2014-05-14T10:42:51-05:00 2013-06-30 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2012-07-01 221494454 ST LUKE'S WARREN HOSPITAL INC % THOMAS P LICHTENWALNER STLU 9088596705 185 ROSEBERRY STREET Suite PHILLIPSBURG NJ 088651684 THOMAS P LICHTENWALNER 9738989494 2014-05-05 true Scott Mariani 9738989494 2012 2015-11-30 17:44:51Z SCOTT R WOLFE 185 ROSEBERRY STREET PHILLIPSBURG NJ 08865 115366634 false X www.warrenhospital.org X 1921 NJ ST. LUKE'S WARREN HOSPITAL, INC. IS A COMMUNITY-BASED, INTEGRATED SYSTEM OF HEALTHCARE SERVICES THAT PARTNERS WITH ITS PHYSICIAN COLLEAGUES TO PROVIDE SUPERIOR PATIENT CARE. 13 8 1282 129 0 0 39957 166101 59861260 113609116 31658 462653 272108 1128764 60204983 115366634 1867602 2661707 0 0 29897372 59533793 0 0 0 26253873 49115973 58018847 111311473 2186136 4055161 112166331 104983670 91971896 64604268 20194435 40379402 X ST. LUKE'S WARREN HOSPITAL, INC. IS A COMMUNITY-BASED, INTEGRATED SYSTEM OF HEALTHCARE SERVICES THAT PARTNERS WITH ITS PHYSICIAN COLLEAGUES TO PROVIDE SUPERIOR PATIENT CARE. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 12834020 0 10431063 EXPENSES INCURRED IN PROVIDING VARIOUS MEDICALLY NECESSARY INPATIENT SURGERY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. 9483501 0 7927634 EXPENSES INCURRED IN PROVIDING VARIOUS MEDICALLY NECESSARY GENERAL INTERNAL MEDICINE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. 7827733 0 13053211 EXPENSES INCURRED IN PROVIDING VARIOUS MEDICALLY NECESSARY EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. 70301240 2661707 82197208 100446494 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true true true true false false false false false false false false true false false false false false false true true true false false true 109 0 true 1282 true false false false false false false false false false false X 13 8 true false false false true true true true true false false true true true true true true true true false NJ X THOMAS P LICHTENWALNER 4845264000 801 OSTRUM STREET BETHLEHEM PA 180151000 X JAMES R SWICK 1.0 X X 0 0 0 TONY DIBENEDETTO 1.0 X X 0 0 0 JAMES F DEUTSCH 1.0 X X 0 0 0 ROBERT E BARLOW 1.0 X 0 0 0 ROBERT FRIEDMAN MD 1.0 X 5000 0 0 GWEN A JACOBS 1.0 X 0 0 0 THOMAS LICHTENWALNER 55.0 X 0 626112 171552 ROBERT MARTIN 55.0 X 0 493622 72760 THOMAS J MCGINLEY 1.0 X 0 0 0 ROBERT RUMFIELD 1.0 X 0 0 0 KURT E SCHUMANN 1.0 X 0 0 0 DARIA STAROSTA DO 55.0 X 0 184263 17465 SCOTT R WOLFE 55.0 X X 0 289949 16835 CARL M ALBERTO 55.0 X 238259 0 23319 MARK A SBLENDORIO 55.0 X 204911 0 15513 EDWARD A GILKEY MD 55.0 X 330845 0 32285 ALICE J WILSON 55.0 X 186052 0 7266 THOMAS C MCGINLEY JR MD 55.0 X 252371 0 27586 BLAISE P LATRIANO MD 55.0 X 201192 0 30355 JAMES A CAFFREY MD 55.0 X 199733 0 31745 THOMAS H LITZ 0.0 X 552893 0 32162 2171256 1593946 478843 8 true true false ARAMARK HEALTHCARE po box 651009 CHARLOTTE NC 282651009 FOOD SERVICE 860562 QUALCARE INC 30 KNIGHTSBRIDGE ROAD PISCATAWAY TOWNSHIP NJ 08854 MEDICAL 634023 WARREN RADIOLOGY MRI LLC 185 ROSEBERRY STREET PHILLIPSBURG NJ 08865 MEDICAL 492040 WITHUMSMITHBROWN PC 465 SOUTH STREET STE 200 MORRISTOWN NJ 07960 ACCOUNTING 452406 A BETTER NIGHT'S SLEEP 230 WESTCOTT STE 202 HOUSTON TX 77007 MEDICAL 439518 16 X 11537 154564 166101 NET PATIENT SERVICE REVENUE 541900 113145713 113145713 OTHER HEALTHCARE RELATED REVENUE 541900 463403 463403 113609116 406546 406546 34495 34495 0 158847 158847 0 158847 158847 21612 21612 21612 21612 0 0 0 CAFETERIA 722514 470720 470720 ADULT DAY CARE 624410 499197 499197 969917 115366634 113609116 0 1591417 2645566 2645566 16141 16141 0 0 1043451 939106 104345 0 0 44245535 39820982 4424553 4133109 3719798 413311 6483822 5835439 648383 3627876 3265088 362788 3826 3443 383 142859 128573 14286 301363 271227 30136 36041 32437 3604 0 0 1242779 1118501 124278 259882 233894 25988 5043456 4539110 504346 113933 102540 11393 0 2256946 2031251 225695 216996 195296 21700 0 91566 82409 9157 2675747 2408172 267575 0 5620631 5058568 562063 1173970 1056573 117397 MEDICAL SUPPLIES 17733978 15960580 1773398 0 PURCHASED SERVICES 7712188 6940969 771219 0 OTHER SERVICES/SUPPORT 2277407 2049666 227741 0 CONTRACTED SERVICES 2099072 1889165 209907 0 113333 102000 11333 111311473 100446494 10864979 0 X 2915 4465 11276611 10120622 0 0 11122446 10227400 0 0 0 0 2916994 0 1549582 2020034 1371673 1345949 150672672 91001848 60901420 59670824 0 0 0 0 5601975 1347481 13509109 13156777 3913606 7090118 112166331 104983670 16564810 17624094 0 0 0 0 42150000 39320162 0 0 0 0 620238 331967 0 0 32636848 7328045 91971896 64604268 X 19173549 39184606 543318 717228 477568 477568 20194435 40379402 112166331 104983670 X 4055161 3098 16126708 X 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 36041 36041 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B; LINES 1G AND 1I DURING the year ended June 30, 2013 THE TAXPAYER PAID AN INDEPENDENT FIRM $12,046 FOR LOBBYING CONSULTING SERVICES performed on behalf of the organization. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND SECTION 508 HOSPITAL COALITION STRATEGIC HEALTHCARE WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $23,995. THE ORGANIZATION IS AN AFFILIATE IN THE ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA PAYS ALL LOBBYING EXPENDITURES ON BEHALF OF ALL AFFILIATES WITHIN THE NETWORK AND ALLOCATES A PERCENTAGE OF THESE EXPENDITURES TO VARIOUS AFFILIATES. THESE LOBBYING EXPENDITURES INCLUDE (1) PAYMENT TO AN OUTSIDE INDEPENDENT FIRM, (2) AN ALLOCATED PORTION OF THE DUES PAID TO THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA AND (3) A PERCENTAGE OF TOTAL COMPENSATION OF TWO ST. LUKE'S UNIVERSITY HEALTH NETWORK SENIOR MANAGEMENT PERSONNEL. THE AMOUNT ALLOCATED TO THIS ORGANIZATION ATTRIBUTABLE TO LOBBYING ACTIVITY FOR THE YEAR ENDED JUNE 30, 2013 IS $32,076. 1020886 173910 1194796 818045 202841 1020886 681387 136658 818045 596120 85267 681387 562397 33723 596120 0.39970 0.60030 false false 2934728 2934728 92580765 48225843 44354922 2901132 2438059 463073 47877389 39429304 8448085 4378658 908642 3470016 59670824 OTHER RECEIVABLES 4874987 CAPITALIZATION OF RRG 0 MEDICAL MALPRACTICE RECOVERIES 1700006 DEFERRED FINANCING COSTS 515125 OTHER ASSETS 0 7090118 0 ACCRUED INTEREST PAYABLE 118513 DEPARTMENT OF JUSTICE; 771109 DUE TO AFFILIATES 1530649 CURRENT PORTION OF PENSION COSTS 444601 EST. THIRD-PARTY PAYOR SETTLEMENT 2281779 UNPAID LOSS ADJUSTMENTS 1700006 SELF INSURANCE RESERVES 902595 OTHER LIABILITIES -421207 7328045 ENDOWMENT FUNDS SCHEDULE D, PART V; QUESTION 4 RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. true true X true X 300. true X true true false false 6297843 1150038 5147805 0.04620 9757072 7776403 1980669 0.01780 16054915 8926441 7128474 0.06400 495337 102825 392512 0.00350 3294108 1655974 1638134 0.01470 6369862 3143498 3226363 0.02900 63788 270 63518 0.00060 159321 79367 79954 0.00070 10382416 4981934 5400481 0.04850 26437331 13908375 12528955 0.11250 false 20374048 5157736 44914389 56454038 -11539649 X true true 1 1 ST LUKE'S WARREN HOSPITAL INC

