2016-05-16T16:29:03-05:00 2015-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2014-07-01 231352211 St Joseph Regional Health Network % DAVID LIM STJO 6103782300 2500 BERNVILLE ROAD READING PA 19605 DAVID LIM CHIEF FINANCIAL OFFICER 6103782300 2016-05-16 true Russlee Armstrong P00288383 2155614200 2014 2016-08-17 19:52:53Z St Joseph Medical Center JOHN MORAHAN 2500 BERNVILLE ROAD READING PA 19605 223450052 false 0928 X WWW.THEFUTUREOFHEALTHCARE.ORG X 1889 PA Build healthier lives in patients, staff, & volunteers through our compassion, excellence, and quality of care to all; we promote health communities through services and education. 17 14 1536 175 2292587 214810 2149072 4073648 208537291 215039938 639557 515924 2058774 3783969 213384694 223413479 15238473 39013872 0 0 77526521 76943675 0 0 0 125977782 171520979 218742776 287478526 -5358082 -64065047 192576031 128789958 153760037 154039011 38815994 -25249053 X See Schedule O false false 180204950 39013872 213997084 See Schedule H 180204950 true true false true false false false false false false true true false false true true false true false false false false false false false false true true true false true false false false false false false false true false false false false false true true true false false true 0 0 1536 true true true false false false false false false false false false X 17 14 false false false false true true true true true false false false true true true true true false true false PA X DAVID LIM 6103782300 2500 BERNVILLE ROAD READING PA 19605 JOHN MORAHAN PRESIDENT/CEO/BOARD MEMBER 40.0 7.0 X X 0 650790 80555 BRUCE G SMITH CHAIR/BOARD MEMBER 2.0 0.0 X X 0 0 0 PETER BANKO BOARD MEMBER/SR VP OF OPS 2.0 53.0 X 0 890198 54566 LOUIS BORGATTA MD BOARD MEMBER 2.0 0.0 X 0 0 0 CARL N BOTTERBUSCH BOARD MEMBER 2.0 0.0 X 0 0 0 ROBERT P FLICKER BOARD MEMBER 2.0 0.0 X 0 0 0 ROBERT K HIPPERT DO BOARD MEMBER/MEDICAL DIRECTOR 2.0 0.0 X 44400 0 0 JUDGE LINDA K M LUDGATE BOARD MEMBER 2.0 0.0 X 0 0 0 JOESPH MARIGLIO BOARD MEMBER 2.0 0.0 X 0 0 0 HEIDI B MASANA BOARD MEMBER 2.0 0.0 X 0 0 0 SR CLARE CHRISTI SCHIEFER OSF BOARD MEMBER 2.0 0.0 X 0 0 0 IVAN TORRES EdD BOARD MEMBER 2.0 0.0 X 0 0 0 J ANDREW WEIDMAN VICE CHAIR/BOARD MEMBER 2.0 0.0 X 0 0 0 MICHAEL DUFF BOARD MEMBER 2.0 0.0 X 0 0 0 JIM SWEENEY BOARD MEMBER 2.0 0.0 X 0 0 0 MAYANK MODI MD BOARD MEMBER 2.0 0.0 X 0 0 0 DOUGLAS N YOCOM BOARD MEMBER 2.0 0.0 X 0 0 0 DAVID LIM SECRETARY/TREASURER/CFO 40.0 7.0 X 0 309867 58300 HOWARD DAVIS VP MEDICAL AFFARIS/CMO 40.0 0.0 X 0 362598 47206 SHARON STROHECKER VP, NURSING AND CNO 40.0 0.0 X 0 273966 37728 SCOTT MENGLE VP, HUMAN RESOURCES 40.0 0.0 X 0 219161 49326 SR JANET HENRY VP, MISSION & MINISTRY 40.0 0.0 X 0 0 0 JOYCE GRAHAM TRANSACTION COMPLIANCE 40.0 0.0 X 0 180315 38891 Michael Jupina VP COMMUNICATIONS 20.0 20.0 X 0 161534 19481 MICHAEL BRADLEY ASSOCIATE DIRECTOR 40.0 2.0 X 201553 0 53368 MARY MANCANO PHYSICIAN 40.0 0.0 X 178623 0 38957 SEAN REYNOLDS VP PHYSICIAN ENTERPRISES 40.0 0.0 X 152604 0 35213 ROLAND NEWMAN PHYSICIAN 40.0 0.0 X 152451 0 39028 AMANDA KLOPP DIRECTOR 40.0 0.0 X 137121 0 0 866752 3048429 552619 45 false true false SODEXHO INC AFFILIATES 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 FOOD/HOUSEKEEPING 703543 HCSC LAUNDRY 2171 28TH ST ALLENTOWN PA 181037073 LAUNDRY 822601 HCSC BLOOD SERVICES 1465 VALLEY CENTER PARKWAY BETHLEHEM PA 18017 BLOOD SERVICES 1134729 EMERGENCY PHYSICIAN ASSOCIATES PO BOX 635016 CINCINNATI OH 452635016 PHYSICIAN SERVICES 1611288 BERKS CARDIOLOGISTS 2605 KEISER BLVD READING PA 19610 PHYSICIAN SERVICES 587975 25 3714580 359068 4073648 NET PATIENT SERVICES 900099 215039938 213997084 1042854 215039938 462571 -2233 464804 0 0 1470157 1470157 0 1470157 1470157 89926 0 36573 89926 -36573 53353 53353 0 0 0 LEASED EMPLOYEES 561300 1251966 1251966 RETAIL PHARMACY 446110 826600 826600 GIFT SHOP 453220 78141 78141 157105 157105 2313812 223413479 213997084 2292587 3050160 X 39013872 39013872 0 0 0 152793 152793 0 59526043 45801472 13724571 2996665 13415 2983250 9547680 9174199 373481 4720494 3333442 1387052 0 355872 355872 