2013-05-14T17:19:41-05:00 2012-06-30 861065772 Deloitte Tax LLP 250 E Fifth Street Suite 1900 Cincinnati OH 45202 990 2011-07-01 820204264 St Joseph Regional Medical Center STJO 2087995470 PO Box 816 415 Sixth Street Lewiston ID 83501 Timothy P Sayler 2087995470 2013-05-14 1 Rebecca Lyons P01487105 5137847100 2011 2016-02-24 21:20:13Z Timothy P Sayler PO Box 816 415 Sixth Street Lewiston ID 83501 145571680 0 0928 X www.sjrmc.org X 1918 ID Provides inpatient, outpatient and emergency care services. 11 11 1077 120 1190 -1309 37636 62210 126168209 133127067 5107635 3091433 601352 9107964 131914832 145388674 308225 230996 0 0 59260687 60631606 0 0 285567 64018782 67920552 123587694 128783154 8327138 16605520 139602635 145014763 43239277 43817211 96363358 101197552 The organization's mission is to deliver health care services to the communities of Lewiston, ID, Clarkston, WA and the surrounding small communities. 0 0 106722595 230996 133127067 As a member of Ascension Health, the nation's largest Catholic Healthcare System, SJRMC continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families and society as a whole. The goal of SJRMC is to perpetuate the healing mission of the church. SJRMC furthers this goal through the delivery of patient services, the provision of care to the elderly and indigent, and the creation of patient education and health awareness programs for the community. Our concern for all human life and the dignity of each person leads the organization to provide medical services to all people in the community without regard to the patient's race, creed, national origin, economic status or ability to pay. Description continued in attached community benefit report (See Schedule O). 106722595 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 105 0 1 1077 1 1 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 ID X Ken Harris 2087995470 415 Sixth Street Lewiston ID 83501 Kent Anderson MD 1.00 X 0 0 0 Mike Thomason 1.00 X 0 0 0 Sr Esther Polacci 1.00 X 0 0 0 Colin Doyle MD 1.00 X 0 0 0 Bob Coleman 1.00 X 0 0 0 Donn Durgan 1.00 X 0 0 0 Sr Kathleen Ann DuRoss 1.00 X 0 0 0 Tony Fernandez 1.00 X 0 0 0 Terry Kolb End 1211 1.00 X 0 0 0 Sr Anne McMullen 1.00 X 0 0 0 Paul J Sanchirico 1.00 X 0 0 0 Jody Servatius 1.00 X 0 0 0 Marcy Spilker End 1211 1.00 X 0 0 0 Morgan Wilson MD End 1211 1.00 X 0 0 0 Timothy P Sayler 40.00 X 478907 0 35126 Thomas Safley 40.00 X 210464 0 26599 Kathleen Connerley 40.00 X 204144 0 37396 Brenda Forge 40.00 X 158499 0 27335 Thomas Pfliger 40.00 X 212032 0 15164 Thomas P Drakes 40.00 X 462273 0 26173 Gerardo Midence 40.00 X 539565 0 35293 Sushma Pant 40.00 X 565960 0 23258 Katrina A Popham 40.00 X 505036 0 18979 Binay K Shah 40.00 X 416758 0 22289 Howard A Hayes End 111 40.00 X 127083 0 5890 3880721 0 273502 54 1 1 0 Pathologists Regional Laboratory PO Box 956 Lewiston ID 83501 Laboratory Services 5047894 Lewiston ER Physicians c/o Banner Bank PO Box 1628 Lewiston ID 83501 Physician Services 2536505 TriMedx LLC PO Box 1627 Indianapolis IN 46278 Professional Services 1561249 Valley Anesthesia Associates PO Box 94743 Seattle WA 98124 Professional Services 819500 Orie E Kaltenbaugh MD 3565 Quail Ridge Drive Clarkston WA 99403 Physician Services 672000 15 37924 24286 62210 Net Patient Services 621990 133127067 133127067 133127067 3094350 3094350 450303 175389 274914 274914 274914 4700 7617 -2917 -2917 -2917 Pension Curtailment 900099 8540389 8540389 Gift Shop 453220 199827 199827 Non-Operating Income 621990 91644 91644 1190 1190 8833050 145388674 133127067 1190 12198207 204324 204324 26672 26672 1264296 83175 1177166 3955 6664 6664 46611915 39612337 6999578 1005924 833929 171995 8421695 6981736 1439959 3321112 2753261 567851 181297 181297 94127 94127 11928 11928 8386414 7762880 623534 53645 53645 456592 259228 197364 4199101 4199101 2993915 577305 2416610 442460 236944 205516 985702 985702 973544 973544 4151389 3589729 561660 273839 234074 39765 Supplies - Med & Other 29236545 28678916 557629 Purchased Services 7335398 7335398 Bad Debt Expense 4219605 4219605 Provider Tax 1609079 1609079 2315972 738531 1295829 281612 128783154 106722595 21774992 285567 7274381 10673754 20018833 19458645 479 277144 3008070 3015894 441150 557054 86721655 43918498 40146422 42803157 68436156 68506259 139602635 145014763 8968705 9860259 131816 118034 34138756 33838918 43239277 43817211 X 96363358 101197552 96363358 101197552 139602635 145014763 X 16605520 -11771326 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 423 0 1 11505 11928 0 Explanation of Lobbying Activities: Part II-B, Line 1: Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Additionally, dues are paid to Rural Referral Center/Sole Community Hospital Coalition to lobby on behalf of the Medical Center. St. Joseph Regional Medical Center does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 0 4998839 4998839 51296880 20679889 30616991 29285869 22941202 6344667 1140067 297407 842660 42803157 Other Receivables 193485 Intercompany Receivable 138026 Deferred Compensation Asset 108161 Health System Depository Account 59812577 Prepaid Pension 7204204 Other Miscellaneous Current Assets 1049806 68506259 Intercompany Debt with Ascension Health 26991891 Payable to Third Party Payors 3859358 Deferred Compensation Liability 108161 Self-Insurance Liability 1003139 Asset Retirement Obligation 304480 Valuation Allowance Liability 1540000 Pension Liability 31889 33838918 Description of Uncertain Tax Positions Under FIN 48: Part X: The member health care entities of the Medical Center are primarily tax-exempt organizations under Internal Revenue Code Section 501(c)(3) or 501(c)(2), and their related income is exempt from federal income tax under Section 501(a). The Medical Center accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. With few exceptions the Medical Center is no longer subject to U.S. federal or state examinations by taxing authorities for years before 2009. 1 1 1 X 1 X 101.000000000000 1 1 1 0 1 1 2989153 2989153 0.02400 16214944 13089613 3125331 0.02510 19204097 13089613 6114484 0.04910 216495 216495 0.00170 273544 273544 0.00220 7979609 5564680 2414929 0.01940 285615 285615 0.00230 8755263 5564680 3190583 0.02560 27959360 18654293 9305067 0.07470 125309 125309 0.00100 44710 44710 0.00040 170019 170019 0.00140 0 1829760 457440 59830668 51367629 8463039 X 1 1 1 1 St Joseph Regional Medical Center

415 Sixth Street Lewiston ID 83501

X X X St Joseph Regional Medical Center 1 1 1 100.000000000000 1 101.000000000000 1 X X X X X X X 1 1 X X 1 0 1 X 0 0 3 SJRMC Outpatient Mental Health Center

428 6th Avenue Lewiston ID 83501

Mental Health Clinic SJRMC Lewiston Medical Clinic

307 St Johns Way Lewiston ID 83501

Medical Clinic SJRMC St Joseph Medical Oncology

1250 Idaho Street Lewiston ID 83501

