SAINT JOSEPH HEALTH SYSTEM INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: SAINT JOSEPH HEALTH SYSTEM INC (EIN 61-1334601)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-13
IRS object ID: 201141339349302554
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-13T10:26:50-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CATHOLIC HEALTH INITIATIVES	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	198 INVERNESS DRIVE WEST	AddressLine1
City	ENGLEWOOD	City
State	CO	State
ZIP Code	80112	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	611334601	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Saint Joseph Health System Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SAIN	NameControl
Phone	8593131000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	424 LEWIS HARGETT CIRCLE STE 160	AddressLine1
City	LEXINGTON	City
State	KY	State
ZIP Code	40503	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Gary Ermers	Name
Title	CFO	Title
Date Signed	2011-05-12	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MARK STOCKI	Name
Phone	7208741500	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Eugene Woods	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	ONE SAINT JOSEPH DR	AddressLine1
City	Lexington	City
State	KY	State
ZIP Code	40504	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	731479594	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	www.sjhlex.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	KY	StateLegalDomicile
Activity Or Mission Description	SJHS is a faith-based organization united in our unwavering commitment person-centered care. Focused on our quality & our collaboration with our community, we strive to meet our communities' health related needs	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	5330	TotalNbrEmployees
Total Nbr Volunteers	744	TotalNbrVolunteers
Total Gross UBI	1074725	TotalGrossUBI
Contributions Grants Prior Year	2815475	ContributionsGrantsPriorYear
Contributions Grants Current Year	1132125	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	648117253	ProgramServiceRevenuePriorYear
Program Service Revenue CY	699193371	ProgramServiceRevenueCY
Investment Income Prior Year	-2845365	InvestmentIncomePriorYear
Investment Income Current Year	5198932	InvestmentIncomeCurrentYear
Other Revenue Prior Year	21526838	OtherRevenuePriorYear
Other Revenue Current Year	25838225	OtherRevenueCurrentYear
Total Revenue Prior Year	669614201	TotalRevenuePriorYear
Total Revenue Current Year	731362653	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	870255	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	365553	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	251682702	SalariesEtcPriorYear
Salaries Etc Current Year	271326599	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	400839189	OtherExpensePriorYear
Other Expenses Current Year	427557228	OtherExpensesCurrentYear
Total Expenses Prior Year	653392146	TotalExpensesPriorYear
Total Expenses Current Year	699249380	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16222055	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	32113273	RevenuesLessExpensesCY
Total Assets BOY	671160228	TotalAssetsBOY
Total Assets EOY	713530972	TotalAssetsEOY
Total Liabilities BOY	328874496	TotalLiabilitiesBOY
Total Liabilities EOY	337318794	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	342285732	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	376212178	NetAssetsOrFundBalancesEOY
Mission Description	The organization's mission is to nurture the healing ministry of the Church by bringing it new life, energy and viability in the 21st century. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we move toward the creation of healthier communities.	MissionDescription
Significant New Program Services	true	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	596542127	Expense
Grants	365553	Grants
Revenue	699110978	Revenue
Description	SEE SCHEDULE H	Description
Total Program Service Expense	596542127	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	5330	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Melinda Evans	NamePerson
Telephone Number	8593131694	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	One Saint Joseph Drive	AddressLine1
City	Lexington	City
State	KY	State
ZIP Code	40504	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (42 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Reportable Comp From OrganizationReportableCompFromOrganization	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Ralph Alvarado
Medical Staff Representative	10.0	X
Mike Ades
Board of Directors	2.0	X
Jeff Amburgey
Board of Directors	2.0	X
Jeff Brother
Board of Directors	2.0	X
David Brown
Board of Directors	2.0	X
Frank Delzer
Treasurer	3.0	X	X
Beverly Downs
Board of Directors	2.0	X		152853	25681
Mike Fiechter
Chair	3.0	X	X
Robert Granacher
Board of Directors	2.0	X
Lynn Heper
Board of Directors	2.0	X
Bob Hewett
Vice Chair	3.0	X	X
Miller Hoffman
Board of Directors	2.0	X
Maureen Maxfield
Board of Directors	2.0	X
Pat Rutherford
Board of Directors	2.0	X
Michael Stahl
Board of Directors	2.0	X
Liz Wendeln
Secretary	3.0	X	X
EUGENE WOODS
Chief Executive Officer	60.0	X	X	662904	84151
Patrick Kelleher
Medical Staff Representative	1.0	X
GARY ERMERS
Chief Financial Officer	60.0		X		78416	528765
ROBERT BROCK
VP FINANCE & BUSINESS DEVELOP.	60.0				29040	253142	X
EDWARD CARTHEW
CHIEF HUMAN RESOURCES OFFICER	60.0				53734	318105	X
VIRGINIA DEMPSEY
PRESIDENT - London	60.0				60458	398367	X
MELINDA EVANS
VP FINANCE/SJHS CAO	60.0				23440	208378	X
GREG GERARD
PRESIDENT - BEREA	60.0				44280	228298	X
ERIC GILLIAM
ADMINISTRATOR	60.0				33087	194476	X
PEGGY GREEN
COO/CNO London	60.0				24701	201402	X
KEN HAYNES
PRESIDENT	60.0				78831	514066	X
CARMEL JONES
COO/VP FINANCE	60.0				35542	183309	X
BRUCE KLOCKARS
PRESIDENT - Flaget & SJMS	60.0				59753	450486	X
Christine Mays
COO/CNE	60.0				48428	305672	X
MARK STREETY
CHIEF INNOVATION OFFICER	60.0				69224	359094	X
KATHY STUMBO
PRESIDENT - Martin	60.0				58863	230646	X
DANIEL VARGA
CHIEF MEDICAL OFFICER	60.0				73217	491938	X
CARLA WALTER
CORP RESP & PRIVACY OFFICER	60.0				28599	169055	X
AMJAD ALI
HOSPITALIST PHYSICIAN	60.0				41487	429478		X
SHAILESH BHOPATKAR
ANESTHESIOLOGIST	60.0				39686	492919		X
JEFFREY MILAM
ANESTHESIOLOGIST	60.0				30139	514991		X
SATHYENDRA MYSORE
ANESTHESIOLOGIST	60.0				42126	553147		X
JAMES SHOPTAW
CARDIOVASCULAR SURGEON	60.0				40063	441959		X
James Heitzenrater
Former President - SJMS					27498	192588			X
Sherry Tichenor
VP of Performance Improvement	60.0				43960	233177			X
Patrick Romano
Former President - SJMS					17577	214078			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8107536	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	815757	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1191981	TotalOtherCompensation
Number Individuals GT100 K	131	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Hammes Company
1800 W Sarah Lane Suite 250	Brookfield	WI	530455853	General Contractor	48205932
Brasfield Gorrie
PO Box 11407	Birmingham	AL	352460351	General Contractor	6075895
Anesthesia Associates
PO Box 23261	Lexington	KY	405023400	Anesthesia Services	3592807
Logan's Healthcare
PO Box 643958	Cincinnati	OH	452643958	Laundry & Linen Svc	2364856
Dictation Services Group
10161 Centurion Pkwy Suite 170	Jacksonville	FL	32256	Med. Transcription	2082505

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	67	NumberOfContractorsGT100K
Related Organizations	1075444	RelatedOrganizations
All Other Contributions	56681	AllOtherContributions
Total Contributions	1132125	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient Services	900099	692842052	692759659	82393
Rental Income	900099	3862481	3862481
Program Service Revenue	900099	1838188	1838188
Reimbursement of Expenses	900099	477452	477452
Medical Services	900099	119202	119202

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	53996	TotalRevenueColumn
Related Or Exempt Function Income	53996	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	699193371	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2364499	TotalRevenueColumn
Unrelated Business Revenue	-17616	UnrelatedBusinessRevenue
Exclusion	$2,382,115	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	2884279	Securities
Other	67095	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	116941	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2884279	Securities
Other	-49846	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2834433	TotalRevenueColumn
Exclusion	$2,834,433	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
Intercompany Transactions	900099	19105437	$19,105,437
Cafeteria	722100	2716802	$2,484,484	232318
Laboratory Services	621500	1182428	$833,068	349360

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2833558	TotalRevenueColumn
Unrelated Business Revenue	428270	UnrelatedBusinessRevenue
Exclusion	$2,405,288	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	25838225	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	731362653	TotalRevenueColumn
Related Or Exempt Function Income	699110978	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1074725	UnrelatedBusinessRevenue
Exclusion	$30,044,825	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	365553	Total
Program Services	365553	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5825470	Total
Management And General	5825470	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	206093497	Total
Program Services	173773553	ProgramServices
Management And General	32319944	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	10370818	Total
Program Services	7881822	ProgramServices
Management And General	2488996	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	33667246	Total
Program Services	25587107	ProgramServices
Management And General	8080139	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	15369568	Total
Program Services	11527176	ProgramServices
Management And General	3842392	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	83273	Total
Management And General	83273	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	44995	Total
Management And General	44995	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	36000	Total
Management And General	36000	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	88672951	Total
Program Services	78918926	ProgramServices
Management And General	9754025	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	159136452	Total
Program Services	151179630	ProgramServices
Management And General	7956822	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	10631621	Total
Program Services	9249510	ProgramServices
Management And General	1382111	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	871011	Total
Program Services	496476	ProgramServices
Management And General	374535	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	44569	Total
Program Services	11142	ProgramServices
Management And General	33427	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	4663192	Total
Program Services	4663192	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	12551652	Total
Program Services	3891012	ProgramServices
Management And General	8660640	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	36831451	Total
Program Services	15100895	ProgramServices
Management And General	21730556	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	9392864	Total
Program Services	9298936	ProgramServices
Management And General	93928	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
Unrelated Business Taxes	1001	1001
Bad debts	69420329	69420329
