SAINT JOSEPH MEDICAL CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: SAINT JOSEPH MEDICAL CENTER INC (EIN 52-0591461)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-16
IRS object ID: 201131369349302138
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 F
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-16T10:48:49-05:00	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	520591461	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Joseph Medical Center Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STJO	NameControl
Phone	4103371503	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7601 Osler Drive	AddressLine1
City	Towson	City
State	MD	State
ZIP Code	21204	ZIPCode

Officer Officer

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

Preparer Preparer

Field	Value	IRS element (for citing)
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	Jeffrey Norman PresidentCEO	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	7601 OSLER DRIVE	AddressLine1
City	TOWSON	City
State	MD	State
ZIP Code	21204	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	336765199	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	www.sjmcmd.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1946	YearFormation
State Legal Domicile	MD	StateLegalDomicile
Activity Or Mission Description	The mission of St. Joseph Medical Center is to nurture the healing ministry of the Church by bringing it new life, energy and viability in the 21st century, thus creating healthier communities.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	2456	TotalNbrEmployees
Total Nbr Volunteers	299	TotalNbrVolunteers
Total Gross UBI	121587	TotalGrossUBI
Contributions Grants Prior Year	2993199	ContributionsGrantsPriorYear
Contributions Grants Current Year	594995	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	360739092	ProgramServiceRevenuePriorYear
Program Service Revenue CY	332484190	ProgramServiceRevenueCY
Investment Income Prior Year	11041502	InvestmentIncomePriorYear
Investment Income Current Year	1080636	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4455624	OtherRevenuePriorYear
Other Revenue Current Year	2542451	OtherRevenueCurrentYear
Total Revenue Prior Year	379229417	TotalRevenuePriorYear
Total Revenue Current Year	336702272	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	8986133	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	9938911	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	139086365	SalariesEtcPriorYear
Salaries Etc Current Year	127234978	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	241356637	OtherExpensePriorYear
Other Expenses Current Year	213446734	OtherExpensesCurrentYear
Total Expenses Prior Year	389429135	TotalExpensesPriorYear
Total Expenses Current Year	350620623	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-10199718	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-13918351	RevenuesLessExpensesCY
Total Assets BOY	284221857	TotalAssetsBOY
Total Assets EOY	263029525	TotalAssetsEOY
Total Liabilities BOY	182208548	TotalLiabilitiesBOY
Total Liabilities EOY	173192609	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	102013309	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	89836916	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	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	272073258	Expense
Grants	9938911	Grants
Revenue	332484190	Revenue
Description	SEE SCHEDULE H	Description
Total Program Service Expense	272073258	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	true	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	false	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	2456	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	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	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
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	RICHARD IMBIMBO	NamePerson
Telephone Number	4103371602	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	7601 Osler Dr	AddressLine1
City	Towson	City
State	MO	State
ZIP Code	21204	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (43 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Reportable Comp From OrganizationReportableCompFromOrganization	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Sister Esther Anderson OSF
Board Member	1.0	X
Harry Brandt MD
Board Member	1.0	X
Kenneth DeFontes Jr
Board Member	1.0	X
Carmen Deyesu
Board Member	1.0	X
Hamed Faridi PhD
Board Member	1.0	X
Edward Gilliss Esq
Board Member	1.0	X
Patrick Goles
Board Member	1.0	X
David Gonano
Board Member	1.0	X
Caroline Griffin Esq LLC
Secretary	1.0	X	X
Jeffrey Norman
CEO	40.0	X	X	62416
Sr Patricia McCarron
Board Member	1.0	X
William McCarthy Esq
Chair	1.0	X	X
Robert Lovell
Interim President / CEO	40.0	X	X		269818
MARY ELIZABETH O'BRIEN
Board Member	1.0	X		721669		78185
James O'Conor
Board Member	1.0	X
Mary Pat Seurkamp PhD
Board Member	1.0	X
Marc Siegelbaum MD
Board Member	1.0	X
Larry Walton
Board Member	1.0	X
Terry Conrad
Treasurer\Interim CFO	40.0		X
JANICE DUNN
CHIEF FINANCIAL OFFICER	40.0		X		347527	29370
MARGARET MORTENSEN
EXECUTIVE VICE-PRESIDENT/COO	40.0		X
RON WOOD
INTERIM CFO	40.0		X		168471	165
MARION PURDUE
INTERIM COO	40.0		X		431300
RICHARD BOEHLER
VP/Chief Medical Officer	40.0				385711	45719	X
CRAIG CARMICHAEL
VP, SUPPORT OPERATIONS	40.0				226732	38511	X
DANIEL DIETRICK
HEAD, DEPARTMENT OF SURGERY	40.0				272588	20228	X
DANIEL HARDESTY
HEAD, DEPARTMENT OF MEDICINE	40.0				260135	35226	X
PAMELA JAMIESON
VP OPERATIONS CNO	40.0				254849	50357	X
DAVID PETERSON
REGIONAL CIO				292000		38913	X
LUCY SHAMASH
VP, OPS & EXEC DIR CANCER INST	40.0				231090	35709	X
CARMEL TAIBI-LEHN
VP, Human Resources	40.0				205190	39043	X
DIANNE WASSALL
INTERIM VP, Human Resources	40.0				149272	29509	X
DIANE BOULAY
Director of Revenue Cycle	40.0				150699	29396		X
SATYAM CHARY
HEAD, DEPT OF ANESTHESIOLOGY	40.0				155895	11317		X
DURENDA JUERGENSEN
AVP NURSING OPERATIONS	40.0				153765	37536		X
JAMES RAPIER
DIRECTOR OF SURGICAL SERVICES	40.0				164447	14508		X
MICHAEL SCHULTZ
HOSPITAL PHYSICIAN	40.0			773035	169733	39483		X
SYLVIA MOORE
EXECUTIVE VICE-PRESIDENT/COO	40.0				392260	33055			X
John Tolmie
PRESIDENT CEO	40.0			701137		44918			X
MARK KRASNA
MED DIR - CANCER INSTITUTE	40.0			271947	619985	38657			X
MARK MIDEI MD
DIRECTOR OF CARDIAC CATH LAB	40.0			756752		33623			X
STEWART FINNEY
HOSPITAL PHYSICIAN	40.0			735122		40976			X
STEPHEN POLLOCK MD
DIRECTOR OF CARDIOLOGY	40.0			626650		37484			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5009467	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	4940728	TotalReportableCompFrmRltdOrgs
Total Other Compensation	801888	TotalOtherCompensation
Number Individuals GT100 K	83	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
First Colonies Anesthesia ASSC LLC
1901 Research Blvd Suite 350	ROCKVILLE	MD	20850	Anesthesia Services	1150000
Insight Health Partners LLC
695 Central Ave Suite 15010	ST PETERSBURG	FL	33701	Consulting	1133259
Beacon Fey LLC
1107 Kenilworth Dr Suite 307	BALTIMORE	MD	21204	Marketing	841567
Renal Treatment Centers
PO Box 403008	ATLANTA	GA	30384	Dialysis Services	825417
IMA Consulting
2 Christy Dr Suite 219	CHADDS FORD	PA	19317	Consulting	729483

