2013-11-15T08:12:15-06:00 2012-12-31 381357951 PLANTE & MORAN PLLC 1111 SUPERIOR AVE SUITE 1250 CLEVELAND OH 441142533 990 2012-01-01 742455161 ST JOSEPH SERVICES CORPORATION STJO 9797763777 2801 FRANCISCAN DRIVE BRYAN TX 778022544 ODETTE BOLANO 9797763777 2013-11-12 1 JEREMY S HERMAN P00745789 2165231010 2012 2016-02-25 16:41:14Z ST JOSEPH HEALTH SYSTEM ODETTE BOLANO 2801 FRANCISCAN DRIVE BRYAN TX 778022544 12123530 0 0928 X WWW.ST-JOSEPH.ORG X 1987 TX ST. JOSEPH SERVICES CORPORATION IS ORGANIZED TO PROVIDE GOVERNANCE AND DIRECTION TO ALL ITS MEMBER ORGANIZATIONS THAT ARE SERVING THE HEALTH NEEDS OF THE COMMUNITIES IN WHICH THEY RESIDE. 15 10 0 0 0 0 0 0 9656849 12123530 0 0 0 0 9656849 12123530 0 0 0 0 4492464 5274875 0 0 0 5626721 6848655 10119185 12123530 -462336 0 3003587 1713316 1079144 1963981 1924443 -250665 ST. JOSEPH SERVICES CORPORATION IS ORGANIZED TO PROVIDE GOVERNANCE AND DIRECTION TO ALL ITS MEMBER ORGANIZATIONS THAT ARE SERVING THE HEALTH NEEDS OF THE COMMUNITIES IN WHICH THEY RESIDE. 0 0 2111153 12123530 THE PRIMARY EXEMPT PURPOSE OF ST. JOSEPH SERVICES CORPORATION IS TO STEWARD THE HEALTH MINISTRY OF THE SISTERS OF ST. FRANCIS IN THE BRAZOS VALLEY BY PROVIDING GOVERNANCE AND DIRECTION TO ALL THE NETWORK ORGANIZATIONS THAT ARE ENDEAVORING TO MEET COMMUNITY HEALTH NEEDS. 2111153 1 0 0 1 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 10 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X DAN GOGGIN 9797762553 2801 FRANCISCAN DRIVE BRYAN TX 778022544 GEORGE NELSON 2.00 14.00 X X 0 0 0 JAMES E BLAIR III 1.00 6.00 X X 0 0 0 BRYAN COLE PHD 1.00 6.00 X X 0 0 0 PAUL BATISTA 1.00 6.00 X 0 0 0 MARY BROUSSARD 1.00 6.00 X 0 0 0 MICHAEL COHEN MD 1.00 6.00 X 0 0 0 CAROLINE MCDONALD 1.00 6.00 X 0 0 0 ANTHONY MORELOS 1.00 6.00 X 0 0 0 TIMOTHY RABROKER 1.00 6.00 X 0 0 0 REBA RAGSDALE 1.00 6.00 X 0 0 0 MICHAEL STEINES MD 1.00 46.00 X 0 272153 26558 ROBERT UPCHURCH 1.00 6.00 X 0 0 0 SR NANCY SURMA OSF 1.00 46.00 X 0 175882 6272 JAMES W POPE 1.00 46.00 X 0 758842 45245 ODETTE BOLANO 40.00 9.00 X X 0 279169 116083 ANTHONY PFITZER 40.00 9.00 X 0 683353 562892 KATHLEEN KRUSIE 40.00 6.00 X 0 358410 41585 GARY MARK MONTGOMERY MD 40.00 6.00 X 0 358010 23105 DORIS REDMAN 40.00 6.00 X 0 272491 41047 MICHAEL RUSSO 40.00 6.00 X 0 223319 48747 MICHAEL COSTA 40.00 6.00 X 0 223443 53206 LISA MCNAIR 40.00 7.00 X 0 283575 28858 DON KIRK CRISTY 40.00 6.00 X 0 190376 45700 STEVE CRICHTON 40.00 6.00 X 0 185947 49153 TIM OTTINGER 40.00 6.00 X 0 145349 30938 JON TURTON 40.00 6.00 X 0 46545 8856 RICARDO DIAZ 40.00 6.00 X 0 86270 5381 SR PENNY DUNN 40.00 6.00 X 0 113691 5983 KYLE SIMS 1.00 40.00 X 0 31389 0 LOTTIE TEGLER 1.00 40.00 X 0 101822 11271 ALAN TOWNSEND 40.00 6.00 X 0 179426 0 0 4969462 1150880 0 0 1 0 0 ASSESSMENT INCOME 541610 12123530 12123530 12123530 12123530 12123530 0 0 X 4259154 4259154 412631 412631 234907 234907 187336 