STRATEGY STUDIO / PUBLIC DATA EXPLORER

JHSI INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
JHSI INC (EIN 31-0536670)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201121389349300602
Schema version
2009v1.7
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)
Timestamp2011-05-16T08:38:32-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2000AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310536670EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Jewish Health System IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJEWINameControl
Phone5137922722Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18044 Montgomery Road No 700AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45236ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRobert KanterName
TitleChairmanTitle
Phone5137922722Phone
Date Signed2011-05-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3174648600Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonRobert KanterNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18044 Montgomery Road No 700AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45236ZIPCode
FieldValueIRS element (for citing)
Gross Receipts160330048GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionSUPPORTS THE JEWISH HOSPITAL OF CINCINNATI, INC. IN ITS MISSION TO PROVIDE QUALITY HEALTH CARE TO ALL INDIVIDUALS REGARDLESS OF RACE, RELIGION, AGE, SEX OR ABILITY TO PAY.FORM 990, PART I, LINE 6:TOTAL NUMBER OF VOLUNTEERSVOLUNTEERS SERVE AS BOARD OF DIRECTORS FOR JEWISH HEALTH SYSTEM, INC.ActivityOrMissionDescription
Termination Or ContractionXTerminationOrContraction
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year68177ContributionsGrantsPriorYear
Contributions Grants Current Year39716ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-719109InvestmentIncomePriorYear
Investment Income Current Year57701869InvestmentIncomeCurrentYear
Other Revenue Prior Year3374011OtherRevenuePriorYear
Other Revenue Current Year2106232OtherRevenueCurrentYear
Total Revenue Prior Year2723079TotalRevenuePriorYear
Total Revenue Current Year59847817TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19555987OtherExpensePriorYear
Other Expenses Current Year15031004OtherExpensesCurrentYear
Total Expenses Prior Year19555987TotalExpensesPriorYear
Total Expenses Current Year15031004TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-16832908RevenuesLessExpensesPriorYear
Revenues Less Expenses CY44816813RevenuesLessExpensesCY
Total Assets BOY111274198TotalAssetsBOY
Total Assets EOY231929187TotalAssetsEOY
Total Liabilities BOY201946139TotalLiabilitiesBOY
Total Liabilities EOY7047860TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-90671941NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY224881327NetAssetsOrFundBalancesEOY
Mission DescriptionTo support the Jewish Hospital of Cincinnati, Inc. in its mission to provide low-cost, quality health care to all individuals regardless of race, religion, age, sex or ability to pay.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11374912Expense
Revenue0Revenue
DescriptionJewish Health System, Inc. supports and encourages the Jewish Hospital of Cincinnati, Inc., a 501(c)(3) organization, whose primary purpose is to make low-cost, quality health care readily available and accessible in the Greater Cincinnati community.Description
Total Program Service Expense11374912TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation1PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1David SchiebelBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5137922722TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18044 Montgomery RoadAddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45236ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
Philip T Cohen
Secretary5.00XX000
Bernard Dave
Trustee5.00X000
Warren Falberg
Trustee5.00X000
Gloria Haffer
Trustee5.00X000
Gary Heiman
Trustee5.00X000
Robert Kanter
Chairman5.00XX000
Phyllis Sewell
Trustee5.00X000
Donald Wayne MD
Trustee5.00X000
Jeffrey Zipkin MD
Trustee5.00X000
Aurora Lambert
Sr VP Hospital Ops60.00X5004470111279
Dorman Fawley
COO000X
Hugh R Hinds Jr
CFO/Treasurer000X
Kenneth Hanover
President & CEO000X
Jerome Keller
Interim CFO (end 1/09)000X
Gayla Harvey
Sr VP St Plng/Bus Dvmt000X
Deborah Endres
Senior VP & CHRO000X
Dennis Robb
Sr VP Supply Chain Mgmt000X
Robert Griffith
Sr VP & CHRO (end 8/08)000X
Marianne Ivey
VP Pharmacy Admin000X
Jay Brown
Corporate VP & CIO000X
Michele Napier
Corp VP & Revenue Exec000X
Anthony Condia
VP Government Relations000X
Gary Harris
VP Risk Management000X
Allen Miller
Vice President Planning000X
Robert Wones MD
VP Chief Quality Officer000X
Patricia Zapanta
VP Revenue Cycle Mgmt000X
Joseph Bateman MD
VP Med Director APC/IMS000X
Mark Carey
VP IS&T (end 1/09)000X
L Pasternak
Exec VP CMO000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org500447TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation111279TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions39716AllOtherContributions
Total Contributions39716TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1606450TotalRevenueColumn
Exclusion$1,606,450ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2370856Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real264624Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2106232Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2106232TotalRevenueColumn
Exclusion$2,106,232ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other156313026Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other100217607Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other56095419Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column56095419TotalRevenueColumn
Exclusion$56,095,419ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column59847817TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$59,808,101ExclusionAmount