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	33	NumberOfContractorsGT100K
Related Organizations	274410	RelatedOrganizations
All Other Contributions	320585	AllOtherContributions
Total Contributions	594995	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Services	900099	327716113	327716113
Equity changes of unconsolidated orgs	900099	2868238	2868238
RENTAL INCOME	900099	1899839	1899839

Field	Value	IRS element (for citing)
Total Program Service Revenue	332484190	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	616892	TotalRevenueColumn
Unrelated Business Revenue	55	UnrelatedBusinessRevenue
Exclusion	$616,837	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 Rents GrossRents

Field	Value	IRS element (for citing)
Real	264324	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	264324	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	264324	TotalRevenueColumn
Exclusion	$264,324	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	484640	Securities
Other	42032	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	62927	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	484640	Securities
Other	-20895	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	463744	TotalRevenueColumn
Exclusion	$463,744	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
PARKING LOT	812930	1431332	$1,431,332
MEDITECH B/AR - RRC	900099	321270	$321,270
LABORATORY SERVICES	900099	68892	$68,892

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	456633	TotalRevenueColumn
Unrelated Business Revenue	121532	UnrelatedBusinessRevenue
Exclusion	$335,101	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2278127	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	336702272	TotalRevenueColumn
Related Or Exempt Function Income	332484190	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	121587	UnrelatedBusinessRevenue
Exclusion	$3,501,500	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	9938911	Total
Program Services	9938911	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	3340026	Total
Program Services	876803	ProgramServices
Management And General	2463223	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	97936022	Total
Program Services	71029191	ProgramServices
Management And General	26906831	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5169872	Total
Program Services	3670609	ProgramServices
Management And General	1499263	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13072787	Total
Program Services	9281679	ProgramServices
Management And General	3791108	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7716271	Total
Program Services	5478552	ProgramServices
Management And General	2237719	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	425930	Total
Management And General	425930	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

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	67900781	Total
Program Services	48209555	ProgramServices
Management And General	19691226	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	83578821	Total
Program Services	77771494	ProgramServices
Management And General	5807327	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	4942626	Total
Program Services	3509265	ProgramServices
Management And General	1433361	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	218562	Total
Program Services	155179	ProgramServices
Management And General	63383	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	78546	Total
Program Services	55768	ProgramServices
Management And General	22778	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6157836	Total
Program Services	6157836	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	6949075	Total
Management And General	6949075	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	18161070	Total
Program Services	13650230	ProgramServices
Management And General	4510840	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3940673	Total
Program Services	2797878	ProgramServices
Management And General	1142795	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBTS	15566934	15566934
REPAIRS AND MAINTENANCE	2946811	2092236	854575
RECRUITMENT AND RELOCATION	791290	561816	229474
PROPERTY TAXES	635327	635327
DUES & SUBSCRIPTIONS	591773	420159	171614

