2011-05-06T14:57:50-05:00 2010-06-30 ERNST & YOUNG US LLP TWO NORTH CENTRAL AVENUE STE 2300 PHOENIX AZ 85004 990 2009-07-01 752426010 METHODIST HOSPITAL PLAINVIEW METH 8062913357 2601 DIMMITT ROAD PLAINVIEW TX 790721833 ALAN KING 2011-05-06 6023223000 2009 2016-02-24 21:20:13Z COVENANT HOSPITAL PLAINVIEW ALAN N KING 2601 DIMMITT ROAD PLAINVIEW TX 790721833 34259156 false X www.covenanthealth.org X 1998 TX See Schedule O 15 10 369 40 0 0 59227 99225 35916283 34085975 110792 73956 0 0 36086302 34259156 20025 20723 0 0 14577640 14155010 0 0 0 21026959 18446493 35624624 32622226 461678 1636930 15227740 16397147 12160750 11551703 3066990 4845444 SEE Schedule O false false 25734308 20723 34085975 See schedule O 25734308 true true false false false false false false false true false true false false false false false false false false true true false true false false false false false false false true false false false false false true true false false true 92 0 true 369 true false false false false false false false false false 15 10 false false false false true true true true true false false true true true true true true true true false X SHARON CLARK 8067255234 3615 19TH STREET LUBBOCK TX 794101203 MARILYN BIGGS 2.0 X 0 0 0 IRENE FAVILA 2.0 X 0 0 0 BARBARA KISER 2.0 X 0 0 0 SERGIO LARA MD 2.0 X 0 174678 837 REED MULLIKEN 2.0 X 0 0 0 KATHRYN PRESSLEY 2.0 X 0 0 0 RAYMOND RAMIREZ 2.0 X 0 0 0 CHARLES SMITH DO 2.0 X 0 323611 7952 NANCY STUKEY 2.0 X 0 0 0 MARK TRUE 2.0 X 0 0 0 KARL WARDLOW 2.0 X 0 0 0 MARK WARREN 5.0 X 0 0 0 DON WILLIAMS 2.0 X 0 0 0 DAVID WRIGHT DO 2.0 X 0 344141 22433 ALAN N KING 40.0 X X 0 20679 0 STEVEN BECK 14.0 X X 0 166313 23129 DOUGLAS CUMMINS MD 2.0 X 0 0 0 WILLIS MCCUTCHEON 2.0 X 0 0 0 MELINDA CLARK 2.0 X X 0 1304621 15442 RICHARD PARKS 2.0 X X 0 0 0 JIM HOUSER 2.0 X X 0 259000 0 CLAYTON DANIEL 40.0 X 206251 0 12354 PEGGY ORTIZ 40.0 X 191855 0 24353 KATHLEEN DAWSON 40.0 X 199349 0 13273 MICHAEL WRIGHT 40.0 X 124475 0 18915 SALLY BIRD 40.0 X 102830 0 8070 JOHN WADE 0.0 X 0 163086 23265 824760 2756129 170023 5 true true false COMMUNITY THERAPY SYSTEMS INC 103 WESTRIDGE RD PLAINVIEW TX 79072 PHYSICAL THERAPY svc 557821 DIAGNOSTIC MANAGEMENT PO BOX 678487 DALLAS TX 752678487 RADIOLOGY SERVICES 204782 CONCORD MEDICAL GROUP INC PO BOX 489 MULESHOE TX 793470489 EMERGENCY ROOM SVCS 169314 3 19766 54866 24593 99225 NET PATIENT REVENUE 622110 33586902 33586902 CAFETERIA REVENUE 722310 251804 251804 MEDICAL OFFICE BUILDING RENTAL INCOME 531120 217470 217470 WELLNESS PROGRAM 713940 29799 29799 34085975 73956 73956 0 0 0 0 0 0 0 34259156 34085975 0 73956 20723 20723 0 0 0 118607 0 118607 0 9904431 7923545 1980886 524285 419428 104857 2771950 2217560 554390 835737 668590 167147 208166 0 208166 0 12976 0 12976 0 0 0 5827579 4195857 1631722 31969 25576 6393 4217867 3036864 1181003 39917 28740 11177 0 2562393 2024290 538103 60586 40622 19964 0 13121 9447 3674 0 0 695402 500689 194713 338783 243924 94859 BAD DEBT EXPENSE 4209730 4209730 OTHER EXPENSES 228004 168723 59281 32622226 25734308 6887918 0 598411 1793328 4983373 5873645 4767287 4908176 375067 0 189990 295504 1064049 987934 19661 7771 11563211 9032422 3136052 2530789 93850 0 15227740 16397147 1911382 1615964 10249368 9935739 12160750 11551703 X 3066990 4845444 3066990 4845444 15227740 16397147 