2013-11-13T17:48:04-06:00 2012-12-31 ERNST & YOUNG US LLP 178 SOUTH RIO GRANDE ST SUITE 400 SALT LAKE CITY UT 84101 990 2012-01-01 840417134 SAINT JOSEPH HOSPITAL % EXEMPLA INC C/O SHARON OWENS STJO 3034674145 1835 FRANKLIN STREET Suite DENVER CO 80218 Robert Ladenburger 2013-11-13 8013503300 2012 2016-02-24 21:20:13Z BAIN FARRIS 475614487 false 0928 X WWW.EXEMPLA.ORG X 1873 CO THE JOINT MISSION OF EXEMPLA AND ST JOSEPH HOSPITAL IS TO FOSTER HEALING AND HEALTH FOR THE GREATER DENVER COLORADO METROPOLITAN SERVICE AREA. 9 5 2827 350 537747 255363 902306 1225010 444377719 460733649 5090490 8092240 -1534411 -1772124 448836104 468278775 79324 185482 0 0 196755615 174552345 0 0 0 219789321 240219507 416624260 414957334 32211844 53321441 489755294 527883841 98287851 83086990 391467443 444796851 X THE JOINT MISSION OF EXEMPLA AND ST JOSEPH HOSPITAL IS TO FOSTER HEALING AND HEALTH FOR THE GREATER DENVER COLORADO METROPOLITAN SERVICE AREA. false false 291058108 0 360954208 Provision of hospital based healthcare services, including charity care and unreimbursed Medicaid - see description in Schedule O. 16196972 0 12679315 Health professions education - See detailed descriptions in Schedule O. 15422224 0 84667606 COMPREHENSIVE CANCER CENTER - See detailed descriptions in Schedule O. 1296431 185482 2432520 323973735 true true false true false false false false false false true false true true true false false true false false false false false false false false true true true false true false false false false false false false true false false false false false true true true false false true X 0 0 2827 true true false false false false false false false false false X 9 5 false true true false true true true true true false false true true true true true true true true false X EXEMPLA INC CO SHARON OWENS 3038135280 2480 W 26TH AVE 200B DENVER CO 80211 X KOGER PROPST 0.0 2.0 X X 0 0 0 FELIX W COOK SR 0.0 2.0 X 0 0 0 SISTER AMY WILLCOTT 0.0 2.0 X X 0 0 0 ROBERT LADENBURGER 0.0 40.0 X X 0 1376046 106636 MICHAEL A SLUBOWSKI 0.0 40.0 X X 0 1513703 36584 MARLA J WILLIAMS 0.0 2.0 X 0 0 0 SALLY WOOLSEY 0.0 2.0 X 0 0 0 STEVE COBB MD 0.0 40.0 X 0 272196 60439 LYDIA JUMONVILLE 0.0 40.0 X 0 665251 89581 RICK LOPES MD 0.0 40.0 X 0 917605 55755 BRUCE WARING MD 2.0 X 0 0 0 BAIN FARRIS 0.0 40.0 X 0 618414 211829 BRADLEY KEITH LUDFORD 0.0 40.0 X 0 250345 39015 MARY E SHEPLER 0.0 40.0 X 0 228135 50571 BARBARA A JAHN 40.0 0.0 X 0 283074 51079 ALWIN F STEINMANN 0.0 40.0 X 0 346127 65200 SHAWN P DUFFORD 0.0 40.0 X 424437 0 63239 ROBERT GIBBONS 40.0 0.0 X 326548 0 29738 CHRISTINE RUTH GIESING 40.0 0.0 X 247472 0 33712 G EDWARD KIMM JR 40.0 0.0 X 234392 0 28460 JOHN M BREEN 40.0 0.0 X 359596 0 31147 MARSHALL R GOTTESFELD 40.0 0.0 X 232787 0 18172 1825232 6470896 971157 151 false true false 0 1225010 1225010 NET PATIENT REV. 621500 446869693 446869693 537747 EDUCATION & OTHER 611600 9202208 9202208 ADMIN MISC INCOME 900003 2067562 2067562 MEANINGFUL USE INCENTIVE 621500 2594186 2594186 460733649 8102356 8102356 0 0 4034277 4708958 -674681 0 -674681 -674681 10116 -10116 -10116 -10116 0 0 1519195 2616638 -1097443 -1097443 0 468278775 459636206 537747 7417559 185482 185482 0 0 0 424437 424437 0 141394787 124829716 16565071 6974735 6139183 835552 15964747 14052219 1912528 9793639 8620391 1173248 47036922 2038939 44997983 232365 232365 0 0 0 0 23508804 17447045 6061759 380962 380962 1180516 682111 498405 134766 5756 129010 0 9198296 6436752 2761544 219450 163901 55549 0 125351 93683 31668 -1083388 -1083388 0 35682785 25240658 10442127 3223988 3223988 BAD DEBT EXPENSE 9058921 9058921 MEDICAID PROVIDER FEE 22501872 22501872 MEDICAL SUPPLIES 81452619 80550372 902247 SYSTEM EQUALIZATION EXPENSE 1801555 1801555 5563723 4125179 1438544 414957334 323973735 90983599 0 2365144 3584937 10792526 1046041 0 0 50169401 25052778 0 0 0 0 60000000 60000000 5273610 6232292 1521771 3387994 671995412 340172163 241934230 331823249 55740467 36700594 0 0 34968252 29345204 0 0 26989893 30710752 489755294 527883841 27887243 28440977 0 0 4266 2873 0 0 0 0 0 0 0 0 0 0 70396342 54643140 98287851 83086990 X 391282077 444603517 185366 193334 0 0 391467443 444796851 489755294 527883841 X 53321441 7967 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2361 2361 false LOBBYING EXPENDITURES SCHEDULE C, PART II-B, QUESTION 1I ST JOSEPH HOSPITAL INCURRED $2,361 IN LOBBYING EXPENDITURES. THIS INCLUDES PORTIONS OF VARIOUS MEMBERSHIP DUES THAT ARE DESIGNATED AS LOBBYING EXPENSE BY THOSE ORGANIZATIONS IN WHICH ST JOSEPH HOSPITAL IS A MEMBER. 13543038 13543038 159909688 78615450 81294238 52519530 15486987 37032542 296632007 246069726 50562281 154144956 2972492 151172465 331823249 INVESTMENT IN SYSTEM 29345204 C 29345204 INTEREST RCVBLE FROM EXEMPLA 27440179 DEFERRED COMPENSATION ANNUITY 1913483 PHARMACY SUPPLY DEPOSIT 1357090 30710752 0 ESTIMATED THIRD PARTY PAYER SE -1303969 CURRENT MATURITIES OF LONG TERM DEBT 1675716 ASBESTOS MITIGATION LIABILITY 3281280 MALPRACTICE LIABILITY 1842511 NOTES PAYABLE TO SCLHS 49079551 OTHER LIABILITIES 68051 54643140 true true X true X true X true true true false true true 1 17120417 17120417 0.04110 1 20560764 15812482 4748282 0.01140 2 37681181 15812482 21868699 0.05250 8 688582 688582 0.00170 3 18694929 6414083 12280846 0.02950 1 42858629 25014553 17844076 0.04280 1 163622 163622 0.00040 4 175779 175779 0.00040 17 62581541 31428636 31152905 0.07480 19 100262722 47241118 53021604 0.12730 1 24250 24250 0.00010 1 7234 7234 2 31484 31484 0.00010 true 9058921 0 16946571 18141745 -1195174 X true true 1 1 ST JOSEPH HOSPITAL

1835 FRANKLIN STREET DENVER CO 80218

X ST JOSEPH HOSPITAL true 12 true true true X X X X X false true true 200. true 400. true X X X X X X true true X X X true false true X false false COMMUNITY BENEFIT REPORT PART I, LINE 6A COMMUNITY BENEFITS OF ST JOSEPH HOSPITAL (ESJH) ARE INCLUDED IN A REPORT PREPARED BY EXEMPLA HEALTHCARE. COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS PART I, LINE 7G THE ORGANIZATION DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. BAD DEBT EXPENSE PART I, LINE 7G, COLUMN (F) BAD DEBT EXPENSE INCLUDED ON PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES IN SCHEDULE H PART I, LINE 7, COLUMN (H) IS $9,058,521. COSTING METHODOLOGY PART I, LINE 7 THE COST ACCOUNTING SYSTEM WAS USED AS THE BASIS TO CALCULATE THE AMOUNTS REPORTED AS CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS. THE COST OF SUBSIDIZED SERVICES WAS CALCULATED AS THE NET LOSS OF THE RELEVANT DEPARTMENT USING THE DEPARTMENTAL EXPENSES AND ALLOCATED OVERHEAD EXPENSES, AND THE DEDUCTION RATIO PER THE COST ACCOUNTING SYSTEM. FOR SUBSIDIZED SERVICES, THE COST OF CHARITY, MEDICAID, AND SELF PAY PATIENTS WERE REMOVED IN THE CALCULATION. COMMUNITY BUILDING ACTIVITIES PART II Community Resources Forum: ST JOSEPH HOSPITAL INITIATED AND HOSTS A COMMUNITY BUILDING ACTIVITY CALLED THE COMMUNITY RESOURCES FORUM. THE PRIMARY PURPOSE OF THE COMMUNITY RESOURCES FORUM IS TO IMPROVE HEALTH IN THE COMMUNITY. IT CREATES AND FOSTERS NETWORKS OF PARTNERSHIPS ACROSS AGENCIES WITH A SPECIAL EMPHASIS ON SERVING VULNERABLE POPULATIONS AND MAXIMIZING SUPPORT AND RESOURCES FOR THESE COMMUNITY MEMBERS. EACH MONTH BETWEEN SEVENTY-FIVE AND ONE HUNDRED REPRESENTATIVES FROM COMMUNITY AGENCIES, ORGANIZATIONS, GOVERNMENTAL SERVICE PROGRAMS, BUSINESSES AND HEALTH CARE PARTNERS MEET AT THE HOSPITAL TO NETWORK AND SHARE INFORMATION ABOUT HOW THEIR SERVICES BENEFIT THE COMMUNITY AND INDIVIDUALS. DURING THESE MEETINGS, FIVE AGENCIES PRESENT MORE DETAILED INFORMATION WITH TIME FOR QUESTIONS AND COMMENTS FROM THE AUDIENCE. THE COMMUNITY RESOURCES FORUM IS NOT DESIGNED TO PROVIDE ANY ADDITIONAL BENEFIT TO THE HOSPITAL AND WAS NOT CREATED AS A MARKETING ACTIVITY OR TO INCREASE REFERRALS OF PATIENTS. THE HOSPITAL PROVIDES THE MEETING ROOM LOCATION, CONTINENTAL BREAKFAST AND STAFF COORDINATION OF THE FORUM AS THE HOSTS OF A SERVICE TO THE GREATER DENVER METRO COMMUNITY. OVER 700 ORGANIZATIONS ARE LISTED IN THE COMMUNITY RESOURCE FORUM DATABASE AS HAVING MADE CONTACT WITH THE FORUM. THE DATABASE IS NOT USED FOR ANY PURPOSE OTHER THAN NOTIFICATION OF UPCOMING COMMUNITY RESOURCE FORUM MEETINGS AND EVENTS. Arrupe Jesuit High School Corporate Work-Study Program: Arrupe Jesuit High School is a non-profit, Roman Catholic, co-educational, college preparatory school sponsored by the Jesuits of the Missouri Province. Arrupe Jesuit serves economically disadvantaged students from Denver's inner-city neighborhoods. The school model seeks to end generational poverty by providing entry-level work experiences for the students who simultaneously earn financial support for their tuition. Saint