0 0 0 0 29739653 22651804 7087849 842627 842627 4151110 3383690 767420 10370118 386309 9983809 0 4006448 1331842 2674606 186179 83710 102469 0 106233 5476 100757 6913445 6913445 5544881 5544881 4846800 1693691 3153109 2369769 2369769 UNRELATED BUSINESS TAXES 205447 205447 IMPAIRMENT AND OTHER LOSSES 45989590 45989590 MEDICAL SUPPLIES 36380487 36380487 BAD DEBTS 13971869 13971869 5540451 2979672 2560779 287478526 180204950 107273576 0 5413 0 4462928 6804803 0 0 27711939 29922014 0 0 0 0 0 0 4528014 4992111 569955 566209 159450342 73546969 134320586 85903373 226681 0 19051209 0 0 0 0 0 1699306 601448 192576031 128789958 12596899 6801413 0 0 36943 257625 0 0 0 0 0 0 0 0 0 0 141126195 146979973 153760037 154039011 X 38815994 -25249053 0 0 0 0 38815994 -25249053 192576031 128789958 -64065047 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 7203 false false false 7203 false SCHEDULE C, PART II-B, LINE 1 DESCRIPTION OF THE ACTIVITIES REPORTED ON LINES 1A THROUGH 1I LINE 1F: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE PAID TO THE FOLLOWING ORGANIZATIONS: HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA AMERICAN HOSPITAL ASSOCIATION CATHOLIC HEALTH ASSOCIATION 4172218 4172218 87580019 18488795 69091224 5458328 4258963 1199365 60404738 50436775 9967963 1835039 362436 1472603 85903373 0 MBOS 126387496 CHI PROGRAM 9579074 CAPITAL LEASES 2033451 INTERCOMPANY PAYABLES 6066790 ACCRUED EXPENSES 2477970 RAC TAKEBACKS 374769 UNCLAIMED PROPERTY 60423 146979973 X SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTEST. JOSEPH REGIONAL HEALTH NETWORK'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHIS FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2015, READS AS FOLLOWS: 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 reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements. true true X false false true true false true true 659 799370 0 799370 0.00290 43457 30184864 24028961 6155903 0.02250 44116 30984234 24028961 6955273 0.02540 9996 282314 0 282314 0.00100 75 300964 0 300964 0.00110 535987 151447 0 151447 0.00060 546058 734725 0 734725 0.00270 590174 31718959 24028961 7689998 0.02810 2 456 5344 0 5344 2 800 1961 0 1961 4 1256 7305 0 7305 true 13971869 43736447 47062674 -3326227 X true true 1 1 ST JOSEPH MEDICAL CENTER 2500 bernville road reading PA 19605 WWW.THEFUTUREOFHEALTHCARE.ORG X X X X X ST JOSEPH MEDICAL CENTER 1 false false true X X X X X X X X X 12 true true true true X WWW.THEFUTUREOFHEALTHCARE.ORG X true 12 true WWW.THEFUTUREOFHEALTHCARE.ORG false false true X X X X X true true X X X X true X WWW.THEFUTUREOFHEALTHCARE.ORG X X X X true false true X false false SCHEDULE H, PART V SEC B, LINE 3 THIS NEEDS ASSESSMENT WAS OVERSEEN BY A STEERING COMMITTEE OF REPRESENTATIVES FROM ST. JOSEPH REGIONAL HEALTH NETWORK, BERKS COUNTY COMMUNITY FOUNDATION, READING HEALTH SYSTEM, AND UNITED WAY OF BERKS COUNTY. AN ADVISORY COMMITTEE OF 17 REPRESENTATIVES FROM BERKS COUNTY COMMUNITY ORGANIZATIONS WAS APPOINTED BY THE STEERING COMMITTEE TO PROVIDE INPUT FROM THE COMMUNITY. THE ADVISORY COMMITTEE SUPPLIED GUIDANCE AT ALL STAGES OF THE NEEDS ASSESSMENT PROCESS. ADVISORY BOARD INDIVIDUALS REPRESENTING ORGANIZATIONS WITH FIRST-HAND KNOWLEDGE OF COMMUNITY HEALTH NEEDS INCLUDED: PRIMARY CARE AND SPECIALTY PHYSICIANS, LOCAL FQHC, COUNTY MENTAL HEALTH, WELLNESS SERVICES FOR HIV/AIDS, HISPANIC CENTER, AND MIGRANT FARM WORKERS, AS WELL AS A DOCTORAL STUDENT IN PUBLIC HEALTH FROM THE LOCAL COLLEGE. SCHEDULE H, PART V SEC B, LINE 6A/6B OTHER HOSPITAL FACILITIES INCLUDED IN NEEDS ASSESSMENT ST. JOSEPH REGIONAL HEALTH NETWORK PARTNERED WITH THE OTHER NON-PROFIT HOSPITAL IN BERKS COUNTY (READING HEALTH SYSTEM) TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE BERKS COUNTY COMMUNITY FOUNDATION AND UNITED WAY OF BERKS COUNTY WERE ALSO KEY PARTICIPANTS IN THE ASSESSMENT PROCESS. SCHEDULE H, PART V SEC B, LINE 13 HOW AMOUNTS CHARGED TO FAP-ELIGIBLE PATIENTS WERE DETERMINED: ST. JOSEPH REGIONAL HEALTH NETWORK USES THE AVERAGE OF COMMERCIAL PLANS TO DETERMINE THE MAXIMUM AMOUNTS THAT COULD BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY CARE OR OTHER MEDICALLY NECESSARY CARE. 16 READING DOWNTOWN CAMPUS 145 N 6TH STREET READING PA 19601 CLINC/X-RAY/CT-LAB ST JOESPH HEALTH NETWORK-ST LAWRENCE 120 PROSPECT STREET READING PA 19606 DRAW STATION ST JOESPH HEALTH NETWORK-ELVERSON 45 SOUTH PINE STREET ELVERSON PA 19520 DIAG/URGENT CARE ST JOESPH HEALTH NETWORK-SHELBORNE 5400 PERKIOMEN AVENUE READING PA 19606 REHAB ST JOESPH HEALTH NETWORK-STRAUSSTOWN 44 EAST AVENUE STRAUSSTOWN PA 19559 DIAG/URGENT CARE ST JOESPH HEALTH NETWORKMAIDENCREEK 108 PLAZA DRIVE SUITE 101 BLANDON PA 19510 THERAPY, X-RAY, PE ST JOESPH HEALTH NETWORK-SPRING RIDGE 2605 KEISER BLVD SUITE 200 WYOMISSING PA 19610 CARDIAC REHAB/LAB ST JOESPH HEALTH NETWORK-BROADCASTING 2610 KEISER BLVD WYOMISSING PA 19610 LAB & PT THERAPY ST JOESPH HEALTH NETWORK-BERKS IMAGING 1330 PENN AVENUE WYOMISSING PA 19610 IMAGING ST JOESPH HEALTH NETWORK-LEESPORT SCHOOLSIDE PLAZA-RT 61 AND WALL ST KENHORST PA 19533 LAB DRAW AND X-RAY ST JOE QUALITY MED LAB-SINKING SPRING 4400 PENN AVENUE SINKING SPRING PA 19608 CARDIAC REHAB/LAB ST JOE QUALITY MED LAB-BIRDSBORO RT 724 MAPLE SPRINGS BIRDSBORO PA 19508 DRAW STATION ST JOE QUALITY MED LAB-HEALTHSOUTH 1623 MORGANTOWN ROAD READING PA 19607 DRAW STATION ST JOE QUALITY MED LAB-BOYERTOWN FIFTH AND MONTGOMERY AVENUES BOYERTOWN PA 19512 DRAW STATION ST JOE QUALITY MED LAB-RICHMOND 1800 N 12TH STREET READING PA 19604 LAB THE HERITAGE OF GREEN HILLS 10 TRANQUILITY LANE READING PA 19607 LAB DRAW SCHEDULE H, PART I, LINE 3C ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CARE WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO ST. JOSEPH REGIONAL HEALTH NETWORK) ESTABLISHED ITS FINANCIAL ASSISTANCE 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 URBAN AND RURAL COMMUNITIES IN 18 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 REGIONAL HEALTH NETWORK (SJRHN) BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 55%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. 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. SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT REPORT ST. JOSEPH REGIONAL HEALTH NETWORK PREPARES ITS OWN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT. ITS COMMUNITY BENEFIT REPORT IS NOT CONTAINED IN THAT OF A RELATED ORGANIZATION. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. BASED ON THAT FORMULA, [$179,666,861/$694,722,003] RESULTS IN A 25.86% COST-TO-CHARGE RATIO. WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO. SCHEDULE H, PART I, LINE 7, COL(F) BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION 13,971,863 SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 25.86%. WHEN DISCOUNTS ARE EXTENDED TO SELF- PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY ST. JOSEPH REGIONAL HEALTH NETWORK (SJRHN) 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. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE ST. JOSEPH REGIONAL HEALTH NETWORK (SJRHN) DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THEALLOWANCE 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 BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS SUBSTANTIALLY ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYER'S GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. ST. JOSEPH REGIONAL HEALTH NETWORK'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $43,736,446 TOTAL MEDICARE COSTS: $47,062,674 SURPLUS OR SHORTFALL: $(3,326,227) ST. JOSEPH REGIONAL HEALTH NETWORK BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS. SCHEDULE H, PART III, LINE 9b COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ST. JOSEPH REGIONAL HEALTH NETWORK'S (SJRHN) DEBT COLLECTION POLICY PROVIDES THAT SJRHN WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT FOR 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 ST. JOSEPH MEDICAL CENTER'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET SJRHN COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD- PARTY COLLECTION AGENT TO SJRHN FOR APPROPRIATE FOLLOW-UP SJRHN 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' (CHI) HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: o NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; o NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND o NO CHI 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. SCHEDULE H, PART VI ST. JOSEPH'S MISSION, VISION, AND TAX-EXEMPT PURPOSE St. Joseph Regional Health Network (St. Joseph) was founded by the Sisters of St. Francis in 1873 to provide healthcare services to the people of the City of Reading. As the only Catholic hospital to serve the community, St. Joseph Regional embraced the mission of the founding religious congregation and is a member of a national catholic healthcare system called Catholic Health Initiatives. For more than 142 years, St. Joseph has served the entire Reading and Berks Community with a focus on providing care to all who need it without regard to ability to pay, a philosophy that has driven the mission of St. Joseph. It's a mission that is as important today as it was to the Sisters of St. Francis given that the City of Reading has been among the poorest cities in America. This "distinction" has proven the need for access to healthcare services that are provided with compassion and without discrimination. St. Joseph Regional Health Network is a non-profit network consisting of St. Joseph Regional Health Network, St. Joseph Downtown Reading Campus, St. Joseph Medical Group and St. Joseph Physician Hospital Organization. Founded in 1873 by the Sisters of St. Francis, the network provides a full-range of outpatient and inpatient diagnostic, medical and surgical services. The 380,000 sq. ft., 212-bed state-of-the-art hospital and health campus opened in late 2006 on 40 acres in Bern Township. Routinely ranked among the Top 50 Heart Hospitals in the country in quality metrics, St. Joseph also is nationally certified as a Center of Excellence in Chest Pain, Stroke and Heart Failure. Nursing care at St. Joseph also has earned the distinction as a "Pathways to Excellence" accredited facility. St. Joseph has 16 Ambulatory Care Centers stretching from Elverson in Chester County through Berks County to the Schuylkill County border. The centers offer urgent care, imaging studies, lab work and other ambulatory services and procedures. St. Joseph's Downtown Reading Campus at 6th and Walnut Streets anchors the ambulatory network and is the largest primary care provider in the City of Reading, operating out of a thriving 266,000 square foot facility that provides family practice, women's and children's services and diagnostic services. The downtown facility has been lauded as a model for inner city primary care as well as offers innovative patient center approaches to maternity and diabetes management. It also is pioneering the implementation of patient centered medical home practices. St. Joseph's Medical Group is a network of 80 physicians and mid-level providers. The group includes: specialists in Internal Medicine, Family Medicine, Hospitalists, Orthopedics and Sports Medicine, Gynecology and Obstetrics, Neurology, Neurosurgery, General Surgery, Women's Services and Vascular Surgery and is committed to providing the Berks community with the best medical care available from board certified and fellowship-trained physicians. St. Joseph's 380 member medical staff consists of board certified and fellowship trained physicians. St. Joseph also offers a family practice medical residency program, and provides clinical training for several nursing and allied health professionals. The network has nearly 1600 employees, $220 million in annual revenues and nearly 45,000 annual emergency room visits. COMMUNITY BENEFIT APPROACH St. Joseph Health reduces the burdens of the government to meet the community's growing and diverse health needs by reaching out through its two campuses and 16 ambulatory facilities. We have a responsibility to care for people who come to us for services and also to seek out the unmet needs of people who lack basic essentials every day. We also partner with local organizations to help improve health and quality of life for the poor, marginalized