2017-05-12T16:01:12-05:00 2016-06-30 990 2015-07-01 350992717 St Joseph Hospital & Health Center Inc STJO 7654565304 1907 W Sycamore Street Kokomo IN 469015148 Dennis E Ressler CFO 2017-05-12 2015 2021-01-29 14:40:06Z St Vincent Kokomo Dennis E Ressler 1907 W Sycamore Street Kokomo IN 469015148 159827082 false 0928 X www.stvincent.org X 1913 IN St. Vincent Kokomo Hospital is a nonprofit hospital dedicated to providing healthcare that leaves no one behind. 14 9 944 145 0 14411 105476 143172319 157814002 4529661 785153 1129287 1121659 148845678 159826290 67440 180046 0 55675272 56114549 0 0 68494497 77722135 124237209 134016730 24608469 25809560 199562280 193796844 30543642 34597914 169018638 159198930 St. Vincent Kokomo Hospital is dedicated to providing spiritually-centered, holistic healthcare that sustains and improves the health of those served, with special attention to the poor and vulnerable. Both inpatient and outpatient health services are provided without regard to patient race, creed, national origin, economic status, insurance status or ability to pay. This mission extends well beyond the provision of core medical services to encompass medical and scientific research programs, the training and educating of health care professionals and active support of community-based partnerships and programs to improve health and quality of life. false false 119432476 180046 157814002 St. Vincent Kokomo Hospital (SVKH) is a 167-bed, hospital serving rural Howard and contiguous counties and providing services without regard to patient race, creed, national origin, economic status, or ability to pay. SVKH provides inpatient and outpatient health care services with a 24 hour emergency department that is staffed with an on-site physician. During fiscal year 2016, SVKH treated 5,602 adults and children for a total of 23,836 patient days of service. The hospital also provided services for 211,356 outpatient visits, including 11,112 outpatient surgeries and 29,957 Emergency Room Visits. St. Vincent Kokomo Hospital provides the following hospital services: Balance Center, Behavioral/Mental Health, Birthing Center, Cancer (Oncology), Cardiopulmonary Rehabilitation, Chest Pain Center, Clinic of Hope, COAG Clinic, Emergency Medicine, Heart (Cardiovascular), Inpatient and Outpatient Rehabilitation, Laboratory Services, Pastoral Care, Radiology/Imaging, Respiratory Care, Sleep Disorders, Stroke Center, Surgery Center, Women's Services, and Wound Healing Center. Some of these services operate at a loss in order to ensure that comprehensive services are available to the community. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. 119432476 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true 93 0 true 944 true false false false false false false false false false false X 14 9 false false false false true true true true true false false true true true true true true false true false IN X Dennis E Ressler 7654565304 1907 W Sycamore Street Kokomo IN 469015148 MARGARET M JOHNSON DIRECTOR/REGIONAL PRESIDENT 40.0 0.6 X X 374783 0 18041 DAVID L WILLIAMS MD DIRECTOR/CMO 40.0 0 X X 103632 0 4214 ROBERT K LUTZ CHAIR 1.0 0 X X 0 0 0 KARAM F ABBASI MD DIRECTOR/VICE CHAIR (START 1/2016) 1.0 40.0 X X 0 468265 38195 RONALD J METZ VICE CHAIR (END 12/2015)/DIRECTOR 1.0 0 X X 0 0 0 ROBERT A LEE SECRETARY 1.0 0 X X 0 0 0 GENE MILES TREASURER 1.0 0 X X 0 0 0 MELANIE L BOZARD MD DIRECTOR 1.0 40.0 X 0 209682 13062 BRADLEY J CLARK DIRECTOR 1.0 0 X 0 0 0 MARK M COMERFORD DIRECTOR (END 11/2015) 1.0 0 X 0 0 0 JOHN A FOUNTAIN DIRECTOR 1.0 0 X 0 0 0 RONALD T MAUS DIRECTOR 1.0 0 X 0 0 0 LAURA M SHEETS DIRECTOR (END 12/2015) 1.0 0 X 0 0 0 CHERYL HARMON DIRECTOR 1.0 42.0 X 0 398347 29909 KATHLEEN K PEOPLES VP NURSING/CNO 40.0 0 X 204497 0 27653 DENNIS E RESSLER CFO 40.0 0.4 X 246094 0 34899 RAWA ARAIM MD PHYSICIAN 40.0 0 X 361763 0 30044 DAVID A CHEESMAN MD PHYSICIAN 40.0 0 X 387658 0 47050 HUAN PU CUI MD PHYSICIAN 40.0 0 X 543247 0 19901 PANCHAPAKESAN P HARAN MD PHYSICIAN 40.0 0 X 758790 0 48641 HEATH A SPENCE MD PHYSICIAN 40.0 0 X 598218 0 35424 3578682 1076294 347033 35 false true false AMERICAN HEALTH NETWORK OF INDIANA LLC 10333 N MERIDIAN ST STE 450 INDIANAPOLIS IN 46290 MEDICAL SERVICES 11437431 MID AMERICA CLINICAL LABORATORIES 2560 N Shadeland Avenue Indianapolis IN 46219 LAB SERVICES 4756565 AMERIPATH INDIANAPOLIS LLC 2560 N SHADELAND AVE STE A INDIANAPOLIS IN 46219 LAB SERVICES 646636 ERIC J TUCHSCHERER 3064 EMERALD CT KOKOMO IN 46902 PHYSICIAN SERVICES 521471 DIVERSIFIED CLINICAL SERVICES 4500 Salisbury Rd Ste 300 Jacksonville FL 32216 PHYSICIAN SERVICES 