2022-11-03T11:23:17-05:00 2021-12-31 990 2021-01-01 840417134 SAINT JOSEPH HOSPITAL INC SAIN 3038122000 1375 E 19TH AVENUE DENVER CO 80218 BRAD MEMBEL VICE PRESIDENT FINANCE 3038122000 2022-11-02 BRAD MEMBEL 999009999 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JAMESON SMITH 1375 E 19TH AVENUE DENVER CO 80218 636558651 0 0928 X SEE SCHEDULE "O" X 1975 CO WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.FORM 990, PART I, LINE JWEBSITE ADDRESS:WWW.SCLHEALTH.ORG/LOCATIONS/SAINT-JOSEPH-HOSPITAL/ 12 10 0 165 832597 0 35648737 19660402 571302309 598235750 6489234 10559929 2849031 1299289 616289311 629755370 4736081 5581160 0 0 210094336 209420367 0 0 0 361797604 355511532 576628021 570513059 39661290 59242311 893189330 1514966251 270715140 833152183 622474190 681814068 X WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 0 0 467562704 5581160 599638857 SAINT JOSEPH HOSPITAL WAS FOUNDED IN DENVER IN 1873 BY THE SISTERS OF CHARITY OF LEAVENWORTH AS THE FIRST PRIVATE TEACHING HOSPITAL IN COLORADO. TODAY, IT REMAINS THE LARGEST PRIVATE TEACHING HOSPITAL IN DENVER. THE HOSPITAL PROVIDES A TRADITION OF HEALTHCARE THAT INCLUDES COMPASSIONATE CAREGIVERS, STELLAR CLINICAL EXPERTISE AND ACTIVE CLINICAL PARTNERSHIPS WITH KAISER PERMANENTE, NATIONAL JEWISH HEALTH AND COMMUNITY PHYSICIANS. SAINT JOSEPH HOSPITAL IS PART OF SCL HEALTH, A NONPROFIT FAITH-BASED HEALTH SYSTEM. SAINT JOSEPH'S NEW STATE-OF-THE-ART HOSPITAL OPENED IN DECEMBER 2014.IN 2014, SAINT JOSEPH HOSPITAL AND NATIONAL JEWISH HEALTH (A TAX-EXEMPT 501(C)(3) ORGANIZATION) FORMED A JOINT OPERATING AGREEMENT TO PROVIDE INPATIENT AND OUTPATIENT CARE TOGETHER IN COLORADO. THIS COLLABORATIVE CARE MODEL BRINGS TOGETHER TWO LEADING HEALTHCARE ORGANIZATIONS WITH COMPLEMENTARY CULTURES, MISSIONS AND DEDICATION TO EXCELLENCE TO FOCUS ON PROVIDING THE BEST CARE POSSIBLE. THE STRONG OUTPATIENT APPROACH AND SPECIALTY EXPERTISE OF NATIONAL JEWISH HEALTH COMBINES WITH THE FOCUSED INPATIENT EXPERTISE OF SAINT JOSEPH HOSPITAL TO INCREASE OUR ABILITY TO MANAGE PATIENTS ALONG THE FULL CONTINUUM OF CARE.THE ORGANIZATIONS DID NOT MERGE, AND NEITHER ORGANIZATION HAS BEEN PURCHASED BY THE OTHER. NATIONAL JEWISH HEALTH AND SAINT JOSEPH HOSPITAL ARE JOINTLY MANAGING CLINICAL OPERATIONS. BOTH NATIONAL JEWISH HEALTH AND SAINT JOSEPH HOSPITAL VALUE THE PROFOUND IMPACT RESEARCH HAS ON THE UNDERSTANDING AND TREATMENT OF HUMAN DISEASE. BOTH HAVE OUTSTANDING AND COMPLEMENTARY TEACHING PROGRAMS. TOGETHER, WE ARE MAXIMIZING THE CAPABILITIES OF BOTH INSTITUTIONS TO FOSTER COLLABORATION AND EXCELLENCE IN THE TEACHING AREA.OVERALL HOSPITAL AWARDS:SAINT JOSEPH HOSPITAL HAS EARNED A 5-STAR RATING WHEN IT COMES TO PATIENT EXPERIENCE AS REPORTED BY CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS).SAINT JOSEPH HOSPITAL HAS RECEIVED THE PRESS GANEY GUARDIAN OF EXCELLENCE AWARD FOR PATIENT EXPERIENCE IN 2019, 2020 AND, 2021, AN AWARD THAT HONORS HOSPITALS THAT HAVE REACHED THE 95TH PERCENTILE FOR PATIENT EXPERIENCE.SAINT JOSEPH HOSPITAL RECEIVED AN 'A' GRADE IN SPRING 2021 FROM THE LEAPFROG GROUP FOR HOSPITAL SAFETY. THE LEAPFROG GROUP IS A WASHINGTON D.C. BASED ORGANIZATION AIMING TO IMPROVE HEALTHCARE QUALITY AND SAFETY FOR CONSUMERS AND PURCHASERS. THE LEAPFROG GROUP ASSIGNS LETTER GRADES BASED ON NUMEROUS HEALTH CARE QUALITY MEASURES.SAINT JOSEPH HOSPITAL IS DESIGNATED BABY-FRIENDLY UNDER THE BABY-FRIENDLY HOSPITAL INITIATIVE, A GLOBAL PROGRAM SPONSORED BY THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDREN'S FUND (UNICEF).SAINT JOSEPH HOSPITAL RECEIVED MULTIPLE CHEST PAIN-MI REGISTRY AWARDS IN 2020 FROM THE AMERICAN COLLEGE OF CARDIOLOGY. THIS AWARD PROGRAM WAS CREATED BY THE AMERICAN COLLEGE OF CARDIOLOGY TO RECOGNIZE HOSPITALS THAT HAVE TOP-LEVEL PERFORMANCE IN THEIR CARE OF PATIENTS WHILE ADHERING TO THEIR SPECIFIC GUIDELINE RECOMMENDATIONS.MAGNET ACCREDITED FOR NURSING EXCELLENCE AND QUALITY PATIENT CARE, ONE OF THE HIGHEST NATIONAL HONORS (2017)PULMONOLOGY AWARDSHEALTHGRADES AMERICA'S 100 BEST HOSPITALS FOR PULMONARY CARE (2015 - 2017)MISSION, VISION & VALUESMISSIONWE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.VISIONINSPIRED BY OUR FAITH, WE WILL PARTNER WITH OUR PATIENTS AND COMMUNITIES TO EXCEED THEIR EXPECTATIONS FOR HEALTH.VALUESCARING SPIRIT - WE HONOR THE SACRED DIGNITY OF EACH PERSON.EXCELLENCE - WE SET AND SURPASS HIGH STANDARDS.GOOD HUMOR - WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS.INTEGRITY - WE DO THE RIGHT THING WITH OPENNESS AND PRIDE.SAFETY - WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES.STEWARDSHIP - WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US.SAINT JOSEPH HOSPITAL, INC. OFFERS A WIDE VARIETY OF SERVICES ACROSS MANY DEPARTMENTS:ADDICTION TREATMENT, ASTHMA TREATMENT, BARIATRIC SURGERY, BEHAVIORAL HEALTH, CANCER CARE, CARDIOVASCULAR, CERTIFIED NURSE MIDWIVES, CHEMOTHERAPY, CRITICAL CARE, CYSTIC FIBROSIS, EAR NOSE AND THROAT, EMERGENCY SERVICES, FAMILY MEDICINE, GASTROINTESTINAL HEALTH, GYNECOLOGY, HEMATOLOGY, HOME HEALTH, IMAGING AND RADIOLOGY, INFECTIOUS DISEASE, INTERNAL MEDICINE, KIDNEY AND BLADDER HEALTH, MAMMOGRAPHY, MATERNAL FETAL MEDICINE, MATERNITY CARE, MEDICAL EXERCISE, MENTAL HEALTH, NEONATOLOGY, NEUROLOGY, OBSTETRICS, OCCUPATIONAL MEDICINE, OCCUPATIONAL THERAPY, ONCOLOGY, ORTHOPEDICS, OTOLARYNGOLOGY, PAIN MANAGEMENT, PALLIATIVE CARE, PHYSICAL THERAPY, PLASTIC AND RECONSTRUCTIVE SURGERY, PSYCHIATRY, PSYCHOLOGY, PULMONOLOGY, RADIOLOGY, RESPIRATORY HEALTH, SPORTS MEDICINE, VIRTUAL HEALTH, WOMEN'S HEALTH, WOUND CARE.DURING 2021, SAINT JOSEPH HOSPITAL, INC., HAD THE FOLLOWING RESULTS:17,310 ADMISSIONS155,141 OUTPATIENT VISITS58,998 EMERGENCY DEPARTMENT VISITS3,756 BIRTHS10,814 SURGERIES1,032,278 LAB TESTSSAIT JOSEPH HOSPITAL, INC. IS RELATED TO SCL HEALTH MEDICAL GROUP - DENVER, LLC, A SINGLE MEMBER LIMITED LIABILITY COMPANY OWNED BY A RELATED ORGANIZATION, SCL HEALTH - FRONT RANGE, INC. SCL HEALTH MEDICAL GROUP - DENVER, LLC IS A GROUP OF PHYSICIAN CLINICS THAT PROVIDE PROFESSIONAL SERVICES TO THE SAINT JOSEPH HOSPITAL COMMUNITY AND SUPPORTS THE MISSION OF SAINT JOSEPH'S HOSPITAL. ALTHOUGH SCL HEALTH MEDICAL GROUP - DENVER, LLC IS NOT OWNED DIRECTLY BY SAINT JOSEPH HOSPITAL, INC., SAINT JOSEPH HOSPITAL, INC. IS REQUIRED TO FUND A PORTION OF THE OPERATING LOSSES OF SCL HEALTH MEDICAL GROUP - DENVER, LLC. IN 2021, THE HOSPITAL PROVIDED $19,607,229 IN SUPPORT OF THE LOSSES OF THE PHYSICIAN CLINICS. 