185 ROSEBERRY STREET PHILLIPSBURG NJ 088651684

www.warrenhospital.org X X X X ST LUKE'S WARREN HOSPITAL INC true X X X X X X X X X 12 true true true X X X X X X X X X X false false true true 300. true 300. true X X X X true true X X X X X true false X X X true X false false 9 ST LUKE'S WARREN HEALTH & WELLNESS CTR

755 MEMORIAL PARKWAY PHILLIPSBURG NJ 088651690

OUTPATIENT FACILITY THE SLEEP CTR AT ST LUKE'S WARREN HOSP

190 SOUTH GREENWOOD AVENUE EASTON PA 18045

OUTPATIENT FACILITY HILLCREST PATIENT SERVICE CENTER

89 ROSEBERRY STREET PHILLIPSBURG NJ 088651690

LABORATORY ST LUKE'S WARREN HOSP CTR FOR SLEEP MED

89 ROSEBERRY STREET PHILLIPSBURG NJ 088651690

OUTPATIENT FACILITY THE BALANCE CENTER OF WARREN HOSPITAL

755 MEMORIAL PARKWAY BUILDING 100 PHILLIPSBURG NJ 088651690

OUTPATIENT FACILITY WARREN HILLS PATIENT SERVICE CENTER

315 ROUTE 31 SOUTH WASHINGTON NJ 078821714

LABORATORY COVENTRY FAMILY PRACTICE PATIENT SVC CTR

755 MEMORIAL PARKWAY UNIT 17 PHILLIPSBURG NJ 088651690

OUTPATIENT FACILITY BELVIDERE PATIENT SERVICE CENTER

540 COUNTY LINE ROUTE 519 BELVIDERE NJ 078232672

LABORATORY COMFORT ZONE

755 MEMORIAL PARKWAY BUILDING 302B PHILLIPSBURG NJ 088651690

OUTPATIENT FACILITY COMMUNITY BENEFIT REPORT SCHEDULE H, PART I; LINE 6A Not applicable. FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST SCHEDULE H, PART I, LINE 7 The Mckesson, Horizon performance management costing application was the tool utilized to determine the cost of financial assistance, unreimbursed Medicaid, Medicaid HMO, and subsidized health services. The entire activity was costed through the Mckesson HPM application, to include inpatient, outpatient, emergency room, and all payers. Costing consisted of allocating cost from the departmental level down to the service item level. Once costs were determined at the service item level, we then aggregated encounters into the defined targeted groups. For determination of the unreimbursed costs for Medicaid, Medicaid HMO, and subsidized services reported on Part I, Line 7, we excluded charity care, bad debt, and all overlapping cases reported elsewhere. We utilized the ratio of patient care cost to charges to determine the charity care. The development of the ratio conforms to the Form 990 instructions. The Medicare shortfall/surplus was determined using the Medicare complex cost reporting form utilizing allowable Medicare costs. No costs relating to subsidized healthcare services are attributable to any physician clinics. COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II St. Luke's Warren Hospital, Inc. has direct involvement in numerous community building activities that promote and improve the health status and general betterment of the communities served by the hospital. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. This organization provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 4 Bad debt expense was calculated using the organization's bad debt expense from its audited financial statements. The organization and its affiliates prepare and issue audited consolidated financial statements. The system's allowance for doubtful accounts (bad debt expense) methodology and charity care policies are consistently applied across all hospital affiliates. The attached text was obtained from the footnotes to the audited financial statements of the organization. Patient accounts receivable The Network's patient accounts receivable consist of unsecured amounts due for patient services billed to patients and other third-party payors such as Medicare, Medical Assistance, Blue Cross and various commercial insurance companies and managed care companies. The primary service area of the Network is located in Lehigh, Northampton, Carbon, Schuylkill and Bucks Counties, Pennsylvania. The ability of these patients to pay is subject to changes in general economic conditions of the Network's service area. The Network performs ongoing credit evaluations and maintains reserves for potential credit losses. Charity care The Network provides care to all patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Charges for services to patients who meet the Network's guidelines for charity care are not reflected in the accompanying consolidated financial statements. The charges associated with these services for charity care provided by the Network approximate $116,300,000 and $118,310,000 in 2013 and 2012, respectively. The costs incurred to provide such care is determined using a cost to charge ratio and were approximately $98,330,000 and $98,440,000 for 2013 and 2012, respectively. MEDICARE SCHEDULE H, PART III, LINE 8 Medicare costs were derived from the Medicare cost report filed by the organization. Bad debt is community benefit and associated costs are includable on the Form 990, Schedule H, Part I. The organization feels that bad debt is community benefit and associated costs are includable on the Form 990, Schedule H, Part I. As outlined more fully below the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individual's in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standard promulgated by the IRS. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under Internal Revenue Code ("IRC") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the IRC. Although there is no definition in the tax code for the term "charitable", a regulation promulgated by the department of the treasury provides some guidance and states that "[t]he term charitable is used in 501(c)(3) in its generally accepted legal sense," and provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note: it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the IRS to determine the criteria hospitals must meet to qualify as IRC 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the IRS with the community benefit standard which is the current standard. Charity care standard In 1956, the IRS issued Revenue Ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for IRC 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community, and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the IRS issued Revenue Ruling 69-545, which "remove[d]" from Revenue Ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in Revenue Ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as Medicare), but operated a full-time emergency room that was open to everyone. The IRS ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The IRS reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by Treas. Reg. 1.501(c)(3)-1(d)(2). The IRS ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The IRS concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the IRS highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Bad debt is community benefit and associated costs are includable on the Form 990, Schedule H, Part I. The American Hospital Association ("AHA") feels that bad debt is community benefit and thus includable on the Form 990, Schedule H, Part I. This organization agrees with the AHA position. As outlined in the aha letter to the IRS dated August 21, 2007 with respect to the first published draft of the new Form 990 and Schedule H, the AHA felt that the IRS should incorporate the full value of the community benefit that hospitals provide by counting bad debt as quantifiable community benefit. Both the AHA and this organization also feel that patient bad debt is a community benefit and thus includable on the Form 990, Schedule