2015-05-14T09:20:48-05:00 2014-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2013-07-01 231352211 ST JOSEPH REGIONAL HEALTH NETWORK STJO 6103782300 2500 BERNVILLE ROAD READING PA 19605 DAVID LIM CFO/SECRETARY/TREASURER 2015-05-12 true Mark Stocki P00642127 3032989100 2013 2016-03-07 17:11:31Z ST JOSEPH MEDICAL CENTER JOHN MORAHAN 2500 BERNVILLE ROAD READING PA 19605 213384694 false 0928 X WWW.THEFUTUREOFHEALTHCARE.ORG X 1889 PA WE BUILD HEALTHIER LIVES IN PATIENTS, STAFF, AND VOLUNTEERS THROUGH OUR COMPASSION, EXCELLENCE, AND QUALITY OF CARE TO ALL; WE PROMOTE HEALTHY COMMUNITIES THROUGH OUR SERVICE AND EDUCATION, EMPHASIZING WELLNESS. 17 13 1671 372 2335313 185992 1873980 2149072 207935351 208537291 234399 639557 4133528 2058774 214177258 213384694 14698888 15238473 0 0 82911773 77526521 0 0 0 114833203 125977782 212443864 218742776 1733394 -5358082 199865968 192576031 156556657 153760037 43309311 38815994 X SEE SCHEDULE O false false 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X 0 367410 47985 982581 4210697 638034 39 true true false SODEXHO INC & AFFILIATES 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 FOOD/HOUSEKEEPING SERVICES 1885409 MILTON S HERSHEY MEDICAL CTR PO BOX 853 HERSHEY PA 17033 PHYSICIAN SERVICES 1750707 EMERGENCY PHYS ASSOCIATES OF PA PO BOX 635016 CINCINNATI OH 452635016 PHYSICIAN SERVICES 1216521 HCSC BLOOD SERVICES 1465 VALLEY CENTER PARKWAY BETHLEHEM PA 18017 BLOOD SERVICES 1074197 HCSC LAUNDRY 2171 28TH ST ALLENTOWN PA 181037073 LAUNDRY SERVICES 805853 30 1781855 293720 73497 2149072 PATIENT SERVICES 900099 207691434 206509729 1181705 RENTAL INCOME 900099 836425 836425 EQUITY CHANGES OF UNCONSOLIDATED ORGS 900099 9432 9432 0 0 0 0 0 0 208537291 373656 -942 374598 0 0 0 0 0 0 0 255801 10100 255801 10100 265901 265901 0 0 0 LEASED EMPLOYEES 561300 1154550 1154550 CAFETERIA 722100 479291 479291 GIFT SHOP 453220 104368 104368 320565 0 0 320565 2058774 213384694 207355586 2335313 1544723 X 15238473 15238473 0 0 0 19133 19133 0 60066130 58013691 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RESTRICTED RESTRICTED RESTRICTED false true false false false true 15301 true 3413 false false 18714 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 AS FOLLOWS: HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA - $9,803 AMERICAN HOSPITAL ASSOCIATION - $4,086 CATHOLIC HEALTH ASSOCIATION - $1,412 LINE 1G: THE ORGANIZATION INCURS COSTS FOR LEGISLATIVE ADVOCACY EFFORTS WITH VARIOUS CONGRESSMEN AND OTHERS, INCLUDING THE FOLLOWING ACTIVITIES: - ATTEND FUNDRAISING RECEPTIONS 4172218 4172218 133457788 16066985 117390803 4982717 3780564 1202153 63287253 52685288 10601965 1107576 154129 953447 134320586 0 0 CHI OIP - FIXED INCOME 9279952 F CHI OIP - EQUITY SECURITIES 9771257 F 19051209 0 CHI DEBT MANAGEMENT 127938183 BUILDING PROJECT LEASE 9996871 CAPITAL LEASE FOR DAYCARE 2038138 INTERCOMPANY PAYABLES 869767 ESCROW FOR CGH TRUSTS 226680 UNCLAIMED PROPERTY 43290 RAC TACKEBACKS 11526 PARKING SECURITY DEPOSITS 1740 141126195 X Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote ST. JOSEPH REGIONAL HEALTH NETWORK'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2014, 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 990 639281 0 639281 0.00310 44626 31283342 24213333 7070009 0.03460 0 0.00000 0 45616 31922623 24213333 7709290 0.03770 23 5321 122137 0 122137 0.00060 8 204 493460 4400 489060 0.00240 0 0.00000 0 0.00000 15 508924 144108 0 144108 0.00070 46 514449 759705 4400 755305 0.00370 46 560065 32682328 24217733 8464595 0.04140 0 0.00000 0 0.00000 3 1237 8436 8436 0.00000 0 0.00000 0 0.00000 0 0.00000 1 1000 3369 3369 0.00000 0 0.00000 1 1000 183 183 0.00000 5 3237 11988 0 11988 0.00000 true 14387332 0 42873325 46680634 -3807309 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 true X X X X X X X X X 12 true true true X www.thefutureofhealthcare.org X X X X X X X X X true false true false false true X X X X X X X true true X X X X X true false true X false false Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment (1) - : 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 4, Other Hospital Facilities included in Needs Assessment (1) - : 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 10, Used federal poverty guidelines (FPG) to determine eligibility (1) - : HUD LOW INCOME GUIDELINES USED; Schedule H, Part V Sec B, Line 11, Eligibility for Discounted Care (1) - : HUD LOW INCOME GUIDELINES USED; Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined (1) - : 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 CLINIC/X-RAY/CT/LAB ST JOSEPH HEALTH NETWORK-STLAWRENCE 120 PROSPECT STREET READING PA 19606 DRAW STATION ST JOSEPH HEALTH NETWORK-ELVERSON 45 SOUTH PINE STREET ELVERSON PA 19520 DIAG/URGENT CARE ST JOSEPH HEALTH NETWORK-SHELBORNE 5400 PERKIOMEN AVENUE READING PA 19606 REHAB ST JOSEPH HEALTH NETWORK-STRAUSSTOWN 44 EAST AVENUE STRAUSSTOWN PA 19559 DIAG/URGENT CARE ST JOSEPH HEALTH NETWORK-MAIDENCREEK 108 PLAZA DRIVE SUITE 101 BLANDON PA 19510 THERAPY, X-RAY, PE ST JOSEPH HEALTH NETWORK-SPRING RIDGE 2605 KEISER BLVD SUITE 200 WYOMISSING PA 19610 CARDIAC REHAB/LAB ST JOSEPH HEALTH NETWORK-BROADCASTING 2610 KEISER BLVD WYOMISSING PA 19610 LAB & PT THERAPY ST JOSEPH HEALTH NETWORK-BERKS IMAGING 1330 PENN AVENUE WYOMISSING PA 19610 IMAGING ST JOSEPH HEALTH NETWORK-LEESPORT SCHOOLSIDE PLAZA-RT 61 and WALL ST KENHORST PA 19533 LAB DRAW AND X-RAY ST JOSEPH QUALITY MEDICAL LABORATORY-SINKING SPRING 4400 PENN AVENUE SINKING SPRING PA 19608 CARDIAC REHAB/LAB ST JOSEPH QUALITY MEDICAL LABORATORY-BIRDSBORO RT 724 MAPLE SPRINGS BIRDSBORO PA 19508 DRAW STATION ST JOSEPH QUALITY MEDICAL LABORATORY-HEALTHSOUTH 1623 MORGANTOWN ROAD READING PA 19607 DRAW STATION ST JOSEPH QUALITY MEDICAL LABORATORY-BOYERTOWN FIFTH AND MONTGOMERY AVENUES BOYERTOWN PA 19512 DRAW STATION ST JOSEPH QUALITY MEDICAL LABORATORY-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, [$180,745,822 /$650,360,648] RESULTS IN A 27.79% 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 14,387,332 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 27.79%. 