2013-11-13T14:16:12-06:00 2012-12-31 BRUCE E BERNSTIEN & ASSOC PC 10440 N CENTRAL EXPRESSWAY STE 1040 DALLAS TX 75231 990 2012-01-01 951684082 SAINT JOHN'S HEALTH CENTER % BARRY HARDING SAIN 3108295511 2121 Santa Monica Blvd Suite Santa Monica CA 904042091 barry harding 3108295511 2013-11-11 true BRUCE E BERNSTIEN 2147060840 2012 2016-02-25 16:41:14Z mike wall 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 313864317 false 0928 X www.stjohns.org X 1942 CA WE WILL IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. 21 18 1855 438 6219107 1060595 12937302 20826974 270314017 286761822 520663 2025772 8055610 3623684 291827592 313238252 1641754 898028 0 0 124437078 124335798 0 0 0 172302261 194883448 298381093 320117274 -6553501 -6879022 578011256 180441946 125428393 139221021 452582863 41220925 X WE WILL IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. false false 33657738 38147591 ORTHOPEDICS: SPECIALIZING IN JOINT AND SPINAL SURGERY, SAINT JOHN'S HAS BEEN RECOGNIZED AS A TOP 100 ORTHOPEDICS SPECIALTY HOSPITAL FOR HIP REPLACEMENTS, AND IN 2008 WAS THE HOST FACILITY FOR THE PRESTIGIOUS INTERNATIONAL LETOURNEL SYMPOSIUM ON HIP AND PELVIC TRAUMA. 19293729 15278186 CARDIAC CARE: SAINT JOHN'S PROGRAM INCLUDES A WIDE RANGE OF DIAGNOSTIC AND THERAPEUTIC CARDIAC SERVICES, INCLUDING LEADERSHIP WITH BLOODLESS MEDICINE AND BLOODLESS CARDIAC SURGERY, PERCUTANEOUS CORONARY INTERVENTIONS, ABLATIONS, AND TRADITIONAL CARDIAC SURGERIES. 17561129 21806443 OBSTETRICS: OUR OBSTETRICS PROGRAM INCLUDES LABOR, DELIVERY AND RECOVERY SUITES, MOTHER-BABY COUPLETE CARE UNIT, NEONATAL INTENSIVE CARE UNIT, LACTATION STORE, AND SUPPORT PROGRAM FOR BREASTFEEDING MOTHERS. 37285736 32169804 general medicine 29811616 31390438 general surgery 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2121 santa monica blvd santa monica CA 904042091

X X X saint johns health center true X X X X X X X X X 10 true false true X X X X X X X X X true false true true 250. true 250. true X X X X X true true X X X X X true false X X X X false X false false 1 SANTA MONICA WILSHIRE IMAGING

2200-2202 WILSHIRE BLVD SANTA MONICA CA 90404

OUTPAT/IMAGING CTR REQUIRED DESCRIPTIONS PART I, LINE 3C: N/A PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS SUBMITTED TO THE STATE OF CALIFORNIA AND CITY OF SANTA MONICA AND IS AVAILABLE UPON REQUEST. THE REPORT WILL ALSO BE DISCUSSED DURING A COMMUNITY MEETING OPEN TO THE PUBLIC HELD AS PART OF THE COMMUNITY NEEDS ASSESSMENT. SAINT JOHN'S HEALTH CENTER ALSO PLACES THE COMMUNITY BENEFIT REPORT ON ITS WEBSITE. PART I, LINE 7G: SAINT JOHN'S HEALTH CENTER PROVIDES 10 PROGRAMS REPORTED AS SUBSIDIZED HEALTH SERVICES. THERE IS ONE MEDICAL DIRECTOR AND FIVE PHYSICIANS ASSOCIATED WITH SUBSIDIZED HEALTH SERVICES AND TOTAL CONTRIBUTABLE AMOUNT IS $1,321,857. ALL SERVICES ARE MEETING IDENTIFIED COMMUNITY HEALTH NEEDS, AND THAT NEED IS VERIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED IN 2010. PART I, LINE 7, COLUMN F: BAD DEBT EXPENSE IS NOT INCLUDED IN THE DENOMINATOR. PART I, LINE 7: CHARITY CARE AND OTHER COMMUNITY BENEFIT COSTS ARE CALCULATED BASED ON THE COSTING METHODOLOGY AND DO NOT INCLUDE BAD DEBT EXPENSES OR NON-PATIENT CARE ACTIVITY REVENUE. PART II: OUR COMMUNITY BUILDING EXPENSES ARE THOSE IDENTIFIED IN OUR COMMUNITY NEEDS ASSESSMENT AS CONTRIBUTING TO THE HEALTH OF THE COMMUNITY, BUT NOT DIRECTLY PROVIDING HEALTH SERVICES. THE NEEDS ASSESSMENT IS VALIDATED BY OUR COMMUNITY ADVISORY COMMITTEE WHICH REVIEWS EACH ASSESSMENT AND COLLABORATES ON THE SELECTION OF PRIORITIZED NEEDS. PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. WITHIN THE FINANCIAL STATEMENTS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, BAD DEBT EXPENSE IS INCLUDED WITHIN OPERATING EXPENSES, AT THE VALUE OF UNCOLLECTED AND ESTIMATED UNCOLLECTIBLE COSTS AFTER CONTRACTUAL ALLOWANCES AND SELF-PAY DISCOUNTS ARE APPLIED. PART III, LINE 8: SAINT JOHN'S HEALTH CENTER DID NOT REPORT ANY SHORTFALL IN MEDICARE REIMBURSEMENT AS COMMUNITY BENEFIT ON PART III, LINE 8. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST IS AS REPORTED ON SAINT JOHN'S HEALTH CENTER'S ANNUAL COST REPORT FILED WITH CMS FOR CALENDAR YEAR 2012. PART III, LINE 9B: SAINT JOHN'S HEALTH CENTER HAS BILLING AND COLLECTION PRACTICES IN PLACE THAT TAKE INTO ACCOUNT EACH PATIENT'S ABILITY TO PAY, AND THAT DEMONSTRATE OUR CORE VALUE OF RESPECT. WE WORK WITH EACH PATIENT TO HELP THEM UNDERSTAND THEIR FINANCIAL RESPONSIBILITY FOR CARE RECEIVED, FINANCIAL ASSISTANCE AVAILABLE TO THEM, AND TO ESTABLISH PAYMENT PROGRAMS. AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. THIS BALANCE ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST, AND TO ENSURE THAT WE WILL BE HERE WHEN PEOPLE NEED US. SAINT JOHN'S HEALTH CENTER NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION, DISCHARGE