and vulnerable. We provide quality and compassionate care to all as we reach deeply into the community to participate in numerous activities with other non-profit, educational and social services agencies. Our Community Benefit activities are designed to: o Identify and increase awareness of health needs in Reading and Berks County. o Provide medical, spiritual and financial resources to meet those needs. o Create collaboration among community organizations that focus on health and well-being. St. Joseph is governed by a volunteer board of directors made up of a broad cross-section of local community and business leaders. The hospital participates in the widest range of private and government insurances of any hospital in the region and, according to the Pennsylvania Health Care Cost Containment Council, continues to provide care for the highest percentage of Medicaid and non-paying patients compared to net patient revenue in a region that covers hospitals in Berks, Lehigh, Northampton, Schuylkill, Northumberland and Carbon Counties (see www.phc4.org). Located in Reading, PA, St. Joseph Regional Health Network serves primarily Berks County, PA. The City of Reading has a population of 87,833 and when combined with the remaining population of Berks County, the health network serves approximately 417,554 residents. The media age of the city of Reading about 30 years old, nine years younger than that of the county and a reflection of the growing Latino population. The median signals the type of care most needed in the city and is reflected in the St. Joseph's efforts to provide patients with access to primary care physicians at its Downtown Reading Campus. Most notably, Reading - the fifth largest city in the state of Pennsylvania - is a young, but ethnically diverse, with the Hispanic population accounting for nearly 60 percent of those who live in the City. The median household income is less than half of that of the total county. The city itself is financially challenged, and remains among the "poorest cities in America". COMMUNITY HEALTH NEEDS ASSESSMENT It is was generally recognized that the health of the community was not the responsibility of any one entity, but rather required the coordinated efforts of many entities - public and private - to realize an improved health status of a community. St. Joseph Health Regional Health Network has a strong history of working together to advance community health. In 2012, as mandated by the Affordable Care Act (ACA) we partnered with others to conduct a Community Health Needs Assessment with a goal of implementing programs for meeting any needs that are identified. For tax years beginning after March 23, 2012, hospitals' Form 990 must describe how they are addressing these needs and explain any needs that are not being addressed and why. Shortly, we will be reporting out on the updated assessment which we did, once again, in collaboration with The Reading Health System, the Berks Community Foundation, and the United Way of Berks County. Our focus is to think of these issues from a public health perspective and not an individual organizational perspective. This health assessment provided a consensus on needs to establish interventions, solutions and collective action to reduce the prevalence of key health indicators. It also provided critical information upon which to make effective resource and program investments and offers a framework for updating data and measuring outcomes. The purpose of the needs assessment is to identify and prioritize community health needs so that these organizations can develop strategies and implementation plans that benefit the public as well. This report, which can be found at www.thefutureofhealthcare.org, summarizes the results of an assessment of the health status and health care needs of residents in Berks County, Pennsylvania. The needs assessment was conducted by Public Health Management Corporation, a private non?profit public health institute. This needs assessment was completed before many of the provisions of the Affordable Care Act went