Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SAINT JOSEPH HOSPITAL
 
Employer identification number

84-0417134
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization?
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
 
No
b
Any related organization?
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013
Page 2

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1ROBERT LADENBURGEREVP Hosp Ops & Pres/CEO EHC (i)
(ii)		 0
698,525 		0
583,719 		0
675,201 		0
139,611 		0
16,740 		0
2,113,796 		0
656,519
2MICHAEL A SLUBOWSKIChair; President and CEO - SCL (i)
(ii)		 0
1,024,269 		0
194,400 		0
124,916 		0
31,443 		0
18,184 		0
1,393,212 		0
106,099
3STEVE COBB MDPresident EPN (i)
(ii)		 0
324,798 		0
66,967 		0
4,615 		0
51,349 		0
22,984 		0
470,713 		0
0
4LYDIA JUMONVILLESVP Finance & CFO - SCLHS (i)
(ii)		 0
524,798 		0
83,282 		0
13,844 		0
79,573 		0
21,062 		0
722,559 		0
0
5RICK LOPES MDSVP Health Networks (i)
(ii)		 0
552,017 		0
85,014 		0
300,700 		0
57,152 		0
19,174 		0
1,014,057 		0
272,379
6BAIN FARRISPresident & CEO (i)
(ii)		 0
477,226 		0
124,491 		0
17,913 		0
320,295 		0
16,954 		0
956,879 		0
0
7BRADLEY LUDFORDVP & CFO (i)
(ii)		 0
145,882 		0
51,542 		0
634 		0
9,773 		0
12,814 		0
220,645 		0
0
8MARY E SHEPLERVP & CNO (i)
(ii)		 0
203,517 		0
46,182 		0
2,546 		0
36,894 		0
23,889 		0
313,028 		0
0
9BARBARA A JAHNCOO (i)
(ii)		 0
259,016 		0
56,859 		0
1,787 		0
44,220 		0
14,998 		0
376,880 		0
0
10ALWIN F STEINMANN MDChief Academic Medicine (i)
(ii)		 0
299,456 		0
70,326 		0
3,454 		0
49,425 		0
23,888 		0
446,549 		0
0
11SHAWN P DUFFORD MDVP Medical Affairs & CMO (i)
(ii)		 0
400,196 		0
92,636 		0
2,082 		0
29,280 		0
20,570 		0
544,764 		0
0
12ROBERT GIBBONS MDAssociate Program Director (i)
(ii)		 305,302
0 		12,219
0 		13,880
0 		18,210
0 		12,628
0 		362,239
0 		0
0
13CHRISTINE RUTH GIESING MDPhysician-GME Faculty (i)
(ii)		 225,130
0 		0
0 		934
0 		17,017
0 		10,757
0 		253,838
0 		0
0
14G EDWARD KIMM JR MDPhysician-GME Faculty (i)
(ii)		 246,461
0 		0
0 		1,695
0 		16,893
0 		11,923
0 		276,972
0 		0
0
15JOHN M BREEN MDProgram Director-MD GME (i)
(ii)		 281,606
0 		0
0 		89,331
0 		18,210
0 		20,167
0 		409,314
0 		0
0
16MARSHALL R GOTTESFELD MDPhysician-GME Faculty (i)
(ii)		 243,868
0 		1,000
0 		1,169
0 		17,192
0 		0
0 		263,229
0 		0
0
17Forest Buzz BinderVP & CFO (i)
(ii)		 0
266,050 		0
27,545 		0
101,833 		0
18,360 		0
18,820 		0
432,608 		0
27,500
18Everett DavisVP Facilities Development (i)
(ii)		 0
188,442 		0
23,550 		0
7,485 		0
34,173 		0
23,707 		0
277,357 		0
0
19William GouldVP Human Resources (i)
(ii)		 0
186,963 		0
13,576 		0
2,727 		0
23,922 		0
20,769 		0
247,957 		0
0
20John Moore MDProgram Director - Physician (i)
(ii)		 315,084
0 		13,050
0 		3,583
0 		18,210
0 		18,938
0 		368,865
0 		0
0
21Rachel Gaffney MDPhysician-GME Faculty (i)
(ii)		 248,860
0 		1,000
0 		1,010
0 		16,185
0 		12,628
0 		279,683
0 		0
0
22Deborah Davis-Merritt MDAssociate Program Director (i)
(ii)		 228,529
0 		0
0 		2,511
0 		16,392
0 		12,920
0 		260,352
0 		0
0
23Aaron Calderon MDAssociate Program Director (i)
(ii)		 221,640
0 		0
0 		8,782
0 		15,835
0 		16,516
0 		262,773
0 		0
0
24Julie Barone MDPhysician (i)
(ii)		 225,288
0 		0
0 		889
0 		0
0 		0
0 		226,177
0 		0
0
Schedule J (Form 990) 2013
Page 3

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
FORM 990, SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS UP PAYMENTS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM ALLOWS FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION AND TEMPORARY HOUSING. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS LISTED THAT WERE TAXED FOR 2013 WERE: RICHARD LOPES.
FORM 990, SCHEDULE J, PART I, QUESTION 4B PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OTHER REPORTABLE COMPENSATION SHOWN IN SCHUEDLE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. ON ADVICE OF THE COUNSEL, SCLHS HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOT CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WILTHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PAN FOR TAXES IN 2013 WERE: FOREST BINDER- $8,794, ROBERT LADENBURGER- $209,955, RICHARD LOPES- $87,107 AND MICHAEL SLUBOWSKI- $33,930. IN ADDITION, VESTED AMOUNTS ARE PAYABLE UPON END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENTS W-2. THE AMOUNTS WITHDRAWN FORM THE PLAN IN 2013 WERE: NONE.
FORM 990, SCHEDULE J, PART I, QUESTION 7 OTHER NON-FIXED PAYMENTS SCLHS HAS MANAGEMENT INCENTIVE PLANS WHICH ARE BASED ON A COMBINATION OF MEASURES. MANAGEMENT AND SENIOR LEADERSHIP ARE ELIGIBLE FOR THE INCENTIVE COMPENSATION. PERFORMANCE CATEGORIES ARE MADE UP OF A COMBINATION OF CLINICAL QUALITY MEASURES AND OPERATING INCOME. THE OPERATING INCOME CATERGORY IS GENERALLY RELATED TO THE NET EARNINGS OF THE CARE SITE IN WHICH THE INDIVIDUAL WORKS, OR IN THE CASE OF SCLHS SENIOR MANAGEMENT, THE NET EARNINGS OF SCLHS.
FORM 990, SCHEDULE J, PART II COMPENSATION OF BOARD MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND THREE CLINICS (AFFILIATES) IN FOUR STATES INCLUDING ST. JOSEPH HOSPITAL. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE.
Schedule J (Form 990) 2013

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