AND IN COMMUNICATION REGARDING PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. IN 2012, SAINT JOHN'S HEALTH CENTER PROVIDED A TOTAL OF $2,493,891 IN TRADITIONAL CHARITY CARE AND $2,589,036 UNPAID COST OF MEDICAID. NEEDS ASSESSMENT AS PART OF OUR CORE VALUE OF RESPONSE TO NEED, WE TAKE STEPS TO DETERMINE WHERE THERE IS THE MOST NEED IN ORDER TO PROVIDE THE GREATEST GOOD. SAINT JOHN'S HEALTH CENTER HAS REGULARLY PARTICIPATED IN NEEDS ASSESSMENT SURVEYS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. THE MOST RECENT SURVEY WAS CONDUCTED IN 2010, AND ONE IS SCHEDULED TO BE COMPLETED IN 2013. THIS ASSESSMENT STUDIES A DEFINED COMMUNITY SERVED BY SAINT JOHN'S HEALTH CENTER, AND IS DONE BY PARTNERING WITH LOCAL GOVERNMENT AND SOCIAL AGENCIES; COMBINING EFFORTS WITH OTHER LOCAL HOSPITALS AND HEALTH CARE ORGANIZATIONS; AND CONDUCTING SURVEYS AND ASSESSMENTS WITH THE ASSISTANCE OF OUTSIDE CONSULTANTS. WE ALSO CONTINUOUSLY ASSESS THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY, AND BY EVALUATING STATE AND COUNTY HEALTH STATISTICS. SAINT JOHN'S HEALTH CENTER MAKES THE ENTIRE COMMUNITY NEEDS ASSESSMENT AVAILABLE ON REQUEST. THE NEEDS ASSESSMENT IS VALIDATED BY SAINT JOHN'S COMMUNITY ADVISORY COMMITTEE, COMPOSED OF MEMBERS F LOCAL COMMUNITY BASED ORGANIZATIONS, AND LOCAL GOVERNMENTAL AGENCIES. THEN ONE TO THREE PRIORITIES ARE SELECTED AND COLLABORATED ON FOR A ONE YEAR PERIOD. EACH YEAR THE COMMITTEE REVIEWS THE IDENTIFIED PRIORITY NEEDS, VIEWS PROGRESS REPORTS ON PROJECTS ADDRESSING THE NEEDS, AND AGREES ON NEXT STEPS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SAINT JOHN'S HEALTH CENTER TREATS PATIENTS WITH RESPECT AND DIGNITY REGARDLESS OF THEIR ABILITY TO PAY. SAINT JOHN'S HEALTH CENTER HAS A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINS ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE AT VARIOUS LEVELS, INCLUDING A 100% DISCOUNT, AND IS BASED ON FEDERAL POVERTY GUIDELINES. WE WORK WITH PATIENTS TO HELP THEM UNDERSTAND THEIR FINANCIAL RESPONSIBILITY FOR CARE RECEIVED, FINANCIAL ASSISTANCE AVAILABLE TO THEM, AND TO ESTABLISH PAYMENT PROGRAMS IN DEMONSTRATION OF OUR CORE VALUE OF RESPECT. AS PART OF OUR RESPONSIBILITY TO EDUCATE, WE INFORM OUR PATIENTS AND THEIR FAMILIES OF THE AVAILABILITY OF ASSISTANCE, INCLUDING GOVERNMENT PROGRAMS. WE COMMUNICATE THIS IN A VARIETY OF WAYS TO ENSURE THAT MESSAGES REACH MULTIPLE AUDIENCES. BEFORE, DURING AND/OR AFTER ADMISSION, WE ENCOURAGE OUR SELF PAY PATIENTS TO VISIT WITH A FINANCIAL COUNSELOR TO DISCUSS QUALIFICATIONS FOR FINANCIAL ASSISTANCE. THE FINANCIAL COUNSELOR WORKS WITH THE PATIENT TO COMPLETE A FINANCIAL ASSISTANCE FORM TO DETERMINE THE LEVEL OF DISCOUNT FOR WHICH THE PATIENT MAY BE ELIGIBLE. WE POST FINANCIAL ASSISTANCE INFORMATION IN EMERGENCY AND ADMISSIONS AREAS, ON BILLINGS INVOICES, IN VARIOUS AREAS AROUND THE HOSPITAL AND CLINIC SITES AND ON THE HOSPITAL WEBSITE. WE PROVIDE WRITTEN MATERIALS TO PATIENTS THAT DETAIL OUR FINANCIAL ASSISTANCE POLICY AND HOW IT IS ADMINISTERED. THIS COVERS ELIGIBILITY, STEPS TO FOLLOW TO DETERMINE IF A PATIENT QUALIFIES FOR ASSISTANCE, TYPICAL CHARGES A PATIENT MAY EXPECT FOR ROUTINE PROCEDURES, AND ASSISTANCE AVAILABLE BASED ON A PATIENT'S INCOME LEVEL. WE PROVIDE MATERIALS AND EDUCATION WHEN PATIENTS ARE DISCHARGED, AND INCLUDE INFORMATION IN BILLING STATEMENTS, INCLUDING PHONE NUMBERS AND OTHER METHODS TO CONTACT US WITH QUESTIONS. WE ENSURE THAT OUR FINANCIAL COUNSELORS, ADMISSION EMPLOYEES, SOCIAL WORKERS AND OTHER EMPLOYEES UNDERSTAND OUR POLICIES TO BE ABLE TO ASSIST PATIENTS IN THE MOST APPROPRIATE WAY. COMMUNITY INFORMATION IN DEFINING ITS "COMMUNITY" FOR PURPOSES OF THE NEEDS ASSESSMENT AND BENEFITS PLAN, SAINT JOHN'S HEALTH CENTER CONSIDERED THE FOLLOWING THREE FACTORS: COLLABORATIVE RELATIONSHIPS WITH COMMUNITY GROUPS AND ORGANIZATIONS RELIANCE OF THE COMMUNITY ON SAINT JOHN'S, AS MEASURED BY THE HOSPITAL'S MARKET SHARE RECIPROCAL RELIANCE OF SAINT JOHN'S ON THE COMMUNITY, AS MEASURED BY PATIENT ORIGIN, AS REPORTED IN THE REGISTRATION PROCESS AT ADMISSION. DEFINITION OF COMMUNITY SAINT JOHN'S HEALTH CENTER DEFINED ITS "COMMUNITY" TO INCLUDE THE FOLLOWING CITIES AND NEIGHBORHOOD AREAS (ZIP CODES ARE SHOWN IN PARENTHESIS): " BEL AIR (90077) " BEVERLY HILLS (90210) " BRENTWOOD (90049) " CULVER CITY (90230 AND 90232) " ENCINO (91436) " MALIBU (90265) " MAR VISTA (90066) " MARINA DEL REY (90292) " PACIFIC PALISADES (90272) " PLAYA DEL REY (90293) " SANTA MONICA (90401 THROUGH 90405) " SHERMAN OAKS (91403) " VENICE (90291) " WEST HOLLYWOOD (90069) " WESTCHESTER (90045) " WESTWOOD (90024) " WEST LOS ANGELES PALMS AND RANCHO PARK (90025,90035 AND 90064) SAINT JOHN'S HEALTH CENTER IS LOCATED IN ZIP CODE 90404, IN THE CITY OF SANTA MONICA. SEE PAGE 10 FOR A MAP OF SAINT JOHN'S HEALTH CENTER SERVICE