Intercompany Allocations	11780207	11780207
Kentucky State Provider Tax	11532166	11532166
Repairs and maintenance	3531342	3531342

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	8332152	Total
Program Services	8332152	ProgramServices
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	699249380	Total
Program Services	596542127	ProgramServices
Management And General	102707253	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	137072	BOY
EOY	879326	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	54965821	BOY
EOY	47181397	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	165376597	BOY
EOY	121011667	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1335088	BOY
EOY	321319	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9979324	BOY
EOY	9820894	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1601073	BOY
EOY	1561307	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	715603134	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	291260329	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	356081512	BOY
EOY	424342806	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	4141827	BOY
EOY	3581550	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	67796419	BOY
EOY	96925055	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	7636793	BOY
EOY	6390840	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2108702	BOY
EOY	1514811	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	671160228	BOY
EOY	713530972	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	156263635	BOY
EOY	91784132	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1128979	BOY
EOY	1683177	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	52604	BOY
EOY	16943	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	83997278	BOY
EOY	222594007	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	87432000	BOY
EOY	21240535	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	328874496	BOY
EOY	337318794	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	341447430	BOY
EOY	375355542	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	838302	BOY
EOY	856636	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	342285732	BOY
EOY	376212178	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	671160228	BOY
EOY	713530972	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$13,039	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$47,323	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	60362	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Form 990, Sch. C Supplemental	Identifier
Return Reference	Lobbying Activities Explanation	ReturnReference
Explanation	Line 1 (B) and (G): Saint Joseph Health System (SJHS) has contracted with Gene Huff for services as a consultant, which include lobbying activities of $36,000 to work on behalf of SJHS in connection with Kentucky legislation of interest to the hospitals. He also monitors state legislative developments and reports to SJHS any developments or potential developments that he becomes aware of that could affect SJHS. In addition, Marie A. Cull, outside legal counsel, performed lobbying activities on behalf of SJHS. She was paid $11,323 for these services during FY 2010. Her lobbying activities included the state health plan, house bills 1, 290, 41, 408, 500, and senate bills SB99, SB4, SB55, SB60, SB84, as well as CON Issues. Line 1 (F): Dues paid to AHA = $33,233 - Portion of dues used for lobbying $7,896. Dues paid to CHA = $99,858 - Portion of dues used for lobbying $5,143.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	17125608	OtherCostOrOtherBasis
Book Value	17125608	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	332209429	OtherCostOrOtherBasis
Depreciation	147676185	Depreciation
Book Value	184533244	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4920585	OtherCostOrOtherBasis
Depreciation	3291807	Depreciation
Book Value	1628778	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	205568499	OtherCostOrOtherBasis
Depreciation	138571051	Depreciation
Book Value	66997448	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	155779013	OtherCostOrOtherBasis
Depreciation	1721285	Depreciation
Book Value	154057728	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	424342806	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
CHI OIP - FIXED INCOME	50496578	F
CHI OIP - EQUITY SECURITIES	46428477	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	96925055	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
INTERCOMPANY PAYABLES	$20,738,514
Environmental Remediation	$250,710
Professional Staff Fund	$163,289
Special Programs Payable	$88,022

Field	Value	IRS element (for citing)
Total Of Amounts	21240535	TotalOfAmounts
Total Revenue	731362653	TotalRevenue
Total Expenses	699249380	TotalExpenses
Excess Or Deficit For Year	32113273	ExcessOrDeficitForYear
Net Unrealized GL On Investments	4212127	NetUnrealizedGLOnInvestments
Other	-$2,398,954	OtherAmount
Total Adjustments	1813173	TotalAdjustments
Excess Or Deficit Per FS	33926446	ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
OTHER CHANGES IN NET ASSETS	Schedule D, Part XI, Line 8	CAPITAL RESOURCE POOL CONTRIBUTION ($4,603,314) CHI CONNECT DEPRECIATION $1,416,078 DISTRIBUTION FROM BLUEGRASS REGIONAL IMAGING CENTER $788,282
FIN 48 FOOTNOTE	Schedule D, Part X	SAINT JOSEPH HEALTH SYSTEM'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2010 READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS."

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	false	FPGReferenceFreeCare
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	18456	PersonsServed
Total Community Benefit Expense	33133761	TotalCommunityBenefitExpense
Net Community Benefit Expense	33133761	NetCommunityBenefitExpense
Percent Of Total Expense	0.05260	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	58126	PersonsServed
Total Community Benefit Expense	59774933	TotalCommunityBenefitExpense
Direct Offsetting Revenue	46280034	DirectOffsettingRevenue
Net Community Benefit Expense	13494899	NetCommunityBenefitExpense
Percent Of Total Expense	0.02140	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8693844	TotalCommunityBenefitExpense
Net Community Benefit Expense	8693844	NetCommunityBenefitExpense
Percent Of Total Expense	0.01380	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	76582	PersonsServed
Total Community Benefit Expense	101602538	TotalCommunityBenefitExpense
Direct Offsetting Revenue	46280034	DirectOffsettingRevenue
Net Community Benefit Expense	55322504	NetCommunityBenefitExpense
Percent Of Total Expense	0.08780	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	40	NumberOfActivitiesOrPrograms
Persons Served	41227	PersonsServed
Total Community Benefit Expense	836572	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41120	DirectOffsettingRevenue
Net Community Benefit Expense	795452	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	165	PersonsServed
Total Community Benefit Expense	498608	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8240	DirectOffsettingRevenue
Net Community Benefit Expense	490368	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	2877	PersonsServed
Total Community Benefit Expense	485363	TotalCommunityBenefitExpense
Direct Offsetting Revenue	162246	DirectOffsettingRevenue
Net Community Benefit Expense	323117	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	20	NumberOfActivitiesOrPrograms
Persons Served	15833	PersonsServed
Total Community Benefit Expense	285708	TotalCommunityBenefitExpense
Net Community Benefit Expense	285708	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	70	NumberOfActivitiesOrPrograms
Persons Served	60102	PersonsServed
Total Community Benefit Expense	2106251	TotalCommunityBenefitExpense
Direct Offsetting Revenue	211606	DirectOffsettingRevenue
Net Community Benefit Expense	1894645	NetCommunityBenefitExpense
Percent Of Total Expense	0.00310	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	70	NumberOfActivitiesOrPrograms
Persons Served	136684	PersonsServed
Total Community Benefit Expense	103708789	TotalCommunityBenefitExpense
Direct Offsetting Revenue	46491640	DirectOffsettingRevenue
Net Community Benefit Expense	57217149	NetCommunityBenefitExpense
Percent Of Total Expense	0.09090	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	376	TotalCommunityBuildingExpense
Net Community Building Expense	376	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	50	PersonsServed
Total Community Building Expense	98007	TotalCommunityBuildingExpense
Net Community Building Expense	98007	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	9	PersonsServed
Total Community Building Expense	7733	TotalCommunityBuildingExpense
Net Community Building Expense	7733	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	917	PersonsServed
Total Community Building Expense	12932	TotalCommunityBuildingExpense
Net Community Building Expense	12932	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	425	PersonsServed
Total Community Building Expense	6652	TotalCommunityBuildingExpense
Net Community Building Expense	6652	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	17804	TotalCommunityBuildingExpense
Net Community Building Expense	17804	NetCommunityBuildingExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	9	PersonsServed
Total Community Building Expense	1171	TotalCommunityBuildingExpense
Direct Offsetting Revenue	140	DirectOffsettingRevenue
Net Community Building Expense	1031	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	15	NumberOfActivitiesOrPrograms
Persons Served	1410	PersonsServed
Total Community Building Expense	144675	TotalCommunityBuildingExpense
Direct Offsetting Revenue	140	DirectOffsettingRevenue
Net Community Building Expense	144535	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$150,295,014	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	205617516	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	225587834	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-19970318	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (7 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther	Critical Access HospitalCriticalAccessHospital
Saint Joseph Hospital
One Saint Joseph Drive	Lexington	KY	40504	X	X	X
Saint Joseph East
150 North Eagle Creek Drive	Lexington	KY	40509	X	X	X
Saint Joseph Jessamine
1250 Keene Road	Nicholasville	KY	40356			X	Ambulatory Care Center
Saint Joseph - Mount Sterling
50 Sterling Avenue	Mount Sterling	KY	40353	X	X	X
Saint Joseph - Berea
305 Estill Street	Berea	KY	40403	X	X	X		X
Saint Joseph - London
1001 St Joseph Lane	London	KY	40741	X	X	X
Saint Joseph - Martin
11203 Main Street	Martin	KY	41649	X	X	X		X

