2011-11-14T14:58:22-06:00 2010-12-31 BKD LLP 220 W Main St Ste 1700 PO Box 1178 Louisville KY 402011178 990 2010-01-01 203805455 JEWISH HOSPITAL HEALTHCARE SERVICES INC JEWI 5025403888 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 RONALD FARR 2011-11-14 true Kim Scifres 5025810435 2010 2016-03-07 17:11:31Z DR GERALD TEMES 200 Abraham Flexner Way Louisville KY 40202 1546031 false X N/A X 2005 KY Jewish Hospital HealthCare Services, Inc. (JHHS) is the parent organization of Jewish Hospital & St. Mary's Healthcare, Inc. (JHSMH) 22 7 0 0 0 0 1044377 1000000 156338 241829 141226 217993 0 0 1341941 1459822 273772 250812 0 0 0 0 0 0 0 16479 371178 290251 621990 1051690 837832 232307600 243284327 13228 60776 232294372 243223551 X JEWISH HOSPITAL HEALTHCARE SERVICES, INC. (JHHS) IS THE PARENT ORGANIZATION OF JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. (JHSMH) false false 621990 250812 241829 AT THE DISCRETION OF THE CORPORATION'S BOARD OF TRUSTEES, ESTABLISHING, OPERATING, MAINTAINING, OR MANAGING OTHER HEALTH CARE FACILITIES WHEREIN THE SICK AND NEEDY MAY ENJOY DURING THEIR ILLNESS ALL THE OBSERVANCES AND CONSOLATION OF THE JEWISH RELIGION AND TO WHICH, UNDER RULES PRESCRIBED BY THE BOARD OF TRUSTEES, PERSONS OF ANY CREED MAY BE ADMITTED AS FREE, PART-PAY OR FULL-PAY PATIENTS. PROMOTING, CARRYING ON OR SUPPORTING EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED, OR TO THE PROMOTION OF HEALTH INSOFAR AS, IN THE OPINION OF THE BOARD OF TRUSTEES, THE SAME MAY BE JUSTIFIED; PROMOTING, CARRYING ON OR SUPPORTING SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED INSOFAR AS, IN THE OPINION OF THE BOARD OF TRUSTEES, THE SAME MAY BE JUSTIFIED; PARTICIPATING, SO FAR AS CIRCUMSTANCES MAY WARRANT, IN ANY ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY; PROVIDING SUPPORT TO JEWISH COMMUNITY ORGANIZATIONS, INCLUDING WITHOUT LIMITATION THE LOUISVILLE JEWISH FEDERATION; AND DEVELOPING, OVERSEEING, COORDINATING AND SUPPORTING THE OPERATIONS OF A SYSTEM OF HEALTH CARE FACILITIES OWNED, LEASED OR MANAGED BY THE CORPORATION, SUBSIDIARIES OF THE CORPORATION PROVIDING SERVICES TO SUCH HEALTH CARE FACILITIES, AND AFFILIATED CORPORATIONS AND COMPANIES IN WHICH THE CORPORATION HAS A MEMBERSHIP OR OTHER INTEREST, INCLUDING WITHOUT LIMITATION JEWISH HOSPITAL & sT. mARY'S hEALTHCARE, INC. (JHSMH). THE CORPORATION SHALL HAVE ALL OF THE POWERS GRANTED TO NONSTOCK, NONPROFIT CORPORATIONS UNDER THE LAWS OF THE COMMONWEALTH OF KENTUCKY, INCLUDING WITHOUT LIMITATION TO THE FOREGOING THE POWER TO FORM, CONTROL, OR HAVE OWNERSHIP OR OTHER PARTICIPATORY INTERESTS IN AFFILIATED COMPANIES; TO GUARANTEE THE DEBT OF AFFILIATED COMPANIES; TO OPERATE UNDER ONE OR MORE ASSUMED NAMES; AND TO DO AND PERFORM ALL ACTS REASONABLY NECESSARY TO ACCOMPLISH THE PURPOSES OF THE CORPORATION. 621990 true true false false false false false false false false false false true false true false true false false false false false false false false false true false true false false false false false false false false false false false false false true true false false false true 0 0 0 false false false false false false false false false false false X 22 7 true false false false false false false true true false false true true true true true true true true false KY X RONALD FARR 5025403888 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 X WILLIAM L ALTMAN 3.0 X 0 0 0 ARNOLD M BELKER MD 3.0 X 0 0 0 BETSY BENNETT 3.0 X 0 0 0 JONATHAN S BLUE 3.0 X 0 0 0 BETTY S FLEISCHAKER 3.0 X 0 0 0 STEPHEN C GAULT 3.0 X 0 0 0 Bart Greenwald 3.0 X 0 0 0 MEREDITH LOEB 3.0 X 0 0 0 JUDGE JANICE R MARTIN 3.0 X 0 0 0 W GRIER MARTIN 3.0 X 0 0 0 DONALD G MCCLINTON 3.0 X 0 0 0 William Receveur III 3.0 X 0 0 0 MARCIA P SCHUSTER 3.0 X 0 0 0 Richard Schultz 3.0 X 0 0 0 Linda Schuster 3.0 X 0 0 0 Ellen Shapira 3.0 X 0 0 0 