2020-11-16T13:19:36-06:00 2019-12-31 346565596 ERNST & YOUNG US LLP 2005 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2019-01-01 271344467 ST JOSEPH'S HEALTH SYSTEM SUBORDINATE GROUP RETURN STJO 9737542000 703 MAIN STREET PATERSON NJ 075032621 KEVIN J SLAVIN PRESIDENT/CEO 9737542000 2020-11-16 1 JAMES L ZIESCHE P01264584 2154485336 72.89.154.34 2020-11-16 13:19:29 ES P 6B24257654E21A06B34C5550A50F6F578516B4D0 7C60462F21CDFFB40771A052A0B004FBCDB53576 2019 2021-01-29 14:40:06Z KEVIN J SLAVIN 703 MAIN STREET PATERSON NJ 075032621 942332903 1 1 5557 X WWW.STJOSEPHSHEALTH.ORG X 1872 NJ TO PROVIDE QUALITY HEALTHCARE WITH A SPECIAL CONCERN FOR THE POOR AND UNDERSERVED. 65 51 6160 369 1364160 845197 27693733 29996581 762638228 788710125 8441457 8109944 9355040 9574616 808128458 836391266 3692588 5717325 0 0 457481990 486471278 111950 3000 874536 341871346 335750575 803157874 827942178 4970584 8449088 827128926 855341804 630743919 667446862 196385007 187894942 X SEE SCHEDULE O 0 0 715446485 5717325 791550366 SEE SCHEDULE O 715446485 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 415 0 1 6160 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 65 51 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NJ X X CHRISTOPHER CAULFIELD 9737542000 703 MAIN STREET PATERSON NJ 07513 X MARK CONNOLLY CHAIRMAN, DEPT. OF SURGERY 55.00 0.00 X 2172443 0 26051 KEVIN J SLAVIN PRESIDENT & CEO 55.00 0.00 X 1903398 0 30077 ALDO KHOURY MD MEDICAL DOCTOR 55.00 0.00 X 1071396 0 38477 LISA SCHMITTGALL SENIOR VICE PRESIDENT/COO 55.00 0.00 X 1004940 0 14195 DENNIS ROEMER SVP OF FINANCE/CFO 55.00 0.00 X 928965 0 23971 DAVID PRINCIPE MD MEDICAL DOCTOR 55.00 0.00 X 874113 0 31295 ALEXANDER RISS MEDICAL DOCTOR 55.00 0.00 X 822572 0 34846 TODD C BROWER SENIOR VP, GENERAL COUNSEL 55.00 0.00 X 769962 0 36353 MATTHEW A GROSSMAN MEDICAL DOCTOR 55.00 0.00 X 728340 0 32329 DAVID ADINARO MD VICE PRESIDENT, CMO 55.00 0.00 X 670676 0 34833 JENNIFER MENDYZCKI VP WAYNE SITE ADMINISTRATOR 53.00 2.00 X 583382 0 37589 LINDA REED VP, CHIEF INFORMATION OFFICER 55.00 0.00 X 566199 0 32899 JAMES LABAGNARA JR MD SVP AND SYSTEM CMO 55.00 0.00 X 586000 0 11404 ROBERT C HOOD SENIOR VP, POPULATION HEALTH 55.00 0.00 X 513345 0 28148 JOHN P BRUNO VP, HUMAN RESOURCES 55.00 0.00 X 536284 0 4528 MICHAEL LAMMACHIA MD TRUSTEE/SECRETARY/TREASURER 40.00 0.00 X X 496362 0 35699 MICHAEL DELISI MD TRUSTEE/CO-CHAIR 40.00 0.00 X X 460902 0 28198 NILESH PATEL DO TRUSTEE 2.00 0.00 X 442182 0 35284 MARJORY LANGER MD FACEP TRUSTEE 2.00 0.00 X 461574 0 8448 MICHAEL ALWELL VP REVENUE CYCLE 55.00 0.00 X 393611 0 28415 JUDITH PADULA TRUSTEE/VP PATIENT CARE SVCS CNO 55.00 0.00 X 394048 0 18404 JAMES HAYNES VP FACILITIES OPERATIONS 55.00 0.00 X 339514 0 36808 SR PATRICIA MENNOR VP MISSION 55.00 0.00 X 354965 0 13714 KENNETH M MORRIS JR VP EXTERNAL AFFAIRS 55.00 0.00 X 323465 0 23091 MOIRA GIBBONS VP CCO & DIR. LEGAL AFFAIRS 53.00 2.00 X 329745 0 13349 ROBERT BUDELMAN III VP, CHIEF DEVELOPMENT OFFICER 55.00 0.00 X 311470 0 26788 THOMAS CASEY VP, MARKETING & PR 55.00 0.00 X 303319 0 1674 JOSEPH DUFFY MD VP, CMO WAYNE 55.00 0.00 X 292640 0 3965 ROBERTO SOLIS MD TRUSTEE 2.00 0.00 X 284894 0 1372 ANTOINETTE CECERE MD TRUSTEE 40.00 0.00 X 249091 0 12900 GENNARO RUBINO TRUSTEE 40.00 0.00 X 235225 0 6948 PAMELA UPADYA TRUSTEE 2.00 0.00 X 188481 0 609 ANTHONY LOSARDO MD TRUSTEE 2.00 0.00 X 171369 0 0 STEVE ALDERSON THRU 11819 VP PHYSICIAN SERVICES 55.00 0.00 X 152462 0 5948 JAI G PAREKH MD MBA FAAO TRUSTEE 2.00 1.00 X 63500 0 0 JOSEPH VITALE JR MD TRUSTEE 2.00 0.00 X 11875 0 0 VIKRAM GUPTA MD TRUSTEE 2.00 0.00 X 9000 0 0 MANJU GUPTA TRUSTEE 2.00 0.00 X 8254 0 0 A MICHAEL CANDIDO SECRETARY 2.00 0.00 X X 0 0 0 ALFRED LEE TRUSTEE 2.00 0.00 X 0 0 0 ANNEMARIE APPLETON TRUSTEE 2.00 0.00 X 0 0 0 ANTHONY GRIFFO TRUSTEE 2.00 0.00 X 0 0 0 ANTHONY M BRUNO CPA TRUSTEE 2.00 0.00 X 0 0 0 ANTOINETTE TONI LOYAS VICE CHAIR 2.00 0.00 X X 0 0 0 ATHANASIA KONTOS TRUSTEE 2.00 0.00 X 0 0 0 BERNADETTE COUNTRYMAN VICE CHAIRPERSON 2.00 0.00 X X 0 0 0 BETH POLITO TRUSTEE 2.00 0.00 X 0 0 0 DAVID INCORVAIA TRUSTEE 2.00 0.00 X 0 0 0 DEAN P EMMOLO CHAIRMAN 2.00 0.00 X X 0 0 0 DENNIS MARCO TRUSTEE/SECRETARY/TREASURER 