2011-11-14T10:26:55-06:00 2010-12-31 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2010-01-01 271344467 ST JOSEPH'S HEALTH SYSTEM STJO 9737542000 703 MAIN STREET PATERSON NJ 075032621 WILLIAM MCDONALD 9737542000 2011-11-14 1 5169187000 2010 2016-03-07 17:11:31Z WILLIAM MCDONALD 703 MAIN STREET PATERSON NJ 075032621 674624363 1 1 5557 X WWW.STJOSEPHSHEALTH.ORG X 1872 NJ SEE SCHEDULE O 69 67 5659 345 1753899 129798 22020045 24354642 611789244 628320370 -201527 3871767 8305644 10290855 641913406 666837634 0 0 0 0 345352332 366789093 0 0 1537525 282411044 292103865 627763376 658892958 14150030 7944676 575655785 620556312 444167511 498113274 131488274 122443038 SEE SCHEDULE O 0 0 496917516 543877747 SEE SCHEDULE O 72549162 87959658 SEE SCHEDULE O 2390301 SEE SCHEDULE O 571856979 1 1 0 1 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 339 0 1 5659 1 1 1 1 BD 0 0 0 0 0 0 0 0 X 69 67 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NJ X JOANNE DUNAY CORP CONTROLLER 9737542000 703 MAIN STREET PATERSON NJ 07503 X A MICHAEL CANDIDO 2.00 X 0 0 0 AIMAN HAMDAN MD 2.00 X 231175 0 0 ALEXANDER ARNS 2.00 X 0 0 0 ANNA-LISA DOPIRAK 2.00 X 0 0 0 ANTHONY LOSARDO MD 2.00 X 0 0 0 ANTHONY M BRUNO CPA 2.00 X 0 0 0 ANTHONY VESPA 2.00 X 0 0 0 BERNADETTE TIERNAN 2.00 X 0 0 0 CHARLES T O'BRIEN 2.00 X 0 0 0 DAVID A INFUSINO 2.00 X 0 0 0 DAVID L HUGHES 2.00 X 0 0 0 DAVID V RASA MD 2.00 X 0 0 0 DEAN EMMOLO 2.00 X 0 0 0 DINA MANZO 2.00 X 0 0 0 DOLORES PAVLAK 2.00 X 0 0 0 DOROTHY M WOODS 2.00 X 0 0 0 DOUGLAS F OLSEN 2.00 X 0 0 0 ELEANOR IRMIERE 2.00 X 0 0 0 ELIZABETH CIAMPO CPA 2.00 X 0 0 0 EUGENE GED MD 2.00 X 0 0 0 FRANCIS X COSTELLO 2.00 X 0 0 0 FRANK SCHNELL MD 2.00 X 0 0 0 GAIL THOMPSON 2.00 X 49876 0 0 GARY KOSC MD 2.00 X 0 0 0 GEORGE H MCLOOF JR 2.00 X 0 0 0 GREGORY L LOCKARD 2.00 X 0 0 0 HARVEY COOPER MD 2.00 X 10000 0 0 HENRY VANDER PLAAT JR 2.00 X 0 0 0 JAI G PAREKH MD MBA 2.00 X 0 0 0 JAMES A KOSCH ESQ 2.00 X 0 0 0 JAMES E HEALEY CPA 2.00 X 0 0 0 JERRY SPEZIALE 2.00 X 0 0 0 JOHN AMBROSE MD 2.00 X 0 0 0 JOHN C PETERSON 2.00 X 0 0 0 JOHN H HOVEY 2.00 X 0 0 0 JOHN J DALTON 2.00 X 0 0 0 JOSE D ESPINAL-MARIOTTE MD 2.00 X 0 0 0 JOSEPH GIBBS JR 2.00 X 0 0 0 JOYCE GATES 2.00 X 0 0 0 KATHE CRIMMINS 2.00 X 0 0 0 KATHRYN P DUVA 2.00 X 0 0 0 LEIGH WEISS 2.00 X 0 0 0 MARGARET WAITTS 2.00 X 0 0 0 NICHOLAS MARCALUS 2.00 X 0 0 0 PATRICIA BRADLEY-DAVINO 2.00 X 0 0 0 PATRICK HEANEY 2.00 X 0 0 0 PAULA K KRUTCHIK 2.00 X 0 0 0 PEGGY S KNEE ESQ 2.00 X 0 0 0 RAYMOND R HOUGH CPA 2.00 X 0 0 0 REV MSGR GEORGE F HUNDT 2.00 X 0 0 0 REV MSGR HERBERT TILYER 2.00 X 0 0 0 REX GHASSEMI MD 2.00 X 0 0 0 RICHARD F GROSSO JR 2.00 X 0 0 0 ROBERT L MARCALUS 2.00 X 0 0 0 ROBERT VALENTINE 2.00 X 0 0 0 RONALD GARNER 2.00 X 0 0 0 ROY KAY JR 2.00 X 0 0 0 SCOTT RUMANA ESQ 2.00 X 0 0 0 SEYMOUR FLEISHER 2.00 X 0 0 0 SHELLI TAGGART 2.00 X 0 0 0 SISTER JANET LEHMANN PHD RN 2.00 X 0 0 0 SISTER MARY ANN TIERNEY 2.00 X 0 0 0 SISTER NOREEN NEARY 2.00 X 0 0 0 SISTER PATRICIA CODEY SC ESQ 2.00 X 0 0 0 SISTER ROSEMARY SMITH 2.00 X 0 0 0 STEVEN COPPA 2.00 X 0 0 0 STEVEN M KLOSK 2.00 X 0 0 0 SUSAN SPATT 2.00 X X 123717 0 0 THOMAS J SULLIVAN 2.00 X 0 0 0 VINCENT MCINERNEY MD 2.00 X 54074 0 0 VINCENT TUFARIELLO 2.00 X 0 0 0 WILFREDO FERNANDEZ CPA 2.00 X 0 0 0 WILLIAM J PASCRELL III 2.00 X 0 0 0 WILLIAM KOHLMAN 2.00 X 0 0 0 YOLANDA SIMONELLA 2.00 X 0 0 0 JACK ROBINSON 40.00 X 591050 0 11117 WILLIAM MCDONALD 40.00 X 1072530 0 179836 DANIEL KLINE 40.00 X 327583 0 7017 EDWARD JIMENEZ 40.00 X 370238 0 15576 FRANCINE KATZ 40.00 X 150029 0 6609 GLORIA KUNZE 40.00 X 371293 0 0 JAMES LABAGNARA MD 40.00 X 375868 0 0 JIM CAVANAUGH 40.00 X 312503 0 15105 JOHN BRUNO 40.00 X 320974 0 14982 MARIA BRENNAN 40.00 X 349915 0 15098 SISTER MARYANN CAMPEOTTO 40.00 X 266789 0 6999 TIM BARR 40.00 X 296928 0 14498 ALDO KHOURY 40.00 X 943770 0 14471 CHRISTOPHER SULLIVAN 40.00 X 875357 0 14826 DAVID PRINCIPE 40.00 X 848984 0 14368 DIMITRIS ZOUZIAS 40.00 X 663789 0 11210 ERIC BRONSTEIN 40.00 X 1000000 0 16344 9606442 0 358056 582 0 1 0 NEUROSURGICAL ASSOCIATES 710 WEST 168TH STREET NEW YORK NY 10032 NEUROSURGICAL SERVICES 1200000 ST JOSEPH'S DIALYSIS LLC 57 