350874 18 91857 13619 105476 Net patient revenue 621990 85782960 85782960 Net Medicare/Medicaid Revenue 621990 72031042 72031042 0 0 0 0 157814002 785945 785945 457092 457092 0 457092 457092 792 0 -792 -792 -792 Cafeteria revenue 722514 642802 642802 Associate pharmacy revenue 446110 21765 21765 0 0 0 0 664567 159826290 157814002 0 1906812 180046 180046 1013813 1013813 43845384 39345269 4500115 880704 790312 90392 7678392 6890312 788080 2696256 2419523 276733 3380822 3033828 346994 389373 349409 39964 259622 232975 26647 0 1781657 1598795 182862 165037 148098 16939 505365 453496 51869 5009427 4495279 514148 603763 603763 PURCHASED SERVICES 32053985 28764092 3289893 SUPPLIES 14125882 12676058 1449824 CORPORATE EXPENSES 9830954 8821944 1009010 PROVIDER TAX EXPENSE 5385415 4832678 552737 4230833 3796599 434234 0 134016730 119432476 14584254 0 965658 21372 18806179 20704213 0 0 2100668 1858816 185460 130047 128231564 103251364 27877521 24980200 0 0 241110 190529 149385684 145911667 199562280 193796844 10421387 12117430 20122255 22480484 30543642 34597914 X 168872488 159037962 146150 160968 169018638 159198930 199562280 193796844 X 25809560 -5006345 -30622923 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2902 2902 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ST. JOSEPH HOSPITAL & HEALTH CENTER, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ST. JOSEPH HOSPITAL & HEALTH CENTER, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 722779 722779 87352168 70199134 17153034 1764978 1373654 391324 37992015 31678576 6313439 399624 399624 24980200 INTERCOMPANY RECEIVABLES 1004437 Due from third party programs Interest in investments held by Ascension Health Alliance 144746262 Restricted by donor or grantor 160968 145911667 INTERCOMPANY PAYABLES 2144340 Other 1937907 Payables to third party programs 2279393 Intercompany debt with Ascension Health Alliance 16118844 22480484 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2016. true true X true X 250 true X true true true false true true 1405260 1405260 0.0105 23179661 13710746 9468915 0.0707 0 0.0 0 0 24584921 13710746 10874175 0.0811 12 5832 406413 40771 365642 0.0027 1 15 6948 6948 0.0001 0 0.0 0 0.0 5 524 27177 27177 0.0002 18 6371 440538 40771 399767 0.0030 18 6371 25025459 13751517 11273942 0.0841 1 1 1000 1000 0.0000 1 1 15000 15000 0.0001 1 591 8927 8927 0.0001 0 0.0 1 201 2100 2100 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 4 794 27027 0 27027 0.0002 false 2461543 738463 58320297 66479067 -8158770 X true true 1 1 St Joseph Hospital & Health Center Inc 1907 W Sycamore Street Kokomo IN 46901 www.stvincent.org 14-005010-1 X X X St Joseph Hospital & Health Center Inc 1 false false true X X X X X X X X X 15 true true false true X http://www.stvincent.org/how-we-are-different/community-assessment X true 15 true http://www.stvincent.org/how-we-are-different/community-assessment false false true X 250.0 400.0 X true true X X X true X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - St. Joseph Hospital & Health Center, Inc.. In conducting its CHNA, the hospital facility took into account input from representatives of the community as well as those with special knowledge or expertise in public health. These included 211 of Howard County - United Way, 4Community of Howard County, Headstart, Howard County Public Library, Indiana Health Center, Kokomo Police Department, Project Access, and St. Vincent Kokomo Hospital Behavioral Health. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - HOWARD REGIONAL HEALTH. The hospital conducted its CHNA in conjunction with Community Health Network, Franciscan Health and Indiana University Health. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ST. JOSEPH HOSPITAL & HEALTH CENTER, INC.. Using the CHNA completed in fiscal year 2013, the hospital developed a 2014-2016 Implementation Strategy to address priority community health needs. These strategies include: 1. Obesity St. Vincent Kokomo (SVKH) is a major financial contributor toward the construction of a new YMCA in Kokomo. Our leadership team has been involved in community fundraising efforts. The idea of a Corporate Challenge was discussed in addition to the 2014 "Running the Shores" event. However, it was decided that it was not feasible. The hospital's participation: SJH has created an employee gym in the basement of the hospital. A walking trail has been established on the campus for anyone to use. A wellness program was established offering a variety of fitness classes on a rotating schedule. The St. Joe Cafeteria continually offers healthy choices and education