2014-11-12T14:31:55-06:00 2013-12-31 BRUCE E BERNSTIEN & ASSOC PC 10440 N CENTRAL EXPRESSWAY STE 1040 DALLAS TX 75231 990 2013-01-01 951684082 SAINT JOHN'S HEALTH CENTER % BARRY HARDING SAIN 3108295511 2121 Santa Monica Blvd Suite Santa Monica CA 904042091 BARRY HARDING CFO 3108295511 2014-11-05 true BRUCE E BERNSTIEN P01424343 3108295511 2013 2015-11-30 17:44:51Z MICHAEL WALL 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 330871341 false 0928 X www.stjohns.org X 1942 CA WE WILL IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS & COMMUNITIES,ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. 6 5 1944 428 4746838 313873 20826974 19485251 286761822 306062866 2025772 1347312 3623684 3330824 313238252 330226253 898028 709800 0 0 124335798 132706699 0 0 0 194883448 195303264 320117274 328719763 -6879022 1506490 180441946 111464299 139221021 133666023 41220925 -22201724 X WE WILL IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. false false 37920024 43810245 ORTHOPEDICS: SPECIALIZING IN JOINT AND SPINAL SURGERY, SAINT JOHN'S HAS BEEN RECOGNIZED AS A TOP 100 ORTHOPEDICS SPECIALTY HOSPITAL FOR HIP REPLACEMENTS, AND IN 2008 WAS THE HOST FACILITY FOR THE PRESTIGIOUS INTERNATIONAL LETOURNEL SYMPOSIUM ON HIP AND PELVIC TRAUMA. 21291492 18651412 CARDIAC CARE: SAINT JOHN'S PROGRAM INCLUDES A WIDE RANGE OF DIAGNOSTIC AND THERAPEUTIC CARDIAC SERVICES, INCLUDING LEADERSHIP WITH BLOODLESS MEDICINE AND BLOODLESS CARDIAC SURGERY, PERCUTANEOUS CORONARY INTERVENTIONS, ABLATIONS, AND TRADITIONAL CARDIAC SURGERIES. 17662380 23349511 OBSTETRICS: OUR OBSTETRICS PROGRAM INCLUDES LABOR, DELIVERY AND RECOVERY SUITES, MOTHER-BABY COUPLETE CARE UNIT, NEONATAL INTENSIVE CARE UNIT, LACTATION STORE, AND SUPPORT PROGRAM FOR BREASTFEEDING MOTHERS. 34839732 30134421 general medicine 28200388 30727428 general surgery 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13111 E Briarwood Ave STE 2 ENGLEWOOD CA 80112 Environmental Svcs 1105935 62 3964988 1002054 14518209 19485251 PATIENT CARE REVENUE 621500 304170994 299747279 4423715 RENTAL INCOME FROM AFFILIATED EXEMPT ORGANIZATION 531190 1280100 1280100 EDUCATION PROGRAM REVENUE 611420 611772 611772 306062866 1351446 0 0 1351446 0 0 777635 645088 132547 0 132547 132547 -4134 -4134 -4134 -4134 0 0 0 CAFETERIA SALES 722410 1017392 1017392 PARKING REVENUE 812930 501577 501577 SMWI PARTNERSHIP INCOME 900099 323123 323123 1356185 205093 1151092 3198277 330226253 301844244 4746838 4149920 709800 709800 0 0 0 3433839 204093 3229746 0 0 102518435 97406394 5112041 0 6176626 5737522 439104 0 13067662 12388014 679648 0 7510137 7181190 328947 0 3976860 3976860 0 0 503110 58744 444366 0 0 23573 0 23573 0 0 0 8711765 5996296 2715469 0 1899272 100056 1799216 0 3685916 3547925 137991 0 5011346 45375 4965971 0 0 13816570 12595852 1220718 0 178742 57354 121388 0 0 125114 57103 68011 0 2926237 2926237 0 0 8572274 0 8572274 0 31842516 31792149 50367 2928891 2928891 0 0 SUPPLIES 48952072 48748774 203298 0 CA HOSPITAL QUALITY FEE 15331199 15331199 0 0 EQUIPMENT RENTAL & MAINTENANCE 9256839 9255419 1420 0 BAD DEBT 7664003 7664003 0 0 29896965 28768370 1128595 328719763 297477620 31242143 0 4986822 684358 0 0 2000000 2000000 35929185 36673721 0 0 0 0 -39307 -39309 5273028 4839415 6203162 3008411 307763776 284173368 90888914 23590408 0 0 0 0 21261490 0 0 0 13938652 40707295 180441946 111464299 35346378 36136396 0 0 46732 52421 0 0 0 0 0 0 0 0 0 0 103827911 97477206 139221021 133666023 X 35144386 -27379377 6076539 5177653 0 0 41220925 -22201724 180441946 111464299 X 1506490 -64929139 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 23573 23573 false Schedule C, Part II-B, line 1i: SAINT JOHN'S HEALTH CENTER IS A MEMBER OF THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND THE ALLIANCE OF CATHOLIC HEALTH CARE. BOTH ORGANIZATIONS ENGAGE IN LOBBYING ACTIVITIES AND A PERCENTAGE OF THE MEMBERSHIP DUES SUPPORTS THESE ACTIVITIES. 23053139 111446 1806045 944602 24026028 21699193 90527 2202784 939365 23053139 22270167 181487 14905 769628 21696931 20431739 917103 2079752 1158427 22270167 17779739 -246744 3254247 355503 20431739 0.39000 0.61000 false true true 30756765 30756765 97211860 136460535 -39248675 4420518 1412996 3007522 175374633 146229837 29074796 23590408 FOUNDATION RECEIVABLE 3037056 JWCI RECEIVABLE 100025 SCLHS RECEIVABLE 33921621 SJSM RECEIVABLE -125491 SMC RECEIVABLE 125491 OTHER RECEIVABLE 2451913 DEPOSITS 496680 GOODWILL 300000 INTANGIBLE-OTHER 400000 40707295 0 NOTES PAYABLE 56891099 CURRENT MATURITY OF NP & LP 37000000 ESTIMATED 3RD PARTY SETTLEMENT 3145664 OTHER PAYABLES 440443 97477206 SCHEDULE D, PART V, LINE 4: INCOME IS USED TO SUPPORT VARIOUS PROGRAMS AND SERVICES OF SAINT JOHN'S HEALTH CENTER. true true X true X 350. true X true true true false true true 1854 3594984 125832 3469152 0.00010 1644 5813011 2070471 3742540 0.00010 3151 564257 2860 561397 6649 9972252 2199163 