WILLOWBROOK BLVD WAYNE NJ 07040 DIALYSIS 889061 NURSES 247 PO BOX 823473 PHILADELPHIA PA 191823473 TEMP AGENCY 815407 MCDERMOTT WILL & EMERY LLP PO BOX 7247-6746 PHILADELPHIA PA 19170 LEGAL 774055 PEDIATRIC CARDIOLOGY ONE BROADWAY ELMWOOD PARK NJ 07407 PEDIATRIC CARDIOLOGY 669996 33 1196918 15703375 7454349 24354642 NET PATIENT SRVC. REV. 900099 608207511 608207511 PHYSICIANS BILLINGS 900099 18996595 18996595 OTHER PATIENT REVENUE 900099 1116264 1116264 628320370 3365498 3365498 2132110 3971489 -1839379 -1839379 248543 -2087922 3395718 2889449 506269 506269 506269 781331 1196918 925791 -144460 -144460 EDUCATION/TRAINING INC 900099 2168367 2168367 ADMINISTRATIVE SERVICE 561000 1935928 430572 1505356 CAFETERIA 900099 893551 893551 7276848 918096 6358752 12274694 666837634 631837405 1753899 8891688 5067206 4038046 641471 387689 297990213 258960943 38443036 586234 14456423 12602857 1853566 28402693 24511623 3659541 231529 20872558 18172984 2699574 3906884 3407472 499412 724184 611415 112769 104431 104431 73108 7311 65797 588794 496713 76084 15997 125973302 109751931 16221371 854865 723508 108744 22613 88052 26641 6141 55270 373724 323628 47363 2733 2630 263 2367 7324241 6376213 948028 20251365 17649699 2601666 7678324 6705167 973157 BAD DEBT EXPENSE 56240023 48397421 7842602 OUTSIDE SERVICES 19907691 17082263 2765303 60125 EQUIP. RENTAL & MAINT. 16152115 14092066 2060049 PHYSICIAN FEES 12695277 11066942 1628335 REPAIRS & MAINTENANCE 3577307 3093898 483409 15587548 13765549 1714828 107171 658892958 571856979 85498454 1537525 5968226 5742469 7253859 18639873 17194600 16159646 60158392 63565573 1985885 1897358 7500174 7402766 1676023 1571532 521999408 265700921 187579170 256298487 70827824 68937682 215511632 180340926 575655785 620556312 86447063 99781117 83057 237578863 268558863 120058528 129773294 444167511 498113274 X 110281334 96328599 18279480 22944353 2927460 3170086 131488274 122443038 575655785 620556312 X 7944676 -16989912 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 144000 144000 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE HOSPITAL DOES NOT CONDUCT ANY DIRECT LOBYING ACTIVITIES; HOWEVER, THE HOSPITAL HAS HIRED TWO INDEPENDENT CONSULTING FIRMS, PRINCETON PUBLIC AFFAIRS GROUP, INC. AND PUBLIC STRATEGIES IMPACT, LLC TO PURSUE LEGISLATIVE ENDEAVORS ON BEHALF OF THE HOSPITAL. IN 2010, THE HOSPITAL PAID EACH CONSULTING FIRM $72,000 FOR ITS EFFORTS. 8940832 8940832 245086951 134715058 110371893 10885167 9238489 1646678 164251160 121747374 42503786 92835298 92835298 256298487 INVESTMENTS 68937682 F 68937682 INTEREST RECEIVABLE 1557 DEFERRED FINANCING COSTS 4664264 OTHER ASSETS 6599150 ASSETS WHOSE USE IS LIMITED 165796779 DUE FROM AFFILIATES 3277798 INTEREST IN ASSETS HELD BY RELATED ORGANIZATION 1378 180340926 ESTIMATED THIRD PARTY PAYER SETTLEMENTS 29889000 ACCRUED PENSION LIABILITY 89046853 ACCRUED MALPRACTICE INSURANCE 2970929 OTHER LONG TERM DEBT 3987555 OTHER LIABILITIES 49060 DUE TO AFFILIATES 3829897 129773294 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE SYSTEM ADOPTED THE PROVISIONS OF FASB INTERPRETATION ("FIN") STATEMENT NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO. 109, ON JANUARY 1, 2007. FIN 48 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS IN ACCORDANCE WITH FASB STATEMENT NO. 109. IT PRESCRIBES AN UNCERTAINTY THRESHOLD AND MEASUREMENT ATTRIBUTES FOR FINANCIAL STATEMENT DISCLOSURES OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. THE IMPACT OF ADOPTING FIN 48 WAS NOT MATERIAL. CENTRAL AMERICA/ CARIBBEAN 0 0 PROGRAM SERVICES CAPTIVE INSURANCE 4550000 0 0 0 4550000 0 4550000 1 0 0 0 0 0 OTHER INFORMATION SCHEDULE F, PART V PART I, LINE 3 DURING 2010 ST. JOSEPH'S MEDICAL CENTER ("SJMC") DISSOLVED THE SELF-INSURANCE TRUST AND SUBSEQUENTLY TRANSFERRED $4.764M OF ASSETS & LIABILITIES TO SJHS INSURANCE LIMITED, A CAPTIVE INSURANCE COMPANY OWNED BY ITS PARENT, ST. JOSEPH'S HEALTHCARE SYSTEM, INC. SJMC ALSO TRANSFERRED $2.6M OF CAPITAL TO ITS PARENT FOR SUBSEQUENT RE-CONTRIBUTION TO THE CAPITVE INSURANCE COMPANY. 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X X X X X X 2 ST JOSEPH'S WAYNE HOSPITAL