2.00 0.00 X X 0 0 0 DOLORES PAVLAK TRUSTEE 2.00 0.00 X 0 0 0 DONNA BOLES TRUSTEE 2.00 0.00 X 0 0 0 DONNA M DE CANDIDO TRUSTEE 2.00 0.00 X 0 0 0 ERIC W GROSS ESQ TRUSTEE 2.00 0.00 X 0 0 0 GABRIELLA LOCONTE TRUSTEE 2.00 0.00 X 0 0 0 GAMIL MAKAR MD TRUSTEE 2.00 0.00 X 0 0 0 GUALBERTO MEDINA TRUSTEE 2.00 0.00 X 0 0 0 J MICHAEL ARMSTRONG TRUSTEE 2.00 0.00 X 0 0 0 J MICHAEL HOPKINS TREASURER 2.00 0.00 X X 0 0 0 JAMES KRANZ TRUSTEE 2.00 0.00 X 0 0 0 JOANN KARASIEWICZ TRUSTEE 2.00 0.00 X 0 0 0 JOHN MORONE MD TRUSTEE 2.00 0.00 X 0 0 0 JOHN R CIOLETTI TRUSTEE 2.00 0.00 X 0 0 0 JOHN SUTTER MD TRUSTEE 2.00 0.00 X 0 0 0 JOSEPH AMICO TRUSTEE 2.00 0.00 X 0 0 0 JOSEPH FARNESE MD TRUSTEE 2.00 0.00 X 0 0 0 KATHLEEN M BOOZANG TRUSTEE 2.00 0.00 X 0 0 0 LORELANE TINDOC MD TRUSTEE 2.00 0.00 X 0 0 0 LOUIS ROMANO TRUSTEE 2.00 0.00 X 0 0 0 MANNAN RAZZAK MD TRUSTEE 2.00 0.00 X 0 0 0 MARIE BREUSS TRUSTEE 2.00 0.00 X 0 0 0 MARTIN NEILAN MD TRUSTEE 2.00 0.00 X 0 0 0 MICHAEL MAINERO MD TRUSTEE 2.00 0.00 X 0 0 0 NANCY KONTOS TRUSTEE 2.00 0.00 X 0 0 0 NELSON GOMES TRUSTEE 2.00 0.00 X 0 0 0 PATRICIA DAVINO TRUSTEE 2.00 0.00 X 0 0 0 REV MSGR GEORGE F HUNDT TRUSTEE 2.00 0.00 X 0 0 0 RICHARD J ABBATE TRUSTEE 2.00 0.00 X 0 0 0 ROBERT PAZ TRUSTEE 2.00 0.00 X 0 0 0 ROGER JOHNSON TRUSTEE 2.00 0.00 X 0 0 0 RONALD J GARNER TRUSTEE 2.00 0.00 X 0 0 0 SISTER JOAN REPKA TRUSTEE 2.00 0.00 X 0 0 0 SISTER MARILYN THIE CHAIRPERSON 2.00 0.00 X X 0 0 0 SMITH SISTER ROSEMARY TRUSTEE 2.00 0.00 X 0 0 0 SR PATRICIA CODEY SC ESQ SECRETARY 2.00 0.00 X X 0 0 0 SUSAN REED CPA CFA TRUSTEE/TREASURER 2.00 0.00 X X 0 0 0 TALIA GRIEP TRUSTEE/TREASURER 2.00 0.00 X X 0 0 0 THOMAS G MARINARO TRUSTEE 2.00 0.00 X 0 0 0 TIM HODGES TRUSTEE 2.00 0.00 X 0 0 0 20009963 0 718609 2255 0 1 0 CARDIOLOGY ASSOCIATES 999 MCBRIDGE AVE STE B204 WEST PATERSON NJ 07424 CARDIOLOGY 3960751 ADVANCED CARDIOLOGY PRACTICE LLC 246 HAMBURG TURNPIKE STE 201 WAYNE NJ 07470 CARDIOLOGY 3461716 TOTAL RENAL CARE INC 20000 16TH STREET DENVER CO 802025117 DIALYSIS 2736656 CROTHALL HEALTHCARE 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 BIO-MEDICAL AND IMAGING EQUIPMENT 2683559 SOUND PHYSICIANS 30 PROSPECT AVE 4621 HACKENSACK NJ 07601 HOSPITALIST 2173095 58 828254 3900000 14665586 10602741 29996581 NET PATIENT SRVC REV. 621110 729784000 729784000 PHYSICIAN BILLING 621110 58926125 58926125 788710125 7801154 4512 7796642 94525 94525 3009913 1421404 1588509 1588509 841685 746824 104200069 2664 103988468 0 211601 2664 214265 2664 211601 774242 828254 527515 246727 246727 8500 4250 4250 4250 PARKING 812930 3494296 3494296 EDUCATION/TRAINING 900099 1469871 1469871 ST JOSEPH MANAGE. FEE 541611 1367706 1367706 1403257 517963 885294 7735130 836391266 791550366 1364160 13480159 5711325 5711325 6000 6000 14200313 12175348 2000824 24141 400746331 343599905 56465158 681268 11347936 9747877 1600059 32991449 28181096 4644226 166127 27185249 23352129 3833120 3433704 2949552 484152 597501 513253 84248 284875 269647 15228 3000 3000 578724 478192 100532 4594495 3946671 647824 1338781 1150013 188768 13162064 11306213 1855851 21692645 18633982 3058663 69578233 59767702 9810531 380902 327195 53707 13657921 11886745 1771176 36175658 31302673 4872985 10457645 8983117 1474528 MEDICAL SUPPLIES EXPENS 113851399 97798352 16053047 PHYSICIAN FEES 18486031 15879501 2606530 HEALTHCARE REFORM ACT 5020726 5020726 EQUIP REPAIR/MAINT. 2689357 2689357 19769914 19769914 827942178 715446485 111621157 874536 2323000 50654354 49517585 29051934 22804578 21907532 83185646 68772000 377544 374544 1036000 2130850 10352955 12860938 2591662 4004977 670987681 303364320 366250273 367623361 99689404 63345389 143819604 193284359 0 2110000 2110000 43070675 39221566 827128926 855341804 128872741 145952645 1038203 556050 371418593 362052212 1722927 129414382 157163028 630743919 667446862 X 178030941 167982942 18354066 19912000 196385007 187894942 827128926 855341804 X 8449088 14377645 -31316798 X X 0 1 X 1 1 1 X X 1 ST JOSEPH'S UNIVERSITY MEDICAL CENTER 221487602 3 1 4294000 0 1 4294000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SCHEDULE A, SUPPLEMENTAL INFORMATION PUBLIC CHARITY STATUS: ST. JOSEPH'S UNIVERSITY MEDICAL CENTER