H, Part I. There are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("cbo") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 10% of bad debt is pending charity care. - the cbo concluded that its findings "support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits" assuming the findings are generalizable nationwide; the experience of hospitals around the nation reinforces that they are generalizable. As outlined by the AHA, despite the hospital's best efforts and due diligence, patient bad debt is a part of the hospital's mission and charitable purposes. Bad debt represents part of the burden hospitals shoulder in serving all patients regardless of race, color, creed, sex, national origin, religion or ability to pay. In addition, the hospital invests significant resources in systems and staff training to assist patients that are in need of financial assistance. DEBT COLLECTION POLICY SCHEDULE H, PART III, LINE 9B Accounts considered to be charity care are not included in the bad debt expense, but rather, are accounted for as an allowance against the organization's patient service revenue. St. Luke's financial assistance program St. Luke's is a non-profit organization dedicated to the care and treatment of the sick and the prevention of illness. The first consideration in the admission and placement or treatment of a patient is the medical needs of the patient. Patients shall be provided and encouraged to obtain medically necessary care regardless of ability to pay or eligibility for financial assistance. However, all patients will be required to pay for the care which they receive if they are financially able to do so. Advance payment will not be required for any medically necessary service. Some individuals fail to obtain necessary care due to financial concerns. In order to encourage such patients to obtain appropriate care, St. Luke's shall operate a Financial Assistance program for the uninsured indigent population and a discount program for all other uninsured patients. All patients presenting for medically necessary services with no insurance will have the opportunity to qualify for St. Luke's Financial Assistance Program. Services excluded from the program include but are not limited to; cosmetic, bariatric, IVF, IUDs, tubal ligations, sleep study. St. Luke's reserves the right to exclude services if upon review it is determined that they are not medically necessary. In addition, patients scheduled for elective procedures or studies will be assessed for medical need and timing for the procedure along with ability to pay for a portion of the procedure. Eligibility for the Pa Fair Care program will be reviewed and application required if eligible. Medical Assistance application may be required and completed prior to service for elective cases. Patients who meet a hardship exemption for the Affordable Care Act (ACA) may apply for Financial Assistance upon signing an attestation form of hardship eligibility. Patients receiving inpatient or high dollar outpatient services will be evaluated for Medical Assistance eligibility and ACA in order to qualify for the St. Luke's Hospital Financial Assistance Program. Individuals will not be eligible for financial assistance if Medical Assistance or ACA coverage is denied due to lack of cooperation (i.e., timeliness or failure to produce required documentation). Any patient payments made for services that subsequently receive Medical Assistance approval will be refunded to the patient. Financial Assistance Individuals with family income at or below 300% of the current federal poverty guidelines may be eligible for a 100% financial assistance allowance on the cost of their medically necessary services, after a minimum copay amount for certain outpatient services as follows; Clinic visits, including the hospital family practice centers, rural health centers, women's and children's clinics = $10. Other programs within the clinics may establish a flat rate minimum amount due for elective procedures that are at or below the Medical Assistance fee schedule for patients not eligible for Medical Assistance but are under the 300% federal poverty guidelines. Urgent care center visits = $15 Emergency room visits= $25 Uninsured patients with income exceeding 300% of federal poverty guidelines will automatically receive an 80% discount on hospital charges. No proof of income is required for this discount and this is not considered Financial Assistance. Patients with routine co-pays and deductibles from managed care and commercial insurances are not eligible for financial assistance or a discount unless a financial hardship can be proven. Patients having limited benefit coverage through insurance and who demonstrate a financial hardship may be eligible for the Financial Assistance program. Patients who have received financial assistance in the past but who are having services that are elective or high dollar procedures, visits will be required to comply with the process of Medical Assistance eligibility or eligibility for programs such as ACA. Case by case decisions will be made re financial liability in each instance. Determining Eligibility for Financial Assistance Designated business service department employees will utilize independent third party income estimation software information as the determinant of eligibility. The income estimation software application utilized by St. Luke's is based upon a statistically validated methodology to provide income and family size determination. This information is then automatically cross-walked to St. Luke's financial assistance eligibility matrix ranging from 0% to 300% of the current federal poverty guidelines to determine the level of financial assistance to be applied. When insufficient information is returned via the software application, the manual process below will be utilized to determine eligibility. In determining family income and family size, a family unit will be defined as immediate family members /significant other/domestic partner living in the household. All income of occupants will be considered in determining total household income. In determining income the following will be considered: - Wages - Pension - Annuities - Social Security - Interest, Dividend, and other Investment Income such as Capital Gains - Unemployment Compensation - Workers Comp - Disability Benefits - Child Support - Alimony - Public Assistance - Net Rental Income (Income Less Expenses) as calculated for Federal Tax purposes Assets may be considered in determining eligibility and the level of discount approved for financial assistance. Designated business service department employees may also discuss financial assistance with patients who upon receiving a billing statement express an inability to pay for services rendered. Financial assistance applications may be supplied to these patients along with the information regarding required documentation or the income estimation software may be used to determine eligibility status. Medical Indigence Assessment If the patient does not qualify for any of the financial assistance categories identified above, but the medical expenses exceed an ability to pay, the patient will be encouraged to write a hardship letter to be submitted to the Associate Vice President of Finance for consideration of a hardship write-off of all or part of the outstanding medical liability. In the case of foreign