AREA. THREE OTHER HOSPITALS ARE PHYSICALLY LOCATED IN THE HEALTH CENTER'S SERVICE AREA (ZIP CODE LOCATION OF EACH HOSPITAL SHOWN IN PARENTHESIS): UCLA-SANTA MONICA HOSPITAL AND MEDICAL CENTER (90404) KAISER FOUNDATION HOSPITAL - WEST LOS ANGELES (90034) CENTINELA FREEMAN REGIONAL MEDICAL CENTER - MARINA (90292) IN ADDITION, OTHER AREA HOSPITALS USED BY RESIDENTS OF THE SERVICE AREA INCLUDE UCLA MEDICAL CENTER, CEDARS-SINAI MEDICAL CENTER, AND BROTMAN MEDICAL CENTER. THE DESCRIPTION OF OUR COMMUNITY IS BASED ON DEMOGRAPHICS AND HEALTH STATUS INDICATORS FROM OUR MOST RECENT COMMUNITY NEEDS ASSESSMENT CONDUCTED IN 2010. INFORMATION WAS OBTAINED FROM A VARIETY OF SOURCES - NIELSEN CLARITAS, (A NATIONAL VENDOR OF DEMOGRAPHIC DATA), CALIFORNIA DEPARTMENT OF HEALTH SERVICES, MANAGED RISK MEDICAL INSURANCE BOARD, UCLA CENTER FOR HEALTH POLICY RESEARCH, CALIFORNIA DEPARTMENT OF EDUCATION, CENTER FOR CALIFORNIA HEALTH WORKFORCE STUDIES AT THE UNIVERSITY OF CALIFORNIA - SAN FRANCISCO, CENTERS FOR MEDICARE AND MEDICAID, OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT, AND UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. ADDITIONAL INFORMATION ON COMMUNITY HEALTH NEEDS IS SUMMARIZED AS FOLLOWING: " BASED ON ESTIMATES PROVIDED BY NIELSEN CLARITAS, THE 2010 POPULATION OF THE SERVICE AREA IS ESTIMATED AT 678,772 PERSONS (ESTIMATE BASED ON CENSUS 2000). " IN THE NEXT FIVE YEARS, THE SERVICE AREA POPULATION IS PROJECTED TO INCREASE 3.1 PERCENT, TO 669,814 PERSONS. " WITHIN THE SERVICE AREA, THE MAJORITY OF RESIDENTS ARE WHITE (60.9 PERCENT). APPROXIMATELY 16.9 PERCENT OF RESIDENTS ARE HISPANIC, 11.9 PERCENT ARE ASIAN/PACIFIC ISLANDER, 5.8 PERCENT ARE BLACK, AND 4.5 PERCENT ARE OF OTHER RACES OR TWO OR MORE RACES. " AMONG PERSONS AGE 5 YEARS AND OLDER IN THE SERVICE AREA, 63.5 PERCENT SPEAK ENGLISH AT HOME,15.2 PERCENT SPEAK SPANISH, 11.8 PERCENT SPEAK A EUROPEAN LANGUAGE, 7.2 PERCENT AN ASIAN OR PACIFIC ISLAND LANGUAGE, AND 2.3 PERCENT OTHER LANGUAGES. " AMONG PERSONS 25 YEARS AND OLDER LIVING IN THE SERVICE AREA, 11 PERCENT HAVE LESS THAN A HIGH SCHOOL EDUCATION (NO HIGH SCHOOL DIPLOMA), 12 PERCENT ARE HIGH SCHOOL GRADUATES, 19 PERCENT HAVE COMPLETE SOME COLLEGE (NO DEGREE), AND 59 PERCENT HAVE COLLEGE, GRADUATE OR PROFESSIONAL DEGREES. " THERE ARE AN ESTIMATED 194,177 HOUSEHOLDS IN THE SERVICE AREA; AVERAGE HOUSEHOLD SIZE IS ESTIMATED AT 2.05 PERSONS PER HOUSEHOLD. " OVERALL, 24.3 PERCENT OF HOUSEHOLDS IN THE SERVICE AREA HAVE AN ANNUAL INCOME UNDER $35,000, 27.7 PERCENT OF HOUSEHOLDS HAVE AN ANNUAL INCOME FROM $35,000 TO $74,999 AND 46.1 PERCENT OF HOUSEHOLDS HAVE AN ANNUAL INCOME OF $75,000 AND OVER. " BASED ON ENROLLMENT FIGURES PROVIDED FOR 2007 BY THE CALIFORNIA DEPARTMENT OF HEALTH SERVICES, THERE ARE 31,803 PERSONS (AN ESTIMATED 8 PERCENT OF THE POPULATION) COVERED BY MEDI-CAL IN THE SERVICE AREA. " BASED ON ENROLLMENT FIGURES PROVIDED FOR 2007 BY MANAGED RISK MEDICAL INSURANCE BOARD, THERE ARE 2,816 PERSONS (AN ESTIMATED 1 PERCENT OF THE POPULATION) COVERED BY HEALTHY FAMILIES PROGRAM IN THE SERVICE AREA. " BASED ON 2007 ESTIMATES PROVIDED BY CLARITAS INC., THERE ARE 53,660 PERSONS AGE 65 YEARS AND OLDER (ESTIMATED AT 14 PERCENT OF THE TOTAL POPULATION) IN THE SERVICE AREA. " ON AVERAGE, THERE WERE 47,102 LIVE BIRTHS A YEAR IN THE SERVICE AREA DURING THE THREE-YEAR PERIOD FROM 2004 THROUGH 2006. DURING THIS PERIOD, 54.1 PERCENT OF THE BIRTHS IN THE SERVICE AREA WERE TO WHITE MOTHERS, 20.6 PERCENT TO HISPANIC MOTHERS, 15.1 PERCENT TO ASIAN/PACIFIC ISLANDER MOTHERS, 4 PERCENT TO BLACK MOTHERS, AND 6 PERCENT TO MOTHERS OF OTHER OR UNKNOWN ETHNICITIES. " DURING THE THREE-YEAR PERIOD, 2 PERCENT OF BIRTHS WERE TO MOTHERS UNDER AGE 20 YEARS, 25 PERCENT TO MOTHERS AGE 20 TO 29 YEARS, 34.6 PERCENT TO MOTHERS AGE 30 TO 35 YEARS, AND 38.4 PERCENT TO MOTHERS AGE 35 YEARS AND OVER. " DURING THE THREE-YEAR PERIOD, THE PERCENTAGE OF BIRTHS WITH LATE OR NO PRENATAL CARE WAS 5.6 PERCENT. THE SERVICE AREA MET THE HEALTHY PEOPLE 2010 OBJECTIVE OF LESS THAN 10 PERCENT LATE OR NO PRENATAL CARE. " DURING THE THREE-YEAR PERIOD, THE AVERAGE PERCENTAGE OF INFANTS OF LOW BIRTH WEIGHT (UNDER 5.5 POUNDS) WAS 7.7 PERCENT. THE SERVICE AREA DID NOT MEET THE HEALTHY PEOPLE 2010 OBJECTIVE OF LESS THAN 5.0 PERCENT LOW BIRTH WEIGHT INFANTS. " DURING THE THREE-YEAR PERIOD FROM 2006 TO 2008, THE AVERAGE NUMBER OF DEATHS A YEAR IN THE SERVICE AREA WAS 4,290 DEATHS. HEART DISEASE, CANCER, AND STROKE WERE THE THREE LEADING CAUSES OF DEATH IN THE SERVICE AREA. ONLY DEATH RATES FOR SUICIDE AND CIRRHOSIS WERE HIGHER THAN THE HEALTHY PEOPLE 2010 TARGET RATES " AMBULATORY CARE SENSITIVE (ACS) CONDITIONS ARE THOSE FOR WHICH TIMELY AND ADEQUATE CLINICAL PREVENTIVE AND PRIMARY CARE SERVICES MIGHT AVOID HOSPITALIZATION. TOP ACS CONDITIONS RESULTING IN HOSPITALIZATION AMONG