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	If applicable, describe the income-based criteria for determining eligibility for free or discounted care under the organization's charity care policy. Also describe whether the organization uses the asset test or other threshold regardless of income to determine eligibility for free or discounted care. When Catholic Health Initiatives (the ultimate parent organization to Saint Joseph Health System) established its charity care policy, it was determined that establishing a household income scale based on the HUD very low income guidelines more accurately reflects the socioeconomic dispersions among the 69 urban and rural communities in 19 states served by CHI hospitals and health care facilities. In comparing HUD guidelines to the Federal Poverty Guidelines ("FPG"), we find that on average HUD guidelines compute to approximately 200% to 250% (and sometimes 300%) of FPG. Saint Joseph Health System bases its charity care eligibility on HUD's 130% of Very Low Income Guidelines based on geography, and affords the uninsured and underinsured the ability to obtain charity care write-offs, based on a sliding scale, ranging from 25%-100% of charges. An individual's income under the HUD guidelines is a significant factor in determining eligibility for charity care. However, medical necessity (determined by patient medical history), physician's order and/or medical documentation, and other extenuating circumstances are also a factor. In determining whether to extend discounted or free care to a patient, the patient's assets may also be taken into consideration. For example, a patient suffering a catastrophic illness may have a reasonable level of income, but a low level of liquid assets such that the payment of medical bills would be seriously detrimental to the patient's basic financial (and ultimately physical) well-being and survival. Such a patient may be extended discounted or free care based upon the facts and circumstances.	IncomeBasedCriteria
Annual Community Benefit Expln	If the organization's community benefit report is contained in a report prepared by a related organization, rather than a separate report prepared by the organization, identify the related organization. Saint Joseph Health System, Inc. prepares its own annual written community benefit report. Its community benefit report is not contained in that of a related organization.	AnnualCommunityBenefitExpln
Costing Method Used	Provide an explanation of the costing methodology used to calculate the amounts reported in the table. If a cost accounting system was used, indicate whether the cost accounting system addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured or self pay). Also indicate whether a cost-to-charge ratio was used for any of the figures reported in the table. Describe whether this cost-to-charge ratio was derived from Worksheet 2, and, if not, what kind of cost-to-charge ratio was used and how it was derived. If some other costing methodology was used besides a cost accounting system, cost-to-charge ratio, or a combination of the two, describe the method used. A cost accounting system was not used to compute amounts in the table; rather costs in the table were computed using the organization's cost-to-charge ratio. The cost-to-charge ratio covers all patient segments. The cost-to-charge ratio for the year ended 6/30/10 was computed using the following formula: Operating expense (before restructuring, impairment and other losses) divided by gross patient revenue. Based on that formula, $685,965,218/1,664,902,131 results in a 41.20% cost-to-charge ratio. Worksheet 2 was not used to derive the cost-to-charge ratio.	CostingMethodUsed
Percent Of Total Expense Expln	If applicable, state the bad debt expense included on Form 990 Part IX, line 25, column (A) but subtracted for purposes of calculating the percentage in this column. Total bad debt expense reported on Form 990 Part IX, line 25, Column A was $69,420,329.	PercentOfTotalExpenseExpln
Bad Debt Footnote	(A) Provide the rationale and the costing methodology used to determine the amount reported in Part III lines 2 and 3. Describe how the organization accounts for discounts and payments on patient accounts in determining bad debt expense. (B) Also describe the method the organization uses to determine the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy, if sufficient information has been available to make a determination as to their eligibility. Also, provide if applicable, the text of the footnote to the organization's financial statements that describes bad debt expense. If the organization's financial statements include a footnote on these issues that also includes other information, report only the relevant portions of the footnote. If the organization's financial statements do not contain such a footnote, state that the organization's financial statements do not include such a footnote and explain how the financial statements account for bad debt, if at all. The costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. Saint Joseph Health System does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care. Saint Joseph Health System does not issue separate company audited financial statements. However, the organization is included in the consolidated financial statements of Catholic Health Initiatives. The consolidated footnote reads as follows: "The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Management periodically assesses the adequacy of the allowances for uncollectible accounts based upon historical write-off experience by payor category. The results of these reviews are used to modify, as necessary, the provision for bad debts and to establish appropriate allowances for uncollectible net patient accounts receivable. After satisfaction of amounts due from insurance, CHI follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility."	BadDebtFootnote
Shortfall As Community Benefit	(A) Describe the costing methodology used to determine the Medicare allowable costs reported in the organization's Medicare Cost Report, as reflected in the amount reported in Part III, line 6. (B) Describe, if applicable, the extent to which any shortfall reported in Part III, line 7 should be treated as a community benefit, and the rationale for the organization's position. (A). Saint Joseph Health System used the FY 2009 cost report to obtain the total Medicare allowable costs. (B). Saint Joseph Health System believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays.	ShortfallAsCommunityBenefit
Debt Collection Policy	If the organization has a written debt collection policy and answered "yes" to Part III, line 9b, describe the collection practices set forth in the policy that apply to patients who it knows qualify for charity care or financial assistance, whether or not such practices apply specifically to such patients or more broadly to also cover other types of patients. Saint Joseph Health System's debt collection policy provides that Saint Joseph Health System will perform a reasonable review of each inpatient account prior to turning an account over to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program (e.g. Medicaid) and do not qualify for coverage through Saint Joseph Health System's community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet the Saint Joseph Health System community assistance policy is required to be returned immediately by the third-party collection agent to Saint Joseph Health System for appropriate follow-up. Saint Joseph Health System requires its third-party collection agents to include a message on all statements indicating that if a patient or patient guarantor meets certain stipulated income requirements, the patient or patient guarantor may be eligible for financial assistance. All of Catholic Health Initiatives' hospitals' contracts with third party collection agencies include the following standards: - Neither CHI hospitals nor their collection agencies will request bench or arrest warrants as a result of non-payment; - Neither CHI hospitals nor their collection agencies will seek liens that would require the sale or foreclosure of a primary residence; and - No Catholic Health Initiatives' collection agency may seek court action without hospital approval. Finally, collection agencies are trained on the Catholic Health Initiatives Mission, Core Values and Standard of Conduct to make sure all patients are treated with dignity and respect.	DebtCollectionPolicy
Needs Assessment	Describe how the organization assesses the health care needs of the communities it serves. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting health of the community (e.g. open medical staff, community board, use of surplus funds, etc). It is the mission of Saint Joseph Health System ("SJHS" or "The System") and Catholic Health Initiatives ("CHI") to nurture the healing ministry of the Catholic Church by bringing it new life, energy, and vitality in the 21st century. It is our fidelity to the gospel message that urges us to emphasize human dignity and social justice as we move toward the creation of healthier communities. Saint Joseph Health System includes Flaget Memorial Hospital, Saint Joseph London, Saint Joseph Martin, Saint Joseph Hospital, Saint Joseph East, Saint Joseph Jessamine, Saint Joseph Berea, Saint Joseph Mount Sterling, Flaget Memorial Hospital Foundation, Saint Joseph London Foundation, Saint Joseph Hospital Foundation, Saint Joseph Berea Hospital Foundation, and Saint Joseph Medical Foundation. However, Flaget Memorial Hospital, Flaget Memorial Hospital Foundation, Saint Joseph London Foundation, Saint Joseph Hospital Foundation, Saint Joseph Berea Foundation and Saint Joseph Medical Foundation have separate tax identification numbers and submit their own Form 990 community benefit narratives and tax returns. SJHS has 981 licensed beds, approximately 5,000 employees and 1,300 physicians on its medical staffs. By combining the technology, services, expertise and caring of eight of the best health care facilities in the region, everyone in every community we serve benefits. Together as SJHS, we can provide more state-of-the-art care reaching out to more communities, more specialists able to serve more patients, and more of the latest technology. Combined, the member facilities have received the following honors: Recognized 18 times as being among the 100 Top Hospitals in the nation by Thomson Reuters; Winner of the Joint Commission's Codman Award for quality improvements; Named one of Kentucky's Best Places to Work four years in a row; Awarded the highest honor by the Kentucky Center for Performance Excellence. Saint Joseph Health System's commitment to community outreach is deeply rooted in the work of the founding congregations of religious women - the Sisters of Charity of Nazareth, Congregation of Divine Providence, and the Sisters of Charity of Cincinnati. The heart and soul of these pioneer women in health care was their commitment to community outreach to the poor and underserved. This tradition is carried on today in each of the facilities comprising the Saint Joseph Health System. The following facilities make up Saint Joseph Health System: - Saint Joseph Hospital, Lexington's first hospital, remains the first choice for health care today. Founded in 1877, it has grown into a 468-bed medical center, with a full range of services, including the nationally award-winning Heart Institute and leading edge "da Vinci robotic" surgery. Also known as Lexington's "heart hospital", Saint Joseph has pioneered many firsts in the health care community. Saint Joseph has also been nationally recognized for treatment in the areas of cardiology, orthopedics and stroke, by Thomson Reuters and U.S. News and World Report. - Saint Joseph East, a community hospital with 215 beds, is located in the rapidly growing southeastern part of Lexington, Kentucky. Saint Joseph East complements Saint Joseph Hospital's 131-year health care mission through multiple services and specialties. At Saint Joseph East, maternal and childcare, cardiology services, ambulatory surgery and 24-hour emergency care are supported through traditional inpatient and outpatient programs. Additional specialty services include the Heart Institute, Breast Center, Kid Traxx (after-hours pediatric emergency center), Sleep Wellness Center and the Center for Weight Loss