IS A HOSPITAL DESCRIBED IN SECTION 170(B)(1)(A)(III). THE FOLLOWING ORGANIZATIONS ARE AN ORGANIZATION DESCRIBED IN SECTION 509(A)(3), ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR SECTION 509(A)(2). IT IS REPORTED AS TYPE I ON PART IV TO DIRECTLY SUPPORT ST. JOSEPH'S UNIVERSITY MEDICAL CENTER. - ST JOSEPH'S HOSPITAL & MEDICAL CENTER FOUNDATION, - HARBOR HOUSE, INC. - 200 HOSPITAL PLAZA - ST. JOSEPH'S EMERGENCY PHYSICIANS, INC. - ST. JOSEPH'S FACULTY PHYSICIANS, INC. - ST. JOSEPH'S PHYSICIANS, INC. - ST. JOSEPH'S PHYSICIANS HEALTHCARE GROUP, INC. - ST. JOSEPH'S SUBSPECIALTY PHYSICIANS, INC. SCHEDULE A, PART IV, LINE 1 THE ST. JOSEPH'S UNIVERSITY MEDICAL CENTER FOUNDATION IS ORGANIZED TO PROMOTE, BY DONATION, LOAN OR OTHERWISE, THE INTERESTS AND PROGRAMS OF ST. JOSEPH'S UNIVERSITY MEDICAL CENTER (SJUMC). ITS SOLE MEMBER IS ST JOSEPH'S HEALTH, INC. AND THE SYSTEM HAS RIGHT AND POWER TO APPOINT BOARD MEMBERS, AMEND BYLAWS AND ARTICLES OF INCORPORATION. HARBOR HOUSE, INC. IS ORGANIZED TO PROVIDE ELDERLY OR DISABLED PERSONS WITH HOUSING FACILITIES AND SERVICES. THE BYLAWS DESIGNATE ITS TRUSTEES FROM THE TRUSTEES OF SJUMC OR NON-TRUSTEES WITH SJUMC BOARD APPROVAL. THE REMOVAL, APPROVAL OR RESIGNATION OF TRUSTEE IN SJUMC RESULTS IN AUTOMATIC TRUSTEE REVOCATION FOR HARBOR HOUSE, INC. THE SOLE MEMBER OF HARBOR HOUSE, INC. IS SJUMC. 200 HOSPITAL PLAZA IS ORGANIZED TO PROVIDE HOSPITAL HOUSING, PARKING, AND OTHER FACILITIES FOR EMPLOYEES, PATIENTS, VISITORS, DOCTORS, AND OTHERS AFFILIATED WITH SJUMC. THE SOLE MEMBER IS ST JOSEPHS HEALTH, INC. ("THE SYSTEM"). THE SYSTEM DETERMINES WHEN BOARD ELECTIONS ARE HELD AND CAN REMOVE ANY TRUSTEE AND OFFICER AT ANY TIME IF IT IS IN THE BEST INTEREST OF 200 HOSPITAL PLAZA. ST. JOSEPH'S EMERGENCY PHYSICIANS INC.'S SOLE MEMBER IS SJUMC. SJUMC IS RESPONSIBLE FOR ELECTING THE TRUSTEES OF ST. JOSEPH'S EMERGENCY PHYSICIANS INC. ST. JOSEPH'S FACULTY PHYSICIANS INC.'S SOLE MEMBER IS SJUMC. SJUMC IS RESPONSIBLE FOR ELECTING THE TRUSTEES OF ST. JOSEPH'S FACULTY PHYSICIANS INC. ST. JOSEPH'S PHYSICIANS INC.'S SOLE MEMBER IS SJUMC. SJUMC IS RESPONSIBLE FOR ELECTING THE TRUSTEES OF ST. JOSEPH'S PHYSICIANS INC. ST. JOSEPH'S SUBSPECIALTY PHYSICIANS INC.'S SOLE MEMBER IS SJUMC. SJUMC IS RESPONSIBLE FOR ELECTING THE TRUSTEES OF ST. JOSEPH'S SUBSPECIALTY PHYSICIANS INC. ST. JOSEPH'S PHYSICIANS HEALTHCARE GROUP INC.'S SOLE MEMBER IS SJUMC. SJUMC IS RESPONSIBLE FOR ELECTING THE TRUSTEES OF ST. JOSEPH'S PHYSICIANS HEALTHCARE GROUP INC. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 284875 284875 0 PART II-B, LINE 1: LOBBYING ACTIVITIES THE HOSPITAL DOES NOT CONDUCT ANY DIRECT LOBBYING ACTIVITIES; HOWEVER, THE HOSPITAL HAS HIRED INDEPENDENT CONSULTING FIRMS TO PURSUE LEGISLATIVE ENDEAVORS ON BEHALF OF THE HOSPITAL. IN 2019, THE HOSPITAL PAID WASHINGTON STRATEGIC CONSULTING, INC. $90,000, AND PUBLIC STRATEGIES IMPACT, LLC $18,000 FOR THEIR EFFORTS. THE HOSPITAL PAID MEMBERSHIP DUES TO CATHOLIC HEALTH ASSOCIATION (CHA), NJHA AND HOSPITAL ALLIANCE NJ. A PORTION OF THESE DUES WERE USED FOR LOBBYING ACTIVITIES. 123142 3500 3500 123142 123142 1792 1792 123142 291432 637 292069 291432 291432 1.00000 0 0 12008443 12008443 463729454 255075183 208654271 18314355 13945297 4369058 149107248 34343840 114763408 27828181 27828181 367623361 MUNICIPAL BONDS 55811381 F CORPORATE OBLIGATIONS 135894703 F MUTUAL FUNDS 1578275 F 193284359 ESTIMATED THIRD PARTY SETTLEMENTS 19584000 ACCRUED PENSION LIABILITY 121812000 ACCRUED MALPRACTICE INSURANCE 8595814 OTHER LONG TERM DEBT 7171214 157163028 PART V, LINE 4: THE FOUNDATION MAINTAINS A DONOR-RESTRICTED FUND WHOSE PURPOSE IS TO PROVIDE FOR THE CARE AND TREATMENT OF PATIENTS AFFLICTED WITH CANCER. IN CLASSIFYING SUCH FUND FOR FINANCIAL STATEMENT PURPOSES AS EITHER NET ASSETS WITH OR WITHOUT DONOR RESTRICTIONS, THE BOARD OF TRUSTEES LOOKS TO THE EXPLICIT DIRECTIONS OF THE DONOR WHERE APPLICABLE AND THE PROVISIONS OF THE LAWS OF THE STATE OF NEW JERSEY. THE BOARD HAS DETERMINED THAT, ABSENT DONOR STIPULATIONS TO THE CONTRARY, THE PROVISIONS OF NEW JERSEY STATE LAW DO NOT IMPOSE EITHER RESTRICTION ON THE INCOME OR CAPITAL APPRECIATION DERIVED FROM THE