225 HAMBURG TURNPIKE WAYNE NJ 07070

X X X X NA 1 22 ST VINCENT'S NURSING HOME

315 EAST LINDSLEY ROAD CEDAR GROVE NJ 07009

NURSING HOME ST JOSEPH'S OUTPATIENT DIALYSIS SERVICE

11 GETTY AVENUE BUILDING 275 PATERSON NJ 07503

PRIMARY CARE DIALYSIS ST JOSEPH'S AMBULATORY IMGAING CENTER

1135 BROAD STREET CLIFTON NJ 07503

MRI AND CAT SERVICES GREAT FALLS PEDIATRIC CENTER

641 MAIN STREET PATERSON NJ 07503

OUTPATIENT PEDIATRIC CLINIC FRANK X GRAVES FAMILY HEALTH CENTER

21 MARKET STREET PATERSON NJ 07503

AMBULATORY CARE COMPREHENSIVE CARE CENTER

160 MARKET STREET PATERSON NJ 07503

PRIMARY CAREPRIMARY CARE UNIVERSITY IMAGING

246 HAMBURG TURNPIKE WAYNE NJ 07070

MRI AND CAT SERVICES ST JOSEPH'S FAMILY MEDICINE AT CLIFTON

1135 BROAD STREET CLIFTON NJ 07013

AMBULATORY CARE/CLINIC ROCHELLE PARK PEDIATRIC CENTER

186 ROCHELLE AVENUE 2B ROCHELLE PARK NJ 07662

PEDIATRIC CARE DEPAUL AMBULATORY HEALTH CARE CENTER

11 GETTY AVENUE PATERSON NJ 07503

AMBULATORY CENTER ST JOSEPH'S AMBULATORY IMAGING CENTER

1135 BROAD STREET CLIFTON NJ 07053

IMAGING CENTER ST JOSEPH'S AMBULATORY AT WILLOWBROOK

57 WILLOWBROOK PLAZA WAYNE NJ 07470

ADULT SUBSPECIALTY OB/GYN HARBOR HOUSE

645 MAIN STREET PATERSON NJ 07503

PSYCHIATRIC OUTPATIENT FACILITY RIGHT STEP PROGRAM

621 MAIN STREET PATERSON NJ 07503

PSYCHIATRIC SERVICES OUTPATIENT MENTAL HEALTH SERVICES

56 HAMILTON STREET PATERSON NJ 07505

PSYCHIATRIC SERVICES ST JOSEPH'S CARDIOVASCULAR CENTER-WAYNE

246 HAMBURG TURNPIKE SUITE 201 WAYNE NJ 07470

HOSPITAL-BASED, OFF-SITE AMBULATORY CARE FACILITY PRIMARY CARE STJOSEPH'S CARDIOVASCULAR CTR-FAIR LAWN

22-18 BROADWAY FAIR LAWN NJ 07410

HOSPITAL-BASED, OFF-SITE AMBULATORY CARE FACILITY PRIMARY CARE SUPERVISED RESIDENCE #1

122-128 BARCLAY STREET PATERSON NJ 07503

PSYCHIATRIC SERVICES SUPERVISED RESIDENCE #11

40 HENDERSON STREET PATERSON NJ 07505

PSYCHIATRIC SERVICES ACCESS OUTPATIENT MENTAL HEALTH

646 BROADWAY PATERSON NJ 07514

PSYCHIATRIC SERVICES ACCESS RESIDENTIAL GROUP HOME #1

1 EAST 35TH STREET PATERSON NJ 07514

PSYCHIATRIC SERVICES ACCESS PARTIAL HOSPITALIZATION PROGRAM

646 BROADWAY PATERSON NJ 07514

PSYCHIATRIC SERVICES SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES REPORTED IN SECTION 7G INCLUDE DETAILS FROM ELEVEN DIFFERENT COMMUNITY BENEFIT PROGRAMS OF ST. JOSEPH'S HEALTHCARE SYSTEM. THESE PROGRAMS SPAN THE CONTINUUM OF CARE, OFFERING BOTH ADULT AND PEDIATRIC SERVICES. ALSO INCLUDED IN THIS LISTING IS ST. JOSEPH'S HIV SCREENING AND FOLLOW UP CARE CENTER, BEHAVIORAL HEALTH SERVICES, AND THE HOSPITAL'S DENTAL OUTREACH PROGRAM. EACH OF THESE CLINICS AND SERVICES ARE OPERATED DESPITE A FINANCIAL LOSS. IN 2010 THE NET COMMUNITY BENEFIT ATTRIBUTABLE TO THESE PROGRAMS TOTALED TO $. EACH OF THESE PROGRAMS AND SERVICES RUN INDEPENDENTLY OF A PATIENT'S ABILITY TO PAY. SCHEDULE H, PART I, LINE 7 COLUMN (F) ST. JOSEPH'S HEALTH CARE SYSTEM HAS INCLUDED BAD DEBT EXPENSE IN THE AMOUNT OF $56,240,023 ON THE FORM 990, PART IX, LINE 25. THIS AMOUNT IS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7(F) AS PER THE INSTRUCTIONS. SCHEDULE H, PART I, LINE 7 ST. JOSEPH'S HEALTHCARE SYSTEM UTILIZED THE IRS PROVIDED WORKSHEET 2 TO ASSIST IN DEVELOPING A BLENDED COST-TO-CHARGE RATIO TO CALCULATE THE COST OF SERVICES. THE RATION WAS DEVELOPED USING SPECIFIC COST-TO-CHARGE INFORMATION FROM THE VARIOUS DEPARTMENTS AND THEN APPLIED TO ALL PATIENTS TO CALULATE THE COSTS. NEEDS ASSESMENT ST. JOSEPH'S WORKS WITH STATE AND COMMUNITY GOVERNMENTAL, CHURCH GROUPS AND LOCAL HEALTH ORGANIZATIONS TO IDENTIFY AND MEET COMMUNITY NEEDS. THE HOSPITAL ALSO USES THIRD PARTY RESEARCH REPORTS, SUCH AS THE NJ HOSPITAL ASSOCIATIONS COMMUNITY HEALTH PROFILES - PASSAIC COUNTY, AMERICAN CANCER SOCIETY AND AMERICAN HEART ASSOCIATION PUBLICATIONS TO VALIDATE COMMUNITY BASED INITIATIVES. FROM THE ANALYSIS OF THESE REPORTS, ST. JOSEPH'S HAS DEVELOPED PLANS TO EXPAND THE EMERGENCY DEPARTMENT, AND INCREASE ACCESS TO PRIMARY AND SUBSPECIALTY CLINIC CARE. ST. JOSEPH'S PROMOTES WELLNESS AND PREVENTATIVE PROGRAMS THROUGHOUT THE COMMUNITY THROUGH HEALTH FAIRS AND EDUCATIONAL SEMINARS AT VARIOUS COMMUNITY GROUPS. ANNUALLY, ST. JOSEPH'S PARTNERS WITH WILLIAM PATERSON UNIVERSITY TO HOST THE WOMEN'S HEALTH CONFERENCE; WOMEN IN THE COMMUNITY ATTEND THIS FAIR TO LEARN ABOUT HEALTH, WELLNESS, AND HOLISTIC PROGRAMS. THE ETHNICALLY DIVERSE CROWD ATTENDED SESSIONS TAUGHT BY ST. JOSEPH'S STAFF. SIMILARLY, THE HOSPITAL SPONSORS A "MEN'S NIGHT OUT" AND A "WOMEN'S NIGHT OUT"; THIS EVENT, WHICH IS FREE TO THE COMMUNITY, PROVIDES A NIGHT OF TARGETED LECTURES PUT ON BY VARIOUS MEMBERS OF OUR MEDICAL STAFF. THESE LECTURES ARE SUPPLEMENTED WITH DVDS WHEREIN EXPERTS PRESENT HEALTH INFORMATION TO THE GENERAL PUBLIC. FREE HEALTH SCREENINGS ARE ALSO AVAILABLE THROUGHOUT THE EVENING. IN ADDITION, THE HOSPITAL REGULARLY HOSTS ONGOING COMMUNITY MEETINGS AND FORUMS TO ADDRESS THE NEEDS OF THE COMMUNITY. AN EXAMPLE OF A PROGRAM BASED ON COMMUNITY NEED IS THE MR. CHAMMP PROGRAM (MITIGATING RISK CARDIOVASCULAR HEALTH ASSESSMENT FOR THE MEN/MS. OF PASSAIC COUNTY). THIS PROGRAM HAS DEVELOPED A MODEL FOR CARDIOVASCULAR RISK EDUTION, HYPERTENSION SCREENIGN, AND TREATMENT OF THE COMMUNITY RESIDENTS, WITH A PARTICULAR EMPHASES FOR ETHNIC MINORITY POPULATIONS. BUILT IN A SUSTAINABLE, REPLICABLE WAY, THE PROGRAM CAN BE CONDUCTED BY COMMUNITY ORGANIZATIONS. THE STAFF OF ST. JOSEPH'S HAVE COLLABORATED ON THIS PROJECT WITH A NUMBER OF NATIONAL AGENCIES INCLUDING, THE ASSOCIATION OF BLACK CARDIOLOGISTS, THE AMERICAL SOCIETY OF HYPERTENTION, AND THE AMERICAN HEART ASSOCIATION. THE PROGRAM HAS ALSO