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 151942 151942 2385830 72624 2313206 9025439 8959798 65641 2530789 0 DUE TO AFFILIATES-CHS 9935739 9935739 true true X true X 175. true X true true true false true true 3061586 3061586 0.10780 5154644 1903885 3250757 0.11440 840181 44058 796123 0.02800 9056411 1947943 7108466 0.25020 96866 64406 32460 0.00110 96866 64406 32460 0.00110 9153277 2012349 7140926 0.25130 true 1206126 0 5104963 25118498 -20013535 X true true METHODIST HOSPITAL PLAINVIEW

2601 DIMMITT ROAD PLAINVIEW TX 790721833

X X X COVENANT HEALTHCARE CENTER PLAINVIEW

2222 W 24TH STREET PLAINVIEW TX 79072

Medical Clinic COVENANT HEALTH SYSTEM PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES COVENANT HOSPITAL PLAINVIEW. THE MEDICARE COST REPORT WAS USED TO DETERMINE COMMUNITY BENEFIT SERVICES ALONG WITH ADDITIONAL INFORMATION PROVIDED BY THE COMMUNITY BENEFITS DEPARTMENT. WORKSHEET 2 FROM THE IRS INSTRUCTIONS WAS USED TO HELP DETERMINE THE COST-TO-CHARGE RATIO FOR COMMUNITY BENEFIT DETERMINATION. BAD DEBT EXPENSE OF $4,209,730 IS INCLUDED ON FORM 990, LINE 25, COLUMN (A), BUT SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE OF NET COMMUNITY BENEFIT. FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT: THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION CONTINUALLY MONITORS AND ADJUSTS THE RESERVES ASSOCIATED WITH RECEIVABLES. THE ORGANIZATION ESTIMATES BAD DEBT EXPENSE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON HISTORICAL COLLECTION EXPERIENCE. BAD DEBT WAS CALCULATED USING THE MEDICARE COST-TO-CHARGE RATIO. PATIENTS QUALIFY FOR CHARITY CARE BASED UPON THEIR COMPLETION OF THE CHARITY APPLICATION. IF THE APPLICATION PROCESS IS NOT COMPLETED THEY ARE CLASSIFIED AS SELF PAY. THE ACCOUNT IS WRITTEN TO BAD DEBT IF UNPAID FOR A PERIOD OF TIME. COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 IS AS FOLLOWS: TOTAL PROVISION FOR BAD DEBT EXPENSE ($4,209,730) MULTIPLIED BY COST TO CHARGE RATIO AS CALCULATED FOR FY10, BASED ON GROSS PATIENT REVENUE AND TOTAL OEPRATING EXPENSE (28.65%) = $1,206,126. AS A CATHOLIC HEALTH CARE MINISTRY, THE ORGANIZATION FOLLOWS THE CATHOLIC HEALTH ASSOCIATION'S COMMUNITY BENEFIT REPORTING GUIDELINES AND THEREFORE DOES NOT REPORT MEDICARE AS A COMMUNITY BENEFIT. THE MEDICARE COST REPORT WAS USED TO CALCULATE MEDICARE ALLOWABLE COSTS. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS AS FOLLOWS: THE COST TO CHARGE RATIO AS CALCULATED FOR FY10, BASED ON GROSS PATIENT REVENUE AND TOTAL OPERATING EXPENSES. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMS AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIES FOR CHARITY CARE. ALL ACCOUNTS ARE SCREENED FOR CHARITY CARE ELIGIBILITY USING CRITERIA THAT CONSIDERS INSURANCE COVERAGE, CREDIT RATING, PAYMENT ACTIVITY, AND VALID SOCIAL SECURITY NUMBER AND/OR ACCURATE RESIDENCE ADDRESS. COVENANT HOSPITAL PLAINVIEW CONTRACTS WITH FORESITE CONSULTING UTILIZING CMS DRG DATA AND POPULATION DATA AND ANALYSIS. WE DO A COMMUNITY NEEDS ASSESSMENT FOR PHYSICIAN PROVIDER NEEDS. THE ORGANIZATION POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES ARE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES ARE ALSO POSTED AT LOCATIONS WHERE A PATIENT MAY PAY THEIR BILL. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT CAN OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATE LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS ARE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND IS OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE. PLAINVIEW IS LOCATED IN HALE COUNTY APPROXIMATELY 45 MILES NORTH OF LUBBOCK IN THE PANHANDLE OF TEXAS. ACCORDING TO THE MOST RECENT QUICK FACTS PRODUCED BY THE U.S. CENSUS BUREAU, HALE COUNTY HAS AN APPROXIMATE POPULATION OF 35,408. COVENANT HOSPITAL PLAINVIEW DRAWS PATIENTS FROM A 7 COUNTY RADIUS. IN 2009, IT WAS ESTIMATED THAT HALE COUNTY WAS COMPOSED OF 54% HISPANIC, 38% CAUCASIAN, 6% BLACK, 1.4% AMERICAN INDIAN OR ALASKA NATIVE AND .6% ASIAN POPULATION. ADDITIONALLY, IT IS ESTIMATED THAT ALMOST 30% OF OUR POPULATION IS UNDER THE AGE OF 18, WHILE ALMOST 13% OF OUR POPULATION IS OVER THE AGE OF 65. COVENANT HOSPITAL PLAINVIEW OFFERS NUMEROUS OPPORTUNITIES TO THE COMMUNITY IT SERVES, SUCH AS MONTHLY SUPPORT GROUPS, CHILDBIRTH PREPARATION COURSE, COMMUNITY CPR CLASSES, ANNUAL COMMUNITY HEALTH FAIR, CORPORATE WELLNESS SCREENINGS, HK2020 (HEALTHY KIDS CLUB), IN ADDITION TO THE PARTICIPATION AND SUPPORT OF COMMUNITY EVENTS SUCH AS RELAY FOR LIFE, UNITED WAY, COTTON BARRON'S BALL, AMERICAN HEART ASSOCIATION'S "GO RED", ADA'S STEP OUT TO FIGHT DIABETES, AND A DIABETES GOLF TOURNAMENT, JUST TO NAME A FEW. THE HOSPITAL ALSO PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE FOLLOWING MEANS. HAVING A COMMUNITY-BASED BOARD ENSURES THAT COMMUNITY PERSPECTIVES ON HEALTH AND SAFETY ARE INCLUDED AND CONSIDERED. STAFF PRIVILEGES ARE EXTENDED, OR GRANTED, TO THOSE QUALIFIED PHYSICIANS IN THE COMMUNITY WHO HAVE BEEN CREDENTIALED THROUGH THE MEDICAL STAFF'S CREDENTIALING PROCESS AND PRACTICE IN VARIOUS DEPARTMENTS THROUGHOUT COVENANT HOSPITAL PLAINVIEW. THROUGH PARTICIPATION IN HOSPITAL AND HEALTH SYSTEM INITIATIVES AND PROGRAMS, SURPLUS FUNDS ARE USED FOR PATIENT CARE, EDUCATION, OR RESEARCH. GIVING BACK TO THE COMMUNITY PERMEATES EVERY ASPECT OF OUR ORGANIZATION. AS A MEMBER OF THE FAITH-BASED HEALTH MINISTRY OF ST. JOSEPH HEALTH SYSTEM, WE HAVE A FUNDING STREAM TO ADDRESS THE NEEDS OF THE ECONOMICALLY POOR AND VULNERABLE IN THE COMMUNITIES WE SERVE. ON AN ANNUAL BASIS, 10 PERCENT OF OUR NET OPERATING INCOME IS DEVOTED TO FUND COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR. THE ST. JOSEPH HEALTH SYSTEM FOUNDATION, A MEMBER OF ST. JOSEPH HEALTH SYSTEM, IS CHARGED WITH THE DISTRIBUTION OF THESE FUNDS. IN ADDITION TO DEVOTING A PERCENTAGE OF OUR NET OPERATING INCOME TO COMMUNITY BENEFIT SERVICES FOR THE ECONOMICALLY POOR, WE STRIVE TO ANNUALLY BUDGET A PORTION OF OUR TOTAL OPERATING EXPENSES FOR HEALTHY COMMUNITIES AND COMMUNITY HEALTH EFFORTS. COVENANT HOSPITAL PLAINVIEW IS A PART OF ST. JOSEPH HEALTH SYSTEM OF ORANGE, CALIFORNIA. AN ANNUAL COMMUNITY BENEFIT REPORT IS SUBMITTED TO ST. JOSEPH HEALTH SYSTEM, BUT THEY ARE NOT REQUIRED TO SUBMIT THE REPORT TO THE STATE OF CALIFORNIA. true X DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 DONATIONS TO OTHER ORGANIZATIONS ARE APPROVED BY MANAGEMENT TO ENSURE THEY SUPPORT THE MISSION OF COVENANT HOSPITAL, PLAINVIEW. WE RELY ON THE GOVERNANCE PRACTICES OF THOSE ORGANIZATIONS TO ENSURE APPROPRIATE USE OF FUNDS. true true false false false false false true false SERGIO LARA MD 