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 THE ALLOWANCE 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: $42,873,325 TOTAL MEDICARE COSTS: $46,680,634 SURPLUS OR SHORTFALL: $3,807,309 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: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO 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, LINES 2, 4, & 5: NEEDS ASSESSMENT, COMMUNITY INFORMATION & HEALTH 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 HEALTH CARE SERVICES TO THE PEOPLE OF THE CITY OF READING. AS THE ONLY CATHOLIC HOSPITAL TO SERVE THE COMMUNITY, ST. JOSEPH EMBRACED THE MISSION OF THE FOUNDING RELIGIOUS CONGREGATION AND IS A MEMBER OF A NATIONAL CATHOLIC HEALTH CARE 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 HEALTH CARE 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., 204-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 OFFERING INNOVATIVE PATIENT CENTER APPROACHES TO MATERNITY AND DIABETES MANAGEMENT. IT ALSO IS PIONEERING THE IMPLEMENTATION OF PATIENT CENTERED MEDICAL HOME PRACTICES. ST. JOSEPH 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 1,600 EMPLOYEES, $220 MILLION IN ANNUAL REVENUES AND NEARLY 50,000 ANNUAL EMERGENCY ROOM VISITS. COMMUNITY BENEFIT APPROACH ST. JOSEPH REDUCES THE BURDEN ON THE GOVERNMENT TO MEET THE COMMUNITY'S GROWING AND DIVERSE HEALTH NEEDS BY REACHING OUT THROUGH ITS TWO CAMPUSES AND MULTIPLE OUTPATIENT 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: - IDENTIFY AND INCREASE AWARENESS OF HEALTH NEEDS IN READING AND BERKS COUNTY. - PROVIDE MEDICAL, SPIRITUAL, AND FINANCIAL RESOURCES TO MEET THOSE NEEDS. - 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 MEDIAN 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 ST. JOSEPH'S EFFORTS TO PROVIDE PATIENTS WITH ACCESS TO PRIMARY CARE PHYSICIANS AT ITS DOWNTOWN READING CAMPUS. THE MOST RECENT 2013 ESTIMATES FROM THE U.S. CENSUS BUREAU REFLECT THE FOLLOWING REGARDING THE CITY OF READING AND BERKS COUNTY: CITY OF READING: MEDIAN AGE - 29.5 MEDIAN HOUSEHOLD INCOME - $25,656 PER CAPITA INCOME - $12,414 HISPANIC - 59.9% WHITE, NON-HISPANIC - 25.7% TOTAL POPULATION - 87,833 BERKS COUNTY: MEDIAN AGE - 40.0 MEDIAN HOUSEHOLD INCOME - $58,970 PER CAPITA INCOME - $25,600 HISPANIC - 15.3% WHITE, NON-HISPANIC - 78.0% TOTAL POPULATION - 417,554 MOST NOTABLY, READING - THE FIFTH LARGEST CITY IN THE STATE OF PENNSYLVANIA - IS 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". SCHEDULE H, PART VI, LINES 2, 4, & 5: NEEDS ASSESSMENT, COMMUNITY INFORMATION & HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT IT IS GENERALLY RECOGNIZED THAT THE HEALTH OF THE COMMUNITY IS NOT THE RESPONSIBILITY OF ANY ONE ENTITY, BUT RATHER REQUIRES THE COORDINATED EFFORTS OF MANY ENTITIES - PUBLIC AND PRIVATE - TO REALIZE AN IMPROVED HEALTH STATUS OF A COMMUNITY. ST. JOSEPH 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 WERE 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. WE ARE SET TO CONDUCT THE STUDY AGAIN IN 2015. IN OUR FIRST REPORT, WE COLLABORATED WITH THE READING HEALTH SYSTEM, THE BERKS COMMUNITY FOUNDATION, AND THE UNITED WAY OF BERKS COUNTY IN A COMMUNITY HEALTH NEEDS ASSESSMENT TO ADDRESS ISSUES AND OPPORTUNITIES WITHIN THE GREATER COMMUNITY. 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 OFFERED A FRAMEWORK FOR UPDATING DATA AND MEASURING OUTCOMES. THE PURPOSE OF THE NEEDS ASSESSMENT WAS TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS SO THAT THESE ORGANIZATIONS COULD DEVELOP STRATEGIES AND IMPLEMENTATION PLANS THAT WOULD BENEFIT THE PUBLIC. THE REPORT, WHICH CAN BE FOUND AT WWW.THEFUTUREOFHEALTHCARE.ORG, SUMMARIZES THE RESULTS OF AN ASSESSMENT OF THE HEALTH STATUS AND HEALTH CARE NEEDS OF THE RESIDENTS OF BERKS COUNTY, PA. 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, CALLED BERKS COMMUNITY HEALTH CENTER, RAMPED UP ITS OPERATIONS. THEREFORE, INFORMATION ON THE IMPACT OF THE LEGISLATION AND THE HEALTH CENTER ON ACCESS TO HEALTH CARE WAS 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 ISSUES. THE 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 ADDITION, MANY ADULTS SUFFER FROM OBESITY, HIGH BLOOD PRESSURE, DIABETES, AND UNTREATED MENTAL HEALTH CONDITIONS. FOR EXAMPLE: -NEARLY 1/3 OF ADULTS (30.2%) ARE OBESE AND MORE THAN 1/3 (35.9%) ARE OVERWEIGHT; -1/3 OF ADULTS (33.4%) HAVE BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE; THIS PERCENTAGE REPRESENTS 105,400 ADULTS; -ONE IN SEVEN ADULTS (13.9%) HAS BEEN DIAGNOSED WITH DIABETES; -ALTHOUGH 14.6% HAVE BEEN DIAGNOSED WITH A MENTAL HEALTH CONDITION, ONLY 38.5% OF THOSE ARE RECEIVING TREATMENT FOR THEIR CONDITION; AND -RESIDENTS OF THE CITY OF READING, BLACKS, AND LATINOS ARE IN POORER OVERALL HEALTH, ARE MORE LIKELY TO BE OBESE, AND ARE MORE LIKELY TO HAVE DIABETES, HIGH BLOOD PRESSURE, OR A MENTAL CONDITION THAN OTHER RESIDENTS, AND THERE ARE MANY SMALLER SUBURBAN AND RURAL AREAS OF THE COUNTY WHERE LOW INCOME RESIDENTS, IN PARTICULAR, ARE IN POOR HEALTH. UNMET NEEDS HEALTH CARE IS UNAFFORDABLE FOR MANY BERKS COUNTY RESIDENTS. FORTY-FOUR PERCENT OF SURVEY RESPONDENTS IDENTIFIED THE COST OF HEALTH CARE, INCLUDING INSURANCE COVERAGE, CO-PAYS, AND DEDUCTIBLES, AS THE MOST COMMON HEALTH CONCERN. FOR EXAMPLE: -ONE IN SEVEN ADULTS AGED 18-64 (13.3%) IS UNINSURED, REPRESENTING 33,000 UNINSURED ADULTS; THIS PERCENTAGE HAS INCREASED FROM 8.7% IN 2008 TO 13.3% IN 2013. -AMONG THE UNINSURED IN BERKS COUNTY, 