7773089 0.00020 7 1284 375232 60221 315011 5 602 575484 0 575484 12 5924 5302708 4759609 543099 0 0 0 11 2948 735923 0 735923 35 10758 6989347 4819830 2169517 0.00010 35 17407 16961599 7018993 9942606 0.00030 2 30 300 0 300 3 25724 1594781 511083 1083698 5 25754 1595081 511083 1083998 true 3617013 87553583 111255073 -23701490 X true true SM Wilshire Imaging Outpatient Imaging Center 0.50000 0.50000 1 1 saint john's health center 2121 santa monica blvd santa monica CA 904042091 www.stjohns.org 930000158 X X X saint john's health center true X X X X X X X X X 13 true false true X X X X X X X X X true false true true 350. true 350. true X X X X X X true true X X X X X true false X X X X true X false false FORM 990, SCHEDULE H, PART V, LINE 3: PLEASE SEE THE DESCRITPION ON PAGE 9 UNDER NEEDS ASSESSMENT SECTION. FORM 990, SCHEDULE H, PART V, LINE 20D: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE IF THE PATIENT QUALIFYS FOR FAP, THERE IS NO CHARGE TO THIS PATIENT. 1 SANTA MONICA WILSHIRE IMAGING 2200-2202 WILSHIRE BLVD SANTA MONICA CA 90404 OUTPAT/IMAGING CTR REQUIRED DESCRIPTIONS PART I, LINE 3C: N/A PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS SUBMITTED TO THE STATE OF CALIFORNIA AND CITY OF SANTA MONICA AND IS AVAILABLE UPON REQUEST. THE REPORT WILL ALSO BE DISCUSSED DURING A COMMUNITY MEETING OPEN TO THE PUBLIC HELD AS PART OF THE COMMUNITY NEEDS ASSESSMENT. SAINT JOHN'S HEALTH CENTER ALSO PLACES THE COMMUNITY BENEFIT REPORT ON ITS WEBSITE. PART I, LINE 7G: SAINT JOHN'S HEALTH CENTER PROVIDES 12 PROGRAMS REPORTED AS SUBSIDIZED HEALTH SERVICES. THERE IS ONE MEDICAL DIRECTOR (ALSO A PHYSICIAN) AND FOUR OTHER PHYSICIANS ASSOCIATED WITH SUBSIDIZED HEALTH SERVICES AND TOTAL CONTRIBUTABLE AMOUNT IS $543,099. ALL SERVICES ARE MEETING IDENTIFIED COMMUNITY HEALTH NEEDS, AND THAT NEED IS VERIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED IN 2013. PART I, LINE 7, COLUMN F: BAD DEBT EXPENSE IS NOT INCLUDED IN THE DENOMINATOR. PART I, LINE 7: CHARITY CARE AND OTHER COMMUNITY BENEFIT COSTS ARE CALCULATED BASED ON THE COSTING METHODOLOGY AND DO NOT INCLUDE BAD DEBT EXPENSES OR NON-PATIENT CARE ACTIVITY REVENUE. PART II: OUR COMMUNITY BUILDING EXPENSES ARE THOSE IDENTIFIED IN OUR COMMUNITY NEEDS ASSESSMENT AS CONTRIBUTING TO THE HEALTH OF THE COMMUNITY, BUT NOT DIRECTLY PROVIDING HEALTH SERVICES. THE NEEDS ASSESSMENT IS VALIDATED BY OUR COMMUNITY ADVISORY COMMITTEE WHICH REVIEWS EACH ASSESSMENT AND COLLABORATES ON THE SELECTION OF PRIORITIZED NEEDS. PART III, LINE 2: THE ALLOWANCE FOR BAD DEBT IS BASED UPON THE ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT COST. THE COST TO CHARGE RATIO USED TO CALCULATE BAD DEBT AT COST WAS DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. PART III, LINE 4: THE ALLOWANCE FOR BAD DEBT IS BASED UPON THE ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE ORGANIZATIONS FINANCIAL STATEMENTS THAT DESCRIBE THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL COLLECTION EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCLUDES A RESERVE FOR BOTH UNINSURED PATIENTS AND BALANCE AFTER INSURANCE ACCOUNTS RECEIVABLE. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. PART III, LINE 8: THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS. TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO. PART III, LINE 9B: SAINT JOHN'S HEALTH CENTER HAS BILLING AND COLLECTION PRACTICES IN PLACE THAT TAKE INTO ACCOUNT EACH PATIENT'S ABILITY TO PAY, AND THAT DEMONSTRATE OUR CORE VALUE OF RESPECT. WE WORK WITH EACH PATIENT TO HELP THEM UNDERSTAND THEIR FINANCIAL RESPONSIBILITY FOR CARE RECEIVED, FINANCIAL ASSISTANCE AVAILABLE TO THEM, AND TO ESTABLISH PAYMENT PROGRAMS. AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. THIS BALANCE ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST, AND TO ENSURE THAT WE WILL BE HERE WHEN PEOPLE NEED US. SAINT JOHN'S HEALTH CENTER NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION, DISCHARGE AND IN COMMUNICATION REGARDING PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. IN 2013, SAINT JOHN'S HEALTH CENTER PROVIDED A TOTAL OF $3,469,152 IN TRADITIONAL CHARITY CARE AND $3,742,540 UNPAID COST OF MEDICAID. NEEDS ASSESSMENT AS PART OF OUR CORE VALUE OF RESPONSE TO NEED, WE TAKE STEPS TO DETERMINE WHERE THERE IS THE MOST NEED IN ORDER TO PROVIDE THE GREATEST GOOD. SAINT JOHN'S HEALTH CENTER HAS REGULARLY PARTICIPATED IN NEEDS ASSESSMENT SURVEYS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. THE MOST RECENT SURVEY WAS CONDUCTED IN 2013. THIS ASSESSMENT STUDIES A DEFINED COMMUNITY SERVED BY SAINT JOHN'S HEALTH CENTER, AND IS DONE BY PARTNERING WITH LOCAL GOVERNMENT AND SOCIAL AGENCIES; COMBINING EFFORTS WITH OTHER LOCAL HOSPITALS AND HEALTH CARE ORGANIZATIONS; AND CONDUCTING SURVEYS AND ASSESSMENTS WITH THE ASSISTANCE OF OUTSIDE CONSULTANTS. WE ALSO CONTINUOUSLY ASSESS THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY, AND BY EVALUATING STATE AND COUNTY HEALTH STATISTICS. SAINT JOHN'S HEALTH CENTER MAKES THE ENTIRE COMMUNITY NEEDS ASSESSMENT AVAILABLE ON REQUEST. THE NEEDS ASSESSMENT IS VALIDATED BY SAINT JOHN'S COMMUNITY ADVISORY COMMITTEE, COMPOSED OF MEMBERS OF LOCAL COMMUNITY BASED ORGANIZATIONS, AND LOCAL GOVERNMENTAL AGENCIES. BASED ON 2013 NEEDS ASSESSMENT SURVEY, SAINT JOHN'S HEALTH CENTER CHOSE THE FOLLOWING NEEDS AS PRIORITIZED NEEDS: - MENTAL HEALTH SERVICES - INEBRIATED HOMELESS PATIENTS IN THE EMERGENCY DEPARTMENT - ACCESS TO AFFORDABLE AND CONVENIENT PRIMARY AND SPECIALTY CARE - HEALTH EDUCATION AND WELLNESS PROMOTION SAINT JOHN'S CHOSE THESE AREAS BECAUSE THEY WERE THE MOST FREQUENTLY MENTIONED BY SURVEY RESPONDENTS, RESPONSES CAN BE TARGETED TO THE AREAS OF GREATEST NEED, AND BECAUSE IN EACH OF THESE AREAS THERE IS A STRUCTURED COLLABORATION IN PLACE THAT CAN FACILITATE EFFECTIVE ACTION. STRUCTURED COLLABORATION IN PLACE THAT CAN FACILITATE EFFECTIVE ACTION. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SAINT JOHN'S HEALTH CENTER TREATS PATIENTS WITH RESPECT AND DIGNITY REGARDLESS OF THEIR ABILITY TO PAY. SAINT JOHN'S HEALTH CENTER HAS A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINS ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE AT VARIOUS LEVELS, INCLUDING A 100% DISCOUNT, AND IS BASED ON FEDERAL POVERTY GUIDELINES. WE WORK WITH PATIENTS TO HELP THEM UNDERSTAND THEIR FINANCIAL RESPONSIBILITY FOR CARE RECEIVED, FINANCIAL ASSISTANCE AVAILABLE TO THEM, AND TO ESTABLISH PAYMENT PROGRAMS IN DEMONSTRATION OF OUR CORE VALUE OF RESPECT. AS PART OF OUR RESPONSIBILITY TO EDUCATE, WE INFORM OUR PATIENTS AND THEIR FAMILIES OF THE AVAILABILITY OF ASSISTANCE, INCLUDING GOVERNMENT PROGRAMS. WE COMMUNICATE THIS IN A VARIETY OF WAYS TO ENSURE THAT MESSAGES REACH MULTIPLE AUDIENCES. BEFORE, DURING AND/OR AFTER ADMISSION, WE ENCOURAGE OUR SELF PAY PATIENTS TO VISIT WITH A FINANCIAL COUNSELOR TO DISCUSS QUALIFICATIONS FOR FINANCIAL ASSISTANCE. THE FINANCIAL COUNSELOR WORKS WITH THE PATIENT TO COMPLETE A FINANCIAL ASSISTANCE FORM TO DETERMINE THE LEVEL OF DISCOUNT FOR WHICH THE PATIENT MAY BE ELIGIBLE. WE POST FINANCIAL ASSISTANCE INFORMATION IN EMERGENCY AND ADMISSIONS AREAS, ON BILLINGS INVOICES, IN VARIOUS AREAS AROUND THE HOSPITAL AND CLINIC SITES AND ON THE HOSPITAL WEBSITE. WE PROVIDE WRITTEN MATERIALS TO PATIENTS THAT DETAIL OUR FINANCIAL ASSISTANCE POLICY AND HOW IT IS ADMINISTERED. THIS COVERS ELIGIBILITY, STEPS TO FOLLOW TO DETERMINE IF A PATIENT QUALIFIES FOR ASSISTANCE, TYPICAL CHARGES A PATIENT MAY EXPECT FOR ROUTINE PROCEDURES, AND ASSISTANCE AVAILABLE BASED ON A PATIENT'S INCOME LEVEL. WE PROVIDE MATERIALS AND EDUCATION WHEN PATIENTS ARE DISCHARGED, AND INCLUDE INFORMATION IN BILLING STATEMENTS, INCLUDING PHONE NUMBERS AND OTHER METHODS TO CONTACT US WITH QUESTIONS. WE ENSURE THAT OUR FINANCIAL COUNSELORS, ADMISSION EMPLOYEES, SOCIAL WORKERS AND OTHER EMPLOYEES UNDERSTAND OUR POLICIES TO BE ABLE TO ASSIST PATIENTS IN THE MOST APPROPRIATE WAY. COMMUNITY INFORMATION SAINT JOHN'S HEALTH CENTER DETERMINED OUR COMMUNITY BY REVIEWING THE ADDRESSES REPORTED BY OUR PATIENTS. 78% USED A ZIP CODE WITHIN THE SERVICE PLANNING AREA (SPA)5 A SERVICE PLANNING AREA, OR SPA, IS A SPECIFIC GEOGRAPHIC REGION WITHIN LOS ANGELES COUNTY. DUE TO THE LARGE SIZE OF LA COUNTY (4,300 SQUARE MILES), IT HAS BEEN DIVIDED INTO 8 GEOGRAPHIC AREAS. THESE DISTINCT REGIONS ALLOW THE DEPARTMENT OF PUBLIC HEALTH TO DEVELOP AND PROVIDE MORE RELEVANT PUBLIC HEALTH AND CLINICAL SERVICES TARGETED TO THE SPECIFIC HEALTH NEEDS OF THE RESIDENTS IN THESE DIFFERENT AREAS. BELOW ARE THE ZIP CODES IN SPA 5 ZIP CODE COMMUNITY NAME -90272 PACIFIC PALISADES -90049 LOS ANGELES (BRENTWOOD/BEL AIR) -90403 SANTA MONICA - CENTRAL -90066 LOS ANGELES (MAR VISTA) -90025 LOS ANGELES (WEST LA/SAWTELLE) -90405 SANTA MONICA - SOUTH -90404 SANTA MONICA - CENTRAL -90064 LOS ANGELES (CHEVIOT HILLS/RANCHO PARK) -90402 SANTA MONICA - NORTH -90291 VENICE -90292 MARINA DEL REY -90265 MALIBU -90230 CULVER CITY -90024 LOS ANGELES (WESTWOOD) -90034 LOS ANGELES (PALMS) -90045 LOS ANGELES (WESTCHESTER) -90401 SANTA MONICA -WEST -90210 BEVERLY HILLS -90232 CULVER CITY -90293 PLAYA DEL REY -90077 LOS ANGELES (BEL AIR/BEVERLY GLEN) -90035 LOS ANGELES (WEST FAIRFAX) -90245 EL SEGUNDO -90290 TOPANGA -90094 LOS ANGELES (PLAYA VISTA) -90212 BEVERLY HILLS -90067 LOS ANGELES (CENTURY CITY) -90056 LOS ANGELES (LADERA HEIGHTS) -90211 BEVERLY HILLS -90263 MALIBU FOLLOWING ARE THE HOSPITALS PHYSICALLY LOCATED IN SPA 5: BROTMAN MEDICAL CENTER 90231 KAISER FOUNDATION HOSPITAL 90034 MIRACLE MILE MEDICAL CENTER 90036 OLYMPIA MEDICAL CENTER 90036 KINDRED HOSPITAL 90056 CENTURY CITY DOCTOR'S HOSPITAL 90067 RONALD REAGAN UCLA MEDICAL CENTER 90095 UCLA MEDICAL CENTER 90095 MARIAN DEL REY HOSPITAL 90291 SAINT JOHN'S HEALTH CENTER IS LOCATED IN ZIP