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	560679	Total
Program Services	213836	ProgramServices
Management And General	346843	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	350620623	Total
Program Services	272073258	ProgramServices
Management And General	78547365	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	197587	BOY
EOY	2070	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	21668348	BOY
EOY	12466716	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	52612017	BOY
EOY	45985302	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6399374	BOY
EOY	5934334	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	127791	BOY
EOY	435091	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	402961265	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	235699779	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	174766992	BOY
EOY	167261486	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	17481542	BOY
EOY	19833830	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1868483	BOY
EOY	1868483	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	9099723	BOY
EOY	9242213	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	284221857	BOY
EOY	263029525	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	49923829	BOY
EOY	34756951	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	14006205	BOY
EOY	13076507	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	101631455	BOY
EOY	95356817	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	16647059	BOY
EOY	30002334	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	182208548	BOY
EOY	173192609	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	101577476	BOY
EOY	89443474	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	435833	BOY
EOY	393442	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	102013309	BOY
EOY	89836916	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	284221857	BOY
EOY	263029525	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	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$24,227	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	24227	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Schedule C, Part 1A & 1B	Political Campaign Activities	St. Joseph Medical Center became aware during the year ended June 30, 2010 that certain former officers had formed a political action committee ("PAC"). St. Joseph Medical Center did not contribute funds to the PAC, nor did it direct or manage the PAC. St. Joseph Medical Center did not require employees to contribute to the PAC, nor did it allow them to do so through payroll deduction. There has been no activity in the PAC since October 2008 except for the assessment of bank fees against the fund balance. A St. Joseph Medical Center employee prepared and filed the required state election reports for the PAC in January, 2010. By early 2011, the remaining PAC bank balance had been consumed by bank fees. The PAC was closed in early 2011, final reports were filed and the matter was settled. All of the foregoing has been disclosed to the Internal Revenue Service and resolution is underway.
Schedule C, Part II-B, Line G	Lobbying Activities Explanation	Portion of dues paid to other organizations for lobbying purposes; Catholic Hospital Association $ 3,079 American Hospital Association $ 4,291 Maryland Hospital Association $16,857

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)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	444986	OtherCostOrOtherBasis
Book Value	444986	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	14603715	OtherCostOrOtherBasis
Depreciation	1193684	Depreciation
Book Value	13410031	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	174026515	OtherCostOrOtherBasis
Depreciation	68331696	Depreciation
Book Value	105694819	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	210838196	OtherCostOrOtherBasis
Depreciation	166174398	Depreciation
Book Value	44663798	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	3047852	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	3047852	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	167261486	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	CHI OPERATING INVESTMENT PROG.	Description
Book Value	19833830	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	19833830	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
OIG SETTLEMENT	$22,000,000
UCC LIABILITY	$2,600,000
RAC LIABILITY	$3,085,000
JOINT VENTURE PROFESSIONAL FEES	$1,007,240
CONSULTING	$572,172
CURRENT PORTION OF CHI DEBT	$476,444
UNCLAIMED PROPERTY	$261,478

Field	Value	IRS element (for citing)
Total Of Amounts	30002334	TotalOfAmounts
Total Revenue	336702272	TotalRevenue
Total Expenses	350620623	TotalExpenses
Excess Or Deficit For Year	-13918351	ExcessOrDeficitForYear
Net Unrealized GL On Investments	1357753	NetUnrealizedGLOnInvestments
Prior Period Adjustments	15487	PriorPeriodAdjustments
Other	$368,718	OtherAmount
Total Adjustments	1741958	TotalAdjustments
Excess Or Deficit Per FS	-12176393	ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Schedule D, Part X	FIN48 Footnote (Now known as ASC 740)	St. Joseph Medical Center, Inc's financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's Footnote States: "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 D, Part XI	Other Changes in Net Assets	CAPITAL RESOURCE POOL ($1,047,996) CHI Connect DEPRECIATION $ 812,724 Assets released for Capital $ 603,990

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Sub-sahara Africa	Region
Number Of Employees	1	NumberOfEmployees
Type Of Activities Conducted	Program Services	TypeOfActivitiesConducted
Specific Services Provided	Village Wellness	SpecificServicesProvided
Total Expenditures	86208	TotalExpenditures

Field	Value	IRS element (for citing)
Total Number Of Employees	1	TotalNumberOfEmployees
Total Amount Spent	86208	TotalAmountSpent

Form990 Schedule F Part IV Form990ScheduleFPartIV

Field	Value	IRS element (for citing)
Identifier	Method of Accounting for Expenditures	Identifier
Return Reference	Schedule F, Part I, Line 3	ReturnReference
Explanation	Expenditures were accounted for on an accrual basis which is consistent with the St Joseph Medical Center's accounting methods.	Explanation