ORIGINAL GIFT. CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES CAPTIVE INSURANCE 6668995 0 0 0 0 0 0 6668995 0 6668995 1 0 1 0 0 0 PART III ACCOUNTING METHOD: PART I, LINE 3, COLUMN (F) THE ORGANIZATION USES THE ACCRUAL METHOD OF ACCOUNTING TO ACCOUNT FOR ITS FOREIGN EXPENDITURES. CHARITY BALL 1044845 603740 441105 184866 81966 18800 36991 GOLF OUTING 406350 128345 278005 4250 111034 475 27563 1 151301 96169 55132 32996 3975 24599 1602496 828254 774242 4250 295900 114962 23250 89153 527515 246727 1 1 X 1 X 1 X 1 1 0 1 1 48981982 40138979 8843003 0.01070 220338645 169061587 51277058 0.06190 269320627 209200566 60120061 0.07260 5110997 1976311 3134686 0.00380 45252078 19343298 25908780 0.03130 75725157 70165438 5559719 0.00670 1013668 25107 988561 0.00120 127101900 91510154 35591746 0.04300 396422527 300710720 95711807 0.11560 92968 92968 0.00010 380443 380443 0.00050 473411 473411 0.00060 1 84221612 51895892 238838605 260332204 -21493599 X 1 1 1 ST JOSEPH'S SURGERY MANAGEMENT SURGERY CENTER MANAGEMENT 0.51790 0.44000 2 1 ST JOSEPH'S UNIVERSITY MEDICAL CTR 224 HAMBURG TURNPIKE WAYNE NJ 07470 WWW.STJOSEPHSHEALTH.ORG 11605 SJUMC 221487602 X X X X X X X A 2 SJUMC DBA ST JOSEPH'S WAYNE MED CTR 224 HAMBURG TURNPIKE WAYNE NJ 07470 WWW.STJOSEPHSHEALTH.ORG 11603 SJUMC DBA SJWMC 221487602 X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE PART V, SECTION C X 1 19 1 SEE PART V, SECTION C 0 1 X 200.000000000000 300.000000000000 X X 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 X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 2: SJUMC DBA ST. JOSEPH'S WAYNE MED. CTR, - FACILITY 1: ST. JOSEPH'S UNIVERSITY MEDICAL CTR FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY ST. JOSEPH'S HEALTH; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 72 COMMUNITY STAKEHOLDERS IN SOUTHERN PASSAIC COUNTY TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED BELOW:PHYSICIANS 10 PUBLIC HEALTH REPRESENTATIVES 2 OTHER HEALTH PROVIDERS 20 SOCIAL SERVICES PROVIDERS 10 OTHER COMMUNITY LEADERS 30 FINAL PARTICIPATION INCLUDED REPRESENTATIVES OF THE ORGANIZATIONS OUTLINED BELOW.- ST. JOSEPH'S HEALTH- CLIFTON HEALTH DEPARTMENT- 4CS OF PASSAIC COUNTY- BANGLADESHI AMERICAN WOMEN'S- DEVELOPMENT INITIATIVE- CAREFINDERSTOTAL CARE- CHABAD CENTER OF PASSAIC COUNTY- CITY OF PATERSON- CLIFTON MEDICAL CARE- CLIFTON PUBLIC SCHOOLS- COALITION ON AIDS IN PASSAIC COUNTY,- COLLABORATIVE SUPPORT PROGRAMS OF NEW JERSEY- ELMWOOD PARK SENIOR ACTIVITY CENTER OF BERGEN CO.- FACES OF FALLEN FATHERS- FAMILY INTERVENTION SERVICES- FAMILY PROMISE OF BERGEN COUNTY- HAMILTON PARTNERSHIP FOR PATERSON- HEART AND VASCULAR MEDICAL GROUP- HOME CARE OPTIONS- HVA MEDICAL GROUP- INTERNAL MEDICINE AND GERIATRIC PRACTICE- LIGHTHOUSE PREGNANCY RESOURCE CENTER- M&S PSYCHOTHERAPY AND COUNSELING- MORE THAN FRIENDS CARES INC.- NEW CITY KIDS: PATERSON- NORWESCAP, INC.- PALESTINIAN AMERICAN COMMUNITY CENTER- PASSAIC PUBLIC SCHOOLS- PATERSON ALLIANCE- PATERSON COMMUNITY CLINIC- PATERSON DIVISION OF HEALTH- PATERSON EDUCATION FUND- RENEW LIFE CENTER- ST. JOSEPH'S FAMILY MEDICINE/CLIFTON- ST. JOSEPH'S UNIVERSITY MEDICAL CENTER- ST. PAUL'S CHURCH- STRAIGHT AND NARROW- TOWNSHIP OF WAYNE- UNITED METHODIST CHURCH IN WAYNE COUNTY- UNITED METHODIST CHURCH- WANAQUE BOROUGH HEALTH DEPARTMENT- WAYNE COUNSELING AND FAMILY SERVICES- WILLIAM PATERSON UNIVERSITYPOPULATION AND SURVEY CHARACTERISTICS:47.9% WERE MEN; 52.1% WERE WOMEN; 41% WERE BETWEEN THE AGES OF 18 AND 39; 42.4% WERE BETWEEN THE AGES OF 40 AND 64; 16.6% WERE 65 YEARS OR OLDER; 43.5% WERE WHITE (NON-HISPANIC); 37.8% WERE HISPANIC; 10.7% WERE BLACK (NON-HISPANIC); 8% WERE OTHER (NON-HISPANIC). FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: ST. JOSEPH'S WAYNE MEDICAL CENTER FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: THE FOLLOWING "AREAS OF OPPORTUNITY" REPRESENT THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, BASED ON THE INFORMATION GATHERED THROUGH THIS COMMUNITY HEALTH NEEDS ASSESSMENT. FROM THESE DATA, OPPORTUNITIES FOR HEALTH IMPROVEMENT EXIST IN THE AREA WITH REGARD TO THE FOLLOWING HEALTH ISSUES:THE AREAS OF OPPORTUNITY WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THESE