0 140488 0 21187 0 13003 0 0 0 837 0 175515 0 0 CHARLES SMITH DO 0 215542 0 98050 0 10019 0 0 0 7952 0 331563 0 0 DAVID WRIGHT DO 0 218120 0 120415 0 5606 0 10000 0 12433 0 366574 0 0 STEVEN BECK 0 124996 0 8614 0 32703 0 9656 0 13474 0 189443 0 0 CLAYTON DANIEL 206251 0 0 0 0 0 6209 0 6145 0 218605 0 0 0 PEGGY ORTIZ 191855 0 0 0 0 0 5908 0 18445 0 216208 0 0 0 KATHLEEN DAWSON 199055 0 0 0 294 0 1599 0 11673 0 212621 0 0 0 JOHN WADE 0 51142 0 0 0 111944 0 3135 0 20130 0 186351 0 0 MELINDA CLARK 0 448599 0 45384 0 810638 0 9752 0 5690 0 1320063 0 0 JIM HOUSER 0 259000 0 0 0 0 0 0 0 0 0 259000 0 0 Supplemental Compensation Information Schedule J, Part I, Line 3 THE COMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED BY ITS TAX-EXEMPT PARENT, COVENANT HEALTH SYSTEM. SEE SCHEDULE O FOR FORM 990, PART VI, LINE 15A FOR THE PROCESS USED BY COVENANT HEALTH SYSTEM'S PARENT TO DETERMINE EXECUTIVE COMPENSATION. SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM COVENANT HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION: JOHN WADE - $79,440 MELINDA CLARK - $577,579 Schedule J, Part I, Line 4b EXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. SCHEDULE J, PART I, LINE 7 A PORTION OF THE EXECUTIVE'S SALARY IS PLACED "AT-RISK" AND IS NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. To-Do Partnership DON WILLIAMS - PARTNER 377821 Rental - Rural Health Building false WRIGHT FAMILY PRACTICE DAVID WRIGHT- OWNER 176929 Lease & Equipment Rental false ORGANIZATION'S MISSION PART I, LINE 1 & PART III, LINE 1 AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), COVENANT HOSPITAL PLAINVIEW IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. OUR MISSION IS REALIZED THROUGH THE DELIVERY OF QUALITY IN-PATIENT AND OUT-PATIENT SERVICES AND FOCUSED COMMUNITY INITIATIVES AND PROGRAMS THAT ARE DEDICATED TO IMPROVING THE LIVES OF ALL WE SERVE. Program Service Accomplishments Part III, Line 4 GROUNDED IN OUR COMMITMENT TO COMMUNITY AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), COVENANT HOSPITAL PLAINVIEW IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THAT MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. BUT THE ROOTS OF COVENANT HOSPITAL PLAINVIEW AND THE LESSONS TO SERVE OUR DEAR NEIGHBORS DATE BACK TO THE YEAR 1650 WHEN THE SISTERS' FIRST CONGREGATION WAS FORMED IN LE PUY, FRANCE. SINCE THAT TIME, THE PEOPLE OF OUR ORGANIZATION CONTINUE TO ASSESS THE NEEDS OF THE COMMUNITIES WE SERVE, BUILD COLLABORATIVE PARTNERSHIPS WITH LOCAL RESIDENTS, BUSINESS AND COMMUNITY NOT-FOR-PROFITS, AND TOGETHER THROUGH THOSE PARTNERSHIPS, MEET COMMUNITY NEEDS. THE HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS--NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO - AND CONSISTS OF 14 ACUTE CARE HOSPITALS, AS WELL AS HOME HEALTH AGENCIES, HOSPICE CARE, OUT-PATIENT SERVICES, SKILLED NURSING FACILITIES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. WHO WE ARE AND WHAT WE DO COVENANT HOSPITAL PLAINVIEW IS A GENERAL ACUTE CARE 68 BED HOSPITAL, SERVING THE SOUTH PLAINS REGION. THREE MISSION OUTCOMES AS A MINISTRY OF THE ST. JOSEPH HEALTH SYSTEM WE ARE COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: - MAKING EVERY ENCOUNTER WITH OUR COMMUNITY A SACRED ENCOUNTER, ON OCTOBER 29TH 2010 LATE IN THE AFTERNOON, I RECEIVED A