Oncology Center Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs are estimated using internal cost data and are in compliance with Catholic Health Association ("CHA") guidelines. The best data available was used to calculate the amount reported in the table. For certain categories in the table, this was direct costs from the general ledger, in other categories, a specific cost-to-charge ratio was used. Part I, Line 7g: The Medical Center provides in-kind clinical space (value of $33,804) to the Lewis and Clark Health Clinic, a Federally Qualified Health Clinic serving the primary care needs in our geographic region. Part I, L7 Col(f): The amount of bad debt expense reported on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentages in Part I, Line 7, column (f) is $4,219,605. Part II: The Medical Center also provided services to meet additional community needs by supporting other health awareness, education and health promotion activities in the community as outlined below: -The Medical Center was an integral member of the Local Access to Care Committee that looked at available options to increase access to primary care. Working with the Community Health Association of Spokane, a grant for $1.3 million was secured. Following this, a federally qualified health clinic opened on July 1, 2009 as the Lewis Clark Health Clinic (LCHC). The LCHC addresses access issues for all patients especially those with Medicare, Medicaid and no insurance. During its first year, the Medical Center provided free clinic space and provided $10,000 per month operating subsidy. By the end of that year, LCHC had recruited one full time PA and a .75 NP and established a medical home for over 1,700 patients. During its second year of operation, the cash contribution was no longer necessary, but the Medical Center continued to provide space without cost to the clinic. -Due to the rural nature of Idaho and southeastern Washington, a shortage of mental health professionals exists. The Medical Center has developed strategies to address this issue by working with legislators to fund programs, continuing to develop mental health telemedicine involvement with Idaho's Region II hospitals and educating the region, professionals and non-professionals by sponsoring/facilitating the annual Rural Mental Health Symposium event. The Mental Health Center also has a Speaker Bureau Program where the Center's mental health physicians are available to speak on educational and informational topics. This is a free program.-The Medical Center purchased a mobile mammography vehicle to provide mobile mammography and PACS access to some of the rural hospitals and clinics in the area who are otherwise unable to provide those services. The vehicle visits several outlying areas and hospitals at least once a month.-The Medical Center Foundation offered a series of free "Your Doctor Speaks" Programs covering four different healthcare topics presented by local physicians and national speakers. Almost 200 people attended these seminars. -The Medical Center Foundation's "Think First" Program, which works with the local school districts to teach head and spinal cord injury prevention to elementary and junior/senior high classes. -The Medical Center's Senior Life Program for adults over age 60 assisted 269 seniors with Medicare Part D through its pharmacy program. This Program is free and open to the public. The coordinator of this Program helped seniors sign up for Medicare Part D and select the options that best serve their needs. She also helped them sign up for medication assistance programs that made it possible for them to acquire medications that they could not otherwise afford.-The Outpatient Diabetes Education Center offered free monthly education classes covering a variety of topics from eyesight to proper nutrition. These classes are offered at no expense to the participants in an ongoing effort to continue to educate the public on the management of diabetes.-St. Joseph offers a free monthly Stroke Support educational class that covers a variety of topics for those who have suffered a stroke and their caregivers. Topics range from what normal emotions are after suffering a stroke to what resources are available.-The Medical Center's Community Health Education Center held an open house for our new cardiology service line to promote heart health. The open house included nutrition and exercise tips - all in an effort to improve the heart health in our service area. -Family Beginnings (nursery) service line holds several free classes for mothers and families, both pre and post delivery. The classes cover everything from how to properly breastfeed to a siblings class so older brothers and sisters know what to expect when a new baby comes home. Family Beginnings also holds children's car seat inspections to make sure they are properly installed.-The Medical Center holds an annual Grief Workshop for those who have recently lost a loved one or who are struggling with their emotions of grief. The Medical Center also holds quarterly prayer services for those who have lost a loved one.-Our Rehabilitation Services started the first Autism Support Group in the Region. The group is scheduled to meet monthly and the meetings are free and open to all. Part III, Line 4: The provision for bad debts is based upon management's assessment of historical and expected net collections considering economic conditions, trends in health care benefit coverage and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payer category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Medical Center follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Medical Center's policies.The Medical Center's bad debt expense in 2012 was $4,219,605 at charges($1,829,760 at cost). Part III, Line 8: The Medical Center follows the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Part III, Line 9b: The Medical Center has a written debt collection policy that also includes a provision on the collection of practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity care or financial assistance certain collection practices do not apply. St. Joseph Regional Medical Center Part V, Section B, Line 13g: The Medical Center posts plain language versions of the charity policy on the web and in the emergency room. Part VI, Line 2: St. Joseph is currently part of a collaborative effort conducting a Community Health Needs Assessment with the Idaho Public Health Districts 1 and 2. This area covers from the Idaho/Canadian border south to Riggins. The 10 counties included in this area include Boundary, Bonner, Kootenai, Benewah, Shoshone, Latah, Clearwater, Idaho, Lewis and Nez Perce. A link to the online survey is on the St. Joseph web site and a printed version is also available. From the data gathered, St. Joseph Regional Medical Center will form a plan of action that will be carried out in 2013. Previously, a survey was conducted in fall of 2009 in the Lewis-Clark Valley to determine the community needs regarding issues related to education/youth, emergency services, and health services. A random sample of 430 people completed the needs assessment enabling a 95% confidence interval to be defined around plus or minus five percentage points for each question.The three most important education youth goals were (1) reduce teen drug, tobacco & alcohol use, (2) provide a safe environment for children after school, and (3) reduce the high school dropout rate. The community strongly supported safe after school childcare/daycare, intervention programs for at-risk youth, preschool/kindergarten readiness, tutoring or academic assistance, and mentorship programs. Those familiar with local daycare/childcare services rate the quality, availability, and staff to child ratio as fair. Affordability is rated less favorably and services for special needs children seems wanting. High levels of concern were found for our community's youth with regard to drugs & alcohol, negative home environment/family life, academic achievement, bullying, relationships/teen sex, depression/self harm, and obesity.The three most important emergency services goals were (1) increase services to the number of families with basic needs such as food and