RESIDENTS OF THE SERVICE AREA IN 2005-2006 WERE ASTHMA, WITH ASTHMA IN PERSONS OVER 65 YEARS OF AGE HIGHER THAN HEALTHY PEOPLE 2010 TARGET (WHILE STILL CONSIDERABLE LOWER THAN THE STATE AND/OR COUNTY RATE), UNCONTROLLED DIABETES IN AGE 18 TO 64 YEARS, AND IMMUNIZATION PREVENTABLE PNEUMONIA AND INFLUENZA IN AGE 65+. COMMUNITY CONSULTATION AS PART OF THE 2010 COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY LEADERS FROM LOCAL ORGANIZATIONS - CITY AND COUNTY HEALTH AND HUMAN SERVICES OFFICES, EDUCATION (KINDERGARTEN THROUGH HIGH SCHOOL AND COMMUNITY COLLEGE), FREE AND COMMUNITY CLINICS, AND NONPROFIT AGENCIES - WERE INTERVIEWED DURING A FOUR-WEEK PERIOD IN SEPTEMBER OF 2010. QUESTIONS FOCUSED ON OPINIONS REGARDING TOP HEALTH NEEDS OF THOSE PERSONS LIVING IN POVERTY AND TOP HEALTH NEEDS OF THE GENERAL POPULATION, EFFECTIVE APPROACHES FOR LOCAL ORGANIZATIONS TO ADDRESS IDENTIFIED HEALTH NEEDS, SUGGESTED ROLES AND ACTIVITIES FOR SAINT JOHN'S HEALTH CENTER, AND SAINT JOHN'S HEALTH CENTER COMMUNITY ACTIVITIES PERCEIVED AS STRENGTHS AND OPPORTUNITIES FOR IMPROVEMENT. FINDINGS ARE HIGHLIGHTED BELOW. TOP HEALTH NEEDS OF PERSONS LIVING IN POVERTY ACCESS TO HEALTH CARE SERVICES - ESPECIALLY FOR THE POOR AND UNINSURED WORKING POOR, UNDOCUMENTED FAMILIES, HOMELESS PERSONS, TEENAGERS AND THOSE WHO MAY BE ELIGIBLE BUT ARE UNAWARE THAT THEY MEET ELIGIBILITY CRITERIA. O REGULAR, ONGOING CARE (INCLUDING A MEDICAL HOME) O PRIMARY CARE O SPECIALTY CARE SUCH AS CARDIOLOGY, NEUROLOGY AND UROLOGY O HOSPITAL CARE O MEDICAL PROVIDERS O PREVENTIVE CARE (FOR EXAMPLE, FOR OLDER ADULTS AND SENIORS) O WELL CARE O MANAGEMENT OF CHRONIC HEALTH CONDITIONS SUCH AS DIABETES AND OBESITY O IMMUNIZATIONS FOR CHILDREN O MENTAL HEALTH CARE (SEE BELOW) O DENTAL CARE (SEE BELOW) O VISION CARE MENTAL HEALTH CARE - IN-HOSPITAL AND OUT-OF-HOSPITAL PSYCHIATRIC SERVICES FOR THE HOMELESS, MENTAL HEALTH SERVICES FOR SENIORS, MENTAL HEALTH SERVICES FOR THOSE AFFECTED BY STRESS, VIOLENCE OR TRAUMA. DENTAL CARE - ESPECIALLY AS DENTAL CARE RELATES TO OVERALL HEALTH AND THE DIFFICULTY ASSOCIATED WITH FINDING DENTAL PROVIDERS FOR ROUTINE EXAMINATIONS, PREVENTIVE SERVICES, FOLLOW-UP DENTAL CARE, HYGIENE AND CAVITIES. NUTRITION EATING POORLY FOR ONE'S HEALTH SITUATION. BOTH EXTREMES OF NUTRITION ARE SEEN AS UNMET HEALTH NEEDS OF THE POOR, HUNGER AND OBESITY IN CHILDREN. PARENTING AND EARLY CHILDHOOD EDUCATION - PARENTS NEED HELP RAISING CHILDREN FOR THE 21ST CENTURY, TO INCLUDE CONSIDERATIONS SUCH AS CULTURE OF LEARNING, EARLY LITERACY, POSITIVE DISCIPLINE METHODS, AND EARLY IDENTIFICATION FOR DEVELOPMENTAL DELAYS FOR CHILDREN. JOB TRAINING AND PLACEMENT SERVICES TOP HEALTH NEEDS OF THE GENERAL POPULATION: ACCESS TO AFFORDABLE HEALTH INSURANCE AND HEALTH CARE SERVICES - REGARDLESS OF AGE, RESPONDENTS IDENTIFIED CHALLENGES WITH BEING ABLE TO PURCHASE AND KEEP REASONABLE HEALTH INSURANCE, AND THE DELAYS CAUSED BY FINANCIAL CONSIDERATIONS SUCH AS CO-PAYMENTS, DEDUCTIBLES AND OUT OF POCKET MEDICAL EXPENS COMMUNITY BUILDING ACTIVITIES WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS IN ORDER TO IMPROVE THE HEALTH OF OUR COMMUNITY. OUR COMMUNITY BUILDING ACTIVITIES DEMONSTRATE THIS COMMITMENT. DURING THIS YEAR, OUR COMMUNITY BUILDING ACTIVITIES INCLUDED ENVIRONMENTAL STEWARDSHIP, PRESENTATIONS TO EDUCATIONAL PROFESSIONAL BY CHILD & FAMILY DEVELOPMENT CENTER MENTAL HEALTH PROVIDERS, PARTICIPATION IN THE FAITH COMMITTEE OF THE WESTSIDE SHELTER & HUNGER COALITION. WE ARE AN IMPORTANT PART OF OUR COMMUNITY AND SERVE IN MANY WAYS, FROM DELIVERING CORE HEALTH CARE TO PREVENTIVE CARE TO SUPPORT OF OTHER CIVIC GROUPS. IN 2012, WE PROVIDED $9,618,754, INCLUDING TRADITIONAL CHARITY CARE AND THE UNPAID COST OF MEDICAID. OUR EXECUTIVES SERVE ON THE BOARDS OF MANY LOCAL NON PROFIT AGENCIES THROUGHOUT THE COMMUNITY AND OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL. WHEN SAINT JOHN'S HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE'LL BE HERE TO CARE FOR FUTURE GENERATIONS. WE HAVE AN OPEN MEDICAL STAFF, WE PROVIDE SEVERAL EDUCATIONAL EVENTS DESIGNED TO PROMOTE HEALTHY BEHAVIORS, AND ACCESS TO MEDICAL CARE, AND CONTINUE TO DONATE UNUSED SUPPLIES TO NON PROFIT CORPORATIONS IN THE COMMUNITY AND THOSE THAT SERVE INTERNATIONAL NEEDS. WE ALSO SUPPORT OUR EMPLOYEES IN VOLUNTEERING FOR COMMUNITY ORGANIZATIONS, INCLUDING SERVING ON COMMUNITY BOARDS, AND PROVIDE OPPORTUNITIES FOR THEM TO SUPPORT CAUSES THROUGH HOSPITAL EVENTS SUCH AS AUTISM ADVISORY BOARD CALIFORNIA PROFESSIONAL SOCIETY ON THE ABUSE OF CHILDREN (CAPSAC) CALIFORNIA STATE COLLEGE, LOS ANGELES CHILD ABUSE PROFESSIONAL PROVIDERS ASSOCIATION (CAPPA) CLARE FOUNDATION HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA INTERAGENCY COUNCIL ON ABUSE AND NEGLECT (ICAN) INSTITUTE OF CONTEMPORARY PSYCHOLOGY JOHN ADAMS MIDDLE SCHOOL