visitors, the hospital will attempt to identify the person who sponsored the visitor's entry into the United States. If the sponsor is legally responsible for the visitor's medical bills, the hospital will apply its normal collection efforts in attempting to collect from the sponsor. Application for financial assistance will be based on the sponsor's income. St. Luke's Hospital reserves the right to deny an application for financial assistance based upon lack of reasonably required documentation or the submission of fraudulent documentation. If information is not provided, an application may be denied unless the information was not provided for reasons beyond the applicant's control. In these cases the patient will not be eligible for the financial assistance program. Notification to Patient All patients receiving inpatient or high dollar OP services will receive a notice of determination from the business office with the amount of financial assistance granted and any remaining financial liability. Patients may provide documentation if they feel the automatic estimation of income and assets is incorrect or incomplete. The business office will assess and revise the determination as appropriate for future encounters based on the software information provided. All patient statements will have the phone number to call for patients having difficulty meeting financial obligations. St. Luke's credit and collection policy The Credit and Collection policy is established and is to be administered in accordance with the mission and values of the hospital as well as federal and state law. The policy is designed to promote appropriate access to medical care for all patients regardless of their ability to pay while maintaining the Network's fiscal responsibility to maximize reimbursement and minimize bad debt. All medically necessary hospital services are provided without consideration of ability to pay and are not delayed pending application and/or approval of Medical Assistance or St. Luke's Financial Assistance Program. Advance payment is not required for any medically necessary service. This Credit and Collection policy is intended to take into account each individual's ability to contribute to the cost of his or her care. Patients will be assisted in obtaining health insurance coverage from privately and publicly funded sources whenever possible. All Patient Business Service department representatives will be educated on all aspects of the Credit and Collecti FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 5C & 6I Not applicable. FACILITY INFORMATION SCH H, PART V, SECTION B, QUESTIONS 3 & 4 THE COALITION OF HOSPITALS HELD FOUR SEPARATE PUBLIC MEETINGS IN THE LEHIGH VALLEY THAT INCLUDED MEMBERS OF THE ALLENTOWN AND BETHLEHEM BUREAUS OF HEALTH, MANY MEMBERS OF THE PUBLIC AND HEALTHCARE PROFESSIONALS INCLUDING THOSE NOT AFFILIATED WITH OUR HOSPITALS. AS AN ACTIVE MEMBER OF THE HEALTH CARE COUNCIL OF THE LEHIGH VALLEY ("HCCLV"), ST. LUKE'S HEALTH NETWORK WORKED IN COLLABORATION WITH FOUR OTHER REGIONAL, NON-PROFIT ACUTE AND POST-ACUTE CARE HOSPITALS AND THE DOROTHY RIDER POOL TRUST TO DEVELOP THE REGION'S COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL PARTNERS OF THE HCCLV INCLUDE: - SACRED HEART HEALTHCARE SYSTEM - LEHIGH VALLEY HEALTH NETWORK - ST. LUKE'S UNIVERSITY HEALTH NETWORK - GOOD SHEPHERD REHABILITATION HOSPITAL - KIDSPEACE THE HCCLV'S APPROACH TO THE CHNA INCORPORATES BEST PRACTICE STANDARDS RECOMMENDED BY THE AMERICAN PUBLIC HEALTH ASSOCIATION ("APHA") AND THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT ("ACHI") AND HAS ACTIVELY PARTNERED WITH MANY STAKEHOLDERS, COMMUNITY BASED ORGANIZATIONS AND COMMUNITY MEMBERS. THE DOROTHY RIDER POOL TRUST REACHED OUT TO TWO COMMUNITY-BASED ORGANIZATIONS, THE HISPANIC CENTER LEHIGH VALLEY IN BETHLEHEM AND THE RESURRECTED COMMUNITY DEVELOPMENT CORPORATION IN ALLENTOWN, AS ORGANIZATIONS TRUSTED WITHIN EACH COMMUNITY TO HOST THE FORUMS. THESE ORGANIZATIONS PUBLICIZED THE EVENTS AMONG STAKEHOLDERS, RECRUITED ATTENDEES, ORGANIZED REFRESHMENTS FROM LOCAL INDEPENDENT VENDORS, AND PROVIDED WELCOME AND INTRODUCTIONS AT THE START OF EACH FORUM. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 7 THE REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS COMPLETED AND MADE WIDELY AVAILABLE PRIOR TO FISCAL YEAR END JUNE 30, 2013. A MULTI-DISCIPLINARY TEAM MET AND THROUGH A RIGOROUS PROCESS AN IMPLEMENTATION PLAN WAS ADOPTED TO MEET CERTAIN OF THE IDENTIFIED UNMET NEEDS WHICH WERE WITHIN THE HOSPITAL'S MISSION AND ABILITY TO POSITIVELY IMPACT. HOSPITALS ARE NOT REQUIRED TO, NOR CAN THEY MEET ALL UNMET NEEDS IN THE COMMUNITY. ANY UNMET NEEDS NOT ADDRESSED BY THE ADOPTED IMPLEMENTATION PLAN ARE ALREADY BEING ADDRESSED IN THE SERVICE AREA BY THE HOSPITAL, OTHER HEALTHCARE PROVIDERS, GOVERNMENT, AND LOCAL NON-PROFIT ORGANIZATIONS; AMONGST OTHERS. OUR PRIORITY UNMET NEEDS IN THE IMPLEMENTATION PLAN ARE INTEGRAL TO OUR COMMUNITY BENEFIT STRATEGY. ST. LUKE'S LEADERS CONTINUE TO MONITOR NEW PROGRAM DEVELOPMENTS AND SERVICES. FACILITY INFORMATION SCH H, PART V, SECTION B, QUESTIONS 10,11,12H,16E,17E,18E,19C,19D,21&22 Not applicable. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 14G Other measures to publicize the hospital's financial assistance policy include individual financial counseling meetings with patients without health insurance to review the financial assistance policy and to discuss payment options. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 20D Individuals with family income at or below 300% of the current federal poverty guidelines may be eligible for a 100% financial assistance allowance on the cost of their medically necessary services, after a minimum copay amount for certain outpatient services as follows; Clinic visits, including the hospital family practice centers, rural health centers, women's and children's clinics = $10. Other programs within the clinics may establish a flat rate minimum amount due for elective procedures that are at or below the Medical Assistance fee schedule for patients not eligible for Medical Assistance but are under the 300% federal poverty guidelines. Urgent care center visits = $15 Emergency room visits= $25 Uninsured Patients with income exceeding 300% of federal poverty guidelines will automatically receive an 80% discount on hospital charges. No proof of income is required for this discount and this is not considered Financial Assistance. NEEDS ASSESSMENT SCHEDULE H, PART VI; QUESTION 2 St. Luke's University Health Network's department of community health oversees assessment of the healthcare needs of the communities served by hospitals within the network, including this organization. The department is led by Dr. Bonnie Coyle, board certified in preventative medicine, with 16 years' experience in public and preventative health. Analysis of information from the following sources is part of the department's ongoing health needs assessment process: vital statistics, Pennsylvania Department of Health data, hospital discharge data, the Robert Wood Johnson County health profiles and other county data available from various other state agencies. In addition, the department collects ongoing statistics from its comprehensive community outreach initiatives and from financial support for the Bethlehem partnership for a health community. Established in 1996 by the board of directors of St. Luke's University Health