Joseph Hospital was one of the original corporate partners and annually supports a team of low-income students with mentoring and job skills training at the hospital in departments such as human resources, laboratory, pre-operative services and business services. Each student is placed at the hospital one day per week throughout the school year, developing job skills and leadership abilities in addition to experiencing future career opportunities in health care. BAD DEBT EXPENSE COSTING METHODOLOGY AND OTHER INFO PART III, LINE 4 A COST TO CHARGE RATIO IS USED AS THE METHODOLOGY FOR DETERMINING THE AMOUNTS REPORTED AS COST OF BAD DEBT EXPENSE. FOR ALL SELF-PAY ACCOUNTS, A STANDARD 40% DISCOUNT IS FIRST APPLIED TO CHARGES AS A DEDUCTION OF REVENUE. BAD DEBT EXPENSE IS REFLECTED NET OF DISCOUNTS APPLIED AND PAYMENTS RECEIVED. THE ORGANIZATION DOES NOT INCLUDE IN BAD DEBT EXPENSE ANY AMOUNT THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THE FOLLOWING ARE THE RELEVANT PORTIONS OF THE COMPANY'S FOOTNOTE TO THE FINANCIAL STATEMENTS RELATED TO BAD DEBT: INCLUDED IN NET RECEIVABLES IS THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS AND TAKES INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT PERIODICALLY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE ASSESSMENTS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. COSTING METHODOLOGY FOR MEDICARE COSTS PART III, LINE 8 INPATIENT AND OUTPATIENT MEDICARE COSTS ARE CALCULATED ON THE COST REPORT. INPATIENT COSTS ARE A PRODUCT OF ROUTINE SERVICE COSTS BASED ON PER DIEMS AND ANCILLARY COSTS BASED ON INPATIENT MEDICARE CHARGES FACTORED BY INPATIENT COST TO CHARGE RATIOS. OUTPATIENT COSTS ARE BASED ON MEDICARE OUTPATIENT CHARGES FACTORED BY OUTPATIENT COST TO CHARGE RATIOS. ST JOSEPH HOSPITAL DOES NOT RECOGNIZE THE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. DEBT COLLECTION POLICY PART III, LINE 9B AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WE MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST, AND TO ENSURE THAT WE MANAGE OUR RESOURCES SO THAT WE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. ST JOSEPH HOSPITAL NOTIFIES PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY UPON ADMISSION, DISCHARGE AND IN COMMUNICATION REGARDING PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. PUBLICIZING THE FINANCIAL ASSISTANCE POLICY PART V, LINE 14G ST JOSEPH HOPSITAL TREATS PATIENTS WITH RESPECT AND DIGNITY REGARDLESS OF THEIR ABILITY TO PAY. ST JOSEPH HOSPITAL HAS A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINS ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE AT VARIOUS LEVELS, INCLUDING A 100% DISCOUNT, AND IS BASED ON FEDERAL POVERTY GUIDELINES. WE WORK WITH PATIENTS TO HELP THEM UNDERSTAND THEIR FINANCIAL RESPONSIBILITY FOR CARE RECEIVED, FINANCIAL ASSISTANCE AVAILABLE TO THEM, AND TO ESTABLISH PAYMENT PROGRAMS IN DEMONSTRATION OF OUR CORE VALUE OF RESPECT. AS PART OF OUR RESPONSIBILITY TO EDUCATE, WE INFORM OUR PATIENTS AND THEIR FAMILIES OF THE AVAILABILITY OF ASSISTANCE, INCLUDING GOVERNMENT PROGRAMS. WE COMMUNICATE THIS IN A VARIETY OF WAYS TO ENSURE THAT MESSAGES REACH MULTIPLE AUDIENCES. BEFORE, DURING AND/OR AFTER ADMISSION, WE ENCOURAGE OUR SELF PAY PATIENTS TO VISIT WITH A FINANCIAL COUNSELOR TO DISCUSS QUALIFICATIONS FOR FINANCIAL ASSISTANCE. WE POST FINANCIAL ASSISTANCE INFORMATION IN THE FORM OF A FINANCIAL ASSISTANCE BROCHURE IN EMERGENCY AND ADMISSIONS AREAS, ON BILLINGS INVOICES, IN VARIOUS AREAS AROUND THE HOSPITAL AND CLINIC SITES AND ON THE HOSPITAL WEBSITE. THE BROCHURE EXPLAINS OUR FINANCIAL ASSISTANCE POLICY AND HOW IT IS ADMINISTERED. THIS COVERS ELIGIBILITY, STEPS TO FOLLOW TO DETERMINE IF A PATIENT QUALIFIES FOR ASSISTANCE, TYPICAL CHARGES A PATIENT MAY EXPECT FOR ROUTINE PROCEDURES, AND ASSISTANCE AVAILABLE BASED ON A PATIENT'S INCOME LEVEL. WE PROVIDE THESE MATERIALS AND EDUCATION WHEN PATIENTS ARE DISCHARGED, AND INCLUDE INFORMATION IN BILLING STATEMENTS, INCLUDING PHONE NUMBERS AND OTHER METHODS TO CONTACT US WITH QUESTIONS. WE ENSURE THAT OUR FINANCIAL COUNSELORS, ADMISSION EMPLOYEES, SOCIAL WORKERS AND OTHER EMPLOYEES UNDERSTAND OUR POLICIES TO BE ABLE TO ASSIST PATIENTS IN THE MOST APPROPRIATE WAY. WE ALSO PROVIDE THE DETAILED FINANCIAL ASSISTANCE POLICY TO INDIVIDUALS UPON REQUEST AND POST THE POLICY TO OUR WEBSITE TO ENSURE THE ENTIRE COMMUNITY HAS ACCESS TO SUCH INFORMATION. AMOUNTS BILLED TO UNINSURED INDIVIDUALS PART V, LINE 20D THE FACILITY AUTOMATICALLY APPLIES A 40% DISCOUNT FOR ANY PATIENT WITHOUT INSURANCE. IF AN INDIVIDUAL QUALIFIES FOR FINANCIAL ASSISTANCE AND HAS INCOME BELOWW 200% OF THE FEDERAL POVERTY GUIDELINES, THE FULL ACCOUNT BALANCE IS ADJUSTED TO ZERO. IF INCOME IS BETWEEN 200% AND 400% OF THE FEDERAL POVERTY GUIDELINES OR IS DETERMINED TO BE MEDICALLY INDIGENT EVEN IF THEIR INCOME IS ABOVE 400% OF THE FEDERAL POVERTY GUIDELINES, A MODEST PATIENT FINANCIAL RESPONSIBILITY IS DETERMINED FOLLOWING A COPAY GRID. THE GRID TAKES INTO CONSIDERATION INCOME AND FAMILY SIZE, AND IS DESIGNED TO RESULT IN AN AMOUNT THAT IS LOWER THAN THE LOWEST COMMERCIAL PAYER RATES. NEEDS ASSESSMENT PART VI, LINE 3 EXEMPLA St. Joseph Hospital has REGULARLY PARTICIPATED IN NEEDS ASSESSMENTS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. The most recent Community Health Needs Assessment was conducted and approved by the Board of Directors in 2012. The CHNA process began with the engagement of senior executive leaders at Exempla Saint Joseph Hospital and Exempla Healthcare. A discussion of the Patient Protection and Affordable Care Act requirements led to the outline of a planning process to meet the standards. The opportunity to use the CHNA process to enhance the organization's strategic planning and community benefit programming was also recognized. The CHNA has a two-fold purpose: to meet the regulatory requirements and to improve internal hospital planning. This CHNA will be used to plan ESJH community benefit programs, allocate resources and strengthen community partnerships in the pursuit of community health improvement. The scope of the CHNA is Denver County with its particularly vulnerable population. For 2012, the process included two other hospitals, Exempla Good Samaritan Medical Center and Exempla Lutheran Medical Center, both located in the Denver metropolitan area. After the purpose and scope was determined, Exempla Saint Joseph Hospital retained the services of the Center for Health Administration at the University of Colorado Denver to conduct data collection for the 2012 CHNA for Exempla per Internal Revenue Code requirements. As part of the Affordable Care Act of 2010 (ACA), each freestanding non-profit (501(c)3) hospital is required to conduct a CHNA every three years. This report is the first CHNA on behalf of Exempla that comply with the IRS mandate. This CHNA describes the health status of each hospital's community and is to be used by the hospital and other collaborators when it develops an implementation plan that addresses the identified community needs. Data for the CHNA was predominantly collected from the Colorado Department of Public Health and Environment (CDPHE). CDPHE publishes health indicator data according to a health equity model in order to facilitate the identification of community health needs. The health equity model incorporates factors that influence health such as social determinants of health, health behaviors and conditions, and population health outcomes. The CDPHE database includes many health, environmental and social topics and is generally organized at the state and/or county level. This facilitates obtaining data for Denver County, the geographic location selected for the ESJH assessment. Health professionals and the public have become increasingly aware of the role of such lifestyle factors as cigarette smoking, overweight, sedentary lifestyle, and the nonuse of seat belts in contributing to injury, illness and death. To measure such factors in adults, the Colorado Behavioral Risk Factor Surveillance System Survey (BRFSS) was used. BRFSS is a system of telephone surveys sponsored by the Centers for Disease Control (CDC). Since 1981, CDC has been using the Behavioral Risk Factor Surveillance System as a method of estimating the prevalence of high risk behaviors and lifestyle factors that contribute to death and disease. Colorado specific data was obtained via the CDPHE website and can be accessed at http://www.chd.dphe.state.co.us/topics.aspx?q=Adult_Health_Data . To measure risk factors in youth, the national Youth Risk Behavior Survey was included to determine behaviors that impact the health of students in 9th