ALSO TAKE INTO ACCOUNT THOSE ISSUES OF GREATEST CONCERN TO THE COMMUNITY STAKEHOLDERS (KEY INFORMANTS) GIVING INPUT TO THIS PROCESS:- MENTAL HEALTH- NUTRITION PHYSICAL ACTIVITY AND WEIGHT- RESPIRATORY DISEASE- SEPTICEMIA - SEXUAL HEALTH - SUBSTANCE ABUSE- TOBACCO USEST. JOSEPH'S UNIVERSITY MEDICAL CENTER CONVENED A GROUP OF 15 COMMUNITY STAKEHOLDER (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR COMMUNITY, BASED ON FINDINGS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) BEGAN THE MEETING WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH (SEE AREAS OF OPPORTUNITY ABOVE). FOLLOWING THE DATA REVIEW, PRC ANSWERED ANY QUESTIONS. FINALLY, WERE PROVIDED AN OVERVIEW OF THE PRIORITIZATION EXERCISE THAT FOLLOWED.IN ORDER TO ASSIGN PRIORITY TO THE IDENTIFIED HEALTH NEEDS (I.E., AREAS OF OPPORTUNITY), A WIRELESS AUDIENCE RESPONSE SYSTEM WAS USED IN WHICH EACH PARTICIPANT WAS ABLE TO REGISTER HIS/HER RATINGS USING A SMALL REMOTE KEYPAD. THE PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA:SCOPE & SEVERITY THE FIRST RATING WAS TO GAUGE THE MAGNITUDE OF THE PROBLEM IN CONSIDERATION OF THE FOLLOWING:- HOW MANY PEOPLE ARE AFFECTED?- HOW DOES THE LOCAL COMMUNITY DATA COMPARE TO STATE OR NATIONAL LEVELS, OR HEALTHY PEOPLE 2020 TARGETS?- TO WHAT DEGREE DOES EACH HEALTH ISSUE LEAD TO DEATH OR DISABILITY, IMPAIR QUALITY OF LIFE, OR IMPACT OTHER HEALTH ISSUES?RATINGS WERE ENTERED ON A SCALE OF 1 (NOT VERY PREVALENT AT ALL, WITH ONLY MINIMAL HEALTH CONSEQUENCES) TO 10 (EXTREMELY PREVALENT, WITH VERY SERIOUS HEALTH CONSEQUENCES).ABILITY TO IMPACT A SECOND RATING WAS DESIGNED TO MEASURE THE PERCEIVED LIKELIHOOD OF THE HOSPITAL HAVING A POSITIVE IMPACT ON EACH HEALTH ISSUE, GIVEN AVAILABLE RESOURCES, COMPETENCIES, SPHERES OF INFLUENCE, ETC. RATINGS WERE ENTERED ON A SCALE OF 1 (NO ABILITY TO IMPACT) TO 10 (GREAT ABILITY TO IMPACT).INDIVIDUALS' RATINGS FOR EACH CRITERIA WERE AVERAGED FOR EACH TESTED HEALTH ISSUE, AND THEN THESE COMPOSITE CRITERIA SCORES WERE AVERAGED TO PRODUCE AN OVERALL SCORE. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS:1. DIABETES2. NUTRITION, PHYSICAL ACTIVITY & WEIGHT3. HEART DISEASE & STROKEST. JOSEPH'S HEALTH USED THE INFORMATION FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY. GOAL 1: IMPROVE HEALTH STATUS THROUGH CHRONIC DISEASE AND CARE MANAGEMENT ACROSS THE CONTINUUM FOR HEART DISEASE AND STROKE:1. HEART DISEASEA. FOCUS EDUCATIONAL OUTREACH IN THE COMMUNITY BASED ON REQUESTS RELATED TO HEART DISEASE PREVENTION AND RISK FACTORS THROUGH PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION AND OTHER COMMUNITY ORGANIZATIONSB. INCREASE AWARENESS OF LIFE-SAVING PROGRAMS IN THE COMMUNITY THROUGH HANDS ON ONLY CPR AND AED TRAININGSC. FOCUS EDUCATIONAL OUTREACH IN THE COMMUNITY BASED ON REQUESTS TO OFFER HEART HEALTH INITIATIVES TARGETING WOMEN 2. STROKEA. FOCUS EDUCATIONAL OUTREACH IN THE COMMUNITY BASED ON REQUESTS RELATED TO STROKE PREVENTION AND RISK FACTORS THROUGH PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION AND OTHER COMMUNITY ORGANIZATIONSB. FOCUS ON POST-STROKE CARE THROUGH THE ADDITION OF A NURSE NAVIGATOR AND THE OFFERING OF A WEEKLY STROKE CLINIC TO ASSIST POST-STROKE PATIENTS IN LOWERING THEIR READMISSION RATESC. EDUCATE THE MEDICAL COMMUNITY ON STROKE AWARENESS THROUGH OUTREACH TO NURSING HOMES AND PRIMARY CARE PHYSICIAN OFFICES IN ORDER TO DECREASE THE TIME FROM THE ONSET OF A STROKE TO MEDICAL TREATMENTGOAL 2: IMPROVE HEALTH STATUS THROUGH CHRONIC DISEASE AND CARE MANAGEMENT ACROSS THE CONTINUUM FOR DIABETES A. FOCUS EDUCATIONAL OUTREACH IN THE COMMUNITY BASED ON REQUESTS RELATED TO DIABETES PREVENTION AND RISK FACTORS THROUGH PARTNERSHIP WITH THE AMERICAN DIABETES ASSOCIATION AND OTHER COMMUNITY ORGANIZATIONSB. EXPAND DIABETES EDUCATION PROGRAM ON THE WAYNE CAMPUS AND EXPAND SERVICES TO PATERSON COMMUNITYC. SHARE EXPERIENCES AND LEARNINGS FROM SJHS INTERNAL DIABETES AWARENESS AND PREVENTION PROGRAM WITH COMMUNITY PARTNERSGOAL 3: IMPROVE THE WELLBEING OF COMMUNITY RESIDENTS THROUGH INCREASED KNOWLEDGE ABOUT AND ACCESS TO HEALTHY FOODS AND PARTICIPATION IN PHYSICAL ACTIVITY PROGRAMSA. PARTNER WITH THE PASSAIC COUNTY