CALL FROM THE ER. THERE WAS A FAMILY WHO HAD BROUGHT IN AN 18 MONTH OLD BABY THAT WAS NOT BREATHING. THE FAMILY WANTED SOMEONE TO COME PRAY WITH THEM, SO I ASKED CAROL TERRELL IF SHE WOULD AND WITHOUT A HESITATION OR SECOND THOUGHT SHE WAS ON HER WAY TO THE ER. SHE SAT AND PRAYED WITH THE FAMILY AND JUST A FEW MINUTES LATER A NURSE CAN OUT AND STATED THAT THE BABY WAS DOING BETTER. THEY ALL TRULY FELT THERE HAD BEEN A MIRACLE PERFORMED BY GOD AND THE FAMILY FELT IT WAS ALL DUE TO THE PRAYING WHICH HAD TAKEN PLACE. THE BABY WAS SENT TO LUBBOCK BY HELICOPTER AND WHILE THE FAMILY WAS WAITING, CAROL GATHER SOME FOOD WHICH WAS LEFT OVER FROM THE BUSINESS OFFICE EMPLOYEE APPRECIATION AND GAVE TO THE FAMILY SO THEY WOULD HAVE SOMETHING TO EAT WHILE THEY WERE IN LUBBOCK. WE ALL KNOW HOW EXPENSIVE IT CAN BE TO FEED SEVERAL PEOPLE AND CAROL DID NOT WANT THE FAMILY TO HAVE ADDED WORRIES. NOT ONLY DID CAROL WORRY ABOUT THE FAMILY HAVING FOOD TO EAT, BUT SHE ALSO HAD A CONCERN ABOUT THE COST OF DRIVING BACK AND FORTH TO LUBBOCK, SO CAROL GAVE THE FAMILY MONEY FOR GAS. CAROL DEMONSTRATED THE TRUE MEANING OF SERVICE EXCELLENCE WITHOUT ANY HESITATION, ALL SHE THOUGHT ABOUT WAS HOW SHE COULD HELP THE FAMILY. THE FAMILY CALLED BACK TO THE HOSPITAL A FEW DAYS LATER AND WANTED TO GIVE THANKS FOR ALL WE HAD DONE FOR THEIR CHILD AND AGAIN EXPLAINED HE WAS DOING BETTER AND THEY TRULY THOUGHT IT WAS A DIRECT RELATION TO THE PRAYING CAROL HAD PERFORMED WITH THE FAMILY. - PROVIDING TO OUR PATIENTS IN THE COMMUNITY WITH PERFECT CARE DAVID HAS WORKED AT THE HOSPITAL FOR 16 YEARS AND IS ABLE TO WORK PRETTY MUCH ANYWHERE. HE WORKS WELL WITH OTHER DEPARTMENTS AND IS ALWAYS RESPECTFUL NOT ONLY TO HIS COLLEAGUES BUT ALSO TO PHYSICIANS AND TO PATIENTS. IT IS NOT UNUSUAL FOR DAVID TO ROUND ON THE OTHER FLOORS JUST TO HELP IMPROVE DEPARTMENTAL RELATIONS. RECENTLY DAVID HAD A COMPLICATED SITUATION IN THE ER, WHERE A VERY CRITICAL PATIENT THAT NEEDED TO BE ADMITTED INTO THE HOSPITAL REFUSED TO BE ADMITTED AND WANTED TO LEAVE AMA. DAVID TALKED TO THE PATIENT AT LENGTH TRYING TO ENCOURAGE HIM TO STAY. HAD THE PHYSICIAN TALK TO HIM FOR A LENGTHY TIME AND EVEN CALLED ME TO VISIT WITH THE PATIENT. DESPITE ALL OUR EFFORTS, WE WERE UNABLE TO GET THE PATIENT TO STAY AND HE LEFT AMA. HOWEVER, DAVID REMAINED KIND AND ENCOURAGING TO THE PATIENT THE ENTIRE TIME, EVEN ESCORTING HIM OUT OF THE ER IN A WHEELCHAIR BECAUSE HE WAS SO WEAK AND CONTINUED TO ENCOURAGE HIM TO RETURN IF HE GOT SCARED OR BECAME WORSE. DAVID KNEW THIS YOUNG MAN WOULD DIE WITHOUT MEDICAL TREATMENT. THE NEXT MORNING WHILE I WAS ROUNDING IN THE ER, THIS YOUNG MAN CALLED AND ASKED FOR DAVID. HE TOLD DAVID HE WAS WORSE AND FELT LIKE HE NEEDED TO COME BACK IN. HOWEVER, HE TOLD DAVID THAT HE NEEDED A FAVOR TO STAY IN THE HOSPITAL BECAUSE HE COULDN'T MISS AN IMPORTANT PHONE CALL. DAVID TOLD HIM WE WOULD MAKE ANY ACCOMMODATIONS HE NEEDED AND ENCOURAGED HIM TO COME BACK IN. HE DID ARRIVE, WAS RE-EVALUATED AND TRANSFERRED TO CMC WHERE HE LATER DIED THAT EVENING. THIS YOUNG MAN HAD A VERY ALTERNATIVE LIFESTYLE THAT COULD HAVE CAUSED DAVID TO BE VERY JUDGMENTAL DUE TO THE FACT THAT THE BIGGEST CAUSE OF HIS MEDICAL CONDITION WAS SELF-INFLICTED. HOWEVER, DAVID TREATED HIM WITH CARE AND KINDNESS AND SHOWED DEEP CONCERN FOR ANOTHER HUMAN BEING. DAVID