through 12th grades. The survey is conducted by select school systems across the nation and reported back to CDC. The CDC's Youth Risk Behavior Surveillance System (YRBSS) monitors six types of health-risk behaviors that contribute to the leading causes of death and disability among youth and adults, including unintentional injuries and violence, alcohol and other drug use, tobacco use, dietary behaviors, and inadequate physical activity. YRBSS also measures the prevalence of obesity and asthma among youth and young adults. Colorado specific data was obtained via the CDC website and can be accessed at http://apps.nccd.cdc.gov/youthonline/App/Results.aspx?LID=CO . The Exempla CHNA mirrors applicable parts of the CDPHE's 2012 Colorado's 10 Winnable Battles which identifies key health issues where progress can be made in the next five years. By aligning with the CDPHE, Exempla joins forces with an ally in efforts to make an impact on improving the health of its hospitals' communities. Through this process, Exempla also meets stipulations set by the ACA that requires hospitals to collaborate with their Public Health Departments to improve their communities' health. To ensure alignment with publically available CDPHE data, Exempla leaders decided that Colorado counties would make up the geographic area for the 2012 CHNA. Individual Exempla hospital facilities then examined their primary market areas and identified Colorado counties in which at least 10% of their patient population resided. The counties identified by each facility comprise the Primary"" Service Area usedinthedatareports.Whencountydatawasunavailable,"" Health Statistic Region data was substituted. The health indicators that were chosen for this report were selected based on publically available CDPHE data, and many were also identified as part of Colorado's 10 Winnable Battles. The health indicators are as follows: Overall Health Status; Access; Cancer; Diabetes; Heart Disease and Cerebrovascular Disease; HIV/AIDS; Communicable Disease; Injury; Mental Health; Obesity, Nutrition and Physical Activity; Oral Health; Sexual Health; Substance Abuse; and Tobacco. A complete CHNA process must include representatives from the broad interests of the community served by the hospital, especially those who can provide input regarding underserved populations and their health needs. ESJH identified several community organizations, including current and potential community outreach partners, and reached out to them for participation in the CHNA process: *Community Resources Forum: One of the current community benefit activities for ESJH is hosting the Community Resources Forum, a monthly learning and networking opportunity for nonprofits in the Denver community. For over five years, approximately seventy local or state agencies attend the monthly Forum to share information about their organizations, client needs and upcoming events. Representatives at each Forum come from many different types of agencies including senior services, home health, child welfare, the arts, and many others. The attendees of the June 2012 Community Resources Forum were asked to complete a community health needs questionnaire to rank their perception of the severity of health issues. The top five health issues with the highest ranking of severity by this group of thirty-seven respondents were access to health services and insurance coverage, obesity, mental health, nutrition and diet, and cancer. *Kaiser Permanente Colorado: ESJH and Kaiser Permanente Colorado (KP) have been business partners for over forty years. KP is an integrated nonprofit health care delivery system, and the majority of patients served by ESJH for acute, inpatient health care are KP members. KP is the largest nonprofit health plan in Colorado and has a significant community benefit program that emphasizes access to care, health knowledge and environmental health improvement efforts with a particular focus on healthy eating and active living. KP and ESJH defined shared community benefit goals in 2012 related to access to care, the provision of charity care and advancement of graduate medical education. *Denver Urban Ministries (DenUM): This agency is located several blocks from ESJH and provides emergency assistance, job search assistance and other support services such as legal aid, food pantry and utility support for low-income people. Health care issues for DenUM clients include access to a regular source of health care other than a hospital emergency department, diabetes, heart disease, and proper food and nutrition. DenUM used to provide a monthly blood pressure screening clinic, however there are no resources available at this time to support a screening clinic on a regular basis. *Inner City Health Center: Inner City Health Center is a community-based, primary care and dental clinic serving uninsured and low-income persons. Located near ESJH, the health center also offers individual and family counseling for their patients. Outreach efforts at Inner City focus on cardiovascular disease with education, screening, and the promotion of an active lifestyle. They are one of the few resources in the city of Denver for emergency dental and oral health needs for the uninsured. The main community health concern for this organization is overall lifestyle and well-being issues with key components of violence prevention and mental health support. *Civic Canopy: This organization foc PATIENT EDUCATION OF ELIGIBILITY ASSISTANCE PART VI, LINE 4 ST JOSEPH HOSPITAL TREATS PATIENTS WITH RESPECT AND DIGNITY REGARDLESS OF THEIR ABILITY TO PAY. ST JOSEPH HOSPITAL HAS A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINS ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE AT VARIOUS LEVELS, INCLUDING A 100% DISCOUNT, AND IS BASED ON FEDERAL POVERTY GUIDELINES. WE WORK WITH PATIENTS TO HELP THEM UNDERSTAND THEIR FINANCIAL RESPONSIBILITY FOR CARE RECEIVED, FINANCIAL ASSISTANCE AVAILABLE TO THEM, AND TO ESTABLISH PAYMENT PROGRAMS IN DEMONSTRATION OF OUR CORE VALUE OF RESPECT. AS PART OF OUR RESPONSIBILITY TO EDUCATE, WE INFORM OUR PATIENTS AND THEIR FAMILIES OF THE AVAILABILITY OF ASSISTANCE, INCLUDING GOVERNMENT PROGRAMS. WE COMMUNICATE THIS IN A VARIETY OF WAYS TO ENSURE THAT MESSAGES REACH MULTIPLE AUDIENCES. BEFORE, DURING AND/OR AFTER ADMISSION, WE ENCOURAGE OUR SELF PAY PATIENTS TO VISIT WITH A FINANCIAL COUNSELOR TO DISCUSS QUALIFICATIONS FOR FINANCIAL ASSISTANCE. THE FINANCIAL COUNSELOR WORKS WITH THE PATIENT TO COMPLETE A FINANCIAL ASSISTANCE FORM TO DETERMINE THE LEVEL OF DISCOUNT FOR WHICH THE PATIENT MAY BE ELIGIBLE. WE POST FINANCIAL ASSISTANCE INFORMATION IN EMERGENCY AND ADMISSIONS AREAS, ON BILLINGS INVOICES, IN VARIOUS AREAS AROUND THE HOSPITAL AND CLINIC SITES AND ON THE HOSPITAL WEBSITE. WE PROVIDE WRITTEN MATERIALS TO PATIENTS THAT DETAIL OUR FINANCIAL ASSISTANCE POLICY AND HOW IT IS ADMINISTERED. THIS COVERS ELIGIBILITY, STEPS TO FOLLOW TO DETERMINE IF A PATIENT QUALIFIES FOR ASSISTANCE, TYPICAL CHARGES A PATIENT MAY EXPECT FOR ROUTINE PROCEDURES, AND ASSISTANCE AVAILABLE BASED ON A PATIENT'S INCOME LEVEL. WE PROVIDE MATERIALS AND EDUCATION WHEN PATIENTS ARE DISCHARGED, AND INCLUDE INFORMATION IN BILLING STATEMENTS, INCLUDING PHONE NUMBERS AND OTHER METHODS TO CONTACT US WITH QUESTIONS. WE ENSURE THAT OUR FINANCIAL COUNSELORS, ADMISSION EMPLOYEES, SOCIAL WORKERS AND OTHER EMPLOYEES UNDERSTAND OUR POLICIES TO BE ABLE TO ASSIST PATIENTS IN THE MOST APPROPRIATE WAY. WE ALSO PROVIDE PAYMENT PLAN OPTIONS TO OUR PATIENTS. THIS HELPS PATIENTS MEET THEIR FINANCIAL OBLIGATIONS IN A REASONABLE AND DIGNIFIED MANNER BASED ON THEIR ABILITY TO PAY, AND ALLOWS THEM TO CONTINUE TO ENSURE THE ONGOING WELFARE OF THEIR FAMILIES. THIS IS DONE IN ACCORDANCE WITH OUR CORE VALUE OF RESPECT. Saint Joseph services a broad primary service area encompassing multiple communities across the Denver metropolitan area. The hospital's close alignment with Kaiser Permanente contributes to it having a large catchment area. The primary service area is defined as the geographic area of contiguous zip codes from which the hospital draws approximately 75% of its inpatient discharges. This primary service area is represented by 54 standard zip codes in the counties of Denver (25 zip codes), Arapahoe (14 zip codes), Jefferson (11 zip codes) and Adams (4 zip codes). The combined primary and secondary service area is based on the geographic area of contiguous zip codes from which the hospital draws approximately 90% of its inpatient discharges. The secondary service area is represented by 27 zip codes and extends across Adams, Arapahoe, Broomfield, Denver, Douglas, Gilpin