1/4 (24.8%) VISITED AN EMERGENCY ROOM FOR CARE IN THE PAST YEAR DUE TO A LACK OF HEALTH INSURANCE. -MANY ADULTS IN BERKS COUNTY ARE UNABLE TO GET NEEDED CARE DUE TO THE COST OF THAT CARE; 12.0% OF ADULTS, OR ABOUT 37,000 INDIVIDUALS, REPORTED THAT THERE WAS A TIME IN THE PAST YEAR WHEN THEY NEEDED HEALTH CARE, BUT DID NOT RECEIVE IT DUE TO THE COST. ACCESS TO ESSENTIAL HEALTH CARE GOALS OF ST. JOSEPH REGIONAL HEALTH NETWORK INCLUDE IMPROVING ACCESS TO ESSENTIAL HEALTH CARE, AS FOLLOWS: -INCREASE THE CAPACITY OF EXISTING PROVIDERS AND ADD NEW PROVIDERS TO IMPROVE ACCESS TO ESSENTIAL HEALTH CARE SERVICES FOR AT-RISK POPULATIONS. THESE NEEDS INCLUDE: -PRIMARY CARE AND SPECIALTY CARE; -MENTAL HEALTH SERVICES, INCLUDING PSYCHIATRISTS; -EARLY PRENATAL CARE, PARTICULARLY FOR BLACK AND HISPANIC/LATINA WOMEN; AND -PATIENT NAVIGATORS AND CASE MANAGERS TO ASSIST AT-RISK POPULATIONS IN CIRCUMVENTING BARRIERS TO ACCESSING ESSENTIAL HEALTH CARE. -ENCOURAGE THE COMMUNITY TO WORK TOGETHER TO ESTABLISH A BERKS COUNTY HEALTH DEPARTMENT TO FOCUS ON SUCH POPULATION HEALTH OBJECTIVES AS: -PROVIDING PREVENTIVE SCREENINGS AND HEALTH EDUCATION TO AT-RISK SUBPOPULATIONS; -ADDRESSING BARRIERS AT-RISK POPULATIONS FACE IN ACCESSING AFFORDABLE MEDICATIONS, DENTAL CARE, AND VISION CARE; AND -COORDINATING COMMUNITY RESPONSES TO ISSUES AFFECTING POPULATION HEALTH. -IMPROVE THE SOCIAL SERVICE AGENCIES' AND HEALTH CARE PROVIDERS' CAPACITY TO ADDRESS UNIQUE LINGUISTIC AND CULTURAL FACTORS THAT AFFECT ACCESS TO CARE BY LARGE SEGMENTS OF TEH HISPANIC/LATINO POPULATION, SPECIFICALLY: -INCREASING THE AVAILABILITY OF BILINGUAL, CULTURALLY APPROPRIATE SERVICES, PARTICULARLY IN SPECIALISTS' OFFICES; -BETTER EDUCATING OF AT-RISK POPULATIONS ABOUT THE VALUE AND AVAILABILITY OF PREVENTIVE SERVICES; -IMPROVING AT-RISK POPULATIONS' UNDERSTANDING OF ELIGIBILITY REQUIREMENTS AND APPLICATION PROCESSES FOR PUBLICLY-FUNDED HEALTH INSURANCE; AND -ADDRESSING CONCERNS OF THOSE AT-RISK POPULATIONS WHOSE LEGAL STATUS REPRESENTS A BARRIER TO ACCESSING ESSENTIAL HEALTH SERVICES. HEALTH CARE IS A BASIC HUMAN RIGHT: PROVIDING FINANCIAL ASSISTANCE WE BELIEVE THAT RECEIVING HEALTH CARE IS A BASIC HUMAN RIGHT. OUR CATHOLIC HEALING TRADITION TEACHES THAT ACCESS TO NECESSARY HEALTH CARE SHOULD NEVER BE BASED ON THE ABILITY TO PAY. ST. JOSEPH PARTICIPATES IN THE WIDEST NUMBER OF INSURANCE PROGRAMS OF THE HOSPITALS IN THE REGION. WE REALIZE THAT MANY PEOPLE EITHER CANNOT AFFORD HEALTH INSURANCE OR DO NOT HAVE ENOUGH INSURANCE TO COVER THEIR BILLS. THOSE ARE THE REASONS FOR OUR PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROGRAM, WHICH IS PUBLICLY POSTED ON THE HOSPITAL WEBSITE, WWW.THEFUTUREOFHEALTH CARE.ORG. A PRICE ESTIMATOR ALSO WAS ADDED IN ORDER TO FURTHER CREATE PRICE AND COST TRANSPARENCY. WE UNDERSTAND THAT THE NEED FOR HEALTH CARE AND HOSPITAL SERVICES IS OFTEN UNPLANNED, AND SOME PATIENTS MAY NOT HAVE SUFFICIENT INSURANCE, OR MAY BE UNABLE TO PAY THEIR ENTIRE BILL RIGHT AWAY. WE ASSURE PATIENTS THAT ADMISSION TO ST. JOSEPH REGIONAL HEALTH NETWORK IS A MEDICAL, NOT A FINANCIAL, DECISION. IN ADDITION, FOR THOSE WHO NEED TO TAKE ADVANTAGE OF OUR FINANCIAL ASSISTANCE PROGRAMS, WE PROVIDE THE NECESSARY ASSISTANCE IN COMPLETING APPLICATIONS THAT HELP TO DETERMINE ELIGIBILITY FOR FEDERAL, STATE, OR COUNTY GOVERNMENT HEALTH CARE ASSISTANCE. WE ALSO OFFER ST. JOSEPH REGIONAL HEALTH NETWORK'S OWN ASSISTANCE PLAN THAT CAN PAY ALL OR A SIGNIFICANT PORTION OF HOSPITAL BILLS. SCHEDULE H, PART VI, LINES 2, 4, & 5: NEEDS ASSESSMENT, COMMUNITY INFORMATION & HEALTH QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT THE HEART OF OUR MISSION IS TO TOUCH AND IMPROVE THE LIVES - IN BODY, MIND AND SPIRIT - OF AS MANY PEOPLE AS POSSIBLE WHO LIVE IN OUR EXTENDED COMMUNITY. WE ARE MAKING A DIFFERENCE WITH OUR NUMEROUS OUTREACH EFFORTS FOR WHICH OUR STAFF GIVES UNSELFISHLY OF THEIR TIME. AMONG OUR PROGRAMS ARE: AN AWARD FOR BETTER BREAST HEALTH ST. JOSEPH REGIONAL HEALTH NETWORK WAS SELECTED AS A WINNER IN THE COMMUNITY BENEFIT CATEGORY FOR ITS PROJECT, "BETTER BREAST HEALTH INITIATIVE: BREAST SCREENING FOR THE UNINSURED POPULATION." THIS INNOVATIVE PROJECT WAS SPECIFICALLY DEVELOPED TO PROVIDE BREAST HEALTH EDUCATION AND SCREENINGS TO THE UNINSURED FEMALE POPULATION. THROUGH THE PROGRAM, ST. JOSEPH REGIONAL HEALTH NETWORK WAS ABLE TO PROVIDE BREAST IMAGING SERVICES FOR OVER 300 UNINSURED WOMEN. THIS INITIATIVE EXEMPLIFIES ST. JOSEPH REGIONAL HEALTH NETWORK'S COMMITMENT TO THE WELL-BEING OF ITS PATIENTS AND COMMUNITY. THE HAP ACHIEVEMENT AWARDS REPRESENT PENNSYLVANIA'S HEALTH CARE INNOVATION AND FORWARD-THINKING DURING A TIME WHEN MUCH IS CHANGING IN THE HEALTH CARE INDUSTRY. FIFTEEN JUDGES REPRESENTING THE PUBLIC AND PRIVATE SECTORS, HEALTH CARE, AND BUSINESS ORGANIZATIONS CHOSE 15 AWARD WINNERS. FAMILY & WOMEN'S CARE AND FAMILY PRACTICE CLINIC IN CENTER CITY ST. JOSEPH FAMILY & WOMEN'S CARE PROVIDES COMPREHENSIVE OUTPATIENT PRIMARY CARE THAT INCLUDES SERVICES IN FAMILY PRACTICE, PEDIATRICS, AND OB/GYN. THE CENTER SERVES AS AN ENTRY POINT INTO THE CONTINUUM OF CARE OFFERED BY ST. JOSEPH REGIONAL HEALTH NETWORK. PHYSICIANS, PHYSICIAN ASSISTANTS, CERTIFIED REGISTERED NURSE PRACTITIONERS, CERTIFIED NURSE MIDWIVES, SOCIAL WORKERS, NURSE NAVIGATORS, NURSES AND MEDICAL ASSISTANTS COLLABORATE TO PROVIDE AN INTERDISCIPLINARY APPROACH TO MEET THE INDIVIDUAL HEALTH CARE NEEDS OF OUR PATIENTS. WE OFFER AGE-APPROPRIATE HEALTH, PSYCHOLOGICAL CARE THAT IS CULTURALLY SENSITIVE. HEALTH MAINTENANCE EDUCATION AND WELLNESS PROGRAMS ARE ALSO OFFERED. THIS CLINIC SERVES AS AN OUTREACH HEALTH PROGRAM FOR AN UNDERSERVED PATIENT POPULATION IN THE CITY OF READING AND PARTICIPATES IN ALL OF THE LOCAL HEALTH INSURANCE PLANS INCLUDING ALL OF THE MEDICAL