SJRMC INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SJRMC INC (EIN 82-0204264)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-15
- IRS object ID
- 201531359349305453
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-15T13:00:17-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 E Fifth Street Suite 1900 | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820204264 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Regional Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 2087995470 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 816 415 Sixth Street | AddressLine1 |
| City | Lewiston | City |
| State | ID | State |
| ZIP Code | 83501 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Rooney | PersonNm |
| Person Title | Interim CEO | PersonTitleTxt |
| Phone | 2087995470 | PhoneNum |
| Signature | 2015-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Cody Cain | PreparerPersonNm |
| PTIN | P00902498 | PTIN |
| Phone | 5137847100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Michael Roonney MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 816 415 Sixth Street | AddressLine1 |
| City | Lewiston | City |
| State | ID | State |
| ZIP Code | 83501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $153,095,936 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.sjrmc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1918 | FormationYr |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Activity Or Mission | Provides inpatient, outpatient and emergency care services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1176 | TotalEmployeeCnt |
| Total Volunteers | 125 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $117,856 | PYContributionsGrantsAmt |
| CY Contributions Grants | $57,048 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $138,731,958 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $147,557,284 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,936,652 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,735,180 | CYInvestmentIncomeAmt |
| PY Other Revenue | $579,816 | PYOtherRevenueAmt |
| CY Other Revenue | $2,648,184 | CYOtherRevenueAmt |
| PY Total Revenue | $142,366,282 | PYTotalRevenueAmt |
| CY Total Revenue | $152,997,696 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $233,342 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $206,678 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $65,010,669 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $68,525,081 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $198,614 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $67,902,699 | PYOtherExpensesAmt |
| CY Other Expenses | $75,125,199 | CYOtherExpensesAmt |
| PY Total Expenses | $133,146,710 | PYTotalExpensesAmt |
| CY Total Expenses | $143,856,958 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,219,572 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,140,738 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $162,181,366 | TotalAssetsBOYAmt |
| Total Assets EOY | $163,729,088 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $53,092,148 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $46,444,067 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $109,089,218 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $117,285,021 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | St. Joseph Regional Medical Center (SJRMC) seeks to enhance the quality of life of the residents of its service area through the promotion of health, the prevention of disease and injury, and the provision of health services. SJRMC witnesses to the saving presence and mercy of the risen Christ by providing quality restorative, preventive and acute health care services, respecting human dignity in the experience of sickness and death, and fostering the physical, psychological, emotional, spiritual and social well-being of people. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $112,594,145 | ExpenseAmt |
| Grant | $206,679 | GrantAmt |
| Revenue | $149,679,746 | RevenueAmt |
| Desc | As a member of Ascension Health, the nation's largest Catholic Healthcare System, St. Joseph Regional Medical Center ("SJRMC") continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families and society as a whole. The goal of SJRMC is to perpetuate the healing mission of the Church. SJRMC furthers this goal through the delivery of patient services, the provision of care to the elderly and indigent, and the creation of patient education and health awareness programs for the community. Our concern for all human life and the dignity of each person leads the organization to provide medical services to all people in the community without regard to the patient's race, creed, national origin, economic status or ability to pay. See Schedule H. | Desc |
| Total Program Service Expenses | $112,594,145 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 93 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1176 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | ID | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ken Harris | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2087995470 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 415 Sixth Street | AddressLine1 |
| City | Lewiston | City |
| State | ID | State |
| ZIP Code | 83501 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Mike Thomason | |||||||||
| Chairman | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Sister Antoinette Czuleger | |||||||||
| Secretary | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Kent Anderson MD | |||||||||
| Past Chair | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Butch Alford | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Colin Doyle MD | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sister Kathleen Ann DuRoss | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Donn Durgan | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Tony Fernandez | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Joe Hall | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sister Anne McMullen | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Paul J Sanchirico MD | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jody Servatius | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Timothy P Sayler | |||||||||
| CEO (end 01/14)/Board Member | 40.00 | 0.00 | Yes (X) | Yes (X) | $922,835 | $0 | $40,412 | ||
| Thomas Safley | |||||||||
| Vice President/CFO | 40.00 | 0.00 | Yes (X) | $278,371 | $0 | $26,581 | |||
| Michael Rooney MD | |||||||||
| CMO/Interim CEO (start 02/14) | 40.00 | 0.00 | Yes (X) | $323,146 | $0 | $25,618 | |||
| Brenda Forge | |||||||||
| VP Human Resources | 40.00 | 0.00 | $224,228 | $0 | $37,463 | Yes (X) | |||
| Bobby Joe Jones | |||||||||
| VP Outpatient Services | 40.00 | 0.00 | $210,465 | $0 | $33,704 | Yes (X) | |||
| Debb Wiggs | |||||||||
| VP Physician Services (Start 08/13) | 40.00 | 0.00 | $189,513 | $0 | $12,677 | Yes (X) | |||
| John Ho MD | |||||||||
| Physician | 40.00 | 0.00 | $713,855 | $0 | $29,568 | Yes (X) | |||
| Binay K Shah MD | |||||||||
| Physician | 40.00 | 0.00 | $521,558 | $0 | $21,360 | Yes (X) | |||
| Katrina A Popham MD | |||||||||
| Physician | 40.00 | 0.00 | $549,487 | $0 | $20,637 | Yes (X) | |||
| Gerardo MidenceMD | |||||||||
| Physician | 40.00 | 0.00 | $581,050 | $0 | $38,360 | Yes (X) | |||
| Sushma Pant MD | |||||||||
| Physician | 40.00 | 0.00 | $554,003 | $0 | $23,713 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,068,511 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $310,093 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 77 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Pathologists Regional Laboratory | |||||
| PO Box 956 | Lewiston | ID | 83501 | Laboratory Services | $6,582,943 |
| Lewiston ER Physicians | |||||
| 639 Bryden | Lewiston | ID | 83501 | Physician Services | $2,711,704 |
| TriMedx LLC | |||||
| PO Box 1627 | Indianapolis | IN | 46278 | Professional Services | $1,732,848 |
| Cardio Solutions LLC | |||||
| 4270 Glendale Milford Road | Cincinnati | OH | 45242 | Physician Services | $1,500,000 |
| Touchpoint Support Services | |||||
| PO Box 102289 | Atlanta | GA | 303882289 | Dietary/Environmental Services | $1,476,569 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $56,878 | GovernmentGrantsAmt |
| All Other Contributions | $170 | AllOtherContributionsAmt |
| Total Contributions | $57,048 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Services | 621990 | $145,808,262 | $145,808,262 |
| Pharmacy | 446110 | $872,186 | $872,186 |
| Cafeteria Revenue | 722514 | $579,216 | $579,216 |
| Contract Service Rev. | 900099 | $229,882 | $229,882 |
| Program Revenue | 900099 | $67,738 | $67,738 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $147,557,284 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,735,035 | TotalRevenueColumnAmt |
| Exclusion | $2,735,035 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $437,044 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $82,885 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $354,159 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $354,159 | TotalRevenueColumnAmt |
| Exclusion | $354,159 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $15,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $15,355 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $145 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $145 | TotalRevenueColumnAmt |
| Exclusion | $145 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $171,563 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $171,563 | TotalRevenueColumnAmt |
| Exclusion | $171,563 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Late Penalty Fees | 900099 | $173,066 | $173,066 |