into effect, and before the Federally Qualified Community Health Center (FQHC) called Berks Community Health Center really ramped up its operations. Therefore, information on the impact of the legislation and the Health Center on access to health care were not included in the research for this assessment. It is anticipated that both of these recent changes in the health care system in Berks County will have an impact on the issues. This needs assessment was overseen by a Steering Committee of representatives from each of the four sponsoring organizations. An Advisory Committee of 17 representatives from Berks County community organizations was appointed by the Steering Committee to provide input from the community. The Advisory Committee supplied guidance at all stages of the needs assessment process. Overall, Berks County residents are in good health. However, heart disease is the leading cause of death followed by all forms of cancer (including female breast cancer), stroke, lung cancer, and female breast cancer. In additio true St Joseph Medical Group 2500 BERNVILLE RD Reading PA 19605 208544021 501(C)(3) 13437225 Program Support Bornemann Health Corporation 2500 BERNVILLE RD reading PA 19605 232187242 501(C)(3) 5576647 Program Support Catholic Health Initiatives 198 INVERNESS DR W ENGLEWOOD CO 80112 470617373 501(C)(3) 20000000 Program Support 3 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS UPON PROVIDING SATISFACTORY WRITTEN EVIDENCE THAT THE FUNDS WERE USED FOR THE PURPOSE THE GRANT WAS MADE, THE ORGANIZATION RELEASES THE RESTRICTION AND THE FUNDS ARE TRANSFERRED. false true false false false false false true false JOHN MORAHAN PRESIDENT/CEO/BOARD MEMBER 0 459694 0 77345 0 113751 0 65559 0 14996 0 731345 0 86807 PETER BANKO BOARD MEMBER/SR VP OF OPS 0 564260 0 192071 0 133867 0 32602 0 21964 0 944764 0 36278 DAVID LIM SECRETARY/TREASURER/CFO 0 258603 0 30936 0 20328 0 37546 0 20754 0 368167 0 0 HOWARD DAVIS VP MEDICAL AFFARIS/CMO 0 279621 0 42445 0 40532 0 29661 0 17545 0 409804 0 0 SHARON STROHECKER VP, NURSING AND CNO 0 226544 0 27279 0 20143 0 23502 0 14226 0 311694 0 0 MICHAEL BRADLEY ASSOCIATE DIRECTOR 201088 0 0 0 465 0 30404 0 22964 0 254921 0 0 0 MARY MANCANO PHYSICIAN 177003 0 0 0 1620 0 24681 0 14276 0 217580 0 0 0 SEAN REYNOLDS VP PHYSICIAN ENTERPRISES 132430 0 20079 0 95 0 13434 0 21779 0 187817 0 0 0 ROLAND NEWMAN PHYSICIAN 152149 0 0 0 302 0 16711 0 22317 0 191479 0 0 0 SCOTT MENGLE VP, HUMAN RESOURCES 0 177589 0 21692 0 19880 0 29112 0 20214 0 268487 0 0 JOYCE GRAHAM TRANSACTION COMPLIANCE 0 162872 0 15629 0 1814 0 25597 0 13294 0 219206 Michael Jupina VP COMMUNICATIONS 0 143590 0 17685 0 259 0 18768 0 713 0 181015 0 0 SCHEDULE J, PART I, LINE 3 Part VII/Schedule J Sister Janet Henry is listed as a key employee with zero compensation. Sister Henry's compensation is provided to the order she represents. Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 4A POST-TERMINATION PAYMENTS POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE 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. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE 2014 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 SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: JOHN MORAHAN DURING 2014 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JOHN MORAHAN $39,507 DURING 2014 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: JOHN MORAHAN $86,807 JOSEPH MARIGLIO OWNER-RESPIRATORY SPCLSTS 492225 PHYSICIAN SERVICES false LOUIS BORGATTA OWNER-BERKS CARDIOLOGIST 587975 PHYSICIAN SERVICES false FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. FIDELITY TO THE GOSPEL URGES THE CORPORATION TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT CREATES HEALTHIER COMMUNITIES. THE CORPORATION, SPONSORED BY A LAY-RELIGIOUS PARTNERSHIP, CALLS OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION. FORM 990, PART VI, LINE 1A DELEGATE BROAD AUTHORITY TO A COMMITTEE: PURSUANT TO SECTION 8.5 OF THE BYLAWS OF ST. JOSEPH REGIONAL HEALTH NETWORK, THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATON AND SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, THE IMMEDIATE PAST CHAIRPERSON OF THE BOARD, CHAIRS OF THE BOARD COMMITTEES, AND THE CHAIR OF THE FOUNDATION BOARD, PROVIDED THAT EACH STILL BE A FULL, ACTIVE VOTING MEMBER OF THE BOARD, AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. ANY VACANCY OF AN APPOINTED EXECUTIVE COMMITTEE MEMBERSHIP MAY BE FILLED FOR THE UNEXPIRED PORTION OF THE TERM IN THE MANNER THAT THE ORIGINAL COMMITTEE MEMBER WAS APPOINTED. 