ASSISTANCE PLANS. ACCESS TO PRIMARY HEALTH CARE IS A SIGNIFICANT ISSUE FOR RESIDENTS OF BERKS COUNTY. WHILE IT IS TRUE THAT RESIDENTS ALL ACROSS PENNSYLVANIA HAVE TO FACE THE CONSEQUENCES OF HAVING TOO FEW PRIMARY CARE PHYSICIANS IN THEIR COMMUNITIES IT REMAINS A PROBLEM THAT MANY COUNTY RESIDENTS REPORT NOT HAVING A PERSONAL HEALTH CARE PROVIDER AT A RATE THAT IS HIGHER THAN THE STATE AVERAGE AND HIGHER THAN THE SURROUNDING COUNTIES. LATINOS ARE MORE THAN THREE TIMES AS LIKELY TO REPORT NOT HAVING A PRIMARY HEALTH CARE PROVIDER AS THE WHITES. FURTHER, MANY LATINOS FACE THE SIGNIFICANT SOCIOECONOMIC BARRIERS OF POVERTY, LANGUAGE, LACK OF HEALTH INSURANCE AND CULTURAL ISSUES, INCLUDING SOCIAL SUPPORT AND ATTITUDES ABOUT HEALTH CARE. THE DOWNTOWN CAMPUS ALSO IS HOME TO HAVEN BEHAVIORAL HEALTH, A FULL-SERVICE, INPATIENT PSYCHIATRIC UNIT PROVIDING COMPREHENSIVE AND STATE OF THE ART BEHAVIORAL HEALTH SERVICES TO WIDE RANGE OF PATIENTS AND CONDITIONS. ABOUT CENTERING PREGNANCY: ST. JOSEPH OFFERS CENTERING PREGNANCY A MULTIFACETED GROUP MODEL OF CARE THAT INTEGRATES THE THREE MAJOR COMPONENTS OF CARE - HEALTH ASSESSMENT, EDUCATION, AND SUPPORT - INTO A UNIFIED PROGRAM WITHIN A GROUP SETTING. EIGHT TO TWELVE WOMEN WITH SIMILAR GESTATIONAL AGES MEET TOGETHER, LEARN CARE SKILLS, PARTICIPATE IN A FACILITATED DISCUSSION AND DEVELOP A SUPPORT NETWORK WITH OTHER GROUP MEMBERS. EACH GROUP MEETS FOR AT LEAST 10 SESSIONS THROUGHOUT PREGNANCY AND EARLY POSTPARTUM AND EACH SESSION LASTS APPROXIMATELY 90 MINUTES. WITHIN THE GROUP SPACE, THE MEDICAL PRACTITIONER AND CARE TEAM COMPLETE STANDARD PHYSICAL HEALTH ASSESSMENTS FOR THE WOMEN. THROUGH THIS UNIQUE MODEL OF CARE, WOMEN ARE EMPOWERED TO CHOOSE HEALTH-PROMOTING BEHAVIORS. THE EFFECTIVENESS OF THIS MODEL AND DELIVERY OF CARE HAS BEEN MEASURED BY HEALTH OUTCOMES FOR PREGNANCIES, SPECIFICALLY INCREASED BIRTH WEIGHT AND THE GESTATIONAL AGE OF THE MOTHER AT DELIVERY. ADDITIONALLY, SCORES SHOW INCREASED SATISFACTION BY BOTH THE MOTHER AND THE HEALTH CARE PROVIDERS. CENTERING PREGNANCY GROUPS PROVIDE A DYNAMIC ATMOSPHERE FOR LEARNING AND SHARING THAT IS IMPOSSIBLE TO CREATE IN A ONE-TO-ONE ENCOUNTER. INSTEAD OF SHORT VISITS ALONE WITH A PROVIDER, CENTERING PREGNANCY GROUP PARTICIPANTS RECEIVE APPROXIMATELY 20 HOURS OF PRENATAL CARE ACROSS PREGNANCY, COMPARED TO ABOUT 2 TOTAL HOURS - ALL AT NO ADDITIONAL COST. CENTERING PREGNANCY IS PRENATAL CARE THAT SERVES THE GENERAL NEEDS OF ALL PREGNANT WOMEN AND MEETS THE SPECIAL NEEDS OF RACIAL AND ETHNIC GROUPS. THIS PRENATAL CARE MODEL TRANSCENDS BARRIERS TO BRING WOMEN TOGETHER TO SHARE WHAT THEY HAVE IN COMMON: THE DESIRE TO HAVE A HEALTHY BABY AND A SAFE, SATISFYING LABOR AND DELIVERY EXPERIENCE. HEARING OTHER WOMEN SHARE CONCERNS WHICH MIRROR THEIR OWN HELPS THE WOMAN TO NORMALIZE THE WHOLE EXPERIENCE OF PREGNANCY. ST. JOSEPH HAS IMPLEMENTED CENTERING PREGNANCY AT OUR DOWNTOWN READING CAMPUS, AND IS REACHING OUT TO THE COMMUNITY BY HOSTING GROUPS AT OTHER COMMUNITY BASED ORGANIZATION SITES. CENTERING DIABETES PROMOTES SELF-MANAGEMENT CENTERING DIABETES CLASSES ARE MODELED ON CENTERING PREGNANCY CLASSES AND ARE DESIGNED TO HELP DIABETICS TO ACCESS CLINICIANS, THERAPISTS, DIETITIANS AND HEALTH EDUCATORS AND TO PARTICIPATE IN CLASSES ABOUT NUTRITION, EXERCISE, MEDICATIONS, AND LIFESTYLE AND COPING SKILLS. THE GOAL IS TO HELP PATIENTS TO NOT BE AFRAID OF HAVING DIABETES - TO SEE THAT THEY CAN TAKE CARE OF THEMSELVES AND THAT THE DISEASE IS MANAGEABLE. THE PROGRAM PROMOTES SELF-MANAGEMENT OF THE DISEASE TO ACHIEVE TREATMENT GOALS THAT BRING ABOUT HEALTHY OUTCOMES. COMBATING YOUTH VIOLENCE VIOLENCE PREVENTION ISN'T OFTEN THOUGHT OF AS A TRADITIONAL MEANS OF DELIVERING HEALTH CARE. BUT IT MAKES SENSE THAT ST. JOSEPH REGIONAL HEALTH NETWORK SHOULD BE AT THE FOREFRONT OF THIS EFFORT TO REDUCE VIOLENCE IN OUR COMMUNITIES --- WE SEE THE TOLL OF VIOLENCE EVERY DAY IN OUR EMERGENCY DEPARTMENT. IT IS AN EPIDEMIC AND THE TOLL OF VIOLENT CRIMES IN THIS COUNTRY IS AS STAGGERING AND AS PERSISTENT AND PERVASIVE AS ANY INFECTIOUS OR CHRONIC DISEASE. ST. JOSEPH PROVIDES THE READING YOUTH VIOLENCE PROJECT INITIATIVE WITH A FIVE-YEAR COMMITMENT TOTALING MORE THAN $840,000. THROUGH A CONSENSUS PROCESS, THREE GOALS FOR PREVENTING YOUTH VIOLENCE WERE DEVELOPED: -SUPPORT POSITIVE RELATIONSHIPS AND HOME ENVIRONMENTS FOR YOUNG PEOPLE. -ENHANCE STUDENT AND SCHOOL ENGAGEMENT TO KEEP YOUNG PEOPLE IN SCHOOL. -IMPROVE CONDITIONS IN COMMUNITIES MOST IMPACTED BY VIOLENCE. HERT TEAM: RESPONDING TO DISASTERS ST. JOSEPH REGIONAL HEALTH NETWORK'S HOSPITAL EMERGENCY RESPONSE TEAM (HERT) TRUCK CARRIES A MOBILE, 10-BED EMERGENCY HOSPITAL, COMPLETE WITH: BEDS, SUPPLIES, MEDICAL EQUIPMENT, CARDIAC MONITORS, SUCTION UNITS, SPLINTS, STRETCHERS, EVACUATION CHAIRS, SIX PORTABLE "POP-UP" TENTS, WATER, FOOD, GENERATORS, LIGHTS, TABLES, CHAIRS, COMPUTERS, COMMUNICATION EQUIPMENT, TRIAGE TAGS, AND VARIOUS OTHER EMERGENCY HOSPITAL EQUIPMENT. IT IS A SELF-SUFFICIENT RESOURCE THAT CAN OPERATE INDEPENDENTLY FOR SEVERAL DAYS. THE TEAM CONSISTS OF PHYSICIANS, NURSES, PARAMEDICS, EMT, DECONTAMINATION SPECIALISTS, AND SUPPORT PERSONNEL WHO ARE EMPLOYEES OF THE HOSPITAL AND CONTRIBUTE THEIR TIME TO SUPPORT THE TEAM. THE HERT VEHICLE HAS BECOME A "STAPLE" AT COMMUNITY HEALTH EVENTS SUCH AS THE READING FAIR, WWII WEEKEND, BERKS COUNTY HERITAGE FESTIVAL, COMMUNITY DAYS, AND MANY OTHER VENUES. IN ADDITION, AND PERHAPS MORE IMPORTANTLY, THE HERT TRUCK TRANSPORTS SOME OF OUR ESSENTIAL EMERGENCY PREPAREDNESS EQUIPMENT, SUCH AS DECONTAMINATION GEAR, PORTABLE HOSPITAL LITTERS, AND MASS CASUALTY MEDICAL SUPPLIES, THAT THE HOSPITAL WOULD USE IN TIMES OF DISASTER. COMMUNITIES AROUND THE COUNTY HAVE COME TO RELY ON THE ST. JOSEPH REGIONAL HEALTH NETWORK HERT TO