467562704 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X KYLE ENGMAN 3038135543 500 ELDORADO BLVD STE 4200 BROOMFIELD CO 80021 X LYDIA JUMONVILLE FORMER OFFICER 0.00 50.00 X 0 2132408 470113 MARK KORTH MEMBER 1.00 50.00 X 0 1191313 182370 JANIE WADE TREASURER 2.00 50.00 X 0 1095286 162697 JAMESON SMITH PRESIDENT SJD 50.00 0.00 X 0 744521 115576 JOHN RAHEB MD PHYSICIAN GME FACULTY 50.00 0.00 X 680700 0 39722 MICHAEL SKEHAN VP CHIEF OPERATING OFFICER SJD 50.00 0.00 X 0 600567 81011 SIMON PAYNE FORMER KEY EMPLOYEE 0.00 50.00 X 0 559908 92112 BARBARA JAHN FORMER KEY EMPLOYEE 0.00 50.00 X 0 532069 79445 JOHN TYNES MD VP CHIEF MEDICAL OFFICER SJD 50.00 0.00 X 0 501408 96482 THOMAS DONOHOE SECRETARY 2.00 50.00 X 0 502346 93350 ALWIN STEINMANN MD CHIEF ACADEMIC MEDICINE 50.00 0.00 X 0 454548 83896 JASON JOHNSON MD PHYSICIAN GME PROG DIR 50.00 0.00 X 467358 0 19184 JILLIAN CIOCCHETTI MD PHYSICIAN GME FACULTY 50.00 0.00 X 439945 0 21595 WENDY PETERSON MD ASSOC PROG DIR PHYSICIAN GME 50.00 0.00 X 405357 0 49905 EMILY SPEER MD PHYSICIAN GME FACULTY 50.00 0.00 X 385216 0 46828 DINA BUSH VP CHIEF NURSING OFFICER SJD 50.00 0.00 X 0 331853 69066 JASON GAINES VP STRATEGY & BUS DEVELOPMENT SJD 50.00 0.00 X 0 315638 65594 PETER SCHAAD VP OPERATIONS SJD 50.00 0.00 X 0 287033 34810 BRAD MEMBEL VP FINANCE SJD 50.00 0.00 X 0 253632 54070 PATRICE FARRELL-DELINE VP MISSION INTEGRATION 50.00 0.00 X 0 198241 45733 KATHY BOELTER MEMBER 1.00 0.00 X 0 0 0 CHRISTINE FORKNER MEMBER 1.00 0.00 X 0 0 0 STEVEN FRANKEL MD MEMBER 1.00 0.00 X 0 0 0 FAYE HUMMEL RN MEMBER 1.00 0.00 X 0 0 0 MARK ISAKSON VICE CHAIR 2.00 0.00 X X 0 0 0 DAVID KINNARD MD MEMBER 1.00 0.00 X 0 0 0 GILLIAN MCKNIGHT-TUTEIN MEMBER 1.00 0.00 X 0 0 0 BERRY MORTON MD CHAIR 2.00 0.00 X X 0 0 0 KELLY SNOW-DUNKIN MEMBER 1.00 0.00 X 0 0 0 BRUCE WARING MD MEMBER 1.00 0.00 X 0 0 0 BARTH WHITHAM PAST CHAIR 2.00 0.00 X X 0 0 0 2378576 9700771 1903559 0 1 1 0 0 3191279 16469123 15000 19660402 PATIENT SERVICE REVENUE 622110 601852624 601077626 774998 PROGRAM RELATED INCOME 622110 -3616874 -3616874 598235750 10562034 10562034 6555163 6716580 -161417 -161417 -161417 84596 86701 -2105 -2105 -2105 CAFETERIA 722514 1406755 1403107 3648 MEDICAL DIRECTOR 621110 53951 53951 1460706 629755370 598863859 832597 10398512 5581160 5581160 4333679 4222227 111452 167148564 162849884 4298680 7002660 7002660 20285042 19562121 722921 10650422 10535345 115077 56471 54509 1962 5736 5736 39351656 38790560 561096 3308884 208091 3100793 1265288 1152507 112781 39535591 4560154 34975437 4462523 4459822 2701 414735 363527 51208 334215 296494 37721 9696105 9696105 34836507 33233866 1602641 3469499 3469499 MEDICAL SUPPLIES 102471214 102471214 MEDICAL PROVIDER TAXES 33965653 33965653 CONTRACT SERVICES 16555797 3234176 13321621 SHARED SERVICES - ADMIN 14632858 2344740 12288118 51148800 19502654 31646146 570513059 467562704 102950355 0 12073 12823 48725444 66369159 789331 69543 9845953 9959629 4188819 4375611 911246797 325802392 611625751 585444405 218001959 848735081 893189330 1514966251 48940946 27902314 6771997 16995851 178862908 174667913 36139289 613586105 270715140 833152183 X 622474190 681814068 622474190 681814068 893189330 1514966251 X 59242311 97567 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5736 5736 0 LOBBYING EXPENDITURES SCHEDULE C, PART II-B, QUESTION 1I THE LOBBYING EXPENDITURES REPRESENT PORTIONS OF VARIOUS MEMBERSHIP DUES THAT ARE DESIGNATED AS LOBBYING EXPENSE BY THOSE ORGANIZATIONS IN WHICH SAINT JOSEPH HOSPITAL, INC., IS A MEMBER. 5416307 658284 677450 6752041 4870168 97875 644724 196460 5416307 3506437 731582 632149 4870168 3027517 685355 -167050 39385 3506437 2417848 474290 135379 3027517 0.00000 1.00000 0.00000 0 1 1 23655572 23655572 661456718 200884631 460572087 27047187 11647296 15399891 196406755 113270465 83136290 2680565 2680565 585444405 INTERCOMPANY RECEIVABLES 847302534 LEASED ASSETS 1296700 OTHER ASSETS 135847 848735081 CAPITALIZED LEASE OBLIGATIONS 2762563 LESSEE DEPOSITS 110193 NOTES PAYABLE TO SCLHS 610713349 613586105 PART V, LINE 4: THE ENDOWMENT FUNDS ARE HELD BY SAINT JOSEPH HOSPITAL FOUNDATION. THE INVESTMENT EARNINGS FROM THE ENDOWMENT FUNDS ARE USED FOR THE SUPPORT OF CHARITABLE CARE AND SERVICES AT SAINT JOSEPH HOSPITAL, INC., INCLUDING SPECIAL PROVISIONS TO CARE FOR UNINSURED PATIENTS, PROVIDE EDUCATIONAL OPPORTUNITIES FOR THE STAFF OF THE HOSPITAL, AND TO PROVIDE RESOURCES TO THE HOSPITAL'S PHYSICIAN RESIDENCY PROGRAM, ENSURING ITS ABILITY TO SEND RESIDENTS ON MEDICAL ROTATIONS TO THIRD WORLD COUNTRIES. 1 1 X 1 X 1 X 1 1 0 1 1 14126426 14126426 0.02480 125188223 94424879 30763344 0.05390 944692 923371 21321 0.00000 140259341 95348250 44911091 0.07870 2309906 0 2309906 0.00400 36294997 12016040 24278957 0.04260 10976614 4653104 6323510 0.01110 0 0 4803149 0 4803149 0.00840 54384666 16669144 37715522 0.06610 194644007 112017394 82626613 0.14480 92374 92374 0.00020 29650 29650 0.00010 122024 122024 0.00030 1 9247938 181685414 207184191 -25498777 X 1 1 1 1 SAINT JOSEPH HOSPITAL INC 1375 E 19TH AVENUE DENVER CO 80218 WEBSITE: SEE PART VI LICENSE NUMBER 010430 X X X X SAINT JOSEPH HOSPITAL INC 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE PART V, SECTION C X 1 19 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X 1 X 0 0 SAINT JOSEPH HOSPITAL, INC. PART V, SECTION B, LINE 5: COMMUNITY MEETINGS AND COMMUNITY SURVEYS WERE USED TO GATHER INPUT AND PRIORITIZE THE SIGNIFICANT NEEDS. THE FOLLOWING CRITERIA WERE USED TO PRIORITIZE THE NEEDS:THE PERCEIVED SEVERITY OF AN ISSUE AS IT AFFECTS THE HEALTH AND LIVES OF THOSE IN THE COMMUNITYTHE