Surgery. Saint Joseph East was named one of the nation's 100 Top Hospitals by Solucient/Thomson. In March 2010, The Women's Hospital, a state-of-the art maternity building dedicated exclusively to women's services, opened at Saint Joseph - East. - Saint Joseph Berea was established on the grounds of Berea College in 1898. Saint Joseph Berea, a 25 bed critical care access hospital, serves the residents of Madison, Jackson, Rockcastle, Estill and Garrard counties. The hospital includes a fully staffed 24-hour emergency department, Berea Family Medicine, Berea Specialty Clinic, Diabetes and Nutrition Center, Heart Institute, Rehabilitation Services, Sleep Wellness Center and Surgical Services. In 2010, three additional services were added: Senior Renewal Center serving adults age 55 and older, Wound Center, and Pain Center. - Saint Joseph London, formerly Marymount Medical Center, an 89 bed general, acute-care hospital, provides a full range of medical, surgical, and obstetrical services. Other services include respiratory and cardiovascular care, outpatient pediatrics, home health and hospice. Saint Joseph London received national recognition as one of the nation's Top 100 hospitals in 2008 and Top 100 Cardiology facilities in the nation in 2008, 2009 and 2011. The hospital's primary service area covers Laurel, Jackson, Clay and Whitley counties. - Saint Joseph Martin, formerly known as Our Lady of the Way Hospital, may be small in size compared to some of today's newest hospitals, but what it lacks in size, it makes up for in tradition and care. The 25-bed critical care access facility in Floyd County, Kentucky, provides patients with holistic, personalized care. In March 2008, Saint Joseph - Martin received the Top Performer for Pneumonia Care - Core Measure award at Catholic Health Initiatives' Quality and Risk Management Conference. Three new services devoted to improving health and wellness in the community have been added: Anticoagulation Clinic, Sleep Center, and Senior Renewal Center. - Saint Joseph Mount Sterling, formerly Mary Chiles Hospital, became a member of Saint Joseph Health System on August 1, 2007. From its founding in 1875; the hospital has been committed to a goal of serving the people of the Mt. Sterling area, including Montgomery, Bath, Menifee and Powell counties. Saint Joseph - Mount Sterling delivers a wide range of services, including a 24-hour emergency department, cardiac and pulmonary rehab, Diabetes and Nutrition Center, Joint Center, maternity services, Sleep Wellness Center and surgical services. In 2009, Saint Joseph - Mount Sterling was one of only two hospitals in Kentucky to receive the Anthem Blue Cross and Blue Shield "Successful Practice Award for its Orthopedic Joint Care Program." - Saint Joseph Jessamine RJ Corman Ambulatory Care Center opened on January 2, 2009. It is Jessamine County's first and only full service, 24/7 emergency department. It also provides diagnostic imaging, laboratory services and offices for doctors and staff. Saint Joseph Jessamine is a provider based service operating under the provider number of Saint Joseph Hospital. Primary Tax Exempt Purpose: Throughout SJHS the emergency departments frequently serve as the primary source of care for many of the uninsured and underinsured of their respective communities. This year 203,327 visits (outpatient ED visits) were made to the emergency rooms throughout the System. A hospital board comprised of business, physicians, and religious leaders advises and directs the CEO on issues impacting the System, as well as, strategic planning and community health needs. All hospitals participate in Medicare, Medicaid, CHAMPUS, TRICARE and/or other government sponsored health care programs. II. COMMUNITY BENEFIT APPROACH Our mission to create healthy communities continually challenges us to explore with representatives of business, social agencies, and religious organizations opportunities for addressing the changing needs of our communities. We seek new ways to extend our healing ministry through projects focused on improving the health and quality of life of those we serve, especially, the poor, the underinsured and uninsured. Through the establishment of a Healthy Communities Council, SJHS is working with representatives from each community we serve to identify existing programs, explore community needs throughout the system and develop projects. We are currently working to develop a Violence Prevention Pilot Project with the intent it will be a model to be used throughout the system. Partnerships are key to the success of any endeavor. Plans often include collaborative efforts with County Health Departments, community agen	NeedsAssessment
Patient Education Assistance	Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's charity care policy. Saint Joseph Health System communicates the charity program to all patients through signage, information in the patient handbook, and oral communication. Any patient presenting to a facility without insurance is apprised of the available assistance programs including charity, Medicaid, and the Kentucky Hospital Care program. Financial Counselors are available to meet with patients and discuss financial assistance options. Staff counselors are at all facilities in the registration department, in the Emergency Department and at any offsite ancillary location. Financial Counselors are also available by phone and do a great deal of follow-up work by contacting patients soon to be turned over to a collection agency as a last effort to communicate available financial assistance alternatives. Patients are provided financial assistance applications upon registration, all patient statements have financial assistance applications on the back including statements sent by third party collection agencies.	PatientEducationAssistance
Community Information	Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.	CommunityInformation
Community Building Activities	Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.	CommunityBuildingActivities
Other Information	Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting health of the community (e.g. open medical staff, community board, use of surplus funds, etc). Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.	OtherInformation
Affiliated Health Care System	If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served. Saint Joseph Health System (SJHS) is a member of Catholic Health Initiatives (CHI) a national nonprofit health organization with headquarters in Denver. Catholic Health Initiatives (CHI) is a national faith-based nonprofit health care organization with headquarters in Englewood, Colorado. CHI's exempt purpose is to serve as an integral part of its national system of hospitals and other charitable entities, which are described as market-based organizations, or MBOs. An MBO is a direct provider of care or services within a defined market area that may be an integrated health system and/or a stand-alone hospital or other facility or service provider. CHI serves as the parent corporation of its MBOs which are comprised of 73 hospitals; 40 long-term care, assisted- and residential-living facilities; and two community health-services organizations. Together, these facilities provided $590 million in charity care and community benefit in the 2010 fiscal year, including services for the poor, free clinics, education and research. CHI provides strategic planning and management services as well as centralized "shared services" for the MBOs. The provision of centralized management and shared services - including areas such as accounting, human resources, payroll and supply chain -- provides economies of scale and purchasing power to the MBOs. Cost savings associated with centralized services for the fiscal year ended June 30, 2010 include more than $105 million in supply chain expense, approximately $30 million for insurance costs and more than $3.9 million as the result of a system-wide effort to coordinate and negotiate technology and equipment purchases. The cost savings achieved through CHI's centralization enable MBOs to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society. The total amount of community benefit and charity care for Saint Joseph Health System for FY 2010 was $57,217,149. The following facilities make up Saint Joseph Health System: Saint Joseph Hospital Saint Joseph East Saint Joseph Berea Saint Joseph London Saint Joseph - Martin Saint Joseph Mount Sterling Saint Joseph Jessamine RJ Corman Ambulatory Care Center.	AffiliatedHealthCareSystem
Reports Filed With States	KY	ReportsFiledWithStates

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Wesley Village
1125 Lexington Road	Wilmore	KY	40390	611164550	501(c)(3)	5500
Lexington Strides Ahead
330 East Main Street	Lexington	KY	40507	611322448	501(c)(6)	15000
American Cancer Society
1504 College Way	Lexington	KY	40502	640329009	501(c)(3)	14900
American Heart Association
210 Malabu Drive 125	Lexington	KY	40502	135613797	501(c)(3)	9722
Lexington Clinic Foundation
350 Elaine Drive	Lexington	KY	40504	616037046	501(c)(3)	10000	Donation
United Way of Laurel County
PO Box 5004	London	KY	40743	611240648	501(c)(3)	10000
Children's Healthy Initiative
310 East Ninth Street	London	KY	40741	611334601	501(c)(3)	48940	Promote Health

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	6	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule I, Part I, Q. 2	Identifier
Return Reference	Procedures for monitoring the use of grants	ReturnReference
Explanation	Requests for contributions are monitored by the CEO and VP of Mission Integration.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (26 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs
AMJAD ALI
286094	70576	72809	41487	470965
SHAILESH BHOPATKAR
492402		517	39686	532605
ROBERT BROCK
199655	43598	9889	29040	282182
EDWARD CARTHEW
239067	67877	11161	32889	371839	20845
Beverly Downs
						124789	27668	395	25681	178534
VIRGINIA DEMPSEY
283292	99691	15385	35708	458825	24750
GARY ERMERS
365749	102727	60289	46256	607181	32160						39291
MELINDA EVANS
183327	24823	227	23440	231818
James Heitzenrater
57520		135069	27498	220086
GREG GERARD
167602	51536	9161	29632	272578	14648
ERIC GILLIAM
170278	24011	187	33087	227563
PEGGY GREEN
165746	34777	879	24701	226103
KEN HAYNES
406153	95619	12294	43191	592897	35640
CARMEL JONES
148166	32182	2962	35542	218851
BRUCE KLOCKARS
295514	94937	60035	41662	510239	18091						43566
Christine Mays
267493	37521	657	48428	354100
JEFFREY MILAM
513831		1160	30139	545130
SATHYENDRA MYSORE
552690		457	42126	595273
Sherry Tichenor
203585	28600	992	43960	277137
JAMES SHOPTAW
441412		548	40063	482022
MARK STREETY
266962	69293	22840	45796	428318	23428
KATHY STUMBO
167093	54191	9361	45302	289509	13561
EUGENE WOODS
						514665	124654	23585	40293	747055		43858
DANIEL VARGA
410596	70820	10522	37217	565155	36000
CARLA WALTER
143797	25135	123	28599	197654
Patrick Romano
		214078	17577	231655

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Schedule J, Part I, Q. 3	Methods Used to Establish CEO Compensation	Compensation for the top management official of saint joseph health system was established and paid by a related organization, catholic health initiatives (CHI). CHI used the following methods to establish the top management official's compensation: 1) compensation committee; 2) independent compensation consultant; 3) compensation survey or study; and 4) approval by the board or compensation committee; 5) written employment contract.