regarding healthy food selection and preparation. St.Vincent Kokomo dietitians are available at the local Farmers Market to promote healthy eating and lifestyle. SVKH has supported Pettit Park Elementary school in securing a grant from the Indiana Department of Education Fresh Fruit and Vegetable Program to provide healthy snacks of fruits and vegetable to the students at Pettit Park School. With the grant funds, SJH does not need to provide the fresh snacks directly. Let's Pretend Hospital promotes healthy lifestyles to over 1,500 kindergarten children in Howard County. A "Fun Run" was included in the "Running the Shores" event to encourage youth to exercise in 2014, 2015 and 2016. The possibility of a Track and Field day for the students at Pettit Park was considered. It was discussed and because of logistical and funding concerns, it did not happen. 2. Food/Access to Food SVKH sponsored 110 students in 2013-14, 500 students in 2014-15, and 361 students in 2015-16 who received "Buddy Bags" through the Kokomo Urban Outreach Buddy Bag program. We have not expanded to "take home" snacks. SJH continues to support our Health Access Worker, equipping him with the information and resources to assist families and individuals in receiving the health access they need. Our HAW is out in the community connecting with persons where they live and in his local office located in the United Way building. Services rendered by the HAW include: - Coordination of appointment to Primary Care and Specialist, help with co-pay for medication or purchase of the medications. - Help with co-pay at the PCP and Dentist, or finds a third party that would help with the cost of both medication and appointment. - Regularly visits the Domestic Violence Shelter, Open Arms Women and Children's Shelter and the Kokomo Rescue Mission to provide services. - Enrolls uninsured residents of Howard County in the Project Access, HIP, Medicaid, Hoosier Health Wise, Food Stamps, TANF and Market Place programs. During fiscal year 2014, the Health Access Worker completed 526 pathways. During fiscal year 2015, the Health Access Worker completed 730 pathways. During fiscal year 2016, the Health Access Worker completed 1,056 pathways. We continue to support the Farmers Market financially. Also, SJH sponsors a booth staffed with SVKH dietitians to provide cooking demonstrations and healthy eating education. The Market accepts WIC and SNAP vouchers. 3. Jobs/Economic Opportunity Let's Pretend Hospital introduces over 1,500 Kindergarten children of Howard County to many different health care professions as they experience some of the services provided at the hospital in a fun learning environment. In FY 14 we offered paid summer internships for 10 college students as well as clinical rotations for more than 120 students from IUK and Ivy Tech. In FY15, there were 163 nursing students in clinical rotations and in FY16 there were 173 nursing in clinical rotations. Margie Johnson serves on the Greater Kokomo Economic Development Alliance. Two new employers have been recruited to the community: Patriot is bringing 140 jobs and Systems In Motion is bringing 240 jobs. The STAR Intensive Employment Program has been discontinued by St. Vincent Health. The Nurse Practitioner Program was taken into consideration; however, it was not approved. The St. Vincent FY 2017-2019 Implementation Strategy specifically addresses the following three System Wide Health Improvement Priorities: 1) Access to Health Services St Vincent Kokomo will use the RUAH Pathway Program to increase its reported number of completed pathways (i.e., verification from FSSA) in FY 2015 by 5% each year for FYs 2017-2019. Achieving this goal will contribute to the percentage of people who have health insurance in Howard County. Specific action steps include the following: HAW assesses for eligibility and educates individuals about coverage options; HAW submits application and works through any issues or delays; and HAW verifies eligibility in order to complete the Pathway. 2) Exercise, Nutrition & Weight St. Vincent Kokomo will partner with a school and a food source to provide eligible students with a weekend backpack of nutritious food throughout the school year in order to reduce the school's number of families in FY 2018 who are food insecure (based on survey responses) by 5% at the end of FY 2019 (June 30, 2019). (NOTE: FY 2017 is the planning year for the program.) Specific action steps include the following: complete the Weekend Feeding Program Preparation Checklist; meet with all stakeholders to determine program logistics; plan the specifics of the program's protocol; make final preparations for the program's "go live" date in FY 2018; and distribute and collect surveys, enter survey data into software at the beginning and end of the school year (twice a year in FY 2018 and FY 2019). 