and Jefferson Counties. The care site fulfills the role of a tertiary referral center for the metropolitan area. Within its large primary service area, Saint Joseph services the third most patient discharges after University Hospital and Denver Health treating about 11% of the inpatients originating from that area. The community from which Saint Joseph treats the highest concentration of patients includes central Denver, northern Aurora, Commerce City and eastern Lakewood. Patient origin from these communities comprises 50% of Saint Joseph's inpatient discharges. The primary service area is serviced by 13 acute care hospitals, including Saint Joseph and Exempla Lutheran Medical Center, another SCL Health System affiliate hospital. Of the 13 hospitals in the primary service area, 10 are members of one of the local health systems. Four are affiliates of Centura Health (not-for-profit), four are affiliates of HealthONE (for-profit) and two are affiliates of SCL Health System (not-for-profit). There is also Denver Health (publically owned) which serves are the area's safety net facility, the pulmonary specialty hospital of National Jewish Health (not-for-profit) and the Veteran's Administration's VA Eastern Colorado Healthcare facility (government owned). In Saint Joseph's secondary service area there are five more hospitals, two Centura Health facilities (not-for-profit), two HealthONE facilities (for-profit) and one not-for-profit independent hospital. Additionally, the University of Colorado Hospital (government owned) and the Children's Hospital Colorado (not-for-profit) both have a significant presence in Saint Joseph's service areas and are located just outside of the primary service area. While the hospital's primary service area is defined by discharged patients' zip codes, executive leadership decided to focus the CHNA on a more geographically proximate area. The hospital selected Denver County as the defined community for the CHNA in order to focus resources and planning on the most local geographic area. Denver County is also the second most populous county in Colorado with the second highest growth rate, and has a highly vulnerable population and severe health needs. According to the 2012 CHNA, THE POPULATION OF Denver County is OVER 600,000 PEOPLE. THE POPULATION OF PEOPLE OVER 65 YEARS OF AGE IS 10.4% AND THE POPULATION OF CHILDREN UNDER AGE 18 IS 22.3%. The median household income in Denver county is $46,693 which is lower than the state average of $55,735. Denver County had the highest poverty level at 18.8% of the residents living below the poverty level compared to that state average of 12.6%. There is also a lower educational level within Denver County and greater racial and ethnic diversity. This diversity includes the largest population of Latino residents in the State at 31.8%, and the largest percentage of residents of Black race at 10.2%. Denver County is also 68.9% White and 3.4% Asian. Denver County also has the highest incidence of a language other than English spoken at home at 28.7% compared to the state average of 16.6%. Regarding health care and access to care, 19.6% of Denver County residents are uninsured. Throughout the state of Colorado, 38.9% of residents whose annual household income is less than $25,000 are uninsured. Forum come from many different types of agencies including senior services, home health, child welfare, the arts, and many others. The attendees of the June 2012 Community Resources Forum were asked to complete a community health needs questionnaire to rank their perception of the severity of health issues. The top five health issues with the highest ranking of severity by this group of thirty-seven respondents were access to health services and insurance coverage, obesity, mental health, nutrition and diet, and cancer. *Kaiser Permanente Colorado: ESJH and Kaiser Permanente Colorado (KP) have been business partners for over forty years. KP is an integrated nonprofit health care delivery system, and the majority of patients served by ESJH for acute, inpatient health care are KP members. KP is the largest nonprofit health plan in Colorado and has a significant community benefit program that emphasizes access to care, health knowledge and environmental health improvement efforts with a particular focus on healthy eating and active living. KP and ESJH defined shared community benefit goals in 2012 related to access to care, the provision of charity care and advancement of graduate medical education. *Denver Urban Ministries (DenUM): This agency is located several blocks from ESJH and provides emergency assistance, job search assistance and other support services such as legal aid, food pantry and utility support for low-income people. Health care issues for DenUM clients include access to a regular source of health care other than a hospital emergency department, diabetes, heart disease, and proper food and nutrition. DenUM used to provide a monthly blood pressure screening clinic, however there are no resources available at this time to support a screening clinic on a regular basis. *Inner City Health Center: Inner City Health Center is a community-based, primary care and dental clinic serving uninsured and low-income persons. Located near ESJH, the health center also offers individual and family counseling for their patients. Outreach efforts at Inner City focus on cardiovascular disease with education, screening, and the promotion of an active lifestyle. They are one of the few resources in the city of Denver for emergency dental and oral health needs for the uninsured. The main community health concern for this organization is overall lifestyle and well-being issues with key components of violence prevention and mental health support. *Civic Canopy: This organization focuses on community impr COMMUNITY INFORMATION PART VI, LINE 5 Exempla Saint Joseph Hospital (SaintJoseph"")islocatedincentral"" Denver, Colorado, adjacent to the east of the downtown business/residential district. Founded by a small group of Sisters of Charity of Leavenworth in 1873, it began in response to the invitation from the local Bishop to meet the needs of the sick and injured who did not have access to health care in the frontier town. Immigrant laborers worked in the Colorado mines and had very few options for health services. Diseases such as typhoid and cholera took their toll on people who had no means to pay for medicines or care, and so the Sisters provided a welcoming place for all people regardless of race, creed or ability to pay. Throughout its 140 year history, the hospital has remained committed to the city and its residents, and is located in uptown Denver, less than three miles from the downtown business district. The hospital has grown and adapted programs and services to meet the needs of the community. Today the hospital has 371 beds, caring for 20,000 inpatient admissions, 146,000 outpatient visits, and 50,000 Emergency Department visits on an annual basis. The community of Denver and the history of serving the needs of the central city are important to ESJH. In light of failing infrastructure of the current facility, the hospital and its parent company considered other locations to rebuild given the space requirements for a modern hospital facility, but when the opportunity for land adjacent to its current location became available, the commitment to the central core of Denver was solidified. ESJH is currently building a $623 million dollar replacement hospital on property that is contiguous to its existing location in the heart of the city. The immediate area around the care site is a medical campus housing a competing hospital, HealthONE's Presbyterian/St. Luke's Medical Center, a large ambulatory care complex operated by Kaiser Permanente, and numerous other healthcare providers such as physician offices. Saint Joseph services a broad primary service area encompassing multiple communities across the Denver metropolitan area. The hospital's close alignment with Kaiser Permanente contributes to it having a large catchment area. The primary service area is defined as the geographic area of contiguous zip codes from which the hospital draws approximately 75% of its inpatient discharges. This primary service area is represented by 54 standard zip codes in the counties of Denver (25 zip codes), Arapahoe (14 zip codes), Jefferson (11 zip codes) and Adams (4 zip codes). The combined primary and secondary service area is based on the geographic area of contiguous zip codes from which the hospital draws approximately 90% of its inpatient discharges. The secondary service