STUDENT SUCCESS TEAM MEETINGS LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) LOS ANGELES SERVICE AREA 5 PROVIDER ADVISORY COMMITTEE LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH NETWORKING MEETINGS LOS ANGELES UNITED SCHOOL DISTRICT FAIR FOR PARENTS OF DEAF AND HARD OF HEARING CHILDREN LOS ANGELES CHAPTER OF THE HEARING LOSS ASSOCIATION LIFELONG LEARNING COMMUNITY PARTNERSHIP LINCOLN SCHOOL COUNSELOR MEETINGS MCKINLEY ELEMENTARY SCHOOL ENGLISH LANGUAGE ADVISORY COMMITTEE OPCC* (FORMERLY OCEAN PARK COMMUNITY CENTER) ORGANIZATION OF COMMUNITY HUMAN SERVICE AGENCIES PICO NEIGHBORHOOD PROJECT AND PICO YOUTH AND FAMILY CENTER RAND CORPORATION MEETINGS AS INVITED RIDESHARE SANTA MONICA CHAMBER OF COMMERCE SANTA MONICA CHILD CARE TASK FORCE SANTA MONICA COLLEGE - CHILD DEVELOPMENT DEPARTMENT SANTA MONICA EARLY CHILDHOOD TASK FORCE SANTA MONICA ROTARY CLUB SANTA-MONICA MALIBU UNIFIED SCHOOL DISTRICT SANTA MONICA COLLEGE FOUNDATION SEARCH TO INVOLVE PILIPINO AMERICANS SOUTHERN CALIFORNIA BIOETHICS CONSORTIUM ST. JOSEPH CENTER UNITY FAIR AT VIRGINIA AVE. PARK UPWARD BOUND HOUSE VENICE FAMILY CLINIC WEST SERVICE PLANNING AREA WESTSIDE CHILD TRAUMA COUNCIL WESTSIDE CHILDREN'S CENTER WESTSIDE DIABETES TASK FORCE WESTSIDE DIRECTORS (UCLA/CONNECTIONS FOR CHILDREN) WESTSIDE DOMESTIC VIOLENCE COALITION WESTSIDE FAMILY HEALTH CENTER WESTSIDE MEALS ON WHEELS WEST LOS ANGELES DEPARTMENT OF MENTAL HEALTH CHILD MENTAL HEALTH PROVIDERS GROUP WESTSIDE HEALTH COALITION WESTSIDE TRANSPORTATION COLLABORATIVE WISE & HEALTHY AGING YOUTH RESOURCE TEAM OF VIRGINIA AVENUE PARK YWCA OF SANTA MONICA WE ARE GOOD CITIZENS AND PARTNER WITH OTHER ORGANIZATIONS AND AGENCIES TO SUPPORT A THRIVING COMMUNITY, INCLUDING: SANTA MONICA CHAMBER OF COMMERCE SANTA MONICA COLLEGE FOUNDATION SANTA MONICA POLICE ACTIVITIES LEAGUE SANTA MONICA FIRE DEPARTMENT WESTSIDE YMCA AND YWCA WESTSIDE DOMESTIC VIOLENCE NETWORK COMMUNITY BENEFITS PROVIDED IN 2011 THROUGHOUT SCLHS TOTALED $252 MILLIONS. AS PART OF SCLHS, WE PROMOTE THE SHARED MISSION THAT "WE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE." WE ARE COMMITTED TO LIVING AND DEMONSTRATING OUR CORE VALUES OF EXCELLENCE, RESPECT, RESPONSE TO NEED, STEWARDSHIP AND WHOLENESS. SCLHS SUPPORTS ITS HOSPITALS BY PROVIDING GUIDANCE, OVERSIGHT, AND RESOURCES TO HELP THEM ACCOMPLISH INITIATIVES THAT IMPROVE HEALTH IN ALL OUR COMMUNITIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. OTHER WAYS SCLHS BENEFITS ITS HOSPITALS INCLUDE QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE IT IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; BENEFITS ADMINISTRATION (INCLUDING A WELLNESS PROGRAM FREE TO EMPLOYEES THAT PROMOTES THEIR HEALTH AND WELL-BEING); RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE. BY SHARING THE WORK ACROSS OUR SYSTEM WE ARE ABLE TO LIGHTEN THE BURDEN FOR ALL IN ORDER TO FULFILL OUR MISSION OF IMPROVING HEALTH IN OUR COMMUNITIES. SCLHS IMPROVES OVERALL HEALTH IN OUR COMMUNITIES BY PROVIDING INFRASTRUCTURE TO SUPPORT AND SUSTAIN FOUR CLINICS FOR THE UNINSURED IN KANSAS AND COLORADO. THE SCLHS CLINICS FOR THE UNINSURED ARE OFTEN THE ONLY SAFETY NET CLINIC IN THEIR COMMUNITY AND PROVIDE VALUABLE SERVICES FOR THOSE WHO ARE MOST VULNERABLE. EACH HOSPITAL IS SUPPORTED BY A FOUNDATION TO ACCESS AND OPTIMIZE LOCAL PHILANTHROPIC ORGANIZATIONS AND INDIVIDUALS. THESE FOUNDATIONS RAISE FUNDS THROUGH OUTREACH, SPECIAL EVENTS, AND BUILDING DONOR RELATIONS THROUGHOUT THEIR COMMUNITY TO SUPPORT THE NEEDS OF THE HOSPITAL. AFFILIATED HEALTH CARE SYSTEM ROLES SAINT JOHN'S HEALTH CENTER IS PART OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS), A FAITH-BASED, MISSION-DRIVEN HEALTH CARE ORGANIZATION. SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION "TO REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE." SAINT JOHN'S HEALTH CENTER PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. SCLHS SUPPORTS THE EFFORTS OF THE HOSPITAL THROUGH STRATEGIC DIRECTION AND OPERATING OVERSIGHT. SCLHS SUPPLIES OVERHEAD SUPPORT SERVICES TO SAINT JOHN'S HEALTH CENTER, INCLUDING INFORMATION TECHNOLOGY SERVICES, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, SUPPLY CHAIN MANAGEMENT, BENEFITS ADMINISTRATION, RISK MANAGEMENT AND INSURANCE AND QUALITY IMPROVEMENT LEADERSHIP. INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE PART V, LINE 20d: IF THE PATIENT IS QUALIFY FOR FAP, THERE IS NO CHARGE TO THIS PATIENT. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI CA,CO,KS,MT, true OPCC 1453 16TH STREET SANTA MONICA CA 90404 956143865 501(C)(3) 150000 svcs to homeless, mentally ill women at daybreak shelter PICO YOUTH AND FAMILY CENTER 715 PICO BLVD SANTA MONICA CA 90405 481269398 501(C)(3) 7500 mental health & other svcs to at risk youth WESTSIDE FAMILY HEALTH CENTER 1711 OCEAN PARK BLVD SANTA MONICA CA 90405 952931931 501(C)(3) 85000 outpatient svcs to pregnant women SANTA MONICA MALIBU UNITED SCHOOL DISTRICT 1651 16TH STREET SANTA MONICA CA 90404 956002855 501(C)(3) 75000 MENTAL HEALTH SERVICES FOR CHILDREN BETWEEN THE AGES OF 0-5 YEARS WHO ARE IDENTIFIED AT RISK OF CHILD ABUSE. VENICE FAMILY CLINIC 604 ROSE AVE VENICE CA 90291 952769432 501(C)(3) 178500 OP svc. to under Federal poverty guidelines WISE & HEALTHY AGING 1527 4TH ST 2ND FL SANTA MONICA CA 90401 952788014 501(C)(3) 54500 SUPPORT FOR CBO THAT SERVES THE ELDERLY AND DISABLED PERSONS SAINT ANNE'S SCHOOL 2015 COLORADO AVE SANTA MONICA CA 90404 951690538 501(C)(3) 50000 Support for school qualified for Title XX. ST JOSEPH CENTER 204 HAMPTON DRIVE VINICE CA 90291 953874381 501(C)(3) 50000 MENTAL HEALTH & OTHER SVC. TO THE POOR SANTA MONICA CHAMBER OF COMMERCE 1234 6TH ST STE 100 SANTA MONICA CA 90401 951192245 501(C)(6) 6000 MENTAL HEALTH AND CASE MANAGEMENT SERVICES TO THE MENTALLY ILL IN SANTA MONICA JOHN WAYNE CANCER INSTITUTE 2200 SANTA MONICA BLVD SANTA MONICA CA 90404 954291515 501(C)(3) 192478 CANCER RESEARCH hebrew union college 3077 university ave los angeles CA 90077 310537067 501(c)(3) 8000 support for jewish children's higher education archdiocese of la nr 3424 wilshire blvd los angeles CA 90010 951642382 501(c)(3) 6000 general support westside shelter & hudba communityu prtnrs pob 7411 santa monica CA 90406 952785675 501(c)(3) 5500 support to end hunger & homelessness 12 1 MONITORING USE OF GRANTS SCHEDULE I, PART I, LINE 2 Saint John's monitors the use of the grant funds through representation on the organization's Board of Directors or regular meetings with agency representatives to discuss programs. In addition, Saint John's receives an annual report of fund usage on the number of patients served for certain programs. false true false false false false false false false Slubowski Michael 0 993061 0 398970 0 121672 0 24119 0 12465 0 1550287 0 0 Lazatin Lou 0 600633 0 147483 0 91724 0 1281144 0 7379 0 2128363 0 0 Michelle Mok 0 301946 0 48511 0 1961 0 48570 0 2162 0 403150 0 0 Dawna Hendel 0 234892 0 37756 0 2247 0 41416 0 2444 0 318755 0 0 Ramirez L Eleanor 0 384604 0 53630 0 584085 0 18000 0 12388 0 1052707 0 0 Akhavan Jaleh 146879 0 7500 0 9392 0 0 0 6132 0 169903 0 0 0 Klein Robert O 182535 0 31350 0 11456 0 17850 0 15483 0 258674 0 0 0 Bailey Dorothy A 212531 0 0 0 16 0 16356 0 451 0 229354 0 0 0 Streeter Kevin 176782 0 24855 0 135 0 2746 0 17012 0 221530 0 0 0 Slates Randal 193131 0 0 0 421 0 16333 0 23127 0 233012 0 0 0 Khajehmiraki Sara 179831 0 0 0 504 0 11136 0 16984 0 208455 0 0 0 COMPENSATION REVIEW PROCESS Schedule J, Part I, Line 3 PROCESS FOR DETERMING COMPENSATION SCLHS EMPLOYS THE EXECUTIVE TEAM AT EACH OF ITS HOSPITAL AFFILIATES. AS PART OF ITS ANNUAL REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF THOSE IN THESE POSITIONS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACTS -COMPENSATION SURVEYS AND STUDIES -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS' EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED IN SIMILAR, NOT-FOR-PROFIT HEALTHARE SYSTEMS AND HOSPITALS. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 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. AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2011 WERE: LOURDES J. LAZATIN $29,494 ELEANOR L. RAMIREZ $42,023 STEVEN C. SHARRER $36,423 LATISHA D. STARBUCK $9,909 SUPPLEMENTAL SCHDULE J PART II THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND THREE CLINICS (AFFILIATES) IN FOUR STATES INCLUDING SAINT JOHN'S HOSPITAL AND HEALTH CENTER (SAINT JOHN'S) IN SANTA MONICA, CALIFORNIA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. TAJQUAH J. HUDSON IS A VICE PRESIDENT OF SCLHS IN DENVER, COLORADO. SHE FORMERLY SERVED AS VICE PRESIDENT OF ST. JOHN'S. THE COMPENSATION REFLECTED IS THAT OF MS. HUDSON'S POSITION AS AN SCLHS EXECUTIVE AND IS NOT RELATED TO ST JOHN'S. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. SUPPLEMENTAL INFORMATION OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D: SAINT JOHN'S HEALTH CENTER'S (SAINT JOHN'S OR THE HEALTH CENTER'S) PRIMARY EXEMPT PURPOSE IS TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES TO THE SURROUNDING COMMUNITY. SAINT JOHN'S PROVIDED 218,632 OUTPATIENT VISITS IN ADDITION TO THE 50,894 DAYS OF CARE PROVIDED TO THE 12,763 PATIENTS ADMITTED TO THE HEALTH CENTER DURING JANUARY 2012 TO DECEMBER 2012. FOR OVER SIXTY YEARS, SAINT JOHN'S HEALTH CENTER HAS OFFERED A RANGE OF HEALTH CARE PROGRAMS AND SERVICES UNPARALLELED ON THE WEST SIDE OF LOS ANGELES. IN ADDITION TO PRIMARY CARE, SAINT JOHN'S HAS BUILT A REPUTATION AS A LEADING PROVIDER OF SPECIALTY CARE BY RESPONDING TO THE NEEDS OF OUR PATIENTS AND COMMUNITY. SAINT JOHN'S COMMITMENT TO EXCELLENCE IN SPECIALTY CARE