shelter, (2) increase job training and educational programs to help individuals increase income, and (3) decrease the number of families and individuals suffering from violence and abuse. Strong community support exists for assistance for low-income persons in the area of food banks/hunger support, domestic violence prevention and treatment, advocates for children in the courts, disaster services/house fires & natural disasters, and shelter for the homeless. The three most important health care goals were (1) increase the number of families able to get regular medical checkups and access preventative medicine, (2) increase the number of families able to access urgent healthcare, and (3) increase the number of people living drug-free. Community members appear to be well aware of the range of health care programs and believe the need is particularly high for family doctors, chemical dependency treatment, emergency care, and public health services. While not rated as high, a very sizable number in the valley believe more respite care, counseling services, dentists, mental health services, and nursing homes are needed. While only 13% report not having medical insurance coverage and only 17% do not have prescription coverage, over a third do not have dental, vision, or mental health insurance. The cost of the insurance is the biggest factor keeping community members from getting health care followed by a lack of insurance itself. People in this community strongly rely on their doctors for information about their health care decisions and they tend to listen to their doctors more than any other sources. The Internet is used as a resource for health decisions twice as much as either the television or newspaper. Community members view health screenings, lack of exercise, poor nutrition, heart problems, and obesity as the most important concerns for their own health and wellness. During FY 2012, additional information was obtained during the strategic planning process entered into by SJRMC which identified other needs, and that information will be utilized in identifying additional services needed as well as collaborative opportunities. Part VI, Line 3: St. Joseph Regional Medical Center financial assistance is available to all patients. The Medical Center's financial assistance notice is posted in all registration areas, emergency department and business services department. Information is also available online on the St. Joseph web site. Financial Assistance applications are available at all registration areas, Business Services offices and online on the St. Joseph web site. The Medical Center makes every attempt to identify/assist patients who may be eligible for charity or discounted care through the Medical Center's Charity Care Policy. A financial assistance counselor is available to all patients. The Business Office staff is trained on how to qualify patients for Medicaid, County Assistance and other payment programs. The financial assistance counselor discusses with the patient the availability of various government assistance programs and assists the patient with qualifying for such programs. As a result of a grant through the state of Washington, a Medicaid eligibility case worker assists Washington applicants with their application process. A written summary and contact information is also provided in billing communications with patients. For the patient who has limited English proficiency, interpreter services are available at no charge. Part VI, Line 4: The Medical Center serves as both a primary care facility and a secondary referral facility for residents in the Medical Center's nine county service area, which includes: Nez Perce, Latah, Idaho, Clearwater and Lewis counties in Idaho; Asotin, Garfield and Whitman counties in Washington; and Wallowa County in Oregon. The service area has an aggregate population of approximately 174,000 people in North Central Idaho, Southeast Washington and Northeast Oregon. St. Joseph Regional Medical Center is the only full service Medical Center in a region with nine Critical Access Hospitals in the immediate geographic area. St. Joseph Regional Medical Center provides approximately 80% of the inpatient acute care hospital services in its primary care area and 40% of the inpatient services in its regional service area. In FYE June 2012, St. Joseph Regional Medical Center treated 5,728 inpatients, (including newborn), and recorded an additional 117,201 outpatient visits. The Medical Center provided a substantial portion of its services to the elderly and poor. In fiscal year 2012, approximately 53.1% of services rendered were to the elderly patients under the Medicare program, and approximately 12.4% of the services were provided to patients deemed indigent under state, county, or Medical Center guidelines. The Medical Center provided $2,989,153 in unpaid costs of providing traditional charity care, $3,125,324 in unpaid costs of public programs, $96,887 net cost of programs to the poor, and $3,263,714 net expenses for services and community benefit programs provided at a loss to meet community needs. The following comments duplicate the comments for the first bullet point under Part II. At the expense of the Medical Center, the clinic was completely renovated to meet the needs of Lewis Clark Health Clinic (LCHC). Part VI, Line 5: St. Joseph Regional Medical Center continued the training and education of health care professionals to help address the shortage of and expand the availability of trained clinicians. Idaho has one of the lowest physicians to population ratios in the United States. So, it is very important to emphasize the recruitment and retention of physicians in order to meet the healthcare needs of the community. In FYE June 2012 the Medical Center employed an in-house physician recruiter, who developed ongoing relationships with Ascension Health Physician Recruitment Services and recruitment firms throughout the country to market the provider opportunities in the community. In FY 2012 the Medical Center successfully recruited physicians, including cardiologists and an interventional radiologist. These new physicians helped St. Joseph offer services that were previously unavailable in our region. St. Joseph also worked closely with other clinics in the area to recruit physicians. The Medical Center also started the St. Joseph Medical Group, composed of physicians who have private practices in the area.The Medical Center provides the only full service cancer program within a 110-mile radius and serves patients from throughout the region.The Medical Center is designated by CMS as a Sole Community Hospital and provides many of the same services of a much larger acute care facility. The nearest acute care facility is located more than 100 miles to the north of our service area. We are the largest hospital between Boise and Spokane, which are about 400 miles apart. Part VI, Line 6: St. Joseph Regional Medical Center is a member of Ascension Health. In December 2011, Ascension Health Alliance became the sole corporate member and parent organization of Ascension Health, a Catholic, national health system consisting primarily of not-for-profit corporations that own and operate local health care facilities or Health Ministries, located in 21 of the United States and the District of Columbia. In addition to serving as the sole corporate member of Ascension Health, Ascension Health Alliance serves as the member or shareholder of various other