Schedule J, Part I, Q. 4A	Severance Payments	Saint Joseph Health System's severance may be offered to regular full-time or part-time employees based on years of service and scheduled hours. To be eligible for severance, an employee must stay with the organization through the end of the announced separation date and not accept another regular full-time or part-time position within the organization. An employee will not be eligible for severance if he or she separates from the organization due to performance issues prior to the job elimination date. Management has the right to change severance pay amounts at any time as business needs change. The severance period will immediately follow termination of employment. Employees must sign a valid and complete waiver of all claims prior to commencement of severance pay. The following reportable individuals received severance payments from Saint Joseph Health System during the 2009 calendar year, and these severance payments were included in the individual's W-2 income and reportable compensation on Schedule J: James Heitzenrater $120,059; Patrick Romano $231,655.
Schedule J, Part I, Q. 4B	Supplemental Nonqualified Compensation	During the 2009 calendar year Catholic Health Initiatives ("CHI"), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs and other CHI employees at the level of Senior Vice President and above. The following reportable individuals were eligible to participate in that plan: Edward Carthew, Virginia Dempsey, Gary Ermers, Gerg Gerard, Ken Haynes, Bruce Klockars, Mark Streety, Kathy Stumbo, Eugene Woods, and Daniel Varga. During 2009 the following contributions were made by CHI to the deferred compensation plan: Edward Carthew $20,845; Virginia Dempsey $24,750; Gary Ermers $32,160; Greg Gerard $14,648; Ken Haynes $35,640; Bruce Klockars $18,091; Mark Streety $23,428; Kathy Stumbo $13,561; Eugene Woods $43,858; Daniel Varga $36,000. During 2009 the following distributions were made by CHI from the deferred compensation plan: Gary Ermers $39,291; Bruce Klockars $43,566.
Schedule J, Part I, Q. 7	Incentive Compensation	SJHS has an incentive plan for employed physicians. The plan is based on a combination of physician productivity, quality, and patient satisfaction goals.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Krystal Woods
niece of CEO	32293	Compensation of earned wages	false
Scott Mays
son of key employee	27706	Compensation of earned wages	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part III, Q. 2	undertake any significant program services	During FY 2010, Saint Joseph Health System had the following program services added: Saint Joseph Hospital - Radiation Oncology; Saint Joseph Martin Hospital - OP Geri Psych & Sleep Center; Saint Joseph Berea Hospital - Wound Care & OP Geri Psych.
FORM 990, PART VI, Q. 1A	Executive committee composition and authority	Pursuant to Section 8.1 of the Bylaws of Saint Joseph Health System Inc., directors then in office, establish one or more committees, as need or required to conduct and transact the business of the Corporation. A motion to approve the appointment of the Board Executive Committee was made and approved on June 28, 2008. The Committee consists of the Chairman, Vice Chair, Secretary, Treasurer, and CEO (ex officio). The committee is granted the authority to act on behalf of the Board of Directors.
Form 990, Part VI, Line 6	Members or Stockholders	ACCORDING TO THE BYLAWS OF SAINT JOSEPH HEALTH SYSTEM, THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
Form 990, Part VI, Line 7A	ELECTING DIRECTORS	ACCORDING TO THE ORGANIZATION'S ARTICLES AND BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION.
Form 990, Part VI, Line 7B	GOVERNING POWERS	Saint Joseph Health System's (SJHS) corporate member is Catholic Health Initiatives ("CHI"). Pursuant to Section 5.4 of SJHS's bylaws, the Corporate Member shall have the specific rights set forth in the governance matrix. Pursuant to the governance matrix the following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: - Substantial change in the mission or philosophy of SJHS - Amendment of the corporate documents of SJHS - Approve members of the SJHS board - Removal of a member of the governing body of SJHS - Approval of issuance of debt by SJHS - Approval of participation of SJHS in a joint venture - Approval of formation of a new corporation by SJHS - Approval of a merger involving SJHS - Approval of the sale of all or substantially all of the assets of SJHS - To require the transfer of assets by SJHS to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. - Adoption of long range and strategic plans for SJHS In addition, pursuant to Section 5.5.2 of the organization's bylaws, CHI may, in exercise of its approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and the President and Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate.
Form 990, Part VI, Q 11A	Process the organization uses to review Form 990	THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER BEFORE THE CFO PRESENTS THE RETURN TO THE BOARD AT ITS BOARD MEETING. SUBSEQUENT TO THE BOARD AND CFO REVIEW, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.
Form 990, Part VI, Q. 12c	Procedures for monitoring and enforcing the COI policy	Conflict of Interest Statements are reviewed by the facility President and then presented to the Board Chair for Directors and Board Members. The process of resolving potential conflicts begins when the President presents the information to the Board Chair. The Board Chair further investigates and reports to the Executive Committee of the Board for final determination. For employees, conflict disclosure statements are reviewed by Human Resources and the President if there are any potential conflicts.
Form 990, Part VI, Q. 15A	Process for Determining Compensation - CEO	The organization's CEO's compensation is paid by CHI. CHI uses the Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of CHI's senior most executives (including each MBO CEO) are reviewed on an individual basis annually. The Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Hay Group to the HR Committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September, 2010. In addition, in December 2009, Hay Group completed a comprehensive review of all CHI positions at the level of Vice President and above to determine and validate appropriate compensation levels.
Form 990, Part VI, Q. 15B	Process for Determining Compensation	Saint Joseph Health System's Executive leadership compensation is reviewed by the Executive Committee to the Board. An outside consultant provided comparative data based on base compensation, total compensation, and executive benefits. Physician compensation is reviewed and approved by PLC, management PTRC, Board PTRC, and ultimately the full board.
Form 990, Part VI, Q. 16B	Formal Policies Concerning Participation in Joint Ventures	Saint Joseph Health System has not formally adopted a written policy or written procedure regarding joint ventures. However CHI's system-wide joint venture model operating agreement incorporates controls over the venture sufficient to ensure that (1) the exempt organization at all times retains control over the venture sufficient to ensure that the partnership furthers the exempt purpose of the organization; (2) in any partnership in which the exempt organization is a partner, achievement of exempt purposes is prioritized over maximization of profits for the partners; (3) the partnership does not engage in any activities that would jeopardize the exempt organization's exemption; (4) returns of capital, allocations, and distributions must be made in proportion to the partners' respective ownership interests; and (5) all contracts entered into by the partnership with the exempt organization must be at arm's-length, with prices set at fair market value.
Form 990, Part VI, Q. 19	Availability of Governing documents, COI Policy, Financial Statements	THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINACIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT.