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	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	2885	PersonsServed
Total Community Benefit Expense	2673300	TotalCommunityBenefitExpense
Net Community Benefit Expense	2673300	NetCommunityBenefitExpense
Percent Of Total Expense	0.00800	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	2885	PersonsServed
Total Community Benefit Expense	2673300	TotalCommunityBenefitExpense
Net Community Benefit Expense	2673300	NetCommunityBenefitExpense
Percent Of Total Expense	0.00800	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	55	NumberOfActivitiesOrPrograms
Persons Served	13936	PersonsServed
Total Community Benefit Expense	656777	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4475	DirectOffsettingRevenue
Net Community Benefit Expense	652302	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	284	PersonsServed
Total Community Benefit Expense	10420	TotalCommunityBenefitExpense
Net Community Benefit Expense	10420	NetCommunityBenefitExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	92	PersonsServed
Total Community Benefit Expense	412	TotalCommunityBenefitExpense
Net Community Benefit Expense	412	NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	125	PersonsServed
Total Community Benefit Expense	46144	TotalCommunityBenefitExpense
Net Community Benefit Expense	46144	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	60	NumberOfActivitiesOrPrograms
Persons Served	14437	PersonsServed
Total Community Benefit Expense	713753	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4475	DirectOffsettingRevenue
Net Community Benefit Expense	709278	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	60	NumberOfActivitiesOrPrograms
Persons Served	17322	PersonsServed
Total Community Benefit Expense	3387053	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4475	DirectOffsettingRevenue
Net Community Benefit Expense	3382578	NetCommunityBenefitExpense
Percent Of Total Expense	0.01000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	327	PersonsServed
Total Community Building Expense	907	TotalCommunityBuildingExpense
Net Community Building Expense	907	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	107	PersonsServed
Total Community Building Expense	165	TotalCommunityBuildingExpense
Net Community Building Expense	165	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	434	PersonsServed
Total Community Building Expense	1072	TotalCommunityBuildingExpense
Net Community Building Expense	1072	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$11,949,179	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	173881515	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	123448124	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	50433391	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 (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
St Joseph Medical Center
7601 Osler Drive	Towson	MD	21204	X	X	X
Cancer Institute
7501 Osler Drive	Towson	MD	21204		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 St. Joseph Medical Center, Inc.) 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. St. Joseph Medical Center, Inc. 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, 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. St. Joseph Medical Center, Inc. prepares its own annual written community benefit report. Its community benefit report is not contained in that of a related organization. Part I, Line 7A: Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Part I, Line 7B: Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any directed offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. The exception to this is the impact on the hospital of its share of the Medicaid assessment. In recent years, the state of Maryland has closed fiscal gaps in the state Medicaid budget by assessing hospitals through the rate setting system. Part I, Line 7F: Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care.	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. Amount on table represents 100% of the costs written off to charity care.	CostingMethodUsed
Subsidized Health Services Expln	To the extent that an organization includes any costs associated with physician clinics as subsidized health services in Part I, line 7g it must describe that it has done so and report in Part VI such costs included in part I, line 7g, No physician clinics included.	SubsidizedHealthServicesExpln
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 $ 15,566,934.	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. (A) Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio. This methodology is consistent with the IRS instructions regarding the exclusion of bad debt expense and the non-patient care activities. (B) St. Joseph Medical Center, Inc. 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. A patient is classified as a charity patient in accordance with established criteria. Charity care represents services for which no payment is expected and is not reported in the statement of operations and changes in net assets. Charity care is reported on the basis of charges in the state of Maryland. St Joseph Medical Center is included in the Catholic Health Initiatives consolidated financial statements. The bad debt footnote from CHI's financial statements, is 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	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. 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. Not applicable	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. St. Joseph Medical Center's ("SJMC") debt collection policy provides that SJMC 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 SJMC'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 SJMC community assistance policy is required to be returned immediately by the third-party collection agent to SJMC for appropriate follow-up. SJMC 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
Number Of Facility Type Expln	List the number of each type of facility, other than those required to be licensed, registered or similarly recognized as a health care facility under state law: Not applicable.	NumberOfFacilityTypeExpln
Needs Assessment	Line 2: Describe how the organization assesses the health care needs of the communities it serves. Line 4: Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Line 5: Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Line 6: 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). INTRODUCTION: St. Joseph Medical Center was founded to alleviate a shortage of hospital beds in the community in 1864 by the Sisters of St. Francis of Philadelphia. The hospital was moved to its current location, Towson, Maryland in 1965. As the first Catholic hospital to serve the community; St. Joseph Medical Center embraced the mission of the founding religious congregation, which has since joined with other religious congregations to form Catholic Health Initiatives. The mission of St. Joseph Medical Center and Catholic Health Initiatives 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. In addition, St. Joseph Medical Center strives to develop a healthy community and provide care to all in need. It also has a board of directors that is comprised of independent community representatives. The medical center has a rich heritage of compassionate service and superb clinical programs. Our primary goal is to build upon that heritage by enhancing our relationship among our community, employees and physicians within the Greater Baltimore Area in Maryland. That emergency department is open to all individuals regardless of ability to pay. St. Joseph Medical Center has an open medical staff, participates in Medicare and Medicaid, and has an active charity care program. St. Joseph Medical Center serves all persons in the community on a non-discriminatory basis and operates a 24 hour emergency department, 365 days per year. Community service has always been at the core of St. Joseph Medical Center's activities. Each year, services and programs are expanded to promote a healthy community. The programs and services described throughout this report not only serve the community, but also reduce the burdens on the government. For example, if St. Joseph Medical Center did not provide charity