IS CONSTANTLY GOING ABOVE AND BEYOND FOR OUR PATIENTS. HE WILL SPEND EXTRA TIME TO TEACH A DIABETIC HOW TO TAKE CARE OF THEMSELVES AND THE IMPORTANCE OF THAT OR TEACHING A PATIENT WITH CHRONIC HYPERTENSION THE IMPORTANCE OF KEEPING IT UNDER CONTROL. HE EVEN WALKED A PATIENT TO HIS APARTMENT COMPLEX NEARBY BECAUSE THE PATIENT HAD RECEIVED A DEMEROL INJECTION AND HE WANTED TO MAKE SURE HE GOT HOME SAFE SINCE HE WAS UNDER THE INFLUENCE. COVENANT HOSPITAL PLAINVIEW IS A GENERAL ACUTE CARE 100 BED HOSPITAL, SERVING THE SOUTH PLAINS REGION. DURING FISCAL YEAR 2010, WE INVESTED A TOTAL OF $2,700,000 (8.28% OF OUR TOTAL OPERATING EXPENSES) IN COMMUNITY BENEFIT (INCLUDING TRADITIONAL CHARITY CARE, UNPAID COST TO STATE AND LOCAL PROGRAMS AND COMMUNITY BENEFIT SERVICES TO THE LOW-INCOME AND BROADER COMMUNITY), IN ALIGNMENT WITH CATHOLIC HEALTH ASSOCIATION GUIDELINES. IN ADDITION, OUR UNPAID COST OF MEDICARE PROGRAMS TOTALED $4,434,494. FINANCIAL ASSISTANCE POLICY (TRADITIONAL CHARITY CARE) OUR MISSION IS TO PROVIDE QUALITY CARE TO ALL OUR PATIENTS, REGARDLESS OF ABILITY TO PAY. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY ST. JOSEPH HEALTH SYSTEM HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. ORGANIZATIONAL COMMITMENT AS A VALUES BASED ORGANIZATION, COVENANT HOSPITAL PLAINVIEW HAS A LONG-STANDING COMMITMENT TO THE COMMUNITY. FY 10 COMMUNITY BENEFIT INITIATIVES AND/OR PROGRAMS NAME OF INITIATIVE OR PROGRAM: A COMMUNITY HEALTH AWARENESS AND PREVENTION PROGRAM FOR HEALTHY KIDS. "HK" STANDS FOR "HEALTHY KIDS", "2020" IS THE YEAR THIS YEAR'S FIRST GRADERS WILL GRADUATE FROM HIGH SCHOOL. GOAL: TO ESTABLISH A LONG-TERM, MEASURABLE PROGRAM TO POSITIVELY AFFECT THE PREVALENCE OF CHILDHOOD OBESITY IN HALE COUNTY OVER THE NEXT 12 YEARS. FY10 ACCOMPLISHMENTS: WE HAVE ORGANIZED A TEAM OF PROFESSIONALS IN HALE COUNTY TO PLAN AND IMPLEMENT A VARIETY OF HEALTHY ACTIVITIES THAT WILL TARGET THE NEXT GENERATION OF CHILDREN AND THEIR FAMILIES. THIS PROGRAM INCLUDES A VARIETY OF FREE ACTIVITIES AND EVENTS INCORPORATED INTO ALL ASPECT'S OF A CHILD'S LIFE - HOME, SCHOOL, CHURCH, AND COMMUNITY - AND EVERY ASPECT OF A CHILD'S PERSON - BODY, MIND, AND SPIRIT. THIS WILL BE A "NO-EXCUSES" PROGRAM - TO OFFER EVERY OPPORTUNITY TO MAKE HEALTHY CHOICES FOR EVERY CHILD. THE PROGRAM WILL BE FAMILY-CENTERED, ALL-INCLUSIVE, REWARDING, SPIRITUAL, COMMUNITY-WIDE, LONG-TERM, AND MEASURABLE. * INCLUDE CHILDREN AND THEIR FAMILIES. * OFFER COUPONS AND VOUCHERS SO THAT EVEN THOSE FAMILIES WITH FINANCIAL CONSTRAINTS MAY PARTICIPATE. ALL EVENTS WILL BE FREE OF CHARGE. * REWARD POINTS TO CHILDREN FOR MAKING HEALTHY CHOICES. PRIZES TO BE PROVIDED. * INCLUDE ORGANIZATIONS FROM ALL ASPECTS OF OUR COMMUNITY TO INCREASE AWARENESS AND PARTICIPATION. * SET SHORT-TERM AND LONG-TERM MEASURABLE GOALS TO MAKE INSURE THAT THE PROGRAM IS MAKING A DIFFERENCE. QUANTIFIABLE COMMUNITY BENEFIT IN FY 10 COVENANT HOSPITAL PLAINVIEW CONTRIBUTED OVER $7,108,466 IN UNSPONSORED QUANTIFIABLE COMMUNITY BENEFIT: TRADITIONAL CHARITY CARE $3,061,586 UNREIMBURSED MEDICAID $3,250,757 UNREIMBURSED COSTS - OTHER MEANS TESTED GOVERNMENT PROGRAMS $796,123 COMMUNITY SERVICES FOR THE LOW-INCOME COMMUNITY SERVICES FOR THE BROADER COMMUNITY $68,000 *IN ALIGNMENT WITH CATHOLIC HEALTH ASSOCIATION COMMUNITY BENEFIT REPORTING