| Medical Record Fees | 900099 | $38,661 | $38,661 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,910,735 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,910,735 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,122,462 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $152,997,696 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $149,679,746 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,260,902 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,256 | TotalAmt |
| Program Services | $179,256 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,422 | TotalAmt |
| Program Services | $27,422 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,266,230 | TotalAmt |
| Management And General | $2,266,230 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,879,762 | TotalAmt |
| Program Services | $43,602,426 | ProgramServicesAmt |
| Management And General | $11,277,336 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$59,100 | TotalAmt |
| Program Services | -$45,383 | ProgramServicesAmt |
| Management And General | -$13,717 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,595,339 | TotalAmt |
| Program Services | $5,832,488 | ProgramServicesAmt |
| Management And General | $1,762,851 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,842,850 | TotalAmt |
| Program Services | $2,950,938 | ProgramServicesAmt |
| Management And General | $891,912 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,409 | TotalAmt |
| Management And General | $151,409 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$57,494 | TotalAmt |
| Management And General | -$57,494 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,530 | TotalAmt |
| Program Services | $13,530 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,984,925 | TotalAmt |
| Program Services | $8,760,670 | ProgramServicesAmt |
| Management And General | $1,224,255 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,344 | TotalAmt |
| Management And General | $374,344 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $557,868 | TotalAmt |
| Program Services | $555,284 | ProgramServicesAmt |
| Management And General | $2,584 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,112,879 | TotalAmt |
| Management And General | $5,112,879 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,908,809 | TotalAmt |
| Program Services | $500,563 | ProgramServicesAmt |
| Management And General | $2,408,246 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,470 | TotalAmt |
| Program Services | $216,237 | ProgramServicesAmt |
| Management And General | $162,233 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $849,547 | TotalAmt |
| Management And General | $849,547 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $536,964 | TotalAmt |
| Program Services | $536,964 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,536,280 | TotalAmt |
| Program Services | $4,994,220 | ProgramServicesAmt |
| Management And General | $542,060 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,002 | TotalAmt |
| Program Services | $234,192 | ProgramServicesAmt |
| Management And General | $28,810 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies - Med & Other | $34,721,080 | $33,637,296 | $1,083,784 |
| Purchased Services | $9,461,508 | $9,204,717 | $256,791 |
| Service Fees | $1,141,189 | $1,141,189 | |
| Provider Tax | $407,717 | $407,717 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,783,172 | TotalAmt |
| Program Services | $252,136 | ProgramServicesAmt |
| Management And General | $2,332,422 | ManagementAndGeneralAmt |
| Fundraising | $198,614 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,856,958 | TotalAmt |
| Program Services | $112,594,145 | ProgramServicesAmt |
| Management And General | $31,064,199 | ManagementAndGeneralAmt |
| Fundraising | $198,614 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,454,506 | BOYAmt |
| EOY | $787,339 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,606,471 | BOYAmt |
| EOY | $25,177,186 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,875,016 | BOYAmt |
| EOY | $3,247,289 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $545,379 | BOYAmt |
| EOY | $739,270 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $97,239,049 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $50,957,142 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,304,569 | BOYAmt |
| EOY | $46,281,907 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,635,595 | BOYAmt |
| EOY | $6,567,595 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,759,830 | BOYAmt |
| EOY | $80,928,502 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,181,366 | BOYAmt |
| EOY | $163,729,088 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,752,221 | BOYAmt |
| EOY | $11,405,497 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,339,757 | BOYAmt |
| EOY | $35,038,570 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,092,148 | BOYAmt |
| EOY | $46,444,067 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,089,218 | BOYAmt |
| EOY | $117,285,021 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,089,218 | BOYAmt |
| EOY | $117,285,021 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,181,366 | BOYAmt |
| EOY | $163,729,088 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $9,140,738 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,562,745 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,507,680 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $13,582 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $13,530 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $27,112 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Additionally, dues are paid to Rural Referral Center/Sole Community Hospital Coalition to lobby on behalf of St. Joseph Regional Medical Center. St. Joseph Regional Medical Center does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,606,524 | OtherCostOrOtherBasisAmt |
| Book Value | $5,606,524 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,288,442 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,991,016 | DepreciationAmt |
| Book Value | $28,297,426 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,649,187 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,659,939 | DepreciationAmt |
| Book Value | $6,989,248 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,694,896 | OtherCostOrOtherBasisAmt |
| Depreciation | $306,187 | DepreciationAmt |
| Book Value | $5,388,709 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $46,281,907 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $25,939 |
| AH Deferred Compensation Asset | $363,569 |
| Prepaid Pension | $9,032,533 |
| Other Receivables | $110,372 |
| Interest in Investments Held by Ascension Health Alliance | $69,863,012 |
| Other Miscellaneous Current Assets | $1,533,077 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $80,928,502 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Intercompany Debt with Ascension Health Alliance | $26,406,017 |
| Payable to Third Party Payors | $5,605,497 |
| Self-Insurance Liability | $624,467 |
| Asset Retirement Obligation | $352,020 |
| Valuation Allowance Liability | $1,687,000 |
| AH Deferred Compensation Liability | $363,569 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $35,038,570 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of St. Joseph Regional Medical Center: The System accounts for uncertainty in income tax provisions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2014. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,600,989 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,600,989 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01810 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,919,480 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,294,492 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $624,988 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,520,469 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,294,492 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,225,977 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02240 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $186,804 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $186,804 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,793 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $72,793 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,121,402 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,074,296 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,047,106 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $338,224 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $338,224 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,719,223 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,074,296 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,644,927 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01150 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,239,692 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,368,788 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,870,904 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03390 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $106,572 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $106,572 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,760 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,032 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,032 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $147,364 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $147,364 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,913,699 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $62,274,626 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $74,059,240 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$11,784,614 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Regional Medical Center | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 415 Sixth Street | AddressLine1 |
| City | Lewiston | City |