CODE 90404, IN THE CITY OF SANTA MONICA. A VARIETY OF DEMOGRAPHIC AND HEALTH INFORMATION WAS GATHERED FROM BOTH PRIMARY AND SECONDARY SOURCES FOR OUR MOST RECENT COMMUNITY NEEDS ASSESSMENT CONDUCTED IN 2013. SECONDARY DATA FOR SAINT JOHN'S COMMUNITY HEALTH NEEDS ASSESSMENT INVOLVED COLLECTION AND ANALYSIS OF DEMOGRAPHIC AND HEALTH STATUS INFORMATION FOR SPA 5. THE FOLLOWING TYPES OF INFORMATION WERE USED: LOCAL HEALTH DEPARTMENT INDICATORS OF HEALTH STATUS, CITY REPORTS OF HEALTH AND DEVELOPMENT ASSESSMENT, HOMELESS COUNTS, POPULATION, DEATH STATISTICS, DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS, LARGE SCALE TELEPHONE SURVEYS DESIGNED TO MEASURE HEALTH ACCESS, UTILIZATION OF HEALTH SERVICES AND HEALTH BEHAVIORS. THE SECOND PHASE OF THE NEEDS ASSESSMENT WAS QUALITATIVE PRIMARY RESEARCH. TELEPHONE, ONLINE AND IN-PERSON SURVEYS WITH REPRESENTATIVES FROM PUBLIC AND PRIVATE COMMUNITY ORGANIZATIONS WERE CONDUCTED. RESPONDENTS WERE ASKED TO INDICATE HOW THEY WANTED TO PROVIDE FEEDBACK. THIS WAS SELECTED AS AN EFFICIENT, CONVENIENT AND COST EFFECTIVE WAY TO GAIN UNDERSTANDING OF IMPORTANT HEALTH ISSUES AND POTENTIAL OPPORTUNITIES TO COLLABORATE. SOURCES OF DATA AND DATES: LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH -KEY INDICATORS OF HEALTH, 2013 -HEALTH SURVEY, 2011 -REPORTABLE DISEASES, 2012 CALIFORNIA DEPARTMENT OF PUBLIC HEALTH -OFFICE OF STATEWIDE HEALTH AND DEVELOPMENT MARKET SERVICE STUDY AREAS, 2012 LOS ANGELES ECONOMIC ROUNDTABLE -HOSPITAL TO HOME: TRIAGE TOOL II FOR IDENTIFYING HOMELESS PATIENTS IN CRISIS, 2012 THE CITY OF SANTA MONICA -YOUTH WELLBEING REPORT CARD, 2013 LOS ANGELES HOMELESS SERVICES AUTHORITY -GREATER LOS ANGELES HOMELESS COUNT, 2013 TRUVEN HEALTH ANALYTICS, 2013 UCLA CENTER FOR POLICY RESEARCH, 2011 UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES -HEALTH INFORMATION EXCHANGE, 2013 CENTERS FOR DISEASE CONTROL, 2011 US DEPARTMENT OF COMMERCE, CENSUS -QUICK FACTS 2013 SAINT JOHN'S USED THE KEY DETERMINANTS OF HEALTH IN SPA 5 AND COMPARED THEM WITH THOSE OF THE COUNTY OF LOS ANGELES, THE STATE OF CALIFORNIA AND/OR THE USA. THOSE DETERMINANTS ARE: -DEMOGRAPHICS -SOCIAL DETERMINANTS -PHYSICAL DETERMINANTS -PARENTING PRACTICES -HEALTH STATUS -ACCESS TO CARE -PREVENTIVE SERVICES -HEALTH BEHAVIORS -HEALTH OUTCOMES BASED ON LOS ANGELES DEPARTMENT OF PUBLIC HEALTH KEY INDICATORS OF HEALTH, MARCH 2013, THE TOTAL POPULATION IN SPA 5 IS 637,129. ADDITIONAL INFORMATION ON SERVICE PLANNING AREA 5 IS SUMMARIZED AS FOLLOWING: -THE MAJORITY OF RESIDENTS ARE WHITE (65.4 PERCENT). APPROXIMATELY 15.7 PERCENT OF RESIDENTS ARE HISPANIC, 13.0 PERCENT ARE ASIAN/PACIFIC ISLANDER, 5.8 PERCENT ARE BLACK, AND 0.1 PERCENT ARE OF OTHER RACES OR TWO OR MORE RACES. -AMONG PERSONS AGE 5 YEARS AND OLDER IN THE SERVICE AREA, 83.4 PERCENT SPEAK ENGLISH AT HOME, 6.9 PERCENT SPEAK SPANISH, 3.3 PERCENT AN ASIAN OR PACIFIC ISLAND LANGUAGE, AND 6.4 PERCENT OTHER LANGUAGES. -AMONG PERSONS 25 YEARS AND OLDER LIVING IN THE SERVICE AREA, 6.7 PERCENT HAVE LESS THAN A HIGH SCHOOL EDUCATION (NO HIGH SCHOOL DIPLOMA), 11.9 PERCENT ARE HIGH SCHOOL GRADUATES, 25 PERCENT HAVE COMPLETED SOME COLLEGE (NO DEGREE), AND 56.4 PERCENT HAVE COLLEGE, GRADUATE OR PROFESSIONAL DEGREES. -33.5 PERCENT REPORTED EXCELLENT HEALTH STATUS, 32.2 PERCENT REPORTED VERY GOOD, 10.2 PERCENT FAIR AND 1.1 PERCENT POOR. -CHILDREN AGES 0-17 YEARS 3.0 PERCENT WHO ARE UNINSURED, 28.4 PERCENT WHO DO NOT HAVE DENTAL INSURANCE, 4.5 PERCENT WHO HAVE DIFFICULTY ACCESSING MEDICAL CARE. ADULTS AGES 18-64 YEARS 12.7 PERCENT WHO ARE UNINSURED, 39.4 PERCENT WHO DO NOT HAVE DENTAL INSURANCE, 17.0 PERCENT WHO HAVE DIFFICULTY ACCESSING MEDICAL CARE. -8.5 PERCENT OF CHILDREN AGES 3-17 YEARS WHO DID NOT OBTAIN DENTAL CARE (INCLUDING CHECK-UPS) IN THE PAST YEAR BECAUSE THEY COULD NOT AFFORD IT. 19.4 PERCENT OF ADULTS WHO DID NOT OBTAIN DENTAL CARE (INCLUDING CHECK-UPS) IN THE PAST YEAR BECAUSE THEY COULD NOT AFFORD IT. 7.8 PERCENT OF CHILDREN AGES 3-17 YEARS WHO TRIED TO GET MENTAL OR BEHAVIORAL HEALTH CARE IN THE PAST YEAR. 10.6 PERCENT OF ADULTS WHO TRIED TO GET MENTAL HEALTH CARE IN THE PAST YEAR. 9.8 PERCENT OF ADULTS WHO DID NOT OBTAIN NEEDED PRESCRIPTION MEDICATION IN THE PAST YEAR BECAUSE THEY COULD NOT AFFORD IT. -35.8 PERCENT OF MEN AGES 45 OR OLDER AND WOMEN 55 YEARS OR OLDER WHO TAKE ASPIRIN DAILY OR EVERY OTHER DAY FOR THEIR HEART. 74.6 PERCENT OF WOMEN 65 YEARS OR OLDER WHO HAVE EVER BEEN SCREENED FOR OSTEOPOROSIS. -85.2 PERCENT OF ALL LIVE BIRTHS WHERE MOTHER RECEIVED PRENATAL CARE DURING THE 1ST TRIMESTER. 83.5 PERCENT OF WOMEN AGES 18-65 YEARS WHO HAD A PAP SMEAR WITHIN THE PAST 3 YEARS. 82.5 PERCENT OF WOMEN AGES 50-74 YEARS WHO HAD A MAMMOGRAM WITHIN THE PAST 2 YEARS. -72.3 PERCENT OF ADULTS AGES 50-74 YEARS WHO HAVE BEEN SCREENED FOR COLON CANCER (BLOOD IN STOOL IN PAST YEAR OR SIGMOIDOSCOPY IN THE PAST 5 YEARS OR COLONOSCOPY IN THE PAST 10 YEARS) -61.5 PERCENT OF GIRLS AGES 13-17 YEARS VACCINATED (AT LEAST ONE DOSE) FOR HUMAN PAPILLOMAVIRUS(HPV). 