Network, the partnership is a national model for collaborative efforts to improve access to healthcare services. Currently more than 165 participating/funding agencies, representing local business, government, educational and community organizations are actively involved in partnership programs which serve the greater Lehigh Valley. Through community ownership and shared responsibility, the partnership strives to enhance the physical, mental, emotional and spiritual wellness of individuals and communities, thereby improving the quality of life for all. The department's healthcare needs assessment process is enhanced by data obtained through the Bethlehem partnership's various school-based programs, such as numbers of children failing dental and vision examinations and number of children not receiving medical examinations. The department also utilizes guidelines for adolescent preventive services (gaps) in the Bethlehem partnership's various mobile van service programs to collect data on risk factors for students and to monitor community health problems. For example, data has been tracked on risk factors such as smoking, obesity, seatbelt use and drug and alcohol use. Gaps is also used on an ongoing basis to build and modify programs. Most recently, the network has contracted with the Lehigh Valley Research Consortium to conduct a formal health needs assessment for the greater Lehigh Valley and Upper Bucks County area, served by St. Luke's Hospital (Allentown/Bethlehem), St. Luke's Quakertown Hospital and the Visiting Nurse Association of St. Luke's. The process will be completed by the IRS required date. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI; QUESTION 3 As a not for-profit entity, St. Luke's Warren Hospital, Inc.'s first consideration in the admission and placement or treatment of any patient is the patient's medical needs. Some patients hesitate to obtain necessary care because of their financial concerns. In order to encourage such patients to obtain appropriate care, in December 2008, the network's board of directors redesigned the network's charity care program for patient system access to discounted hospital services. This policy is updated annually. The network also established a community benefit tracking system to comply with new IRS Form 990 guidelines (effective 2009) to report community benefit activities/expenditures. The charity care program is widely communicated in both English and Spanish. A bilingual notice of the program is posted in all outpatient and inpatient registration areas. All patient statements include a number for patients to call if they are having difficulty paying their bills. St. Luke's website has extensive information regarding the financial assistance program, including eligibility guidelines and contact information. Additionally, St. Luke's financial counselors assess each patient for eligibility for coverage through medical assistance, chip, adult basic and other programs. Bilingual counselors are available. COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4 This organization serves diverse communities ranging from "Abbott School District" communities in Phillipsburg to more affluent suburban areas. Warren Hospital is the second largest employer in Warren County. This organization is committed to service for its communities, approximately 16% (inclusive of Medicaid) of its patients are underinsured and/or uninsured payer categories. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5 The organization and the entire St. Luke's University Health Network promote the health of the community on a daily basis throughout the year. The network coordinates and offers numerous community benefit programs, activities and support groups to the community. Please refer to schedule o for a detailed community benefit statement. AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6 Outlined below is a summary of the entities which comprise the St. Luke's University Health Network: Not for-profit St. Luke's University Health Network entities: St. Luke's Health Network, Inc. St. Luke's Health Network, Inc. is the tax-exempt parent of the St. Luke's University Health Network ("St. Luke's"). This integrated healthcare delivery system consists of a group of affiliated healthcare organizations. This organization is the sole member or stockholder of each affiliated entity. St. Luke's is an integrated network of healthcare providers throughout the state of Pennsylvania. St. Luke's Health Network, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). As the parent organization, St. Luke's Health Network, Inc. strives to continually develop and operate a multi-hospital healthcare network which provides substantial community benefit through the provision of a comprehensive spectrum of healthcare services to the residents of Pennsylvania and surrounding communities. St. Luke's Health Network, Inc. ensures that its network provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. No individuals are denied necessary medical care, treatment or services. St. Luke's active hospitals include St. Luke's Hospital of Bethlehem, PA, St. Luke's Quakertown Hospital, Carbon-Schuylkill Community Hospital, Inc. and St. Luke's Warren Hospital. Each of these hospitals operates consistently with the following criteria outlined in IRS Revenue Ruling 69-545: 1. Each provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. Each operates an active emergency room for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. Each maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of each rests with its board of directors and the board of directors of St. Luke's Health Network, Inc. Both boards are comprised of a majority of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. St. Luke's Hospital of Bethlehem, Pennsylvania St. Luke's Hospital of Bethlehem, Pennsylvania is comprised of three non-profit hospital campuses: a 480-bed campus in Bethlehem, Pennsylvania, a 158 bed campus in Allentown, Pennsylvania and a 72-bed campus in Easton, Pennsylvania. St. Luke's Hospital of Bethlehem, Pennsylvania is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, the organization provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, St. Luke's Hospital of Bethlehem, Pennsylvania operates consistently with the criteria outlined in IRS Revenue Ruling 69-545. Cancer Immunotherapies, L.L.C. A limited liability company disregarded for federal income tax purposes owned by St. Luke's Hospital of Bethlehem, Pennsylvania. This entity is currently inactive. St. Luke's Airmed, L.L.C. A limited liability company disregarded for federal income tax purposes owned by St. Luke's Hospital of Bethlehem, Pennsylvania. This entity is currently inactive. St. Luke's Homestar Services, L.L.C. A limited liability company disregarded for federal income tax purposes owned by St. Luke's Hospital of Bethlehem, Pennsylvania. This entity provides outpatient services in Bethlehem, Pennsylvania. St. Luke's Windgap Property, L.L.C. A limited liability company disregarded for federal income tax purposes owned by St. Luke's Hospital of Bethlehem, Pennsylvania. This entity is currently inactive. Pocono MRI Imaging and Diagnostic Center, L.L.C. A limited liability company disregarded for federal income tax purposes owned by St. Luke's Hospital of Bethlehem, Pennsylvania. This entity provides outpatient services in Bethlehem, Pennsylvania. St. Luke's