3) Behavioral Health St. Vincent Kokomo will offer Rx for Change training at no charge to anyone who works in a health care setting to increase the proportion of training participants who screen and refer to the Indiana Tobacco Quitline by 10% by the end of FY 2019 (June 30, 2019). Achieving this goal will contribute to the percentage of tobacco users who have been screened and referred to the Indiana Tobacco Quitline. Specific action steps include the following: complete the Provider Training Checklist - Action Step #1; plan at least two Rx for Change trainings in the community in FY 2018 and ensure continuing education credits are available, if applicable (See Provider Training Checklist - Action Step #2); develop a strategy to promote trainings to the community; promote and offer at least two Rx for Change trainings at no charge to the community in FY 2018; enter FY 2018 baseline survey data into database within two weeks of each training; for FY 2019 - Repeat Action Steps #2-4 to plan, develop, and promote and offer at least two Rx for Change trainings at no charge to the community in FY 2019; and enter FY 2019 baseline survey data into database within two weeks of each training. Needs That Will Not Be Addressed The hospital is committed to improving community health by directly, and indirectly, addressing prioritized health needs. However, certain factors impact the hospital's ability to fully address all priority health needs. The needs listed below are not included in the hospital's implementation strategy plan for the following reasons: Diabetes - This identified health need is not being monitored and evaluated in the Implementation Strategy due to limitations within the hospital's financials and human resources. However, St. Vincent Kokomo does offer a Diabetes Support Group which focuses on this issue. Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - St. Joseph Hospital & Health Center, Inc.. The discount was determined by reviewing the lowest discount provided to managed care payers that comprise at least 3% of our volume with an added prompt pay discount to the highest paid discount provided to our managed care payers. 0 Schedule H, Part I, Line 7 COMMUNITY BENEFIT OVERVIEW St. Vincent Kokomo Hospital is part of St. Vincent, a non-profit healthcare system consisting of 20 locally-sponsored ministries serving over 57 counties throughout Central Indiana. Sponsored by Ascension Health, the nation's largest Catholic healthcare system, St. Vincent is one of the largest healthcare employers in the state. As part of St. Vincent, the St. Vincent Kokomo Hospital vision is to deliver a continuum of holistic, high-quality health services and improve the lives and health of Indiana individuals and communities, with special attention to the poor and vulnerable. This is accomplished through strong partnerships with businesses, community organizations, local, state and federal government, physicians, St. Vincent Kokomo Hospital associates and others. Working with its partners, and utilizing the CHNA completed every three years, St. Vincent Kokomo Hospital is committed to addressing community health needs and developing and executing an implementation strategy to meet identified needs to improve health outcomes within the community. Community benefit is not the work of a single department or group within St. Vincent Kokomo Hospital, but is part of the St. Vincent mission and cultural fabric. The hospital leadership team provides direction and resources in developing and executing the Implementation Strategy in conjunction with the St. Vincent Community Development & Health Improvement Department, but associates at all levels of the organization contribute to community benefit and health improvement. Schedule H, Part I, Line 7 CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST Patient Services for Poor and Vulnerable Hospital and outpatient care is provided to patients that cannot pay for services, including hospitalizations, surgeries, prescription drugs, medical equipment and medical supplies. Patients with income less than or equal to 250% of the Federal Poverty level (FPL) will be eligible for 100% charity care write off on that portion of the charges for services for which the patient is responsible following payment by an insurer, if any. At a