Gerald D Temes MD 3.0 X 0 0 0 Russell A Williams 3.0 X 0 0 0 Greg Fischer 3.0 X 0 0 0 Debbie Friedman 3.0 X 0 0 0 Michael Salamon MD 3.0 X 0 0 0 KAREN SHERMAN 3.0 X 0 0 0 Ron FArr 5.0 X 0 460300 146019 JOHN A JOHNSON 5.0 X 0 230264 14044 Robert Shircliff 1.0 X 0 574598 11724 Kathleen Haddix 1.0 X 0 111251 0 0 1376413 171787 0 true true false 0 1000000 1000000 NET PATIENT REVENUE 621990 241829 241829 241829 211243 211243 0 0 92959 86209 6750 6750 6750 0 0 0 0 1459822 241829 217993 250812 250812 0 0 0 0 0 0 0 0 0 0 84659 84659 0 0 0 23165 23165 219060 219060 0 0 1789 1789 0 0 0 0 0 0 0 0 16205 16205 PROGRAM EXPENDITURES 26300 26300 0 0 621990 621990 0 0 6364197 40698 8999148 225943403 234244481 232307600 243284327 13228 60776 13228 60776 X 232294372 243223551 232294372 243223551 232307600 243284327 X 837832 10091347 X false true true X false X X false false false JEWISH HOSPITAL & ST MARY'S HEALTHCARE INC 611029768 03 true true true 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED DUE FROM JHSMH 975731 JEWISH HOSP & ST. MARYS HC 233268750 234244481 0 0 1459822 621990 837832 802623 9288724 10091347 10929179 11551169 802623 9288724 10091347 1459822 1459822 621990 621990 621990 INCOME TAXES SCH D, PART X, LINE 2 ---------------------------- MOST OF THE INCOME RECEIVED BY JHSMH AND CERTAIN AFFILIATES IS EXEMPT FROM TAXATION UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. SOME OF ITS SUBSIDIARIES ARE TAXABLE ENTITIES, AND SOME OF THE INCOME RECEIVED BY OTHERWISE EXEMPT ENTITIES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. JHSMH FILES FEDERAL INCOME TAX RETURNS AS WELL AS INCOME TAX RETURNS IN KENTUCKY AND INDIANA. ASC 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740 ALSO PROVIDES GUIDANCE ON DESCRIPTION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. NO AMOUNT HAS BEEN RECORDED RELATED TO ASC 740 AT EITHER DECEMBER 31, 2010 OR 2009. RECONCILIATION TO AUDIT REPORT - NET ASSETS SCH D, PART XI, LINE 8 ---------------------------- OTHER CHANGES IN NET ASSETS: EQUITY EARNINGS $8,283,750 TRANSFER FROM FDN $1,004,974 ----------- $9,288,724 RECONCILIATION TO AUDIT REPORT - REVENUES SCH D, PART XII, LINE 2D ---------------------------- REVENUE INCLUDED ON BOOKS BUT NOT ON RETURN: EQUITY EARNINGS $8,283,750 TRANSFER FROM FDN $1,004,974 ----------- $9,288,724 true Jewish Community Federation 3630 Dutchmans Lane Louisville KY 40205 610444765 501(c)(3) 137690 General Support JEWISH COMMUNITY CENTER OF LOUISVILLE 3600 DUTCHMANS LANE Louisville KY 40205 610445859 501(c)(3) 63430 GENERAL SUPPORT Jewish Family & Career Services 3640 Dutchmans Lane Louisville KY 40205 610444704 501(C)(3) 41120 General Support 3 0 MONITORING THE USE OF GRANT FUNDS Schedule I, Part I, LINE 2 --------------------------------- Jewish Hospital HealthCare Services, Inc. provides support to Jewish Community Organizations, including without limitation the Louisville Jewish Federation as outlined in JHHS's Articles of Incorporation. Additionally, The JHHS Jewish Senior Services Endowment Committee, a committee of the Jewish Hospital Healthcare Services board of Trustees, will assist the JHHS Board in fulfilling its oversight responsibility for grants issued from its endowment fund. The purpose of the Endowment Fund is to enhance the connection of Jewish elderly persons to the Louisville Jewish community by providing programs and services to those who are homebound or who require residential care. The funds may not be used to subsidize medical or other expenses of specific individuals. X X X X X X true true false false false false true false false Robert Shircliff 0 0 0 0 0 574598 0 0 0 11724 0 586322 0 0 Kathleen Haddix 0 0 0 0 0 111251 0 0 0 0 0 111251 0 0 Ron FArr 0 391873 0 58500 0 9927 0 133556 0 12463 0 606319 0 0 JOHN A JOHNSON 0 227942 0 0 2322 0 12814 0 1230 0 244308 0 0 