| State | ID | State |
| ZIP Code | 83501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.sjrmc.org | WebsiteAddressTxt |
| State License | 09 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Regional Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section B, Line 5d | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St. Joseph Regional Medical Center | Part V, Section B, Line 3: A development team composed of a diverse group of representatives from St. Joseph Regional Medical Center, Idaho North Central District Health Department, local and regional hospitals and clinics, local social services agencies and community members. Representatives helped guide the formation of the Community Health Needs Assessment ("CHNA") process and provided key insights and involvement in the design and implementation of the CHNA. The development team met throughout the process to review the proposed plan design, review preliminary results, assist with prioritization of the identified needs and provide input into potential responses to the identified needs.Carol Moehrle, District Director, Idaho North Central District Health Department, Lewiston, ID provided special input throughout the process. For the past twenty years Carol has served as the District Director for North Central Idaho, which covers 13,500 square miles and a combined population of approximately 120,000. Carol is also active with the National Association of County and City Health Officials. She has served on the Board of the National Association of County and City Health Officials (NACCHO), the Public Health Accreditation Board (PHAB), and the National Association of Counties (NACo). |
| St. Joseph Regional Medical Center | Part V, Section B, Line 5d: www.sjrmc.org/pdf/sjrmc-CHNA2012.pdf |
| St. Joseph Regional Medical Center | Part V, Section B, Line 7: St. Joseph Regional Medical Center ("St. Joseph") recognizes the significance of all needs/concerns and their importance identified by the community. St. Joseph will not directly design strategies for every issue/need identified in the survey in the implementation plan because of our desire to be focused on the needs identified as most critical, and because the other issues are already being addressed in a variety of ways by St. Joseph's as well as other community partners, stakeholders and agencies. St. Joseph will continue to collaborate with key community partners, stakeholders and agencies to support initiatives and strategies to meet the needs of the community. |
| St. Joseph Regional Medical Center | Part V, Section B, Line 14g: St. Joseph Regional Medical Center posts plain language versions of the charity policy on the web and in the emergency room. |
| St. Joseph Regional Medical Center | Part V, Section B, Line 20d: All uninsured patients receive a minimum discount of at least 6%. Individuals whose income is at or below 100% of federal poverty guidelines received a charity care write-off equal to 100% of amounts billed. Individuals whose income is between 101% and 200% of federal poverty guidelines receive a charity care write-off between 90% and 5% of amounts billed based on a sliding scale. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| SJRMC Outpatient Mental Health Clinic | ||||
| 428 6th Avenue | Lewiston | ID | 83501 | Medical Health Clinic |
| SJRMC Lewiston Medical Center | ||||
| 307 St Johns Way | Lewiston | ID | 83501 | Medical Clinic |
| SJRMC St Joseph Medical Oncology | ||||
| 1250 Idaho Street | Lewiston | ID | 83501 | Oncology Center |
| SJRMC Radiation Oncology Center | ||||
| 504 Sixth Street | Lewiston | ID | 83501 | Oncology Center |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data and is in compliance with Catholic Health Association ("CHA") guidelines. The best data available was used to calculate the amount reported in the table. For certain categories in the table, this was direct costs from the general ledger, in other categories, a specific cost-to-charge ratio was used. |
| Part I, Line 7g: | The Medical Center provides in-kind clinical space (Value of $33,804) to the Lewis and Clark Health Clinic, a Federally Qualified Health Clinic serving the primary care needs in our geographic region. |
| Part II, Community Building Activities: | The St. Joseph Regional Medical Center ("St. Joseph") also provided services to meet additional community needs by supporting other health awareness, education and health promotion activities in the community as outlined below:- St. Joseph was an integral member of the Local Access to Care Committee that looked at available options to increase access to primary care. Working with the Community Health Association of Spokane, a grant for $1.3million was secured. Following this, a Federally Qualified Health Clinicopened on July 1, 2009 as the Lewis Clark Health Clinic ("LCHC"). LCHCaddresses access issues for all patients especially those with Medicare,Medicaid and no insurance. During its first year, St. Joseph provided freeclinic space and provided $10,000 per month operating subsidy. By the endof that year, LCHC had recruited one full time physician's assistant and a.75 nurse practioner and established a medical home for over 1,700 patients. During its second year of operation, the cash contribution wasno longer necessary, but St. Joseph continued to provide space withoutcost to the clinic.- Due to the rural nature of Idaho and Southeastern Washington, a shortageof mental health professionals exists. St. Joseph has developed strategiesto address this issue by working with legislators to fund programs, continuing to develop mental health telemedicine involvement with Idaho'sRegion II hospitals and educating the region, professionals and non-professionals by sponsoring/facilitating the annual Rural Mental Health Symposium event. The Mental Health Center also has a Speaker Bureau Program where the Center's mental health physicians are available to speak on educational and informational topics. This is a free program.- St. Joseph purchased a Mobile Mammography Vehicle to provide mobilemammography and PACS access to some of the rural hospitals and clinics inthe area who are otherwise unable to provide those services. The vehiclevisits several outlying areas and hospitals at least once a month.- St. Joseph Regional Medical Center Foundation offered a series of free"Your Doctor Speaks" Programs covering four different healthcare topicspresented by local physicians and national speakers. Almost 200 peopleattended these seminars.- St. Joseph Regional Medical Center Foundations "Think First" Program,which works with the local school districts, teaches head and spinal cordinjury prevention to elementary and junior/senior high classes.- St. Joseph's Senior Life Program for adults over age 60 assisted 269seniors with Medicare Part D through its pharmacy program. This program isfree and open to the public. The coordinator of this program helped seniors sign up for Medicare Part D and select the options that best servetheir needs. She also helped them sign up for medication assistanceprograms that made it possible for them to acquire medications that theycould not otherwise afford.- The Outpatient Diabetes Education Center offered free monthly educationclasses covering a variety of topics from eyesight to proper nutrition.These classes are offered at no expense to the participants in an ongoingeffort to continue to educate the public on the management of diabetes.- St. Joseph offers a free monthly stroke support educational class thatcovers a variety of topics for those who have suffered a stroke and theircaregivers. Topics range from what normal emotions are after suffering astroke to what resources are available.- St. Joseph's Community Health Education Center held an open house for our new cardiology service line to promote heart health. The open houseincluded nutrition and exercise tips - all in an effort to improve theheart health in our service area.- Family Beginnings (nursery) service line holds several free classes formothers and families, both pre and post delivery. The classes covereverything from how to properly breastfeed to a siblings class so olderbrothers and sisters know what to expect when a new baby comes home. Family Beginnings also holds children car seat inspections to make surethey are properly installed.- St. Joseph holds an annual Grief Workshop for those who have recentlylost a loved one or who are struggling with their emotions of grief. St.Joseph also holds quarterly prayer services for those who have lost aloved one.- Our Rehabilitation Services started the first Autism Support Group inthe Region. The group is scheduled to meet monthly and the meetings arefree and open to all. |
| Part III, Line 4: | The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the System. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies.St. Joseph Regional Medical Center's bad debt deduction in 2014 was $4,826,673; $1,913,699 at cost to charge. |
| Part III, Line 8: | St. Joseph Regional Medical Center follows the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. |
| Part III, Line 9b: | St. Joseph Regional Medical Center has a written debt collection policy that also includes a provision on the collection of practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity care or financial assistance, certain collection practices do not apply. |
| Part VI, Line 2: | Recognizing the importance of a healthy community and desiring to respond to the needs of the community and region, St. Joseph Regional Medical Center ("St. Joseph") partnered with numerous community organizations that represented the broad interest of the community to conduct a Community Health Needs Assessment ("CHNA") from November to December, 2012. St. Joseph's objective was to align its strategic goals with the vocalized needs of the community by creating a document that would serve as a key component of our Strategic Plan. The CHNA consisted of a survey, focus group sessions and a secondary data analysis of national, state and local demographics and community health database.Health needs identified through this process include:- Obesity- Heart disease and stroke- Diabetes care and management- Cancer- Mental health- Access to healthcareUsing the results of the Community Health Needs Assessment, St. Joseph seeks to improve the health of our community through actions, not just words. |