31.0 PERCENT OF ADULTS 18-64 YEARS OR OLDER VACCINATED FOR INFLUENZA IN THE PAST YEAR. 70.1 PERCENT OF ADULTS 65 YEARS OR OLDER VACCINATED FOR INFLUENZA IN THE PAST YEAR. 64.1 PERCENT OF ADULTS AGES 65 YEARS OR OLDER EVER VACCINATED FOR PNEUMONIA. -16.5 PERCENT OF ADULTS WHO BINGE DRINK (MEN WHO HAD 5 OR MORE ALCOHOLIC DRINKS, WOMEN 4 OR MORE, ON AT LEAST ONE OCCASION IN THE PAST 30 DAYS). 3.5 PERCENT OF ADULTS WHO MISUSED PRESCRIPTION DRUGS IN THE PAST YEAR. -88.4 PERCENT OF CHILDREN AGES 2-17 YEARS WHO EAT BREAKFAST DAILY. 22.1 PERCENT OF ADULTS WHO CONSUME FIVE OR MORE SERVINGS OF FRUITS AND VEGETABLES A DAY. 27.8 PERCENT OF ADULTS WHO EAT FAST FOOD AT LEAST ONCE A WEEK. 31.6 PERCENT OF CHILDREN WHO EAT FAST FOOD AT LEAST ONCE A WEEK. 21.9 PERCENT OF CHILDREN WHO DRINK AT LEAST ONE SODA OR SWEETENED DRINK A DAY. 9.7 PERCENT OF ADULTS WHO SMOKE CIGARETTES. -15.3 PERCENT OF CHILDREN IN GRADES 5, 7, & 9 WHO ARE OBESE (BMI ABOVE THE 95TH PERCENTILE). 9.8 PERCENT OF ADULTS WHO ARE OBESE (BMI > 30.0). 33.5 PERCENT OF ADULTS WHO ARE OVERWEIGHT (25 < BMI < 30.0). 5.5 PERCENT OF ADULTS EVER DIAGNOSED WITH DIABETES. DIABETES DEATH RATE (AGE-ADJUSTED PER 100,000 POPULATION) IS 9.3 PERCENT. 17.1 PERCENT OF ADULTS EVER DIAGNOSED WITH HYPERTENSION. 24.8 PERCENT OF ADULTS EVER DIAGNOSED WITH HIGH CHOLESTEROL. -RATE OF BIRTHS (PER 1,000 LIVE BIRTHS) TO TEENS AGES 15-19 YEARS IS 6 PERCENT. RATE OF LOW WEIGHT (2,500 GRAMS) BIRTHS (PER 1,000 LIVE BIRTHS) IS 6.8. PERCENT OF LOW WEIGHT (<2,500 GRAMS) AFRICAN-AMERICAN BIRTHS (PER 100 LIVE BIRTHS) IS 9.4. INFANT DEATH RATE (PER 1,000 LIVE BIRTHS) IS 3.2. -17.7 PERCENT OF ADULTS DIAGNOSED WITH ARTHRITIS, 24.9 PERCENT OF WOMEN 65 YEARS OR OLDER DIAGNOSED WITH OSTEOPOROSIS. -SUICIDE RATE (AGE-ADJUSTED PER 100,000 POPULATION) IS 10.6 PERCENT. RATE OF UNINTENTIONAL DRUG-RELATED (INCLUDES ALCOHOL) DEATH CRASHES (AGE-ADJUSTED PER 100,000 POPULATION) IS 5.7 PERCENT. 13.4 PERCENT OF ADULTS EVER DIAGNOSED WITH DEPRESSION. 10.3 PERCENT OF ADULTS WITH CURRENT DEPRESSION. 7.6 PERCENT OF ADULTS WITH CURRENT ANXIETY. ALZHEIMER'S DISEASE DEATH RATE (AGE-ADJUSTED PER 100,000 POPULATION) IS 24 PERCENT. LEADING CAUSES OF DEATH AND PRE COMMUNITY BUILDING ACTIVITIES WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS IN ORDER TO IMPROVE THE HEALTH OF OUR COMMUNITY. OUR COMMUNITY BUILDING ACTIVITIES DEMONSTRATE THIS COMMITMENT. DURING THIS YEAR, OUR COMMUNITY BUILDING ACTIVITIES INCLUDED ENVIRONMENTAL STEWARDSHIP, PRESENTATIONS TO EDUCATIONAL PROFESSIONAL BY CHILD & FAMILY DEVELOPMENT CENTER MENTAL HEALTH PROVIDERS, PARTICIPATION IN THE FAITH COMMITTEE OF THE WESTSIDE SHELTER & HUNGER COALITION. WE ARE AN IMPORTANT PART OF OUR COMMUNITY AND SERVE IN MANY WAYS, FROM DELIVERING CORE HEALTH CARE TO PREVENTIVE CARE TO SUPPORT OF OTHER CIVIC GROUPS. IN 2013, WE PROVIDED $10,800,245, INCLUDING TRADITIONAL CHARITY CARE AND THE UNPAID COST OF MEDICAID. OUR EXECUTIVES SERVE ON THE BOARDS OF MANY LOCAL NON PROFIT AGENCIES THROUGHOUT THE COMMUNITY AND OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL. WHEN SAINT JOHN'S HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE'LL BE HERE TO CARE FOR FUTURE GENERATIONS. WE HAVE AN OPEN MEDICAL STAFF, WE PROVIDE SEVERAL EDUCATIONAL EVENTS DESIGNED TO PROMOTE HEALTHY BEHAVIORS, AND ACCESS TO MEDICAL CARE, AND CONTINUE TO DONATE UNUSED SUPPLIES TO NON PROFIT CORPORATIONS IN THE COMMUNITY AND THOSE THAT SERVE INTERNATIONAL NEEDS. WE ALSO SUPPORT OUR EMPLOYEES IN VOLUNTEERING FOR COMMUNITY ORGANIZATIONS, INCLUDING SERVING ON COMMUNITY BOARDS, AND PROVIDE OPPORTUNITIES FOR THEM TO SUPPORT CAUSES THROUGH HOSPITAL EVENTS SUCH AS AUTISM ADVISORY BOARD CALIFORNIA PROFESSIONAL SOCIETY ON THE ABUSE OF CHILDREN (CAPSAC) CALIFORNIA STATE COLLEGE, LOS ANGELES CHILD ABUSE PROFESSIONAL PROVIDERS ASSOCIATION (CAPPA) CLARE FOUNDATION HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA INTERAGENCY COUNCIL ON ABUSE AND NEGLECT (ICAN) INSTITUTE OF CONTEMPORARY PSYCHOLOGY JOHN ADAMS MIDDLE SCHOOL STUDENT SUCCESS TEAM MEETINGS LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) LOS ANGELES SERVICE AREA 5 PROVIDER ADVISORY COMMITTEE LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH NETWORKING MEETINGS LOS ANGELES UNITED SCHOOL DISTRICT FAIR FOR PARENTS OF DEAF AND HARD OF HEARING CHILDREN LOS ANGELES CHAPTER OF THE HEARING LOSS ASSOCIATION LIFELONG LEARNING COMMUNITY PARTNERSHIP LINCOLN SCHOOL COUNSELOR MEETINGS MCKINLEY ELEMENTARY SCHOOL ENGLISH LANGUAGE ADVISORY COMMITTEE OPCC* (FORMERLY OCEAN PARK COMMUNITY CENTER) ORGANIZATION OF COMMUNITY HUMAN SERVICE AGENCIES PICO NEIGHBORHOOD PROJECT AND PICO YOUTH AND FAMILY CENTER RAND CORPORATION MEETINGS AS INVITED RIDESHARE SANTA MONICA CHAMBER OF COMMERCE SANTA MONICA CHILD CARE TASK FORCE SANTA MONICA