care, the burden of providing charity care would fall on other county hospitals and other government-supported institutions. The Cancer Institute at St. Joseph Medical Center has received additional funding from the National Cancer Institute to extend its pilot program, extending the reach of National Cancer Institute (NCI) research and state-of-the-art treatment into community hospitals across the country. St. Joseph Medical Center is the only Maryland hospital to be chosen for this pilot program, known as the NCI Community Cancer Centers Program (NCCCP). St. Joseph Medical Center engages annually in training and education of health care professionals, both clinical and non-clinical through small and large group trainings as well as national and local online trainings. St. Joseph Medical Center is included in the Official Catholic Directory as a tax-exempt hospital. St. Joseph Medical Center received its tax exemption notification from the Department of Treasury on December 3, 1996. Previously, the organization received their tax-exempt status in March 1946 as St. Joseph Hospital. COMMUNITY BENEFIT APPROACH Located in Towson, MD, St. Joseph Medical Center serves the Baltimore -Towson Metropolitan area. As of 2009, Maryland was estimated to have a population density of 7,692 people per square mile. There were 327,067 households, out of which 29.1% had children under the age of 18 living with them. The average household size was 2.47, and the average family size was 3.06. According to the U.S. Census Bureau, the demographic information regarding Baltimore County (a significant component of our Primary Service Area) about 5.0% of families and 7.8% of the population were below the poverty line, including 10.9% of those under age 18 and 7.7% of those ages 65 or over. St. Joseph Medical Center's PSA (Primary Service Area) includes areas where SJMC captures approximately 56% of inpatient cases. The statistics for those living under the poverty line would be significantly higher if the entire Primary Service Area were factored into the calculations. Since the late 1970's St. Joseph Medical has been intimately involved in community health collaboration and spearheaded the original team to look at area health issues, set priorities and plan for improvement. St. Joseph continues our deep commitment and involvement in the community health collaborative today. Process St. Joseph Medical Center's Community Benefit Plan is based on our understanding of unique communities' needs derived from collaborative needs assessments, focus groups, conversations with health care and community leaders in the greater Baltimore area and surveys conducted with our community partners. In FY10, the medical center spent time reaching out to community health service organizations, departments of health, the Archdiocese of Baltimore, Towson University and Johns Hopkins University School of Public Health. In addition we will be collaborating with other hospitals in the area on a community needs assessment in FY11-12. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT Community Outreach for the Poor St. Clare Medical Outreach St. Joseph Medical Center in Towson, Maryland, supports St. Clare Medical Outreach, a primary care operation that provides free, primary care to uninsured adults at two locations in Baltimore City with $516,340 for operational costs. These primary care services are provided by our bilingual staff of physicians, nurse practitioners, registered nurses, and other ancillary staff whom moved their care delivery from the Hispanic Apostolate (rededicated the Esperanza Center) to a newly created health clinic space. This renovation was the culmination of three years of planning among Catholic Charities, St. Joseph Medical Center, University of Maryland Dental School, St. Agnes Hospital and Johns Hopkins Medicine to create a shared space in which to deliver care to immigrants, most of whom are Hispanic. In FY10, an estimated 1,534 persons were provided primary care visits which included diagnostic testing, EKG's, lab work, immunizations and starter supplies of medications, where appropriate. Our services provided chronic disease management, and medication management with an emphasis on diabetes management. Collaborative Efforts to Improve Community Health St. Joseph Medical Center Village Wellness Program - Tanzania, East Africa Established in 2002 by St. Joseph Medical Center, the Village Wellness Program (VWP) serves 70,000+ villagers in 23 villages of the Karatu District of Tanzania, East Africa. The VWP is a comprehensive initiative and includes a variety of sustainable projects designed to work in tandem to improve the overall health and well-being of the villagers. St. Joseph Medical Center partners with Karatu Lutheran Hospital, the Mbulu Catholic Diocese and local community leaders to assist with the selection of candidates for medical scholarships to assist at the hospital, the village's health dispensaries and health centers. Addressing the root cause of illness, the VWP used on-going monthly health screenings as well as providing prescription vouchers for patients, and continuous training of the Village Wellness workers, to support the health quality of life outcomes in the villages. We also launched The Animal Project, hiring an animal coordinator and completing an assessment of the immediate need for goats, pigs and cows. One of the highlights this year is the success of our small-loan projects that are in Karatu and Mbulu. Eight loans were awarded in Mbulu and twenty in Karatu. The loans range from $50 to $100 and are used for animal projects, tea houses, sewing machines for a village's seamstress to make school uniforms, and market kiosks for fruits and vegetables. To learn more about the Village Wellness Program, please visit www.sjmcmd.org -Tanzania Mission. Community Outreach for the Broader Community Through our Mission/Ministry fund, St. Joseph Medical Center continued to provide assistance to indigent patients in the payment of prescriptions, and medical expenses, etc. SJMC also provided transportation for indigent patients to and from the hospital via cab fare, county ride, ambo, and bus tokens. Powered By Me! The Powered By ME!SM is a community based campaign and education program. The primary purpose of the Powered by Me!	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. St. Joseph Medical Center ("SJMC") includes information concerning its financial assistance policy on its website. In addition, SJMC prominently displays its charity care policy in both English and Spanish in obvious locations throughout the hospitals, including the emergency rooms and other patient intake areas, as well as in SJMC outpatient facilities. In addition, SJMC registration clerks are trained to provide consultation to those who have no insurance or potentially inadequate insurance concerning their financial options including application for Medicaid and for financial assistance under SJMC's charity care policy. Upon registration (and once all EMTALA requirements are met), patients who are identified as uninsured (and not covered by Medicare or Medicaid) are provided with a packet of information that addresses the financial assistance policy and procedures including an application for assistance. SJMC registration clerks read the organization's medical assistance policy to those who appear to be incapable of reading, and provide translators for non English-speaking individuals. SJMC's staff will also assist the patient / guarantor with applying for other available coverage (such as Medicaid), if necessary. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government 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
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. St. Joseph Medical Center, along with its affiliated outpatient facilities are part of Catholic Health Initiatives. 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. St. Joseph Medical Center operates with its wholly owned affiliates and community partners, along with its fundraising arm, the St. Joseph Medical Center Foundation, to serve the health care needs of the Baltimore, Maryland communities.	AffiliatedHealthCareSystem
Reports Filed With States	MD	ReportsFiledWithStates