area is represented by 27 zip codes and extends across Adams, Arapahoe, Broomfield, Denver, Douglas, Gilpin and Jefferson Counties. The care site fulfills the role of a tertiary referral center for the metropolitan area. Within its large primary service area, Saint Joseph services the third most patient discharges after University Hospital and Denver Health treating about 11% of the inpatients originating from that area. The community from which Saint Joseph treats the highest concentration of patients includes central Denver, northern Aurora, Commerce City and eastern Lakewood. Patient origin from these communities comprises 50% of Saint Joseph's inpatient discharges. The primary service area is serviced by 13 acute care hospitals, including Saint Joseph and Exempla Lutheran Medical Center, another SCL Health System affiliate hospital. Of the 13 hospitals in the primary service area, 10 are members of one of the local health systems. Four are affiliates of Centura Health (not-for-profit), four are affiliates of HealthONE (for-profit) and two are affiliates of SCL Health System (not-for-profit). There is also Denver Health (publically owned) which serves are the area's safety net facility, the pulmonary specialty hospital of National Jewish Health (not-for-profit) and the Veteran's Administration's VA Eastern Colorado Healthcare facility (government owned). In Saint Joseph's secondary service area there are five more hospitals, two Centura Health facilities (not-for-profit), two HealthONE facilities (for-profit) and one not-for-profit independent hospital. Additionally, the University of Colorado Hospital (government owned) and the Children's Hospital Colorado (not-for-profit) both have a significant presence in Saint Joseph's service areas and are located just outside of the primary service area. While the hospital's primary service area is defined by discharged patients' zip codes, executive leadership decided to focus the CHNA on a more geographically proximate area. The hospital selected Denver County as the defined community for the CHNA in order to focus resources and planning on the most local geographic area. Denver County is also the second most populous county in Colorado with the second highest growth rate, and has a highly vulnerable population and severe health needs. According to the 2012 CHNA, THE POPULATION OF Denver County is OVER 600,000 PEOPLE. THE POPULATION OF PEOPLE OVER 65 YEARS OF AGE IS 10.4% AND THE POPULATION OF CHILDREN UNDER AGE 18 IS 22.3%. The median household income in Denver county is $46,693 which is lower than the state average of $55,735. Denver County had the highest poverty level at 18.8% of the residents living below the poverty level compared to that state average of 12.6%. There is also a lower educational level within Denver County and greater racial and ethnic diversity. This diversity includes the largest population of Latino residents in the State at 31.8%, and the largest percentage of residents of Black race at 10.2%. Denver County is also 68.9% White and 3.4% Asian. Denver County also has the highest incidence of a language other than English spoken at home at 28.7% compared to the state average of 16.6%. Regarding health care and access to care, 19.6% of Denver County residents are uninsured. Throughout the state of Colorado, 38.9% of residents whose annual household income is less than $25,000 are uninsured. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 6 WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS IN ORDER TO IMPROVE THE HEALTH OF OUR COMMUNITY. OUR COMMUNITY ACTIVITIES DEMONSTRATE THIS COMMITMENT. IN 2012, WE PROVIDED COMMUNITY BENEFIT TOTALING $54,030,484, INCLUDING TRADITIONAL CHARITY CARE AND THE UNPAID COST OF MEDICAID. DURING THIS YEAR, OUR COMMUNITY HEALTH ACTIVITIES INCLUDED HEALTH EDUCATION WITH A PARTICULAR EMPHASIS ON PRENATAL CARE FOR POOR AND VULNERABLE POPULATIONS INCLUDING THE BABY BOUTIQUE PROGRAM, Boot Camp for New Dads, TEEN CHILDBIRTH EDUCATION AND TEEN BREASTFEEDING CLASSES. THESE OUTREACH EFFORTS ARE FOCUSED ON DECREASING THE OCCURRENCE OF LOW-BIRTH WEIGHT INFANTS BY INCREASING HEALTHY BEHAVIORS AND PROMOTING HEALTH LITERACY. ST JOSEPH HOSPITAL (ESJH) ALSO SERVES THE ENTIRE COMMUNITY THROUGH THE CONSUMER LIBRARY AND PROVIDES PACKETS OF INFORMATION ON HEALTH CONDITIONS RESEARCHED BY MEDICAL LIBRARIANS TO ANYONE AT NO CHARGE. Saint Joseph Hospital is the city of Denver's oldest, private teaching hospital, and has invested in medical professional training since 1893. Currently, Saint Joseph Hospital has four medical residency programs - Internal Medicine, Family Medicine, Obstetrics & Gynecology, and General Surgery. We also support health professions education for students from multiple disciplines including nursing, advanced nursing, pharmacy, and radiology. We ARE AN IMPORTANT PART OF OUR COMMUNITY AND SERVE IN MANY WAYS, FROM DELIVERING CORE HEALTH CARE TO PREVENTIVE CARE TO SUPPORT OF OTHER CIVIC GROUPS. OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL. WHEN ST JOSEPH HOSPITAL HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE'LL BE HERE TO CARE FOR FUTURE GENERATIONS. WE ALSO SUPPORT OUR EMPLOYEES IN VOLUNTEERING FOR COMMUNITY ORGANIZATIONS, INCLUDING SERVING ON COMMUNITY BOARDS, AND PROVIDE OPPORTUNITIES FOR THEM TO SUPPORT CAUSES THROUGH HOSPITAL EVENTS SUCH AS FOOD DRIVES FOR LOCAL FOOD BANKS, SCHOOL SUPPLY DRIVES FOR LOCAL SCHOOLS, AMERICAN HEART WALK AND KOMEN RACE FOR THE CURE. WE ARE GOOD CITIZENS AND PARTNER WITH OTHER ORGANIZATIONS AND AGENCIES TO SUPPORT A THRIVING COMMUNITY. WE ARE MEMBERS OF THE DENVER CHAMBER OF COMMERCE, CAPITOL HILL UNITED NEIGHBORHOODS, INC., AND CAPITOL HILL UNITED MINISTRIES. WE PROVIDE FOCUSED OPERATIONAL AND STRATEGIC SUPPORT FOR BRUNER FAMILY MEDICINE CENTER, CARITAS CLINIC, SETON WOMEN'S CENTER AND A CERTIFIED NUrSE MIDWIVES CLINIC. THESE CLINICS SERVE THE HEALTH NEEDS FOR THE UNINSURED. WE WORK CLOSELY TOGETHER TO PROVIDE INTEGRATED CARE FOR THOSE WHO COME TO EITHER THE HOSPITAL FACILITY OR THE OUTPATIENT CLINICS FOR THEIR HEALTH NEEDS. BRUNER FAMILY MEDICINE CENTER, CARITAS CLINIC, SETON WOMEN'S CENTER AND THE CERTIFIED NURSE MIDWIVES CLINIC PROVIDE QUALITY PRIMARY HEALTH CARE SERVICES FOR UNINSURED, LOW-INCOME PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE CLINICS ARE COMMITTED TO PROVIDING ACCESS TO COMPASSIONATE AND TRUSTWORTHY CARE FOR THE UNINSURED POOR. SERVICES THE CLINIC PROVIDES INCLUDE PRIMARY CARE, ONGOING MANAGEMENT OF CHRONIC DISEASES, coordination and financial support for specialist and subspecialist care, AND MEDICATION ASSISTANCE. COMMUNITY BENEFITS PROVIDED IN 2012 THROUGHOUT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS) TOTALED $252 MILLION. AS PART OF SCLHS, WE PROMOTE THE SHARED MISSION THAT WEWILL,INTHESPIRITOFTHESISTERS"" OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. WEARECOMMITTEDTOLIVINGANDDEMONSTRATINGOURCOREVALUES"" OF EXCELLENCE, RESPECT, RESPONSE TO NEED, STEWARDSHIP AND WHOLENESS. SCLHS SUPPORTS ITS HOSPITALS BY PROVIDING GUIDANCE, OVERSIGHT, AND RESOURCES TO HELP THEM ACCOMPLISH INITIATIVES THAT IMPROVE HEALTH IN ALL OUR COMMUNITIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. OTHER WAYS SCLHS BENEFITS ITS HOSPITALS INCLUDE QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE IT IMPLEMENTATION AND INFRASTRUCTURE; STRATEGic AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; BENEFITS ADMINISTRATION (INCLUDING A WELLNESS PROGRAM FREE TO EMPLOYEES THAT PROMOTES THEIR HEALTH AND WELL-BEING); RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE. BY SHARING THE WORK ACROSS OUR SYSTEM WE ARE ABLE TO LIGHTEN THE BURDEN FOR ALL IN ORDER TO FULFILL OUR MISSION OF IMPROVING HEALTH IN OUR COMMUNITIES. SCLHS IMPROVES OVERALL HEALTH IN OUR COMMUNITIES BY PROVIDING INFRASTRUCTURE TO SUPPORT AND SUSTAIN FOUR CLINICS FOR THE UNINSURED IN KANSAS AND COLORADO. THE SCLHS CLINICS FOR THE UNINSURED ARE OFTEN THE ONLY SAFETY NET CLINIC IN THEIR COMMUNITY AND PROVIDE VALUABLE SERVICES FOR THOSE WHO ARE MOST VULNERABLE. EACH HOSPITAL IS SUPPORTED BY A FOUNDATION TO ACCESS AND OPTIMIZE LOCAL PHILANTHROPIC ORGANIZATIONS AND INDIVIDUALS. THESE FOUNDATIONS RAISE FUNDS THROUGH OUTREACH, SPECIAL EVENTS, AND BUILDING DONOR RELATIONS THROUGHOUT THEIR COMMUNITY TO SUPPORT THE NEEDS OF THE HOSPITAL. 