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X X X X X METHODIST CHILDREN'S HOSPITAL 1 true true 175. true 300. true X X X X X X X true true X true false true X false false SCHEDULE H, PART I, LINE 6A COVENANT HEALTH SYSTEM PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES COVENANT CHILDREN'S HOSPITAL. SCHEDULE H, PART I, LINE 7 THE AMOUNTS REPORTED IN THE TABLE WERE DERIVED FROM VARIOUS SOURCES INCLUDING THE GENERAL LEDGER, THE COST ACCOUNTING SYSTEM, OR CALCULATED USING A COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO WAS NOT DERIVED FROM WORKSHEET 2. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SYSTEMS. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES COVENANT CHILDRENS HOSPITAL IS COMMITTED TO SERVING ITS COMMUNITIES WITH AN EMPHASIS ON PROVIDING OPTIMAL HEALTHCARE SERVICES AND PROGRAMS BY DEDICATING ITS EFFORTS TO ASSIST ALL PERSONS REGARDLESS OF THEIR AGE, SEX, CREED, DISABILITY, NATIONAL ORIGIN OR FINANCIAL STATUS. THE VISION OF CCH IS TO BRING PEOPLE TOGETHER TO PROVIDE COMPASSIONATE CARE, PROMOTE HEALTH IMPROVEMENT, AND CREATE HEALTHY COMMUNITIES. DURING THE YEAR, THE EMPLOYEES OF COVENANT HAVE VOLUNTEERED COUNTLESS HOURS TO VARIOUS COMMUNITY-BASED ORGANIZATIONS, PROFESSIONAL ORGANIZATIONS, AND VOLUNTEERED WITH LOCAL NON-PROFIT ORGANIZATIONS TO IMPROVE HEALTH AND QUALITY OF LIFE IN OUR COMMUNITY. SCHEDULE H, PART III, LINE 4 THE ORGANIZATION RECOGNIZED THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY ARE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT: THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS, AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. USING THIS METHODOLOGY, BAD DEBT EXPENSE IS CORRESPONDINGLY RECORDED IN THE GENERAL LEDGER. SCHEDULE H, PART III, LINE 8 THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES (EXCEPT FOR AMOUNTS REPORTED IN PART I, LINE 7) AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED USING THE MEDICARE COST REPORT. SCHEDULE H, PART III, LINE 9B COVENANT CHILDREN'S HOSPITAL PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE (100 PERCENT FINANCIAL ASSISTANCE) WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. SCHEDULE H, PART V, SECTION B, LINE 11H THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT. SCHEDULE H, PART V, SECTION B, LINE 13G THE ORGANIZATION POSTS ITS SUMMARIZED FINANCIAL ASSISTANCE NOTICE IN ALL ADMITTING AREAS IN BOTH ENGLISH AND SPANISH AND PROVIDES THE FULL POLICY UPON REQUEST. SUMMARIZED NOTICES OF THE POLICY ARE AVAILABLE ON ITS WEBSITE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR UNINSURED PATIENTS. BILINGUAL PATIENT ACCOUNT REPRESENTATIVES ARE AVAILABLE TO ADDRESS QUESTIONS AND ASSIST IN THE COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION IN ENGLISH OR SPANISH. SCHEDULE H, PART V, SECTION B, LINE 19D FOR PATIENTS WITH A FAMILY INCOME BETWEEN 176% AND 300% OF FEDERAL POVERTY GUIDELINES (FPG), THE HOSPITAL FACILITY USES MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR CATASTROPHIC CASES WITH A PATIENT RESPONSIBILITY GREATER THAN $75,000, MEDICARE RATES ARE USED TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 A NEEDS ASSESSMENT IS COMPILED EVERY THREE YEARS WHICH DETAILS OVERARCHING HEALTHCARE CONCERNS FOR TEXAS IN GENERAL AS WELL AS MANY DETAILS AFFECTING THE LUBBOCK COMMUNITY BENEFIT SERVICE AREA IN PARTICULAR. SOME OF THE OTHER SOURCES USED FOR COVENANT'S NEEDS ASSESSMENT INCLUDE: ST. JOSEPH HEALTH SYSTEM'S PRC DATA ASSESSMENT, THE UNITED WAY COMMUNITY STATUS REPORT, AND THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES DATA. THE PROCESS USED FOR THE PRIORITIZATION OF THE PROGRAMS WAS DETERMINED BY GENERAL CONSENSUS. ALL ASSESSMENTS USED FOR THIS PLAN, PRIMARY AND SECONDARY DATA THAT WAS ANALYZED, INDIVIDUAL MEETINGS WITH GROUPS OF STAKEHOLDERS, AND MEMBERS OF THE COMMUNITY BENEFIT COMMITTEE ALL CONFIRMED THE PROGRAMS WHICH ARE PRIORITIZED FOR THIS PLAN. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 COVENANT IS THE ONLY SJHS MINISTRY PROVIDING SERVICES TO COMMUNITIES IN TWO STATES. COVENANT PROVIDES SERVICES IN NEW MEXICO AND DRAWS PATIENTS FROM NEW MEXICO COMMUNITIES INTO LUBBOCK. THE CIRCUMSTANCES OF THESE COMMUNITY MEMBERS PROFOUNDLY IMPACT THE ORGANIZATION AND THE SERVICES IT PROVIDES. COVENANT HEALTH SYSTEM'S COMMUNITY BENEFIT PRIORITIES ADDRESS DUHN POPULATIONS WITHIN BOTH CORE SERVICE AREAS AND SECONDARY SERVICE AREAS FOR COMMUNITY RESIDENTS WHO ARE FACED WITH MULTIPLE HEALTH PROBLEMS AND HAVE LIMITED ACCESS TO TIMELY, HIGH-QUALITY HEALTH CARE. CORE SERVICE AREAS INCLUDE THE TEXAS COUNTIES OF LUBBOCK, BAILEY, LAMB, HALE, FLOYD, MOTLEY, COCHRAN, HOCKLEY, CROSBY, DICKENS, YOAKUM, TERRY, LYNN, GARZA, KENT, GAINES, DAWSON, BORDEN, SCURRY, AND EDDY COUNTY IN NEW MEXICO. ESPECIALLY WITHIN LUBBOCK, FOUR NEIGHBORHOODS, ARNETT-BENSON, HARWELL, PARKWAY-CHERRY POINT AND DUNBAR-MANHATTAN HEIGHTS, ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (MUA'S). SECONDARY SERVICE AREAS INCLUDE PARMER, CASTRO, AND KING COUNTIES IN TEXAS. LUBBOCK, THE LARGEST CITY WITHIN THE CORE AND SECONDARY SERVICE AREAS, IS LOCATED ON THE SOUTH PLAINS OF TEXAS AND HAS A POPULATION OF 204,737 AND A COUNTY (LUBBOCK COUNTY) POPULATION OF 250,446, ACCORDING TO THE 2003 ESTIMATES OF THE U.S. CENSUS. LUBBOCK SERVES AS A MAJOR MEDICAL CENTER FOR THE ENTIRE SOUTH PLAINS OF TEXAS AND EASTERN NEW MEXICO REGION, CARING FOR PEOPLE WITHIN A 57-COUNTY, 80,000 SQUARE MILE RADIUS OF THE CITY. THE POPULATION OF COVENANT HEALTH SYSTEM'S CORE SERVICE AREA IS EXPECTED TO INCREASE. WHILE ONLY MODEST INCREASES ARE EXPECTED, THEY ARE WELCOMED, AS PREVIOUS ASSESSMENTS INDICATED A SLIGHT LOSS OF POPULATION FOR MOST OF OUR PRIMARY SERVICE AREAS. IT IS IMPORTANT TO FIRST MENTION SOME OF THE HEALTH CHARACTERISTICS OF TEXAS WHICH ALSO AFFECT THE LUBBOCK AREA. TEXAS HAS THE FIFTH HIGHEST POVERTY RATE AMONG THE STATES; ONE IN SIX TEXANS IS CONSIDERED POOR. TEXAS HAS THE EIGHTH HIGHEST RATE OF SENIOR CITIZENS LIVING IN POVERTY. ONE HALF OF CHILDREN IN TEXAS LIVE IN POVERTY OR ARE ECONOMICALLY DISADVANTAGED. TEXAS CONTINUES TO BE A LOW-WAGE, LOW-BENEFIT STATE. WITH THAT SAID, TEXAS HAS A CRISIS IN COVERAGE. THE ECONOMIC, EDUCATIONAL, CULTURAL, AND SOCIAL STRENGTH OF TEXAS DEPENDS UPON THE HEALTH OF ITS CITIZENS; ALARMINGLY, ABOUT 24% OF ITS POPULATION IS WITHOUT INSURANCE - THE HIGHEST IN THE NATION. THE INCREASING NUMBER OF UNINSURED PATIENTS PLACES AN EXTRAORDINARY ECONOMIC AND SERVICE BURDEN UPON HEALTHCARE PROVIDERS, HOSPITALS, AND THE COMMUNITIES THAT FUND THE HEALTHCARE SERVICES. THE OVERALL HEALTH STATUS OF TEXANS IS POOR IN COMPARISON WITH OTHER STATES AND LIKELY TO DECLINE FURTHER WITHOUT INTERVENTION. THE INCREASING NUMBER OF INDIVIDUALS WITHOUT INSURANCE OR ADEQUATE COVERAGE IS A SIGNIFICANT AND CONTINUING CONCERN FOR THE COUNTRY AND A MAJOR POLICY CHALLENGE FOR TEXAS. A MILLION UNINSURED TEXANS DO NOT RECEIVE ADEQUATE CARE FOR CHRONIC DISEASES AND 2,500 DIE PREMATURELY EACH YEAR. STUDIES INDICATE THE UNINSURED ARE LESS LIKELY TO SEEK PREVENTATIVE AND SCREENING SERVICES THAT MINIMIZE MORE COSTLY SERVICES LATER. 5.6 MILLION TEXANS ARE CONTINUOUSLY WITHOUT MEDICAL INSURANCE THROUGHOUT THE YEAR; 8.5 MILLION GO WITHOUT INSURANCE AT SOME POINT IN THE YEAR. MEDICAL EXPENSES ARE THE SINGLE LARGEST REASON FOR PERSONAL BANKRUPTCIES AMONG TEXANS. LUBBOCK, TX, ESPECIALLY WITHIN SERVICE AREAS, ALSO FACES ECONOMIC AND HEALTHCARE CHALLENGES. BECAUSE OF ITS DIVERSE ECONOMY, WHICH IS GROUNDED IN AGRICULTURE, MANUFACTURING, AND TRADE, THERE IS A SIGNIFICANT MIGRATION OF BOTH PERMANENT AND TEMPORARY DWELLERS INTO THE AREA. IT IS A YOUTHFUL POPULATION WITH A MEDIAN AGE OF 31 COMPARED TO THE STATE MEDIAN OF 33.2, WHICH IS PARTIALLY DRIVEN BY THE UNIVERSITIES' PRESENCE IN THE REGION. HOWEVER, THE REMAINING COMMUNITIES COVENANT CARES FOR WITHIN THE CORE AND SECONDARY SERVICE AREAS HAVE A DISPROPORTIONATE NUMBER OF PEOPLE WHO ARE BOTH BELOW THE FEDERAL POVERTY LEVEL AND WHO ARE ABOVE THE AGE OF 65 AND ARE IN NEED OF GREATER ACCESS TO HEALTHCARE. MANY OF THESE COMMUNITIES ARE MEDICALLY UNDERSERVED AREAS (MUA'S) OR PERSISTENT POVERTY AREAS (PPA'S) OR BOTH. SPECIFICALLY FOCUSING ON THE STATISTICS FOR THE ECONOMIC CHARACTERISTICS OF THE LUBBOCK AREA, THE MOST RECENT INDICATORS, FROM THE UNITED WAY'S 2008 COMMUNITY STATUS REPORT, SHOW THAT THE PERCENTAGE OF CHILDREN LIVING IN POVERTY IN LUBBOCK COUNTY IS 22.4% WHICH IS A 7% DECREASE FROM THE PREVIOUS YEAR AND 21% ABOVE THE US AVERAGE. THE PERCENTAGE OF ADULTS LIVING IN POVERTY IS 18% WHICH IS A 1.7% INCREASE FROM THE PREVIOUS YEAR AND 55% ABOVE THE US AVERAGE. THE PERCENTAGE OF INDIVIDUALS WITHOUT HEALTH INSURANCE IS 24.8% COMPARED TO 23.9% FOR TEXAS IN GENERAL AND 15.1% FOR THE U.S. AVERAGE. IT IS CLEAR THAT COVENANT'S SERVICE TO DUHN POPULATIONS IN ADDRESSING HEALTHCARE CHALLENGES IS PRIMARILY FOCUSED ON ACCESS TO TIMELY, HIGH QUALITY HEALTHCARE. BOTH THE CORE AND SECONDARY SERVICE AREAS FACE MULTIPLE HEALTH PROBLEMS WHICH RANGE FROM CANCER TO UNHEALTHY LIVING HABITS. THE CANCER RATE FOR COVENANT (INCLUDING VARIOUS TYPES OF CANCER) IS ABOUT 921/100,000. THE DIABETES PREVALENCE FOR COVENANT'S SERVICE REGIONS IS 11.47% COMPARED TO THE NATIONAL AVERAGE OF 7.5%. WITH REGARD TO HYPERTENSION, COVENANT SERVICE REGIONS REPORT 34.99% COMPARED TO THE NATIONAL AVERAGE OF 25.5%. IN ADDRESSING THE RATES OF UNHEALTHY LIVING, 15.6% OF LUBBOCK COUNTY RESIDENTS ARE SMOKERS AND 12.9% HAVE PARTICIPATED IN BINGE DRINKING IN THE PAST MONTH. 71.8% OF LUBBOCK COUNTY'S ADULTS ARE OVERWEIGHT OR OBESE, AND 20.5% OF THE OVERWEIGHT OR OBESE ARE CHILDREN. THE HISPANIC POPULATION IS CLOSE TO 30%, NEARLY TWICE THE NATIONAL AVERAGE. ACCORDING TO THE UNITED WAY'S COMMUNITY PLANNING MODEL 2008: LUBBOCK COMMUNITY STATUS REPORT; BY 2040, IT IS PROJECTED THAT HISPANICS WILL BE AT LEAST ONE HALF OF ALL AGE GROUPS YOUNGER THAN 65, AND ABOUT TWO THIRDS OF ALL AGE GROUPS YOUNGER THAN 40. ALTHOUGH ANGLOS COMPRISED 63% OF LUBBOCK COUNTY'S POPULATION IN 2000 (WHICH ALSO REPRESENTS THE SURROUNDING COUNTIES' DEMOGRAPHICS), IT IS ESTIMATED THAT THEY WILL BE 50% OF THE POPULATION IN 2020 AND ONLY 42.8% OF THE POPULATION IN 2030. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 THE GOVERNING BODY IS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE HOSPITALS PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS, OR FAMILY MEMBERS. THE SUB-COMMITTEE OF THE BOARD OF TRUSTEES, KNOWN AS THE COMMUNITY BENEFIT COMMITTEE, OVERSEES THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN EVERY THREE YEARS, AS WELL AS AN ANNUAL COMMUNITY BENEFIT REPORT. THE COMMITTEE ALSO PROVIDES GENERAL DIRECTION TO COVENANT HEALTH SYSTEM REGARDING: 1) BUDGETING DECISIONS, 2) COMMUNITY BENEFIT PROGRAM CONTENT, 3) COMMUNITY BENEFIT PROGRAM DESIGN, 4) TARGET GEOGRAPHIC/POPULATION, 5) PROGRAM CONTINUATION OR DISCONTINUATION, 6) FUND DEVELOPMENT SUPPORT, AND 7) COMMUNITY-WIDE ENGAGEMENT. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. GIVING BACK TO THE COMMUNITY IS INTEGRATED INTO EVERY ASPECT OF OUR ORGANIZATION. AS A MEMBER OF THE FAITH-BASED HEALTH MINISTRY OF ST. JOSEPH HEALTH SYSTEM, WE PROVIDE FREE AND DISCOUNTED CARE VIA OUR FINANCIAL ASSISTANCE PROGRAM AND HAVE A FUNDING STREAM TO ADDRESS THE NEEDS OF THE ECONOMICALLY POOR AND VULNERABLE IN THE COMMUNITIES WE SERVE. OUR MISSION IS TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY COVENANT CHILDRENS HOSPITAL, AS A MINISTRY OF ST. JOSEPH HEALTH SYSTEM, HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. ON AN ANNUAL BASIS, TEN PERCENT OF OUR NET INCOME IS DEVOTED TO FUND COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR (CARE FOR THE POOR FUNDS). SPECIFICALLY, FUNDS ARE USED FOR OUTREACH PROGRAMS, DEFINED AS THOSE SERVICES THAT ADDRESS A SPECIFIC UNMET HEALTH NEED AND ARE SEPARATE FROM TRADITIONAL ACUTE CARE SERVICES. IN ADDITION TO DEVOTING A PERCENTAGE OF OUR NET INCOME TO COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR VIA CARE FOR THE POOR FUNDS, WE STRIVE TO ANNUALLY BUDGET A PORTION OF OUR TOTAL OPERATING EXPENSES FOR HEALTHY COMMUNITIES AND COMMUNITY HEALTH EFFORTS. DURING THE PAST YEAR, COVENANT CHILDRENS HOSPITAL DEDICATED $413,443 IN CARE FOR THE POOR FUNDS AND $125,000 TO HEALTHY COMMUNITIES AND COMMUNITY HEALTH INITIATIVES. THIS FUNDING MADE THE FOLLOWING PROGRAMS THAT PROMOTE HEALTH AND ACCESS TO CARE TO THE LOW-INCOME POSSIBLE: HEALTH & NUTRITION EDUCATION, CHILRENS DENTAL, AND BODY MIND INITIATIVE. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 COVENANT CHILDREN'S HOSPITAL IS A HEALING MINISTRY OF ST. JOSEPH HEALTH SYSTEM, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH SYSTEM CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FINANCIAL ASSISTANCE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH SYSTEM CREATED THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. OUR FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZES A POLICY THROUGH WHICH THE HOSPITAL MINISTRIES RETURN TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO SUPPORT OUTREACH EFFORTS FOR THE MATERIALLY POOR. THE FOUNDATION THEN FUNDS PROGRAMS IN COMMUNITIES SERVED BY ST. JOSEPH HEALTH HOSPITALS THAT EXEMPLIFY THE FOUR CORE VALUES OF ST. JOSEPH HEALTH SYSTEM: SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 TEXAS MINISTRIES REPORT TO STATE OF TEXAS DEPARTMENT OF STATE HEALTH SERVICES IN ACCORDANCE WITH THE TEXAS HEALTH AND SAFETY CODE - SECTION 311.045. X X true false true true false false false false false true false RICHARD PARKS 0 617795 0 280650 0 138326 0 7350 0 17123 0 1061244 0 0 JOHN GRIGSON 0 360754 0 306386 0 102466 0 9800 0 20491 0 799897 0 0 TROY THIBODEAUX 0 280461 0 42147 0 101962 0 0 0 4245 0 428815 0 0 ROXIE TAYLOR 0 258486 0 95668 0 78814 0 19600 0 6499 0 459067 0 0 AUBREY BRIDGES 124587 0 1000 0 4947 0 14363 0 6974 0 151871 0 0 0 KAREN BRODBECK 124536 0 0 0 53 0 5504 0 27187 0 157280 0 0 0 DONNA NEEL 126186 0 6380 0 383 0 15544 0 22534 0 171027 0 0 0 JO ANN ESCASA-HAIGH 0 344020 0 173044 0 83509 0 9776 0 33952 0 644301 0 0 MELINDA CLARK 0 0 0 0 0 282512 0 0 0 0 0 282512 0 0 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 1A ST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL FOR CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TREATED AS TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. COMPANION TRAVEL IS AN ESSENTIAL PART OF THE TRUSTEE CONFERENCE. THE FOLLOWING TRUSTEES RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION. RICHARD PARKS - $3,909 JOHN GRIGSON - $3,323 EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. SCHEDULE J, PART I, LINE 3 THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, COVENANT HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O FOR FORM 990, PART VI, LINE 15A AND 15B FOR THE PROCESS THAT IS COMPLETED BY ST. JOSEPH HEALTH SYSTEM. SCHEDULE J, PART I, LINE 4A MELINDA CLARK RECEIVED $282,512 OF SEVERANCE PAID THROUGH ST. JOSEPH HEALTH SYSTEM. SCHEDULE J, PART I, LINE 4B EXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. NO INDIVIDUALS INCLUDED ON PART VII RECEIVED A DISTRIBUTION FROM THE PLAN DURING THE CURRENT YEAR. SCHEDULE J, PART I, LINE 7 A PORTION OF EXECUTIVES SALARIES ARE PLACED "AT-RISK" AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. KAREN BRODBECK WIFE OF DIR TODD BRODBECK 129498 COMPENSATION FOR SERVICES false X MEDICAL EQUIPMENT 0 189036 COST/SELLING PRICE 0 false true false DESCRIPTION OF METHOD USED FOR NUMBER OF CONTRIBUTIONS SCHEDULE M, PART I, COLUMN B COVENANT CHILDREN'S HOSPITAL IS REPORTING A COMBINATION OF BOTH NUMBER OF CONTRIBUTIONS AND ITEMS CONTRIBUTED. ORGANIZATION'S MISSION STATEMENT FORM 990, PART I, LINE 1 & PART III, LINE 1 COVENANT CHILDREN'S HOSPITAL IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITITES WE SERVE. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A REALIZING OUR MISSION COVENANT CHILDREN'S HOSPITAL HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 13 YEARS. SERVING THE COMMUNITIES OF LUBBOCK, BAILEY, LAMB, HALE, FLOYD, MOTLEY, COCHRAN, HOCKLEY, CROSBY, DICKENS, YOAKUM, TERRY, LYNN, GARZA, KENT, GAINES, DAWSON, BORDEN, SCURRY, AND EDDY COUNTY IN NEW MEXICO, COVENANT CHILDREN'S HOSPITAL IS AN ACUTE CARE HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF STATE OF THE ART CARDIAC CARE, MOBILE MAMMOGRAPHY, MOBILE DENTAL, STATE OF THE ART OUTPATIENT CANCER TREATMENT, AND HEALTH EDUCATION ETC. WITH OVER 5,000 EMPLOYEES COMMITTED TO REALIZING THE MISSION, COVENANT CHILDREN'S HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE WEST TEXAS AND EASTERN NEW MEXICO REGION. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, COVENANT CHILDREN'S HOSPITAL IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA 100 YEARS AGO. THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORS" AND MINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBILITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. THREE MISSION OUTCOMES STRATEGICALLY GUIDE OUR MINISTRY WORK COVENANT CHILDREN'S HOSPITAL IS COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: 1) EVERY INTERACTION WILL BE EXPERIENCED AS A SACRED ENCOUNTER. THE GOAL OF SACRED ENCOUNTER HAS A DIRECT CONNECTION TO THE OVERALL MISSION. OUR VALUE OF DIGNITY CALLS FOR US TO RESPECT EACH PERSON AS AN INHERENTLY VALUABLE MEMBER OF THE HUMAN COMMUNITY AND AS A UNIQUE EXPRESSION OF LIFE. WE STRIVE TO DO THIS BY KEEPING AT THE FOREFRONT OF OUR MINDS THE UNDERSTANDING OF THE IMPACT WE CAN HAVE ON ONE ANOTHER WITH EVERY ACTION WE TAKE. AT COVENANT CHILDREN'S HOSPITAL WE EDUCATE OUR EMPLOYEES AT BOTH THE MEDICAL CENTER AND WOMEN'S AND CHILDREN'S CAMPUS ON WHAT IS EXPECTED BEHAVIOR IN RELATION TO PATIENT CARE, CUSTOMER SERVICE AND TEAMWORK. EMPLOYEES ARE INTRODUCED TO THESE EXPECTATIONS AND TO THE GOAL TO MAKE EVERY ENCOUNTER SACRED AT NEW EMPLOYEE ORIENTATION. THESE CONCEPTS ARE ALSO INTEGRATED INTO EMPLOYEE'S 90 DAY AND ANNUAL EVALUATIONS. THIS IS REINFORCED THROUGHOUT THEIR EMPLOYMENT THROUGH BOTH OPTIONAL AND MANDATORY TRAINING, LEADERSHIP DEVELOPMENT AND OUR HR STANDARDS OF BEHAVIOR. SACRED PATIENT ENCOUNTERS ARE RECOGNIZED AT CH THROUGH HERO CARDS, EMPLOYEE OF THE MONTH STORIES AND VALUES IN ACTION RECOGNITION PROGRAM. LEADERS ARE SENT TO MISSION AND MENTORING WHICH IS A FORMATION PROGRAM LEAD BY SJHS. PATIENT AND STAFF SACRED STORIES ARE ALSO SHARED REGULARLY THROUGH WEEKLY MESSAGES FROM OUR CEO, VPMI AND PATIENT EXPERIENCE OFFICE. 2) ALL PATIENTS WILL RECEIVE PERFECT CARE. IT IS OUR ATTENTION TO DETAIL AND THE SMALLEST IMPERFECTIONS OF EACH PATIENT'S EXPERIENCE THAT DRIVES A DEEPER UNDERSTANDING AND ULTIMATELY A SUSTAINABLE APPROACH TO THE ACHIEVEMENT OF PERFECT CARE. AT COVENANT CHILDREN'S HOSPITAL WE EDUCATE OUR EMPLOYEES AT BOTH THE MEDICAL CENTER AND WOMEN'S AND CHILDREN'S CAMPUS ON THE GOAL OF PERFECT CARE. EMPLOYEES ARE INTRODUCED TO THIS GOAL NEW EMPLOYEE ORIENTATION, NEW PHYSICIAN ORIENTATION, NURSING ORIENTATION AND IN THEIR DEPARTMENT ORIENTATIONS. THIS GOAL IS ALSO INTEGRATED INTO EMPLOYEE'S 90 DAY AND ANNUAL EVALUATIONS. THIS IS REINFORCED THROUGHOUT THEIR EMPLOYMENT THROUGH MANDATORY TRAINING. IN ADDITION CH'S QUALITY DEPARTMENT CONTINUALLY STRIVES TO FORMALLY AND INFORMALLY EDUCATE STAFF ON PERFECT CARE EXPECTATIONS. QUALITY INDICATORS ARE TRACKED AND REPORTED TO EMT, THE BOARD OF DIRECTORS, PHYSICIAN MEETINGS, NURSING MEETINGS AND AT THE CLINICAL EXCELLENCE COMMITTEE. LEAN PROCESS IMPROVEMENT TACTICS ARE USED TO CONTINUALLY IMPROVE PROCESSES AND PERFORMANCE TO ENHANCE THE PATIENT EXPERIENCE AND LIMIT POTENTIAL IMPERFECTIONS IN PATIENT CARE. CME'S ARE OFFERED REGULARLY ON-SITE TO OUR PHYSICIANS AND STAFF. WITHIN DEPARTMENTS, UNITS AND SECTIONS SPECIFIC PROCESSES ARE CONSTANTLY MONITORED TO INSURE PATIENT SAFETY AND BEST CARE. TEAM STEPS TRAINING IS AVAILABLE TO ALL STAFF TO ENHANCE PERFORMANCE AND PATIENT SAFETY. 