HELP ENSURE THE SAFETY OF MASS GATHERING EVENTS. SCHEDULE H, PART VI, LINES 2, 4, & 5: NEEDS ASSESSMENT, COMMUNITY INFORMATION & HEALTH QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT, CONTINUED FREE FLU SHOTS ST. JOSEPH'S ANNUAL FLU SHOT OUTREACH ONCE AGAIN SERVED MORE THAN 1000 IN OUR COMMUNITY WITH FREE FLU VACCINE AND, AS IN PAST YEARS, ST. JOSEPH MADE SPECIAL EFFORT TO PROVIDE THE SERVICE TO PUBLIC SERVANTS, POLICE, FIRE AND EMS IN A DRIVE UP SETTING. GIVING KIDS A LIFE, BY GIVING KIDS A SMILE THE YEAR 2014 IS THE 15TH YEAR THAT ST. JOSEPH REGIONAL HEALTH NETWORK HAS COLLABORATED WITH THE KEYSTONE FARMWORKER PROGRAM, THE BERKS-SCHUYLKILL DENTAL HYGIENISTS' ASSOCIATION, THE BERKS COUNTY DENTAL SOCIETY, AND INDIVIDUAL PRIVATE PRACTICE DENTAL PROFESSIONALS TO PROVIDE A CHILDREN'S DENTAL CLINIC THAT OPERATES ONE SATURDAY MORNING A MONTH FROM JANUARY THROUGH MAY. THE CHILDREN'S DENTAL CLINIC CARES FOR CHILDREN WITH SERIOUS DENTAL DISEASES WHO HAVE "FALLEN THROUGH THE CRACKS." A MAJORITY OF THOSE CLINIC PATIENTS ARE LOW INCOME, MINORITY CHILDREN, INCLUDING FARM-WORKER CHILDREN. COMENZANDO BIEN: A FREE SPANISH PRENATAL CLASS COMENZANDO BIEN (GOOD BEGINNING) WAS CREATED BY THE NATIONAL MARCH OF DIMES AS A WAY TO HELP EDUCATE HISPANIC WOMEN ABOUT PRENATAL CARE AT ST. JOSEPH REGIONAL HEALTH NETWORK. THE CURRICULUM ADDRESSES SOME OF THE UNIQUE CULTURAL PERSPECTIVES OF HISPANIC WOMEN AND THEIR FAMILIES, AS WELL AS BEHAVIORS THAT AFFECT A PREGNANCY. COMENZANDO BIEN IS A BILINGUAL PROGRAM WITH MATERIALS THAT REFLECT HISPANIC CULTURE AND THE ROLES OF MEN AND WOMEN IN THAT CULTURE. THE PRENATAL EDUCATION PORTION OF THE CLASSES ENCOURAGES POSITIVE BEHAVIORS, INCLUDING TAKING VITAMINS, GETTING NEEDED VACCINATIONS AND EATING PROPERLY DURING PREGNANCY. A GROWING PROGRAM TO BECOME EVEN "GREENER" WHILE THE STAFF AT ST. JOSEPH REGIONAL HEALTH NETWORK IS COMMITTED TO EXCELLENT PATIENT OUTCOMES, THEY ARE EQUALLY AS PASSIONATE ABOUT MANAGING THE HEALTH OF MOTHER EARTH. IN 2012 AND 2013, THE MEDICAL CENTER RECEIVED A "PARTNER FOR CHANGE AWARD - WITH DISTINCTION," FROM PRACTICE GREENHEALTH, A NATIONAL ORGANIZATION FOR HEALTH CARE FACILITIES THAT WORK TOWARD ENVIRONMENTALLY RESPONSIBLE OPERATIONS. PRACTICE GREENHEALTH RECOGNIZED ST. JOE'S FOR ITS ACHIEVEMENTS IN WASTE REDUCTION AND POLLUTION PREVENTION. IT IS THE THIRD YEAR THE MEDICAL CENTER WAS HONORED BY GREENHEALTH. SINCE ITS PROGRAM STARTED AS A GRASSROOTS EFFORTS BY CONCERNED AND COMMITTED EMPLOYEES, ST. JOSEPH IS NOW RECYCLING MORE THAN 60 PERCENT OF ITS WASTE, UP FROM 15 PERCENT TWO YEARS AGO. HOSPITAL EMPLOYEES HAVE EMBRACED A PROGRAM IN WHICH THEY RECYCLE GLASS, PAPER, COOKING OIL, LIGHT BULBS, BATTERIES, YARD AND LEAF WASTE, COMPUTERS, COPPER, PLASTIC, ALUMINUM AND TIN CANS, CARDBOARD, BLUE WRAP, PRINTER AND FAX CARTRIDGES, EYEGLASSES AND CELL PHONES. CLEARLY MARKED BINS IN THE MEDICAL CENTER'S CAFÉ ENABLE EMPLOYEES TO EASILY SORT RECYCLABLES AND COMPOSTABLE PRODUCTS FROM THEIR LUNCH TRAYS. THEIR EFFORTS KEPT 250 TONS OF WASTE FROM BEING PLACED IN LANDFILLS JUST LAST YEAR. ST. JOSEPH IS A SUCCESSFUL MODEL OF HOW HEALTH FACILITIES CAN DEVELOP AND IMPLEMENT POLLUTION PREVENTION PROGRAMS TO GREATLY IMPROVE THE HEALTH OF THEIR PATIENTS, STAFF AND COMMUNITY. IN 2008, GREENHEALTH RECOGNIZED ST. JOSEPH EFFORTS TO ELIMINATE THE USE OF MERCURY WITH THE MAKING MEDICINE MERCURY-FREE AWARD. WHILE MERCURY WAS TRADITIONALLY A NECESSARY COMPONENT OF HEALTH CARE OPERATIONS, IT CREATED HEALTH AND ENVIRONMENTAL CONCERNS THAT MEDICAL CENTER STAFF WAS DETERMINED TO ADDRESS. ST. JOSEPH ALSO WORKS WITH THE RODALE INSTITUTE, KUTZTOWN, PA, TO COMPOST FOOD WASTE. AID TO SEASONAL AND MIGRANT LABORERS LIVING IN THE SHADOWS OF BERKS COUNTY ARE SEASONAL FARM WORKERS WHO COME HERE HOPING TO MAKE BETTER LIVES FOR THEMSELVES AND THEIR FAMILIES. THEY WORK IN MUSHROOM HOUSES, ON FARMS AND IN ORCHARDS. THEY PICK STRAWBERRIES, PLANT CHRISTMAS TREES AND PROCESS TURKEYS. THIS GROUP OF FARM WORKERS TENDS TO BE POOR, WITH VERY LIMITED EDUCATION. SOME HAVE WORK VISAS, WHILE OTHERS ARE UNDOCUMENTED. MANY TRAVEL BETWEEN THE UNITED STATES AND MEXICO OR CENTRAL AMERICA, RETURNING TO BERKS COUNTY YEAR AFTER YEAR FOR WORK. THEY ARE TRANSIENT, AND VERY FEW HAVE ACCESS TO ADEQUATE MEDICAL CARE. ST. JOSEPH ADMINISTERS A PROGRAM WITH SELINA ZYGMUNT, REGIONAL MANAGER OF KEYSTONE HEALTH CENTER'S FARMWORKER PROGRAM, ON ST. JOSEPH REGIONAL HEALTH NETWORK'S DOWNTOWN CAMPUS. WITH THE HELP OF ST. JOSEPH'S RESIDENTS, THE PROGRAM PROVIDES IMMUNIZATIONS, HEALTH SCREENINGS, A DENTAL PROGRAM, EDUCATIONAL PROGRAMS AND OTHER SERVICES TO MIGRANT AND SEASONAL FARM WORKERS. PHYSICIANS AND FARMWORKER PROGRAM REPRESENTATIVES OFTEN SEEK OUT FARM WORKERS AT THEIR PLACE OF EMPLOYMENT TO PROVIDE IMMUNIZATION CLINICS OR OTHER SERVICES, SOMETIMES SERVING 50 OR 60 WORKERS IN ONE NIGHT. IF THEY CAN'T REACH THEM AT WORK, THEY SET UP HEALTH SCREENINGS THROUGHOUT THE COMMUNITY AND SPREAD THE WORD FOR WORKERS TO COME. GUTS & GLORY - ST. JOSEPH FOCUSES ON OBESITY, COLON CANCER, AND GI HEALTH ST. JOSEPH WAS THE MAIN COLLABORATOR AND TITLE SPONSOR FOR BERKS COUNTY'S FIRST DIGESTIVE AND WELLNESS EXPO CALLED "GUTS & GLORY". THIS EVENT WAS FREE TO THE PUBLIC AND OFFERED AN EXCITING JOURNEY OF WELLNESS EDUCATION, NUTRITIONAL AWARENESS, HEALTH CONSCIOUSNESS, AND FAMILY FUN. THE NEED FOR THE EVENT WAS HIGHLIGHTED BY THE RELEASE OF A GALLUP POLL THAT LISTED READING, PA, AS THE 9TH MOST OBESE CITY IN THE U.S. THE STATISTIC WAS SOBERING, PARTICULARLY WHEN THERE ARE SO MANY THINGS THAT PEOPLE CAN DO TO HELP THEMSELVES WHEN IT COMES TO EATING AND LIVING BETTER. THIS EVENT FEATURED LIVE HEALTHY COOKING DEMONSTRATIONS, GROUP FITNESS EXERCISE PRESENTATIONS, INSPIRING PERSONAL STORIES, AND EXPERT LECTURES. IT ALSO