18.8% of the residents living below the poverty level compared to that state average of 12.6%. There is also a lower educational level within Denver County and greater racial and ethnic diversity. This diversity includes the largest population of Latino residents in the State at 31.8%, and the largest percentage of residents of Black race at 10.2%. Denver County is also 68.9% White and 3.4% Asian. Denver County also has the highest incidence of a language other than English spoken at home at 28.7% compared to the state average of 16.6%. Regarding health care and access to care, 19.6% of Denver County residents are uninsured. Throughout the state of Colorado, 38.9% of residents whose annual household income is less than $25,000 are uninsured. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 7 ST JOSEPH HOSPITAL IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION TOREVEALGOD'SHEALINGLOVE"" BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. STJOSEPHHOSPITAL"" PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. SCLHS SUPPORTS THE EFFORTS OF THE HOSPITAL THROUGH STRATEGIC DIRECTION AND OPERATING OVERSIGHT. SCLHS SUPPLIES OVERHEAD SUPPORT SERVICES TO ST JOSEPH HOSPITAL, INCLUDING INFORMATION TECHNOLOGY SERVICES, CENTRAL CASH MANAGEMENT AND INVESTMENT, RISK MANAGEMENT AND INSURANCE AND QUALITY IMPROVEMENT LEADERSHIP. HEALTH CONDITIONS RESEARCHED BY MEDICAL LIBRARIANS TO ANYONE AT NO CHARGE. Saint Joseph Hospital is the city of Denver's oldest, private teaching hospital, and has invested in medical professional training since 1893. Currently, Saint Joseph Hospital has four medical residency programs - Internal Medicine, Family Medicine, Obstetrics & Gynecology, and General Surgery. We also support health professions education for students from multiple disciplines including nursing, advanced nursing, pharmacy, and radiology. We ARE AN IMPORTANT PART OF OUR COMMUNITY AND SERVE IN MANY WAYS, FROM DELIVERING CORE HEALTH CARE TO PREVENTIVE CARE TO SUPPORT OF OTHER CIVIC GROUPS. OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL. WHEN ST JOSEPH HOSPITAL HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE'LL BE HERE TO CARE FOR FUTURE GENERATIONS. WE ALSO SUPPORT OUR EMPLOYEES IN VOLUNTEERING FOR COMMUNITY ORGANIZATIONS, INCLUDING SERVING ON COMMUNITY BOARDS, AND PROVIDE OPPORTUNITIES FOR THEM TO SUPPORT CAUSES THROUGH HOSPITAL EVENTS SUCH AS FOOD DRIVES FOR LOCAL FOOD BANKS, SCHOOL SUPPLY DRIVES FOR LOCAL SCHOOLS, AMERICAN HEART WALK AND KOMEN RACE FOR THE CURE. WE ARE GOOD CITIZENS AND PARTNER WITH OTHER ORGANIZATIONS AND AGENCIES TO SUPPORT A THRIVING COMMUNITY. WE ARE MEMBERS OF THE DENVER CHAMBER OF COMMERCE, CAPITOL HILL UNITED NEIGHBORHOODS, INC., AND CAPITOL HILL UNITED MINISTRIES. WE PROVIDE FOCUSED OPERATIONAL AND STRATEGIC SUPPORT FOR BRUNER FAMILY MEDICINE CENTER, CARITAS CLINIC, SETON WOMEN'S CENTER AND A CERTIFIED NUrSE MIDWIVES CLINIC. THESE CLINICS SERVE THE HEALTH NEEDS FOR THE UNINSURED. WE WORK CLOSELY TOGETHER TO PROVIDE INTEGRATED CARE FOR THOSE WHO COME TO EITHER THE HOSPITAL FACILITY OR THE OUTPATIENT CLINICS FOR THEIR HEALTH NEEDS. BRUNER FAMILY MEDICINE CENTER, CARITAS CLINIC, SETON WOMEN'S CENTER AND THE CERTIFIED NURSE MIDWIVES CLINIC PROVIDE QUALITY PRIMARY HEALTH CARE SERVICES FOR UNINSURED, LOW-INCOME PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE CLINICS ARE COMMITTED TO PROVIDING ACCESS TO COMPASSIONATE AND TRUSTWORTHY CARE FOR THE UNINSURED POOR. SERVICES THE CLINIC PROVIDES INCLUDE PRIMARY CARE, ONGOING MANAGEMENT OF CHRONIC DISEASES, coordination and financial support for specialist and subspecialist care, AND MEDICATION ASSISTANCE. COMMUNITY BENEFITS PROVIDED IN 2012 THROUGHOUT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS) TOTALED $252 MILLION. AS PART OF SCLHS, WE PROMOTE THE SHARED MISSION THAT WEWILL,INTHESPIRITOFTHESISTERS"" OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. WEARECOMMITTEDTOLIVINGANDDEMONSTRATINGOURCOREVALUES"" OF EXCELLENCE, RESPECT, RESPONSE TO NEED, STEWARDSHIP AND WHOLENESS. SCLHS SUPPORTS ITS HOSPITALS BY PROVIDING GUIDANCE, OVERSIGHT, AND RESOURCES TO HELP THEM ACCOMPLISH INITIATIVES THAT IMPROVE HEALTH IN ALL OUR COMMUNITIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. OTHER WAYS SCLHS BENEFITS ITS HOSPITALS INCLUDE QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE IT IMPLEMENTATION AND INFRASTRUCTURE; STRATEGic AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; BENEFITS ADMINISTRATION (INCLUDING A WELLNESS PROGRAM FREE TO EMPLOYEES THAT PROMOTES THEIR HEALTH AND WELL-BEING); RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE. BY SHARING THE WORK ACROSS OUR SYSTEM WE ARE ABLE TO LIGHTEN THE BURDEN FOR ALL IN ORDER TO FULFILL OUR MISSION OF IMPROVING HEALTH IN OUR COMMUNITIES. SCLHS IMPROVES OVERALL HEALTH IN OUR COMMUNITIES BY PROVIDING INFRASTRUCTURE TO SUPPORT AND SUSTAIN FOUR CLINICS FOR THE UNINSURED IN KANSAS AND COLORADO. THE SCLHS CLINICS FOR THE UNINSURED ARE OFTEN THE ONLY SAFETY NET CLINIC IN THEIR COMMUNITY AND PROVIDE VALUABLE SERVICES FOR THOSE WHO ARE MOST VULNERABLE. EACH HOSPITAL IS SUPPORTED BY A FOUNDATION TO ACCESS AND OPTIMIZE LOCAL PHILANTHROPIC ORGANIZATIONS AND INDIVIDUALS. THESE FOUNDATIONS RAISE FUNDS THROUGH OUTREACH, SPECIAL EVENTS, AND BUILDING DONOR RELATIONS THROUGHOUT THEIR COMMUNITY TO SUPPORT THE NEEDS OF THE HOSPITAL. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7 THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM FILES A COMMUNITY BENEFIT REPORT IN FOUR STATES: CALIFORNIA, COLORADO, KANSAS AND MONTANA. STATE FILING OF COMMUNITY BENEFIT REPORT THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM FILES A COMMUNITY BENEFIT REPORT IN FOUR STATES: CALIFORNIA, COLORADO, KANSAS AND MONTANA. AMOUNTS BILLED TO UNINSURED INDIVIDUALS PART V, LINE 20D THE FACILITY AUTOMATICALLY APPLIES A 40% DISCOUNT FOR ANY PATIENT WITHOUT INSURANCE. IF AN INDIVIDUAL QUALIFIES FOR FINANCIAL ASSISTANCE AND HAS INCOME BELOW 200% OF THE FEDERAL POVERTY GUIDELINES, THE FULL ACCOUNT BALANCE IS ADJUSTED TO ZERO. IF INCOME IS BETWEEN 200% AND 400% OF THE FEDERAL POVERTY GUIDELINES, A MODEST PATIENT FINANCIAL RESPONSIBILITY IS DETERMINED FOLLOWING A COPAY GRID. THE GRID TAKES INTO CONSIDERATION INCOME AND FAMILY SIZE, AND IS DESIGNED TO RESULT IN AN AMOUNT THAT IS LOWER THAN THE LOWEST COMMERCIAL PAYER RATES. true SUSAN G KOMEN BREAST CANCER FOUNDATION 1835 FRANKLIN ST DENVER CO 80218 841199858 501(c)(3) 10000 PINK TIE AFFAIR SPONSORSHIP ARRUPE CORPORATE WORK STUDY PROGRAM 4343 UTICA ST DENVER CO 80212 460508814 501(c)(3) 24250 SUPPORT FOR WORK STUDY PROGRAM OF ARRUPE JESUIT HIGH SCHOOL HISTORY COLORADO 1200 BROADWAY DENVER CO 80203 846000482 501(c)(3) 100000 3 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I - THE ORGANIZATION KEEPS RECORDS TO SUPPORT THE AMOUNTS PROVIDED OR REASON FOR SUCH SUPPORT. SUPPORT IS NOT CONSIDERED GRANTS, BUT RATHER MISCELLANEOUS DONATIONS AND SPONSORSHIPS. ELIGIBILITY FOR FUNDING IS DETERMINED ON AN INDIVIDUAL BASIS, CONSIDERING THE USE OF THE FUNDS AND HOW THE USE RELATES TO THE ORGANIZATION'S MISSION. X true true true true false false false false false true false ROBERT GIBBONS 304564 0 10474 0 11510 0 18000 0 11738 0 356286 0 0 0 CHRISTINE RUTH GIESING 247472 0 0 0 0 0 17759 0 15953 0 281184 0 0 0 BRADLEY KEITH LUDFORD 0 211559 0 37570 0 1216 0 22986 0 16029 0 289360 0 0 MARY E SHEPLER 0 192401 0 33381 0 2353 0 34176 0 16395 0 278706 0 0 BARBARA A JAHN 0 239764 0 41725 0 1585 0 39101 0 11978 0 334153 0 0 BAIN FARRIS 0 441578 0 141476 0 35360 0 199364 0 12465 0 830243 0 0 ROBERT LADENBURGER 0 660676 0 203467 0 511903 0 94171 0 12465 0 1482682 0 0 MICHAEL A SLUBOWSKI 0 993061 0 398970 0 121672 0 24119 0 12465 0 1550287 0 0 ALWIN F STEINMANN 0 290053 0 53781 0 2293 0 47870 0 17330 0 411327 0 0 G EDWARD KIMM JR 234392 0 0 0 0 0 16599 0 11861 0 262852 0 0 0 SHAWN P DUFFORD 386794 0 35421 0 2222 0 46846 0 16393 0 487676 0 0 0 STEVE COBB MD 0 238645 0 24557 0 8994 0 46845 0 13594 0 332635 0 0 LYDIA JUMONVILLE 0 499288 0 152073 0 13890 0 73035 0 16546 0 754832 0 0 RICK LOPES MD 0 507612 0 96853 0 313140 0 43290 0 12465 0 973360 0 0 JOHN M BREEN 359596 0 0 0 0 0 14220 0 16927 0 390743 0 0 0 MARSHALL R GOTTESFELD 227787 0 0 0 5000 0 16680 0 1492 0 250959 0 0 0 TAX INDEMNIFICATION AND GROSS UP PAYMENTS SCH J, PART I, QUESTION 1A 16 INDIVIDUALS RECEIVED GROSS UP PAYMENTS FOR GIFTS OR OTHER ITEMS THAT WERE TAXABLE TO THE INDIVIDUAL IN THEIR W-2'S. THESE TOTALED $484 IN THE AGGREGATE. COMPENSATION OF THE ORGANIZATION'S CEO SCHEDULE J, PART I, QUESTION 3 THE ORGANIZATION'S CEO IS COMPENSATED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS), A RELATED ORGANIZATION. SCLHS USED ALL OF THE METHODS DESCRIBED IN SCHEDULE J, PART I TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. SEVERANCE AND CHANGE OF CONTROL PAYMENTS SCHEDULE J, PART I, QUESTION 4A A CHANGE OF CONTROL PAYMENT WAS MADE TO KATHRYN BALLINGER IN THE AMOUNT OF $314,537 IN 2012. SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) PERIODICALLY INCURS SEVERANCE PAYMENTS RELATED TO FORMER EMPLOYEES. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS SCHEDULE J, PART I, QUESTION 4B OTHER REPORTABLE COMPENSATION SHOWN IN SCHEDULE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. SCLHS PROVIDES NONQUALIFIED RETIREMENT PLANS FOR EXECUTIVES TO COMPENSATE FOR IRS IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. ON THE ADVICE OF COUNSEL, SCLHS HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. INCENTIVE PLANS SCHEDULE J, PART I, QUESTION 7 THE MANAGEMENT INCENTIVE PLANS ARE BASED ON A COMBINATION OF MEASURES. MANAGEMENT AND SENIOR LEADERSHIP ARE ELIGIBLE FOR THE INCENTIVE COMPENSATION. PERFORMANCE CATEGORIES ARE MADE UP OF A COMBINATION OF CLINICAL QUALITY MEASURES AND OPERATING INCOME. THE OPERATING INCOME CATEGORY IS GENERALLY RELATED TO THE NET EARNINGS OF THE DIVISION IN WHICH THE INDIVIDUAL WORKS, OR IN THE CASE OF SYSTEM SERVICES SENIOR MANAGEMENT, THE NET EARNINGS OF THE COMPANY. COMPENSATION OF BOARD MEMBER SCHEDULE J, PART II SCLHS CONSISTS OF ELEVEN HOSPITALS AND THREE CLINICS (AFFILIATES) IN FOUR STATES INCLUDING ST. JOSEPH HOSPITAL. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. MICHAEL A. SLUBOWSKI IS PRESIDENT & CHIEF EXECUTIVE OFFICER FOR SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS). HE ALSO SERVES AS A MEMBER OF THE EXEMPLA, INC.'S (EXEMPLA) BOARD AND AS CHAIRMAN. THE COMPENSATION REFLECTED IS THAT OF MR. SLUBOWSKI'S POSITION AS AN SCLHS EXECUTIVE AND NOT AS A MEMBER OF EXEMPLA'S BOARD. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. MIDTOWN INPATIENT MEDICINE PARTNER / EXEMPLA OFFICER 4533049 HOSPITALIST SVCS AGREEMENT false HOSPITAL SHARED SERVICES BOD / EXEMPLA KEY EMP 2010605 CONTRACTED SERVICES false BUSINESS TRANSACTION RELATIONSHIPS PART IV LISA KETTERING, AN OFFICER, IS A GREATER THAN 5% PARTNER IN MIDTOWN INPATIENT MEDICINE. BRADLEY LUDFORD, A KEY EMPLOYEE, SERVES ON THE BOARD OF DIRECTORS OF HOSPITAL SHARED SERVICES. EXEMPT PURPOSE ACHIEVEMENTS FORM 990, PART III, LINES 4A - 4D ST JOSEPH HOSPITAL (ESJH) IS OWNED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS). EXEMPLA HEALTHCARE (EXEMPLA) IS A HEALTH CARE DELIVERY SYSTEM FORMED ON JANUARY 1, 1998, BY A JOINT OPERATING AGREEMENT AMONG SCLHS, ESJH, LMC COMMUNITY FOUNDATION (CURRENTLY COMMUNITY FIRST FOUNDATION) AND EXEMPLA, INC. (EXEMPLA). EXEMPLA OPERATES EXEMPLA LUTHERAN MEDICAL CENTER, EXEMPLA GOOD SAMARITAN MEDICAL CENTER AND OTHER AFFILIATED MEDICAL SERVICES INCLUDING THE EXEMPLA PHYSICIAN NETWORK. THE SYSTEM'S COLLECTIVE PROGRAM SERVICES ACCOMPLISHMENTS INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: THE MEDICAL SERVICES ARE PROVIDED TO ALL WHO SEEK SERVICE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES IS CRITICAL FOR THE OPERATION AND STABILITY OF EXEMPLA AND ESJH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH EXEMPLA'S AND ESJH'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE WILL BE CONSIDERED AND PROVIDED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY EXIST. IN ADDITION, EXEMPLA AND ESJH RECOGNIZE THE ESSENTIAL NEED TO BE EXCEPTIONAL STEWARDS OF MEDICARE, MEDICAID AND COMMUNITY/PRIVATE FUNDING DOLLARS. FOR 2012, ESJH PROVIDED BENEFIT TO THE COMMUNITY AT A COST OF $56.0 MILLION, INCLUDING CHARITY CARE, UNREIMBURSED MEDICAID, OTHER SUBSIDIZED HEALTH SERVICES AND EDUCATION. EXEMPLA AND ESJH ALSO RECOGNIZE THE ESSENTIAL NEED TO ENHANCE AND IMPROVE MEDICAL OUTCOMES, QUALITY, AND SERVICES. IN RESPONSE, A BEST IN THE NATION STRATEGY AND PROGRAM WAS IMPLEMENTED. THE OBJECTIVES OF THE PROGRAM ARE TO BE THE BEST IN THE NATION ON PREDEFINED QUALITIES, SERVICE AND COST INDICATORS. THE QUALITY INDICATORS ARE IN ALIGNMENT WITH MAJOR PUBLICLY COMPARABLE DATABASES INCLUDING THE COLORADO HEALTH AND HOSPITAL ASSOCIATION AND CENTERS FOR MEDICARE AND MEDICAID SERVICES. CURRENTLY, THE PROGRAM IS IN THE NINTH YEAR OF THIS INITIATIVE. WITH ITS 565 LICENSED BEDS, ESJH SERVED THE COMMUNITY WITH 18,514 INPATIENT ADMISSIONS, 177,450 OUTPATIENT VISITS AND 51,934 EMERGENCY ROOM VISITS. SERVICES - COMPREHENSIVE MEDICAL SERVICES INCLUDE, BUT ARE NOT LIMITED TO, CARDIOLOGY, ONCOLOGY, ORTHOPEDIC, WOMEN AND FAMILY, EMERGENCY, NEONATAL INTENSIVE CARE, NEUROLOGY, OB/GYN AND GENERAL SURGICAL AND MEDICAL. - ESJH IS A LEADING HEART HOSPITAL IN DENVER PERFORMING APPROXIMATELY 400 OPEN-HEART SURGERIES ANNUALLY, MORE THAT ANY OTHER COLORADO HOSPITAL. - ESJH DELIVERS MORE BABIES THAT ANY OTHER COLORADO HOSPITAL WITH 3,773 BIRTHS IN 2012. ALONG WITH NORMAL DELIVERIES, THE HOSPITAL ALSO CARES FOR CRITICALLY ILL NEWBORNS AND HIGH-RISK MOTHERS. - ESJH IS AMONG THE TOP THREE COLORADO HOSPITALS FOR NEWLY DIAGNOSED CANCER CASES. IN ORDER TO MEET THE SPECIAL NEEDS OF THESE PATIENTS, THE COMPREHENSIVE CANCER CENTER BRINGS TOGETHER IN ONE PLACE THE ESJH BREAST CARE CENTER, CANCER PSYCHOSOCIAL SERVICES, MEDICAL AND SURGICAL ONCOLOGY, A LABORATORY, A RESEARCH DEPARTMENT, A NEW CANCER PHARMACY AND THE INFUSION CENTER. THIS MEANS THAT THE PROFESSIONALS FROM ONCOLOGISTS TO LAB TECHNICIANS TO PSYCHOTHERAPISTS TO INFUSION SPECIALISTS, PHARMACIST AND RADIOLOGISTS -HAVE ACCESS TO LEADING-EDGE TECHNOLOGY AND CAN BETTER INTERACT WITH ONE ANOTHER TO PROVIDE FULLY COORDINATED CARE TO EACH OF OUR PATIENTS. - THE HIGHLY TRAINED PHYSICIANS, NURSES AND SUPPORT STAFF IN THE EMERGENCY DEPARTMENT TREAT MORE THAN 142 PATIENTS PER DAY FOR A WIDE RANGE OF EMERGENCY MEDICAL CONDITIONS. PROGRAMS STRONG COMMITMENT TO THE HEALTH OF THE COMMUNITY IS FURTHER EXEMPLIFIED, BUT NOT LIMITED TO, THE FOLLOWING PROGRAMS: - THE GRADUATE MEDICAL EDUCATION PROGRAM TRAINS 104 MEDICAL RESIDENTS EACH YEAR IN THE FIELDS OF FAMILY Medicine, INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY AND GENERAL SURGERY. IN 2010, THE INTERNAL MEDICINE RECEIVED THE HIGHEST LEVEL OF ACCREDITATION FOR FIVE YEARS BY THE AMERICAN COLLEGE OF GRADUATE MEDICAL EDUCATION. ALL FOUR PROGRAMS CONTINUED TO ENHANCE MEDICAL KNOWLEDGE THROUGH ADVANCED SCHOLARSHIP INCLUDING OVER TWENTY PUBLISHED PAPERS AND SEVERAL NATIONAL PRESENTATIONS. - THE CARITAS CLINIC, SISTER JOANNA BRUNER FAMILY MEDICINE CENTER, AND SETON WOMEN'S CENTER PROVIDE A CONTINUUM OF CARE FROM PREVENTIVE THROUGH ACUTE CARE TO MEDICALLY UNDERSERVED INDIVIDUALS IN A PHYSICIAN OFFICE SETTING. THE THREE ON-CAMPUS CLINICS PROVIDE MORE THAN 40,000 PATIENT VISITS EACH YEAR AND OFFER PAYMENT FOR SERVICES VIA A SLIDING FEE PROGRAM. NO PATIENT IS DENIED SERVICE DUE TO AN INABILITY TO PAY. - BOOT CAMP FOR NEW DADS IS AN INNOVATIVE PROGRAM DESIGNED TO BUILD CONFIDENCE AND PREPARE FIRST-TIME DADS FOR THE CHALLENGES OF PARENTHOOD. VETERAN DADS AND THEIR NEWBORNS ORIENT ROOKIE DADS. IT SERVED APPROXIMATELY 1,043 EXPECTANT FATHERS IN 2012. - THE BABY BOUTIQUE IS AN AWARD-WINNING INCENTIVE PROGRAM THAT ENCOURAGES PRENATAL CARE AMONG EXPECTANT FAMILIES. BY FOLLOWING APPROPRIATE PRENATAL CARE AND REGULAR OFFICE VISIT SCHEDULES AND ATTENDING PRENATAL EDUCATIONAL CLASSES, EXPECTANT FAMILIES EARN COUPONS FOR NECESSARY BABY SUPPLIES, CLOTHES AND EQUIPMENT. IN 2012, APPROXIMATELY 755 FAMILIES WERE SERVED, WITH MOST FAMILIES RETURNING REGULARLY TO THE BABY BOUTIQUE AS THE COURSE OF PREGNANCY PROCEEDED. INCIDENCE OF LOW BIRTH WEIGHT WAS LESS IN PARTICIPATING FAMILIES THAN IN NON-PARTICIPATING FAMILIES. - THE ST JOSEPH HOSPITAL FOUNDATION RAISES AND MANAGES FUNDS FOR THE BENEFIT OF THE HOSPITAL AND ITS COMMUNITY PROGRAMS. FUNDS RAISED BY THE FOUNDATION ENABLE THE HOSPITAL TO OFFER A VARIETY OF HEALTH CARE PROGRAMS TO THE COMMUNITY, PARTICULARLY THE MEDICALLY UNDERSERVED. - ESJH MOBILE MAMMOGRAPHY - THROUGH SUPPORT FROM THE DENVER AFFILIATE OF THE KOMEN FOUNDATION, ESJH PROVIDES DIAGNOSTIC CARE FOR MEDICALLY UNDERSERVED, AT RISK WOMEN. INTRODUCED IN SEPTEMBER 2005, THE MOBILE MAMMOGRAPHY UNIT SERVES SOME 2,000 COLORADO WOMEN ANNUALLY. - THE WILLIAM V. GERVASINI MEMORIAL LIBRARY IS A HEALTH INFORMATION RESOURCE FOR PATIENTS, THEIR FAMILIES, AND THE COMMUNITY. THE LIBRARY COLLECTION FOCUSES ON UNDERSTANDABLE, OBJECTIVE INFORMATION ABOUT MEDICAL ISSUES AND CONDITIONS. MAILING SERVICES ARE AVAILABLE FOR THOSE WHO ARE UNABLE TO VISIT THE LIBRARY. - THE SCHOOL AT WORK PROGRAM, WHICH IS PART OF ESJH'S WORKFORCE DEVELOPMENT INITIATIVE, OFFERS PROFESSIONAL DEVELOPMENT OPPORTUNITIES TO HIGH PERFORMING EMPLOYEES WHO WISH TO ENHANCE THEIR COMPUTER SKILLS AND HEALTH CARE KNOWLEDGE FOR ENTRY INTO HEALTH CARE CAREERS. THE STUDENTS TAKE CLASSES AT THE HOSPITAL FOR SEVERAL HOURS A WEEK FOR EIGHT MONTHS. THEY ARE PROVIDED WITH TEXT BOOKS AND MATERIALS AND ARE EXPECTED TO COMPLETE SEVERAL HOURS OF HOMEWORK ON-LINE. - THE WOMEN'S PAVILION OFFERS COMMUNITY