minimum, patients with incomes above 250% of the FPL, but not exceeding 400% of the FPL, will receive a sliding scale discount on that portion of the charges for services provided for which the patient is responsible following payment by an insurer, if any. A patient eligible for the sliding scale discount will not be charged more than the calculated AGB (amounts generally billed) charges. Patients with demonstrated financial needs with income greater than 400% of the FPL may be eligible for consideration under a "Means Test" for some discount of their charges for services from the organization based on a substantive assessment of their ability to pay. Maximum owed by any patient per episode of care or account is 10% of gross household income. Hospital financial counselors and health access workers assist patients in determining eligibility and in completing necessary documentation. St. Vincent Kokomo Hospital is committed to 100% access, and is proactive in providing healthcare that leaves no one behind. Public Program Participation St. Vincent Kokomo Hospital participates in government programs including Medicaid, SCHIP (Hoosier Healthwise), Healthy Indiana Plan (HIP), the Health Insurance Marketplace and Medicare and assists patients in enrolling for programs for which they are eligible. Per Catholic Health Association guidelines and St. Vincent's conservative approach, Medicare shortfall is not included as community benefit. Community Health Needs Assessment True community benefit responds to the particular needs and challenges of the community, building on its unique strengths and assets. The hospital leads a community health needs assessment every 3 years. Using a variety of tools, including surveys, key person interviews, focus groups, secondary data, and data analysis professionals, the team identifies community issues and concerns. These are shared with the community at large, and a consensus is reached about priorities and available resources. To provide community input and a basis for collaboration within the community to address health needs, St. Vincent leads or participates in a community roundtable or forum. This group brings together individuals and organizations from throughout the community who share a common interest in improving health status and quality of life and provide expertise in a variety of community areas including public health. Obesity, food/access to food, and jobs/economic opportunity has all been identified as key community needs. Rural and Urban Access to Health As part of its commitment to 100% access, St. Vincent Kokomo is one of nine St. Vincent ministries that participate in Rural and Urban Access to Health (RUAH), a community-based care coordination program. Effective care coordination provides a strategy for addressing certain social determinants of health by assuring barriers to care are addressed and individuals are connected to critical prevention and treatment services. Central to the program is a Health Access Worker whose role is to connect the hospital to the community by helping individuals address barriers to health care, and referring them to other local resources as needed. The Health Access Worker assists individuals with finding a medical home; applying for public programs such as Medicaid, food stamps and the Healthy Indiana Plan; and in assessing needs so that referrals can be made for other forms of community-based assistance. The Health Access Worker also advocates for clients with service providers and serves as a system navigator. RUAH outcomes are measured using the Pathways Model with 5 defined pathways/protocols (enrollment, medical home, pregnancy, medical referral and social services) as a means of tracking interventions and improving accountability towards positive, measurable changes in patients' lives. During fiscal year 2016, the Health Access Worker completed 1,056 pathways. Clinic of Hope Providing quality outpatient care for the past 20 years, the Clinic of Hope serves adults ages 18 to 64 who have low or no income, and who are uninsured. St. Vincent Kokomo Hospital collaborates with other healthcare providers and health and human service agencies to help patients find the services they need to improve their health and well-being. The Clinic staff includes a nurse practitioner and social worker. Volunteer support is provided by physicians, podiatrists, nurses, and clerical staff. The Clinic of Hope is committed to improving the health status of patients and the community through a holistic approach to caring for the total person; body, mind, and spirit. The Clinic