AFFILIATED WITH A NUMBER OF LOCAL AGENCIES, INCLUDING AREA CHURCHES, MOSQUES, AND SYNAGOGUES, THE CITY BOARD OF HEALTH, AND THE MAYOR'S OFFICE. IN ADDITION TO THESE ORGANIZED COMMUNITY EFFORTS, ST. JOSEPH'S CONTINUALLY MONITORS COMMUNITY NEEDS SPECIFIC TO ITS SERVICE LINES AND THE RESOURCES AVAILABLE TO ADDRESS THESE NEEDS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FINANCIAL ASSISTANCE INFORMATION IS POSTED IN THREE LANGUAGES, SPANISH, ARABIC, AND ENGLISH. THE LANGUAGES WERE SELECTED BASED ON AN ANALYSIS OF THE PATIENT BASE. THE SYSTEM ALSO OFFERS A TRANSLATION SERVICE KNOWN AS THE "BLUE PHONE". THIS ALLOWS PATIENTS THAT SPEAK FOREIGN LANGUAGES AN OPPORTUNITY TO RECEIVE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY IN THEIR NATIVE LANGUAGE. THE ASSISTANCE POLICY IS POSTED AT ALL POINTS OF ENTRY AND ALL PATIENT REGISTRATION AREAS. PATIENTS HAVE THE OPPORTUNITY TO SCHEDULE AN APPOINTMENT WITH A FINANCIAL COUNSELOR TO DISCUSS AND APPLY FOR FINANCIAL ASSISTANCE. EMPLOYEES OF THE FINANCIAL ASSISTANCE CENTER ARE EDUCATED ON THE SYSTEM'S FINANCIAL ASSISTANCE POLICY TO BETTER EDUCATE PATIENTS. COMMUNITY INFORMATION ST. JOSEPH'S HEALTHCARE SYSTEM IS THE LARGEST HEALTHCARE SYSTEM IN THE AREA SERVING 49 MUNICIPALITIES LOCATED IN PASSAIC, NORTHERN ESSEX, EASTERN MORRIS, AND SOUTHERN BERGEN COUNTIES. ITS PRIMARY SERVICE AREA (PSA) IS DEFINED AS THE SOUTHERN HALF OF PASSAIC COUNTY INCLUDING THE CITIES OF PATERSON, CLIFTON, PASSAIC AND WAYNE AND THEIR IMMEDIATE SURROUNDING MUNICIPALITIES OF HAWTHORNE, HALEDON, LITTLE FALLS, AND TOTOWA. WITH ITS TRAUMA CENTER LOCATED IN THE CITY OF PATERSON, ST. JOSEPH'S PROVIDES SIGNIFICANT COMMUNITY OUTREACH TO ITS IMMEDIATE COMMUNITY WITH APPROXIMATELY 150,000 RESIDENTS AND AN AVERAGE HOUSEHOLD INCOME OF $32,000 (22% FALLING BELOW THE POVERTY LEVELS). THE CITY'S POPULATION IS BROKEN DOWN ACCORDING TO THE FOLLOWING DEMOGRAPHICS: 41% WHITE, 32% AFRICAN AMERICAN, 27% OTHER RACES WITH 50% OF ITS RESIDENTS IDENTIFYING THEMSELVES AS HISPANIC. PROMOTION OF COMMUNITY HEALTH ST. JOSEPH'S HEALTHCARE SYSTEM IS CENTERED ON THE CORE MISSION OF CARING FOR THE COMMUNITY, NOT JUST BY PROVIDING HEALTHCARE TO ALL, BUT THROUGH COMMUNITY DEVELOPMENT AND EDUCATION EFFORTS. AS A TEACHING HOSPITAL, ST. JOSEPH'S PARTNERS WITH MOUNT SINAI SCHOOL OF MEDICINE, THE UNIVERSITY OF MEDICINE AND DENTISTRY OF NEW JERSEY (UMDNJ), SETON HALL UNIVERSITY, AND ST. GEORGE'S UNIVERSITY TO PROVIDE QUALITY MEDICAL EDUCATION TO STUDENTS AND RESIDENTS IN 14 DEPARTMENTS. OUR ATTENDING STAFF EDUCATES THESE STUDENTS THROUGH LECTURES, GRAND ROUNDS, HANDS-ON MEDICAL AND SURGICAL TRAINING, AND RESEARCH. THE HOSPITAL PROVIDES AN IDEAL ATMOSPHERE OF LEARNING DUE TO THE HIGH VOLUME OF PATIENTS, AS WELL AS THE DEPTH AND BREADTH OF DISEASE SEEN AT OUR FACILITY. ALTHOUGH THERE IS A COST ASSOCIATED WITH PROVIDING MEDICAL EDUCATION THAT EXCEEDS OUR FEDERAL GRADUATE MEDICAL EDUCATION (GME) REIMBURSEMENT, THE COMMUNITY BENEFITS FROM AN ATTENDING STAFF THAT IS FORCED TO REMAIN UP-TO-DATE ON THE LATEST DEVELOPMENTS AS THEY ARE RESPONSIBLE FOR TEACHING THE NEXT GENERATION OF PHYSICIANS. ADDITIONALLY, THERE IS A FUTURE COMMUNITY BENEFIT AS THESE RESIDENTS GRADUATE AND ARE WELL PREPARED TO PRACTICE MEDICINE INDEPENDENTLY. IN ADDITION TO TEACHING PHYSICIANS, THERE ARE A WHOLE HOST OF PROGRAMS TO PROVIDE THE EXPERIENTIAL COMPONENT FOR STUDENTS IN VARIOUS ALLIED HEALTH PROGRAMS, INCLUDING: NURSING, PHYSICAL AND OCCUPATIONAL THERAPY, RESPIRATORY THERAPY, AND DIETETICS. FOR MANY OF THESE PROGRAMS, INCLUDING NURSING, ST. JOSEPH'S DOES NOT RECEIVE A STIPEND. ST. JOSEPH'S IS COMMITTED TO SERVING THE GREATER PATERSON COMMUNITY BY ENGAGING IN ACTIVITIES OF CIVIC RESPONSIBILITY AND BY PROVIDING QUALITY HEALTHCARE FOR ALL. THE HEALTHCARE SYSTEM IS AN INTEGRAL COMPONENT OF THE CITY'S REDEVELOPMENT. THE HOSPITAL IS ENGAGED IN THIS EFFORT BY RE-DEFINING THE MAIN CORRIDOR THROUGH THE CITY INTO AN AESTHETICALLY PLEASING STREETSCAPE. IN COLLABORATION WITH THE CITY, THE HOSPITAL ADVOCATES FOR THE DEVELOPMENT AND MAINTENANCE OF THE COMMUNITY'S GREEN SPACES. HOSPITAL OFFICIALS ALSO SERVE ON CITY INITIATIVES, SUCH AS THE ROTARY CLUB , THE PATERSON ALLIANCE, AND THE PATERSON CHAMBER. HOSPITAL OFFICIALS ALSO SERVE ON A HOST OF STATE INITIATIVES, INCLUDING THE NEW JERSEY COUNCIL OF TEACHING HOSPITALS AND THE NEW JERSEY HOSPITAL GOVERNMENT RELATIONS MEETING. ADDITIONALLY, HOSPITAL OFFICIALS ARE INVOLVED IN A NUMBER OF EMERGENCY PREPAREDNESS COUNCILS, INCLUDING: NEW JERSEY STATE DOMESTIC SECURITY PLANNING GROUP, URBAN AREA SECURITY INITIATIVE, AND CITY AND FEDERAL OFFICE OF EMERGENCY MANAGEMENT. ST. JOSEPH'S UTILIZES OUR MASS CASUALTY RESPONSE UNIT (MCRU) TO RESPOND TO FIRES AS A REHAB UNIT FOR THE FIREFIGHTERS. THE MCRU SERVES AS A "CAMP" FOR THE FIREFIGHTERS TO WARM UP OR COOL DOWN DURING EXTREME WEATHER, WHILE ON THE SCENE OF A FIRE OR DISASTER. ST. JOSEPH'S DOES NOT RECEIVE ANY REIMBURSEMENT FROM ANY OF THE UNITS. MEMBERS OF THE ST. JOSEPH'S STAFF SERVE ON THE DOMESTIC SECURITY PLANNING GROUP. THE PLANNING GROUP ADDRESS THE PREPAREDNESS SATUS OF THE STATE AND STATE AGENCIES, INCLUDING THE EPA, TRANSIT AUTHORITY, LAW ENFORCEMENT, EMERGENCY MEDICAL SERVICES, AND HEALTHCARE AGENCIES. THE REPRESENTATION FROM ST. JOSEPH'S PROVIDES OBJECTIVE EXPERTISE IN REGARD TO HEALTHCARE CONSIDERATIONS FOR PLANNING OBJECTIVES. ST. JOSEPH'S ALSO PLAYS A LARGE ROLE IN THE PLANNING COMMITTEE FOR THE BOARD OF HEALTH IN REGARDDS TO VACCINE DISTRIBUTION. AFFILIATED HEALTH CARE SYSTEM ST. JOSEPH'S HEALTHCARE SYSTEM IS SPONSORED BY THE SISTERS OF CHARITY OF SAINT ELIZABETH. THIS ORDER HAS