LEVEL OF IMPORTANCE THE HOSPITAL SHOULD PLACE ON ADDRESSING THE ISSUE. COMMUNITY MEETING TO PRIORITIZE SIGNIFICANT NEEDSHOSPITAL LEADERS, DEPARTMENTAL REPRESENTATIVES, PUBLIC HEALTH OFFICIALS AND LEADERS FROM THE COMMUNITY MET ON SEPTEMBER 23, 2021, TO DISCUSS AND PRIORITIZE THE SIGNIFICANT NEEDS. THE MEETING WAS CONVENED VIRTUALLY AND 21 COMMUNITY STAKEHOLDERS WERE IN ATTENDANCE. THE GROUP RECEIVED A PRESENTATION OF CURRENT SECONDARY HEALTH DATA BY CHUCK AULT, REGIONAL DIRECTOR, COMMUNITY HEALTH AND SISTER JENNIFER GORDON, VICE PRESIDENT MISSION INTEGRATION. PRIMARY DATA FINDINGS WERE PRESENTED THROUGH SHARING THE RESULTS OF THE 2021 SCL HEALTH COMMUNITY SURVEY AND THE 2021 COVID SCL VACCINE CLINIC SPOT SURVEY. AFTER COMPLETING A REVIEW AND DISCUSSION OF THESE DATA SOURCES, THE GROUP PRIORITIZED THE HEALTH ISSUES THAT SAINT JOSEPH HOSPITAL IS BEST POSITIONED TO IMPACT IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS AND COMMUNITY MEMBERS. FINAL PRIORITIZATION WAS VOTED ON THROUGH A ZOOM POLL. PRIORITIZED NEEDS1. MENTAL HEALTH2. COMMUNITY WEALTH BUILDING (ECONOMIC STABILITY)3. HEALTH EQUITY COMMUNITY SURVEYSSJH SURVEYED COMMUNITY MEMBERS AT COVID-19 VACCINE EVENTS TO PRIORITIZE COMMUNITY HEALTH NEEDS. THE COMMUNITY EVENTS WERE HELD FROM FEBRUARY-MARCH 2021 AND SEPTEMBER 21, 2021 AT THE NATIONAL WESTERN COMPLEX AND SURVEYED 1,389 PEOPLE. THE SURVEY RESPONDENTS LISTED THE TOP FIVE HEALTH AREAS OF CONCERN:1. SOCIAL ISOLATION2. ACCESSING HEALTH CARE3. HEALTH BENEFITS4. RESOURCE AWARENESS5. ACCESS TO VACCINES IN THE CHI-HOSTED SURVEY, RESPONDENTS WERE ASKED TO IDENTIFY THE MOST PRESSING HEALTH CONCERNS FROM A LIST OF OPTIONS. DENVER COUNTY SURVEY RESPONDENTS IDENTIFIED HOUSING AS THE BIGGEST ISSUE IN THE COMMUNITY. SAINT JOSEPH HOSPITAL, INC. PART V, SECTION B, LINE 6B: DENVER PUBLIC HEALTH, NATIONAL JEWISH HEALTH, METRO CARING, INNER CITY HEALTH CENTER, DENVER DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, AMERICAN HEART ASSOCIATION, BRUNER FAMILY MEDICINESAINT JOSEPH HOSPITAL, INC.:PART V, SECTION B, LINE 7A, HOSPITAL WEBSITE.WWW.SCLHEALTH.ORG/LOCATIONS/SAINT-JOSEPH-HOSPITAL/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ SAINT JOSEPH HOSPITAL, INC.:PART V, SECTION B, LINE 10A, HOSPITAL WEBSITE.WWW.SCLHEALTH.ORG/LOCATIONS/SAINT-JOSEPH-HOSPITAL/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-IMPROVEMENT-PLAN/ SAINT JOSEPH HOSPITAL, INC. PART V, SECTION B, LINE 11: THROUGH THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, SEVEN NEEDS WERE IDENTIFIED AS PREVALENT - ACCESS TO CARE, BEHAVIORAL HEALTH/SUBSTANCE ABUSE, CHILDHOOD OBESITY, DENTAL CARE, ECONOMIC STABILITY, FOOD INSECURITY AND STI PREVALENCE. THREE NEEDS WERE PRIORITIZED AS THE MOST PRESSING FOR THE DEFINED SERVICE AREA: 1. ECONOMIC STABILITY 2. FOOD INSECURITY 3. BEHAVIORAL HEALTH ACCESS.IMPROVED MENTAL HEALTH FOR OUR COMMUNITY: PROGRESS WAS MADE IN 2021 WITH MENTAL HEALTH PROGRAMMING. EFFORTS INCLUDE THE INTEGRATION OF MENTAL HEALTH SERVICES INTO THREE CHARITY CARE CLINICS AT SJH, A FOCUS ON MATERNAL MENTAL HEALTH, AND A SUICIDE PREVENTION INITIATIVE IN THE SJH EMERGENCY DEPARTMENT.INTEGRATED MENTAL HEALTH SERVICES: MENTAL HEALTH SERVICES HAVE BEEN ADDED TO THE CARE IN BRUNER FAMILY MEDICINE, CARITAS CLINIC, AND SETON WOMEN'S CENTER. THE THOUSANDS OF PATIENTS SERVED BY THESE CLINICS NOW HAVE MENTAL HEALTH SERVICES AVAILABLE AS PART OF THEIR ROUTINE HEALTH CARE ACCESS. THIS MODEL PRODUCES EXCELLENT RESULTS BY DESTIGMATIZING MENTAL HEALTH SERVICES AND PROVIDING ONE POINT OF ENTRY FOR EVERYTHING A PATIENT MAY NEED. IN 2021, 533 PEOPLE ACCESSED MENTAL HEALTH SERVICES WITHIN THE CHARITY CARE CLINICS.MATERNAL MENTAL HEALTH: THE BLOOM PROGRAM WAS DESIGNED TO ADDRESS THE POINT WHEN A WOMAN'S RISK OF DEPRESSION AND MOOD DISORDER IS THE HIGHEST, SHE WILL EXPERIENCE IN HER LIFETIME - THE PERINATAL PERIOD. AS A LEADER IN WOMEN'S HEALTH CARE, SJH PRIORITIZED THIS ASPECT OF MENTAL HEALTH TREATMENT AND WELLNESS FOR THE COMMUNITIES WE SERVE. OVER THE PAST YEAR THE PROGRAM HAS EXPANDED TO INCLUDE EFFORTS AT ALL SCL HEALTH FRONT RANGE CARE SITES.DURING 2021, THE DEVELOPMENT OF THE SCL HEALTH BLOOM PROGRAM TO ADDRESS MATERNAL MENTAL HEALTH HAS PROVIDED AN EXPANDED CONTINUUM OF CARE AND TREATMENT MODALITIES TO RESPOND TO FAMILIES EXPERIENCING PERINATAL MOOD AND ANXIETY DISORDERS (PMADS). AT THIS TIME, THE BLOOM TEAM CONSISTS OF SIX INTEGRATED BEHAVIORAL HEALTH TEAM MEMBERS, ALL OF WHOM ARE EXPERIENCED AND HAVE TRAINING IN PERINATAL MENTAL HEALTH. THIS INCLUDES A LICENSED PROFESSIONAL COUNSELOR, A BILINGUAL PERINATAL CASE MANAGER, A REGISTERED DIETICIAN AND LACTATION CONSULTANT, AND THREE LICENSED CLINICAL SOCIAL WORKERS, ALL OF WHOM HAVE EXTENSIVE EXPERIENCE WITH FAMILIES WITH BABIES IN THE NEONATAL INTENSIVE CARE UNIT, FAMILIES EXPERIENCING INFERTILITY AND COMPLICATED PREGNANCIES, AND PERINATAL BEREAVEMENT (INCLUDING PERINATAL PALLIATIVE AND HOSPICE CARE). THE BLOOM TEAM STRATEGICALLY ADDED A BILINGUAL CASE MANAGER WHO HAS HAD EXTENSIVE EXPERIENCE IN THE SJH MATERNAL FETAL MEDICINE CLINIC AND ON THE INPATIENT HIGH RISK ANTEPARTUM UNIT AND A LICENSED PROFESSIONAL COUNSELOR, WITH EXPERTISE IN PERINATAL ANXIETY AND WITH GROUPS. ADDITIONALLY, A PROVIDER COMPLETED THE HARRIS FELLOWSHIP PROGRAM IN INFANT MENTAL HEALTH, ANOTHER STRATEGICALLY BEGAN SPLITTING HER TIME BETWEEN THE NICU AT SJH AND THE BLOOM PROGRAM IN ORDER TO PROMOTE CONTINUITY OF CARE ACROSS THE INPATIENT AND OUTPATIENT SETTING, AND ANOTHER PROVIDER WAS CREDENTIALED TO OFFER EMDR, AN EVIDENCE-BASED TRAUMA SPECIFIC INTERVENTION. ALL OF THESE EFFORTS HAVE HELPED INCREASE THE TEAM'S CAPACITY TO BE ABLE TO RECEIVE REFERRALS DIRECTLY FROM ALL FOUR OF SCL HEALTH'S COLORADO FRONT RANGE HOSPITALS, AS WELL AS THOSE HOSPITALS' 16 ASSOCIATED OBSTETRIC CLINICS. THE BLOOM TEAM HAS ALSO BEEN ABLE TO PROVIDE CONSULTATION, MONDAY THROUGH FRIDAY FROM 8AM TO 4:30PM, TO INPATIENT AND OUTPATIENT MEDICAL PROVIDERS, INCLUDING THE INPATIENT CARE MANAGERS AND LACTATION CONSULTANTS WHO PROVIDE