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total8704Total
Management And General8704ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total225695Total
Program Services180556ProgramServices
Management And General45139ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total42639Total
Program Services18999ProgramServices
Management And General23640ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1078759Total
Program Services863007ProgramServices
Management And General215752ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total997794Total
Program Services798235ProgramServices
Management And General199559ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11800301Total
Program Services8812426ProgramServices
Management And General2987875ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Real Estate Taxes39128431302778257
Programatic Expenses22038417630744077
Equip Maint & Repair759116072915182
000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total189533Total
Program Services151626ProgramServices
Management And General37907ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15031004Total
Program Services11374912ProgramServices
Management And General3656092ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY416898EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY82396648EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY165963BOY
EOY1167878EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY85023956EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis134742813LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec108970400LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY96787078BOY
EOY25772413EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY14072969BOY
EOY37128839EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY100000BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY148188BOY
EOY22555EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY111274198BOY
EOY231929187EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY2580667EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY27320000BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY174626139BOY
EOY4467193EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY201946139BOY
EOY7047860EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-109666069BOY
EOY224881327EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4921159BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14072969BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-90671941BOY
EOY224881327EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY111274198BOY
EOY231929187EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Jewish Hospital of Cincinnati IncBusinessNameLine1
FieldValueIRS element (for citing)
EIN311050609EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6556482OtherCostOrOtherBasis
Book Value6556482BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis74790196OtherCostOrOtherBasis
Depreciation66884255Depreciation
Book Value7905941BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7249960OtherCostOrOtherBasis
Depreciation6091332Depreciation
Book Value1158628BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis33973407OtherCostOrOtherBasis
Depreciation24612545Depreciation
Book Value9360862BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12172768OtherCostOrOtherBasis
Depreciation11382268Depreciation
Book Value790500BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings25772413TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO JEWISH FOUNDATION OF CINCINNATIDescription
Amount$4,467,193Amount
FieldValueIRS element (for citing)
Total Of Amounts4467193TotalOfAmounts

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Aurora LambertBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org305363BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org137460BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org57624OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org103297DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org7982NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org611726TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4aSERP: Aurora Lambert $42,857
Part IIIPART II: COMPENSATION FROM UNRELATED ORGANIZATIONS- AURORA LAMBERT, A BOARD MEMBER OF JEWISH HEALTH SYSTEM, INC. RECEIVES COMPENSATION FROM THE HEALTH ALLIANCE OF GREATER CINCINNATI FOR SERVICES PROVIDED TO THE JEWISH HEALTH SYSTEM, INC. IN THE AMOUNT OF $611,726.Supplemental Information

Schedule N IRS990ScheduleN

Disposition Table DispositionTable

FieldValueIRS element (for citing)
Description Of AssetSEE PART IIIDescriptionOfAsset
Date Of Distribution2010-03-01DateOfDistribution
FMV Of Asset84837229FMVOfAsset
Method Of FMV DeterminationBook ValueMethodOfFMVDetermination
EIN311063783EIN