187336 180847 180847 2111153 2111153 664843 664843 108519 108519 2186147 2186147 1444548 1444548 1373 1373 314581 314581 1686 1686 15805 15805 12123530 2111153 10012377 0 895215 319921 285944 36614 2809 10206 33805 2673460 498352 3003587 1713316 658829 1798029 420315 165952 1079144 1963981 X 1924443 -250665 1924443 -250665 3003587 1713316 X 0 -2175108 X X 0 1 X 1 0 X X X 0 0 0 ST JOSEPH REGIONAL HEALTH CENTER 741282696 3 1 0 0 0 MADISON ST JOSEPH HEALTH CENTER 742761145 3 1 0 0 0 BURLESON ST JOSEPH HEALTH CENTER 742759890 3 1 0 0 0 ST JOSEPH MANOR 742847594 9 1 0 0 0 BURLESON ST JOSEPH MANOR 742913931 9 1 0 0 0 ST JOSEPH REGIONAL HEALTH PARTNERS 454088170 3 0 0 0 0 ST JOSEPH PHYSICIAN ASSOCIATES 203159302 3 1 0 0 0 7 0 0 0 0 0 0 1 1547 0 0 0 1547 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE ORGANIZATION PAID DUES TO TWO ORGANIZATIONS AND A PORTION OF THOSE DUES WERE USED FOR LOBBYING ACTIVITIES. 10206 10206 26408 2809 23599 33805 INVEST-ALLIANCE HEALTH PROVIDERS 498352 F 498352 PAYABLE TO RELATED PARTIES 165952 165952 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF DECEMBER 31, 2012 OR 2011. 1 1 0 0 0 0 0 0 0 MICHAEL STEINES MD 0 272153 0 0 0 0 0 24080 0 2478 0 298711 0 0 SR NANCY SURMA OSF 0 174140 0 0 0 1742 0 0 0 6272 0 182154 0 0 JAMES W POPE 0 640430 0 0 0 118412 0 24500 0 20745 0 804087 0 0 ODETTE BOLANO 0 250000 0 0 0 29169 0 36691 0 79392 0 395252 0 0 ANTHONY PFITZER 0 392073 0 90454 0 200826 0 548519 0 14373 0 1246245 0 0 KATHLEEN KRUSIE 0 307581 0 50829 0 0 0 25000 0 16585 0 399995 0 0 GARY MARK MONTGOMERY MD 0 303720 0 54290 0 0 0 0 0 23105 0 381115 0 0 DORIS REDMAN 0 245405 0 27086 0 0 0 18898 0 22149 0 313538 0 0 MICHAEL RUSSO 0 196740 0 26579 0 0 0 21908 0 26839 0 272066 0 0 MICHAEL COSTA 0 201983 0 21460 0 0 0 30959 0 22247 0 276649 0 0 LISA MCNAIR 0 234964 0 48611 0 0 0 19352 0 9506 0 312433 0 0 DON KIRK CRISTY 0 170427 0 19949 0 0 0 24216 0 21484 0 236076 0 0 STEVE CRICHTON 0 166066 0 19881 0 0 0 41157 0 7996 0 235100 0 0 TIM OTTINGER 0 130139 0 15210 0 0 0 5253 0 25685 0 176287 0 0 ALAN TOWNSEND 0 171428 0 0 0 7998 0 0 0 0 0 179426 0 0 PART I, LINE 3 ODETTE BOLANO, PRESIDENT/CEO OF ST. JOSEPH HEALTH SYSTEM, RECEIVES COMPENSATION FROM ASCENSION, AN UNRELATED ORGANIZATION. PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENT. CURRENT YEAR PAYMENTS, REPORTED IN PART II, COLUMN (B)(III), ARE SUMMARIZED BELOW: ANTHONY PFITZER $200,826 THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN UNDER. CURRENT YEAR PAYMENTS, REPORTED IN PART II, COLUMN (B)(III), ARE SUMMARIZED BELOW: JAMES W POPE $104,670 SUPPLEMENTAL INFORMATION PART III ANY COMPENSATED OFFICERS LISTED ARE EMPLOYEES OF ST. JOSEPH REGIONAL HEALTH CENTER (SJRHC) AND ALL COMPENSATION INFORMATION IS REPORT UNDER EIN 74-1282696. THE FILING ORGANIZATION RELIES ON SJRHC WHICH USES (A) COMPENSATION COMMITTEE, (B) WRITTEN EMPLOYEMENT