HEALTH COALITION AND AREA ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY RELATED TO NUTRITION, PHYSICAL AND HEALTHY WEIGHT ACTIVITIESB. FOCUS EDUCATIONAL OUTREACH IN THE COMMUNITY BASED ON REQUESTS RELATED TO NUTRITION, PHYSICAL ACTIVITY AND HEALTHY WEIGHT INITIATIVESC. CONTINUE TO OFFER NUTRITIONAL AND WELLNESS EDUCATION TO MONTHLY SUPPORT GROUPS ACROSS SERVICE LINES, SUCH AS HEART HEALTH, STROKE AND DIABETES SUPPORT GROUPS PART V, SECTION B, LINE 7A & 10A: PLEASE FIND THE CHNA AND IMPLEMENTATION STRATEGY HERE: HTTPS://STJOSEPHSHEALTH.ORG/IMAGES/PDF/2019%20SJUMC%20CHNA%20SUMMARY%20REPORT.PDFHTTPS://WWW.STJOSEPHSHEALTH.ORG/IMAGES/PDF/2019%20SJWMC%20CHNA%20SUMMARY%20REPORT.PDFHTTPS://WWW.STJOSEPHSHEALTH.ORG/IMAGES/IMPLEMENTATION%20STRATEGY%201.PDFHTTPS://WWW.STJOSEPHSHEALTH.ORG/IMAGES/IMPLEMENTATION%20STRATEGY%201.PDF PART V, SECTION B, LINE 16A, 16B & 16C: PLEASE FIND THE WEB ADDRESS FOR THE FINANCIAL ASSISTANCE POLICY (FAP) HERE: HTTPS://STJOSEPHSHEALTH.ORG/IMAGES/SJH_FINANCIAL_ASSISTANCE_POLICY.PDFPLEASE FIND THE WEB ADDRESS FOR THE FINANCIAL ASSISTANCE APPLICATION HERE: HTTPS://STJOSEPHSHEALTH.ORG/IMAGES/APPLICATION_FOR_PARTICPATION_CARE_ASSISTANCE.PDFPLEASE FIND THE WEB ADDRESS FOR THE PLAIN LANGUAGE SUMMARY HERE: HTTPS://WWW.STJOSEPHSHEALTH.ORG/IMAGES/SJH_FA_PLAINLANGUAGE.PDF 27 1 - ST JOSEPH'S HEALTHCARE AND REHAB CENTER 315 EAST LINDSLEY ROAD CEDAR GROVE NJ 07009 LONGER CARE AND SUBACUTE SERVICES 2 - HARBOR HOUSE 645 MAIN STREET PATERSON NJ 07503 BEHAVIORAL HEALTH 3 - OUTPATIENT MENTAL HEALTH CLINIC 641 MAIN STREET PATERSON NJ 07505 BEHAVIORAL HEALTH 4 - ACCESS PROGRAM 621 MAIN STREET PATERSON NJ 07503 BEHAVIORAL HEALTH 5 - CARDIOVASCULAR CENTER AT WAYNE 246 HAMBURG TURNPIKE WAYNE NJ 07470 CARDIOLOGY 6 - CARDIOVASCULAR CENTER AT WOODLAND PARK 999 MCBRIDE AVENUE SUITE 204 WOODLAND PARK NJ 07424 CARDIOLOGY 7 - CARDIOVASCULAR CENTER AT NUTLEY 181 FRANKLIN AVENUE SUITE 301 NUTLEY NJ 07110 CARDIOLOGY 8 - AMBULATORY IMAGING CENTER 1135 BROAD STREET CLIFTON NJ 07013 IMAGING 9 - ST JOSEPHS UNIVERSITY IMAGING 246 HAMBURG TURNPIKE WAYNE NJ 07470 IMAGING 10 - GREAT FALLS PEDIATRICS 11 GETTY AVENUE PATERSON NJ 07503 PEDIATRICS 11 - PED SUBSPEC FAC PRACT AT CLIFTON 1135 BROAD STREET CLIFTON NJ 07013 PEDIATRICS 12 - PED SUBSPEC FAC PRACT AT HOBOKEN 158 14TH STREET HOBOKEN NJ 07030 PEDIATRICS 13 - PED SUBSPEC FAC PRACT AT PARAMUS 30 WEST CENTURY ROAD PARAMUS NJ 07652 PEDIATRICS 14 - PED SUBSPEC FAC PRACT AT WAYNE 1350 ROUTE 23 NORTH WAYNE NJ 07470 PEDIATRICS 15 - DEPAUL AMBULATORY CENTER 11 GETTY AVENUE 275 PATERSON NJ 07503 PRIMARY CARE 16 - FAMILY HEALTH CENTER 11 GETTY AVENUE PATERSON NJ 07501 PRIMARY CARE 17 - ST JOSEPHS FAMILY MED AT CLIFTON 1135 BROAD STREET SUITE 201 CLIFTON NJ 07013 PRIMARY CARE 18 - SURGERY SUBSPECIALTY FACULTY PRACTICE - BR 1135 BROAD STREET CLIFTON NJ 07013 SURGERY 19 - SURGERY SUBSPECIALTY FACULTY PRACTICE - CO 57 WILLOWBROOK BOULEVARD WAYNE NJ 07470 SURGERY 20 - OBGYN SUBSPECIALTY FACULTY PRACTICE - DEP 11 GETTY AVENUE PATERSON NJ 07503 WOMENS HEALTH 21 - OBGYN SUBSPECIALTY FACULTY PRACTICE AT TO 525 UNION BOULEVARD TOTOWA NJ 07512 WOMENS HEALTH 22 - OBGYN SUBSPECIALTY FACULTY PRACTICE AT WA 57 WILLOWBROOK BOULEVARD WAYNE NJ 07470 WOMENS HEALTH 23 - MATERNAL FETAL MED FACULTY PRACTICE 1 BROADWAY SUITE 203 ELMWOOD PARK NJ 07407 WOMENS HEALTH 24 - MATERNAL FETAL MED FACULTY PRACTICE 525 UNION BOULEVARD TOTOWA NJ 07512 WOMENS HEALTH 25 - COMPREHENSIVE CARE CENTER FOR HIV SERVICES 11 GETTY AVENUE PATERSON NJ 07503 HIV SERVICES 26 - WILLOWBROOK AMBULATORY 57 WILLOWBROOK BOULEVARD WAYNE NJ 07470 AMBULATORY SERVICES 27 - ST JOSEPHS CANCER CENTER 234 HAMBURG TURNPIKE WAYNE NJ 07470 CANCER SERVICES PART I, LINE 3C: ST. JOSEPH'S HEALTH, INC. USES THE FOLLOWING SLIDING SCALE TO DETERMINE FREE AND DISCOUNTED CARE BASED ON INCOME:-LESS THAN OR EQUAL TO 200% FPL 100% DISCOUNT -GREATER THAN 200% THROUGH 225% FPL 80% DISCOUNT-GREATER THAN 225% THROUGH 250% FPL - 60% DISCOUNT -GREATER THAN 250% THROUGH 275% FPL 40% DISCOUNT-GREATER THAN 275% THROUGH 300% FPL 20% DISCOUNT-GREATER THAN 300% FPL NO DISCOUNT IN ADDITION TO THE ABOVE INCOME CRITERIA, INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000. BOTH