SEVERANCE PAYMENTS SCH J, PART I, LINE 4A ------------------------- Severance Payments from related organization: Bob Shircliff $562,729 NONQUALIFIED RETIREMENT PLAN SCH J, PART I, LINE 4B ---------------------------- Increase in Actuarial Value of Nonqualified Retirement Plan: Ron Farr $118,856 NOTE: These amounts represent the accrued benefit amount and are subject to risk of forfeiture. MANAGEMENT INCENTIVE PLAN SCH J, PART I, LINE 6B ------------------------ Officers of Jewish Hospital HealthCare Services,Inc. are employees of Jewish Hospital & St. Mary's HealthCare, Inc. Jewish Hospital & St. Mary's HealthCare, Inc. has management incentive plans for Corporate Officers, Senior Vice-Presidents, Vice-Presidents and Directors. Annual payouts related to these incentive plans have two components: 1. 50% of the annual payout is based on net operating income targets. If these targets are not met, payouts are not made. 2. 50% of the annual payout is based on 3-5 strategic goals set by the individual and their leaders. FAMILY RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 ------------------------- A family relationship exists between Linda Schuster and Marcia Schuster. REVIEW OF FORM 990 FORM 990, PART VI, SECTION B, LINE 11 ------------------------- Once the Form 990 is prepared by an outside accounting firm, the Form 990 is reviewed by JHHS's Treasurer. The return is provided to the board of trustees prior to filing. WRITTEN POLICIES FORM 990, PART VI, SECTION B, LINES 12 & 13 ------------------------- The Board of Trustees of Jewish Hospital HealthCare Services, Inc. (JHHS) has not formally adopted a written conflict of Interest, whistleblower or document retention and destruction policies. JHHS is the parent and 75% member of Jewish Hospital & St. Mary's HealthCare, Inc. (JHSMH). JHSMH has formally adopted conflict of interest, whistleblower, and document retention and destruction policies. As a matter of practice, JHHS follows the conflict of interest and whistleblower policies adopted by JHSMH. JHHS follows all financial polices adopted by JHSMH. Conflicts of interest are monitored by the Corporate Compliance Officer and General Counsel. Jewish Hospital HealthCare Services, Inc. follows the process below which is the process adopted by Jewish Hospital & St. Mary's Healthcare, Inc. Annual Statements ------------------- Each trustee, director, officer and member of a committee with board delegated powers of JHHS, Inc, shall annually sign a statement, which affirms that such person: * Has received a copy of JHHS's conflicts of interest policy, * Has read and understands this policy, * Has agreed to comply with this policy, and * Understands that the JHHS Exempt Entities are charitable organizations and that in order to maintain their federal tax exemptions they must engage primarily in activities that accomplish one or more of their tax-exempt purposes. Annual Questionnaire -------------------- Each trustee, director, officer and member of a committee with board delegated powers of JHHS, Inc., shall annually complete a Conflicts of Interest Questionnaire. Completion of the annual questionnaire is coordinated by General Counsel and JHHS's Corporate Compliance Officer. Periodic Reviews -------------------- To ensure that each of the JHHS Exempt Entities operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted. The periodic reviews shall, at a minimum, include the following subjects: * Whether compensation arrangements and benefits are reasonable and are the result of arm's-length bargaining. * Whether acquisitions of physician practices and other provider services result in inurement or impermissible private benefit. * Whether partnership and joint venture arrangements and arrangements with management service organizations and physician hospital organizations