emphasizes education and preventive health for adults. During fiscal year 2016, the Clinic of Hope had 733 patient visits. Health Fairs and Screenings St. Vincent Kokomo Hospital participates in several health fairs and screening events each year where participants can be tested for cholesterol level, blood pressure, blood sugar level, Body Mass Index (BMI), bone density, hearing, vision, HIV, pulmonary function, oxygen saturation, carbon monoxide, balance, and more at low or no cost. Materials on health information and preventive services are a vital part of these health fairs and screening events. During fiscal year 2016, St. Vincent Kokomo Hospital served over 200 people through its participation in these health fairs and screenings. Boot Camp for New Dads Boot Camp for New Dads is a free eight-week course geared for the soon-to-be new dad. In this informal setting, men can ask questions about childbirth and taking care of their infant. Additionally, new dads are invited to return with their baby to offer their wisdom and share their experience with the current participants. Returning dads have the opportunity to continue to learn best ways to care for their growing babies. New Mom's Meeting/Support Group St. Vincent Kokomo Obstetrics/Gynecological Center provides mothers with a continuum of care after their pregnancy. Meetings and support groups, for moms and babies only, are essential in providing a secure and comfortable place to discuss personal topics relevant with many new mothers. Additionally, during one session each month, a guest speaker provides valuable information for the new moms. The women also have the opportunity to weigh their infant at each session to ensure he or she is on a healthy track. Meetings are free and are held every Wednesday for mothers and babies from newborns up to one year old or walking. Buddy Bag Program According to Feeding America, Howard County has a child food insecurity rate of 15.9%, which is higher than the state at 15.3%. During the school week, many students utilized the free and reduced rate lunch program and because of this, are ensured a healthy breakfast and lunch. However, these meals are not available on weekends. Therefore, St. Vincent Kokomo Hospital partners with Kokomo Urban Outreach to provide food donations that support the Buddy Bag Program at Pettit Park Elementary, where 90% of students qualify for free and reduced rate lunches. The Buddy Bags provide children with 6 weekend meals and one snack. Community Benefit Cash and In-Kind Contributions In addition to the outreach programs operated by the hospital, the hospital makes cash and in-kind donations to a variety of community organizations focused on improving health status in the community. These take the form of cash donations to outside organizations, the donation of employee time/services to outside organizations and the representation of the hospital on community boards and committees working to improve health status and quality of life within the community. Schedule H, Part II COMMUNITY BUILDING ACTIVITIES Research shows that social determinants and quality of life play a major role in the health status of individuals and communities. Community building activities, which focus on improving the quality of life within a community, ultimately influence and improve health status. Let's Pretend Hospital More than 1,500 kindergarten students visited St. Vincent Kokomo Hospital as part of Let's Pretend Hospital, a fun and educational program that helps children understand what happens in a hospital so that they will not be afraid should they, or a loved one, be hospitalized. Children participate in hands-on demonstrations of how an X-ray works, how to avoid germs, and what their own heart sounds like through a stethoscope. At the end of their visit, children get to help Dr. Doolittle treat Scooby-Doo's broken arm. Community Building Cash and In-Kind Contribution The hospital makes cash and in-kind donations to a variety of community organizations focused on building the community and improving quality of life. These take the form of cash donations to outside organizations, the donation of employee time/services to outside organizations and the representation of the hospital on community boards and committees working to improve infrastructure for the community. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2016 was $9,559,951 at charges, ($2,461,543 at cost). Schedule H, Part III, Line 3 Bad Debt Expense Methodology The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 18. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply. Schedule H, Part VI, Line 2 Needs assessment Communities are dynamic systems in which multiple factors interact to impact quality of life and health status. In addition to the formal CHNA conducted every 3 years, St. Vincent Kokomo Hospital helps to lead a community roundtable called United Way of Howard County 4 Communities whose purpose is to assess needs within the community, prioritize action and work in partnership to address identified challenges. The coalition works closely with its member organizations which come from multiple sectors of the community, including local government, business, education, faith communities, public health, health care providers and other social and human service organizations. In addition, the coalition works closely with other coalitions as well as the local and state health departments to stay abreast of changing needs within the community and to identify evidence-based and promising practices to address these needs. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance St. Joseph Hospital & Health Center communicates with patients in multiple ways to ensure that those who are billed for services are aware of the hospital's financial assistance program as well as their potential eligibility for local, state or federal programs. Signs are prominently posted in each service area, and bills contain a formal notice explaining the hospital's charity care program. In addition, the hospital employs financial counselors, health access workers, and enrollment specialists who consult with patients about their eligibility for financial assistance programs and help patients in applying for any public programs for which they may qualify. Schedule H, Part VI, Line 4 Community information St. Vincent Kokomo Hospital is located in Kokomo, Indiana and serves Howard and contiguous counties, in north Central Indiana. Howard County, which has an estimated population of 82,556, experienced a slight decrease in population growth since 2010. Per Capita Personal Income and Median Household Income are below state averages and the annual unemployment rate exceeds the state average. Manufacturing provides the largest percentage of employment in Howard County. Both the overall poverty rate and the poverty rate among children under age 18 exceed the state average. Schedule H, Part VI, Line 5 Promotion of community health St. Vincent Kokomo Hospital promotes the health of its communities by striving to improve the quality of life within the community. Research has established that factors such as economic status, employment, housing, education level, and built environment can all be powerful social determinants of health. Additionally, helping to create greater capacity within the community to address a broad range of quality of life issues also impacts health. St. Vincent Kokomo Hospital meets regularly with local organizations in the community to learn what resources are available and plan community health improvement efforts. In fiscal year 2016, these organizations included: Samaritan Caregivers, Coordinated Assistance Ministries, Greater Kokomo Economic Development Corp Alliance, Howard County Schools, Kokomo Urban Outreach, Howard County CASA, YMCA, and Kokomo Rescue Mission. Schedule H, Part VI, Line 6 Affiliated health care system As part of St. Vincent, St. Vincent Kokomo Hospital is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at St. Vincent Kokomo Hospital devote all or a significant portion of their time to leading and administering local community-based programs and partnerships, associates throughout the organization are active participants in community outreach. They are assisted and supported by designated St. Vincent Community Development & Health Improvement associates and other support staff who work with each of its healthcare facilities to advocate for and provide technical assistance for community outreach, needs assessments and partnerships as well as to support regional and state-wide programs, community programs sponsored by St. Vincent in which St. Vincent Kokomo Hospital participates. true ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC 1907 W SYCAMORE STREET KOKOMO IN 46901 237313206 501(C)(3) 180046 OPERATING GRANT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The finance committee ensures that funds are distributed appropriately according to Ascension Health's strategic business plan and consistent with corporate policies and procedures. X true true false true false false false false false false false MARGARET M JOHNSON DIRECTOR/REGIONAL PRESIDENT 