COLLEGE - CHILD DEVELOPMENT DEPARTMENT SANTA MONICA EARLY CHILDHOOD TASK FORCE SANTA MONICA ROTARY CLUB SANTA-MONICA MALIBU UNIFIED SCHOOL DISTRICT SANTA MONICA COLLEGE FOUNDATION SEARCH TO INVOLVE PILIPINO AMERICANS SOUTHERN CALIFORNIA BIOETHICS CONSORTIUM ST. JOSEPH CENTER UNITY FAIR AT VIRGINIA AVE. PARK UPWARD BOUND HOUSE VENICE FAMILY CLINIC WEST SERVICE PLANNING AREA WESTSIDE CHILD TRAUMA COUNCIL WESTSIDE CHILDREN'S CENTER WESTSIDE DIABETES TASK FORCE WESTSIDE DIRECTORS (UCLA/CONNECTIONS FOR CHILDREN) WESTSIDE DOMESTIC VIOLENCE COALITION WESTSIDE FAMILY HEALTH CENTER WESTSIDE MEALS ON WHEELS WEST LOS ANGELES DEPARTMENT OF MENTAL HEALTH CHILD MENTAL HEALTH PROVIDERS GROUP WESTSIDE HEALTH COALITION WESTSIDE TRANSPORTATION COLLABORATIVE WISE & HEALTHY AGING YOUTH RESOURCE TEAM OF VIRGINIA AVENUE PARK YWCA OF SANTA MONICA WE ARE GOOD CITIZENS AND PARTNER WITH OTHER ORGANIZATIONS AND AGENCIES TO SUPPORT A THRIVING COMMUNITY, INCLUDING: SANTA MONICA CHAMBER OF COMMERCE SANTA MONICA COLLEGE FOUNDATION SANTA MONICA POLICE ACTIVITIES LEAGUE SANTA MONICA FIRE DEPARTMENT WESTSIDE YMCA AND YWCA WESTSIDE DOMESTIC VIOLENCE NETWORK COMMUNITY BENEFITS PROVIDED IN 2013 THROUGHOUT SCLHS TOTALED $227 MILLION. AS PART OF SCLHS, WE PROMOTE THE SHARED MISSION THAT "WE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE." WE ARE COMMITTED TO LIVING AND DEMONSTRATING OUR CORE VALUES OF EXCELLENCE, RESPECT, RESPONSE TO NEED, STEWARDSHIP AND WHOLENESS. SCLHS SUPPORTS ITS HOSPITALS BY PROVIDING GUIDANCE, OVERSIGHT, AND RESOURCES TO HELP THEM ACCOMPLISH INITIATIVES THAT IMPROVE HEALTH IN ALL OUR COMMUNITIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. OTHER WAYS SCLHS BENEFITS ITS HOSPITALS INCLUDE QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE IT IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; BENEFITS ADMINISTRATION (INCLUDING A WELLNESS PROGRAM FREE TO EMPLOYEES THAT PROMOTES THEIR HEALTH AND WELL-BEING); RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE. BY SHARING THE WORK ACROSS OUR SYSTEM WE ARE ABLE TO LIGHTEN THE BURDEN FOR ALL IN ORDER TO FULFILL OUR MISSION OF IMPROVING HEALTH IN OUR COMMUNITIES. SCLHS IMPROVES OVERALL HEALTH IN OUR COMMUNITIES BY PROVIDING INFRASTRUCTURE TO SUPPORT AND SUSTAIN FOUR CLINICS FOR THE UNINSURED IN KANSAS AND COLORADO. THE SCLHS CLINICS FOR THE UNINSURED ARE OFTEN THE ONLY SAFETY NET CLINIC IN THEIR COMMUNITY AND PROVIDE VALUABLE SERVICES FOR THOSE WHO ARE MOST VULNERABLE. EACH HOSPITAL IS SUPPORTED BY A FOUNDATION TO ACCESS AND OPTIMIZE LOCAL PHILANTHROPIC ORGANIZATIONS AND INDIVIDUALS. THESE FOUNDATIONS RAISE FUNDS THROUGH OUTREACH, SPECIAL EVENTS, AND BUILDING DONOR RELATIONS THROUGHOUT THEIR COMMUNITY TO SUPPORT THE NEEDS OF THE HOSPITAL. AFFILIATED HEALTH CARE SYSTEM ROLES SAINT JOHN'S HEALTH CENTER IS PART OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS), A FAITH-BASED, MISSION-DRIVEN HEALTH CARE ORGANIZATION. SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION "TO REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE." SAINT JOHN'S HEALTH CENTER PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. SCLHS SUPPORTS THE EFFORTS OF THE HOSPITAL THROUGH STRATEGIC DIRECTION AND OPERATING OVERSIGHT. SCLHS SUPPLIES OVERHEAD SUPPORT SERVICES TO SAINT JOHN'S HEALTH CENTER, INCLUDING INFORMATION TECHNOLOGY SERVICES, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, SUPPLY CHAIN MANAGEMENT, BENEFITS ADMINISTRATION, RISK MANAGEMENT AND INSURANCE AND QUALITY IMPROVEMENT LEADERSHIP. ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM FILES A COMMUNITY BENEFIT REPORT IN TWO STATES: CALIFORNIA AND MONTANA. true OPCC 1453 16TH STREET SANTA MONICA CA 90404 956143865 501(C)(3) 150000 svcs to homeless, mentally ill women at daybreak shelter PICO YOUTH AND FAMILY CENTER 715 PICO BLVD SANTA MONICA CA 90405 481269398 501(C)(8) 17500 mental health & other svcs to at risk youth WESTSIDE FAMILY HEALTH CENTER 1711 OCEAN PARK BLVD SANTA MONICA CA 90405 952931931 501(C)(3) 128000 svcs to pregnant women SANTA MONICA MALIBU UNITED SCHOOL DISTRICT 1651 16TH STREET SANTA MONICA CA 90404 956002855 501(C)(3) 25000 MENTAL HEALTH SERVICES FOR CHILDREN BETWEEN THE AGES OF 0-5 YEARS WHO ARE IDENTIFIED AT RISK OF CHILD ABUSE. VENICE FAMILY CLINIC 604 ROSE AVE VENICE CA 90291 952769432 501(C)(3) 178500 OP svc. to under Federal poverty guidelines WISE & HEALTHY AGING 1527 4TH ST 2ND FL SANTA MONICA CA 90401 952788014 501(C)(3) 50000 SUPPORT FOR CBO THAT SERVES THE ELDERLY AND DISABLED PERSONS SAINT ANNE'S SCHOOL 2015 COLORADO AVE SANTA MONICA CA 90404 951690538 501(C)(3) 50000 Support for school qualified for Title XX. UPWARD BOUND HOUSE 1104 WASHINGTON AVE SANTA MONICA CA 90403 953874381 501(C)(3) 10000 Services and shelter for homeless persons affected by dual diagnosis of mental health and substance abuse ST JOSEPH CENTER 204 HAMPTON DRIVE VINICE CA 90291 953874381 501(C)(3) 28000 MENTAL HEALTH & OTHER SVC. TO THE POOR ARTHRITIS FOUNDATION 800 WEST 6TH STREET SUITE 1250 LOS ANGELES CA 90017 581341679 501(C)(3) 35000 PREVENT, CONTROL AND CURE OF ARTHRITIS AND RELATED DISEASES. RELATED DISEASES. 