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
St Joseph Medical Center Foundation Inc
7601 Osler Dr	Towson	MD	21040	521681044	501(c)(3)	685304
St Joseph Physician Enterprise
7601 Osler Dr	Towson	MD	21040	521311775	501(c)(3)	9181213
St Clare's Hospital
25 Pocono Road	Denville	NJ	07834	223319886	501(c)(3)		72394	FMV	9 Bedside Monitors

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedures for monitoring the use of grants	Identifier
Return Reference	Schedule I Part I Q2	ReturnReference
Explanation	ST. JOSEPH MEDICAL CENTER PROVIDED GRANTS only TO ITS WHOLLY OWNED AND CONTROLLED SUBSIDIARies and other related tax-exempt organizations DURING FY 10'.	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 (25 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs
RICHARD BOEHLER
341032	6936	37743	7552	38167	431430	28420
DIANE BOULAY
143664	6678	356		29396	180095
CRAIG CARMICHAEL
188233	20000	18498	10222	28289	265243	11882
SATYAM CHARY
155895				11317	167212
DANIEL DIETRICK
272588				20228	292816
JANICE DUNN
276414	41300	29813		29370	376897
DANIEL HARDESTY
255821	750	3564		35226	295361
PAMELA JAMIESON
229159	16380	9311	11700	38657	305206
DURENDA JUERGENSEN
145103	8214	448		37536	191301
MARK KRASNA
476877	141250	1858		38657	658642		271872	74	271947
Robert Lovell
		269818			269818
SYLVIA MOORE
145863		246397		33055	425315	22885
MARY ELIZABETH O'BRIEN
							553502	62827	799854	105340	47250	30935
DAVID PETERSON
							231632	25848	330913	34520		38913
John Tolmie
							291950	409187	746055			44918
LUCY SHAMASH
90169		140921		35709	266799	771
JAMES RAPIER
137471	350	26626		14508	178955
CARMEL TAIBI-LEHN
173431	14472	17287	2888	36155	244233	10417
DIANNE WASSALL
142103	6721	448		29509	178781
RON WOOD
166003		2468		165	168636
MARK MIDEI MD
							678896	2856	790375	75000		33623
STEWART FINNEY
							425390	1932	776098	307800		40976
STEPHEN POLLOCK MD
							546106	5544	664134	75000		37484
MICHAEL SCHULTZ
169733					169733		568475	5544	812518	199016		39483
MARION PURDUE
		431300			431300

