the Corporation or any sale or other disposition of all or substantially all of the assets of the Corporation or any Subsidiary of the Corporation. For the purpose of this subsection, "material" means an amount equal to or greater than five percent (5%) of the unrestricted net assets of the Corporation derived from the most recent audited consolidated financial statements of the Corporation; g. Any sale, lease, transfer, pledge, encumbrance, exchange or other disposition of any material assets of the Corporation, including any ownership or membership interest of the Corporation in any Subsidiary of the Corporation. For the purpose of this subsection, "material" means an amount equal to or greater than five percent (5%) of the unrestricted net assets of the Corporation derived from the most recent audited consolidated financial statements of the Corporation; h. The dissolution or liquidation of the Corporation or any Subsidiary of the Corporation; i. Except for those home health operations of the Corporation as the same exists at the Effective Time, the Corporation shall not, without the prior approval of both Corporate Members, continue or expand its service locations or operations in Kentucky outside of the Restricted Territory, whether by acquisition or other affiliation, the addition of owned or managed facilities, the placement of employed or contracted physicians or otherwise. Notwithstanding the foregoing, nothing in this Section 4.4.9 shall prohibit JHP or its affiliates from continuing to manage the JHHS Managed Hospitals; j. The establishment of any new Subsidiary of the Corporation; k. Any joint venture or other partnering or affiliation arrangement involving the Corporation or any Subsidiary of the Corporation and any other person or entity that may be material to the assets, operations, financial condition or prospects of the Corporation. For the purpose of this subsection, "material" means an amount equal to or greater than five percent (5%) of the unrestricted net assets of the Corporation derived from the most recent audited consolidated financial statements of the Corporation; L. Approval of the names, or changes to the names, of the Corporation, the JHHS Providers or the Caritas Providers; and m. Any change in the Mission, Vision or Core Values. Section Neither the Board of Trustees nor any officer or employee of the Corporation nor any Subsidiary or affiliate of the Corporation shall take any action in contradiction of any of the foregoing powers without first having secured the necessary approvals and/or given the appropriate notifications as may be required by these Bylaws.
REVIEW OF FORM 990FORM 990, PART VI, SECTION B, LINE 11------------------------- The Form 990 is prepared by an independent accounting firm. JHSMH's CFO reviews the Final form 990 with the independent accounting firm. Due to time constraints, jhsmh's form 990 was not able to be distributed to JHSMH's board prior to filing. However, a copy of the final return will be provided to JHMSH board members and any questions will be addressed.
MONITORING THE CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12C------------------------- Annual Statements ------------------- Each trustee, director, officer and member of a committee with board delegated powers of JHSMH, Inc, shall annually sign a statement, which affirms that such person: Has received a copy of JHSMH's conflicts of interest policy, Has read and understands this policy, Has agreed to comply with this policy, and Understands that the JHSMH Exempt Entities are charitable organizations and that in order to maintain their federal tax exemptions they must engage primarily in activities that accomplish one or more of their tax-exempt purposes. Annual Questionnaire -------------------- Each trustee, director, officer and member of a committee with board delegated powers of JHSMH, Inc. and key employee of JHSMH, shall annually complete a Conflicts of Interest Questionnaire. Completion of the annual questionnaire is coordinated by General Counsel and JHSMH's Corporate Compliance Officer. Periodic Reviews -------------------- To ensure that each of the JHSMH Exempt Entities operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted. The periodic reviews shall, at a minimum, include the following subjects: Whether compensation arrangements and benefits are reasonable and are the result of arm's-length bargaining. Whether acquisitions of physician practices and other provider services result in inurement or impermissible private benefit. Whether partnership and joint venture arrangements and arrangements with management service organizations and physician hospital organizations conform to written policies, are properly recorded, reflect reasonable payments for goods and services, further such JHSMH Exempt Entity's charitable purposes and do not result in inurement or impermissible private benefit. Whether agreements to provide health care and agreements with other health care providers, employees, and third party payors further such JHSMH Exempt Entity's charitable purposes and do not result in inurement or impermissible private benefit. In conducting such periodic reviews, a JHSMH Exempt Entity may, but need not, use outside advisors. If outside experts are used, their use shall not relieve the governing board of its responsibility for ensuring that periodic reviews are conducted.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, SECTION B, LINE 15A & 15B------------------------- The following review and approval process is used by Jewish Hospital & St. Mary's HealthCare, Inc. (JHSMH) for all Disqualified Persons, which includes the CEO and all Senior Vice Presidents. The Management Review Committee consists of approximately 9 independent members of JHSMH's Board, and is responsible for review and approval of top management compensation. The full committee addressed the overall compensation philosophy and how the organization's goals can be furthered by the structure of compensation. The independent Management Review Committee and all independent members of the full Board approved maximum compensation levels for all Disqualified Persons. Non-independent directors did not participate in the discussion or vote on compensation levels for individuals. The Management Review Committee retained an outside compensation consultant from a national firm to advise it regarding reasonable compensation levels, and relied on the consultant's opinion that compensation levels are reasonable. The Committee receives a market review on each Disqualified Person from the compensation consultant. The Management Review Committee approved the peer group of similar entitles used to measure comparable compensation levels. The Management Review Committee follows the process necessary to obtain the rebuttable presumption that compensation levels are reasonable, including contemporaneous documentation of decisions.
MAKING DOCUMENTS AVAILABLE TO THE PUBLICFORM 990, PART VI, SECTION B, LINE 19------------------------- Jewish Hospital & St. Mary's HealthCare, Inc. does not make its governing documents, conflict of interest policy or financial statements available to the general public.
RECONCILIATION OF NET ASSETSFORM 990, PART XI, LINE 5------------------------- OTHER CHANGES IN NET ASSETS: PENSION ADJUSTMENT -20,928,082 TRANSFERS FROM AFFILIATES 6,805,700 NET ASSETS RELEASED FROM REST -4,897,858 CAPITAL EXPENDITURES 944,586 UNREALIZED GAINS/LOSSES -11,592,132 ------------- -29,667,786