A LONG HISTORY OF SERVING THIS COMMUNITY THROUGH THE MINISTRIES OF HEALTH AND EDUCATION. THE ST. JOSEPH'S HEALTHCARE SYSTEM CONTINUES THAT TRADITION BY PROVIDING HEALTHCARE SERVICES TO PEOPLE THAT WOULD NOT ORDINARILY HAVE ACCESS TO SUCH CARE. ADDITIONALLY, MEMBERS OF THE ST. JOSEPH'S EXECUTIVE TEAM SERVE ON VARIOUS COMMUNITY AND STATE BOARDS TO PROMOTE AND ADVOCATE FOR HEALTH SERVICES.OUR MISSION:IN THE SPIRIT OF TOWARD BOUNDLESS CHARITY, THE MISSION OF THE ST. JOSEPH'S HEALTHCARE SYSTEM, A MINISTRY OF HEALING IN THE CATHOLIC CHURCH AND SPONSORED BY THE SISTERS OF CHARITY OF SAINT ELIZABETH, IS TO RENDER QUALITY HEALTH CARE IN NORTHERN NEW JERSEY WITH A SPECIAL CONCERN FOR THE POOR AND UNDER SERVED.OUR VISION:ST. JOSEPH'S HEALTHCARE SYSTEM WILL BE RECOGNIZED AS A LEADING HEALTH CARE PROVIDER OF CHOICE IN NEW JERSEY. IT WILL BE CHARACTERIZED BY THE EXCELLENCE OF ITS HEALTH CARE SERVICES, ITS FOCUS ON COMPASSIONATE CARE OF ITS PATIENTS, AND BY A CULTURE OF CONTINUOUS QUALITY IMPROVEMENT.OUR VALUES:THE CORE VALUES EXPRESS OUR CONVICTIONS AND BELIEFS. WE STRIVE TO INTEGRATE THESE VALUES INTO ALL THAT WE DO.DIGNITY -WE RESPECT EACH PERSON AT EVERY STAGE OF DEVELOPMENT AS CREATED BY GOD.JUSTICE -WE ADVOCATE FOR THE NEEDS OF THE MOST VULNERABLE. WE OPERATE AT ALL LEVELS IN AN ETHICAL MANNER, WITH FAIRNESS, HONESTY, AND CONFIDENTIALITY.EXCELLENCE -WE ENABLE THE HIGHEST PERFORMANCE THROUGH ONGOING GROWTH AND DEVELOPMENT WITH A COMMITMENT TO QUALITY, OPENNESS TO NEW IDEAS, ACCOUNTABILITY TO STANDARDS, AND WORKING TOGETHER TO ACHIEVE GOALS.STEWARDSHIP - WE USE OUR RESOURCES, BOTH HUMAN AND FINANCIAL, IN A RESPONSIBLE MANNER WITH A SPECIAL COMMITMENT FOR THE CARE OF THE POOR. PART III, LINE 4: THE FOLLOWING IS THE TEXT OF THE FOOTNOTE ON THE ST. JOSEPH'S HEALTHCARE SYSTEM FINANCIAL STATEMENT REGARDING BAD DEBT. RATIONALE FOR BAD DEBT AMOUNT ATTRIBUTABLE TO COMMUNITY BENEFIT: ST. JOSEPH'S HEALTHCARE SYSTEM SERVES THE COMMUNITY BY PROVIDING QUALITY HEALTHCARE TO ALL, REGARDLESS OF ABILITY TO PAY. THIS QUALIFIES AS A COMMUNITY BENEFIT. DURING OUR COMMUNITY BENEFIT ANALYSIS, WE STUDIED THE INCOME PROFILE OF OUR SERVICE AREA. AS PART OF OUR BAD DEBT REPORTING, WE ASSESSED THAT 75% OF PATIENTS CLASSIFIED AS SELF PAY PATIENTS ARE ELIGIBLE FOR CHARITY CARE. THE ST. JOSEPH'S HEALTHCARE SYSTEM FINANCIAL STATEMENTS DO INCLUDE A FOOTNOTE SPECIFIC TO THE TREATMENT OF BAD DEBT. HOWEVER, THE SYSTEM DOES CONTAIN A FOOTNOTE SPECIFIC TO THE TREATMENT OF CHARITY CARE. THAT FOOTNOTE IS AS FOLLOWS: THE MEDICAL CENTER AND WAYNE HOSPITAL PROVIDE CARE TO PATIENTS WHO MEET CERTAIN ELIGIBILITY CRITERIA DEFINED BY NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES CHARITY-CARE PROGRAM GUIDELINES. THE MEDICAL CENTER AND WAYNE HOSPITAL RECEIVE PARTIAL PAYMENT FOR THE CHARITY CARE THEY PROVIDE BASED UPON THE APPROVED SUBMISSION OF PATIENT CLAIMS ONCE THEY ARE QUALIFIED FOR THE PROGRAM. CHARITY CARE IN THE AMOUNT OF APPROXIMATELY $387 MILLION AND $364.1 MILLION WAS PROVIDED BY THE MEDICAL CENTER AND WAYNE HOSPITAL FOR THE YEARS ENDED DECEMBER 31, 2010 AND 2009, RESPECTIVELY. THE AMOUNT OF CHARITY CARE PROVIDED WAS APPROXIMATELY 13.2% AND 12.9% OF GROSS CHARGES FOR THE YEARS THEN ENDED, RESPECTIVELY. BECAUSE THE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE IS NOT PURSUED, IT IS NOT REPORTED AS REVENUE. PART III, LINE 8: ST. JOSEPH'S HEALTH CARE SYSTEM DID NOT REPORT A SHORTFALL IN PART III, LINE 7. THE EXPENSES, REVENUES, AND SURPLUS REPORTED IN PART III LINES 5-7 WERE DEVELOPED FROM THE 2010 ST. JOSEPH'S HEALTHCARE SYSTEM COST REPORTS FILED WITH THE HOSPITAL'S STATE REGULATORY AGENCY. ORDINARILY, A REQUEST FOR CHARITY CARE AND A DETERMINATION OF FINANCIAL NEED OCCURS PRIOR TO RENDERING OF ELECTIVE SERVICES. HOWEVER, THIS DETERMINATION MAY BE DONE AT ANY POINT IN THE COLLECTION CYCLE. THE NEED FOR PAYMENT ASSISTANCE WILL BE RE-EVALUATED AT EACH SUBSEQUENT TIME OF SERVICE IF THE LAST FINANCIAL EVALUATION WAS COMPLETED MORE THAN ONE YEAR PRIOR, OR AT ANY TIME ADDITIONAL INFORMATION RELEVANT TO THE ELIGIBILITY OF THE PATIENT FOR CHARITY BECOMES KNOWN. PART III, LINE 9B: WHEN A PATIENT IS KNOWN TO QUALIFY AND APPROVED FOR FINANCIAL ASSISTANCE, A SPECIFIC INSURANCE CODE IS ASSIGNED. THESE BILLS ARE ELECTRONICALLY TRANMITTED TO THE MEDICAID FISCAL INTERMEDIARY. THE INTERMEDIARY PRICCES AND PROCESSES THE CLAIMS. PATIENTS THAT WERE APPROVED FOR 100% ASSISTANCE, AND MADE A PAYMENT WILL BE CREDITED. SIMILIARLY, A PATIENT THAT IS APPROVED FOR THE SLIDING SCALE THAT OVERPAID, WILL BE CREDITED. X X X X 0 1 0 0 0 0 0 1 0 AIMAN HAMDAN MD 231175 0 0 0 0 0 0 0 0 0 231175 0 0 0 SUSAN SPATT 106120 0 11597 0 6000 0 0 0 0 0 123717 0 0 0 JACK ROBINSON 501623 0 89427 0 0 0 3588 0 7529 0 602167 0 0 0 WILLIAM MCDONALD 840030 0 220500 0 12000 0 171612 0 8224 0 1252366 0 0 0 DANIEL KLINE 275864 0 51719 0 0 0 3420 0 3597 0 334600 0 0 0 EDWARD JIMENEZ 310562 0 59676 0 0 0 3360 0 12216 0 385814 0 0 0 FRANCINE KATZ 150029 0 0 0 0 0 0 0 6609 0 156638 0 0 0 GLORIA KUNZE 371293 0 0 0 0 0 0 0 0 0 371293 0 0 0 JAMES LABAGNARA MD 375868 0 0 0 0 0 0 0 0 0 375868 0 0 0 JIM CAVANAUGH 265558 0 46945 0 0 0 3384 0 11721 0 327608 0 0 0 JOHN BRUNO 270648 0 50326 0 0 0 3432 0 11550 0 335956 0 0 0 MARIA BRENNAN 301768 0 47147 0 1000 0 3504 0 11594 0 365013 0 0 0 SISTER MARYANN CAMPEOTTO 226475 0 40314 0 0 0 3228 0 3771 0 273788 0 0 0 TIM BARR 242976 0 45552 0 8400 0 3396 0 11102 0 311426 0 0 0 ALDO KHOURY 467609 0 474161 0 2000 0 3516 0 10955 0 958241 0 0 0 CHRISTOPHER SULLIVAN 350030 0 321327 0 204000 0 3420 0 11406 0 890183 0 0 0 DAVID PRINCIPE 467609 0 70875 0 310500 0 3396 0 10972 