HEALTH EDUCATION FOCUSED ON PRENATAL CARE, PARENTING AND WOMEN'S HEALTH. IN 2012, THE WOMEN'S PAVILION PROVIDED HEALTH EDUCATION TO OVER 5,130 WOMEN AND THEIR SPOUSES AND SUPPORT PERSONS. DELEGATION OF BOARD AUTHORITY TO AN EXECUTIVE COMMITTEE PART VI, QUESTION 1A PURSUANT TO THE BYLAWS, THE EXECUTIVE COMMITTEE OF THE ORGANIZATION HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE ORGANIZATION DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD, PROVIDED THAT ANY ACTION TAKEN BY THE EXECUTIVE COMMITTEE DOES NOT CONFLICT WITH THE ARTICLES OF INCORPORATION, THE BYLAWS OR THE POLICIES OR EXPRESSED WISHES OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL REPORT ALL MATTERS ACTED UPON TO THE BOARD AT THE BOARD'S NEXT MEETING. THE EXECUTIVE COMMITTEE CONSISTS OF AT LEAST THREE MEMBERS, ALL OF WHOM SHALL BE MEMBERS OF THE BOARD OF DIRECTORS, AND INCLUDE THE CHAIRPERSON OF THE BOARD, THE PRESIDENT/CEO AND OTHERS AS DESIGNATED BY THE CHAIRPERSON. FORM W-3 FORM 990, PART V, LINE 2A ALL FORMS W-2 ARE ISSUED BY EXEMPLA, INC., A RELATED TAX-EXEMPT ORGANIZATION. DELEGATION OF CONTROL OVER MANAGEMENT DUTIES FORM 990, PART VI, QUESTION 3 IN JUNE 2008, EXEMPLA, INC., AS MANAGER OF ST JOSEPH HOSPITAL (ESJH), ENTERED INTO A MANAGEMENT AGREEMENT WITH INSIGHT ONCOLOGY FOR THE MANAGEMENT OF THE HOSPITAL'S COMPREHENSIVE CANCER CENTER SERVICES. EXEMPLA, INC. MANAGES AND GOVERNS ST JOSEPH HOSPITAL UNDER A JOINT OPERATING AGREEMENT. IN JULY 2009, ESJH CONTRACTED WITH INSIGHT ONCOLOGY TO MANAGE A BREAST CENTER, SURGICAL SERVICES, RADIATION ONCOLOGY, OUTPATIENT INFUSION SERVICES, A PHARMACY, INPATIENT SERVICES, AND OTHER SPECIALIZED CARE TO PATIENTS WITH ONCOLOGY DISEASES AND DISORDERS. CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PART VI, QUESTION 4 EFFECTIVE OCTOBER 1, 2012, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS) AND COMMUNITY FIRST FOUNDATION AGREED TO AMEND AND RESTATE THE BYLAWS OF EXEMPLA. UNDER THE AMENDMENTS, COMMUNITY FIRST FOUNDATION'S INTEREST IN THE JOINT OPERATING AGREEMENT AND OTHER RIGHTS OF COMMUNITY FIRST FOUNDATION RELATED TO EXEMPLA WERE TERMINATED. IN RETURN, SCLHS COMMITTED TO PROVIDE $275 MILLION TO COMMUNITY FIRST FOUNDATION OVER A PERIOD OF 20 YEARS. THE BOARD OF DIRECTORS OF EXEMPLA WILL CONTINUE TO CONSIST OF 10 MEMBERS, 9 OF WHICH ARE APPOINTED BY SCLHS AND 1 OF WHICH IS APPOINTED BY COMMUNITY FIRST FOUNDATION. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 ST JOSEPH HOSPITAL HAS ONE MEMBER, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM. ST JOSEPH HOSPITAL IS MANAGED AND GOVERNED BY EXEMPLA, INC. EXEMPLA, INC. HAS TWO MEMBERS: COMMUNITY FIRST FOUNDATION (CFF) AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS). ELECTION OF MEMBERS OF GOVERNING BODY FORM 990, PART VI, QUESTION 7A SISTERS OF CHARITY LEAVENWORTH HEALTH SYSTEMS, THE SOLE MEMBER OF SAINT JOSEPH HOSPITAL APPOINTS MEMBERS OF THE SAINT JOSEPH HOSPITAL BOARD OF DIRECTORS. SAINT JOSEPH HOSPITAL IS MANAGED AND GOVERNED BY EXEMPLA, INC. EXEMPLA, INC HAS TWO MEMBERS, SISTERS OF CHARITY LEAVENWORTH HEALTH SYSTEMS AND COMMUNITY FIRST FOUNDATION. CFF APPOINTS 1 OF THE DIRECTORS AND SCLHS APPOINTS 9 OF THE DIRECTORS. DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL FORM 990, PART VI, QUESTION 7B BOTH MEMBERS (COMMUNITY FIRST FOUNDATION AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, SCLHS) HAVE CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE BYLAWS REGARDING APPOINTMENT OF BOARD MEMBERS. SCLHS ALSO HAS EXTENSIVE RESERVE POWERS OVER ANY CHANGE IN MISSION, CHANGES TO THE ARTICLES OF INCORPORATION OR BYLAWS, ACQUISITION OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, AND APPOINTMENT OF AUDITORS. 990 REVIEW PROCESS FORM 990, PART VI, QUESTION 11b ALL 990 REPORTING WAS REVIEWED INTERNALLY WITH SENIOR MANAGEMENT. ALL QUESTIONS AND CHANGES PROPOSED WERE ADDRESSED PRIOR TO FILING FORM 990. A DRAFT 990 WAS PROVIDED TO THE MEMBERS OF THE FINANCE COMMITTEE AND OF THE BOARD FOR REVIEW. A COMPLETE COPY OF THE FINAL FORM 990 WAS THEN PROVIDED ELECTRONICALLY TO EACH VOTING MEMBER OF THE EXEMPLA BOARD OF DIRECTORS PRIOR TO ITS SUBMISSION TO THE INTERNAL REVENUE SERVICE. MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, QUESTION 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR EACH OF ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS, AS WELL AS HAVING EACH OF THESE INDIVIDUALS COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE LEGAL DEPARTMENT. WHEN A CONFLICT IS IDENTIFIED, THE LEGAL DEPARTMENT COMPILES ALL REPORTED CONFLICTS, AND EVALUATES THE DISCLOSURES FOR ACTUAL CONFLICTS. A REPORT IS PROVIDED TO ORGANIZATION'S PRESIDENT/CEO REGARDING EMPLOYEES AND OFFICERS, AND TO THE CHAIR OF THE BOARD AND CHAIR OF THE GOVERNANCE COMMITTEE REGARDING BOARD MEMBERS. THOSE WITH IDENTIFIED CONFLICTS OF INTEREST MUST RECUSE THEMSELVES FROM ANY MEETING DURING THE DISCUSSION AND VOTE THEREOF. PROCESS FOR DETERMINING COMPENSATION OF CEO, OFFICERS, OR KEY EMPLOYEES FORM 990, PART VI, QUESTION 15A & 15B COMPENSATION FOR THE CEO IS PAID BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, A RELATED NON-PROFIT ORGANIZATION. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS PAID BY EITHER EXEMPLA, INC. OR SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, BOTH OF WHICH ARE RELATED NON-PROFIT ORGANIZATIONS. WHEN REVIEWING AND SETTING COMPENSATION FOR 'DISQUALIFIED PERSONS', EXEMPLA'S PROCESS INCLUDES: THE COMPENSATION COMMITTEE OF THE BOARD IS CHARGED WITH THE RESPONSIBILITY FOR SETTING THE OVERALL COMPENSATION PHILOSOPHY AND FOR EVALUATING THE TOTAL COMPENSATION PROGRAMS FOR DISQUALIFIED PERSONS. THE BOARD MEMBERS ARE INDEPENDENT MEMBERS AND IN THESE DISCUSSIONS THE CEO RECUSES HIMSELF FROM THE DISCUSSIONS AROUND HIS OWN COMPENSATION. THE COMMITTEE OBTAINS VALID, COMPARABLE MARKET DATA (FROM INDEPENDENTLY PUBLISHED SOURCES) FOR COMPARABLE POSITIONS AND FROM FORM 990 FILINGS. THIS COMMITTEE ENGAGES THE SERVICES OF AN INDEPENDENT EXPERT IN EXECUTIVE COMPENSATION TO REVIEW THE MARKET DATA AND PROVIDE AN OPINION AS TO THE REASONABLENESS OF THE TOTAL COMPENSATION PROGRAM. FOR THE PAST SEVERAL YEARS, THE INDEPENDENT FIRM HAS BEEN WATSON WYATT. WATSON WYATT VALIDATES THE PROCESS USED BY MANAGEMENT FOR IDENTIFYING 'DISQUALIFIED PERSONS' AND THEN CONDUCTS A COMPARABILITY STUDY/ANALYSIS OF PAY AT SIMILAR TYPES AND SIZES OF ORGANIZATIONS AND REVIEWS BASE SALARY, INCENTIVE (OR OVER-BASE PROGRAMS), BENEFITS, RETIREMENT PLANS AND PERQUISITES. WATSON WYATT REVIEWS THE FINDINGS WITH THE BOARD COMMITTEE AND MINUTES ARE PREPARED AND SHARED WITH ALL THE VOTING BOARD MEMBERS EACH YEAR THAT DOCUMENTS THE DISCUSSION AND ANY ACTIONS THAT MAY HAVE BEEN TAKEN. A COPY OF A FORMAL OPINION LETTER PREPARED BY WATSON WYATT FOLLOWING THE DISCUSSION WITH THE COMPENSATION COMMITTEE IS PROVIDED TO THE BOARD CHAIR AND SHARED WITH THE FULL BOARD. THIS PROCESS IS UNDERTAKEN EACH YEAR. SCLHS EMPLOYS THE EXECUTIVE TEAM AT EACH OF ITS HOSPITAL AFFILIATES, INCLUDING EXEMPLA. AS PART OF ITS ANNUAL REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF THOSE IN THESE POSITIONS: 1) COMPENSATION COMMITTEE, 2) INDEPENDENT COMPENSATION CONSULTANT, 3) FORM 990 OF OTHER ORGANIZATIONS, 4) WRITTEN EMPLOYMENT CONTRACTS, 5) COMPENSATION SURVEYS AND STUDIES, 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY AT THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS' EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED IN SIMILAR, NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS. AVAILABILITY OF GOVERNING DOCS, CONFLICT OF INTEREST POLICY, FINANCIALS FORM 990, PART VI, QUESTION 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND RELATED DOCUMENTATION ARE PROVIDED UPON REQUEST AS DEEMED APPROPRIATE. INDEPENDENT CONTRACTORS PART V, QUESTION 1A AND PART VII, SECTION B, QUESTION 2 NO VENDOR PAYMENTS ARE PAID BY ST JOSEPH HOSPITAL. THEY ARE ALL PAID BY EXEMPLA, INC. AND THE NUMBER OF INDEPENDENT CONTRACTORS PAID OVER $100,000 ARE REFLECTED IN THE EXEMPLA, INC. FORM 990 AS THE TOTAL PAID FOR ALL ENTITIES OWNED/MANAGED BY EXEMPLA, INC. OTHER CHANGES IN NET ASSETS PART XI, LINE 5 REFLECTED AS OTHER CHANGES IN NET ASSETS ARE CONTRIBUTIONS OF TEMPORARILY RESTRICTED NET ASSETS OF $7,966. 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12250785 ACCRUAL EXEMPLA INC FKA LUTHERAN HOSPITAL P 19706 ACCRUAL METHOD TO DETERMINE VALUE OF SCHEDULE R TRANSACTIONS SCHEDULE R, PART V, LINE 2 COLUMN D THE ORGANIZATION USED THE AMOUNT RECOGNIZED ON THE BOOKS AND RECORDS OF THE ORGANIZATION OF CASH RECEIVED OR PROVIDED, ADJUSTED TO THE ACCRUAL BASIS, TO DETERMINE THE VALUE OF SCHEDULE R TRANSACTIONS, WHICH APPROXIMATES FAIR MARKET VALUE.