CRITERIA MUST BE MET TO QUALIFY FOR FREE OR DISCOUNTED CARE. PART II, COMMUNITY BUILDING ACTIVITIES: ST. JOSEPH'S HEALTH HAS PARTNERED WITH LOCAL DEVELOPERS AND COMMUNITY INVESTMENT GROUPS DEVELOPING A STRONG BOND BETWEEN COMMUNITY INVESTMENT ACTIVITIES AND HEALTHCARE TO ADDRESS NEIGHBORHOOD AND ENVIRONMENTAL CONDITIONS THAT WOULD IMPROVE ACCESS TO NEEDED HEALTHCARE SERVICES, REDUCE INEQUITIES IN HEALTH OUTCOMES, AND CONTINUE OUR MISSION OF ENSURING THAT THE CITY'S MOST VULNERABLE RESIDENTS HAVE ACCESS TO SAFE AFFORDABLE NEIGHBORHOODS AND HEALTHCARE. ADDITIONALLY, ST. JOSEPH'S HEALTH HAS WORKED COLLABORATIVELY WITH LOCAL SOCIAL SERVICES AGENCIES AND COMMUNITY STAKEHOLDERS, SUCH AS THE HEALTH COALITION OF PASSAIC COUNTY, NEW JERSEY COMMUNITY DEVELOPMENT CORPORATION, THE CITY OF PATERSON, PASSAIC COUNTY HEALTH DEPARTMENT, THE BOYS AND GIRLS CLUB OF PASSAIC COUNTY, THE PATERSON HOUSING AUTHORITY, AND THE NEW JERSEY FAMILY SUCCESS CENTER TO ADDRESS THOSE SOCIAL DETERMINANTS OF AN INDIVIDUAL'S HEALTH, SUCH AS THE ABILITY TO ACCESS NEEDED HEALTHCARE, HOMELESSNESS, LACK OF AFFORDABLE CHILDCARE, POVERTY, UNEMPLOYMENT, AND LIMITED PUBLIC TRANSPORTATION. PART III, LINE 2: THE AMOUNT REPORTED IS THE UNCOLLECTIBLE AMOUNTS FOR SELF-PAY PATIENTS. PART III, LINE 3: THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 65% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2018 TO 67% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2019.THE SYSTEM CALCULATED THE BAD DEBT ASSOCIATED WITH SELF PAY CASES WAS $68,183,316. BASED ON HISTORICAL REVIEW OF THIS CATEGORY, APPROXIMATELY 75% OF THESE CASES WERE ELIGIBLE FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. THE 75% FACTOR WAS THEN APPLIED TO THE TOTAL SELF-PAY ACCOUNTS PLUS $758,405 OF BAD DEBTS RELATED TO CHARITY CARE PATIENTS TO DERIVE THE $51,895,892 OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. PART III, LINE 4: THERE IS NO BAD DEBT FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 65% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2018 TO 67% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2019. IN ADDITION, THE MEDICAL CENTER'S SELF-PAY WRITE-OFFS NET OF RECOVERIES DECREASED FROM $88.6 MILLION FOR 2018 TO $88.4 MILLION FOR 2019. THE MEDICAL CENTER HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2018 OR 2019. PART III, LINE 8: THE HOSPITAL UTILIZED THE AMOUNTS REPORTED ON THE MEDICARE COST REPORT TO DETERMINE THE MEDICARE ALLOWABLE COSTS. ST. JOSEPH'S IS COMMITTED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS. THIS COST OF CARE TO OUR MEDICARE POPULATION RESULTED IN A LOSS. WE CONSIDER THIS NET LOSS TO SERVE MEDICARE PATIENTS TO BE ANOTHER FORM OF COMMUNITY BENEFIT. THE SERVICES PROVIDED INCLUDED PRIMARY CARE, EMERGENCY CARE, DENTAL SERIVCES, SUB-SPECIALITY CARE AND INPATIENT AND LONG TERM CARE SERVICES. PART III, LINE 9B: WHEN A PATIENT IS KNOWN TO QUALIFY AND APPROVED FOR FINANCIAL ASSISTANCE, A SPECIFIC INSURANCE CODE IS ASSIGNED. THESE BILLS ARE ELECTRONICALLY TRANSMITTED TO THE MEDICAID FISCAL INTERMEDIARY. THE INTERMEDIARY PRICES AND PROCESSES THE CLAIMS. PATIENTS THAT WERE APPROVED FOR 100% ASSISTANCE, AND MADE A PAYMENT WILL BE CREDITED. SIMILARLY, A PATIENT THAT IS APPROVED FOR THE SLIDING SCALE THAT OVERPAID, WILL BE CREDITED.ALL OF OUR SELF-PAY PATIENTS ARE TREATED WITH THE SAME PROCESS. WE FIRST SCREEN PATIENTS FOR MEDICAID/CHARITY CARE, IF THEY AGREE TO THE PROCESS. IF THEY DO NOT QUALIFY FOR EITHER, OR WISH TO NOT APPLY, WE THEN OFFER THEM THE FAP. NEXT, WE FOLLOW THE NORMAL SELF-PAY COLLECTION PRACTICES FOR THE REMAINING AMOUNTS. EVERY 30 DAYS A STATEMENT FOR THE REMAINING BALANCE OWED WILL BE SENT TO THE GUARANTOR. IF AFTER, 120 DAYS, THERE IS NO RESPONSE/PAYMENT, THE ACCOUNT WILL BE REFERRED TO BAD DEBT. PART VI, LINE 2: NEEDS ASSESSMENT:ON OCTOBER 15, 2019, ST. JOSEPH'S UNIVERSITY MEDICAL CENTER CONVENED A GROUP OF 15 COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR COMMUNITY, BASED ON FINDINGS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) BEGAN THE MEETING WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH (SEE AREAS OF OPPORTUNITY