Quakertown Hospital St. Luke's Quakertown Hospital is a 62-bed non-profit hospital located in Quakertown, Pennsylvania. St. Luke's Quakertown Hospital is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, the organization provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, St. Luke's Quakertown Hospital operates consistently with the criteria outlined in IRS Revenue Ruling 69-545. Carbon-Schuylkill Community Hospital, Inc. Carbon-Schuylkill Community Hospital, Inc. is a 45-bed non-profit acute care hospital located in Coaldale, Pennsylvania. Carbon-Schuylkill Community Hospital, Inc. is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, the organization provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, Carbon-Schuylkill Community Hospital, Inc. operates consistently with the criteria outlined in IRS Revenue Ruling 69-545. St. Luke's Warren Hospital, Inc. St. Luke's Warren Hospital, Inc. is a 214-bed non-profit acute care hospital located in Phillipsburg, New Jersey. St. Luke's Warren Hospital, Inc. is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, the organization provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, St. Luke's Warren Hospital, Inc. operates consistently with the criteria outlined in IRS Revenue Ruling 69-545. St. Luke's Warren Healthcare, Inc. St. Luke's Warren Healthcare, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a supporting organization pursuant to Internal Revenue Code 509(a)(3). The organization is designed to support the charitable purposes, programs and services of St. Luke's University Health Network. St. Luke's Warren Hospital Foundation, Inc. St. Luke's Warren Hospital Foundation, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization supports St. Luke's Warren Hospital; a related Internal Revenue Code Section 501(c)(3) tax-exempt organization, and its affiliates in providing medically necessary healthcare services to the community in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. St. Luke's Physician Group, Inc. St. Luke's Physician Group, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. St. Luke's Emergency & Transport Services, Inc. St. Luke's Emergency & Transport Services, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 170(b)(1)(a)(iii). The organization provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. Quakertown Rehabilitation Center Quakertown Rehabilitation Center is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 170(b)(1)(a)(iii). The organization provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. New Valley Rehab, L.L.C. A limited liability company disregarded for federal income tax purposes owned by Quakertown Rehabilitation Center. This entity provides outpatient rehabilitation services in Nazareth, Pennsylvania. Visiting Nurse Association of St. Luke's - Home Health/Hospice, Inc. Visiting Nurse Association of St. Luke's - Home Health/Hospice, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursu STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI; QUESTION 7 Not applicable. The entity and related provider organizations are located in New Jersey. No community benefit report is filed with the state of New Jersey. FACILITY REPORTING GROUP(S) SCHEDULE H, PART VI; QUESTION 8 NOT APPLICABLE. THE HOSPITAL HAS ONLY ONE HOSPITAL FACILITY REFLECTED IN PART V, SECTION A. true ST LUKE'S WARREN HEALTHCARE INC 185 ROSEBERRY STREET PHILLIPSBURG NJ 088651684 222522478 501(C)(3) 2645566 PROGRAM SUPPORT 1 EMPLOYEE AWARDS 35 16141 GRANT FUND MONITORING SCHEDULE I, PART I, QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X X true true false false false true true true false THOMAS LICHTENWALNER 0 472697 0 128218 0 25197 0 162031 0 9521 0 797664 0 0 ROBERT MARTIN 0 369812 0 100126 0 23684 0 43251 0 29509 0 566382 0 0 DARIA STAROSTA DO 0 43291 0 140972 0 0 0 11013 0 6452 0 201728 0 0 SCOTT R WOLFE 0 288850 0 0 0 1099 0 7221 0 9614 0 306784 0 0 CARL M ALBERTO 237503 0 0 0 756 0 7239 0 16080 0 261578 0 0 0 MARK A SBLENDORIO 204669 0 0 0 242 0 6238 0 9275 0 220424 0 0 0 EDWARD A GILKEY MD 329039 0 0 0 1806 0 10029 0 22256 0 363130 0 0 0 ALICE J WILSON 185489 0 0 0 563 0 5654 0 1612 0 193318 0 0 0 THOMAS C MCGINLEY JR MD 251788 0 0 0 583 0 7674 0 19912 0 279957 0 0 0 BLAISE P LATRIANO MD 200505 0 0 0 687 0 6111 0 24244 0 231547 0 0 0 JAMES A CAFFREY MD 199283 0 0 0 450 0 6074 0 25671 0 231478 0 0 0 THOMAS H LITZ 252514 0 0 0 300379 0 16771 0 15391 0 585055 0 0 0 COMPENSATION INFORMATION PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2012 FORMS W-2. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 3 Compensation Review Executive compensation for the health network consists of fixed salary, at-risk compensation and other deferred compensation arrangements. Total compensation for network executives is approved annually by the network's Board of directors. The recommended compensation is established through a multi-faceted approach including use of an independent consultant engaged on an ongoing basis by the Board of DIRECTORS and who works directly with the Executive Compensation Committee of the board. Also included is the review of forms 990 and compensation surveys of other comparable healthcare organizations. Bonus/Incentive The at-risk compensation is approved by the Executive Compensation Committee of the board and is based on several qualitative and quantitative components, including Joint Commission, Pennsylvania Department of Health and Pennsylvania Trauma Systems Foundation accreditations, evidence-based hospital process of care measures, outcome measures, such as patient satisfaction, mortality rate, and length of stay; efficiency measures as demonstrated by cost-per-adjusted discharge and net income. Other Reportable Compensation Other benefits include deferred compensation benefits that had accumulated over years of service and was reported and distributed in accordance with vesting requirements and Internal Revenue Service rules and regulations. Deferred Compensation: Deferred compensation represents retirement benefits earned during the reporting period, yet not recognized as compensation on the employee's 2012 form W-2. Nontaxable Benefits: Health and welfare benefits. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4A THOMAS H. LITZ, FORMER OFFICER OF THE ORGANIZATION, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $297,712. THIS AMOUNT WAS INCLUDED IN HIS 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4B THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: THOMAS P. LICHTENWALNER, $106,605. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTIONS 6A AND 6B The executive compensation package for the health network consists of both a fixed salary and additional at-risk compensation that is based on several qualitative and quantitative components. The components of the at-risk compensation plan includes JCAHO, Department of Health and Trauma Center accreditations, evidence based hospital process of care measures, outcome measures such as patient satisfaction, mortality rate, and length of stay, efficiency measures as demonstrated by cost per adjusted discharge and finally net income. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED AT-RISK COMPENSATION DURING CALENDAR YEAR 2012 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. CERTAIN INDIVIDUALS INCLUDED IN THIS FORM 990 RECEIVED A VACATION SELL BACK AND/OR TERM PAY OUT DURING THE CALENDAR YEAR 2012. THIS AMOUNT WAS INCLUDED IN THEIR RESPECTIVE 2012 FORM W-2 AND INCLUDED IN SCHEDULE J, PART II, COLUMN B(III), WHERE APPLICABLE. A NJ HEALTHCARE FACILITIES FINANCING AUTHORITY 221987084 64579f3l5 2013-06-06 37410000 REFUNDING AUTHORITY'S REVENUE BOND false false false A 0 0 37410000 0 0 0 661903 0 0 0 0 0 2013 true true true true A false false false false 0 true false false true A false true false false true false 0 false 0 true true A true THOMAS C MCGINLEY JR FAMILY MEMBER - MCGINLEY 252371 EMPLOYEE false COMMUNITY BENEFIT STATEMENT CORE FORM, PART III, STATMENT OF PROGRAM SERVICE ACCOMPLISHMENTS St. Luke's Warren Hospital ("SL-Warren") is a Joint Commission-accredited, not-for-profit 214-licensed bed acute care hospital located in Phillipsburg, Warren County, New Jersey, providing care primarily to residents of Warren and Hunterdon counties in New Jersey, and Easton, Northampton County, Pennsylvania. The hospital annually provides care for more than 7,000 observations and admissions, 93,000 outpatients and 29,836 ED visits and is recognized by the IRS as an Internal Revenue Code Section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, SL-Warren provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Founded in 1923, SL-Warren was acquired by nationally recognized St. Luke's University Health Network in 2012. The Hospital provides patients with access to more than 231 physicians across 45 medical specialties. The Hospital has earned Primary Stroke Center Designation (7/10) from the New Jersey Department of Health & Senior Services; and received Top Performer on Key Quality Measures status from The Joint Commission (10/12) for the second consecutive year. SL-Warren continues to participate in the New Jersey Department of Health & Seniors Services public reporting initiative. Performance improvement teams work to continuously improve the processes of care provided to patients suffering a heart attack, patients with pneumonia or heart failure and those undergoing surgical procedures. The Hospital's specialty services include the following: - cardiology - dermatology - emergency services - gastroenterology - general surgery - geriatric medicine - gynecologic oncology - infectious disease - nephrology - neurology - oncology/hematology - ophthalmology - otolaryngology/ENT - pain management - podiatry - psychiatry - pulmonology - rheumatology - sleep medicine - sports medicine, physical therapy and rehabilitation - surgical oncology - urology - women's health - wound care The Network has invested approximately $2.8 million in technical and facility improvements at SL-Warren since 2012. These include: $445,600 for IT upgrades, $410,950 for anesthesia technology, $320,000 for nurse call system, $218,600 for GE Telemetry, $204,900 for C-arm, $110,300 for digital radiology upgrade, $662,350 for various other equipment upgrades and $300,000 for facility improvements including roof replacement. The Hospital has significantly expanded medical expertise through the addition of the following services: - Direct access to gynecologic oncologists; - Direct access to highly trained cardiac team which includes experienced and skilled cardiologists, cardiac and vascular surgeons, interventional radiologists and electrophysiologists. SL-Warren also provides The Comfort Zone, an adult medical day care center. Care is provided for individuals 60 years and older, accounting for 6,400 annual visits to the Center for daily activities and medical monitoring. Additionally, the Hospital provides LifeLine Emergency Response System for 200+ subscribers. In keeping with it commitment to the communities it serves. SL-Warren annually reaches more than 5,000 people through its community outreach endeavors. The Hospital offers a variety of free screenings/services for community-run events throughout the year. Community outreach, includes, but is not limited to, the following: - Utilization of numerous media outlets to educate the community about health issues that my impact them; - Hosting more than 900 people at the SL-Warren Community Day on May 4, 2013. The event offered various free screenings such as cholesterol, bone density, hearing, balance, carotid artery, fall risk and blood pressure. In addition, there were demonstrations provided by DaVinci Science Center, American Heart Association and Sleep Center. Additional demonstrations focused on nutrition, CPR, sun safety, bike safety. Free lunch and entertainment were provided; COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Mission ------- The mission of St. Luke's Warren Hospital is to provide compassionate, excellent quality and cost-effective healthcare to residents of the communities served regardless of race, color, creed, sex, national origin, religion or ability to pay. The mission of St. Luke's Warren Hospital is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other healthcare providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for their care. Community Outreach ------------------ In keeping with its commitment to the communities it serves, SL-Warren annually reaches more than 5,000 people through its community outreach endeavors. The Hospital offers a variety of free screenings/services for community-run events throughout the year. Community outreach includes, but is not limited to, the following: - Utilization of numerous media outlets to educate the community about health issues that my impact them; - Hosting more than 900 people at the SL-Warren Community Day on May 4, 2013. The event offered various free screenings such as cholesterol, bone density, hearing, balance, carotid artery, fall risk and blood pressure. In addition, there were demonstrations provided by DaVinci Science Center, American Heart Association and Sleep Center. Additional demonstrations focused on nutrition, CPR, sun safety, bike safety. Free lunch and entertainment were provided; - Participation in three area health fairs; - Providing health seminars on various topics to more than 800 community members; - St. Luke's Warren Speakers Bureau which provided nine programs to local groups; - Conducting the following eight health screenings at the Hospital for the general public: memory, gait, prostate cancer, peripheral vascular, breast cancer, heel bone density, skin cancer and depression. Additionally, monthly blood pressure screenings are provided in the Hospital lobby; - Sponsoring the following support groups: Diabetes, Fibromyalgia, Celiac, Ostomy, Parkinson's, Bi-Polar, Grief, and Caregiver (partnering with Alzheimer's Association); - Offering three babysitting classes and four weight loss classes; - Osteoporosis exercise classes are offered twice a week; - Training 425 individuals in various skill sets including: CPR, ACLS, AED, IV, EKG, Ventilator, Hemodynamic and Preceptor classes; - Hosting a memorial service for more than 75 family members who lost loved ones to cancer; - Providing free dental screenings to Phillipsburg school children; - The Emergency Department hosting an EMS recognition night for more than 80 attendees; - Providing 10,185 trips by the Express Run van, which transports seniors and disabled Warren County and Easton residents to and from the Hospital for outpatient services; - Enrolling 1,650 community members in Future Focus, a free program for those 55 and older. - The Hospital activity pursues expanded relationships and health improvement