FURTHER BEHAVIORAL HEALTH ASSESSMENTS ON THE WOMEN'S UNITS. TO DATE, MORE THAN 10,000 FAMILIES HAVE BENEFITED FROM SCREENING, INTERVENTION, AND REFERRAL THROUGH THE BLOOM PROGRAM. SUICIDE PREVENTION: IN PARTNERSHIP WITH ROCKY MOUNTAIN CRISIS PARTNERS (RMCP), THE BEHAVIORAL HEALTH TEAM IN THE SJH EMERGENCY DEPARTMENT IS ABLE TO OFFER FOLLOW-UP SERVICES TO ANYONE PRESENTING WITH A SUICIDE ATTEMPT OR SUICIDAL IDEATION. RESEARCH SHOWS THAT WHEN A PERSON WHO HAS RECENTLY ATTEMPTED OR CONSIDERED ATTEMPTING SUICIDE RECEIVES RAPID FOLLOW-UP FROM SOMEONE WHO EXPRESSES CONCERN AND CARE, THE PROBABILITY THAT THE PERSON WILL ATTEMPT AGAIN DROPS SIGNIFICANTLY. AT SJH PEOPLE IN THIS CIRCUMSTANCE ARE OFFERED A WARM HANDOFF TO A PROFESSIONAL AT RMCP WHO FOLLOWS UP IMMEDIATELY THEN REGULARLY FOR THE NEXT 90 DAYS. DURING THIS PERIOD, AS THE RELATIONSHIP DEVELOPS, THE CLINICIAN CONNECTS THE INDIVIDUAL TO FURTHER IMPORTANT FOLLOW-UP SERVICES AND BECOMES A SUPPORTIVE AND CARING EAR. IN 2021, 151 PEOPLE WERE REFERRED TO BE PART IN FOLLOW-UP SERVICES AFTER PRESENTING IN THE SJH ED. ACCORDING TO TRACKING AVAILABLE THROUGH RMCP, NONE OF THE PARTICIPANTS RETURNED TO THE SJH ED WITH A SUICIDE CONCERN DURING THE YEAR.BABY BOOTIQUEENSURING THE BEST POSSIBLE START FOR CHILDREN LIVING IN LOWER INCOME FAMILIES IS THE AIM OF THE BABY BOOTIQUE AT SAINT JOSEPH HOSPITAL. HISTORICALLY, MOTHERS IN LOWER INCOME GROUPS HAVE A DISPROPORTIONATELY HIGH RATE OF LOW-BIRTH-WEIGHT BABIES. LOW BIRTH WEIGHT LEADS TO A VARIETY OF SOMETIMES LIFE-LONG HEALTH ISSUES FOR CHILDREN CAUSING STRESS FOR FAMILIES AND ADDITIONAL COSTS FOR HEALTH CARE SYSTEMS. THE BABY BOOTIQUE OFFERS INCENTIVES TO FAMILIES WHO PRIORITIZE A HEALTHY PREGNANCY BY ATTENDING REGULAR APPOINTMENTS, ENGAGING IN EDUCATION ABOUT PREGNANCY AND BIRTH, AND MAKING HEALTH MODIFICATIONS THAT LEAD TO IMPROVED OUTCOMES. FAMILIES USE THE INCENTIVE COUPONS THEY EARN TO "PURCHASE" NEEDED BABY ITEMS AT A STORE LOCATED ON THE SJH CAMPUS. IN 2021, THE PROGRAM SERVED 431 FAMILIES. WHEN COMPARING THE GROUP WHO PARTICIPATED IN THE BABY BOOTIQUE TO A DEMOGRAPHICALLY SIMILAR GROUP WHO DID NOT, THE LOW-BIRTH-WEIGHT PERCENTAGE FOR PARTICIPATING FAMILIES WAS 8.8% (COLORADO AVERAGE 9.0) AND FOR THOSE NOT PARTICIPATING WAS 14.6%.INFLUENCING ECONOMIC CONDITIONSSAINT JOSEPH HOSPITAL IS COMMITTED TO MOVING UPSTREAM TOWARD THE CAUSES OF POOR HEALTH. A LACK OF ECONOMIC STABILITY IS ASSOCIATED WITH REDUCED ACCESS TO HEALTH CARE, FOOD, HOUSING, EDUCATION, ALL RESULTING IN SOME COMMUNITIES NOT HAVING THE SAME OPPORTUNITY TO BE AS HEALTHY AS OTHERS. TWO EFFORTS IN 2021 WERE DESIGNED TO BEGIN CHANGING THE WAY SJH DOES BUSINESS TO ALIGN WITH APPROACHES THAT SUPPORT LOCAL COMMUNITY MEMBERS:HYPER-LOCAL BLACK, INDIGINOUS, PEOPLE OF COLOR (BIPOC) CATERING SUPPORTSJH SHIFTED SOME OF ITS EXTERNAL CATERING PURCHASES TO LOCALLY OWNED BIPOC START-UP BUSINESSES LEADING TO $30,000 STAYING IN THE LOCAL COMMUNITY.LOCAL HIRINGSJH BEGAN A PARTNERSHIP WITH A NEIGHBORHOOD JOB TRAINING AND POVERTY ALLEVIATION ORGANIZATION CALLED CROSS PURPOSE. SJH HOSTS STUDENTS FROM THEIR MEDICAL ASSISTANCE PROGRAM EXTERNSHIP AND THEN HIRES THEM FOR REGULAR FULL AND PART-TIME BENEFITED POSITIONS.FOOD ACCESSSJH PARTNERS WITH METRO CARING TO PROVIDE CREATIVE AND SUSTAINABLE FOOD ACCESS TO COMMUNITY MEMBERS IN NEED. MOST VISIBLY, THE HOSPITAL OFFERS SPACE ON ITS CAMPUS FOR VARIOUS FOOD PRODUCTION EFFORTS:1. MARION GARDEN - A SERIES OF 10, 4'X6' RAISED GARDEN BEDS PROVIDED FOR USE BY LOW-INCOME SENIORS LIVING ON THE MARION PLAZA. RESIDENTS GROW FOOD AND DISTRIBUTE TO OTHER RESIDENTS DURING THE GROWING SEASON.2. HUMBOLDT GARDEN - A .5-ACRE COMMUNITY GARDEN WITH 23 PLOTS FOR COMMUNITY MEMBERS TO GROW THEIR OWN FOOD.3. FREIGHT FARM - A YEAR-ROUND HYDROPONIC GARDEN BEING USED BY COMMUNITY MEMBERS WHO GROW DESIRABLE HERBS THAT ARE SOLD AT LOCAL FARMERS MARKETS DURING THE SEASON AS PART OF A SMALL BUSINESS START-UP.4. THE SECRET GARDEN - GROWING FOOD THAT IS DISTRIBUTED THROUGH THE METRO CARING MARKET.ADDITIONAL NEEDS NOT PRIORITIZED SAINT JOSEPH HOSPITAL (SJH) RECOGNIZES THAT THE OTHER HEALTH NEEDS AND INDICATORS IDENTIFIED IN THE 2021 SJH COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS ARE IMPORTANT FOR THE HOSPITAL AND THE COMMUNITIES IT SERVES. NUMEROUS OTHER ORGANIZATIONS ARE CONCURRENTLY ADDRESSING MANY OF THESE REMAINING NEEDS. THEREFORE, DUE TO LIMITED EXPERTISE AND RESOURCES AT THE INDIVIDUAL HOSPITAL LEVEL SJH HAS NARROWED ITS TOP PRIORITIES TO THE FOCUS AREAS LISTED ABOVE. SJH WILL, HOWEVER, CONTINUE TO BUILD PARTNERSHIPS WITH OTHER COMMUNITY AGENCIES IN OUR PRIMARY SERVICE AREA IN ORDER TO EXPAND OUR FOOTPRINT AS FAR AS POSSIBLE INTO ALL RELEVANT HEALTH PRIORITY AREAS WITHOUT OVERTAXING AVAILABLE RESOURCES IN OUR IDENTIFIED PRIORITY AREAS. SAINT JOSEPH HOSPITAL, INC.:PART V, SECTION, B, LINE 16A, 16B, 16C:WWW.SCLHEALTH.ORG/LOCATIONS/SAINT-JOSEPH-HOSPITAL/PATIENTS-VISITORS/BILLING-PRICING/FINANCIAL-ASSISTANCE/ 7 1 - SISTER JOANNA BRUNER FAM MED CTR 1960 OGDEN ST STE 460 DENVER CO 802183670 OUTPATIENT PHYSICIAN CLINIC 2 - SETON WOMEN'S CLINIC 1960 OGDEN ST STE 340 DENVER CO 802183669 OUTPATIENT PHYSICIAN CLINIC 3 - CARITAS CLINICS 1960 OGDEN ST STE 400 DENVER CO 802183670 OUTPATIENT PHYSICIAN CLINIC 4 - RAINER GENERAL SURGERY CLINIC 1960 OGDEN ST STE 400 DENVER CO 802183670 OUTPATIENT PHYSICIAN CLINIC 5 - DOWNTOWN SURGERY SPECIALISTS 1960 OGDEN ST STE 550 DENVER CO 80218 OUTPATIENT PHYSICIAN CLINIC 6 - BIRTH CENTER OF DENVER 1830 FRANKLIN ST STE 330 DENVER CO 802181128 OUTPATIENT PHYSICIAN CLINIC 7 - SJH - CANCER CENTERS OF COLORADO 1825 MARION ST DENVER CO 80218 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 6A: THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $9,247,938. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIES ARE THOSE THAT IMPROVE THE HEALTH AND SAFETY OF COMMUNITY MEMBERS BY ADDRESSING THE ROOT CAUSES OF PROBLEMS (E.G. POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS). IN 2021 SJH CONTINUED TO EXPAND SEVERAL PARTNERSHIPS INTENDED TO DIRECTLY ADDRESS THE HEALTH AND SAFETY NEEDS OF RESIDENTS IN THE CITY AND COUNTY OF DENVER. ONE EXAMPLE IS A STRENGTHENED PARTNERSHIP WITH INCLUSIVE HOUSING DENVER, A PARTNERSHIP WITH COLORADO HOUSING AND FINANCE AUTHORITY AND DEVELOPMENT PATHWAYS. THIS PROGRAM PROVIDES SUPPORT FOR I/DD COMMUNITY MEMBERS IN INDEPENDENT HOUSING, IN-BUILDING SERVICES SUPPORTING MENTAL AND PHYSICAL HEALTH NEEDS, AS WELL AS NAVIGATION TO OTHER RESOURCES. OUR PARTNERSHIP INCLUDES CASH AND IN-KIND DONATIONS AND INCORPORATES PLANNED VOLUNTEERISM AND PROGRAM DEVELOPMENT. PART III, LINE 1: THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING BAD DEBT. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. PART III, LINE 4: THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: NET PATIENT SERVICE REVENUE GENERALLY RELATES TO CONTRACTS WITH PATIENTS IN WHICH THE PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES TO PATIENTS OVER A PERIOD OF TIME. REVENUE IS ESTIMATED FOR PATIENTS WHO HAVE NOT BEEN DISCHARGED AS OF THE REPORTING PERIOD BASED ON ACTUAL CHARGES INCURRED TO DATE IN RELATION TO TOTAL EXPECTED CHARGES. SCL HEALTH BELIEVES THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. THE CONTRACTUAL RELATIONSHIP WITH PATIENTS ALSO TYPICALLY INVOLVES A THIRD-PARTY PAYOR (MEDICARE, MEDICAID, MANAGED CARE PLANS, AND COMMERCIAL INSURANCE COMPANIES), AND THE TRANSACTION PRICES FOR THE SERVICES PROVIDED ARE DEPENDENT UPON THE TERMS PROVIDED BY OR NEGOTIATED WITH THE THIRD-PARTY PAYORS. THE PAYMENT ARRANGEMENTS WITH THIRD-PARTY PAYORS FOR THE SERVICES PROVIDED TO THE RELATED PATIENTS TYPICALLY SPECIFY PAYMENT OR REIMBURSEMENT TO SCL HEALTH AT OTHER-THAN-STANDARD CHARGES. BECAUSE ALL OF ITS PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, SCL HEALTH HAS ELECTED TO APPLY THE OPTIONAL EXEMPTION NOT TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY SATISFIED AT THE END OF THE REPORTING PERIOD. THE UNSATISFIED OR PARTIALLY SATISFIED PERFORMANCE OBLIGATIONS REFERRED TO ABOVE ARE PRIMARILY RELATED TO INPATIENT SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD. NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATES OF IMPLICIT PRICE CONCESSIONS AND RETROACTIVE REVENUE ADJUSTMENTS DUE TO AUDITS, REVIEWS, AND INVESTIGATIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO UNINSURED PATIENTS AND PATIENTS WITH CO-PAYS, CO-INSURANCE, AND DEDUCTIBLES AND ARE ESTIMATED BASED ON HISTORICAL COLLECTION DATA. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, OR INVESTIGATIONS. PART III, LINE 8: THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO. 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. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR 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. PART V, SECTION A, WEBSITE WWW.SCLHEALTH.ORG/LOCATIONS/SAINT-JOSEPH-HOSPITAL/ PART VI, LINE 2: AS PART OF SAINT JOSEPH HOSPITAL'S CORE COMMITMENT OF SERVICE TO THE POOR AND VULNERABLE, THE HOSPITAL TAKES STEPS TO DETERMINE WHERE THERE IS THE MOST NEED IN ORDER TO PROVIDE THE GREATEST GOOD THROUGH INCREMENTAL REVIEW OF CURRENT NEEDS ACROSS THE COMMUNITIES SERVED. AS AN ACTIVE MEMBER OF THE MILE HIGH HEALTH ALLIANCE, THE HOSPITAL IS IN TOUCH WITH CURRENT NEEDS AND POISED TO RESPOND WHEN OTHER NEEDS ARE IDENTIFIED. PART VI, LINE 3: THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS AND THROUGH THE PATIENT PORTAL, MYCHART. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. PART VI, LINE 4: FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT THE SJH COMMUNITY WAS DEFINED AS NORTHEAST DENVER. THIS INCLUDES THE NINE DENVER NEIGHBORHOODS IMMEDIATELY NORTH OF THE HOSPITAL CAMPUS: CITY PARK, CITY PARK WEST, CLAYTON, COLE, ELYRIA SWANSEA, FIVE POINTS, NORTHEAST PARK HILL, SKYLAND, AND WHITTIER. BECAUSE SPECIFIC POPULATION DATA IS DIFFICULT TO FIND, IN SOME CASES WE USED THE CITY OF DENVER'S DEMOGRAPHIC DATA TO INFORM OUR 2021 CHNAPOPULATIONON AVERAGE, FROM 2015 - 2019, THE POPULATION OF THE SJH SERVICE AREA WAS 135,160. DENVER COUNTY HAD A POPULATION OF 705,576.IN THE SERVICE AREA, 51.5% OF THE POPULATION WAS MALE AND 48.5% WAS FEMALE.YOUTH, AGES 0 - 19 MAKE UP 16.4% OF THE POPULATION IN THE SERVICE AREA. 73.2% OF THE POPULATION WAS 20 TO 64 YEARS OLD AND 10.4% WERE AGES 65 YEARS AND OLDER. THE SERVICE AREA HAD A HIGHER PERCENTAGE OF ADULTS, AGES 20-34, AND A LOWER PERCENTAGE OF SENIORS THAN DENVER COUNTY. THE MEDIAN AGE IN THE SERVICE AREA IS 34 YEARS OLD.POPULATION, BY AGEIN THE SERVICE AREA, DENVER 80202 HAD THE LOWEST PERCENTAGE OF YOUTH, AGES 5-17 (2.2%) AND DENVER 80207 HAD THE HIGHEST PERCENTAGE OF YOUTH (22.1%). DENVER 80205 HAD THE SMALLEST PERCENTAGE OF SENIORS (6.6%) IN THE SERVICE AREA. DENVER 80206 HAD THE HIGHEST PERCENTAGE OF SENIORS (16.5%) IN THE SERVICE AREA. THE MEDIAN AGE RANGED FROM 32.5 YEARS IN DENVER 80205 TO 37.3 YEARS IN DENVER 80206.RACE AND ETHNICITYIN THE SERVICE AREA, 61.3% OF THE POPULATION IS WHITE, 20.1% ARE HISPANIC/LATINX, 2.1% ARE ASIAN, AND 12% ARE BLACK/AFRICAN AMERICAN. THE SERVICE AREA HAD A GREATER PERCENTAGE OF WHITES, AFRICAN AMERICANS, AND MULTI-RACIAL PEOPLE THAN COLORADO.IN DENVER 80216, OVER HALF OF THE POPULATION (62.8%) IS HISPANIC OR LATINX, THE HIGHEST IN THE SERVICE AREA. DENVER 80202 AND BROOMFIELD HAVE THE HIGHEST PERCENTAGE OF ASIANS (6.0%) IN THE SERVICE AREA. DENVER 80207 HAS THE HIGHEST PERCENTAGE OF AFRICAN AMERICANS IN THE SERVICE AREA (26.5%) AND BROOMFIELD HAS THE LOWEST PERCENTAGE OF AFRICAN AMERICAN RESIDENTS (0.8%). DENVER 80218 HAS THE HIGHEST PERCENTAGE OF WHITE RESIDENTS (82.3%) IN THE SERVICE AREA.LANGUAGEOVER THREE-QUARTERS OF THE SERVICE AREA POPULATION, AGES 5 AND OLDER, SPEAK ONLY ENGLISH IN THE HOME (84.1%). 