FEATURED THE COLOSSAL COLON, A 40-FT REPLICA OF THE HUMAN COLON CREATED BY CANCER SURVIVOR MOLLY MCMASTER. AT FOUR FEET TALL, THE JUMBO CRAWL-THROUGH EDUCATIONAL DISPLAY INCLUDES EXAMPLES OF HEALTHY COLON TISSUE, SEVERAL NON-CANCEROUS DISEASES OF THE COLON, POLYPS (PRECANCEROUS MASSES), AND VARIOUS STAGES OF COLORECTAL CANCER. GIRLS ON THE RUN - BUILDING SELF-ESTEEM ONE GIRL AT A TIME ST. JOSEPH WAS A FOUNDING SPONSOR OF THE BERKS COUNTY GIRLS ON THE RUN PROGRAM WHOSE VISION IS FOR EVERY GIRL TO KNOW AND ACTIVATE HER LIMITLESS POTENTIAL AND BE FREE TO BOLDLY PURSUE HER DREAMS. GIRLS ON THE RUN HONORS ITS CORE VALUES AND STRIVES TO HELP GIRLS GRADES 3 - 8: -RECOGNIZE THEIR POWER AND RESPONSIBILITY TO BE INTENTIONAL IN DECISION MAKING -EMBRACE THEIR DIFFERENCES AND FIND STRENGTH IN CONNECTEDNESS -EXPRESS JOY, OPTIMISM, AND GRATITUDE THROUGH WORDS, THOUGHTS, AND ACTIONS -NURTURE THEIR PHYSICAL, EMOTIONAL, AND SPIRITUAL HEALTH -LEAD WITH AN OPEN HEART AND ASSUME POSITIVE INTENT -STAND UP FOR THEMSELVES AND OTHERS GIRLS ON THE RUN INSPIRES GIRLS TO BE JOYFUL, HEALTHY, AND CONFIDENT USING A FUN, EXPERIENCE-BASED CURRICULUM WHICH CREATIVELY INTEGRATES RUNNING. Schedule H, Part VI, Line 3, Patient education of eligibility for assistance. ST. JOSEPH REGIONAL HEALTH NETWORK (SJRHN), ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES (CHI). CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 15) GOVERNING THE PROCEDURES FOR DETERMINING AND INFORMING PATIENTS ABOUT THE ENTITY'S FINANCIAL ASSISTANCE POLICY. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THE POLICY. THE POLICY STATES THE ORGANIZATION WILL INCLUDE INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, SJRHN PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN SJRHN'S OUTPATIENT FACILITIES. SJRHN REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS, INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER SJRHN'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES, INCLUDING AN APPLICATION FOR ASSISTANCE. SJRHN REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING AND PROVIDE TRANSLATORS FOR NON ENGLISH-SPEAKING INDIVIDUALS. SJRHN ALSO USES AN OUTSIDE SERVICE TO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. Schedule H, Part VI, Line 6, Affiliated health care system ST. JOSEPH REGIONAL HEALTH NETWORK, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES, ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 92 HOSPITALS, INCLUDING FOUR ACADEMIC MEDICAL CENTERS, AND 24 CRITICAL ACCESS FACILITIES; COMMUNITY HEALTH SERVICE ORGANIZATIONS; ACCREDITED NURSING COLLEGES; HOME HEALTH AGENCIES; AND OTHER FACILITIES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. TOGETHER, THESE FACILITIES PROVIDED $910 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2014 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES - INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN -- PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. ST. JOSEPH REGIONAL HEALTH NETWORK OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE ST. JOSEPH MEDICAL CENTER FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE BERKS COUNTY, PA, COMMUNITIES. Schedule H, Part VI, Line 7, State filing of community benefit report PA true ST JOSEPH MEDICAL GROUP 2500 BERNVILLE RD READING PA 19605 208544021 501(C)(3) 13328392 PROGRAM SUPPORT BORNEMANN HEALTH CORPORATION 2500 BERNVILLE RD READING PA 19605 232187242 501(C)(3) 1492025 PROGRAM SUPPORT ST JOSEPH MEDICAL CENTER FOUNDATION 2500 BERNVILLE RD READING PA 19605 232649362 501(C)(3) 418056 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 false false JOHN MORAHAN PRESIDENT/CEO 0 443172 0 260386 0 58195 0 64163 0 15330 0 841246 0 33183 MARY ELIZABETH O'BRIEN BOARD MEMBER/SR VP OPERATIONS 0 811904 0 605224 0 148302 0 151279 0 8904 0 1725613 0 57729 DAVID LIM SECRETARY/TREASURER/CFO 4812 255948 0 37784 0 20283 0 28602 1556 20024 6368 362641 0 0 SAMUEL ALFANO FORMER VP OF MEDICAL AFFAIRS 0 301545 0 43943 0 21922 0 26052 0 21933 0 415395 0 0 HOWARD DAVIS VP MEDICAL AFFAIRS/CMO 6848 354205 0 51840 0 34795 0 20952 1312 18640 8160 480432 0 0 SHARON STROHECKER VICE PRESIDENT 4174 223975 0 33318 0 20115 0 23502 1556 19828 5730 320738 0 0 SCOTT MENGLE VP HUMAN RESOURCES 3299 177198 0 26494 0 19878 0 22334 1368 17630 4667 263534 0 0 PEARL PAKDI PHYSICIAN 165836 142541 0 0 2111 1843 0 23502 8200 0 176147 167886 0 0 GUILLERMO RODRIGUEZ PHYSICIAN 135945 62625 57922 5711 3223 68 0 20952 13934 195 211024 89551 0 0 MICHAEL BRADLEY ASSOCIATE DIRECTOR 209502 1600 17500 0 174 0 24051 0 20885 0 272112 1600 0 0 PAMELA TAFFERA HOSPITALIST 139912 45883 0 0 21381 0 0 18384 7354 119 168647 64386 0 0 MARY MANCANO PHYSICIAN 181030 0 0 0 362 0 21373 0 14120 0 216885 0 0 0 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, SEVERANCE OR CHANGE-OF-CONTROL 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. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CATHOLIC HEALTH INITIATIVES OR ST. JOSEPH REGIONAL HEALTH NETWORK DURING THE 2013 CALENDAR YEAR. Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan DURING THE 2013 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 AND MARY ELIZABETH O'BRIEN DURING 2013 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JOHN MORAHAN - $38,111 MARY ELIZABETH O'BRIEN - $127,777 DURING 2013 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: JOHN MORAHAN - $33,183 MARY ELIZABETH O'BRIEN - $57,729 RESPIRATORY SPECIALISTS JOSEPH MARIGLIO IS A BOARD MEMBER AND A PART OWNER OF RESPIRATORY SPECIALISTS 515883 SJRHN CONTRACTS WITH RESPIRATORY SPECIALISTS TO PROVIDE PHYSICIAN SERVICES false BERKS CARDIOLOGIST LOUIS BORGATTA IS A BOARD MEMBER AND A PART OWNER OF BERKS CARDIOLOGIST 261268 SJRHN CONTRACTS WITH BERKS CARDIOLOGIST TO PROVIDE 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, Sec A, 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, Sec A, 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, Sec A, Line 7a, Members or stockholders electing members of governing body ACCORDING TO THE ORGANIZATION'S 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 ORGANIZATION'S 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 MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. Form 990, Part VI, Sec A, 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, Sec B, 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 E-FILING. 