CONTRACT, (C) INDEPENDENT COMPENSATION CONSULTANT, (D) COMPENSATION SURVEY OR STUDY, AND (E) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF TOP MANAGEMENT OFFICIALS. COMPENSATION FOR ALL EMPLOYEES IS PAID BY ST. JOSEPH REGIONAL HEALTH CENTER AND ALL COMPENSATION INFORMATION IS REPORTED UNDER EIN 74-1282696. SR. NANCY SURMA, OSF, PHD AND SR. PENNY DUNN WORK 40 HOURS A WEEK FOR SYLVANIA FRANCISCAN HEALTH BUT DO NOT RECEIVE A W-2. ALL COMPENSATION EARNED WAS PAID TO THE SISTERS OF ST. FRANCIS OF SYLVANIA OHIO'S CONGREGATION IN ACCORDANCE WITH IRS REVENUE RULING 77-290. FORM 990, PART VI, SECTION A, LINE 4 SEVERAL SUSIDIARY BOARDS HAVE CHANGED FROM FIDUCIARY BOARDS TO ADVISORY BOARDS. FORM 990, PART VI, SECTION A, LINE 6 BY LAWS, SECTION 1 MEMBERSHIP THE MEMBERSHIP OF THE CORPORATION SHALL CONSIST OF ONE (1) CLASS AND THE ONLY MEMBER OF THE CORPORATION SHALL BE SYLVANIA FRANCISCAN HEALTH, A OHIO NONPROFIT CORPORATION (HEREINAFTER REFERRED TO AS THE "MEMBER" OR "SFH"). FORM 990, PART VI, SECTION A, LINE 7A BYLAWS, SECTION 3 RESERVED POWER EXERCISABLE BY MEMBER ALONE. ACTION BY THE MEMBER SHALL BE REQUIRED, AND SHALL BE SUFFICIENT, A) TO ADOPT OR CHANGE THE PHILOSOPHY, OBJECTIVES, PURPOSES, OR ETHICAL OR RELIGIOUS STANDARDS OF THE CORPORATION AND OF ORGANIZATIONS CONTROLLED BY THE CORPORATION, B) TO ELECT THE TRUSTEES OF THE CORPORATION AND TO REMOVE THEM AT WILL, WITH OR WITHOUT CAUSE, AS PROVIDED IN ARTICLE III, C) TO ELECT AND REMOVE THE CHAIRPERSON AND THE PRESIDENT AS PROVIDED IN ARTICLE VII, D) TO AMEND OR REPEAL THE ARTICLES INCORPORATION AND THE BYLAWS OF THE CORPORATION AS PROVIDED IN ARTICLE XI, E) TO DISSOLVE OR TERMINATE THE EXISTENCE OF THE CORPORATION AND TO DETERMINE THE DISTRIBUTION OF ASSETS UPON SUCH DISSOLUTION OR TERMINATION IN ACCORDANCE WITH THE ARTICLES OF INCORPORATION, F) THE APPROVAL OF ANY MERGER OR CONSOLIDATION OF THE ORGANIZATION AND ANY SALE OF SUBSTANTIALLY ALL OF ITS ASSETS, G) THE AUTHORIZATION FOR THE CREATION OF ANY SUBSIDIARY ORGANIATION OR THE AFFILIATION OF THE ORGANIZATION WITH ANY OTHER ENTITY, H) THE APPROVAL OF THE CONVEYANCE OF REAL PROPERTY OR THE GRANTING OF MORTGAGES OR TRUST DEEDS OR THE CREATION OF OTHER LIENS UPON ANY REAL PROPERTY OWNED BY THE ORGANIZATION, AND I) TO TAKE ANY ACTION NECESSARY TO CONFORM THE PURPOSES AND ACTIVITIES OF THE ORGANIZATION AND ANY OF ITS CONTROLLED ORGANIZATIONS WITH THE TRADITIONS, TEACHINGS AND CANON LAW OF THE ROMAN CATHOLIC CHURCH AS MAY BE IN EFFECT FROM TIME TO TIME. SYLVANIA FRANCISCAN HEALTH MUST ALSO APPROVE THE FOLLOWING ACTIONS OF THE BOARD OF TRUSTEES AS A CONDITION BEFORE THEY BECOME EFFECTIVE: A) THE APPROVAL OF CONVEYING ANY TANGIBLE PERSONAL PROPERTY, INCURRING ANY DEBT, GUARANTEEING OF ANY DEBT, ETC. IN EXCESS OF THE AMOUNT PRESCRIBED BY THE MEMBER, B) THE APPROVAL OF ANY CAPITAL EXPENDITURE OR GRANT IN EXCESS OF THE AMOUNT