15.9% OF THE POPULATION SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, AND 12.5% OF THE POPULATION SPEAKS SPANISH IN THE HOME. PART VI, LINE 5: WITH ITS 365 LICENSED BEDS IN A STATE OF THE ART FACILITY, SAINT JOSEPH HOSPITAL (SJH) IS POSITIONED TO SERVE THE LOCAL COMMUNITY BY PROVIDING COMPREHENSIVE MEDICAL SERVICES INCLUDING CARDIOLOGY, PULMONARY, ONCOLOGY, ORTHOPEDICS, WOMEN AND FAMILY, EMERGENCY AND TRAUMA, NEONATAL INTENSIVE CARE, NEUROLOGY AND NEUROSURGERY, OBSTETRICS/GYNECOLOGY, GENERAL SURGICAL AND MEDICAL, PRIMARY CARE, INTERNAL MEDICINE, BEHAVIORAL HEALTH, SENIOR EMERGENCY DEPARTMENT CARE, PALLIATIVE & HOSPICE CARE AND INTEGRATIVE HEALTH SERVICES.SJH EXTENDS CARE BEYOND THE HOSPITAL WALLS IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITY AS DEMONSTRATED BY A NUMBER OF COMMUNITY ACTIVITIES AND PARTNERSHIPS.SJH IS A CERTIFIED "BABY FRIENDLY HOSPITAL" IN COLORADO AS PART OF ITS ADOPTION OF STANDARDS THAT PROMOTE BREASTFEEDING. HOSPITALS THAT ACHIEVE THIS STATUS ARE HELPING MOTHERS AND BABIES TO HAVE A HEALTHY START IN LIFE AND REVERSE THE CHILDHOOD OBESITY EPIDEMIC. DUE TO THE HIGH RATE OF TEEN BIRTHS IN OUR COMMUNITY, WE CONTINUED OUR EXISTING TEEN MOM AND PARENTING SERVICES TO ENSURE THIS VULNERABLE POPULATION IS PROVIDED THE NECESSARY RESOURCES FOR A HEALTHY CHILD AND FAMILY UNIT. A RANGE OF OTHER PROGRAMS AND SERVICES COMPRISE THE REMAINDER OF THE TOTAL COMMUNITY BENEFIT OFFERINGS FOR SJH HOSPITAL. IN BETTER SERVING THE PHYSICAL AND MENTAL HEALTH NEEDS OF OUR LOW-INCOME AND UNINSURED PREGNANT WOMEN AND NEWLY DELIVERED MOTHERS, WE EXPANDED OUR PERINATAL SUPPORT PROGRAM TO A NON-AFFILIATED SAFETY NET CLINIC IN OUR LOCAL COMMUNITY, INNER CITY HEALTH CENTER. ADDITIONALLY, WE BEGAN PLANS TO EXPAND TO A SECOND NON-AFFILIATED SAFETY NET CLINIC IN 2020. THE PERINATAL SUPPORT PROGRAM PROVIDES INCENTIVES FOR WOMEN TO PARTICIPATE IN PRENATAL HEALTH SCREENINGS AND PROVIDER VISITS, PERINATAL EDUCATION CLASSES, AND POSTPARTUM SCREENINGS INCLUDING RISK FOR POSTPARTUM DEPRESSION. THROUGH THE SJH COMMUNITY RESOURCE FORUM, WE CONVENE OTHER NON-PROFIT AND HUMAN SERVICE COMMUNITY AGENCIES TO SHARE INFORMATION AND EDUCATION AS A MEANS TO MAXIMIZE RESOURCES, BUILD COMMUNITY CAPACITY AND SUPPORT BROAD NEEDS IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT THAT THE HOSPITAL CANNOT INDEPENDENTLY OR DIRECTLY ADDRESS.SJH IS THE OLDEST PRIVATE TEACHING HOSPITAL IN COLORADO AND HAS CONTINUED TO INVEST IN MEDICAL PROFESSIONAL TRAINING SINCE INCEPTION OF THE MEDICAL RESIDENCY PROGRAM IN 1893. CURRENTLY, SJH HAS FOUR MEDICAL RESIDENCY PROGRAMS - INTERNAL MEDICINE, FAMILY MEDICINE, OBSTETRICS & GYNECOLOGY, AND GENERAL SURGERY. IN ADDITION TO MEDICAL RESIDENCY, SJH TAKES AN ACTIVE ROLE IN THE CLINICAL TRAINING OF NURSES, ADVANCED PRACTICE NURSES, PHARMACISTS, AND RADIOLOGY TECHNICIANS. SJH PROVIDES FOCUSED OPERATIONAL AND STRATEGIC SUPPORT FOR BRUNER FAMILY MEDICINE, THE CARITAS CLINIC, AND SETON WOMEN'S CLINIC, AS WELL AS A CERTIFIED NURSE MIDWIFE CLINIC HOUSED WITHIN THE SETON WOMEN'S CLINIC. THESE CLINICS SERVE THE HEALTH NEEDS FOR LOW-INCOME AND UNINSURED POPULATIONS REGARDLESS OF THE ABILITY TO PAY. CLINIC PROVIDERS AND STAFF WORK CLOSELY TOGETHER TO PROVIDE INTEGRATED CARE FOR THOSE WHO VISIT THE HOSPITAL FACILITY OR THE OUTPATIENT CLINICS FOR THEIR HEALTH NEEDS. THE CLINICS ARE COMMITTED TO PROVIDING ACCESS TO COMPASSIONATE AND TRUSTWORTHY CARE FOR THE UNINSURED POOR. IN ADDITION TO PRIMARY CARE, OBSTETRIC AND GYNECOLOGIC CARE, AND GENERAL SURGERY, THE PACKAGE OF SERVICES INCLUDES FINANCIAL SUPPORT FOR SPECIALIST AND SUBSPECIALTY CARE, AND MEDICATION PURCHASE ASSISTANCE. BRUNER FAMILY MEDICINE IS CURRENTLY ACCREDITED AS A LEVEL 3 PATIENT CENTERED MEDICAL HOME AND PROVIDES PATIENTS WITH ACCESS TO PROGRAMS FOR DIABETES, MENTAL HEALTH, CANCER SCREENING AND TOBACCO CESSATION. SJH IS AN IMPORTANT COMPONENT OF THE CITY AND COUNTY OF DENVER AND SERVES THE COMMUNITY IN NUMEROUS WAYS, FROM DELIVERING PREVENTATIVE CARE, DISEASE MANAGEMENT, AND ACUTE HEALTHCARE SERVICES TO SUPPORT OF OTHER CIVIC GROUPS. OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, ALL OF WHOM PROVIDE HOURS OF SERVICE IN SUPPORT OF THE WORK OF THE HOSPITAL. BOARD MEMBERS ARE ALSO INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT THOSE WHO LIVE AND WORK IN THE CITY AND COUNTY OF DENVER KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH SJH AND ITS SAFETY NET CLINICS.WHEN SJH HAS EXCESS REVENUE OVER OPERATING EXPENSES, THE FUNDS ARE USED 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 SJH WILL BE SUSTAINED AND AVAILABLE TO PROVIDE CARE TO THE COMMUNITY FOR FUTURE GENERATIONS. IN ADDITION, SJH SUPPORTS ASSOCIATES (EMPLOYEES) IN VOLUNTEERING FOR COMMUNITY ORGANIZATIONS, INCLUDING SERVING ON COMMUNITY BOARDS, AND PROVIDES OPPORTUNITIES FOR THEM TO SUPPORT CAUSES THROUGH HOSPITAL EVENTS SUCH AS FOOD DRIVES FOR LOCAL FOOD BANKS, SCHOOL SUPPLY DRIVES FOR LOCAL SCHOOLS, THE AMERICAN HEART WALK AND KOMEN RACE FOR THE CURE. SJH LEADERS AND ASSOCIATES (EMPLOYEES) STRIVE TO BE GOOD CITIZENS AND PARTNER WITH OTHER ORGANIZATIONS AND AGENCIES TO SUPPORT A THRIVING COMMUNITY THROUGH OUR MEMBERSHIPS WITH THE DENVER CHAMBER OF COMMERCE, THE MILE HIGH HEALTH ALLIANCE, CAPITOL HILL UNITED NEIGHBORHOODS, INC. AND CAPITOL UNITED MINISTRIES. PART VI, LINE 6: THE ORGANIZATION 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: "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITIES, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES EIGHT HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 200 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,700 EMPLOYEES AND MORE THAN 500 EMPLOYED PHYSICIANS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.THE ORGANIZATION 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. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION, REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, TAX SERVICES AND MISSION INTEGRATION. 