Form 990, Part VII	Estimate of Hours Devoted to Related Organizations	COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (132 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
St Joseph Community Health Services
300 Central SW Suite 300	Albuquerque	NM	87102	710897107	Community	NM	501(c)(3)	11a	CHI
St Joseph Community Health Foundation
300 Central SW Suite 300	Albuquerque	NM	87102	850253087	Foundation	NM	501(c)(3)	7	SJCHS
St Francis of Baker City
3325 Pocahontas Road	Baker City	OR	97814	930412495	Hospital	OR	501(c)(3)	3	CHI
St Elizabeth Health Care Foundation
3325 Pocahontas Road	Baker City	OR	97814	943164869	Foundation	OR	501(c)(3)	7	SEHS
Flaget Memorial Hospital Foundation Inc
4305 New Shepherdsville Road	Bardstown	KY	40004	562351341	Fundraising	KY	501(c)(3)	11a	FH
Flaget Healthcare DBA Flaget Memorial
4305 New Shepherdsville Road	Bardstown	KY	40004	611345363	Hospital	KY	501(c)(3)	3	CHI
Lakewood Health Center
600 Main Avenue South	Baudette	MN	56623	410758434	LTerm Care	MN	501(c)(3)	3	CHI
Appletree Court
601 Oak Street	Breckenridge	MN	56520	411850500	Senior Homes	MN	501(c)(3)	9	SFH
Healthcare and Wellness Foundation
2400 St Francis Drive	Breckenridge	MN	56520	760761782	Foundation	MN	501(c)(3)	11a	SFMC
St Francis Home
2400 St Francis Drive	Breckenridge	MN	56520	410729978	LTerm Care	MN	501(c)(3)	9	CHI
St Francis Medical Center
2400 St Francis Drive	Breckenridge	MN	56520	410695598	Healthcare	MN	501(c)(3)	3	CHI
Carrington Health Center
800 North 4th Street	Carrington	ND	58421	450227311	Healthcare	ND	501(c)(3)	3	CHI
Saint Clare's Community Care
66 Ford Road	Denville	NJ	07834	222876836	Healthcare	NJ	501(c)(3)	11b	SCHS
Saint Clare's Foundation Inc
66 Ford Road	Denville	NJ	07834	222502997	Fundraising	NJ	501(c)(3)	7	SCHS
Good Samaritan College of Nursing & Heal
375 Dixmyth Ave	Cincinnati	OH	45220	311778403	Education	KY	501(c)(3)	2	GHS
Total Healthcare
PO Box 7021	Colorado Springs	CO	80933	840927232	Healthcare	CO	501(c)(3)	3	CHI Colorado
Memorial Health Care System Inc
2525 De Sales Avenue	Chattanooga	TN	37404	620532345	Hospital	TN	501(c)(3)	3	CHI
Memorial Health Care System Foundation
2525 De Sales Avenue	Chattanooga	TN	37404	621839548	Foundation	TN	501(c)(3)	7	MHCS
Memorial Health Partners Foundation Inc
6028 Shallowford Road	Chattanooga	TN	37421	030417049	Healthcare	TN	501(c)(3)	9	MHCS
The Community Limited Care Dialysis Cent
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	237419853	Dialysis	OH	501(c)(2)	none	GSH
Good Samaritan Foundation of Cincinnati
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	311206047	Foundation	OH	501(c)(3)	11a	GSH
The Good Samaritan Hospital of Cincinnat
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	310537486	Hospital	OH	501(c)(3)	3	TRI-HEALTH
Saint Clare's Hospital
66 Ford Road	Denville	NJ	07834	223319886	Hospital	NJ	501(c)(3)	3	CHI
St Francis Life Care Corporation
19 Pocono Road	Denville	NJ	07834	222536017	Elderly Care	NJ	501(c)(3)	9	SCHS
TriHealth Physician Institute
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	311074519	Physicians	OH	501(c)(3)	11a	GSH
Catholic Health Initiatives Colorado Fou
961 East Colorado Avenue	Colorado Springs	CO	80903	840902211	Foundation	CO	501(c)(3)	7	CHI Colorado
SET of Colorado Springs Inc
825 E Pikes Peak Avenue Bldg 29	Colorado Springs	CO	80903	841183335	LTerm Care	CO	501(c)(3)	7	CHI Colorado
Catholic Health Initiatives
1999 Broadway Suite 4000	Denver	CO	80202	470617373	Healthcare	CO	501(c)(3)	9	CHI
Catholic Health Care Federation
1999 Broadway Suite 4000	Denver	CO	80202	208473567	Jurdic Person	CO	501(c)(3)	11a	CHI
Global Health Initiatives
1999 Broadway Suite 4000	Denver	CO	80202	201536108	Ministries	CO	501(c)(3)	11a	CHI
Health SET
4200 West Conejos Place 436	Denver	CO	80204	841102943	Low Inc.Care	CO	501(c)(3)	7	CHI Colorado
Bishop Drumm Retirement Center
1111 6th Avenue	Des Moines	IA	50314	420725196	LTerm Care	IA	501(c)(3)	9	CHI-IA Corp
Mercy Medical Center - Des Moines AKA
1111 6th Avenue	Des Moines	IA	50314	420680448	Hospital	IA	501(c)(3)	3	CHI-IA Corp
House of Mercy
1111 6th Avenue	Des Moines	IA	50314	421323808	Shelter	IA	501(c)(3)	7	CHI-IA Corp
Mercy Auxiliary of Central Iowa
1111 6th Avenue	Des Moines	IA	50314	426076069	Auxiliary	IA	501(c)(3)	11a	CHI-IA Corp
Mercy Clinics Inc
1111 6th Avenue	Des Moines	IA	50314	421193699	Physician	IA	501(c)(3)	9	CHI-IA Corp
Mercy College of Health Sciences
1111 6th Avenue	Des Moines	IA	50314	421511682	Education	IA	501(c)(3)	2	CHI-IA Corp
Mercy Foundation of Des Moines IA
1111 6th Avenue	Des Moines	IA	50314	237358794	Foundation	IA	501(c)(3)	7	CHI-IA Corp
Mercy Medical Center - Centerville FKA
1 St Josephs Drive	Centerville	IA	52544	420680308	Hospital	IA	501(c)(3)	3	CHI-IA Corp
Mercy Professional Practice Associates
1111 6th Avenue	Des Moines	IA	50314	421470935	Physician	IA	501(c)(3)	9	CHI-IA Corp
Mercy Hospital of Devils Lake
1031 East Seventh Street	Devils Lake	ND	58301	450227012	Healthcare	ND	501(c)(3)	3	CHI
Saint Joseph's Hospital Foundation
30 West 7th Street	Dickinson	ND	58601	363418207	Foundation	ND	501(c)(3)	11a	SJHHC
St Joseph's Hospital and Health Center
30 West 7th Street	Dickinson	ND	58601	450226429	Healthcare	ND	501(c)(3)	3	CHI
Mercy Regional Medical Center of Durango
1010 Three Springs Blvd	Durango	CO	81301	840405515	Hospital	CO	501(c)(3)	3	CHI
CHI Kentucky Inc
3900 Olympic Blvd Suite 400	Erlanger	KY	41018	202741651	Healthcare	KY	501(c)(3)	11a	CHI
Villa Nazareth Inc
801 Page Drive	Fargo	ND	58103	450226714	LT Care	ND	501(c)(3)	9	CHI
St Catherine Hospital
401 East Spruce Street	Garden City	KS	67846	480543721	Hospital	KS	501(c)(3)	3	CHI
St Catherine Hospital Development Found
401 East Spruce Street	Garden City	KS	67846	200598702	Foundation	KS	501(c)(3)	11a	SCH
Saint Francis Medical Center Foundation
PO Box 9804	Grand Island	NE	68802	470630267	Foundation	NE	501(c)(3)	7	SFMC
Saint Francis Medical Center
PO Box 9804	Grand Island	NE	68802	470376601	HealthCare	NE	501(c)(3)	3	CHI Nebraska
Central Kansas Medical Center
3515 Broadway	Great Bend	KS	67530	480543724	Hospital	KS	501(c)(3)	3	CHI
St Joseph Memorial Hospital
923 Carroll Ave	Larned	KS	67550	481253246	Hospital	KS	501(c)(3)	3	CKMC
MNMCH Inc
220 North Pennsylvania	Columbus	KS	66725	481216238	Hospital	KS	501(c)(3)	3	SJRMC
Mercy Lifecare Systems
2727 McClelland Blvd	Joplin	MO	64804	431305163	Property Mgmt	MO	501(c)(3)	11a	SJRMC
St John's Medical Group
2727 McClelland Blvd	Joplin	MO	64804	431882377	Phys Practice	MO	501(c)(3)	9	SJRMC
St John's Mercy Regional Foundation
2727 McClelland Blvd	Joplin	MO	64804	431308084	Foundation	MO	501(c)(3)	7	SJRMC
St John's Regional Medical Center
2727 McClelland Blvd	Joplin	MO	64804	440545809	Hospital	MO	501(c)(3)	3	CHI
Good Samaritan Hospital
PO Box 1990	Kearney	NE	68848	470379755	HealthCare	NE	501(c)(3)	3	CHI Nebraska
Good Samaritan Hospital Foundation
PO Box 1810	Kearney	NE	68848	470659443	Foundation	NE	501(c)(3)	7	GSH
St Joseph Health Ministries
1929 Lincoln Hwy E Ste 150	Lancaster	PA	17602	232342997	Health	PA	501(c)(3)	11a	CHI
St Joseph Health Ministries Foundation
1929 Lincoln Hwy E Ste 150	Lancaster	PA	17602	232605579	Fundraising	PA	501(c)(3)	11a	SJHM
St Joseph Health Services Inc
1929 Lincoln Hwy E Ste 150	Lancaster	PA	17602	201425375	Dental care	PA	501(c)(3)	11a	SJHM
Continuing Care Hospital
150 North Eagle Creek Drive	Lexington	KY	40509	611400619	LTACH	KY	501(c)(3)	3	SJHS