309526 0 64712 0 545 0 16504 0 1537 0 392824 0 0 0 KARAM F ABBASI MD DIRECTOR/VICE CHAIR (START 1/2016) 0 444097 0 21000 0 3168 0 14575 0 23620 0 506460 0 0 MELANIE L BOZARD MD DIRECTOR 0 209394 0 0 0 288 0 10470 0 2592 0 222744 0 0 CHERYL HARMON DIRECTOR 0 332853 0 60000 0 5494 0 12593 0 17316 0 428256 0 0 KATHLEEN K PEOPLES VP NURSING/CNO 161093 0 42485 0 919 0 12339 0 15314 0 232150 0 0 0 DENNIS E RESSLER CFO 196640 0 48665 0 789 0 15360 0 19539 0 280993 0 0 0 RAWA ARAIM MD PHYSICIAN 344932 0 16000 0 831 0 13250 0 16794 0 391807 0 0 0 DAVID A CHEESMAN MD PHYSICIAN 211872 0 175167 0 619 0 14575 0 32475 0 434708 0 0 0 HUAN PU CUI MD PHYSICIAN 387002 0 155635 0 610 0 14113 0 5788 0 563148 0 0 0 PANCHAPAKESAN P HARAN MD PHYSICIAN 556663 0 200125 0 2002 0 13250 0 35391 0 807431 0 0 0 HEATH A SPENCE MD PHYSICIAN 383504 0 212965 0 1749 0 14575 0 20849 0 633642 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments St.Joseph Hospital & Health Center, Inc. included imputed income for one of the listed officers/directors and highest compensated employees in Part VII. St.Joseph Hospital & Health Center, Inc. "grossed up" applicable non-business expenses and included in the employees' W-2 as additional taxable compensation. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation St.Vincent Health, Inc., a related organization of St.Joseph Hospital & Health Center, Inc., uses the following to establish the compensation of the organization's CEO/Executive Director: - Compensation committee - Independent compensation consultant - Compensation survey or study - Approval by the board or compensation committee Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in various non-qualified deferred compensation plans organized under Code Section 457(f). The exact purpose of each plan varies but they include: compensation limitation make-up plans, voluntary deferral plans, deferral of a portion of incentive bonus type plans, etc. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No payments were made to listed persons in Part VII under the various non-qualified deferred compensation plans during the year. Form 990, Part IV, Line 24a Tax Exempt Bond Issuance St. Joseph Hospital & Health Center, Inc. is a health facility that is part of Ascension Health System. Ascension Health is the borrower for tax exempt hospital revenue bonds. St. Joseph Hospital & Health Center, Inc. holds an inter company note payable with Ascension Health, and this information is reported on the balance sheet. Form 990, Part VI, Line 6 Classes of members or stockholders St. Joseph Hospital & Health Center, Inc. has a single corporate member, St. Vincent Health, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body St. Joseph Hospital & Health Center, Inc. has a single corporate member, St. Vincent Health, Inc. who has the ability to elect members to the governing body of St. Joseph Hospital & Health Center, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St. Joseph Hospital & Health Center, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, St. Vincent Health, Inc. Form 990, Part VI, Line 11b Review of form 990 by governing body Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form 990 to a designated committee of the Board to review and answer any questions. Prior to filing the returns, all Board members are provided the Form 990 and management team members are available to answer any Board member questions. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committee with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax exempt purpose. Form 990, Part VI, Line 15b Process to establish compensation of other employees Compensation determinations of St. Joseph Hospital & Health Center, Inc.'s CEO, executive director, or top management official is made by St. Vincent Health, Inc.'s management. The process includes a review and approval by independent persons and comparability data. In review of the compensation, the CEO, executive director, and top management were compared to other hospitals in the area that hold the same position. Compensation determinations of St. Joseph Hospital & Health Center, Inc.'s other officers or key employees are made by St. Joseph Hospital & Health Center, Inc.'s management. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review of the compensation, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same position. Form 990, Part VI, Line 19 Required documents available to the public The organization will provide any documents open to public inspection upon request. 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