0 863352 0 0 0 DIMITRIS ZOUZIAS 105030 0 558759 0 0 0 1368 0 9842 0 674999 0 0 0 ERIC BRONSTEIN 700000 0 100000 0 200000 0 6600 0 9744 0 1016344 0 0 0 SUPPLEMENTAL INFORMATION PART III SCHEDULE J, LINE 7 SCHEDULE J, LINE 4B BILL MCDONALD IS THE ONLY INDIVIDUAL REPORTED ON SCHEDULE J THAT PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. MR.MCDONALD PARTICIPATES IN A SECTION 457F PLAN AND HIS 2010 DEFERRALS TOTALING $168,000 ARE REPORTED ON THE FORM 990, SCHEDULE J, PART II, COLUMN (C). SUPPLEMENTAL INFORMATION PART III SCHEDULE J, LINE 7 SCHEDULE J, LINE 7 THE ST. JOSEPH'S HEALTH SYSTEM HAS A MANAGEMENT INCENTIVE PLAN IN PLACE THAT IS INTENDED TO ENCOURAGE AND REWARD ELIGIBLE PLAN PARTICIPANTS FOR ACHIEVING DEFINED OBJECTIVES THAT ARE SUPPORTIVE OF ST. JOSEPH'S HEALTHCARE SYSTEM'S MISSION AND STRATEGY. THE PROGRAM IS DESIGNED TO PROVIDE A MAXIMUM BONUS OPPORTUNITY TO PARTICIPANTS WHOM ACHIEVE THE MAXIMUM PERFORMANCE AND EXPECTATIONS IN MEASUREABLE AREAS. ELIGIBLE PARTICIPANTS SHALL BE THOSE INCUMBENTS IN MANAGEMENT POSITIONS IN WHICH DECISION AND ACTIONS IMPACT THE OPERATIONS OF ST. JOSEPH'S HEALTHCARE SYSTEM AND/OR IT BUSINESSES AND SUBSIDIARIES. ELIGIBILITY REQUIREMENTS MAY BE MODIFIED FROM YEAR TO YEAR. THE AWARD OPPORTUNITIES WILL BE BASED ON ATTAINMENT OF PRACTICAL PERFORMANCE MEASURES IN THE AREAS OF FINANCIAL, QUALITY PERFORMANCE, PATIENT SATISFACTION AND INDIVIDUAL GOALS. THE AWARD IS THE AMOUNT PAID TO PARTICIPANTS FOR THE ACTUAL PERFORMANCE THAT MEETS THE EXPECTATIONS OF THE CRITERIA ESTABLISHED. AT THE CLOSE OF EACH PLAN YEAR, PARTICIPANTS WILL BE EVALUATED TO DETERMINE IF PERFORMANCE IN SPECIFIC GOALS HAVE BEEN ACHIEVED. NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 64579FXC2 2008-08-13 238116321 CONSTRUCTION, REFUNDING OF BONDS ISSUED 8/7/1996 AND 6/20/2003 0 0 0 THE PASSAIC COUNTY IMPROVEMENT AUTHORITY 050569671 702754CB6 2010-10-22 30163900 CONSTRUCTION 0 0 0 7225000 248950204 28632427 4747123 96253373 44484600 85518854 1 0 0 1 30164115 3749518 603278 9073379 16737940 0 0 0 1 0 0 1 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 1 BAYERISCHE LANDESBANK 1 0 1 0 0 0 0 0 1 PART II, COL. A, LINE 4 OF THE $28,632,427 SHOWN, $19,139,448 IS HELD IN A DEBT SERVICE FUND, AND $9,492,979 IS HELD IN A BONA FIDE DEBT SERVICE FUND. PART II, COL. B, LINE 4 OF THE $3,749,518 SHOWN, $1,834,725 IS HELD IN A DEBT SERVICE RESERVE FUND, AND $1,917,793 IS PROCEEDS HELD IN A CAPITALIZED INTEREST ACCOUNT. PART IV, COL. A, LINE 4C THERE ARE TWO CONTRACTS, ONE WITH A TERM OF 3.8 YEARS AND THE OTHER OF 4.9 YEARS. PART I, COLUMN (E) AND PART II, LINE 3 DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN (E)) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS. FORM 990, PART I LINE 1 THE MISSION OF ST. JOSEPH'S HEALTH SYSTEM IS TO PROVIDE QUALITY HEALTHCARE WITH A SPECIAL CONCERN FOR THE POOR AND UNDERSERVED. FORM 990, PART III- LINE 1 IN THE SPIRIT OF TOWARD BOUNDLESS CHARITY, THE MISSION OF ST. JOSEPH'S HEALTH SYSTEM, A HEADING MINISTRY OF THE CATHOLIC CHURCH SPONSORED BY THE SISTERS OF CHARITY OF SAINT ELIZABETH, IS TO PROVIDE QUALITY HEALTHCARE WITH A SPECIAL CONCERN FOR THE POOR AND UNDERSERVED. FORM 990, PART III- LINE 4A SJRMC HOSPITAL PROVIDES COMPREHENSIVE ACUTE CARE SERVICES IN PATERSON, NEW JERSEY, SKILLED NURSING SERVICES THROUGH ST. VINCENT'S NURSING HOME (A DIVISION OF SJRMC) IN CEDAR GROVE, , AND AMBULATORY CARE SERVICES AT EIGHT FREE-STANDING AMBULATORY SITES. SJRMC IS A NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES DESIGNATED LEVEL II TRAUMA CENTER, A CHILDREN'S HOSPITAL, A REGIONAL CARDIAC SURGERY CENTER, AND A REGIONAL PERINATAL CENTER. WITH APPROXIMATELY 5,214 EMPLOYEES AND PHYSICIANS, THE MEDICAL CENTER IS BOTH THE LARGEST HEALTH CARE PROVIDER AND NON-GOVERNMENT EMPLOYER IN PASSAIC COUNTY. SJRMC OPERATES A 651-LICENSED-BED ACUTE CARE TERTIARY CARE HOSPITAL OF APPROXIMATELY 1.2 MILLION SQUARE FEET, SITUATED ON 25 ACRES. SJRMC IS A NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES DESIGNATED LEVEL II TRAUMA CENTER THAT OFFERS A FULL COMPLEMENT OF SPECIALTY AND SUBSPECIALTY SERVICES INCLUDING A: 1 CANCER CENTER, 2 COMMUNITY EDUCATION SERVICES, 3 COMPREHENSIVE NEURO-STROKE CENTER, 4 DIALYSIS CENTER, 5 EMERGENCY SERVICES, 6 LABOR & DELIVERY AND MOTHER/BABY UNITS, 7 REGIONAL PERINATAL CENTER, 8 SAME-DAY SURGERY, 9 SPECIALIZED SURGERY, 10 TELEMEDICINE, 11 THE HEART CENTER AT ST. JOSEPH'S, AND 12 THE ORTHOPEDIC INSTITUTE. SJRMC IS ALSO A STATE DESIGNATED FULL-SERVICE CHILDREN'S HOSPITAL, OPERATED UNDER THE NAME "ST. JOSEPH'S CHILDREN'S HOSPITAL," WHICH PROVIDES TERTIARY CARE FOR CHILDREN FROM BIRTH TO 21 YEARS OF AGE. SJRMC OFFERS SPECIALIZED CHILDREN'S SERVICES SUCH AS A NEONATAL INTENSIVE CARE, PEDIATRIC INTENSIVE CARE, AND A DEDICATED PEDIATRIC EMERGENCY ROOM. ADDITIONALLY, SJRMC PROVIDES A: 1 REGIONAL CRANIOFACIAL CENTER, 2 PEDIATRIC CENTER FOR FEEDING AND SWALLOWING DISORDERS, 3 MEDICAL MISSIONS FOR CHILDREN, 4 GIGGLES THEATER, 5 CHILD DEVELOPMENT CENTER, 6 REGIONAL CYSTIC FIBROSIS CENTER, AND 7 A FULL SPECTRUM OF PEDIATRIC SPECIALTY AND SUBSPECIALTY SJRMC CURRENTLY OPERATES 565 BEDS WITHIN THE FOLLOWING 651-LICENSED BED COMPLEMENT: MEDICAL/SURGICAL - 383 INTENSIVE/CORONARY CARE - 64 OBSTETRICS/GYNECOLOGY - 54 PEDIATRICS - 54 PSYCHIATRY - 46 NEONATAL INTENSIVE CARE - 50 TOTAL (EXCLUDES 30 NEWBORN BASSINETS) - 651 SJRMC ALSO OPERATES EIGHT AMBULATORY FACILITY SITES WITHIN CLOSE PROXIMITY TO THE MAIN SJRMC CAMPUS: 1. FRANK X. GRAVES FAMILY HEALTH CENTER, AN AMBULATORY PRIMARY CARE FACILITY IN DOWNTOWN PATERSON, NJ; 2. COMPREHENSIVE CARE CENTER, AN AMBULATORY