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, Sec B, 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 ORGANIZATION'S CEO'S 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 CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 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, Sec B, 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, Sec C, Line 19, Required documents available to the public THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part IX, Line 11g, Other Expenses OTHER FEES FOR SERVICES - TOTAL EXPENSE: 12896565, PROGRAM SERVICE EXPENSE: 11091453, MANAGEMENT AND GENERAL EXPENSES: 1805112, FUNDRAISING EXPENSES: ; CHI RRC FEES - TOTAL EXPENSE: 7524576, PROGRAM SERVICE EXPENSE: 7524576, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CHI CLINICAL ENGINEERING - TOTAL EXPENSE: 2822211, PROGRAM SERVICE EXPENSE: 2822211, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACTED MEDICAL PROFESSIONALS - TOTAL EXPENSE: 4508289, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 4508289, FUNDRAISING EXPENSES: ; Form 990 , Part XI, Line 9, Other changes in net assets or fund balances CAPITAL RESOURCE POOL CONTRIBUTION - -875076; 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 SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 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 SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA 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 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 - Type I CHI 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) 9 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 FOUNDATION 6385 CORPORATE DR STE 301 COLORADO SPRINGS CO 80919 840902211 FUNDRAISING CO 501(C)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DR COLORADO SPRINGS CO 80919 270930004 FUNDRAISING CO 501(C)(3) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 HEALTHCARE CO 501(C)(3) 11 - Type I 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 CENTER 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 INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(C)(3) 11 - Type I 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 - Type I CHI true CHI NEBRASKA 6940 O ST STE 200 LINCOLN NE 68510 363233121 HEALTHCARE NE 501(C)(3) 11 - Type III - FI CHI true CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER 6624 FANNIN ST HOUSTON TX 77030 741161938 HEALTHCARE TX 501(C)(3) 3 SLHS true CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HEALTHCARE AR 501(C)(3) 3 CHISVHS true CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(C)(3) 11 - Type II SVIMC true CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 1 MERCY LANE STE 201 HOT SPRINGS AR 71913 261125131 HEALTHCARE AR 501(C)(3) 3 CHISVHS true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(C)(2) N/A GSH true COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING IA 501(C)(3) 11 - Type I AH-CMHMV true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DR LEXINGTON KY 40509 611400619 LT ACH KY 501(C)(3) 3 SJHS true COVENANT HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232028429 HOME HEALTH PA 501(C)(3) 11 - Type II CHI NHC true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HEALTHCARE WA 501(C)(3) 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HEALTHCARE KY 501(C)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING KY 501(C)(3) 11 - Type I FH true FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING WA 501(C)(3) 9 FHS true FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HEALTHCARE WA 501(C)(3) 3 CHI true FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 PHYSICIANS MO 501(C)(3) 9 CHI true FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(C)(3) 9 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(C)(3) 9 CHI true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(C)(3) 11 - Type I CHI true GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311778403 EDUCATION OH 501(C)(3) 2 GSH true GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311206047 FUNDRAISING OH 501(C)(3) 11 - Type I GSH true GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING NE 501(C)(3) 7 GSH true GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON 110 N MAIN ST STE 500 DAYTON OH 45402 237296923 FUNDRAISING OH 501(C)(3) 7 SHP true HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON WA 98310 910565546 HEALTHCARE WA 501(C)(3) 3 FHS true HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUNDRAISING WA 501(C)(3) 7 HMC true HEALTH SET 2420 W 26TH AVE STE 460D DENVER CO 80211 841102943 LOW INC CARE CO 501(C)(3) 7 CHIC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING MN 501(C)(3) 11 - Type I SFMC true HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HEALTHCARE WA 501(C)(3) 3 FHS true HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 SHELTER IA 501(C)(3) 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 539 S 4TH ST LOUISVILLE KY 40202 611029768 HEALTHCARE KY 501(C)(3) 3 KOH true KENTUCKYONE HEALTH MEDICAL GROUP INC 539 S 4TH ST LOUISVILLE KY 40202 611352729 HEALTHCARE KY 501(C)(3) 9 JHSMH true KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(C)(3) 