| Part VI, Line 3: | St. Joseph Regional Medical Center financial assistance is available to all patients. St. Joseph's financial assistance notice is posted in all registration areas, emergency department and business services department. Information also is available online at www.sjrmc.org. Financial Assistance applications are available at all registration areas, business services offices and online on the St. Joseph web site. St. Joseph makes every attempt to identify/assist patients who may be eligible for charity or discounted care through St. Joseph's Charity Care Policy. A financial assistance counselor is available to all patients. The business office staff is trained on how to qualify patients for Medicaid, County Assistance and other payment programs. The financial assistance counselor discusses with patients the availability of various government assistance programs and assists the patient with qualifying for such programs. As a result of a grant through the state of Washington, a Medicaid eligibility case worker assists Washington applicants with their application process. The written summary and contact information is also provided in billing communications with patients. For the patient who has limited English proficiency, interpreter services are available at no charge. |
| Part VI, Line 4: | St. Joseph is located in Lewiston, ID and serves residents of a nine county region including the Idaho counties of Nez Perce, Latah, Idaho, Clearwater and Lewis, the Washington counties of Asotin, Garfield and Whitman and Wallowa County in Oregon. The primary service area consists of the Lewis-Clark Valley, home to over 60,000 people. Throughout the region an additional 122,000 people reside. In total St. Joseph seeks to meet the needs of more than 180,000 people residing in over nearly 20,000 square miles. St. Joseph Regional Medical Center is the only full service Medical Center in the region with nine Critical Access Hospitals in the immediate geographic area. St Joseph Regional Medical Center provides approximately 80% of the inpatient acute care hospital services in its primary care area and 40% of the inpatient services in its regional service area. In FY14 St. Joseph served 4,592 men, women and children as inpatients, 513 mental health inpatients and 796 newborns, and an additional 150,869 outpatient visits occurred. St. Joseph provides a substantial portion of its services to the elderly and poor. In FY14 approximately 55.6% of services rendered were to elderly patients under the Medicare program, approximately 11.1% of the services were provided to patients with Medicaid Insurance and an additional 9.6% of services were provided to patients with other governmental types of insurance, county insurance or no insurance. St. Joseph provided $2,600,989, in unpaid costs of providing traditional charity care, $626,746 in unpaid costs of providing government sponsored health care, and $704,393 in unpaid costs of community health services, and $1,047,106 net cost of subsidized health services. |
| Part VI, Line 5: | St. Joseph recognizes that it cannot meet all the community needs and has therefore collaborated with numerous community organizations to improve community health, expand access to healthcare, and benefit the community. In FY14, St. Joseph supported and/or funded:-Ambulance and EMS Support Services St. Joseph provided $241,938 in support to local ambulance and EMS support services, including training rural EMS services, by providing clinical locations and workforce experience. -St. Joseph maintained a Community Health Education Resource Center, $83,535, in FY14 to provide health education information to associates, students and community members. -As the regional referral center, St. Joseph leads the way in preparing the region for emergency situations. In FY14, $77,177 was expended to train and educate community and regional partners in Emergency Preparedness. -St. Joseph funded health education scholarships, $11,000, for books and tuition for students enrolled in clinical education at local colleges to expand the availability of qualified health workers in the future.-St. Joseph matched Associate contributions to the local United Way, $24,398, an agency which provides supplemental support to non-profit agencies. -Nursing Faculty at Lewis Clark State College were subsidized, $44,000 by St. Joseph to enable increased nursing student enrollment-The Snake River Community Clinic, a volunteer-staffed community clinic, which serves uninsured patients two nights per week, was supported in the amount of $24,322.-St. Joseph operates the Carondelet House, on St. Joseph's campus, which provides free housing to patients and families. In addition to the Carondelet House, Social Services provides car seats and car seat education to families in need, patient transportation support, educational support to Social Work students, both Masters and Undergraduate level, and medical supplies and clothing to patients as needed. In total, Social Services provided $17,992 in support to patients and families in need. -Indigent patients were provided funds, $27,422, to purchase prescriptions and receive social services assistance, $20,247. -As a Catholic Healthcare organization, St. Joseph provides Pastoral Care support to patients and families. In FY14, $24,377 in Pastoral Care support was provided. -St. Joseph supported Senior Services, including Meals on Wheels, and Senior Life, a program for adults over 60 years old that provides assistance to seniors with Medicare Part D, ongoing wellness programs and workshops for over 1,200 members. -St. Joseph engages in the training and education of caregivers to help address the shortages of trained clinicians and expand the availability of skilled caregivers in the region. St. Joseph has developed an extensive affiliation program with educational institutions throughout the Pacific Northwest, including Lewis-Clark State College, Walla Walla Community College, Washington State University, University of Washington, and Gonzaga University. In FY14, St. Joseph partnered with 11 educational programs to provide a clinical teaching site for 481 students, including 303 nursing students, 42 nursing assistant students, 16 medical school students, 36 EMT/Paramedic Students, 30 Pharmacy Tech students and 14 Radiology students-St. Joseph believes that in order to provide the best health care to the community, all the associates, especially its clinical personnel, must receive ongoing medical education. |
| Part VI, Line 6: | St. Joseph Regional Medical Center is a member of Ascension Health. Ascension Health Alliance, d/b/a Ascension (Ascension), is a Missouri nonprofit corporation formed on September 13, 2011. Ascension is the sole corporate member and parent organization of Ascension Health, a Catholic national health system consisting primarily of nonprofit corporations that own and operate local healthcare facilities, or Health Ministries, located in 23 of the United States and the District of Columbia. Ascension served as the member or shareholder of various subsidiaries. Ascension and its member organizations are hereafter referred to collectively as the System.Ascension is sponsored by Ascension Sponsor, a Public Juridic Person. The Participating Entities of Ascension sponsor are the Daughters of Charity of St. Vincent de Paul in the United States, St. Louise Province, the Congregation of St. Joseph, the Congregation of the Sisters of St. Joseph of Carondelet, the Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. - American Province, and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province. As more fully described in the Organizational Changes note, Maria Health System, which was previously sponsored by theSisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province, became part of Ascension Health on April 1, 2013. Mission:The System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with the System's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of personsliving in poverty and community benefit programs:- Traditional charity care includes the cost of services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured.- Unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for persons living in poverty and other vulnerable persons.- Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed costs of programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome.- Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the persons living in poverty, including health promotion and education, health clinics and screenings, and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and other community benefit programs. The cost of providing care to persons living in poverty and other community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care. |