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
JH Ambulatory Imaging LLC
200 Abraham Flexner WayLouisvilleKY40202203301174Medical ServKY00NA
Crossings Development LLC
3000 National City TowerLouisvilleKY40202611362028InactiveKY00JHP MGT

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Jewish Hospital HealthCare Services Inc
200 Abraham Flexner WayLouisvilleKY40202203805455ParentKY501(C)(3)11, type IINAfalse
JH Properties Inc
200 Abraham Flexner WayLouisvilleKY40202611029769Prop. RentalKY501(C)(3)9NAfalse
Jewish Physician Group Inc
200 Abraham Flexner WayLouisvilleKY40202611352729Medical SvcsKY501(C)(3)9NAfalse
Southern Indiana Rehabilitation Hospital
3104 Blackiston BlvdNew AlbanyIN47150351903507HospitalIN501(C)(3)3NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
SCA Premier Surg Ctr of LouisvilleLLC
200 Abraham Flexner WayLouisvilleKY40202721386840Mngmt ServicesKYJHSMH IncRelated68670-2442799falsetrue0.51000
Surgery Center of Louisville LLC
200 Abraham Flexner WayLouisvilleKY40202621179537MGMT ServicesKYJHSMH IncRelated-5718395844falsetrue0.51000

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
BC Holdings Inc
1850 Bluegrass AvenueLouisvilleKY40215311542851InactiveKYnAc001.00000
JHP Management Inc
200 Abraham Flexner WayLouisvilleKY40202204498858Management SeRVKYJHHS IncC000.00000
Medgroup Services Inc
200 Abraham Flexner WayLouisvilleKY40202611338294InactiveKYJHP ManagementC001.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Jewish Hospital HealthCare ServicesInc
b1000000FMV
Jewish Hospital HealthCare ServicesInc
R15830000FMV
SOUTHERN INDIANA REHABILITATION HOSPITAL
p1220004FMV
JEWISH PHYSICIANS GROUP
P12367528FMV
JH PROPERTIES
P1703875FMV
JH PROPERTIES
O163313FMV
JH PROPERTIES
J22505528FMV