advocacy with the communities it serves through various coalition-building activities including: - Phillipsburg Leadership Team's bi-monthly breakfast meetings; the Hospital also hosts these meetings. - Hospital employees volunteering 31 hours per month supporting and building partnerships with community organizations including: United Way of Northern New Jersey, Rotary Club, Phillipsburg School District Business/Community Partnership, Avantor Community Action Panel. The Hospital provides leadership and support to the Phillipsburg Chamber of Commerce and Warren County Regional Chamber of Commerce. - Participating in reading programs at area schools for first and second grade students. - Participation in community events such as local community days and the Ole Town Festival in Phillipsburg. - Hospital employees supporting community non-profits such as the Untied Way, Stuff the Bus, Relay for Life, Salvation Army Angel Tree Program, Big Brothers and NORWESCAP Food Bank. - Participation in national Kick Butts Campaign to raise awareness of the dangers of smoking. - Hosting and subsidizing the local Meals on Wheels program. - 70 employees and physicians supporting the Miller-keystone Blood Center drive, held three times each year. OTHER PROGRAM SERVICES CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. DISCLOSURE INFORMATION CORE FORM, PART I, REVENUE & EXPENSE PLEASE NOTE THAT THE BEGINNING BALANCES FOR REVENUE AND EXPENSES ARE BASED ON THE SHORT PERIOD 1/1/2012 - 6/30/2012 DUE TO THE FACT THAT THE TAXPAYER BECAME PART OF ST. LUKE'S UNIVERSITY HEALTH NETWORK AND CHANGED ITS YEAR-END TO BE CONSISTENT WITH THE NETWORK. DISCLOSURE INFORMATION CORE FORM, PART VI, QUESTION 2 THOMAS J MCGINLEY & THOMAS C MCGINLEY JR. - FAMILY RELATIONSHIP DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ST. LUKE'S HEALTH NETWORK, INC., AS THE SOLE MEMBER OF ST. LUKE'S UNIVERSITY HOSPITAL, HAS THE ULTIMATE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE IN THE ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. ST. LUKE'S HEALTH NETWORK, INC. IS THE PARENT ENTITY OF THE NETWORK. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING WITH THE IRS. IN ADDITION, THE ST. LUKE'S UNIVERSITY HEALTH NETWORK FINANCE COMMITTEE WAS UPDATED AS TO THIS ORGANIZATION'S CURRENT YEAR FORM 990 PRIOR TO FILING. ST. LUKE'S HEALTH NETWORK, INC. BOARD OF TRUSTEES HAS DELEGATED TO THE FINANCE COMMITTEE THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR THE TAX-EXEMPT AFFILIATES OF THE NETWORK. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S VICE PRESIDENT FINANCE AND SENIOR VICE PRESIDENT FINANCE AND VARIOUS OTHER INDIVIDUALS OF THE NETWORK TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING, BUT NOT LIMITED TO, THOSE INDIVIDUALS OUTLINED ABOVE, FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF THE ST. LUKE'S HEALTH NETWORK, INC. FINANCE COMMITTEE. FOLLOWING THE FINANCE COMMITTEE'S REVIEW THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING WITH THE IRS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY AND REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THAT POLICY. THE POLICY REQUIRES THAT A CONFLICT OF INTEREST DISCLOSURE FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES, AND KEY EMPLOYEES ANNUALLY. THE NETWORK'S CORPORATE COMPLIANCE OFFICER AND SENIOR VICE PRESIDENT/GENERAL COUNSEL ASSUME RESPONSIBILITY FOR THE COMPLETION OF THE CONFLICT OF INTEREST QUESTIONNAIRES AND ENFORCEMENT WITH THE POLICY. IF A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT MAY BE DISCLOSED TO THE BOARD OF TRUSTEES, WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD. AFTER CONSULTATION AND DISCUSSION, THE BOARD OF TRUSTEES MAY TAKE ACTION, IF APPROPRIATE AND NECESSARY, TO ADDRESS ANY SUCH CONFLICT IN A MANNER CONSISTENT WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 Compensation Review Executive compensation for the health network consists of fixed salary, at-risk compensation and other deferred compensation arrangements. Total compensation for network executives is approved annually by the network's Board of TRUSTEES. The recommended compensation is established through a multi-faceted approach including use of an independent consultant engaged on an ongoing basis by the Board of TRUSTEES and who works directly with the Executive Compensation Committee of the board. Also included is the review of forms 990 and compensation surveys of other comparable healthcare organizations. Please refer to the schedule J, part III response to Schedule J, Part I, Question 3 for a more detailed description. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE NEW JERSEY DEPARTMENT OF TREASURY. STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. COMPENSATION INFORMATION DISCLOSURE CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION AND RELATED ORGANIZATIONS AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. RELATED HOURS DISCLOSURE CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE IN THE ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. THE NETWORK INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR TRUSTEES LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE NETWORK. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE NETWORK, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE NETWORK; NOT SOLELY THIS ORGANIZATION. INDEPENDENT CONTRACTORS INFORMATION DISCLOSURE CORE FORM, PART VII, SECTION B THE AMOUNT OF FEDERAL FORMS 1099 REPORTED HEREIN REFLECT FORM 1099 PAYMENTS MADE FOR THE FIRST SIX MONTHS OF THE 2012 CALENDAR YEAR. EFFECTIVE JULY 1, 2012 ST. LUKE'S HOSPITAL OF BETHLEHEM, PA, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, ASSUMED THE ACCOUNTS PAYABLE FUNCTION FOR ALL AFFILIATES WITHIN ST. LUKE'S UNIVERSITY HEALTH NETWORK, INCLUDING THIS ORGANIZATION. ACCORDINGLY, ST. LUKE'S HOSPITAL OF BETHLEHEM, PA MADE FORM 1099 PAYMENTS FOR THIS ORGANIZATION FOR THE SECOND HALF OF THE 2012 CALENDAR YEAR WHICH IS REFLECTED ON THAT 2012 FEDERAL FORM 990. OTHER CHANGES IN NET ASSETS CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - GAIN ON RETIREMENT/PURCHASE OF BONDS; $1,088,875; - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASES OF PROPERTY AND EQUIPMENT; $26,784; - OTHER CHANGES IN UNRESTRICTED NET ASSETS; ($886,251); - TRANSFERS FROM AFFILIATES, NET; $5,609,720; - CHANGE IN ADDITIONAL PENSION LIABILITY; $10,113,670; - INCOME TRANSFER RECEIVED FROM UNRESTRICTED NET ASSETS - TEMPORARILY RESTRICTED; $173,910. AUDITED FINANCIAL STATEMENTS CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. THE NETWORK'S PARENT ENTITY IS ST. LUKE'S HEALTH NETWORK, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ALL AFFILIATES FOR THE YEARS ENDED JUNE 30, 2013 AND JUNE 30, 2012; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNQUALIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THE NETWORK'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE NETWORK'S CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. FINANCIAL STATEMENTS AND REPORTING CORE FORM, PART XII; QUESTION 3 THIS ORGANIZATION IS AN AFFILIATE IN THE ST. LUKE'S UNIVERSITY HEALTH NETWORK ("NETWORK"). THE NETWORK'S FINANCE COMMITTEE ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A NETWORK WIDE CONSOLIDATED A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE NETWORK WIDE A-133 AUDIT. 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THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.