3) THE COMMUNITIES WE SERVE WILL BE AMONG THE HEALTHIEST IN OUR NATION. WE SEEK TO DEVELOP COMMUNITY HEALTH INITIATIVES THAT IMPACT LONG-TERM HEALTH ACROSS THE ENTIRE COMMUNITY. COVENANT WILL PROVIDE FINANCIAL SUPPORT TO TEXAS TECH UNIVERSITY CENTER FOR PREVENTION AND RESILIENCY TO FUND CBMI WHICH IS A LONGITUDINAL STUDY MEASURING THE EFFECTIVENESS OF A PREVENTION AND INTERVENTION PROGRAM THAT IMPACTS CHILDHOOD OBESITY. THOSE PERFORMING THE STUDY WILL PROVIDE THE CB COMMITTEE WITH QUARTERLY UPDATES ON STRATEGY AND MEASURES. FY 12 ACCOMPLISHMENTS: PROGRAM EXPANSION - INCREASED SCHOOLS RECEIVING CBMI CURRICULUM FROM SIX IN THE FALL OF 2011 TO TWENTY-ONE IN THE FALL OF 2012- OVER A 150% INCREASE IN SCHOOL PARTICIPATION. - FIVE SCHOOLS ARE UTILIZING THE SEMESTER COURSE FOR HIGH SCHOOL CREDIT - COUNTIES IN WEST TEXAS RECEIVING CBMI CURRICULUM: LUBBOCK, TERRY, KING, LAMB, AND PARMER. ADDITIONAL COUNTIES IN TEXAS: TARRANT, DALLAS, AND HARRIS. - CURRICULUM EXPANDED FROM TEN WEEKS TO SIXTEEN WEEKS TO EXTEND THE LENGTH OF DIRECT STUDENT INTERVENTION. RESEARCH OUTCOMES - AMONG THE STUDENTS WHO BEGAN THE PROGRAM THREE YEARS AGO, THERE IS A 15% IMPROVEMENT IN BODY MASS INDEX - THE BECK DEPRESSION INVENTORY SHOWS THAT OUR STUDENTS ARE STAYING IN A HEALTHY EMOTIONAL RANGE - THE INSTRUMENTS SHOW AN INCREASE IN EMOTIONAL REACTIVITY, MEANING THAT STUDENTS ARE ABLE TO EXPRESS EMOTIONAL RESPONSES TO SITUATIONS COMMUNITY ACTIVITIES/FAMILY INVOLVEMENT - FIT4FUN KID'S TRIATHLON - JUNIOR LEAGUE HEALTHY KIDS CAMP - BROWNFIELD MIDDLE SCHOOL WELLNESS CAMP - LUBBOCK HIGH SCHOOL WELLNESS AND LEADERSHIP TRAINING CAMP - BUCKNER'S CHILDREN'S HOME WELLNESS CLASSES - LYON'S CHAPEL HEALTH AND WELLNESS FORUM CONFERENCE PRESENTATIONS - YOUTH DEVELOPMENT INITIATIVE CONFERENCE - FAMILY AND CONSUMER SCIENCES STATE TEACHER'S CONFERENCE - SOUTHERN OBESITY SUMMIT PROGRAM SERVICE ACCOMPLISHMENTS INIITIATIVE OR PROGRAM NAME: NURSING AND RADIOLOGY STUDENTS KEY COMMUNITY PARTNERS: TEXAS TECH HEALTH SCIENCES CENTER (TTUHSC), SOUTH PLAINS COLLEGE, LUBBOCK CHRISTIAN UNIVERSITY TARGET POPULATION: PATIENTS IN THE HOSPITAL GOAL: TO ALLOW NURSING, RADIOLOGY, AND SURGICAL TECHNICIAN STUDENTS FROM COVENANT, SOUTH PLAINS COLLEGE, TTUHSC AND LUBBOCK CHRISTIAN UNIVERSITY TO FULFILL THEIR CLINICAL ROTATION HOURS UNDER THE SUPERVISION OF CHS NURSES, RADIOLOGY TECHNICIANS, AND SURGICAL TECHNICIANS. HOW WILL WE MEASURE SUCCESS? NURSING AND RADIOLOGY STUDENTS WITH HANDS ON EXPERIENCE; AND THE KNOWLEDGE TO CREATE COMPETENT REGISTERED NURSED, RADIOLOGY TECHS AND SURGICAL TECHS. FY 12 ACCOMPLISHMENTS: THIS PROGRAM REPORTED $1,538,681 IN EXPENDITURES A DECREASE OF 17% FROM FY 2011. INITIATIVE OR PROGRAM NAME: ALLIED HEALTH STUDENTS TARGET POPULATION: PATIENTS IN THE HOSPITAL GOAL: TO ALLOW HEALTH STUDENTS IN THE FIELDS OF FOOD AND NUTRITION, OCCUPATIONAL THERAPY AND PHYSICAL THERAPY TO FULFILL THEIR CLINICAL ROTATION HOURS UNDER THE SUPERVISION OF CHS ALLIED HEALTH PROFESSIONALS. HOW WILL WE MEASURE SUCCESS? INCREASED NUMBER OF HEALTHCARE PROFESSIONALS IN THE SOUTH PLAINS AREA; ALLIED HEALTH STUDENTS WITH HANDS-ON EXPERIENCE AND KNOWLEDGE TO CREATE COMPETENT HEALTHCARE PROFESSIONALS. FY 12 ACCOMPLISHMENTS: THIS PROGRAM REPORTED $386,014 IN EXPENDITURES AN INCREASE OF 9.1% FROM FY 2011. INITIATIVE OR PROGRAM NAME: KECC COMMUNITY RESOURCE CENTER TARGET POPULATION: ANY COMMUNITY MEMBERS OR HEALTHCARE PROFESSIONAL WHO RECEIVE HEALTH-RELATED EDUCATION GOAL: TO PROVIDE THE COMMUNITY AND SURROUNDING AREAS ACCESS TO HEALTH-RELATED EDUCATION RESOURCES AND TRAINING TO PROMOTE RECOVERY AND GOOD HEALTH. HOW WILL WE MEASURE SUCCESS? BY BECOMING THE FIRST PLACE THAT THE COMMUNITY OF LUBBOCK AND SURROUNDING AREA TURNS TO FOR UP-TO-DATE INFORMATION ON HEALTH EDUCATION TO IMPROVE THE LIVES OF PATIENTS, THEIR FAMILIES, AND THE COMMUNITY. FY 12 ACCOMPLISHMENTS: THIS PROGRAM REPORTED $1,200,174 IN DONATED SPACE A SLIGHT DECREASE FROM FY 2011. COVENANT'S COMMUNITY HEALTH OUTREACH ORAL HEALTH PROVIDED DENTAL SERVICES TO 1,607 ADULT/ED PATIENTS AND 560 CHILDREN. PATIENT ENCOUNTERS TOTALED 2,705. THE COMMUNITY BENEFIT BOARD APPROVED $1.5 MILLION TO REMODEL THE CHILDREN'S DENTISTRY BUILDING TO ACCOMMODATE THE TRANSITION TO A FAMILY DENTISTRY PROGRAM. INITIATIVE NAME: ORAL HEALTH INITIATIVE (FAMILY DENTISTRY PROGRAM) KEY COMMUNITY PARTNER(S): CHCL, LARRY COMBEST CENTER, BOYS AND GIRLS CLUB, TTUHSC, LUBBOCK IMPACT, LUBBOCK CHILDREN'S HEALTH CLINIC, AND