PRIMARY CARE FACILITY FOR HIV PATIENTS IN DOWNTOWN PATERSON, NJ; 3. CLIFTON FAMILY PRACTICE, AN AMBULATORY PRIMARY CARE FACILITY IN CLIFTON, NJ; 4. ST. JOSEPH'S PEDIATRIC SUB SPECIALTIES AT ROCHELLE PARK, A PEDIATRIC SUBSPECIALTY FACULTY PRACTICE FACILITY IN ROCHELLE PARK, NJ; 5. ST. JOSEPH'S PEDIATRIC SUB SPECIALTIES AT FAIRFIELD, A PEDIATRIC SUBSPECIALTY FACULTY PRACTICE FACILITY IN FAIRFIELD, NJ; 6. THE MEDICAL CENTER AT WILLOWBROOK ("WILLOWBROOK") IN WAYNE, NJ, A FACULTY PRACTICE FACILITY PROVIDING PEDIATRIC, OBSTETRIC AND MEDICAL SUBSPECIALTY SERVICES AND A 20 STATION DIALYSIS CENTER; 7. OUTPATIENT DIALYSIS CENTER, IN PATERSON, NJ PROVIDING 60 OUTPATIENT DIALYSIS STATIONS; AND 8. ST. JOSEPH'S REGIONAL MEDICAL CENTER AMBULATORY IMAGING CENTER, A FULL SERVICE DIAGNOSTIC AND WOMEN'S IMAGING CENTER IN CLIFTON, NJ. ITS SKILLED NURSING FACILITY, ST. VINCENT'S NURSING HOME, IS LOCATED IN ESSEX COUNTY, APPROXIMATELY FIVE MILES FROM SJRMC. ST. VINCENT'S PROVIDES 24/7 NURSING CARE, MEDICAL, PSYCHO-SOCIAL, NUTRITIONAL, THERAPEUTIC RECREATION, AND SPIRITUAL CARE IN ITS 151-BED SKILLED NURSING CARE FACILITY. CLINICAL SERVICES: AS PART OF ST. JOSEPH'S HEALTHCARE SYSTEM, SJRMC COORDINATES COMPREHENSIVE BASIC AND TERTIARY SERVICES ACROSS CAMPUSES WITH ITS SISTER HOSPITAL ST. JOSEPH'S WAYNE HOSPITAL LOCATED IN WAYNE, NJ THROUGH ITS CLINICAL SERVICE LINE "CENTERS OF EXCELLENCE" MANAGEMENT MATRIX. FORM 990, PART III- LINE 4B ST. JOSEPH'S WAYNE HOSPITAL (SJW) IS 229-LICENSED BED ACUTE CARE COMMUNITY HOSPITAL FACILITY LOCATED IN WAYNE, NJ. THE HOSPITAL, A MEMBER OF ST. JOSEPH'S HEALTHCARE SYSTEM, OFFERS INPATIENT AND ACUTE REHABILITATION SERVICES WITH SPECIALIZED SERVICES OFFERED IN ITS FULL SERVICE CARDIAC CATHETERIZATION LAB, DEDICATED COMPREHENSIVE ACUTE CARE REHABILITATION NURSING UNIT AND A GERIATRIC NURSING UNIT. OUTPATIENT SERVICES INCLUDE DIAGNOSTIC RADIOLOGY, PHYSICAL THERAPY SERVICES, SAME-DAY SURGERY, SLEEP CARE CENTER, AND THE JOHN VICTOR MACHUGA DIABETES EDUCATION CENTER. CERTAIN ADDITIONAL SPACE IS CURRENTLY LEASED TO A NON-PROFIT HOSPICE AND A NON-PROFIT LONG TERM ACUTE CARE SERVICES PROVIDER. SJW CURRENTLY OPERATES 146 BEDS WITHIN THE FOLLOWING 229 LICENSED BED COMPLEMENT: MEDICAL/SURGICAL - 193 INTENSIVE/CORONARY CARE 16 COMPREHENSIVE REHABILITATION 20 TOTAL - 229 CLINICAL SERVICES: INTEGRAL TO ITS SERVICE DELIVERY, THE SJW COORDINATES COMPREHENSIVE BASIC AND TERTIARY SERVICES ACROSS CAMPUSES WITH ITS SISTER HOSPITAL, ST. JOSEPH'S REGIONAL MEDICAL CENTER LOCATED IN PATERSON, NJ THROUGH A CLINICAL SERVICE LINE "CENTERS OF EXCELLENCE" MANAGEMENT MATRIX. FORM 990, PART III- LINE 4C TO MEET THE FOUNDATION'S MISSION, ST. JOSEPH'S HOSPITAL & MEDICAL CENTER FOUNDATION CONDUCTS A COMPREHENSIVE FUNDRAISING PROGRAM, INCLUDING: (1) ANNUAL GIVING, INCLUDING SPECIAL EVENTS, WHICH RAISES UNRESTRICTED DOLLARS FOR ONGOING SUPPORT OF PRIORITY PROGRAMS AND PROJECTS AT ST. JOSEPH'S; (2) CAPITAL CAMPAIGN FUNDRAISING, TO SUPPORT THE HOSPITAL'S CAPITAL IMPROVEMENT PROJECTS; AND (3) RESTRICTED GIVING, SECURING DONATIONS BOTH LARGE AND SMALL FOR RESTRICTED PURPOSES, WHICH INCLUDES ALL ST. JOSEPH'S CHILDREN'S HOSPITAL FUNDRAISING PROGRAMS AND EVENTS, AS WELL AS IN SUPPORT OF A MYRIAD OF OTHER DESIGNATED PROGRAMS AND PROJECTS AT ST. JOSEPH'S. FORM 990, PART III LINE 4D TO SUPPORT THE CHARITABLE PURPOSE OF ST. JOSEPH'S WAYNE HOSPITAL BY PROVIDING FUNDING FOR EQUIPMENT, CAPITAL IMPROVEMENT PROJECTS, COMMUNITY OUTREACH, EDUCATIONAL PROGRAMS AND TO PROVIDE SCHOLARSHIP TO INDIVIDUALS AT ANY STAGE OF THE EDUCATIONAL PROCESS WHO ARE PURSUING A DEGREE IN NURSING. FORM 990, PART VI, SECTION A, LINE 6 ST. JOSEPH'S HEALTHCARE SYSTEM IS THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER (D/B/A ST. JOSEPH'S REGIONAL MEDICAL CENTER AND ST. JOSEPH'S WAYNE HOSPITAL), ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER FOUNDATION, INC., ST. JOSEPH'S WAYNE HOSPITAL FOUNDATION, INC., AND 200 HOSPITAL PLAZA CORP. SIX PERSONS, WHO ARE MEMBERS OF THE SPONSOR, THE SISTERS OF CHARITY OF SAINT ELIZABETH, ARE THE MEMBER OF THE ST. JOSEPH'S HEALTHCARE SYSTEM, INC. THE SOLE MEMBER OF HARBOR HOUSE, INC., ST. JOSEPH'S EMERGENCY PHYSICIANS, INC., ST. JOSEPH'S FACULTY PHYSICIANS, INC., ST. JOSEPH'S PHYSICIANS, INC., AND ST. JOSEPH'S SUBSPECIALTY PHYSICIANS, INC. IS ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER (D/B/A ST. JOSEPH'S REGIONAL MEDICAL CENTER AND ST. JOSEPH'S WAYNE HOSPITAL). FORM 990, PART VI, SECTION A, LINE 7A ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER SHARES A MIRROR BOARD WITH ITS MEMBER ORGANIZATION, ST. JOSEPH'S HEALTHCARE SYSTEM (THE SYSTEM IS AN OBLIGATED GROUP). UNDER SECTION 2.2 OF THE SYSTEM'S BYLAWS, THE POWER TO ELECT AND REMOVE TRUSTEES FROM THE SYSTEM'S BOARD (AND BY EXTENSION, ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER'S BOARD) IS RESERVED TO THE SYSTEM'S SPONSOR ORGANIZATION - THE SISTERS OF CHARITY OF SAINT ELIZABETH. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN RIGHTS AND POWERS ARE RESERVED TO THE MEMBER PURSUANT TO THE BY-LAWS OF THE CORPORATIONS. THESE INCLUDE: APPROVAL OF THE STATEMENT OF THE MISSION OF THE INSTITUTION AND ANY SUBSEQUENT CHANGES; THE RIGHT TO ELECT AND REMOVE TRUSTEES OF THE BOARD OF THE CORPORATION AND ITS SUBSIDIARIES OTHER THAN THOSE PERSONS WHO ARE TRUSTEES BY REASON OF BEING APPOINTED BY THE SPONSOR; APPROVAL OF AMENDMENTS TO ST. JOSEPH'S CERTIFICATE OF INCORPORATION; AND THE RIGHT TO APPROVE SIGNIFICANT CORPORATE TRANSACTIONS (E.G. MERGERS, CONSOLIDATIONS, DISSOLUTION). FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WAS PRESENTED TO THE ST. JOSEPH'S HEALTH SYSTEM FINANCE COMMITTEE OF THE BOARD OF TRUSTEES IN OCTOBER OF 2011 BY THE ORGANIZATION'S TAX RETURN PREPARERS, DELOITTE TAX LLP. COMMENTS AND FEEDBACK WERE SOLICITED PRIOR TO FILING AND A FINAL COPY OF THE 990 WAS PROVIDED TO EACH OF THE BOARD MEMBERS VIA ELECTRONIC MEANS. THE SYSTEM HAS ESTABLISHED AN ELABORATE ON-LINE WORK-ROOM FOR ALL BOARD MATERIALS THAT CAN BE ACCESSED BY THE ENTIRE BOARD FROM ANY INTERNET-ACCESSIBLE LOCATION. THE FORM 990 FOR THE YEAR ENDING DECEMBER 31ST, 2010 IS A DOCUMENT WITHIN THAT DATABASE. FORM 990, PART VI, SECTION B, LINE 12C ST. JOSEPH'S HEALTH SYSTEM REQUIRES ALL BOARD OF TRUSTEES MEMBERS, KEY EMPLOYEES AND OFFICERS TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE THAT IS DESIGNED TO UNCOVER POTENTIAL BOARD MEMBER CONFLICTS. THE QUESTIONNAIRES ARE COMPILED, MONITORED AND REVIEWED BY ST. JOSEPH'S GENERAL COUNSEL AND POTENTIAL CONFLICTS ARE ADDRESSED AND RESOLVED IMMEDIATELY. IN 2010, GENERAL COUNSEL PROVIDED A MEMORANDUM TO THE AUDIT AND FINANCE COMMITTEE DISCLOSING THAT NO CONFLICTS OF INTEREST WERE UNCOVERED FROM THE 2010 QUESTIONNAIRES. FORM 990, PART VI, SECTION B, LINE 15 ST. JOSEPH'S HEALTH SYSTEM UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIAL AND ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS REASONABLE. IN RELEVANT PART, THE BOARD OF TRUSTEES HAS ESTABLISHED A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN THE PROPOSED COMPENSATION ARRANGEMENT. THE BOARD OF TRUSTEES USES AN INDEPENDENT COMPENSATION CONSULTANT TO HELP ADVICE ON THE APPROPRIATE COMPENSATION LEVELS FOR THE AFOREMENTIONED INDIVIDUALS. THAT COMPENSATION CONSULTANT WILL USE COMPARABILITY OR BENCHMARKING DATA (BASED ON INDUSTRY SURVEYS) THAT DOCUMENTS THE COMPENSATION OF PERSONS HOLDING SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. ONCE THE COMPENSATION CONSULTANT HAS MADE ITS RECOMMENDATIONS, THE SYSTEM'S COMPENSATION COMMITTEE MUST APPROVE THE COMPENSATION, WITHOUT INPUT OR VOTING PARTICIPATION BY THE PERSON WHOSE COMPENSATION IS BEING APPROVED OR BY ANY OTHER INDIVIDUAL WITH A CONFLICT OF INTEREST. THE FINAL DETERMINATION IS THEN DOCUMENTED IN COMMITTEE MINUTES. THOSE MINUTES WILL CONTAIN THE TERMS OF THE PROPOSED COMPENSATION, THE DECISIONS OF THOSE INDIVIDUALS WHO VOTED ON THE COMPENSATION, AND THE COMPARABILITY DATA THAT WAS RELIED UPON. FORM 990, PART VI, SECTION C, LINE 19 THE HEALTH SYSTEM MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC BY RETAINING A COPY OF EACH AT THE ADDRESS LISTED ON PAGE 1 OF THIS RETURN. ANY INDIVIDUAL REQUESTING A COPY OF THESE DOCUMENTS IS PROVIDED THAT COPY ON THE SAME BUSINESS DAY. THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND AT MANAGEMENT'S DISCRETION SCHEDULE J-2 SISTER MARYANNE CAMPEOTTO, AS A MEMBER OF A RELIGIOUS ORDER, IS EXEMPT FROM FEDERAL AND STATE INCOME TAX AND THEREFORE HER W-2, BOX 5, WAGES REPORT $0 IN INCOME. IN THE INTEREST OF FULL DISCLOSURE, AMOUNTS PAID TO THE SISTER ARE REPORTED IN COLUMN (F) OF SCHEDULE J. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -881,253. PRIOR PERIOD ADJUSTMENTS: -1,584,659. PENSION RELATED ADJUSTMENTS -7,821,000. NET ASSETS RELEASED FROM RESTRICTIONS -1,175,000. TRANSFER TO AFFILIATES -2,600,000. DISTRIBUTIONS TO NONCONTROLLOING INTERESTS IN JV'S -3,598,000. CONTRIBUTIONS FROM NONCONTROLLOING INTERESTS IN JV'S 670,000. TOTAL TO FORM 990, PART XI, LINE 5: -16,989,912. LIST OF AFFILAITES INCLUDED IN GROUP FILING FORM 990, PAGE 1, ITEM H: - ST JOSEPH'S HOSPITAL & MEDICAL CENTER (EIN: 22-1487602) - HARBOR HOUSE, INC (EIN: 22-2354611) - ST JOSEPH'S HOSPITAL & MEDICAL CENTER FOUNDATION (EIN: 22-2448138) - ST JOSEPH'S WAYNE HOSPITAL FOUNDATION (EIN: 22-2627588) - 200 HOSPITAL PLAZA (EIN: 22-3061067) - ST. JOSEPH'S EMERGENCY PHYSICIANS INC (EIN: 27-0806549) - ST. JOSEPH'S FACULTY PHYSICIANS INC (EIN: 27-0806980) - ST. JOSEPH'S PHYSICIANS INC. (EIN: 27-0806417) - ST. JOSEPH'S SUBSPECIALTY PHYSICIANS INC. (EIN: 27-0806125) VHS MANAGEMENT INC 783 RIVERVIEW DRIVE TOTOWA NJ 07511 222681681 HOLDING CO. NJ 501(C)(3) LINE 9: 509(A)(2) N/A 0 ST JOSEPH'S EMERGENCY PHYSICIAN'S 703 MAIN STREET PATERSON NJ 07503 270806417 SUPPORT NJ 501(C)(3) LINE 11, TYPE II: 50 N/A 0 ST JOSEPH'S FACULTY PHYSICIANS INC 703 MAIN STREET PATERSON NJ 07503 270806980 SUPPORT NJ 501(C)(3) LINE 11, TYPE II: 50 N/A 0 ST JOSEPH'S PHYSICIANS INC 703 MAIN STREET PATERSON NJ 07503 270806417 SUPPORT NJ 501(C)(3) LINE 11, TYPE II: 50 N/A 0 ST JOSEPH'S SUBSPECIALTY PHYSICIANS INC 703 MAIN STREET PATERSON NJ 07503 270806125 SUPPORT NJ 501(C)(3) LINE 11, TYPE II: 50 N/A 0 ST JOSEPH'S WAYNE CARDIOLOGY 224 HAMBURG TURNPIKE WAYNE NJ 07470 HEALTHCARE NJ ST JOE'S WAYNE RELATED 449770 279813 0 0 ST JOSEPH'S REGIONAL CARDIOLOGY 703 MAIN STREET PATERSON NJ 07503 HEALTHCARE NJ ST JOE'S MED RELATED 3081509 2105465 0 0 BLUE MOON PROPERTIES 468 PARISH DRIVE WAYNE NJ 07470 264176260 RADIOLOGY NJ N/A RELATED 5419411 1103587 0 0 WAYNE VALLEY IMAGING 504 VALLEY ROAD WAYNE NJ 07470 261465183 RADIOLOGY NJ N/A RELATED 2080300 1840731 0 0 ST JOSEPH'S DIALYSIS CENTER 570 WILLOWBROOK BLVD 2ND FLOOR WAYNE NJ 07470 263691907 DIALYSIS NJ N/A RELATED 2705604 4221074 0 0 ST JOSEPH'S AMBULATORY ENDOSCOPY 703 MAIN STREET PATERSON NJ 075032621 223452414 ENDOSCOPY NJ N/A RELATED 39603 0 0 SJHS INSURANCE LIMITED C/O IAS INTERNATIONAL ADVISORY 44 CHURCH STREET HAMILTON BD HM 12 CAPTIVE INSURANCE BD N/A C ST JOSEPH'S HOSPITAL HOUSING CORP 703 MAIN STREET PATERSON NJ 07503 222145893 HOUSING NJ ST JOE'S HOSP C GENESIS PROPERTY DEVELOPMENT HOLDING LLC 703 MAIN STREET PATERSON NJ 07503 HOLDING NJ ST JOE'S HOSP 0 0 1 0 0 0 0 0 1 0 1 1 1 1 0 1 1 1