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 St. Joseph Medical Center 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; 4) approval by the Board or compensation committee; and 5) written employment contract.
Schedule J, Part I, Q. 4A	Post-Termination Payments	Post-termination payments are addressed in the executive employment agreements for Catholic Health Initiative's ("CHI") MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, the individual must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package. The following reportable individuals received payments from Catholic Health Initives (a Related Organization) during the 2009 calendar year, and these severence payments were included in the individual's W-2 income and reportable compensation on Schedule J: John Tolmie $324,841.11 Post-termination payments are addressed in the executive severence policy agreements for St. Joseph Medical Center, Inc. (SJMC) executives. These severence agreements require that in order for an executive to receive "post-termination payments", the individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package. The following reportable individuals received payments from SJMC during the 2009 calendar year, and these severence payments were included in the individual's W-2 income and reportable compensation on Schedule J: Silvia Moore $197,729.28 Lucy Shamash $124,078.08
Schedule J, Part I, 4B	Supplemental Non-Qualified Retirement Plan	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 Vice President and above. The following reportable individuals were eligible to participate in that plan: John Tolmie, Beth O'Brien and Jeffrey Norman. During 2009 the following contributions were made by CHI to the deferred compensation plan: Beth O'Brien $47,250 During 2009 no distributions were made by CHI from the deferred compensation plan: During the 2009 calendar year, SJMC maintained a supplemental deferred compensation plan for employees at the level of VP and higher. The following reportable individuals were eligible to participate: Richard Boehler, Craig Carmichael, Pamela Jamieson, Sylvia Moore, David Peterson, Lucy Shamash and Carmel Taibi-Lehn. Contributions were made by SJMC on behalf of the following reportable individuals during the 2009 calendar year: Richard Boehler $ 7,552 Craig Carmichael $ 10,222 Pamela Jamieson $ 11,700 Carmel Taibi-Lehn $ 2,888 The following reportable individuals received payment from the supplemental non-qualified plan during the 2009 calendar year: Richard Boehler $ 28,420 Craig Carmichael $ 11,882 Sylvia Moore $ 22,885 Lucy Shamash $ 771 Carmel Taibi-Lehn $ 10,417 All supplemental distributions of non-qualified deferred compensation were included in the reportable individual's W-2 income.
Schedule J, Part I, Q. 7	Non-Fixed Payments	ST. JOSEPH MEDICAL CENTER MAINTAINS A VARIABLE PAY PLAN FOR EMPLOYEES AT THE LEVEL OF MANAGER AND ABOVE (EXCEPT FOR PHYSICIANS) THAT PUTS A CERTAIN AMOUNT OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION UNDER THE VARIABLE PAY PLAN ARE MADE BASED UPON ACHIEVEMENT OF INDIVIDUAL GOALS. ALL COMPENSATION, INCLUDING ANY INCENTIVE COMPENSATION, IS CAPPED TO ENSURE THAT COMPENSATION REMAINS AT FAIR MARKET VALUE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Q. 1A	EXECUTIVE COMMITTEE COMPOSITION AND AUTHORITY	PURSUANT TO ARTICLE VIII, SECTION 8.6 OF THE BYLAWS, THE ST. JOSEPH MEDICAL CENTER EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION AND SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EXCEPT AS PROVIDED BY LAW, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. ADDITIONALLY, THE EXECUTIVE COMMITTTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT SUCH ACTIONS TAKEN SHALL BE CONSISTENT WITH AND NOT CONFLICT WITH ANY ACTIONS OR POLICIES OF THE BOARD OF DIRECTORS OR THE CORPORATE MEMBER, WITH THE ORGANIZATION'S BYLAWS, OR WITH APPLICABLE LAW. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ARE RECORDED AND ARE PROMPTLY REPORTED TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR OR ANNUAL MEETING OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 6	Members or Stockholders	HE SOLE Corporate MEMBER OF ST. JOSEPH MEDICAL CENTER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION (THE "CORPORATE MEMBER").
Form 990, Part VI, Line 7A	MEMBERS/STOCKHOLDERS ELECTING GOVERNING BODY MEMBERS	PURSUANT TO ARTICLE V, SECTION 6 OF THE BYLAWS OF ST. JOSEPH MEDICAL CENTER THE DIRECTORS OF THE CORPORATION ARE APPOINTED AND MAY BE REMOVED WITH OR WITHOUT CAUSE BY THE CORPORATE MEMBER.
Form 990, Part VI, Q. 7B	Approval of Governing Body Decisions by Members/Stockholders	The organization's corporate member is Catholic Health Initiatives ("CHI"). Pursuant to Section 5.4. of the organization'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 the ST. JOSEPH MEDICAL CENTER * Amendment of the corporate documents of the ST. JOSEPH MEDICAL CENTER * Approve members of the ST. JOSEPH MEDICAL CENTER board * Removal of a member of the governing body of the ST. JOSEPH MEDICAL CENTER * Approval of issuance of debt by ST. JOSEPH MEDICAL CENTER * Approval of participation of ST. JOSEPH MEDICAL CENTER in a joint venture * Approval of formation of a new corporation by ST. JOSEPH MEDICAL CENTER * Approval of a merger involving the ST. JOSEPH MEDICAL CENTER * Approval of the sale of all or substantially all of the assets of the ST. JOSEPH MEDICAL CENTER * To require the transfer of assets by the ST. JOSEPH MEDICAL CENTER to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. * Adoption of long range and strategic plans for ST. JOSEPH MEDICAL CENTER 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. 11	Process, if any, the organization uses to review Form 990	The CFO reviews the Form 990 and requests that the staff tie out the numbers to the audited financial statements. In addition, the CFO reviews all questions and answers, along with all supporting schedules and documentation. The CFO provides the return to the finance committee of the board as well as the operating board. The tax department files the return with the appropriate federal agencies, making any non-substantive changes necessary to effect e-filing.
Form 990, Part VI, Q. 12C	Procedures for monitoring and enforcing the COI policy	Annual Disclosure Forms are required to be completed by Employed Physicians, Executives and Directors of the Organization. At the time of the employee's annual evaluation, the employee's direct manager or supervisor shall review this Policy with the employee. A new form should be completed on an annual basis. The forms are reviewed by the Vice President of Human Resources and Corporate Responsibility Officer. THE FOLLOWING ACTIONS are TAKEN WITH RESPECT TO EMPLOYEES WITH CONFLICTS: 1)ASKING THE EMPLOYEE TO DIVEST THEMSELVES OF OWNERSHIP, INTEREST, OR STOCK IN THE OTHER ENTITY; 2) REASSIGNING THE EMPLOYEE TO A DIFFERENT POSITION; AND/or 3) HAVING THE EMPLOYEE ABSTAIN FROM MAKING A DECISION RELATED TO THE CONFLICTING ENTITY. THE DIVISIONAL VICE PRESIDENT AND THE VP OF HUMAN RESOURCES OF ST. JOSEPH MEDICAL CENTER IMPLEMENTs THE REQUIRED ACTIONS. RANDOM SAMPLEs OF EMPLOYEE FILES are REVIEWED ANNUALLY TO ENSURE COMPLIANCE WITH THIS POLICY.
Form 990, Part VI, Q. 15A	Process for Determining Executive Compensation	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	FOR THE YEAR ENDED 12/31/09, SJMC STAFF ACCUMULATED MARKET COMPARABILITY DATA THAT WAS USED TO determine APPROPRIATE COMPENSATION LEVELS FOR SJMC Executive MANAGEMENT. SJMC management provided its recommendations to the SJMC board for final compensation determination and approval. The board approved the compensation package and documented such approval in the minutes, along with the comparability relied upon in determining the appropriate compensation levels.
Form 990, Part VI, Q. 16B	Joint Venture Policy	St. Joseph Medical Center, Inc., 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. Any joint venture agreements that do not conform to the model agreement are generally reviewed by counsel.
Form 990, Part VI, Q. 19	Governing Documents - COI Policy - Financial Statements Available	The articles of incorporation are available at the State of Maryland Health Services cost review commission at WWW.Maryland.Gov. The conflict of interest policy is available upon request. St. Joseph Medical Center, Inc. financial statements are included in the Catholic Health Initiatives' consolidated audited financial statements that are available at www.catholichealthinit.org or at www.DacBond.com.
Form 990, Part VII	Estimate of Hours Devoted to Related Organizations	COMPENSATION REPORTED ON THE FORM 990, PART VII, WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN FULFILLMENT OF THEIR DUTIES AS FULL TIME, 60 HOUR PER WEEK EMPLOYEES OF THE RELATED ORGANIZATION.
Form 990, Part VII, Section A	Related Organization Compensation	The Form 990 for the year ended June 30, 2010 requires reporting of compensation paid by related organizations during calendar year 2009 to St. Joseph Medical Center's former 5 highest paid employees. St. Joseph Medical Center's disclosures include amounts paid by St. Joseph Physician Enterprises to Dr. Mark Midei through his last date of employment, July 9, 2009.