Saint Joseph Berea Hospital Foundation
305 Estill Street	Berea	KY	40403	260152877	Foundation	KY	501(c)(3)	7	SJHS
Saint Joseph Health System Inc
150 N Eagle Creek Dr	Lexington	KY	40509	611334601	Hospital	KY	501(c)(3)	3	CHI
St Joseph Hospital Foundation Inc
One St Joseph Drive	Lexington	KY	40504	611159649	Foundation	KY	501(c)(3)	11a	SJHS
Saint Joseph Medical Foundation Inc
One St Joseph Drive	Lexington	KY	40504	311539059	Phy Practices	KY	501(c)(3)	3	SJHS
Visiting Nurse Association of Saint Clar
191 Woodport Road	Sparta	NJ	07871	221768334	Home Health	NJ	501(c)(3)	9	SCHS
Saint Elizabeth Foundation
555 South 70th Street	Lincoln	NE	68510	470625523	Foundation	NE	501(c)(3)	7	SERMC
Saint Elizabeth Health Services
555 South 70th Street	Lincoln	NE	68510	363233120	Healthcare	NE	501(c)(3)	3	SERMC
CHI Nebraska
555 South 70th Street	Lincoln	NE	68510	363233121	Healthcare	NE	501(c)(3)	11a	CHI
Saint Elizabeth Regional Medical Center
555 South 70th Street	Lincoln	NE	68510	470379836	Healthcare	NE	501(c)(3)	3	CHI Nebraska
The Physician Network
8055 O Street Suite 300	Lincoln	NE	68510	470780857	Healthcare	NE	501(c)(3)	11a	CHI Nebraska
Lisbon Area Health Services
905 Main Street	Lisbon	ND	58054	820558836	Healthcare	ND	501(c)(3)	3	CHI
Alverna Apartments
300 SE 8th Avenue	Little Falls	MN	56345	411351177	Lterm Care	MN	501(c)(3)	9	CHI
Unity Family Healthcare
815 2nd Street SE	Little Falls	MN	56345	410721642	Healthcare	MN	501(c)(3)	3	CHI
St Anthony's Hospital Association
4 Hospital Drive	Morrilton	AR	72110	710245507	Healthcare	AR	501(c)(3)	3	SVIMC
St Vincent Infirmary Medical Center
2 St Vincent Circle	Little Rock	AR	72205	710236917	Healthcare	AR	501(c)(3)	3	CHI
St Vincent Medical Group
2 St Vincent Circle	Little Rock	AR	72205	710830696	Healthcare	AR	501(c)(3)	9	SVIMC
Maria-Joseph Center
4830 Salem Avenue	Dayton	OH	45416	310935118	Healthcare	OH	501(c)(3)	9	SHP
Saint Joseph London Foundation Inc
1001 St Joseph Lane	London	KY	40741	260438748	Foundation	KY	501(c)(3)	11a	SJHS
Samaritan Behavioral Health
601 S Edwin C Moses Blvd	Dayton	OH	45408	020633634	Hospital	OH	501(c)(3)	3	SHP
Mercy Medical Center
1512 12th Avenue Road	Nampa	ID	83686	820200896	Hospital	ID	501(c)(3)	3	CHI
Mercy Medical Center Foundation
1512 12th Avenue Road	Nampa	ID	83686	261737256	Foundation	ID	501(c)(3)	11a	Mercy Med Ct
Mercy Physician Group Inc
1512 12th Avenue Road	Nampa	ID	83686	208192593	Phys Group	ID	501(c)(3)	9	Mercy Med Ct
St Mary's Hospital
1314 3rd Avenue	Nebraska City	NE	68410	470443636	Hospital	NE	501(c)(3)	3	CHI Nebraska
St Mary's Hospital Foundation
1314 3rd Avenue	Nebraska City	NE	68410	470707604	Foundation	NE	501(c)(3)	7	SMH
Oakes Community Hospital
314 South 8th Street	Oakes	ND	58474	450231675	Hospital	ND	501(c)(3)	3	CHI
Oakes Community Hospital Foundation
314 South 8th Street	Oakes	ND	58474	710966606	Foundation	ND	501(c)(3)	11a	OCH
St Dominic at Ontario
351 SW 9th Street	Ontario	OR	97914	930433692	Hospital	OR	501(c)(3)	3	CHI
Holy Rosary Medical Center Foundation
351 SW 9th Street	Ontario	OR	97914	202683560	Foundation	OR	501(c)(3)	11a	HRMC
St Joseph's Area Health Services
600 Pleasant Avenue	Park Rapids	MN	56470	410695603	Hospital	MN	501(c)(3)	3	CHI
St Anthony Hospital
1601 SE Court Avenue	Pendleton	OR	97801	930391614	Hospital	OR	501(c)(3)	3	CHI
St Anthony Hospital Foundation
1601 SE Court Avenue	Pendleton	OR	97801	930992727	Foundation	OR	501(c)(3)	11a	SA Hospital
Gettysburg Medical Center
606 East Garfield Avenue	Gettysburg	SD	57442	460234354	Hospital	SD	501(c)(3)	3	SMHC
St Mary's Healthcare Center
801 East Sioux Avenue	Pierre	SD	57501	460230199	Healthcare	SD	501(c)(3)	3	CHI
Mt St Joseph Inc
3060 SE Stark Street	Portland	OR	97214	930386870	Nursing Care	OR	501(c)(3)	9	CHI
Pueblo Stepup
1925 East Orman Avenue Suite G52	Pueblo	CO	81004	841234295	Community	CO	501(c)(3)	7	CHI
Bornemann Healthcare Corporation
2500 Bernville Road PO Box 316	Reading	PA	19603	232187242	Healthcare	PA	501(c)(3)	11a	CHI
St Joseph Medical Center Foundation
2500 Bernville Road PO Box 316	Reading	PA	19603	232649362	Foundation	PA	501(c)(3)	11a	SJRHN
St Joseph Medical Group
2500 Bernville Road PO Box 316	Reading	PA	19603	208544021	Healthcare	PA	501(c)(3)	9	BHC
St Joseph Regional Health Network
2500 Bernville Road PO Box 316	Reading	PA	19603	231352211	Healthcare	PA	501(c)(3)	3	CHI
Linus Oakes Inc
2700 Stewart Parkway	Roseburg	OR	97470	930821381	Senior Living	OR	501(c)(3)	9	MMC
Mercy Foundation Inc
2700 Stewart Parkway	Roseburg	OR	97470	936088946	Foundation	OR	501(c)(3)	7	MMC
Mercy Medical Center
2700 Stewart Parkway	Roseburg	OR	97470	930386868	Hospital	OR	501(c)(3)	3	CHI
Franciscan Villa of South Milwaukee Inc
3601 South Chicago Avenue	South Milwaukee	WI	53172	391093829	Healthcare	WI	501(c)(3)	9	CHI
Enumclaw Community Hospital
1450 Battersby Avenue	Enumclaw	WA	98022	910715805	Hospital	WA	501(c)(3)	3	FHS
Franciscan Foundation
1717 South J Street	Tacoma	WA	98405	911145592	Fundraising	WA	501(c)(3)	9	FHS
Franciscan Health System FKA Franciscan
1717 South J Street	Tacoma	WA	98405	910564491	Healthcare	WA	501(c)(3)	3	CHI
Franciscan Medical Group
1708 South Yakima Avenue	Tacoma	WA	98405	911939739	Healthcare	WA	501(c)(3)	9	FHS
St Joseph Medical Center Foundation In
7601 Osler Drive	Towson	MD	21204	521681044	Fundraising	MD	501(c)(3)	7	SJMC
St Joseph Medical Center Inc
7601 Osler Drive	Towson	MD	21204	520591461	Hospital	MD	501(c)(3)	3	CHI
St Joseph Physician Enterprises
7601 Osler Drive	Towson	MD	21204	521311775	Physicians	MD	501(c)(3)	11a	CHI
Samaritan Health Foundation
2222 Philadelphia Drive	Dayton	OH	45406	237296923	Foundation	OH	501(c)(3)	7	SHP
Mercy Hospital of Valley City
570 Chautauqua Boulevard	Valley City	ND	58072	450226553	Hospital	ND	501(c)(3)	3	CHI
Mercy Medical Center
1301 15th Avenue West	Williston	ND	58801	450231183	Healthcare	ND	501(c)(3)	3	CHI
Mercy Medical Foundation
1301 15th Avenue West	Williston	ND	58801	450381803	Foundation	ND	501(c)(3)	11a	MMC
Samaritan Health Partners
2222 Philadelphia Drive	Dayton	OH	45406	311107411	Healthcare	OH	501(c)(3)	11a	CHI
St Vincent Foundation
Two St Vincent Circle	Little Rock	AR	72205	510169537	Fundraising	AR	501(c)(3)	11a	SVIMC
Auxiliary of Holy Rosary Hospital Inc
351 SW 9th Street	Ontario	OR	97914	943059469	Hospital	OR	501(c)(3)	9	HRMC
The Mercy Hospital of Devils Lake Fdn
1031 East Seventh Street	Devils Lake	ND	58301	352367360	Foundation	ND	501(c)(3)	11a	MHDL
Alegent Health - Bergan Mercy Health Sys
7500 Mercy Road	Omaha	NE	68124	470484764	Hospital	NE	501(c)(3)	3	CHI
Alegent Health - Mercy Hospital Corning
PO Box 368	Corning	IA	50841	420782518	Hospital	IA	501(c)(3)	3	AHBMHS
Mercy Health Care Foundation
PO Box 368	Corning	IA	50841	421461064	Foundation	NE	501(c)(3)	11a	AHMH
Mercy Hospital Foundation Council Bluff
800 Mercy Drive	Council Bluffs	IA	51503	421178204	Foundation	IA	501(c)(3)	11a	AHBMHS
CHI Institute For Research and Innovatio
198 Inverness Drive West	Englewood	CO	80112	271050565	Healthcare	CO	501(c)(3)	11a	CHI
CHI Colorado
188 Inverness Drive West	Englewood	CO	80112	840405257	Healthcare	CO	501(c)(3)	3	CHI
Saint Joseph Mount Sterling Foundation
50 Sterling Avenue	Mount Sterling	KY	40353	272884584	Foundation	KY	501(c)(3)	7	SJHS
Centennial Medical Group Inc
2700 Stewart Parkway	Roseburg	OR	97470	900433062	Physicians	OR	501(c)(3)	9	MMC
CHI National Foundation
198 Inverness Drive West	Englewood	CO	80112	270930004	Foundation	CO	501(c)(3)	11a	CHI