subsidiaries. Ascension Health Alliance, its subsidiaries, and the Health Ministries are referred to collectively from time to time hereafter as the System.Ascension Health Alliance is sponsored by Ascension Health Ministries, a Public Juridic Person. The Participating Entities of Ascension Health Ministries are the Daughters of Charity of St. Vincent de Paul in the United States, St. Louise Province, the Congregation of St. Joseph, the Congregation of the Sisters of St. Joseph of Carondelet, and the Congregation of Alexian Brothers of the Immaculate Conception Province - American Province. The Medical Center, located in Lewiston, Idaho, is a not-for-profit acute care hospital. The Medical Center provides inpatient, outpatient and emergency care services for the residents in the areas surrounding Lewiston, Idaho and Clarkston, Washington. Admitting physicians are primarily practitioners in the local area. The Medical Center is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health and its sponsored organizations are related to providing health care services. The System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with The System's mission of service to those who are poor and vulnerable, each Health Ministry accepts patients regardless of their ability to pay. Ascension Health uses four categories to identify the resources utilized for the care of persons who are poor and community benefit programs:-Traditional charity care includes the cost of services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured.-Unpaid cost of public programs represents the unpaid cost of services provided to persons covered by public programs for the persons living in poverty and other vulnerable persons.-Cost of other programs for the persons living in poverty and other vulnerable persons includes programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community including substance abusers, the homeless, victims of child abuse and persons with acquired immune deficiency syndrome.-Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for persons living in poverty and other vulnerable persons, including health promotion and education, health clinics and screenings and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and community benefit programs. The cost of providing care of persons living in poverty and community benefit programs is estimated using internal cost data and is calculated in compliance with the guidelines established by both the Catholic Health Associations (CHA) and the Internal Revenue Service (IRS).St. Joseph Regional Medical Center continues to serve as the only full service acute care hospital in the region. Its goal is to improve the health status of the whole community, by providing essential medical services to all patients, including those unable to pay for their healthcare needs. This continues to be the mission and philosophy of St. Joseph Regional Medical Center. By offering a broad selection of educational offerings and healthcare services, the Medical Center strives to better meet the healthcare needs of the patients and organizations in the service area. The Community Health Resource and Education Center continues to help facilitate classes and training for associates, community members and patients in an effort to better meet the educational and informational needs in the community and surrounding area. St. Joseph Regional Medical Center maintains its position as the regional leader in health education, community-based programs, and providing healthcare services to all who come to it for care. In FYE June 2012 the Medical Center treated 5,728 adult, pediatric, newborn, transitional care and psychiatric inpatients for a total of 23,081 patient days of service The Medical Center also provided service to 121,875 outpatients, including 2,750 outpatient surgery patients, 29,561 emergency and minor care patient visits, 9,804 Oncology clinic visits and 79,760 other outpatient visits. All Medical Center services are provided without regard to the patient's race, creed, national origin, economic status, or ability to pay. The Medical Center provided $9,475,077 million in un-reimbursed cost of services to the poor and to meet the needs of the community. 1 Snake River Medical Clinic 215 10th Street Lewiston ID 83501 311726460 501(c)(3) 34460 Medical Services Twin County United Way 2207 E Main Street Lewiston ID 83501 820261086 501(c)(3) 39616 Community Support LCSC Nursing Faculty 500 8th Avenue Lewiston ID 83501 826000935 501(c)(3) 44000 Nursing Staff Valley Vision 111 Main Street Lewiston ID 83501 841367690 501(c)(6) 10000 Community Support 3 1 Medical prescriptions for indigent patients 850 26672 Book Prescriptions Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Before funds are disbursed, all grants must go through an approval process at the Medical Center. After approval and disbursement of the funds, expenditures are monitored by the applicable non-profit's board of directors. The Snake River Medical Clinic is providing drugs administred by a physician. As an exectuvie sponsor for United Way, contributions are used to cover administrative expenses of that organization. Funds disbursed to the LCSC Nursing Faculty and Lewis-Clark State College are used for a specific purposes and are acknowledged via receipts. Valley Vision has a specific charter to support economic development in local communities and expenditures are monitored by its Board. X X X X 0 0 0 0 0 0 0 0 0 Timothy P Sayler 307820 0 85000 0 86087 0 0 0 35126 0 514033 0 0 0 Thomas Safley 208695 0 0 0 1769 0 10747 0 15852 0 237063 0 0 0 Kathleen Connerley 200181 0 0 0 3963 0 16287 0 21109 0 241540 0 0 0 Brenda Forge 152077 0 0 0 6422 0 12345 0 14990 0 185834 0 0 0 Thomas Pfliger 178968 0 0 0 33064 0 7974 0 7190 0 227196 0 0 0 Thomas P Drakes 457728 0 0 0 4545 0 9814 0 16359 0 488446 0 0 0 Gerardo Midence 538326 0 0 0 1239 0 12201 0 23092 0 574858 0 0 0 Sushma Pant 545117 0 0 0 20843 0 12201 0 11057 0 589218 0 0 0 Katrina A Popham 504512 0 0 0 524 0 12201 0 6778 0 524015 0 0 0 Binay K Shah 416392 0 0 0 366 0 7350 0 14939 0 439047 0 0 0 Howard A Hayes End 111 18640 0 0 0 108443 0 1299 0 4591 0 132973 0 0 0 Form 990, Part VI, Section A, line 6 St. Joseph Regional Medical Center has a single corporate member, Ascension Health. Form 990, Part VI, Section A, line 7a St. Joseph Regional Medical Center has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of St. Joseph Regional Medical Center. Form 990, Part VI, Section A, line 7b Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Section B, line 11 Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form to the Board, or a designated committee, to review and answer any questions. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Section B, line 15 In determining compensation of the organization's CEO, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Executive Committee of the SJRMC Board and the SJRMC Board reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals who worked at similarly sized organizations as well as organizations similar in complexity of operations, revenues and job responsibilities across the nation. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when his compensation was decided. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Executive Committee of the SJRMC Board and the SJRMC Board reviewed and approved the compensation. In the review of the compensations, the other officers or key employees of the organization were compared to individuals who worked at similarly sized organizations as well as organizations similar in complexity of operations, revenues and job responsibilities across the nation. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Form 990, Part VI, Section C, line 19 The organization will provide any document open to public inspection upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -4,516,734. Transfers to/from Affiliates -1,147,253. Deferred Pension Costs 1,996,517. Other Pension Related Net Assets Adjustments -8,103,856. Total to Form 990, Part XI, Line 5: -11,771,326. Form 990, Part III, Line 4: Community Benefit Report St. Joseph Regional Medical Center For the Year Ended June 30, 2012 St. Joseph Regional Medical Center (the Medical Center, SJRMC, or St. Joseph) is a private, non-profit, Catholic hospital founded in 1902 by the Sisters of St. Joseph, currently a member of Ascension Health and designated a sole community hospital. The Medical Center has a long history of providing community benefit to residents of the North Central Idaho region. This report illustrates the significant degree to which SJRMC contributes to the positive health status of the communities it serves. As a member of Ascension Health, the nation's largest Catholic healthcare system, the Medical Center continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. Ascension Health directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with Ascension Health's mission of service to those who are poor and vulnerable, each Health Ministry accepts patients regardless of their ability to pay. Our Mission and Vision The Medical Center seeks to enhance the quality of life of the citizens of the service area through the promotion of health, prevention of disease and injury and the provision of health services. The Medical Center witnesses the saving presence and mercy of the Risen Christ by providing high quality restorative, preventative, and acute health care services, respecting human dignity in the experience of sickness and death and fostering the physical, psychological, emotional, spiritual and social well-being of people. The Medical Center is a vibrant, dynamic Catholic faith based healthcare organization that continues to be a leader in the provision of health services by responding to and meeting the health needs of all people of the region. The Medical Center envisions maintaining our vital presence as the preferred healthcare provider, the source for health education, and the healthcare safety net for the Region. The Medical Center will further develop inpatient and outpatient services; outpatient care sites; and partner with providers sharing similar commitments and values. We will expand patient education and strive to improve the community health status. We will collaborate with public and private agencies and businesses to assure an appropriate continuum of care, and develop strategic relationships with area providers to help maintain their vital presence, and further develop the referral network into the Medical Center and our Medical/Dental Staff. As the leader in the Region, the Medical Center will utilize knowledge and tradition; along with wisdom, creativity and innovation to further position itself as the hub of services, and the regional care center for the nine counties we serve. Our Philosophy to Community Benefit The Medical Center's primary mission is to continue Christ's mission of mercy by meeting the health care needs of the individuals in the community. No one requiring medical care or services offered by St. Joseph is turned away regardless of race, creed, religion, national origin, sex, ability to pay or economic status. As the region's leader in the delivery of health care services, St. Joseph has, and will continue to accept the responsibility to contribute to the overall health and welfare of our community. St. Joseph is deeply committed to our community to help assure residents live healthy and productive lives through cost effective and quality healthcare and education services. St. Joseph offers a variety of services and programs that are not found elsewhere in the region and is constantly monitoring and assessing the needs of the region to ensure quality health care. Through our commitment to providing community benefit the Medical Center has engaged in the following activities to ensure that our mission is accomplished: -The Medical Center is fully accredited by the Joint Commission and provides level III adult/pediatric trauma services. -The Medical Center operates an Emergency Room and Minor Care that is open 24/7 and serves all persons regardless of their ability to pay. -The Medical Center provides many inpatient and outpatient services to all persons while participating in Medicare, Medicaid, County Insurance, TriCare, Indian Health Services and/or other government health care programs to assure access for patients. -The Medical Center's medical staff privileges are open to any qualified physician in the region. In FY12, SJRMC's Medical/Dental Staff included 141 physicians (87% board certified), specializing in 30 fields. -The Medical Center has a governing Board of Directors that consist of independent persons who represent the community. The governing body includes leaders in the religious community, the physician community and the local community. -The Medical Center believes that in order to provide the best health care to the community its clinical personnel must receive ongoing medical education. See Appendix A for a complete list of the classes, seminars, and materials that SJRMC has provided to its clinical staff and the community. The Medical Center also engages in the training and education of caregivers to help address the shortages of trained clinicians and expand the availability of skilled caregivers to meet the health care needs of the region. The Medical Center has developed an extensive affiliation program with educational institutions throughout the Pacific Northwest. In FY12, The Medical Center partnered with 15 educational programs to provide a clinical teaching site for 410 students. The Medical Center does not engage in medical or scientific research programs. Who We Serve St. Joseph is located in Lewiston, ID and serves residents of a nine county region including the Idaho counties of Nez Perce, Latah, Idaho, Clearwater and Lewis; the Washington counties of Asotin, Garfield; and Whitman and Wallowa County in Oregon. The primary service area consists of the Lewis-Clark Valley, home to over 60,000 people. Throughout the region an additional 122,000 people reside. In total St. Joseph seeks to meet the needs of more than 180,000 people residing over nearly 20,000 square miles. Services Provided As a team in FY12 SJRMC served: 5,720 Men, Women, Children and Newborns as patients 117,201 Individual Outpatient Visits That totals: 23,081 Patient Days 29,361 Patients Entered our Emergency Room and Minor Care Services 243,928 Clinical Lab tests were preformed 54,790 Diagnostic Images Studies 16,501 Radiation Oncology Center procedures 4,265 Surgical Cases 4,024 Hospice days of service Patient Services Cancer Center Cardiology/Vascular Cardiopulmonary Community Health/Education Resources Diagnostic Imaging Emergency Dept. Family Beginnings GI Lab Hospice Intensive Care Laboratory Medical Services Mental Health - Adult Minor Care Outpatient Services Palliative Care Pastoral Care Patient Education Pharmacy Physician Clinics Progressive Care Rehabilitation Services Social Service