1 SCL HEALTH MEDICAL GROUP - DENVER LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 463778226 501(C)(3) 4218671 0 PROGRAM SUPPORT SAINT JOSEPH HOSPITAL FOUNDATION 1375 E 19TH AVENUE DENVER CO 80218 840735096 501(C)(3) 997189 0 PROGRAM SUPPORT LA CLINICA TEPEYAC INC 4725 HIGH STREET DENVER CO 80216 841285505 501(C)(3) 263000 0 PROGRAM SUPPORT CROSSPURPOSE 3050 RICHARD ALLEN CT DENVER CO 80205 463862392 501(C)(3) 30000 0 PROGRAM SUPPORT ARRUPE CORPORATE WORK STUDY PROGRAM 4343 UTICA STREET DENVER CO 80212 460508814 501(C)(3) 29200 0 PROGRAM SUPPORT INNER CITY HEALTH CENTER 3800 YORK STREET DENVER CO 80205 742426085 501(C)(3) 10000 0 PROGRAM SUPPORT DENVER ZOOLOGICAL FOUNDATION INC 2300 STEELE ST DENVER CO 80205 840502539 501(C)(3) 10000 0 PROGRAM SUPPORT 7 0 PART I, LINE 2: THE ORGANIZATION KEEPS RECORDS TO SUPPORT THE AMOUNTS PROVIDED AND THE REASON FOR SUCH SUPPORT. 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 0 1 0 1 0 0 0 0 0 1 0 LYDIA JUMONVILLE FORMER OFFICER 0 1302227 0 439629 0 390552 0 448852 0 21261 0 2602521 0 378434 MARK KORTH MEMBER 0 934809 0 251834 0 4670 0 156290 0 26080 0 1373683 0 0 JANIE WADE TREASURER 0 867860 0 222790 0 4636 0 136927 0 25770 0 1257983 0 0 JAMESON SMITH PRESIDENT SJD 0 519594 0 151815 0 73112 0 89610 0 25966 0 860097 0 68438 JOHN RAHEB MD PHYSICIAN GME FACULTY 568646 0 106361 0 5693 0 11228 0 28494 0 720422 0 0 0 MICHAEL SKEHAN VP CHIEF OPERATING OFFICER SJD 0 440541 0 74305 0 85721 0 62705 0 18306 0 681578 0 44348 SIMON PAYNE FORMER KEY EMPLOYEE 0 400498 0 79928 0 79482 0 68328 0 23784 0 652020 0 77469 BARBARA JAHN FORMER KEY EMPLOYEE 0 402284 0 78301 0 51484 0 61139 0 18306 0 611514 0 44611 JOHN TYNES MD VP CHIEF MEDICAL OFFICER SJD 0 412050 0 82002 0 7356 0 70402 0 26080 0 597890 0 0 THOMAS DONOHOE SECRETARY 0 424612 0 76120 0 1614 0 64520 0 28830 0 595696 0 0 ALWIN STEINMANN MD CHIEF ACADEMIC MEDICINE 0 336821 0 67280 0 50447 0 63156 0 20740 0 538444 0 44800 JASON JOHNSON MD PHYSICIAN GME PROG DIR 465200 0 0 0 2158 0 10634 0 8550 0 486542 0 0 0 JILLIAN CIOCCHETTI MD PHYSICIAN GME FACULTY 438356 0 0 0 1589 0 17400 0 4195 0 461540 0 0 0 WENDY PETERSON MD ASSOC PROG DIR PHYSICIAN GME 403408 0 0 0 1949 0 17400 0 32505 0 455262 0 0 0 EMILY SPEER MD PHYSICIAN GME FACULTY 384409 0 0 0 807 0 17400 0 29428 0 432044 0 0 0 DINA BUSH VP CHIEF NURSING OFFICER SJD 0 274230 0 55691 0 1932 0 42142 0 26924 0 400919 0 0 JASON GAINES VP STRATEGY & BUS DEVELOPMENT SJD 0 238182 0 48080 0 29376 0 38764 0 26830 0 381232 0 28104 PETER SCHAAD VP OPERATIONS SJD 0 220667 0 43235 0 23131 0 34810 0 0 0 321843 0 21661 BRAD MEMBEL VP FINANCE SJD 0 252340 0 0 0 1292 0 26100 0 27970 0 307702 0 0 PATRICE FARRELL-DELINE VP MISSION INTEGRATION 0 164268 0 32136 0 1837 0 23917 0 21816 0 243974 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS THAT RECEIVED TAX GROSS-UP PAYMENTS IN 2021 WERE: MICHAEL SKEHAN - $254 PART I, LINE 1B TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - WRITTEN POLICY THE ORGANIZATION AND RELATED ORGANIZATIONS DO NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE; PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES. PART I, LINE 3 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 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 ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. PART I, LINE 4B PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY 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. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. IN 2019, THE RELATED ORGANIZATION CONSOLIDATED FOUR NON QUALIFED DEFERRED COMPENSATION PLANS INTO ONE PLAN. AS PART OF THIS EFFORT, ALL VESTED BALANCES FROM THE SERP PLANS PRIOR TO 2014 WERE PAID TO THE PARTICIPANTS IN 2020. THERE ARE NO REMAINING PARTICIPANTS IN THE LEGACY PLANS. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2021. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2021 WERE: JAMESON SMITH - $68,438, JASON GAINES - 28,104, PETER SHCAAD - $21,661, MICHAEL SKEHAN - $44,348, ALWIN STEINMANN - $44,800, LYDIA JUMONVILLE - $378,434, BARBARA JAHN - $44,611, SIMON PAYNE - $77,469 IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E. PART I, LINE 7 THE AT-RISK COMPENSATION (ARC) PLAN WAS ESTABLISHED TO ENABLE SCL HEALTH TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION AND STRATEGIC IMPERATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND AWARD OPPORTUNITIES ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR MANAGEMENT LEVEL AT SCL HEALTH. ACTUAL AWARDS WILL BE PAID OUT BASED ON ATTAINMENT OF SELECTED SCL HEALTH BOARD-APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, QUALITY, PATIENT AND ASSOCIATE SAFETY AND PATIENT EXPERIENCE AND FULFILLMENT OF OUR MISSION. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON. FORM 990, SCHEDULE J - ADDITIONAL OFFICER AND BOARD DISCLOSURES THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF EIGHT HOSPITALS, NINE FOUNDATIONS, TWO SAFETY-NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 200 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,700 FULL-TIME ASSOCIATES AND MORE THAN 500 EMPLOYED PHYSICIANS. SCL HEALTH AND RELATED TAX EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCL HEALTH'S CORE VALUE OF STEWARDSHIP, SCL HEALTH'S BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. ERIN MORTON BERRY MORTON (BOARD MEMBER) IS THE GRANDPARENT OF AN EMPLOYEE OF SJH. 35982 EMPLOYMENT 0 IRENE TYNES JOHN TYNES (KE) IS THE SPOUSE OF AN EMPLOYEE OF SAINT JOSEPH HOSPITAL, INC. 53256 EMPLOYMENT 0 FORM 990, PART V, LINE 1A EXPLANATION FOR NUMBER REPORTED IN BOX 3 OF FORM 1096: THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. FORM 990, PART V, LINE 2A EXPLANATION FOR NUMBER REPORTED ON FORM W-3 A RELATED ORGANIZATION IS THE COMMON PAYMASTER FOR PAYROLL AND IS RESPONSIBLE FOR FILING THE REQUIRED FORM W-3 AND RELATED FORM W-2 FOR SAINT JOSEPH HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF THE SAINT JOSEPH HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF THE SAINT JOSEPH HOSPITAL, INC., APPROVES MEMBERS OF THE SAINT JOSEPH HOSPITAL, INC. BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SCLHS ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY SAINT JOSEPH HOSPITAL, INC., AND THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCL HEALTH'S PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS DETERMINED TO CONSTITUTE A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR MINISTRY INTEGRITY AND COMPLIANCE COMMITTEE AND TO THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B (POLICIES) LINES 15(A) & 15(B) THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 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 ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. PART VII, SECTION B, LINE 1: INDEPENDENT CONTRACTORS. THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. FORM 990, PART XI, LINE 9: TRANSFER OF LONG LIVED ASSETS FROM ST.JOSEPH HOSPITAL FOUNDATION 97,567. SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 237379161 MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES KS 501(C)(3) LINE 12C, III-FI N/A 0 SCL HEALTH FOUNDATION 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 823290526 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 0 SCL HEALTH RESEARCH INSTITUTE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 852014794 MEDICAL RESEARCH CO 501(C)(3) LINE 4 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 0 INTEGRITY HEALTH 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 474520350 SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12C, III-FI SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 0 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 840482695 HOSPITAL SERVICES CO 501(C)(3) LINE 3 INTEGRITY HEALTH 0 PLATTE VALLEY MEDICAL CENTER FOUNDATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 742255936 SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12A, I BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 0 MOUNT ST VINCENT HOME INC 4159 LOWELL BOULEVARD DENVER CO 80211 840405260 RESIDENT CARE CO 501(C)(3) LINE 10 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 0 NJH-SJH INC 500 ELDORADO BLVD SUITE 4300 DENVER CO 80211 471194849 MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES CO 501(C)(3) LINE 12A, I SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 0 SAINT JOSEPH HOSPITAL FOUNDATION 1375 EAST 19TH AVENUE DENVER CO 80218 840735096 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SAINT JOSEPH HOSPITAL INC 1 SCL HEALTH - FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 841103606 HOSPITAL SERVICES CO 501(C)(3) LINE 3 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 0 GOOD SAMARITAN MEDICAL CENTER FOUNDATION 200 EXEMPLA CIRCLE LAFAYETTE CO 80026 841649162 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SCL HEALTH-FRONT RANGE INC 0 LUTHERAN MEDICAL CENTER FOUNDATION 8300 WEST 38TH AVENUE WHEAT RIDGE CO 80033 208846152 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SCL HEALTH-FRONT RANGE INC 0 ST MARYS HOSPITAL & MEDICAL CENTER INC 2635 NORTH 7TH STREET GRAND JUNCTION CO 81501 840425720 HOSPITAL SERVICES CO 501(C)(3) LINE 3 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 0 ST MARYS HOSPITAL FOUNDATION 2635 NORTH 7TH STREET GRAND JUNCTION CO 81501 237001007 SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12A, I ST MARYS HOSPITAL & MEDICAL CENTER INC 0 CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH KS 66048 481009910 CLINIC SERVICES KS 501(C)(3) LINE 3 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 0 MARIAN CLINIC INC 3164 SE 6TH AVENUE TOPEKA KS 66607 481046905 CLINIC SERVICES KS 501(C)(3) LINE 3 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 0 HOLY ROSARY HEALTHCARE 2600 WILSON STREET MILES CITY MT 59301 810231792 HOSPITAL SERVICES MT 501(C)(3) LINE 3 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 0 HOLY ROSARY HEALTHCARE FOUNDATION INC 2600 WILSON STREET MILES CITY MT 59301 202270238 SUPPORTING ORGANIZATION MT 501(C)(3) LINE 12A, I HOLY ROSARY HEALTHCARE 0 ST JAMES HEALTHCARE 400 SOUTH CLARK STREET BUTTE MT 59701 810231785 HOSPITAL SERVICES MT 501(C)(3) LINE 3 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 0 ST JAMES HEALTHCARE FOUNDATION INC 400 SOUTH CLARK STREET BUTTE MT 59701 651202190 SUPPORTING ORGANIZATION MT 501(C)(3) LINE 12A, I ST JAMES HEALTHCARE 0 SCL HEALTH - MONTANA 1233 NORTH 30TH STREET BILLINGS MT 59101 810232124 HOSPITAL SERVICES MT 501(C)(3) LINE 3 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 0 ST VINCENT HEALTHCARE FOUNDATION INC 1106 NORTH 30TH STREET BILLINGS MT 59101 810468034 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS MT 501(C)(3) LINE 7 SCL HEALTH - MONTANA 0 SCLH-GI ENDOSCOPY HOLDINGS LLC 382 S ARTHUR AVENUE LOUISVILLE CO 80027 812979243 OP ENDOSCOPY CO N/A 0 0 SCLTDI JV LLC 4200 SIX FORKS ROAD SUITE 1000 RALEIGH NC 27609 472294770 RADIOLOGY DE N/A 0 0 ATHLETIC MEDICINE & PERFORMANCE LLC (SVB IS PARTNER) 1144 NORTH 28TH STREET BILLINGS MT 59101 272270640 PHYSICAL THERAPY MT N/A 0 0 SUMMIT SURGERY CENTER LLC 434 SOUTH CLARK STREET BUTTE MT 59701 810536068 OP SURGERY MT N/A 0 0 GRAND VALLEY SURGICAL CENTER LLC 710 WELLINGTON AVENUE SUITE 21 GRAND JUNCTION CO 81501 841505075 OP SURGERY CO N/A 0 0 HEALTHCARE MANAGEMENT LLC PO BOX 1929 GRAND JUNCTION CO 81502 841238904 MANAGEMENT SERVICES CO N/A 0 0 PAVILION IMAGING LLC (FYE 5312021) 750 WELLINGTON AVENUE GRAND JUNCTION CO 81501 030516198 RADIOLOGY CO N/A 0 0 SAN JUAN CANCER CENTER LLC 600 SOUTH 5TH STREET MONTROSE CO 81401 202856331 OP CANCER CO N/A 0 0 CAREFLIGHT OF THE ROCKIES LLC 500 ELDORADO BLVD SUITE4300 BROOMFIELD CO 80021 473525381 MEDICAL AIR TRANSPORT CO N/A 0 0 MED-MAP LLC PO BOX 1295 BILLINGS MT 59103 810491356 RENTAL REAL ESTATE MT N/A 0 0 YELLOWSTONE SURGERY CENTER LLC 1144 NORTH 28TH STREET BILLINGS MT 59101 721519467 OP SURGERY MT N/A 0 0 CARITAS INC AND SUBSIDIARIES 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 480941069 HEALTHCARE KS N/A C 0 WEST END ASSOCIATION INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 854261243 HEALTHCARE MT N/A C 0 LEAVEN INSURANCE COMPANY LTD 23 LIME TREE BAY AVENUE WEST BAY R GRAND CAYMAN KY CJ 980370522 INSURANCE CJ N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 SAINT JOSEPH HOSPITAL FOUNDATION B 997189 FMV SAINT JOSEPH HOSPITAL FOUNDATION C 3191279 FMV