9 1 SCHEDULE I, PART I, LINE 2 Saint John's monitors the use of the grant funds through representation on the organization's Board of Directors or regular meetings with agency representatives to discuss programs. In addition, Saint John's receives an annual report of fund usage on the number of patients served for certain programs. true true false false false false false true false SLUBOWSKI MICHAEL SECRETARY 0 1024269 0 194400 0 124916 0 31443 0 18184 0 1393212 0 106099 WALL MICHAEL PRESIDENT & CEO 0 1185099 0 0 0 0 0 0 0 0 0 1185099 0 0 MOK MICHELLE CFO 0 219333 0 175637 0 287534 0 9489 0 2162 0 694155 0 131092 HARDING BARRY CFO 268600 0 0 0 0 0 4500 0 0 0 273100 0 0 0 MEEHAN KENNETH COO 0 720705 0 0 0 0 0 0 0 0 0 720705 0 0 HENDEL DAWNA VP PATIENT CARE/CNO 244703 0 52642 0 2332 0 42704 0 3595 0 345976 0 0 0 AKHAVAN JALEH DIRECTOR OF SURGERY 191947 0 0 0 1771 0 9805 0 11281 0 214804 0 0 0 KLEIN O ROBERT VICE PRESIDENT-FOUNDATION 188637 0 44065 0 10671 0 17965 0 23476 0 284814 0 0 0 NOORI NAHID ULTRASOUND TECH 209064 0 0 0 0 0 16835 0 5657 0 231556 0 0 0 SLATES RANDAL PHYSICIST 196493 0 0 0 457 0 16666 0 34110 0 247726 0 0 0 O'DEA CAROL DIRECTOR OF SURGERY 192511 0 0 0 1069 0 2318 0 21417 0 217315 0 0 0 WALKER THOMAS ADMINISTRATIVE DIRECTOR 191880 0 0 0 1052 0 9674 0 12509 0 215115 0 0 0 LAZATIN LOURDES CEO-FORMER 0 54770 0 133454 0 742321 0 0 0 10748 0 941293 0 198963 RAMIREZ L ELEANOR COO-FORMER 0 28988 0 75042 0 432784 0 0 0 23538 0 560352 0 0 Schedule J, Part I, Line 3 COMPENSATION REVIEW PROCESS: PROCESS FOR DETERMING COMPENSATION SCLHS EMPLOYS THE EXECUTIVE TEAM AT EACH OF ITS HOSPITAL AFFILIATES. AS PART OF ITS ANNUAL REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF THOSE IN THESE POSITIONS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -WRITTEN EMPLOYMENT CONTRACTS -COMPENSATION SURVEYS AND STUDIES -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS' EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED IN SIMILAR, NOT-FOR-PROFIT HEALTHARE SYSTEMS AND HOSPITALS. SCHEDULE J, PART I, LINE 4A: SEVERANCE PAYMENTS: SCLHS PERIODICALLY INCURS SEVERANCE PAYMENTS RELATED TO FORMER EMPLOYEES. THE AMOUNT PAID TO LISTED INDVIDUALs FOR SEVERANCE IN 2013 WERE: ELEANOR RAMIREZ $371,018 LOURDES LAZATIN $541,782 MICHELLE MOK $154,931 SCHEDULE J, PART I, LINE 4B: PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: OTHER REPORTABLE COMPENSATION SHOWN IN SCHEDULE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. SCLHS PROVIDES NONQUALIFIED RETIREMENT PLANS FOR EXECUTIVES TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. ON THE ADVICE OF COUNSEL, SCLHS HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNT WITHDRAWN FROM THE PLAN FOR TAXES IN 2013 WAS: MICHAEL SLUBOWSKI $33,930 IN ADDITION VESTED AMOUNTS ARE PAYABLE UPON END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENTS W-2. THE AMOUNTS WITHDRAWN FROM THE PLAN IN 2013 WERE: ELEANOR RAMIREZ $106,024 LOURDES LAZATIN $348,614 MICHELLE MOK $131,092 SCHEDULE J, PART I, LINE 7 OTHER NON-FIXED PAYMENTS: SCLHS HAS MANAGEMENT INCENTIVE PLANS WHICH ARE BASED ON A COMBINATION OF MEASURES. MANAGEMENT AND SENIOR LEADERSHIP ARE ELIGIBLE FOR THE INCENTIVE COMPENSATION. PERFORMANCE CATEGORIES ARE MADE UP OF A COMBINATION OF CLINICAL QUALITY MEASURES AND OPERATING INCOME. THE OPERATING INCOME CATEGORY IS GENERALLY RELATED TO THE NET EARNINGS OF THE CARE SITE IN WHICH THE INDIVIDUAL WORKS, OR IN THE CASE OF SCLHS SENIOR MANAGEMENT, THE NET EARNING OF SCLHS. SCHEDULE J, PART II ADDITIONAL OFFICER AND BOARD DISCLOSURES: THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. MICHAEL SLUBOWSKI IS A PRESIDENT AND CEO FOR SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS)IN DENVER, COLORADO. HE ALSO SERVED AS A MEMBER OF SAINT JOHN'S BOARD. THE COMPENSATION REFLECTED IS THAT OF MR. SLUBOWSKI'S POSITION AS A PRESIDENT AND CEO NOT AS A MEMBER OF SAINT JOHN'S BOARD. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. FORM 990, PART III, LINE 4D: OTHER PROGRAM SERVICES: SAINT JOHN'S HEALTH CENTER'S (SAINT JOHN'S OR THE HEALTH CENTER'S) PRIMARY EXEMPT PURPOSE IS TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES TO THE SURROUNDING COMMUNITY. SAINT JOHN'S PROVIDED 209,945 OUTPATIENT VISITS IN ADDITION TO THE 50,818 DAYS OF CARE PROVIDED TO THE 11,962 PATIENTS ADMITTED TO THE HEALTH CENTER DURING JANUARY 2013 TO DECEMBER 2013. FOR OVER SIXTY YEARS, SAINT JOHN'S HEALTH CENTER HAS OFFERED A RANGE OF HEALTH CARE PROGRAMS AND SERVICES UNPARALLELED ON THE WEST SIDE OF LOS ANGELES. IN ADDITION TO PRIMARY CARE, SAINT JOHN'S HAS BUILT A REPUTATION AS A LEADING PROVIDER OF SPECIALTY CARE BY RESPONDING TO THE