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. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE PROMPTLY REPORTED TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR OR ANNUAL MEETING OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL MEET AT SUCH TIMES AS SHALL BE DETERMINED BY THE CHAIRPERSON. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS PROCEEDINGS AND REPORT THE SAME TO THE BOARD OF DIRECTORS AT EACH REGULAR MEETING OF THE BOARD. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE SOLE MEMBER OF THE ORGANIZATION IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY: ACCORDING TO THE ORGANIZATIONS BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATIONS BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBERS BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS: THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES (CHI). PURSUANT TO SECTION 5.4.1 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 ST. JOSEPH REGIONAL HEALTH NETWORK; - AMENDMENT OF THE CORPORATE DOCUMENTS OF ST. JOSEPH REGIONAL HEALTH NETWORK; - APPROVE MEMBERS OF ST. JOSEPH REGIONAL HEALTH NETWORK BOARD; - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. JOSEPH REGIONAL HEALTH NETWORK; - APPROVAL OF ISSUANCE OF DEBT BY ST. JOSEPH REGIONAL HEALTH NETWORK; - APPROVAL OF PARTICIPATION OF ST. JOSEPH REGIONAL HEALTH NETWORK IN A JOINT VENTURE; - APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. JOSEPH REGIONAL HEALTH NETWORK; - APPROVAL OF A MERGER INVOLVING ST. JOSEPH REGIONAL HEALTH NETWORK; - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ST. JOSEPH REGIONAL HEALTH NETWORK; - TO REQUIRE THE TRANSFER OF ASSETS BY THE ST. JOSEPH REGIONAL HEALTH NETWORK TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS; - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR ST. JOSEPH REGIONAL HEALTH NETWORK. 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, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY: THE FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE AND THE CFO. THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT EFILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE CFO. AFTER THE RETURN IS FILED, A COPY IS PROVIDED TO MEMBERS OF THE BOARD, EITHER ELECTRONICALLY OR AT A BOARD MEETING. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY: THE BOARD OF DIRECTORS AND ORGANIZATION LEADERS ANNUALLY DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST. THE COMPLIANCE OFFICER REVIEWS EACH OF THE DISCLOSURE STATEMENTS AND PREPARES A REPORT DETAILING ANY IDENTIFIED CONFLICTS. THE CONFLICT DISCLOSURE REVIEW IS PRESENTED AT THE BOARD AFFAIRS COMMITTEE. ALL EMPLOYEES AND BOARD MEMBERS RECEIVE EDUCATION ON CONFLICTS OF INTEREST, WITH BOARD MEETINGS AND PHYSICIAN TRANSACTION REVIEW MEETINGS STARTING WITH A REQUEST TO DECLARE POTENTIAL CONFLICTS. ANY POTENTIAL ISSUES ARE REVIEWED, AND INDIVIDUALS WITH A MATERIAL CONFLICT ARE PERMITTED TO PARTICIPATE IN DISCUSSIONS BUT DO NOT PARTICIPATE IN THE VOTE ON ANY ACTION ITEM. DEPARTMENT LEADERS DISCLOSE ANY POTENTIAL EMPLOYEE CONFLICTS TO THE CRO WITH THE CEO DETERMINING THE COURSE OF ACTION FOR ANY POTENTIALLY SIGNIFICANT CONFLICTS. FORM 990, PART VI, LINE 15A PROCESS FOR DETERMINING COMPENSATION OF THE TOP MANAGEMENT OFFICIAL: THE ORGANIZATIONS CEOS COMPENSATION IS PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. 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 THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHIS 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 18, 2014. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES: ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS, OR TRUSTEES BY ST. JOSEPH REGIONAL HEALTH NETWORK AND RELATED ORGANIZATIONS WAS SET BY A COMPENSATION COMMITTEE UTILIZING AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THE ST. JOSEPH REGIONAL HEALTH NETWORK BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS TO ENSURE REASONABLENESS AND COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATIONS FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATIONS FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINITIATIVES.ORG OR AT WWW.DACBOND.ORG. FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:13356332 FORM 990 PART IX LINE 11G DESCRIPTION:RRC FEES TOTAL FEES:8028000 FORM 990 PART IX LINE 11G DESCRIPTION:CLINICAL ENGINEERING TOTAL FEES:3129992 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PROFESSIONALS TOTAL FEES:5225329 ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HEALTHCARE NE 501 (C) (3) 3 ACH true ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HEALTHCARE NE 501 (C) (3) 3 CHI NEBRASKA true ALEGENT CREIGHTON HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING NE 501 (C) (3) 7 ACH true ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY RD OMAHA NE 68124 470484764 HEALTHCARE NE 501 (C) (3) 3 CHI NEBRASKA true ALEGENT HEALTH - COMMUNITY MEMORIAL HOSP 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HEALTHCARE IA 501 (C) (3) 3 CHI NEBRASKA true ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HEALTHCARE NE 501 (C) (3) 3 CHI NEBRASKA true ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUY 104 W 17TH ST SCHUYLER NE 68661 470399853 HEALTHCARE NE 501 (C) (3) 3 CHI NEBRASKA true ALEGENT HEALTH - MERCY HOSPITAL CORNING PO BOX 368 CORNING IA 50841 420782518 HEALTHCARE IA 501 (C) (3) 3 CHI NEBRASKA true ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501 (C) (3) 9 CHI true APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501 (C) (3) 9 SFH true BELLEVILLE ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 274005511 HEALTHCARE TX 501 (C) (3) 3 SHSC true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVE DES MOINES IA 50314 420725196 LTERM CARE IA 501 (C) (3) 9 CHI-IA CORP true BORNEMANN HEALTHCARE CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 232187242 HEALTHCARE PA 501 (C) (3) 11 CHI true BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HEALTHCARE TX 501 (C) (3) 3 SJSC true BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 HEALTHCARE TX 501 (C) (3) 9 SJSC true CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HEALTHCARE ND 501 (C) (3) 3 CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501 (C) (3) 11 NA true CATHOLIC HEALTH INITIATIVES - COLORADO 188 INVERNESS DRIVE WEST STE 500 ENGLEWOOD CO 80112 840405257 HEALTHCARE CO 501 (C) (3) 3 CHI true CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HEALTHCARE IA 501 (C) (3) 3 CHI true CATHOLIC HEALTH INITIATIVES COLORADO FOU 6385 CORPORATE DR STE 301 COLORADO SPRINGS CO 80919 840902211 FUNDRAISING CO 501 (C) (3) 7 CHIC true CATHOLIC HEALTH INITIATIVES NATIONAL FOU 6385 CORPORATE DR COLORADO SPRINGS CO 80919 270930004 FUNDRAISING CO 501 (C) (3) 11 CHI true CATHOLIC HEALTH INITIATIVES VIRTUAL HEAL 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 HEALTHCARE CO 501 (C) (3) 11 CHINS true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 PHYSICIANS OR 501 (C) (3) 9 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 SURGERY CENTE KS 501 (C) (3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 HEALTHCARE MN 501 (C) (3) 9 CHI true CHI INSTITUTE FOR RESEARCH AND INNOVATIO 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501 (C) (3) 11 CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501 (C) (3) 11 CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501 (C) (3) 9 CHI NS true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501 (C) (3) 11 CHI true CHI NEBRASKA 6940 O ST STE 200 LINCOLN NE 68510 363233121 HEALTHCARE NE 501 (C) (3) 11 CHI true CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501 (C) (3) 11 CHI true 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