GUIDELINES UNPAID COST FOR MEDICARE PATIENTS $2,925,000 FOR MORE INFORMATION ON COVENANT HOSPTIAL PLAINVIEW: WWW.COVENANTHEALTH.ORG FOR MORE INFORMATION ON THE ST. JOSEPH HEALTH SYSTEM GO TO: WWW.STJOE.ORG DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 COVENANT HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A COVENANT HOSPITAL PLAINVIEW HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE COVENANT HOSPITAL PLAINVIEW BOARD. ALL DIRECTORS APPOINTMENTS THAT COME FROM THE COVENANT HOSPITAL PLAINVIEW BOARD AS NOMINATIONS MUST BE APPROVED BY COVENANT HEALTH SYSTEM, AS THE CORPORATE MEMBER, ST. JOSEPH HEALTH SYSTEM, AS THE TAX-EXEMPT PARENT OF COVENANT HEALTH SYSTEM, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. DECISIONS REQUIRING APPROVAL FORM 990, PART VI, LINE 7B THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11A THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 IS THEN REVIEWED BY AN OFFICER(S) OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING IS THEN DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE APRIL 2011 MEETING. DURING THE BOARD FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTS AND DISCUSSES CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE BOARD FINANCE COMMITTEE CHAIR THEN PROVIDES A SUMMARY AT THE FULL BOARD MEETING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ON THE CONFLICT OF INTEREST DISCLOSURE FORM THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ADDITIONALLY, DISCLOSURES SHALL BE MADE PROMPTLY ANYTIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, SUCH CONFLICT IS DISCLOSED TO THE CONFLICTS & COMPENSATION COMMITTEE. IF THE CONFLICT INVOLVES A MEMBER OF THAT COMMITTEE, THE REMAINING COMMITTEE MEMBERS WILL REVIEW THE MATTER AND WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE OFFICER, TRUSTEE, OR KEY EMPLOYEE MAY NOT BE PRESENT DURING ANY MEETING IN WHICH THE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER IN CONSULTATION WITH SJHS GENERAL COUNSEL WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES AND WILL PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE. PROCESS USED TO DETERMINE COMPENSATION FORM 990, PART VI, LINES 15A AND 15B THE EXECUTIVE COMPENSATION PROCESS AT ST. JOSEPH HEALTH SYSTEM IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD-APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER EMPOWERS THE SJHS BOARD WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES OF SJHS. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS THE RETENTION OF KEY MANAGEMENT TALENT. THE SJHS EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. SJHS PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO FULFILL THEIR RESPONSIBILITY, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE WORKLIFE COMMITTEE IS COMPRISED OF SEVERAL INDEPENDENT MEMBERS OF THE BOARD. THEY MEET AT LEAST 3 TIMES A YEAR AND MAKE ALL CRITICAL DECISIONS IN EXECUTIVE SESSIONS. THESE DECISIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT AS NEEDED. THE WORKLIFE COMMITTEE PERFORMED ITS LAST COMPENSATION REVIEW FOR ASSISTANT VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN JUNE 2010. AVAILABILITY OF CERTAIN DOCUMENTS TO THE GENERAL PUBLIC FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII THE FOLLOWING COVENANT HOSPITAL PLAINVIEW (CHPL) BOARD