HAS MADE IT THE HOSPITAL OF CHOICE FOR MANY OF THE AREA'S TOP PHYSICIANS. SAINT JOHN'S IS HOME TO MANY PREMIER PROGRAMS, INCLUDING: CARDIAC CARE: SAINT JOHN'S PROGRAM INCLUDES A WIDE RANGE OF DIAGNOSTIC AND THERAPEUTIC CARDIAC SERVICES, INCLUDING LEADERSHIP WITH BLOODLESS MEDICINE AND BLOODLESS CARDIAC SURGERY, PERCUTANEOUS CORONARY INTERVENTIONS, ABLATIONS, AND TRADITIONAL CARDIAC SURGERIES. ORTHOPEDICS: SPECIALIZING IN JOINT AND SPINAL SURGERY, THE HIP AND PELVIS INSTITUTE AT SAINT JOHN'S IS CONSIDERED THE WORLD'S LEADING CENTER FOR ANTERIOR APPROACH HIP AND PELVIS SURGERY. CANCER: THE RESEARCH PROGRAMS OF JOHN WAYNE CANCER INSTITUTE (JWCI) ARE LOCATED AT SAINT JOHN'S. THE JWCI'S RESEARCH ON MELANOMA BENEFITS PATIENTS LOCALLY AND AROUND THE WORLD. THE JOYCE EISENBERG KEEFER BREAST CENTER IS A RECOGNIZED LEADER IN THE TREATMENT OF BREAST CANCER AND HAS BEEN RATED AMONG THE TOP TEN BREAST CANCER PROGRAMS IN THE NATION. MATERNAL AND CHILD HEALTH: OUR OBSTETRICS PROGRAM INCLUDES LABOR, DELIVERY AND RECOVERY SUITES, MOTHER-BABY COUPLET CARE UNIT, NEONATAL INTENSIVE CARE UNIT, LACTATION STORE, AND A SUPPORT PROGRAM FOR BREASTFEEDING MOTHERS. EMERGENCY CARE: SAINT JOHN'S 24-HOUR EMERGENCY DEPARTMENT IS A CRUCIAL FACILITY FOR THE WESTSIDE, TREATING OVER 30,372 PATIENTS FROM JANUARY 2012 TO DECEMBER 2012. CHILD AND FAMILY DEVELOPMENT CENTER: THE CENTER PROVIDES A COMPREHENSIVE RANGE OF CULTURALLY SENSITIVE AND LINGUISTICALLY RESPONSIVE MENTAL HEALTH, OUTREACH, DEVELOPMENTAL AND EDUCATIONAL SERVICES. AVAILABLE IN ENGLISH, SPANISH, AND AMERICAN SIGN LANGUAGE, SERVICES ARE OFFERED FOR CHILDREN, ADOLESCENTS, AND THEIR FAMILIES AT THE CENTER, SCHOOL SITES, HOMES AND OTHER LOCATIONS IN THE COMMUNITY. ELECTING THE GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 3: ALTHOUGH THESE SERVICES MAY NOT ALL RISE TO THE LEVEL OF MANAGEMENT CONTROL AS DEFINED IN THE 990 INSTRUCTION, WE HAVE IN THE SPIRIT OF FULL TRANSPARENCY PROVIDED THE FOLLOWING DISCLOSURE. AS A MEMBER OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, THIS PROVIDER MAY HAVE INDIVIDUAL AND/OR SYSTEM CONTRACT(S) THAT HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES IN SOME OR ALL OF THE FOLLOWING AREAS: DIETARY AND FOOD SERVICE HOUSEKEEPING SUPPLY CHAIN REVENUE CYCLE SECURITY FORM 990, PART VI, SECTION A, LINEs 6, 7A & 7B: PURSUANT TO THE BYLAWS, SAINT JOHN'S HEALTH CENTER HAS A SOLE MEMBER, WHICH IS THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS). INDIVIDUALS NOMINATED FOR APPOINTMENT TO SAINT JOHN'S HEALTH CENTER'S BOARD OF DIRECTORS ARE RECOMMENDED TO AND MUST RECEIVE APPROVAL FROM SCLHS' BOARD OF DIRECTORS. THE CEO AND SOME MEMBERS OF THE OFFICERS HAVE SHARED RESPONSIBILITIES BETWEEN JOHN WAYNE CANCER INSTITUTE AND SAINT JOHN'S HEALTH CENTER. FORM 990 REVIEW FORM 990, PART VI, SECTION B, LINE 11B: AN ELECTRONIC COPY OF THE 990 AND ITS SUPPORTING SCHEDULES WERE DISTRIBUTED TO THE SAINT JOHN'S HEALTH CENTER MANAGEMENT TEAM AND GOVERNING BOARD, SYSTEM OFFICE AND AN INDEPENDENT ACCOUNTING FIRM that prepares the return FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS. MONITORING & ENFORCING COMPLIANCE: FORM 990, PART VI, SECTION B, LINE 12C: THE ADMINISTRATIVE DIRECTOR OF COMPLIANCE AND LEGAL, AUDIT COMMITTEE, AND GOVERNING BOARD REVIEW THE CONFLICT OF INTEREST STATEMENTS. POTENTIAL CONFLICTS ARE REVIEWED BY THE ORGANIZATIONAL RESPONSIBILITY OFFICER AND THE CEO. SIGNIFICANT ISSUES ARE REVIEWED BY THE COMPLIANCE AND LEGAL / AUDIT COMMITTEE AND THE GOVERNING BOARD AND RESOLVED ACCORDINGLY UNDER GUIDANCE FROM LEGAL COUNSEL. SAINT JOHN'S ADHERES TO THE SCLHS CONFLICT OF INTEREST POLICY FOR MEMBERS OF ALL BOARD OF DIRECTORS FOR ALL ENTITIES AND RELATED JOINT VENTURES; ALSO, SAINT JOHNS' REQUIRES CONFLICT OF INTEREST DISCLOSURE BY NON-BOARD OF DIRECTORS MEMBERS OR THE FINANCE AND THE AUDIT, COMPLIANCE COMMITTEES. THE RESTRICTIONS IMPOSED ON A PERSON WITH A CONFLICT OF INTEREST VARY DEPENDING ON THE TYPE OF THE CONFLICT AND THE ROLE OF THE PERSON DISCLOSING THE POTENTIAL CONFLICT. PUBLIC VIEWING OF DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19: SAINT JOHN'S HEALTH CENTER PROVIDES VIEWING OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS UPON REQUEST. ADDITIONAL COMPENSATION DISCLOSURE FORM 990 PART VII AND SCHEDULE J, PART II: THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING SAINT JOHN'S HEALTH CENTER (SAINT JOHN'S) IN SANTA MONICA, CALIFORNIA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THeIr SERVICE. LAND, BUILDING, AND EQUIPMENT FORM 990, PART X, line 10a: TITLE OWNERSHIP OF LAND AND BUILDINGS RECORDED ON SAINT JOHN'S HEALTH CENTER'S BALANCE SHEET RESIDES WITH THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM. FORM 990 PART XI LINE 9: NET CHANGE ON GRANT TO JWCI $ 187,478 NET CHANGE ON ABRAXIS GRANT $( 17,989,607) EQUITY