| Community Benefit Report | St. Joseph Regional Medical CenterFor the Year Ended June 30, 2014St. Joseph Regional Medical Center (St. Joseph) is a private, non-profit, Catholic hospital founded in 1902 by the Sisters of St. Joseph. As a member of Ascension Health, the nation's largest Catholic and largest non-profit healthcare system, St. Joseph continues to invest in the health and well-being of individuals, families, and society as a whole. In accordance with Ascension Health's mission of service to those who are poor and vulnerable, St. Joseph accepts patients regardless of their ability to pay. St. Joseph has a long history of providing community benefit to residents of the North Central Idaho region. St. Joseph directs its management activities towards a strong, vibrant, Catholic Health Ministry united in service and healing, and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. This report illustrates the significant degree to which SJRMC contributed to the positive health status of the communities it serves during its fiscal year from July 1, 2013 through June 30, 2014.MissionSt. Joseph seeks to enhance the quality of life of the citizens of the service area through the promotion of health, prevention of disease andinjury and the provision of health services. St. Joseph witnesses the saving presence and mercy of the Risen Christ by providing high qualityrestorative, preventative, and acute health care services, respecting human dignity in the experience of sickness and death and fostering the physical, psychological, emotional, spiritual and social well-being of people.VisionSt. Joseph is a vibrant, dynamic Catholic faith based healthcare organization that continues to be a leader in the provision of health services by responding to and meeting the health needs of all people of the region. St. Joseph envisions maintaining our vital presence as the preferred healthcare provider, the source for health education, and thehealthcare safety net for the Region.St. Joseph continues to develop inpatient and outpatient services; outpatient care sites; and partner with providers sharing similar commitments and values. We will expand patient education and strive to improve the community health status. We will collaborate with public and private agencies and businesses to assure an appropriate continuum of care, and develop strategic relationships with area providers to help maintain their vital presence, and further develop the referral network into St. Joseph and our Medical/Dental Staff. As the leader in the Region, St. Joseph will utilize knowledge and tradition; along with wisdom, creativity and innovation to further position itself as the hub of services, and the regional care center for the nine counties we serve.Our Philosophy to Community BenefitSt. Joseph's primary mission is to continue Christ's mission of mercy by meeting the health care needs of the individuals in the communities we serve. No one requiring medical care or services offered by St. Joseph is turned away regardless of race, creed, religion, national origin, sex, ability to pay or economic status.As the region's leader in the delivery of health care services, St. Joseph continues to accept the responsibility to contribute to the overall health and welfare of our community. St. Joseph is deeply committed to our community to help assure residents live healthy and productive lives through cost effective and quality healthcare and education services. St. Joseph offers a variety of services and programs that are not found elsewhere in the region and is constantly monitoring and assessing the needs of the region to ensure quality health care. Through our commitment to providing community benefit St. Joseph has engaged in the following activities to ensure that our mission is accomplished:* St. Joseph is fully accredited by the Joint Commission, and provideslevel III Adult/Pediatric trauma services, a designated by the Washington State Hospital Association.* St. Joseph operates an Emergency Room and Minor Care that is open 24/7 and serves all persons regardless of their ability to pay.* St. Joseph provides many inpatient and outpatient services to all persons while participating in Medicare, Medicaid, County Insurance, TriCare, Indian Health Services and/or other government health care programs to assure access for patients.* St. Joseph's medical staff privileges are open to any qualified physician and Allied Health provider in the region. In FY14, SJRMC's Medical/ Dental Staff included 137 physicians (85% board certified), specializing in 29 fields. The active/ associate Medical/ Dental staff represents 78% of the total physicians, while 18% of physicians have courtesy privileges and 4% have consulting privileges. Additionally St. Joseph has 43 Allied Health providers on staff in six specialties: Podiatry, Nurse Practitioner, Certified Nurse Midwife, Certified Registered Nurse Anesthetist, Physician Assistant and Psychology. In total, St. Joseph has granted privileges to 180 providers in the community to care for our patients.* St. Joseph has a governing Board of Directors that consist of independent persons who represent the community. The governing body includes leaders in the religious community, the physician community and the local community.Who We ServeSt. Joseph, designated as a sole community hospital provider, is located in Lewiston, ID and serves residents of a nine county region including the Idaho counties of Nez Perce, Latah, Idaho, Clearwater and Lewis, the Washington counties of Asotin, Garfield and Whitman and Wallowa County in Oregon. The primary service area consists of the Lewis-Clark Valley, home to over 60,000 people. Throughout the region an additional 122,000 people reside. In total St. Joseph seeks to meet the needs of more than 180,000 people residing over nearly 20,000 square miles.Services ProvidedAs a team in FY14 SJRMC served:4,592 - Men, Women, Children as Inpatients513 - Mental Health Inpatients796 - Newborns5,901 - Total Admissions4,106 - Surgical Cases30,485 - Emergency Department Visits150,869 - Total Individual Outpatient VisitsPatient Services:Cancer CenterCardiology/VascularCardiopulmonaryCommunity Health/Education ResourcesDiagnostic ImagingEmergency DepartmentFamily BeginningsGI LabHospiceIntensive CareInterventional RadiologyLaboratoryMedical ServicesMental Health - AdultMinor CareOutpatient ServicesPalliative CarePastoral CarePatient EducationPharmacyPhysician ClinicsProgressive CareRehabilitation ServicesSocial ServiceSurgical ServicesCommunity Health Needs AssessmentIn an effort to provide community benefits to those most in need, St. Joseph continuously assesses the needs of the community at least every three years. In December 2012, St. Joseph partnered with numerous localorganizations that represented the broad interest of the community to conduct a Community Health Needs Assessment. This assessment assisted St. Joseph in strategically focusing on the highest needs of the community. The health needs identified through this process included access to healthcare, obesity, heart disease, cancer, diabetes, and mental health. Below are a few highlights of the programs and activities St. Joseph provided to the community to meet those needs identified.Access to Healthcare: Addressing Provider ShortagesThe state of Idaho continues to be one the most underserved states in the country by physicians. North Central Idaho is no exception. In FY14, St. Joseph remained committed to implementing its Medical Staff Development Plan and meeting the provider needs in the region byrecruiting additional primary care, medical, surgical and hospital based physicians to the Medical Staff. As a result of this enhanced commitment, St. Joseph added ten (10) providers to the Medical Group, including Dr. Leif Kanooth (Hospitalist), Dr. Maggie Greene (Hospitalist), Dr. Mary Beth Staben (Hospitalist), Dr. Scott Osborn (Family Medicine), Dr. Mirek Sochanski (Interventional Cardiology), Dr.Frank Adams (GI), Dino Giolitti, (FNP), Karine Shearon, (FNP), April Piscitello (FNP), Koji Kainuma (FNP). St. Joseph also provided recruitment support to community healthcare partners which brought anadditional Emergency Medicine Physician, Dr. Stephen Kessinger to the region. |
| Heart Disease: Developing Cardiovascular Services | Since 2012, St. Joseph has provided the only interventional cardiology care and interventional radiology care in the region. The St. Joseph Heart Center offers 24/7 cardiac care for inpatients and outpatients. The Heart Center is able to treat patients experiencing heart attacks, as well as those with chronic heart failure, heart disease, atrial fibrillation, stroke interventions, and other heart conditions. Vascular services including angioplasties and stent placements have helped hundreds of patients achieve better circulation close to home. As the only Heart Center and Interventional Radiology provider between Boise, ID and Spokane, WA these services allow patients to receive close to home care and reduce travel time and distances for thousands of patients throughout the region.Cancer: Expanding Cancer Care ServicesSt. Joseph provides the only accredited Cancer Center within a 100-mileradius and provides Medical Oncology, Hematology, surgical oncology andradiation oncology. The Cancer Center continues to partner with the American Cancer Society and provide space/location for their ResourceCenter. The St. Joseph Cancer Center has an increased emphasis on screening programs and promoting cancer awareness. There are four full-time Hematology/ Oncology physicians at the Cancer Center as well as an Infusion Clinic, pharmacists, and survive programs. The Prescription Assistance Program supports patients in need of finding available resources to obtain needed prescriptions. The St. Joseph Cancer Center has off-site locations in Pullman, WA and Moscow, ID to meet the cancer needs of patients living on the Palouse. In FY14, St. Joseph opened the Breast Imaging Center. This Center provides a Nurse Navigator to guide women throughout their course of treatment for breast cancer. Additionally this Center has redesigned breast cancer screening procedures to allow for quicker results, increased detection rates and more timely access to treatment for all patients. Diabetes: Continuing EducationThe St. Joseph Diabetes Center is nationally recognized by the American Diabetes Association. The Diabetes Center is dedicated to provide quality