MEMBERS WERE EMPLOYEES OF COVENANT MEDICAL GROUP (CMG), A RELATED TAX-EXEMPT ORGANIZATION. THEY DEVOTED 40 HOURS PER WEEK TO CMG AND 2 HOURS PER WEEK TO CHPL: SERGIO LARA, M.D. CHARLES SMITH, D.O. DAVID WRIGHT, D.O. STEVEN BECK SERVED AS INTERIM CEO AND THEN AS VICE PRESIDENT - REGION SERVICES AND WAS COMPENSATED BY COVENANT HEALTH SYSTEM (CHS), A RELATED TAX-EXEMPT ORGANIZATION. HE DEVOTED 14 HOURS PER WEEK TO CHPL, 14 HOURS PER WEEK TO COVENANT HOSPITAL LEVELLAND, AND 12 HOURS PER WEEK TO CHS. ALAN KING SERVED AS CEO STARTING 11/23/09 AND WAS COMPENSATED BY COVENANT HEALTH SYSTEM (CHS), A RELATED TAX-EXEMPT ORGANIZATION. HE DEVOTED 40 HOURS PER WEEK TO CHPL AND NO HOURS TO CHS. OVERSIGHT OR SELECTION PROCESS FORM 990, PART XI, LINE 2C THE ST. JOSEPH HEALTH SYSTEM BOARD APPROVES THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. TRANSACTIONS WITH RELATED ORGANIZATIONS SCHEDULE R, PART V, LINE 2 THE AMOUNTS REPORTED ON SCHEDULE R, PART V, LINE 2 ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING. St Joseph Health System 500 S MAIN STREET SUITE 700 Orange CA 928684507 953589356 HealthCare CA 501(c)(3) 11, I na Covenant Health System 3615 19th Street Lubbock TX 79410 752765566 HealthCare TX 501(c)(3) 3 NA Covenant Medical Group 3420 22nd Place Lubbock TX 79410 752743883 HealthCare TX 501(c)(3) 3 CHS Methodist Hospital Levelland 1900 College Avenue Levelland TX 79336 752246348 HealthCare TX 501(c)(3) 3 CHS Methodist Children's Hospital 3610 21st Street Lubbock TX 79410 752428911 healthcare TX 501(c)(3) 3 CHS Hospice of Lubbock 1102 Slide Road Lubbock TX 79414 752133781 healthcare TX 501(c)(3) 9 CHS Covenant Health System Foundation 4000 2th Street Lubbock TX 79410 751653181 FOUNDATION TX 501(c)(3) 11, I CHS St Mary of the Plains Hospital FDN 4000 24th Street Lubbock TX 79410 751653181 FOUNDATION TX 501(c)(3) 11, I CHS Lubbock Methodist Hospital Foundation 3615 19th Street Lubbock TX 79410 752220963 FOUNDATION TX 501(c)(3) 7 CHS Covenant Health Partners INC 3515 19th Street Lubbock TX 79410 611573313 HealthCare TX 501(c)(3) 11, I CHS St Joseph Health Ministry 500 S Main Street Suite 400 Orange CA 92868 271666576 Religious Org CA 501(c)(3) 1 na Sisters of St Joseph of Orange 480 S Batavia Orange CA 92868 951643383 Religious Org CA 501(c)(3) 1 NA Lubbock Surgery Center Ltd 4000 24th Street Lubbock TX 79410 752177401 HealthCare SVCS TX CHS Related 0 0 false 0 false CHS Holding LP 4000 24th Street Lubbock TX 79410 205477251 HealthCare SVCS TX CHS Related 0 0 false 0 false LUBBOCK METHODIST HOSPITAL SERVICES INC PO BOX 1201 LUBBOCK TX 79410 752118585 HEALTHCARE SVCS TX CHS C CORP 0 0 0.00000 LUBBOCK METHODIST HOSPITAL PRACTICE MGMT 2107 OXFORD STREET SUITE 300 LUBBOCK TX 79410 752578995 INACTIVE TX CHS C CORP 0 0 0.00000 false false true false false false false false false false false false false false true false false false COVENANT HEALTH PARTNERS INC 0 LUBBOCK METHODIST HOSPITAL SYSTEM 0 COVENANT MEDICAL GROUP 0 HOSPICE OF LUBBOCK 0 METHODIST HOSPITAL LEVELLAND 0 METHODIST CHILDREN'S HOSPITAL 0 COVENANT HEALTH SYSTEM FOUNDATION 0 ST MARY OF THE PLAINS HOSPITAL FOUNDATION 0 LUBBOCK METHODIST HOSPITAL FOUNDATION 0 LUBBOCK SURGERY CENTER LTD 0 CHS HOLDING LP 0 LUBBOCK METHODIST HOSPITAL PRACTICE MGMT 0 LUBBOCK METHODIST HOSPITAL SERVICES INC 0