HEAD START. TARGET POPULATION: LOW INCOME DENTAL PATIENTS AGES 6 AND OVER OUTCOME GOAL: IMPROVE THE ORAL HEALTH OF THE VULNERABLE POPULATIONS WITHIN THE COMMUNITIES WE SERVE. SCOPE: CHO DENTAL PATIENTS AGES 6 AND OVER OUTCOME GOAL MEASURE: AVERAGE CHANGE SCORE ON ORAL HEALTH ASSESSMENT TOOL BETWEEN BEGINNING TREATMENT PLAN AND 6 MONTH EVALUATION. FY12 TARGET: 10.7 AVERAGE CHANGE SCORE ON DMFT ASSESSMENT FY12 RESULT: 7 FY12 ACCOMPLISHMENTS: IN FY12 WE COLLECTED BASELINE DATA AND SET OUR TARGETS. WE SET THE FY12 AT 10.7 HOWEVER WE SURPASSED THAT TARGET AT THE END OF THE YEAR BY ENDING AT 7. STRATEGY 1: PROVIDE TIMELY IN HOUSE EMERGENCY DENTAL SERVICES STRATEGY MEASURE 1: PERCENT OF PATIENTS WITH URGENT/EMERGENT DENTAL NEEDS TREATED IN THE CHO DENTAL PROGRAM WITHIN 10 DAYS OF INITIAL CONTACT. FY 12 TARGET: 63% FY 12 RESULT: 75% FY 12 ACCOMPLISHMENTS: IN FY12 WE WERE 12% ABOVE OUR TARGET. THIS IS A POSITIVE OUTCOME FOR THE DENTAL PROGRAM. STRATEGY 2: STRENGTHEN PATIENT'S KNOWLEDGE AND SKILLS ABOUT ORAL HYGIENE STRATEGY MEASURE 2: PERCENT OF PATIENTS WHO REPORT INCREASED KNOWLEDGE AND SKILLS IMPLEMENTATION HAS BEGUN; BASELINE IS CURRENTLY BEING ESTABLISHED. INITIATIVE NAME: COVENANT BODY MIND INITIATIVE (CBMI) KEY COMMUNITY PARTNER(S): TEXAS TECH UNIVERSITY CENTER FOR PREVENTION AND RESILIENCY, LUBBOCK INDEPENDENT SCHOOL DISTRICT, AND CHRIST THE KING CATHEDRAL SCHOOL TARGET POPULATION: MIDDLE AND HIGH SCHOOL STUDENTS IN LUBBOCK, TEXAS AND THE SURROUNDING AREA GOAL: SIGNIFICANT REDUCTION IN THE PREVALENCE OF CHILDHOOD OBESITY IN LUBBOCK COUNTY AND OVERALL IMPROVEMENT IN THE HEALTH AND WELLNESS OF PROJECT PARTICIPANTS WITHIN THE NEXT 10 YEARS. HOW WILL WE MEASURE SUCCESS?: BY ASSESSING A LONGITUDINAL STUDY MEASURING THE EFFECTIVENESS OF PREVENTION AND INTERVENTION PROGRAMS THAT IMPACTS CHILDHOOD OBESITY FY 12 ACCOMPLISHMENTS: PROGRAM EXPANSION INCREASED SCHOOLS RECEIVING CBMI CURRICULUM FROM SIX IN THE FALL OF 2011 TO TWENTY-ONE IN THE FALL OF 2012- OVER A 150% INCREASE IN SCHOOL PARTICIPATION. FIVE SCHOOLS ARE UTILIZING THE SEMESTER COURSE FOR HIGH SCHOOL CREDIT COUNTIES IN WEST TEXAS RECEIVING CBMI CURRICULUM: LUBBOCK, TERRY, KING, LAMB, AND PARMER. ADDITIONAL COUNTIES IN TEXAS: TARRANT, DALLAS, AND HARRIS. CURRICULUM EXPANDED FROM TEN WEEKS TO SIXTEEN WEEKS TO EXTEND THE LENGTH OF DIRECT STUDENT INTERVENTION. RESEARCH OUTCOMES AMONG THE STUDENTS WHO BEGAN THE PROGRAM THREE YEARS AGO, THERE IS A 15% IMPROVEMENT IN BODY MASS INDEX. THE BECK DEPRESSION INVENTORY SHOWS THAT OUR STUDENTS ARE STAYING IN A HEALTHY EMOTIONAL RANGE. THE INSTRUMENTS SHOW AN INCREASE IN EMOTIONAL REACTIVITY, MEANING THAT STUDENTS ARE ABLE TO EXPRESS EMOTIONAL RESPONSES TO SITUATIONS. COMMUNITY ACTIVITIES/FAMILY INVOLVEMENT - FIT4FUN KID'S TRIATHLON - JUNIOR LEAGUE HEALTHY KIDS CAMP - BROWNFIELD MIDDLE SCHOOL WELLNESS CAMP - LUBBOCK HIGH SCHOOL WELLNESS AND LEADERSHIP TRAINING CAMP - BUCKNER'S CHILDREN'S HOME WELLNESS CLASSES - LYON'S CHAPEL HEALTH AND WELLNESS FORUM CONFERENCE PRESENTATIONS - YOUTH DEVELOPMENT INITIATIVE CONFERENCE - FAMILY AND CONSUMER SCIENCES STATE TEACHER'S CONFERENCE - SOUTHERN OBESITY SUMMIT FINANCIAL ASSISTANCE PROGRAM WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY COVENANT CHILDREN'S HOSPITAL, HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE AND/OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. FACTORS USED IN DETERMINING ELIGIBILITY FOR PATIENT FINANCIAL ASSISTANCE INCLUDE INCOME LEVEL, ASSET LEVEL, AND MEDICAL INDIGENCE. FOR MORE INFORMATION ABOUT COVENANT CHILDREN'S HOSPITAL, PLEASE VISIT WWW.COVENANTHEALTH.ORG. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 COVENANT HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF COVENANT CHILDREN'S HOSPITAL. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A COVENANT CHILDREN'S HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE COVENANT CHILDREN'S HOSPITAL BOARD. ALL DIRECTORS APPOINTMENTS THAT COME FROM THE COVENANT CHILDREN'S HOSPITAL BOARD AS NOMINATIONS MUST BE APPROVED BY COVENANT HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH SYSTEM, AS THE TAX EXEMPT PARENT OF COVENANT HEALTH SYSTEM, AND ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE COVENANT HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 IS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING IS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE APRIL 2013 MEETING. DURING THE BOARD FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTS AND DISCUSSES CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE BOARD FINANCE COMMITTEE CHAIR THEN PROVIDES A SUMMARY AT THE FULL BOARD MEETING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ON THE CONFLICT OF INTEREST DISCLOSURE FORM THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ADDITIONALLY, DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION, OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, SUCH CONFLICT IS DISCLOSED TO THE COVENANT CHILDREN'S HOSPITAL'S CONFLICTS & COMPENSATION COMMITTEE. IF THE CONFLICT INVOLVES A MEMBER OF THAT COMMITTEE, THE REMAINING COMMITTEE MEMBERS REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE OFFICER, TRUSTEE, OR KEY EMPLOYEE MAY NOT BE PRESENT DURING ANY MEETING IN WHICH THE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH SJHS GENERAL COUNSEL, WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS OT THE BOARD FOR DISCUSSION AND VOTE. PROCESS USED TO DETERMINE COMPENSATION FORM 990, PART VI, LINES 15A & 15B THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, COVENANT HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. THE EXECUTIVE COMPENSATION PROCESS AT ST. JOSEPH HEALTH SYSTEM IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD-APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER EMPOWERS THE SJHS BOARD WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES OF SJHS. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS THE RETENTION OF KEY MANAGEMENT TALENT. THE SJHS EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. SJHS PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO FULFILL THEIR RESPONSIBILITY, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE WORKLIFE COMMITTEE IS COMPRISED OF SEVERAL INDEPENDENT MEMBERS OF THE BOARD. THEY MEET AT LEAST 3 TIMES A YEAR AND MAKE ALL CRITICAL DECISIONS IN EXECUTIVE SESSION. THESE DECISIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT AS NEEDED. THE WORKLIFE COMMITTEE PERFORMED ITS LAST COMPENSATION REVIEW FOR ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN JUNE 2012. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. THE AUDITED FINANCIAL STATEMENTS ARE ALSO ATTACHED TO FORM 990. HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII CERTAIN EXECUTIVES AND BOARD MEMBERS OF THIS ORGANIZATION ALSO DEVOTED TIME TO OTHER ENTITIES RELATED TO THE FILING ORGANIZATION. THE HOURS DEVOTED TO THE RELATED ORGANIZATIONS ARE NOT GENERALLY TRACKED BY ENTITY. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 CONTRIBUTED CAPITAL NET CHANGE $175,660 UNREALIZED OPERATING GAIN $293,748 ROUNDING $ 2 -------- TOTAL $469,410 OVERSIGHT OR SELECTION PROCESS FORM 990, PART XII, LINE 2C THE ST. JOSEPH HEALTH SYSTEM BOARD APPROVES THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. 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JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 200 ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 100 ORANGE, CA 92868-2012 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET LUBBOCK, TX 79410 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183 AUSTIN, TX 78750 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 4000 24TH STREET LUBBOCK, TX 79410 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 500 S. MAIN STREET STE. 1000 ORANGE, CA 92868 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE. 362 MISSION VIEJO, CA 92691 COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY, LLC EIN: 26-4591502 ADDRESS: ONE CITY BOULEVARD WEST, SUITE 1100 ORANGE, CA 92868 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE ORANGE, CA 92868