NEEDS OF OUR PATIENTS AND COMMUNITY. SAINT JOHN'S COMMITMENT TO EXCELLENCE IN SPECIALTY CARE HAS MADE IT THE HOSPITAL OF CHOICE FOR MANY OF THE AREA'S TOP PHYSICIANS. SAINT JOHN'S IS HOME TO MANY PREMIER PROGRAMS, INCLUDING: CARDIAC CARE: SAINT JOHN'S PROGRAM INCLUDES A WIDE RANGE OF DIAGNOSTIC AND THERAPEUTIC CARDIAC SERVICES, INCLUDING LEADERSHIP WITH BLOODLESS MEDICINE AND BLOODLESS CARDIAC SURGERY, PERCUTANEOUS CORONARY INTERVENTIONS, ABLATIONS, AND TRADITIONAL CARDIAC SURGERIES. ORTHOPEDICS: SPECIALIZING IN JOINT AND SPINAL SURGERY, THE HIP AND PELVIS INSTITUTE AT SAINT JOHN'S IS CONSIDERED THE WORLD'S LEADING CENTER FOR ANTERIOR APPROACH HIP AND PELVIS SURGERY. CANCER: THE RESEARCH PROGRAMS OF JOHN WAYNE CANCER INSTITUTE (JWCI) ARE LOCATED AT SAINT JOHN'S. THE JWCI'S RESEARCH ON MELANOMA BENEFITS PATIENTS LOCALLY AND AROUND THE WORLD. THE JOYCE EISENBERG KEEFER BREAST CENTER IS A RECOGNIZED LEADER IN THE TREATMENT OF BREAST CANCER AND HAS BEEN RATED AMONG THE TOP TEN BREAST CANCER PROGRAMS IN THE NATION. MATERNAL AND CHILD HEALTH: OUR OBSTETRICS PROGRAM INCLUDES LABOR, DELIVERY AND RECOVERY SUITES, MOTHER-BABY COUPLET CARE UNIT, NEONATAL INTENSIVE CARE UNIT, LACTATION STORE, AND A SUPPORT PROGRAM FOR BREASTFEEDING MOTHERS. EMERGENCY CARE: SAINT JOHN'S 24-HOUR EMERGENCY DEPARTMENT IS A CRUCIAL FACILITY FOR THE WESTSIDE, TREATING OVER 28,815 PATIENTS FROM JANUARY 2013 TO DECEMBER 2013. CHILD AND FAMILY DEVELOPMENT CENTER: THE CENTER PROVIDES A COMPREHENSIVE RANGE OF CULTURALLY SENSITIVE AND LINGUISTICALLY RESPONSIVE MENTAL HEALTH, OUTREACH, DEVELOPMENTAL AND EDUCATIONAL SERVICES. AVAILABLE IN ENGLISH, SPANISH, AND AMERICAN SIGN LANGUAGE, SERVICES ARE OFFERED FOR CHILDREN, ADOLESCENTS, AND THEIR FAMILIES AT THE CENTER, SCHOOL SITES, HOMES AND OTHER LOCATIONS IN THE COMMUNITY. FORM 990, PART VI, SECTION A, LINEs 6, 7A & 7B: PURSUANT TO THE BYLAWS SAINT JOHN'S HEALTH CENTER HAS A SOLE MEMBER, WHICH IS THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS). INDIVIDUALS NOMINATED FOR APPOINTMENT TO SAINT JOHN'S HEALTH CENTER'S BOARD OF DIRECTORS ARE RECOMMENDED TO AND MUST RECEIVE APPROVAL FROM SCLHS' BOARD OF DIRECTORS. THE CEO AND SOME MEMBERS OF THE BOARD AND OFFICERS HAVE SHARED RESPONSIBILITIES BETWEEN JOHN WAYNE CANCER INSTITUTE AND SAINT JOHN'S HEALTH CENTER. FORM 990, PART VI, SECTION B, LINE 11B: FORM 990 REVIEW AN ELECTRONIC COPY OF THE 990 AND ITS SUPPORTING SCHEDULES IS DISTRIBUTED TO THE SAINT JOHN'S HEALTH CENTER MANAGEMENT TEAM AND GOVERNING BOARD AND THE SCLHS OFFICE. AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE RETURN PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C: MONITORING & ENFORCING COMPLIANCE THE MANAGER OF COMPLIANCE AND GOVERNING BOARD REVIEW THE CONFLICT OF INTEREST STATEMENTS. POTENTIAL CONFLICTS ARE REVIEWED BY THE ORGANIZATIONAL RESPONSIBILITY OFFICER AND THE CEO. SIGNIFICANT ISSUES ARE REVIEWED BY THE GOVERNING BOARD AND RESOLVED ACCORDINGLY UNDER GUIDANCE FROM LEGAL COUNSEL. SAINT JOHN'S ADHERES TO THE SCLHS CONFLICT OF INTEREST POLICY FOR MEMBERS OF ALL BOARD OF DIRECTORS FOR ALL ENTITIES AND RELATED JOINT VENTURES. ALSO, SAINT JOHNS' REQUIRES CONFLICT OF INTEREST DISCLOSURE BY NON-BOARD OF DIRECTORS MEMBERS OR THE FINANCE AND THE AUDIT AND COMPLIANCE COMMITTEES. THE RESTRICTIONS IMPOSED ON A PERSON WITH A CONFLICT OF INTEREST VARY DEPENDING ON THE TYPE OF THE CONFLICT AND THE ROLE OF THE PERSON DISCLOSING THE POTENTIAL CONFLICT. FORM 990, PART VI, SECTION C, LINE 19: PUBLIC VIEWING OF DOCUMENTS SAINT JOHN'S HEALTH CENTER PROVIDES VIEWING OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS UPON REQUEST. FORM 990, PART X, line 10a: LAND, BUILDING, AND EQUIPMENT TITLE OWNERSHIP OF LAND AND BUILDINGS RECORDED ON SAINT JOHN'S HEALTH CENTER'S BALANCE SHEET RESIDES WITH THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM. FORM 990 PART XI LINE 9: OTHER CHANGES IN NET ASSETS GAIN FROM JOINT VENTURE SMWI $(323,123) NET CHANGE ON ABRAXIS GRANT $(553,930) CONTRIBUTIONS RECEIVED NOT THROUGH P/L $(290,016) ASSETS IMPAIRMENT ADJUSTMENT $(60,964,071) LEGAL EXPENSE BOOKED AS EXTRAORDINARY LOSS $(2,798,000) ROUNDING ADJUSTMENT $ 2 TOTAL $(64,929,139) SISTERS OF CHARITY LEAVENWORTH HLTH SYST 2420 w 26th ave suite 100d denver CO 80211 237379161 SUPPORT MMBRS KS 501(c)(3) 11B-TYPE II NA false CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH KS 66048 481009910 CLINIC SVCS KS 501(c)(3) 3 SCLHS true MARIAN CLINIC INC 1001 SW GARFIELD TOPEKA KS 66604 481046905 CLINIC SVCS KS 501(c)(3) 3 SCLHS true MARILLAC CLINIC INC 2333 N 6TH STREET GRAND JUNCTION CO 81501 841085822 CLINIC SVCS CO 501(c)(3) 3 SCLHS true PROVIDENCE MEDICAL CENTER 8929 PARALLEL PARKWAY KANSAS CITY KS 66112 480784446 HEALTHCARE KS 501(c)(3) 3 SCLHS true ST JOHN HOSPITAL INC 3500 SOUTH FOURTH STREET LEAVENWORTH KS 66048 480543768 HEALTHCARE KS 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