Saint Clare's Health Services Inc
25 Pocono Road	Denville	NJ	07834	223639733	Management	NJ	501(c)(3)	7	CHI
Good Samaritan Hospital
2222 Philadelphia Drive	Dayton	OH	45406	310536981	Hospital	OH	501(c)(3)	3	SHP

Form990 Schedule R Part III Form990ScheduleRPartIII (17 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner
Superior Medical Imaging LLC
5000 North 26th Street	Lincoln	NE	68521	262884555	OP Diagnostics	NE	SERMC	Related	-155495	993429	false	$272	false
Central Nebraska Rehab Services
3004 W Faidley Ave	Grand Island	NE	68802	810653461	Physical Therapy	NE	CHI	Related	1816979	2933623	false	$5,050	false
Mercy West Endoscopy LLC
1601 NW 114th St Suite 244	Clive	IA	50325	900129077	Ambulatory Surg	IA	CHI-IA Corp	Related	1917716	1695121	false		false
Audubon Land Company LLC
5390 N Academy Blvd Suite 300	Colorado Springs	CO	80918	841513085	Real Estate	CO	THC	Related	67577	9001605	false		false
Breckenridge Medical Clinic LLC
555 South Park Avenue Plaza 11	Breckenridge	CO	80424	651295958	Medical Clinic	CO	THC	Related			false		false
Penrad Imaging
1390 Kelly Johnson Blvd	Colorado Springs	CO	80920	841072619	Medical Imaging	CO	THC	Related	1922441	8248492	false		false
St Anthony Regional Mtn Cancer Center
4231 W 16th Avenue	Denver	CO	80112	371568013	Cancer Center	CO	THC	Related	60513	318803	false		false
St Francis Land Company
5390 N Academy Blvd Suite 300	Colorado Springs	CO	80918	263134100	Real Estate	CO	THC	Related	-180979	14886022	false		false
OrthoColorado LLC
11650 West 2nd Place	Lakewood	CO	80255	371577105	Ortho Hospital	CO	THC	Related	-5375165	15265510	false		false
Mercy Outpatient Surgery Center LLC
1512 12th Avenue Road	Nampa	ID	83686	841380439	Surgery Center	ID	MMC	Related	-812036	949357	false	$4,620	true
Peninsula Radiation Oncology
314 Martin Luther King Jr Way 11	Tacoma	WA	98405	870808610	Healthcare Srvc	WA	FHS	Related	-516076	3860362	false		false
Healthcare Support Services LLC
PO Box 9804	Grand Island	NE	68802	721546196	Laundry	NE	CHI	Related	199968	3913481	false	$58,436	false
Bluegrass Regional Imaging Center
1218 South Broadway Suite 310	Lexington	KY	40504	611386736	Diagnostic	KY	CHI	Related	242456	3773725	false		false
North River Surgery Center LLC
2209 Wildwood Avenue	Sherwood	AR	72120	710799771	Ambul Surg Ctr	AR	SVIMC	Related	213989	1696001	false		false
CHI Operating Investment Program LP
198 Inverness Drive West	Englewood	CO	80112	470727942	Investments	CO	CHI	Investment	58022	4069968	false	$14,031	true
Ruxton Surgicenter LLC
8322 Bellona Avenue Suite 201	Baltimore	MD	21204	522095835	Surgery Center	MD	SJMC	Related	-75716	3421084	false		true
Central Nebraska Home Care Services
PO Box 1146-4510 Second Avenue	Kearney	NE	68848	470692112	Healthcare Srvc	NE	HSEINC	Related	-102982	1021500	false		true

Form990 Schedule R Part IV Form990ScheduleRPartIV (30 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Legal Domicile Foreign CountryLegalDomicileForeignCountry
Mercy Health Services Corporation
2727 McClelland Blvd	Joplin	MO	64804	431457881	DME	MO	St John's RMC	C Corp	-1033832	2093683	1.00000
Mountain Management Services Inc
6028D Shallowford Road	Chattanooga	TN	37422	621570739	mgmt svc org	TN	MHCS	C Corp	348642	4530845	1.00000
MedQuest
1301 15th Avenue West	Williston	ND	58801	450392137	Sale of DME	ND	MHof Williston	C Corp	-16794	911494	1.00000
St Anthony Development Company
1415 Southgate	Pendleton	OR	97801	931216943	Athletic Club	OR	St Anthony H	C Corp	41861	3047938	1.00000
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990	KEARNEY	NE	68848	470659440	MEDICAL CLINIC	NE	CHI Nebraska	C Corp	-2491623	840232	1.00000
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MANAGEMENT	NE	GSH	C Corp	10957	1559747	1.00000
Mercy Park Apartments Ltd
1111 6th Avenue	Des Moines	IA	50314	421202422	Housing	IA	CHI-IA Corp	C Corp	227244	1806199	1.00000
Des Moines Medical Center Inc
1111 6th Avenue	Des Moines	IA	50314	420837382	Real Estate	IA	CHI-IA Corp	C Corp		1123173	0.92980
Comcare Services
4231 W 16th Avenue	Denver	CO	80204	840904813	Inactive	CO	CHIC	C Corp			1.00000
Mednow Inc
1512 12th Avenue Road	Nampa	ID	83686	820389927	Outpat Pharmacy	ID	Mercy Med Ctr	C Corp	-672954	5348476	1.00000
Saint Clare's Primary Care Inc
66 Ford Road	Denville	NJ	07834	222441202	Billing Services	NJ	SCCC	C Corp	-350630	2590487	1.00000
Healthcare Mgmt Services Org Inc
1149 Market St	Tacoma	WA	98402	911865474	Health Org.	WA	FHS	C Corp			1.00000
Physician Health System Network
1149 Market St	Tacoma	WA	98402	911746721	Health Org.	WA	FHS	C Corp			1.00000
Mercy Services Corp
2700 Stewart Parkway	Roseburg	OR	97470	930824308	Retail Sales	OR	Mercy Medical	C Corp	-499409	1403001	1.00000
Caduceus Medical Associates Inc
6028 Shallowford Road Suite D	Chattanooga	TN	37422	621570736	Healthcare	TN	MHCS	C Corp		1008	1.00000
CENTRAL KANSAS HEALTH SERVICES ASSOCIATI
3515 Broadway	Great Bend	KS	67530	481042853	MEDICAL EQUIPMENT	KS	CKMC	C Corp		110125	1.00000
St Vincent Community Health Services In
Two St Vincent Circle	Little Rock	AR	72205	710710785	Healthcare	AR	SVIMC	C Corp	2404944	10195000	1.00000
Alternative Insurance Management Service
3900 Olympic Boulevard Suite 400	Erlanger	KY	41018	841112049	Management Servic	CO	CHI	C Corp		3272176	1.00000
Nazareth Assurance Company
76 St Paul Street Suite 500	Burlington	VT	05401	030304831	Insurance	VT	CHI	C Corp			1.00000
Franciscan Services Inc
198 Inverness Drive West	Englewood	CO	80112	232487967	Healthcare	CO	CHI	C Corp	194756	12598258	1.00000
SJH Services Corporation
198 Inverness Drive West	Englewood	CO	80112	232307408	Healthcare	CO	FSI	C Corp	314346	3423012	1.00000
St Joseph Development Company Inc
1717 South J Street	Tacoma	WA	98405	911480569	Rental	WA	FSI	C Corp	1677122	11984725	1.00000
Towson Management Inc
7601 Osler Drive	Towson	MD	21204	521710750	Management Servic	MD	FSI	C Corp	99315	498383	1.00000
Captive Management Initiatives
				980663022	Captive Managemen		CHI	C Corp			1.00000	CJ
First Initiatives Insurance Ltd
				980203038	Insurance		CHI	C Corp			1.00000	CJ
Center for Translational Research
198 Inverness Drive West	Englewood	CO	80112	272269511	Healthcare	CO	CHI	C Corp	-840949	1746201	1.00000
Samaritan Family Care Inc
40 W Fourth St 1700	Dayton	OH	45402	311299450	Healthcare	OH	SHP	LLC	-1199836	4894397	1.00000
SJL Physician Management Services Inc
424 Lewis Hargett Cr 160	Lexington	KY	40503	999999999	Management	KY	SJHS	C Corp			1.00000
CGH Realty Company Inc
215 N 12th St	Reading	PA	19603	232326801	Real Estate	PA	SJHM	C Corp	1007	42415	1.00000
St Joseph Office Park Association
1401 HarrodsBurg Road Bldg B70	Lexington	KY	40504	611079899	Management	KY	SJHS	C Corp	10217	572843	0.85000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Saint Joseph Hospital Foundation
c	421570
Saint Joseph Hospital Foundation
l	1206434
Saint Joseph Hospital Foundation
p	147094
Saint Joseph Hospital Foundation
q	151825
Bluegrass Regional Imaging
i	105882
Bluegrass Regional Imaging
r	788282
Continuing Care Hospital
i	731658
Continuing Care Hospital
k	5976110
Continuing Care Hospital
p	9077749
Saint Joseph Medical Foundation
p	4425905
Saint Joseph Berea Hospital Foundation
p	764209
Catholic Health Initiatives
c	72820
Catholic Health Initiatives
e	78500000
Catholic Health Initiatives
l	75843965
Catholic Health Initiatives
o	12996802
Catholic Health Initiatives
q	15819739