9 CHI true LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HEALTHCARE MN 501(C)(3) 3 CHI true LINUS OAKES INC 2700 STEWART PKWY ROSEBURG OR 97471 930821381 SENIOR LIVING OR 501(C)(3) 9 MMC true LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HEALTHCARE ND 501(C)(3) 3 CHI true LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(C)(3) 11 - Type III - FI MHSET true MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING TN 501(C)(3) 7 MHCS true MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HEALTHCARE TN 501(C)(3) 3 CHI true MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(C)(3) 9 MHCS true MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HEALTHCARE TX 501(C)(3) 3 CHI true MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HEALTHCARE TX 501(C)(3) 3 MHSET true MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HEALTHCARE TX 501(C)(3) 3 MHSET true MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN TX 95904 752721155 PHYSICIANS TX 501(C)(3) 11 - Type III - FI MHSET true MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 95902 752492741 HEALTHCARE TX 501(C)(3) 3 MHSET true MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES IA 50314 426076069 AUXILIARY IA 501(C)(3) 11 - Type I MF-DM IA true MERCY CLINICS INC 1111 6TH AVE DES MOINES IA 50314 421193699 PHYSICIANS IA 501(C)(3) 9 CHI-IA CORP true MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES IA 50314 421511682 EDUCATION IA 501(C)(3) 2 CHI-IA CORP true MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES IA 50314 237358794 FUNDRAISING IA 501(C)(3) 7 CHI-IA CORP true MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUNDRAISING OR 501(C)(3) 7 MMC true MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING IA 501(C)(3) 11 - Type I AHMH-CORNING true MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING ND 501(C)(3) 11 - Type III - FI MHVC true MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS IA 51503 421178204 FUNDRAISING IA 501(C)(3) 11 - Type I AHBMHS true MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUNDRAISING ND 501(C)(3) 7 MHDL true MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON ND 58801 450231183 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 420680308 HEALTHCARE IA 501(C)(3) 3 CHI-IA CORP true MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HEALTHCARE OR 501(C)(3) 3 CHI true MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUNDRAISING ND 501(C)(3) 11 - Type I MMC true MERCY PROFESSIONAL PRACTICE ASSOCIATES INC 1111 6TH AVE DES MOINES IA 50314 421470935 PHYSICIANS IA 501(C)(3) 9 CHI-IA CORP true NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HEALTHCARE ND 501(C)(3) 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES ND 58474 710966606 FUNDRAISING ND 501(C)(3) 11 - Type I OCH true PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN TX 75902 752493116 PROPERTY MGMT TX 501(C)(3) 11 - Type III - FI MHSET true PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO CO 81004 841234295 COMMUNITY CO 501(C)(3) 7 CHIC true REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE 12844 MILITARY RD S TUKWILA WA 98168 911170040 HEALTHCARE WA 501(C)(3) 3 FHS true SET OF COLORADO SPRINGS INC 2864 S CIRCLE DR STE 450 COLORADO SPRINGS CO 80906 841183335 LTERM CARE CO 501(C)(3) 7 CHIC true SAINT CLARE'S COMMUNITY CARE INC 25 POCONO RD DENVILLE NJ 07834 222876836 HEALTHCARE NJ 501(C)(3) 11 - Type II SCHS true SAINT CLARE'S FOUNDATION INC 25 POCONO RD DENVILLE NJ 07834 222502997 FUNDRAISING NJ 501(C)(3) 7 SCHS true SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE NJ 07834 223639733 MANAGEMENT NJ 501(C)(3) 11 - Type II CHI true SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE NJ 07834 223319886 HEALTHCARE NJ 501(C)(3) 3 SCHS true SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING NE 501(C)(3) 7 SERMC true SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 HEALTHCARE NE 501(C)(3) 3 SERMC true SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN NE 68510 470379836 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUNDRAISING NE 501(C)(3) 7 SFMC true SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA KY 40403 260152877 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH HEALTH SYSTEM INC 424 LEWIS HARGETT CIRCLE STE 160 LEXINGTON KY 40503 611334601 HEALTHCARE KY 501(C)(3) 3 KOH true SAINT JOSEPH HOSPITAL FOUNDATION INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611159649 FUNDRAISING KY 501(C)(3) 11 - Type I SJHS true SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH MEDICAL FOUNDATION INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 311539059 PHYSICIANS KY 501(C)(3) 3 SJHS true SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING KY 40353 272884584 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH'S HOSPITAL FOUNDATION 30 WEST 7TH ST DICKINSON ND 58601 363418207 FUNDRAISING ND 501(C)(3) 11 - Type I SJHHC true SAMARITAN BEHAVIORAL HEALTH INC 601 S EDWIN C MOSES BLVD DAYTON OH 45417 020633634 HEALTHCARE OH 501(C)(3) 7 SHP true SAMARITAN HEALTH PARTNERS 110 N MAIN ST STE 500 DAYTON OH 45402 311107411 HEALTHCARE OH 501(C)(3) 11 - Type I CHI true SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER NE 68661 363630014 FUNDRAISING NE 501(C)(3) 11 - Type I AHMHS true SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 440545809 HEALTHCARE MO 501(C)(3) 3 CHI true SL AUGUSTA CORP PO BOX 20269 HOUSTON TX 77225 760226623 TITLE HOLDING TX 501(C)(2) N/A SLPC true ST ANTHONY HOSPITAL 1601 SE COURT AVE PENDLETON OR 97801 930391614 HEALTHCARE OR 501(C)(3) 3 CHI true ST ANTHONY HOSPITAL FOUNDATION 1601 SE COURT AVE PENDLETON OR 97801 930992727 FUNDRAISING OR 501(C)(3) 11 - 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