education to a broad spectrum of clients and their families. Educational topics range from blood glucose monitoring to nutrition education for obese patients. SJRMC offers free monthly education programs specific to diabetes related topics and holds an Annual World Diabetes Fair every year. The certified diabetes educator and registered dietitian give free education programs as requested by other health care facilities. SJRMC continues to provide free blood glucose testing monitor with sample strips to those patients in need as well as free A1-C testing at 2 month and 8 month intervals to patients who have not had or cannot afford such testing and have participated in SJRMC's diabetes education. St. Joseph is an active participant in Beacon Community of the Inland Northwest (BCIN) with the intent of improving access to care and health outcome of diabetes patients.Mental Health: Providing the only Services in the Region The Mental Health program at St. Joseph is the only provider of inpatient mental health services for over 100 miles and the only provider of outpatient psychiatrists in the region. The Mental Health program continues to annually bring the regional professionals and non-professionals together for mental health education through the Rural Mental Health Symposium. To expand its reach and maximize its benefit to the outlying communities, the Mental Health program continues to provide tele-health services, reducing travel time for rural patients. In an effort to fulfill its Mission and Vision by provided healthcare that truly leaves no one behind, the Mental Health program at St. Joseph continues to care for thousands of mental health patients throughout the region. In addition to providing services, St. Joseph also advocates for increased mental health funding and support at the local and state governance level, including supporting the need for a drug treatment center in North Central Idaho. |
| Community Collaborations | St. Joseph recognizes that it cannot meet all the community needs and has therefore collaborated with numerous community organizations to improve community health, expand access to healthcare, and benefit the community. In FY14, St. Joseph supported and/or funded:* Ambulance and EMS Support Services - St. Joseph provided $241,938 in support to local ambulance and EMS support services, including trainingrural EMS services, by providing clinical locations and workforce experience.* St. Joseph maintained a Community Health Education Resource Center, $83,535, in FY14 to provide health education information to associates, students and community members.* As the regional referral center, St. Joseph leads the way in preparing the region for emergency situations. In FY14, $77,177 was expended to train and educate community and regional partners in Emergency Preparedness.* St. Joseph funded health education scholarships, $11,000 for books and tuition for students enrolled in clinical education at local colleges to expand the availability of qualified health workers in the future.* St. Joseph matched Associate contributions to the local United Way, $24,398 an agency which provides supplemental support to non-profit agencies.* Nursing Faculty at Lewis Clark State College were subsidized, $44,000by St. Joseph to enable increased nursing student enrollment * The Snake River Community Clinic, a volunteer-staffed community clinic, which serves uninsured patients two nights per week, was supported in the amount of $24,322.* St. Joseph operates the Carondelet House, on St. Joseph's campus, which provides free housing to patients and families. In addition to the Carondelet House, Social Services provides car seats and car seat education to families in need, patient transportation support, educational support to Social Work students, both Masters and Undergraduate level, and medical supplies and clothing to patients as needed. In total, Social Services provided $17,992 in support to patients and families in need.* Indigent patients were provided funds, $27,422, to purchase prescriptions and receive social services assistance, $20,247.* As a Catholic Healthcare organization, St. Joseph provides Pastoral Care support to patients and families. In FY14, $24,377 in Pastoral Care support was provided.* St. Joseph supported Senior Services, including Meals on Wheels, and Senior Life, a program for adults over 60 years old that provides assistance to seniors with Medicare Part D, ongoing wellness programs and workshops for over 1,200 members.* St. Joseph engages in the training and education of caregivers to help address the shortages of trained clinicians and expand the availability of skilled caregivers in the region. St. Joseph has developed an extensive affiliation program with educational institutions throughout the Pacific Northwest, including Lewis-Clark State College, Walla Walla Community College, Washington State University, University of Washington, and Gonzaga University. In FY14, St. Joseph partnered with 11 educational programs to provide a clinical teaching site for 481 students, including 303 nursing students, 42 nursing assistant students, 16 medical school students, 36EMT/Paramedic Students, 30 Pharmacy Tech students and 14 Radiology students* St. Joseph believes that in order to provide the best health care to the community, all the associates, especially its clinical personnel, must receive ongoing medical education. See Appendix A for a complete list of the classes, seminars, and materials that SJRMC has provided to its associates, clinical staff and the community. |
| Policies and Programs | In addition to the community benefit that St. Joseph provided to the general public and residents of the community, we also have financial assistance policies in place for low-income persons receiving care at St. Joseph.Uninsured patients continue to receive a discount off their initial bills in order to improve the affordability of health care to these patients. Financial Assistance materials have been included in the Admission packets and are available at all Registration Areas alerting the patient to the availability of Financial Assistance. Information is also included on bills sent to patients so they can contact St. Joseph to request an application for Financial Assistance in the settlement of their bill. Information and application is also available on the St. Joseph website. www.SJRMC.orgAll uninsured and insured patients are eligible for financial screening for further adjustment to their bills based on documented income and expense profiles provided by the patient or guarantor; and the resulting ability to pay all of, or part of, the remainder of the bill over a four year period of time.St. Joseph will write off 100% of a bill for a patient/family with no insurance which has a documented income profile level that is 100% or less of the Federal Poverty Level. Discount is applied in 10% increments up to 200% of the Federal Poverty Level. Eligibility for further discounts is based on an ability of the patient to pay after the patient completes a financial application for St. Joseph evaluation. St. Joseph reviews the completed application regarding income, expense, assets, and liabilities to determine the extent of Financial Assistance that can be offered according to St. Joseph policies.St. Joseph has an arrangement with a financing company to enable the patient or guarantor to finance payment of medical bills. St. Joseph has a policy that all alternative sources of financial assistance, including application to various Medicaid, County and other available programs must be applied for, and rejected, before Financial Assistance is provided by St. Joseph. Failure of the patient or guarantor to follow-through on the application of financial assistance that may be available from another source will constitute reason for denial of an application for Financial Assistance from St. Joseph.Community PartnersRecognizing the importance of a healthy community and desiring to respond to the range of needs of the community, St. Joseph partners with a wide variety of organizations to provide the community with health benefits. St. Joseph provides support to these organizations as part of its ongoing efforts to improve the health status of the community, focusing especially on the poor, vulnerable, indigent and elderly populations. Below is more in-depth list of the community partners that are provided financial support by St. Joseph to benefit the communities served in the region:Organization - Primary Role - People Served (Primarily):American Cancer Society - Provide Cancer support services - Cancerpatients, survivors and familiesClearwater Valley Hospital - Hospital (Orofino, ID) - Clearwater CountyresidentsCommunity Health Association of Spokane - Federally Qualified Health Center - Primary care and dental patients from the regionFamily Promise - Provide shelter and meals to families in crisis -Homeless Lewis-Clark Valley residentsGina Quesenberry Foundation - Breast Cancer awareness and patient support - Breast cancer patients and survivorsInland Northwest Blood Center - Blood Bank - Region-wide blood distributionLewiston Library - Community Library - Nez Perce county residentsLife Choices Clinic - Pregnancy clinic - Nez Perce County expectant momsMarch of Dimes - Infant Education and Safety - NewbornsNorthwest Childrens Home - Residential Center - Abused, neglected and abandoned boys and girlsSt. Marys Hospital - Hospital (Cottonwood, ID) - Lewis County residentsSt. Vincent DePaul - Social services, including food programs, financial assistance, clothing - Services available region-wideSyringa Hospital - Hospital (Grangeville, ID) - Idaho County residentsValley Boys and Girls Club - Youth Center - Boys and girls, Nez Perceand Asotin CountiesValley Transit - Public Transportation - Region wide general public Various - In-kind Donations by St. Joseph - Those in need of: Warm Clothes, Food, School Supplies, Toys, Financial Assistance and Car SeatsWillow Center for Grieving Children - Grief Center - Adolescents |