TRANSFER TO SCL $(386,212,000) NET CHANGE ON OTHER GRANTS $ 24,273 GAIN FROM JOINT VENTURE SMWI $ (493,060) SISTERS OF CHARITY LEAVENWORTH HLTH SYST 2420 w 26th ave suite 100d denver CO 80211 237379161 SUPPORT MMBRS KS 501(c)(3) 11B-TYPE II NA true CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH KS 66048 481009910 CLINIC SVCS KS 501(c)(3) 3 SCLHS true MARIAN CLINIC INC 1001 SW GARFIELD TOPEKA KS 66604 481046905 CLINIC SVCS KS 501(c)(3) 3 SCLHS true MARILLAC CLINIC INC 2333 N 6TH STREET GRAND JUNCTION CO 81501 841085822 CLINIC SVCS CO 501(c)(3) 3 SCLHS true PROVIDENCE MEDICAL CENTER 8929 PARALLEL PARKWAY KANSAS CITY KS 66112 480784446 HEALTHCARE KS 501(c)(3) 3 SCLHS true ST JOHN HOSPITAL INC 3500 SOUTH FOURTH STREET LEAVENWORTH KS 66048 480543768 HEALTHCARE KS 501(c)(3) 3 PMC true BETHANY COMMUNITY PLAZA INC 15 NORTH 12TH STREET KANSAS CITY KS 66102 481207407 HEALTHCARE KS 501(c)(3) 3 PMC true PROVIDENCEST JOHN FOUNDATION INC 8929 PARALLEL PARKWAY KANSAS CITY KS 66112 480925688 SUPPORT 501C3 KS 501(c)(3) 7 PMC true ST FRANCIS HEALTH CENTER INC 1700 SW 7TH STREET TOPEKA KS 66606 480547719 HEALTHCARE KS 501(c)(3) 3 SCLHS true ST FRANCIS HEALTH CENTER FOUNDATION 1700 SW 7TH STREET TOPEKA KS 66606 481092520 SUPPORT 501C3 KS 501(c)(3) 11A-TYPE I SFHC true ST MARYS HOSPITAL & MEDICAL CENTER INC 2635 N 7TH STREET GRAND JUNCTION CO 81502 840425720 HEALTHCARE CO 501(c)(3) 3 SCLHS true ST MARYS HOSPITAL FOUNDATION 2635 N 7TH STREET GRAND JUNCTION CO 81502 237001007 SUPPORT 501C3 CO 501(c)(3) 11A-TYPE I SMHMC true SAINT JOSEPH HOSPITAL FOUNDATION 1835 FRANKLIN STREET DENVER CO 80218 840735096 SUPPORT 501C3 CO 501(c)(3) 11A-TYPE I SJH true HOLY ROSARY HEALTHCARE 2600 WILSON MILES CITY MT 59301 810231792 HEALTHCARE MT 501(c)(3) 3 SCLHS true HOLY ROSARY HEALTHCARE FOUNDATION INC 2600 WILSON MILES CITY MT 59301 202270238 SUPPORT 501C3 MT 501(c)(3) 11A-TYPE I HRHC true ST VINCENT HEALTHCARE 1233 NORTH 30TH BILLINGS MT 59101 810232124 HEALTHCARE MT 501(c)(3) 3 SCLHS true ST VINCENT HEALTHCARE FOUNDATION PO BOX 35200 BILLINGS MT 59107 810468034 SUPPORT 501C3 MT 501(c)(3) 7 SVHC true NORTHWEST RESEARCH & EDUCATION INSTITUTE 315 NORTH 25TH STREET BILLINGS MT 59101 201343024 COMM HLTH RES MT 501(c)(3) 9 SVHC true ST JAMES HEALTHCARE 400 SOUTH CLARK STREET BUTTE MT 59701 810231785 HEALTHCARE MT 501(c)(3) 3 SCLHS true ST JAMES HEALTHCARE FOUNDATION 400 SOUTH CLARK STREET BUTTE MT 59701 651202190 SUPPORT 501C3 MT 501(c)(3) 11A-TYPE I SJHC true JOHN WAYNE CANCER INSTITUTE 2000 SANTA MONICA BLVD SANTA MONICA CA 90404 954291515 CANCER R&D CA 501(c)(3) 4 SJHHC true SAINT JOHNS HOSPITAL & HLTH CENTER FNDTN 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 956100079 SUPPORT 501C3 CA 501(c)(3) 11A-TYPE I SJHHC true EXEMPLA INC FKA LUTHERAN HOSPITAL 2420 W 26TH AVE SUITE 100D DENVER CO 80211 841103606 HEALTHCARE CO 501(c)(3) 3 SCLHS true EXEMPLA LUTHERAN MEDICAL CENTER FNDTN 2480 W 26TH AVESUITE 360B DENVER CO 80211 208846152 SUPPORT 501C3 CO 501(c)(3) 7 EXEMPLA INC true EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN 200 EXEMPLA CIRCLE LAFAYETTE CO 80026 841649162 SUPPORT 501C3 CO 501(c)(3) 7 EXEMPLA INC true LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST 2480 W 26TH AVESUITE 360B DENVER CO 80211 742571584 INSURANCE CO 501(c)(3) 11A-TYPE I EXEMPLA INC true SAINT JOSEPH HOSPITAL 1835 FRANKLIN STREET DENVER CO 80218 840417134 HEALTHCARE CO 501(c)(3) 3 SCLHS true MOUNT ST VINCENT HOME INC 4159 LOWELL BOULEVARD DENVER CO 80211 840405260 RESIDENT CARE CO 501(c)(3) 11A-TYPE I SCLHS true PAVILION IMAGING LLC 750 WELLINGTON GRAND JUNCTION CO 81501 030516198 RADIOLOGY CO NA GRAND VALLEY SURGICAL CENTER LLC 710 WELLINGTON GRAND JUNCTION CO 81501 841505075 OP SURGERY CO NA SAN JUAN CANCER CENTER LLC 600 SOUTH 5TH STREET MONTROSE CO 81401 202856331 OP CANCER CO NA BILLINGS MRI CENTER LLC 1041 NORTH 29TH STREET BILLINGS MT 59101 810450943 MRI-PET SCAN MT NA LUTHERAN CAMPUS ASC LLC 3455 LUTHRN PKW SUITE 150 WHEATRIDGE CO 800336028 020749532 OP SURGERY CO NA COLORADO SURGICAL VENTURES LLC 30 S WACKER DR SUITE 2302 CHICAGO IL 60605 208038915 OP SURGERY CO NA COLORADO SURGICAL HOSPITAL LLC 30 S WACKER DR SUITE 2302 CHICAGO IL 60605 208038977 OP SURGERY CO NA CARITAS INC AND SUBSIDIARIES 2420 w 26th ave ste 100d denver CO 80211 480941069 OTHER MEDICAL KS C CORP LEAVEN INSURANCE COMPANY LTD 23 LIME TREE BAY AVE PO BOX 1051 GEORGETOWN GRAND CAYMAN CJ KY1-1102 980370522 INSURANCE CJ true true true false false false false false false false true false true true true true true false JOHN WAYNE CANCER INSTITUTE a 1287858 CASH john wayne cancer institute b 426229 cash SAINT JOHN'S HEALTH CENTER FOUNDATION C 5564650 CASH JOHN WAYNE CANCER INSTITUTE o 104655 CASH saint john's health center foundation q 4125873 cash JOHN WAYNE CANCER INSTITUTE Q 102049 CASH