Surgical Services Major Trends Cardiology/Vascular Services A large void in the region has been cardiology and vascular services. This void was identified in 2009 through a Community Health Needs Assessment and is evident through ongoing monitoring of data for the region. After thoughtful planning, in January 2012 SJRMC began a new Cardiovascular Program, including cardiology and interventional radiology services. Time is a critical element in treating emergency heart conditions and patients now have the ability receive emergency heart care in the community. The Medical Center now offers the most complete cardiology services for 110 miles. The Medical Center offers 24/7 cardiac care for both inpatients and outpatients. The addition of this service line allows patients and families to stay in the region for quality care without the need for emergent transfer. In April of 2012, the Medical Center was awarded Level I trauma status for cardiology. Access to Mental Health Services With the rural nature of Idaho and southeastern Washington, mental health services are often only found at the larger population centers. This is due to a shortage of mental health professionals and very inadequate reimbursement for those who provide service. People often don't seek help until their mental health problems have created a crisis. The Medical Center strategies to address this issue: -Continue work with Representative John Rusche (District State Congressman) to champion additional Regional Mental Health Councils, fund programs, and create additional legislation to better address mental health and drug addiction services -Continue mental health telemedicine involvement with the Regional Tele-health Board, and Idaho's Region II hospitals. -Maintain presence on Regional Mental Health Board. -Advocate for a drug treatment center for North Central/Northern Idaho. -Work with the Social Detox Committee, through the United Way and other locations -Continue to educate the region, professionals and non-professionals, thru the annual education event, the Rural Mental Health Symposium. Emergency Preparedness The Medical Center is dedicated to keeping the residents of the region safe and prepared in the event of a disaster. St. Joseph is an active participant in the Lewiston Emergency Preparedness Council. The Medical Center has developed a Memorandum of Understanding with all participating members of the Regional Healthcare Planning Group which states St. Joseph will share all available resources and personnel in times of a disaster. Regional members of the Emergency Preparedness Council include: Clearwater Valley Hospital and Clinics Gritman Medical Center Kamiah Ambulance Service Lewiston Fire Department Moscow Volunteer Ambulance Potlatch Ambulance St. Joseph Regional Medical Center St. Mary's Hospital Syringa Hospital & Clinics Syringa Hospital Ambulance The Medical Center and community partners run annual drills and in April 2012 St. Joseph participated in a city/county wide Earthquake Exercise. The Medical Center maintains approximately $500,000 worth of equipment that can be mobilized at any moment for a disaster. This includes a 20 bed portable hospital and a medication supply that can be used in the event of a disaster or massive exposure event. Community Collaborations The Medical Center recognizes that it cannot meet all the community needs and has therefore collaborated with numerous community organizations to improve community health, expand access to healthcare, and benefit the community. In FY 12, the Medical Center supported and/or funded: -Ambulance and EMS Support Services - the Medical Center worked with EMS through workforce training to provide a clinical location and clinical experience to regional paramedic students. -The Medical Center funded health education scholarships for books and tuition for students enrolled in clinical education at local colleges to expand the availability of qualified health workers in the future. -The Medical Center matched associate contributions to the local United Way, an agency which provides supplemental support to non-profit agencies. -The Snake River Community Clinic, a volunteer-staffed community clinic, which serves uninsured patients two nights per week, was supported by the Medical Center. -Indigent patients were provided funds to purchase prescriptions. -Nursing faculty at Lewis Clark State College were subsidized by the Medical Center to enable increased nursing student enrollment. -The Medical Center contributed to a variety of community organizations including: -Northwest Children's Home -Family Promise -Winter Spirit -Lewiston Library -Community Action Partnership -March of Dimes -Willow Center for Grieving Children -American Cancer Society -The Medical Center supported senior services including: Meals on Wheels and SeniorLife, a program for adults over 60 years old that provides assistance to seniors with Medicare Part D, ongoing wellness programs and workshops for over 1,200 members. Policies and Programs In addition to the community benefit that the Medical Center provided to the general public and residents of the community, we also have financial assistance policies in place for low-income persons receiving care at the Medical Center. Uninsured patients continue to receive a discount off their initial bills in order to improve the affordability of health care to these patients. Financial ssistance materials have been included in the admission packets and are available at all registration areas alerting the patient to the availability of financial assistance. Information is also included on bills sent to patients so they can contact the Medical Center to request an application for financial assistance in the settlement of their bill. Information and application is also available on the sjrmc.org website. All uninsured and insured patients are eligible for financial screening for further adjustment to their bills based on documented income and expense profiles provided by the patient or guarantor; and the resulting ability to pay all of, or part of, the remainder of the bill over a four year period of time. The Medical Center will write off 100% of a bill for a patient/family with no insurance which has a documented income profile level that is 100% or less of the Federal Poverty Level. Discount is applied in 10% increments up to 200% of the Federal Poverty Level. Eligibility for further discounts is based on an ability of the patient to pay after the patient completes a financial application for the Medical Center evaluation. The Medical Center reviews the completed application regarding income, expense, assets, and liabilities to determine the extent of financial assistance that can be offered according to the Medical Center policies. The Medical Center has an arrangement with a financing company to enable the patient or guarantor to finance payment of medical bills. The Medical Center has a policy that all alternative sources of financial assistance, including application to various Medicaid, County and other available programs must be applied for, and rejected, before Financial Assistance is provided by the Medical Center. Failure of the patient or guarantor to follow-through on the application of financial assistance that may be available from another source will constitute reason for denial of an application for financial assistance from the Medical Center Highlight on a Community Benefit Program Diabetes Education The Medical Center collaborated