| Financial report | St. Joseph provided $4,979,234 in un-reimbursed cost of services to the poor and to meet the needs of the community as outlined below:* Charity Care at Cost - $2,600,989* Government Sponsored Health Care - $626,746* Community Benefit Programso Programs targeted to the Poor - $72,793o Community Health Services - $631,600o Subsidized Health Services - $1,047,106* Hospice* Mental Health Services* Outpatient Nutritional Counseling* Outpatient Diabetes Education* Pastoral Care* Home Respiratory TherapyTotal cost for care of persons who are poor and community benefit programs $4,979,234St. Joseph furthers its charitable purposes by providing a broad array of services to meet the healthcare needs of patients and organizations in the community. We provide essential medical services to the community, train and recruit healthcare professionals to serve the needs of the broader community, provide appropriate charity services to those patients who are not able to pay for their own healthcare needs, provide services to other organizations that allow them to provide quality services to their patients or constituents, and present education information classes and activities to the community in order to improve its overall health status.Associate EducationGeneral Areas of Emphasis for all Associates on hire and annual review:* Abuse, Neglect, Exploitation, Abandonment, and Domestic Violence* Age & Population Care* Biomedical Equipment* Computer logins & software access* Corporate Responsibility Program* Emergency Management, Emergency Codes, Disaster Preparedness* Employee Assistance Program* Hand washing* Hazardous Materials/Waste Training* Healing Without Harm* Health, Education, and Benefits Plan; Tuition Assistance* High Reliability* HIPAA, Privacy and Security Education* Human Resources* Internet Security, Passwords, ID* Infection Prevention/Employee Health* Joint Commission* Language of Caring & (M)AIDET* Lifting, Moving, Health Backs* Limited English Proficiency* Loss and Grief In-service* Material Data Safety Sheets* Meaningful Use* Mission, Values, Promise* Palliative Care* Pastoral Care Services* Password/Confidentiality* Patient Experience Commitment* Performance Improvement, PDSA, Quality, Core Measures* P.I.E.S People Invested in Extraordinary Service Program* Patient Experience Commitment* Quality Improvement, Core Measures* Retirement Plan, TransAmerica* Security* Safety, Environment of Care, Radiation Safety, Fire Safety* Wellness Program* Weight Watchers or Ideal Protein PlanIntranet, Internet, and Newsletter Resources:* Ascension Health University, many programs for example:* Harvard Manage Mentor* Nursing Education* Coding* Ascension Health Communities (SharePoint)* Basic Life Support* CRP Hotline Report* Pharmacy & Therapeutics Newsletter* Pediatric Nutrition Care Manual* Policies & Procedures* Language of Caring website & newsletter* Meditech Training* MicroMedex/CareNotes* Microsoft Office Training Programs* Mosby's Skills* New England Journal of Medicine* Nurse Advise - ERR Newsletter* Nutrition Care Manual* Nursing Consult* Safety Data Sheets (SDS)* Quick Reference Guides (Portal)* UpToDate* Wellness WorksAdditional Areas of Emphasis for Clinical Care Services Associates inOrientation:* BASIC CARE PROVIDER (Nursing Orientation): Safety & Emergency; Communication & Teamwork; Infection control & Employee Health; Quality& Performance Improvement; Skin; Pain Management; Medical Equipment Usage; Medication Administration & Reconciliation; Surgical Site Preparation, Time Out, Universal Protocol; IV Procedures; CLABSI, CAUDI, Care Bundles/Protocols; Blood/component Administration; Restraints; Specialty beds; Epidural; Patient Mgmt; Pt. Education; Waived testing; Computer Clinical Documentation, Order Entry, and Reference Sites* MOSBY's SKILLS (additional new hire learning assignments): AED Automated External Defibrillator; Lovenox (medication administration); Nursing Practice Forum; SBAR, Temporal Artery Thermometer; Hand Hygiene, CLABSIs, Restraints; Oral Care; Pressure Ulcer prevention; Waived testing; Pt. Experience Commitment; Implanted Ports; and VAP Unit Based Education - E.A.S.Y. Assessment Examples of topics within fiscal year:* National Patient Safety Goals* Anterior Cruciate Repair* Bone Health* Cardiac Care* Cardiac Organ Donation* Cardiac Rhythm education* Dr. Sanchirico - radiology presentation* Endocrine - Overview* Endocrine - Coumadin* Febrile* FHR Strip Review* Fluid & Lytes Lab Results* Hemodynamics & Drips* Hypothermia* JCAHO Survey* Microbiology* MRSA Screening* Nephrostomy Tube* Post Partum* Respiratory - ARDS* Rituxin* STAR (Cancer Rehab) ProgramPatient Care Skills Lab* NG/OG/Suction/Dobhoff/Pegtubes* CAUTI/Foley/Restraints* Pulmonary 02 Admin* ABG interpretation* Pain Management* Documentation/clindoc/meditech* Chest TubesTotal Joint Replacement Program - Center of Excellence* "Back to Living" cervical & lumbar spine* "Steps for Success" total knee and hipNewborn & Pediatric/Population Offerings* Diabetes education for pediatrics by Susan Rauch: Basal Bolus Insulin, Correction Scale Insulin Dosing, Insulin to Carb ratios * Easy Assessment: Pediatric and Newborn focused education* EFM Collaborative Training* EFM Strip Review/Common Fetal Monitoring* Emergency Nurse Pediatric Course* Influenza testing and treatment; viral testing* Genetic Evaluations* Multi-system Pediatric Assessment* Newborn Resuscitation Program (Staff and Physicians)* Noelle Skills Lab* Noelle - Cardiac Arrest* Period of Purple Crying* Providence Sacred Heart Pediatric Grand RoundsFamily Beginnings Community Education Course Offerings* Lamaze - Preparation for Childbirth* Lamaze - Childbirth Seminar* Lamaze - Moms on the Go* Private Childbirth Class* Private Tours of Family Beginnings* Pre-Delivery Interview* ABC's of Parenting* Breastfeeding Basics* Natural Family Planning* New Mom's Group* Sibling Class* Safe Sitter Classes* Shoulder Dystocia* Car Seat Safety Check* Drug Addictions & New Moms* Labor Strip ReviewCritical Care areas (ICU, PCU, Emergency, Post Anesthesia) Offerings* Arrhythmia Course* Basic Rhythm Interpretation Sec & CNA* CAM and RASS* Code Blue Documentation Reviews* Code Blue Medication Reviews* Code Blue Team Leader Reviews* Course in Advanced Trauma Nurse* Critical Care Courseo ABG interpretationo Cardiac - 2 lectureso EKGo Endocrineo Gastrointestinalo Hematology and Immunologyo Ischemic strokeo Lab Reviewo Neuro Assessmento Pain Managemento Pulmonaryo Ventilator and Bipapo Renalo Pain Managemento CVP measurements* Critical Care Skills Fair* Rapid Response Team Training* Trauma Nurse Core Course* Triage Management"Your Doctor Speaks" series* Living is Normal - 9/19/13* Cutting Edge Cardiology 2/18/14Pastoral Care Offerings* End of Life Issues* Reducing Patient Anxiety* Community Workshops on Advance Directives* Including participation in National Healthcare Decision Day* Holiday Grief Workshop for the Community* Quarterly Community Memorial Services* Assist community members with completion of advance directives* Provide Funeral services when requested* Friends Reach Out --Grief Support Group for the Community every 2ndand 4th Monday* Host the Monthly Ministerial Meeting for area clergy* Christmas Brunch for area clergy* S.H.A.R.E. Support Group for parents/families who have lost babies* Hosted National Health Care Decision Day for the Community* Talk with staffs of the Skilled Nursing Facilities and Assisted Living Facilities about POST and Advance Directives* Provide time to people from the community who walk in and need someone to talk to about grief issues* Send bereavement cards and information about grieving to families whohave lost loved ones.* Relay for Life Prayer Service* Affordable Healthcare Act* Spiritual Care & Quality* Psychosocial Aspects of Palliative Care |
| Community Health Education Resource Center | * Advanced Cardiac Life Support (ACLS) Provider and Instructor Course* Basic Life Support (BLS) Provider Course & Instructor Course* American Heart Association (AHA) Community Training Center* AHA First Aid Course* Community Wellness Education* Diabetes Education at Juniper Meadows, March 2014* Diabetes Boot Camp Oct 2013* GO RED for Women's Health Feb 2014* Lunch & Learn: "Let's Talk Insulin-Levemir & Novolog", March 2014* Ladies Night Out - Women's Connection Community Event* McSorley Elementary, Review of 504 Plan Sept 2013* National Healthcare Decision Day Event* National Breast Cancer Awareness Month* National Heart Health Month* Nutrition Education* Parkway Head Start, Diabetes, April 2014* Pediatric Advanced Life Support (PALS) Provider & Instructor Courses* Pre-Diabetes Class, Feb 2014* Senior Life Program* "Tobacco Free You" Nicotine Intervention Program* WA/ID Volunteer Senior Fitness Fair* Wellness Program* World Diabetes Day Awareness Event* Volunteer Services opportunitiesContinuing Medical Education for Providers* Grand Rounds* Providence Sacred Heart Pediatric Grand Rounds* Up-to-Date online physician education Ethics in Healthcare OfferingsSpeaking of Ethics* Communication-Electronic vs. Reality Jan 2014* Community Edu-Regional Outreach via Diabetes and Wound/Ostomy, Mar 2014* Radiology and Ethical issues Apr 2014* Ethics in Special Procedures Unit May 2014* Ethics and the Patient Experience related to Rehab Department, Sept 2013* LEAN, Supply Chain, Nov 2013* Ethical Issues in Medical Group Business Office June 2014 Wound/Ostomy Offerings* Ostomy Support Group* 4 Eyes on Admission Skin Assessment Education* Wound Care and DiabetesLeadership/Management Development* Accelerated Development Program* CMS Core Measures* Human Resource Functions (Portal)* Procurement to Pay (Portal)* Time and Attendance/Kronos (Portal)* The Joint