conform to written policies, are properly recorded, reflect reasonable payments for goods and services, further such JHHS Exempt Entity's charitable purposes and do not result in inurement or impermissible private benefit. * Whether agreements to provide health care and agreements with other health care providers, employees, and third party payors further such JHSMH Exempt Entity's charitable purposes and do not result in inurement or impermissible private benefit. In conducting such periodic reviews, a JHSMH Exempt Entity may, but need not, use outside advisors. If outside experts are used, their use shall not relieve the governing board of its responsibility for ensuring that periodic reviews are conducted. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, SECTION B, LINE 15B ------------------------- Corporate Officers disclosed on Schedule J are also Corporate Officers of Jewish Hospital and St. Mary's HealthCare, Inc., a related 501(c)(3) corporation. The following review and approval process is used by Jewish Hospital & St. Mary's HealthCare, Inc. (JHSMH) for all Disqualified Persons, which includes the corporate officers of Jewish Hospital HealthCare Services, Inc. The Management Review Committee consists of approximately 9 independent members of JHSMH's Board, and is responsible for review and approval of top management compensation. The committee addressed the overall compensation philosophy and how the organization's goals can be furthered by the structure of compensation. The independent Management Review Committee and independent members approved maximum compensation levels for all Disqualified Persons. The Management Review Committee retained an outside compensation consultant from a national firm to advise it regarding reasonable compensation levels, and relied on the consultant's opinion that compensation levels are reasonable. The Committee receives a market review on each Disqualified Person from the compensation consultant. The Management Review Committee approved the peer group of similar entitles used to measure comparable compensation levels. The Management Review Committee follows the process necessary to obtain the rebuttable presumption that compensation levels are reasonable, including contemporaneous documentation of decisions. MAKING DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, SECTION B, LINE 19 ------------------------- Jewish Hospital HealthCare Services, Inc. does not make its governing documents, conflict of interest policy or financial statements available to the general public. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 5 ------------------------- OTHER CHANGES IN NET ASSETS: EQUITY EARNINGS $8,283,750 TRANSFER FROM FDN $1,004,974 UNREALIZED GAINS $802,623 ----------- $10,091,347 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Ron FArr TITLE:TREASURER HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN A JOHNSON TITLE:SECRETARY HOURS:40 Jewish Hospital & St Mary's HealthCare 539 S Fourth Street Louisville KY 40202 611029768 Hospital KY 501(C)(3) 3 JHHS Inc JH Properties Inc 200 Abraham Flexner Way Louisville KY 40202 611029769 Prop. Rental KY 501(C)(3) 9 NA Jewish Physician Group Inc 200 Abraham Flexner Way Louisville KY 40202 611352729 Medical Svcs KY 501(C)(3) 9 NA JHP Management Inc 200 Abraham Flexner Way Louisville KY 40202 204498858 Management SeRV KY JHHS Inc C 1444013 218319 1.00000 BC Holdings Inc 1850 Bluegrass Avenue Louisville KY 40215 311542851 Inactive KY NA C 0 0 0.00000 Medgroup Services Inc 200 Abraham Flexner Way Louisville KY 40202 611338294 Inactive KY JHP Managment C 0 0 0.00000 false false true false false false false false false false false false false false false false false true Jewish Hospital & St Mary's HealthCare Inc c 1000000 Jewish Hospital & St Mary's HealthCare Inc r 1004974