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SEE PART IIIBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14600 MCAULEY PLACEAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45242ZIPCode
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSection
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2
Employee Of Successor20EmployeeOfSuccessor2
Owner Of Successor20OwnerOfSuccessor2
Receive Compensation20ReceiveCompensation2

Form990 Schedule N Part III Form990ScheduleNPartIII

FieldValueIRS element (for citing)
ExplanationDESCRIPTION OF ASSET(S) DISTRIBUTED OR TRANSACTION EXPENSES PAID:SALE OF ASSETS AND ASSUMPTION OF LIABILITIES ATTRIBUTABLE TO OPERATIONS OF JEWISH HOSPITAL OF CINCINNATI, INC.INVENTORY-$2,000,000; FIXED ASSETS-$127,650,000; GOODWILL/INTANGIBLES $45,950,000.NAME OF RECIPIENT:MERCY HEALTH PARTNERS OF SOUTHWEST OHIO4600 MCAULEY PLACECINCINNATI, OH 45242Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6Jewish Health System, Inc. has a single corporate member, The Jewish Foundation of Cincinnati.
Form 990, Part VI, Section A, line 7aJewish Health System, Inc. has a single corporate member, The Jewish Foundation of Cincinnati, who has the ability to elect members to the governing body of Jewish Health System, Inc.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to Jewish Health System, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, The Jewish Foundation of Cincinnati.
Form 990, Part VI, Section B, line 11The Form 990 was prepared by outside accountants and reviewed by management prior to filing. The board did not complete a review of the return prior to filing.
Form 990, Part VI, Section B, line 12On an annual basis and as new individuals are appointed or hired, the corporate internal audit department of The Health Alliance of Greater Cincinnati conducts a survey which is distributed to all Board of Directors, physicians and management. The corporate internal audit department collects and reviews all responses, utilizing the assistance of legal counsel, as needed. The corporate internal audit department reports compliance with the policy and non-responses to the Audit Committee of The Health Alliance of Greater Cincinnati. This process was in place until the transition/exit from The Health Alliance of Greater Cincinnati on March 1, 2010 and is applicable to the fiscal year ended June 30, 2010. The governing body of Jewish Health System, Inc. is in the process of evaluating and adopting this policy during fiscal year 2011.
Form 990, Part VI, Lines 13 & 14: The organization had both a written whistleblower policy and a document retention and destruction policy in place until the transition/exit from the Health Alliance of Greater Cincinnati on March 1, 2010. The governing body of Jewish Health System, Inc. is in the process of evaluating and adopting these policies during fiscal year 2011. Form 990, Part VI, Lines 15: Jewish Health System, Inc. did not compensate a CEO, Executive Director, top management official or other key employee of the organization, therefore, no compensation review process was required.
Form 990, Part VI, Section C, line 19The organization will provide any documents open to public inspection upon request.

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
JHSI REAL ESTATE LLC
8044 MONTGOMERY ROAD SUITE 700CINCINNATIOH45236800609195MANAGE REAL ESTATEOH1619684343098JEWISH HEALTH SYSTEM INC
JFC PROPERTIES LLC
8044 MONTGOMERY ROAD SUITE 700CINCINNATIOH45236REAL ESTATEOH0270601THE JEWISH FOUNDATION OF CINCINNATI

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Direct Controlling Entity NADirectControllingEntityNA
JEWISH HOSPITAL OF CINCINNATI INC
8044 MONTGOMERY ROAD SUITE 700CINCINNATIOH45236311050609HOSPITALOH501(c)(3)Line 3Jewish Health System Inc
THE JEWISH FOUNDATION OF CINCINNATI
8044 MONTGOMERY ROAD SUITE 700CINCINNATIOH45236311451489GrantmakingOH501(c)(3)N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1JHHABusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13200 BURNET AVENUEAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45229ZIPCode
FieldValueIRS element (for citing)
EIN272460325EIN
Primary ActivityHOLD REAL ESTATEPrimaryActivity
Legal Domicile StateOHLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Percentage Ownership0.45110PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Jewish Hospital of Cincinnati IncBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeRTransactionType
Amount Involved29603551AmountInvolved