Commission webinars* Value-Based Purchasing* Professional Research Development (PRC)Business Office, Medical Records, & Information Technology Offerings* AAHAM webinar* Affordable Care Webcast* Allscripts - Ongoing EMR Education* Bedside Medication Verification* Clinical Documentation* Comparison of Coding System ICD9-10* eMAR - Electronic Medication Admin Record* Health Insurance education* ICD-9-CM AHA Coding Clinic* ICD-10 Coding Training* Knowledge Source Client Training* Meditech - Ongoing Physician & Nursing* Mosaiq -Ongoing EMR Development* Medicare Reopenings Appeals* Medicare Secondary Payer* POE - Physician Order Entry* Professional Development Group* Rehab Denial PitfallsCentral Processing Offerings* Bar Patient Issue Training* Ascension Health University* Joint Commission CSSD Surveys* Customer Service Basics for Central* Inbone Total Ankle Set* Promoting Effective Work* Training Evaluation Part One* Benchmarking 3M Health Care* Quality Assurance* Infection Prevention* Wolf Scopes* Central Service Leadership Part* Symphony Patient Charging* Promoting Effective Work* Sterilization Issues & Solutions* Promoting Effective Work* Implant Tracking LogAdditional Education Offerings* Joint Commission Risky Business* Strategic Direction* A Look Ahead At HCAHPS Webinar* Complexities of CMS* Target BSI* MSC Travel & Expense* Work Like You Own It* Outlook Scheduling* Culture of Accountability* PRC Overview* PRC Webinar Brooks Dameier* Improving Patient Experience* Hard Conversations* Advancing Patient & Family Care* Bed Inservice* Nurse Communication HCAHPS* Successful IV StartsHospice Offerings* Debility, Failure to Thrive* Children's & Teen's Needs* On Grief & Grieving* Beyond Kubler-Ross* CMS Final RuleMental Health Offerings* MABPRO* Mental Health First Aid* Your Doctor Speaks Mental Health* Mental Health Symposium* Suicide Risk AssessmentSpecial Procedures Unit Offerings* Hemispheres Levels* NIH Stroke Scale Training* Olympus Education* Impulse 2.0 Level Four 12lead ECGsUtilization Review Offerings* CMS Benchmark Inpatient Admissions* Compliance Training* Inpatient Probe* CMS IPPS 2014 Final Rule* Act Webinar2013 Fall Nursing Practice Forum Topics* Blood Administration* Code Review* Body Mechanics* Core Measures* Enteral Feeding* Infection Prevention* Palliative Care* Pharmacy & Medications* Skin & WoundsOr Equipment Offerings* Acumed Acu-Loc 2 Distal Radius* Advances In Wound Therapy* Brat 1st Collect* Bronch Cleaning* Carescape Monitor* Hana Table* Hot Lines & A Lines* Humor in Recovery* Identifying & Managing Hereditary* Identifying & Managing Hereditary* Inertan Hip Nail* Laser* Medivator* Microscope* Minimally Invasive Techniques In IR* Prewarming: Maintaining* Taking Safety Own Hands |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Snake River Medical Clinic | |||||||
| 215 10th Street | Lewiston | ID | 83501 | 311726460 | 501(c)(3) | $24,322 | Medical Services |
| Twin County United Way | |||||||
| 2207 E Main Street | Lewiston | ID | 83501 | 820261086 | 501(c)(3) | $24,398 | Community Support |
| LCSC Nursing Faculty | |||||||
| 500 8th Avenue | Lewiston | ID | 83501 | 826000935 | 501(c)(3) | $44,000 | Nursing Staff |
| Valley Vision | |||||||
| 111 Main Street | Lewiston | ID | 83501 | 841367690 | 501(c)(6) | $10,000 | Community Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Prescriptions for indigent patients | GrantTypeTxt |
| Recipient | 112 | RecipientCnt |
| Non Cash Assistance | $27,422 | NonCashAssistanceAmt |
| Valuation Method Used | Book | ValuationMethodUsedDesc |
| Non Cash Assistance | Prescriptions | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Before funds are disbursed, all grants must go through an approval process at St. Joseph Regional Medical Center. After approval and disbursement of the funds, expenditures are monitored by the applicable non-profit's board of directors. The Snake River Medical Clinic is provided drugs administred by a physician. As an exectuvie sponsor for United Way, contributions are used to cover administrative expenses of that organization. Funds disbursed to the LCSC Nursing Faculty and Lewis-Clark State College are used for a specific purposes and are acknowledged via receipts. Valley Vision has a specific charter to support economic development in local communities and expenditures are monitored by its Board. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Timothy P Sayler | ||||||||||||||
| CEO (end 01/14)/Board Member | $712,196 | $0 | $204,051 | $0 | $6,588 | $0 | $14,025 | $0 | $26,387 | $0 | $963,247 | $0 | $0 | $0 |
| Thomas Safley | ||||||||||||||
| Vice President/CFO | $230,355 | $0 | $46,989 | $0 | $1,027 | $0 | $13,543 | $0 | $13,038 | $0 | $304,952 | $0 | $0 | $0 |
| Michael Rooney MD | ||||||||||||||
| CMO/Interim CEO (start 02/14) | $274,987 | $0 | $46,575 | $0 | $1,584 | $0 | $11,027 | $0 | $14,591 | $0 | $348,764 | $0 | $0 | $0 |
| Brenda Forge | ||||||||||||||
| VP Human Resources | $162,007 | $0 | $36,939 | $0 | $25,282 | $0 | $22,467 | $0 | $14,996 | $0 | $261,691 | $0 | $0 | $0 |
| Bobby Joe Jones | ||||||||||||||
| VP Outpatient Services | $173,802 | $0 | $35,625 | $0 | $1,038 | $0 | $22,671 | $0 | $11,033 | $0 | $244,169 | $0 | $0 | $0 |
| Debb Wiggs | ||||||||||||||
| VP Physician Services (Start 08/13) | $162,427 | $0 | $26,565 | $0 | $521 | $0 | $7,109 | $0 | $5,568 | $0 | $202,190 | $0 | $0 | $0 |
| John Ho MD | ||||||||||||||
| Physician | $712,685 | $0 | $0 | $0 | $1,170 | $0 | $12,750 | $0 | $16,818 | $0 | $743,423 | $0 | $0 | $0 |
| Binay K Shah MD | ||||||||||||||
| Physician | $521,081 | $0 | $0 | $0 | $477 | $0 | $5,100 | $0 | $16,260 | $0 | $542,918 | $0 | $0 | $0 |
| Katrina A Popham MD | ||||||||||||||
| Physician | $548,918 | $0 | $0 | $0 | $569 | $0 | $14,025 | $0 | $6,612 | $0 | $570,124 | $0 | $0 | $0 |
| Gerardo MidenceMD | ||||||||||||||
| Physician | $578,475 | $0 | $0 | $0 | $2,575 | $0 | $9,015 | $0 | $29,345 | $0 | $619,410 | $0 | $0 | $0 |
| Sushma Pant MD | ||||||||||||||
| Physician | $552,695 | $0 | $0 | $0 | $1,308 | $0 | $14,025 | $0 | $9,688 | $0 | $577,716 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | Ascension Health, a related organization of St. Joseph Regional Medical Center, uses the following to establish the compensation of the organization's CEO: - Compensation Committee, - Independent Compensation Consultant, - Compensation Survey or Study, and - Approval by the Board or Compensation Committee. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | St. Joseph Regional Medical Center has a single corporate member, Ascension Health. |
| Form 990, Part VI, Section A, line 7a | St. Joseph Regional Medical Center has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of St. Joseph Regional Medical Center. |
| Form 990, Part VI, Section A, line 7b | Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. |
| Form 990, Part VI, Section B, line 11 | Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form to the Board, or a designated committee, to review and answer any questions. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions. |
| Form 990, Part VI, Section B, line 12c | The organization regularly and consistently monitors and enforces compliance with the Conflict of Interest Policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the Conflict of Interest Policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Section B, Line 15a: In determining the compensation of the organization's CEO, the process, performed by Ascension Health, a related organization of St. Joseph Regional Medical Center, included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the committee minutes. The individual was not present when his compensation was decided. |
| Form 990, Part VI, Section B, line 15b | In determining compensation of other officers and key employees of the organization, the process performed by St. Joseph Regional Medical Center included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. The Executive Committee of the SJRMC Board and the SJRMC Board reviewed and approved the compensation. In the review of the compensation, the other officers and key employees of the organization were compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. |
| Form 990, Part VI, Section C, line 19 | The organization will provide any document open to public inspection upon request. |
| Form 990, Part XI, line 9: | Transfers to/from Affiliates -3,941,650. Deferred Pension Costs -1,566,030. |
| Form 990, Part XII, Line 2c: | The financial statements of St. Joseph Regional Medical Center fall under the specific scope of Ascension Health Alliance. The activity of St. Joseph Regional Medical Center is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Joseph Regional Medical Center is completed. Therefore the attached is the audited financial statement of Ascension Health Alliance and affiliates (which include the activity of St. Joseph Regional Medical Center). |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health Alliance | |||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 453358926 | National Health System | MO | 501(c)(3) | Schedule A, Line 11a | N/A | 0 | |
| Ascension Health | |||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662309 | National Health System | MO | 501(c)(3) | Schedule A, Line 11a | 0 | Ascension Health Alliance | |
| St Joseph Regional Medical Center Foundation Inc | |||||||||||
| 415 Sixth Street | Lewiston | ID | 83501 | 510168321 | Fundraising | ID | 501(c)(3) | Schedule A, Line 11a | Yes (1) | St Joseph Regional Medical Center | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| St Joseph Regional Medical Center Foundation | ||
| N | $72,009 | Actual Amount Paid |
| St Joseph Regional Medical Center Foundation | ||
| O | $100,767 | Actual Amount Paid |
| Ascension Health | ||
| R | $1,678,153 | Actual Amount Paid |
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