PRESCRIBED, C) THE APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS, D) THE ADDITION OR TERMINATION OF SERVICES, E) THE APPROVAL OF THE ORGANIZATION'S AUDITOR, F) THE APPROVAL OF THE ORGANIZATIONS STRATEGIC PLAN, G) THE EXERCISE OF THE POWER OF APPROVAL RESERVED BY THE ORGANIZATION OVER ACTIONS OF THE GOVERNING BODIES OF ITS SUBSIDIARY ORGANIZATIONS OR AFFILIATED ENTITIES, AND H) ANY OTHER ACT FOR WHICH MEMBERSHIP APPROVAL IS REQUIRED UNDER APPLICABLE CANON OR CIVIL LAW, THE ARTICLES OF INCORPORATION, OR THESE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B SEE EXPLANATION FOR LINE 7A ABOVE. FORM 990, PART VI, SECTION B, LINE 11 2012 FORM 990 AND ACCOMPANYING SCHEDULES WERE MADE AVAILABLE TO ALL TRUSTEES EITHER ELECTRONICALLY OR BY HARD COPY, DEPENDING UPON THE TRUSTEES PREFERENCE, BEFORE THE COMPANY FINALIZED AND SENT THE DOCUMENTS TO IRS. THE REVIEW IS UNDER THE DIRECTION OF THE CFO, IF REQUESTED BY TRUSTEE. FORM 990, PART VI, SECTION B, LINE 12C IN ACCORDANCE WITH ST. JOSEPH HEALTH SYSTEM POLICY NO 38, "CONFLICT OF INTEREST," SECTION 6, DISCLOSURE STATEMENT, " A CONFLICT OF INTEREST STATEMENT SHALL BE EXECUTED BY ALL DESIGNATED PERSONS, WHICH WILL BE RETAINED BY THE CORPORATION IN ITS ADMINISTRATIVE OFFICE, THIS STATEMENT SHALL BE RENEWED AT LEAST ANNUALLY AT THE REQUEST OF THE CORPORATION AND AT ANY TIME THAT A CONFLICT OF INTEREST MAY ARISE "TO HELP ENSURE THAT DISCLOSURE STATEMENTS ARE COMPLETED ANNUALLY BY ALL BOARD OF TRUSTEE MEMBERS, THE CEO'S OFFICE SUMMARIZES ALL CONFLICTS OF INTEREST DISCLOSED BY EACH ENTITY'S TRUSTEES. IN 2012, THE SUMMARY WAS PRESENTED AS AN AGENDA ITEM AT EACH ENTITY'S BOARD OF TRUSTEES MEETING HELD IN APRIL, 2012. THE REVIEW IS PERFORMED BY THE OFFICE OF THE CEO WHERE DISCLOSURE STATEMENTS ARE ALSO FILED FOR TRUSTEES OTHER DESIGNATED PERSONS DISCLOSURE STATEMENTS ARE FILED IN INDIVIDUAL PERSONNEL FILES IF EMPLOYED BY SJRHC. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, THE INTERESTED PERSON SHALL LEAVE THE MEETING AT WHICH THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. FORM 990, PART VI, SECTION C, LINE 19 GOVERNMENT DOCUMENTS, CONFLICT OF INTEREST POLICY, & FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. OTHER FEES FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,032,978. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,032,978. CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 43,964. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,964. ADMINISTRATION PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,109,205. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,109,205. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGES IN UNRESTRICTED NET ASSETS -2,175,108. FORM 990, PART XII, LINE 2C: THE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS FROM THE PRIOR YEAR. 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