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
2135 Noll Drive Suite C	Lancaster	PA	17603	232342997	Health	PA	501(c)(3)	11a	SJHM
St Joseph Health Ministries Foundation
2135 Noll Drive Suite C	Lancaster	PA	17603	232605579	Fundraising	PA	501(c)(3)	11a	SJHM
St Joseph Health Services Inc
2135 Noll Drive Suite C	Lancaster	PA	17603	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
310 East Ninth Street	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	688029804	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	SJ HospitalLex	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	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	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	GSHS	C Corp	-2491623	840232	1.00000
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MANAGEMENT	NE	GSHS	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	PO Box 10073 APO	GeorgeTown	Grand Cayman	CJ	KY1-1001	CJ
First Initiatives Insurance Ltd
				980203038	Insurance		CHI	C Corp			1.00000	PO Box 10073 APO	GeorgeTown	Grand Cayman	CJ	KY1-1001	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	true	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	false	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	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	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	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
St Joseph Physician Enterprise
a	72062
Catholic Health Initiatives
c	400750
Catholic Health Initiatives
l	35917406
St Joseph Physician Enterprise
o	9181213
St Joseph Medical Center Foundation
o	685304
Catholic Health Initiatives
o	5860542
Catholic Health Initiatives
q	11290148
St Joseph Medical Center Foundation
r	824099