with the Lewis Clark Health Clinic (LCHC) and Snake River Community Clinic (SRCC), to identify strategies to help prevent, postpone and manage the diabetes through the identification, treatment and management of the diabetes disease processes through: 1) Education on health eating, exercise and identification of risk factors; 2) Proper blood glucose testing and monitoring, dietary menus and exercise regimens and appropriate medical follow-up. Uninsured and/or under insured patients from the Lewiston, ID, and Clarkston and Asotin, WA, who are high risk for or who have diabetes are the target population for this initiative. Communication and cooperative efforts between the Medical Center, LCHC, and SRCC identified the following key strategies: 1) Focus marketing and advertising efforts on the target population. LCHC created a mailing database specific to the target population to communicate health education program and offerings. The Medical Center developed special flyers and announcements specific to the target population. These are mailed directly to these patients. The SRCC indicated a direct mailing piece does not work for the majority of their patients and asked the Medical Center to post notifications at the clinic. The Medical Center provides an adequate supply of promotional information to the SRCC for display in the clinic, exam rooms and to give to patients. 2) Free Health Education Programs. SJRMC offers free monthly education programs specific to diabetes related topics and holds an Annual World Diabetes Fair in November every year. The certified diabetes educator and registered dietitian give free education programs as requested by other health care facilities and/or local businesses. In addition to the free monthly education programs, SJRMC participates in local health fairs, schools and community events. 3) Blood Glucose Testing and Monitoring. SJRMC continues to provide free blood glucose testing monitor with sample strips to those patients in need as well as free A1-C testing at 2 month and 8 month intervals to patients who have not had or cannot afford such testing and have participated in SJRMC's diabetes education. SJRMC carries a supply of meters and strips the same as CHAS and SRCC to ensure continuity in patient care supplies. 4) Attendance to SJRMC's Comprehensive Diabetes Education Course. The Diabetes Center is nationally recognized by the American Diabetes Association. The Diabetes Center is dedicated to provide quality education to a broad spectrum of clients and their families. The Diabetes Center provides education that is individualized to the client's needs. Educational topics range from blood glucose monitoring to nutrition education. The focus of our Diabetes Advisory Board is to address the unmet needs of our community. One goal is to provide comprehensive care to all patients, both insured and uninsured. 5) Initiate Beacon Community of the Inland Northwest (BCIN) project at SJRMC. The Medical Center is an active participant in BCIN with the intent of improving access to care and health outcome of diabetes patients. The objectives of the BCIN project are to: promote cost efficiency by reducing use and cost of emergent and inpatient care for diabetes-related complications. Improve quality of care by leveraging health information exchange (HIE) to increase adherence to diabetes preventive health services and improve health outcomes. Promote population health by improving access to diabetes preventive health services information by public health agencies. The objectives will be accomplished by: extending electronic health information exchange throughout the region to provide a higher level of connectivity and communication between health care providers in both ambulatory care and inpatient settings. Establishing common approaches to and additional resources for managing and coordinating care for individuals with diabetes. Implementing common tools and processes for tracking and reporting population-based quality measures associated with diabetes. Financial report Cost of Community Benefit The Medical Center provided $9,473,885 in un-reimbursed cost of services to the poor and to meet the needs of the community as outlined below: -Charity Care at Cost $2,988,145 -Government Sponsored Health Care $3,125,139 -Community Benefit Programs -Programs targeted to the Poor $96,887 -Community Health Services $848,875 -Subsidized Health Services $2,414,929 -Transitional Care Unit -Mental Health Services -Outpatient Education -Palliative Care -Pulmonary Rehab -Inpatient Physical Therapy -Pastoral Care -Hospice -Nutritional Counseling Total cost for care of persons who are poor and community benefit programs $9,473,885 The Medical Center furthers its charitable purposes by providing a broad array of services to meet the healthcare needs of patients and organizations in the community. We provide essential medical services to the community, train and recruit healthcare professionals to serve the needs of the broader community, provide appropriate charity services to those patients who are not able to pay for their own healthcare needs, provide services to other organizations that allow them to provide quality services to their patients or constituents, and present education information classes and activities to the community in order to improve its overall health status. Appendix A: Clinical Staff Education General Areas of Emphasis for all Associates -Corporate Responsibility -Emergency Management -Hand washing -Hazardous Materials/Waste Training -Healing Without Harm -HIPAA Education -Infection Control -Limited English Proficiency -Loss and Grief In-service -Palliative Care -Performance Improvement -P.I.E.S Customer Service Program -Patient Experience Commitment - 100% -Safety and Environment of Care -Up-to-Date Online Medical Reference Library -Wellness Program -Weight Watchers -10 Minute Exercise Program General Areas of Emphasis for Patient Care Services -HIPAA Education -Basic Care Provider (Nursing Orientation): Safety & Emergency; Communication & Teamwork; Infection control & Employee Health; Quality & Performance Improvement; Skin; computer programs; Medical Equipment; Medication; Iv Procedures; Blood/component Administration; Restraints; Speciality beds; Surgery Prep; Epidural; PT. Mgmt; Pt. Education; Waived testing; -Mosby's Nursing Skills: AED Automated External Defibrillator; Lovenox (medical administration); 2012 Nursing Practice Forum; SBAR, Temporal Artery Thermometer; Hand Hygiene, CLABSIs, Restraints; Oral Care; Pressure Ulcer prevention Waived testing; Pt. Experience Commitment; Implanted Ports; VAP; -2011 Rural Mental Health Symposium-Trauma Informed Care: Healing Traumas & Beyond -Abuse, Neglect, Abandonment & Domestic Violence -BLS CPR Provider Training; updated on-line BLS/CPR -AED Education -Cancer Topics -Clinical documentation -Cardiac Cath -Charge Nurse Program -Challenging Patient Behaviors -Code Blue Practice Sessions -Communication Skills -Corporate Responsibility Program Update -Crisis Prevention Intervention Training and Updates -Diabetes Awareness Day/Fair -Effective Communication with Limited English Proficient Patients -Hand Hygiene -Healthy Backs: Proper Lifting -IV Starts -Moderate Conscious Deep Sedation -Nursing Speaker -National Patient Safety Goals -Patient Experience Commitment -Patient Safety -Precepting Partnership -Pharmacy topics -PIES - Customer Service Initiative -PYXIS Education -Restraint & Seclusion Education -Student Nurse Orientation module -Successful IV Starts -Total Joint -Universal Protocol E.A.S.Y. Assessment (unit based assessment education) -Cardiac -Endocrine -Fluid & Electrolytes -Neurological -Respiratory -GI/GU -HIV/AIDS Education & Training Total Joint Replacement Program - Center of Excellence -Education and skill enhancement -Steps for Success Program -Center of Excellence Miscellaneous Newsletter Resources: -Nurse Advise - ERR Newsletter -Pharmacy & Therapeutics Newsletter -Wendy Leebov's HeartBeat E-newsletter Specific Offerings in the Pediatric/Population Specific Category -Easy Assessment: Pediatric and Newborn focused education -EFM Collaborative Training -EFM Strip Review/Common Fetal Monitoring -Emergency Nurse Pediatric Course -Genetic Evaluations -Multi-system Peds Assessment -Newborn Resuscitation Program (Staff and Physicians) -Noelle Skills Lab -Noelle - Cardiac Arrest -Pediatric Advanced Life Support -Pediatric Advanced Life Support Instructor Training -Providence Sacred Heart Pediatric Grand Rounds -Pediatric Sleep -Period of Purple Crying Specific Offerings in Ethics -Lunch & Learn - Homeless Youth in the Valley -End of Life Issues -Benefits and Risks of Social Media -Spirituality, Ethics and the Patient Experience -Removing Life Sustaining Support Continuing Medical Education -Providence Sacred Heart Pediatric Grand Rounds -National Corporate Compliance and Ethics Week -Psychiatric Grand Rounds -Healing without Harm Specific Offerings in Ascension Health Corporate Compliance -Corporate Responsibility Program Annual/Ongoing Compliance Training-via Updates -Corporate Responsibility Program Specialized Training -Corporate Responsibility Program Training for New Employees at General Orientation -Healing Without Harm -HIPAA & Confidentiality - Understanding Your Responsibility -National HIPAA Week Education/Train Specific Offerings in Critical Care -Advanced Cardiac Life Support -Advanced Cardiac Life Support Instructor Training -Arrhythmia Course -Code Blue Documentation Reviews -Code Blue Medication Reviews -Course in Advanced Trauma Nurse -Critical Care Class & Skills Fair -ENPC -Rapid Response Team Training -Trauma Nurse Core Course -Triage Management Specific Offerings in Information Management: -Ascension Health University -Bedside Medication Verification Training -Clinical Documentation Training -Incidence command System Training -Micromedex/Carenotes Training -MSDS Computer System -Office Automation -Order Entry -Password/Confidentiality -Patient Care Inquiry Training -Physician and Departmental -Sharepoint Specific Offerings in Medical Coding & Documentation -10 Hours of Required Ascension Health Coding via EDUCODE/Ascension Health U. -Coding Clinic Update -CPT 2012 Overview of Major Code Changes -AHIMA CPT 2012 Updates Specific Offerings in Management Development -Dr. Bill Crawford; Getting Others to Get It -Dr. Andrew White: Disclosure -High Reliability -Introduction to PRC -CMS Core Measure -Palliative Care -The Joint Commission -Coding/ICD10 Updates Equipment In-services -Balloon Pump -Velcade & Neuropathy -Brat 1st Collect -Phako -Laser Safety -Gliade Wafer -Mepilex Border -Olympus flexible Systoscope -Sapphire Instruments -CHS Hip Set -Pediatric Insulin Pump -Liko Lift -Variable Tri Stapler Endo GTA -AED Plus and Pro -Zoll Defibrillator -Smart Toe -Laryngoscope blades -Coronary Stent Design -Basic Pacing Implant -Heart Cath closure devices -Cochlear Implant -Loaner Laser -Depuy Sigma Knee -Depuy total Knee -Xspar Retractor Microdisectomy -Cleaning and Decontaminating Medical Devices Diabetes Education, including Gestational Diabetes Classes -Annual Diabetes Fair, open to the public -Asotin School District staff presentation series on Type 1 Diabetes -Burrell Street Station presentation to the residents on Pre-Diabetes and basics of Type 2 Diabetes and prevention -City of Lewiston Health Fair attendance and distribution of free education materials and blood glucose testing -Asotin County School Health Nurse Type 1 Diabetes education -Clarkston Boys and Girls Club and Lewiston Boys and Girls Club presentations of basic diabetic information to bring awareness of World Diabetes Month in November -GO RED booth with diabetes facts, nutrition educational materials and free blood glucose testing -Ladies Night Out attendance, free educational materials and free blood glucose testing -McSorely Elementary School, St. Stanislaus Tri-Parish School and Parkway Elementary School presentations to the students, teachers and staff on Type 1 Diabetes -Senior Health and Fitness Fair and Sterling Senior Health and Fitness Fair attendance, free educational materials, and blood glucose testing Wound/ Ostomy Education -Ostomy Support Group Pastoral Care Educational Offerings -Community Workshops on Advanced Directives -Including participation in National Healthcare Decision Day -Holiday Grief Workshop for the Community -Quarterly Community Memorial Services -Assist community members with completion of advanced directives -Provide Funeral services when requested -Friends Reach Out - Grief Support Group for the Community every 2nd and 4th Monday -Host the Monthly Ministerial Meeting for area clergy -Christmas Brunch for area clergy -S.H.A.R.E. Support Group for parents/families who have lost babies -Hosted National Health Care Decision Day for the Community -Talk with staffs of the Skilled Nursing Facilities and Assisted Living Facilities about POST and Advanced Directives -Provide time to people from the community who walk in and need someone to talk to about grief issues -Send bereavement cards and information about grieving to families who have lost loved ones. -Relay for Life Prayer Service Critical Care Education Course Offerings -Advanced Cardiac Life Support (ACLS) -Pediatric Advanced Life Support (PALS) -Course in Advanced Trauma Nursing (CATN) -Trauma Nurse Core Course (TNCC) -Emergency Nursing Pediatric Course (ENPC) -Critical Care Class -Arrhythmia Class "Your Doctor Speaks" series -Mental Health Program Family Beginnings Community Education Course Offerings -Lamaze - Preparation for Childbirth -Lamaze - Childbirth Seminar -Lamaze - Moms on the Go -Private Childbirth Class -Private Tours of Family Beginnings -Pre-Delivery Interview -ABC's of Parenting -Breastfeeding Basics -Natural Family Planning -New Mom's Group -Sibling Class -Safe Sitter Classes -Car Seat Safety Checks Community Health Education Resource Center -American Heart Association Community Training Center -BLS First Aid and CPR Courses -ACLS, PALS & BLS Instructor Course -Community Wellness Education Series Presentations: -National Healthcare Decision Day Event -National Heart Health Month -Nutrition Education -GO RED for Women's Health Open House Event -Ladies Night Out - Women's Connection Community Event -WA/Idaho Volunteer Senior Health & Fitness Fair -National Breast Cancer Awareness Month -World Diabetes Day Awareness Event -"Tobacco Free You" Nicotine Intervention Program -Wellness Program -Senior Life Program -Volunteer Services opportunities Ascension Health PO Box 45998 St Louis MO 63145 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a Ascension Health Alliance 0 St Joseph Regional Medical Center Foundation Inc 415 Sixth Street Lewiston ID 83501 510168321 Fundraising ID Section 501(c)(3) Schedule A, Line 11a St Joseph Regional Medical Center 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 St Joseph Regional Medical Center Foundation N 144977 Actual Amount Paid Ascension Health Q 2442490 Actual Amount Transferred