ABOVE). FINALLY, PARTICIPANTS WERE PROVIDED AN OVERVIEW OF THE PRIORITIZATION EXERCISE THAT FOLLOWED. IN ORDER TO ASSIGN PRIORITY TO THE IDENTIFIED HEALTH NEEDS (I.E., AREAS OF OPPORTUNITY), A WIRELESS AUDIENCE RESPONSE SYSTEM WAS USED IN WHICH EACH PARTICIPANT WAS ABLE TO REGISTER HIS/HER RATINGS USING A SMALL REMOTE KEYPAD. THE PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA: - SCOPE & SEVERITY - THE FIRST RATING WAS TO GAUGE THE MAGNITUDE OF THE PROBLEM IN CONSIDERATION OF THE FOLLOWING: - ABILITY TO IMPACT - A SECOND RATING WAS DESIGNED TO MEASURE THE PERCEIVED LIKELIHOOD OF THE HOSPITAL HAVING A POSITIVE IMPACT ON EACH HEALTH ISSUE, GIVEN AVAILABLE RESOURCES, COMPETENCIES, SPHERES OF INFLUENCE, ETC. INDIVIDUALS' RATINGS FOR EACH CRITERIA WERE AVERAGED FOR EACH TESTED HEALTH ISSUE, AND THEN THESE COMPOSITE CRITERIA SCORES WERE AVERAGED TO PRODUCE AN OVERALL SCORE. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS: 1. DIABETES 2. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 3. HEART DISEASE & STROKE 4. SUBSTANCE ABUSE 5. ACCESS TO HEALTHCARE 6. MENTAL HEALTH 7. TOBACCO USE 8. SEXUAL HEALTH 9. CANCER 10. HOUSING 11. INJURY & VIOLENCE 12. RESPIRATORY DISEASES 13. SEPTICEMIA COMMUNITY STAKEHOLDERS WERE ASKED TO RATE THE DEGREE TO WHICH EACH OF 20 HEALTH ISSUES IS A PROBLEM IN THEIR OWN COMMUNITY, USING A SCALE OF "MAJOR PROBLEM," "MODERATE PROBLEM," "MINOR PROBLEM, OR "NO PROBLEM AT ALL." FINDINGS ALSO ARE OUTLINED THROUGHOUT THE 2019 CHNIA REPORT, ALONG WITH THE QUALITATIVE INPUT DESCRIBING REASONS FOR THEIR CONCERNS. (NOTE THAT THESE RATINGS ALONE DO NOT ESTABLISH PRIORITIES FOR THIS ASSESSMENT; RATHER, THEY ARE ONE OF SEVERAL DATA INPUTS CONSIDERED FOR THE PRIORITIZATION PROCESS DESCRIBED EARLIER.ST. JOSEPH'S UNIVERSITY MEDICAL CENTER WILL USE THE INFORMATION FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY. WHILE THE HOSPITAL WILL LIKELY NOT IMPLEMENT STRATEGIES FOR ALL OF THE HEALTH ISSUES LISTED ABOVE, THE RESULTS OF THIS PRIORITIZATION EXERCISE WILL BE USED TO INFORM THE DEVELOPMENT OF THE HOSPITAL'S ACTION PLAN TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS IN THE COMING YEARS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:FINANCIAL ASSISTANCE INFORMATION IS PROVIDED AND POSTED IN FOUR LANGUAGES IN ALL PATIENT REGISTRATION AREAS. PATIENTS IN NEED OF FINANCIAL ASSISTANCE HAVE AN OPPORTUNITY TO SCHEDULE AN APPOINTMENT WITH A FINANCIAL COUNSELOR TO ASK QUESTIONS AND APPLY FOR FINANCIAL ASSISTANCE. PART VI, LINE 4: COMMUNITY INFORMATION:COMPARISON AND GENERAL COMMUNITY DESCRIPTION: SOUTHERN PASSAIC COUNTY, NEW JERSEY INCLUDES THE FOLLOWING RESIDENTIAL ZIP CODES: 07011, 07012, 07013, 07014, 07055, 07407, 07410, 07424, 07470, 07501, 07502, 07503, 07504, 07505, 07506, 07508, 07512, 07513, 07514, 07522, AND 07524. THIS COMMUNITY DEFINITION REPRESENTS THE PRIMARY AND SECONDARY SERVICE AREAS OF ST. JOSEPH'S UNIVERSITY MEDICAL CENTER AND INCLUDES RESIDENTIAL ZIP CODES.ST. JOSEPH'S HEALTH (SJH) IS A NONPROFIT, INDEPENDENT HEALTHCARE SYSTEM SPONSORED BY THE SISTERS OF CHARITY OF SAINT ELIZABETH. ST. JOSEPH'S UNIVERSITY MEDICAL CENTER LOCATED IN PATERSON AND OUR SISTER HOSPITAL ST. JOSEPH'S WAYNE MEDICAL CENTER, APPROXMATELY 7 MILES TO THE NORTH OF PATERSON IN WAYNE, NEW JERSEY.WAYNE IS A SUBURBAN COMMUNITY WITH 55,000 RESIDENTS. THE MEDIAN HOUSEHOLD INCOME IS $100,853; 5% OF HOUSEHOLDS HAD INCOME BELOW $15,000 A YEAR, WITH 4% IN POVERTY; 29% REPORTED INCOME GREATER THAN $150,000. MEDIAN AGE WAS 43.4 YEARS; 21% PERCENT OF THE POPULATION IS UNDER 18 YEARS; 17 PERCENT OF THE POPULATION IS OVER 65 YEARS OF AGE. 93% OF THE POPULATION HAS HEALTH INSURANCE COVERAGE WITH 10% OF THE POPULATION REPORTING A DISABILITY. PATERSON, IS NJ'S THIRD LARGEST CITY, WITH NEARLY 150,000 RESIDENTS. THE POPULATION PRIMARILY CONSISTS OF PEOPLE OF COLOR AND ETHNIC MINORITIES: 61% OF RESIDENTS ARE HISPANIC/LATINO, AND 26% ARE BLACK/AFRICAN AMERICAN. ALTHOUGH DIFFICULT TO QUANTIFY USING CENSUS DATA, THERE ARE ALSO SIZEABLE COMMUNITIES OF MIDDLE EASTERN AND SOUTHEAST ASIAN DESCENT. GIVEN THE NUMBER OF IMMIGRANT POPULATIONS HERE, LINGUISTIC ISOLATION IS A CHALLENGE; THERE ARE MORE THAN 20 DIFFERENT LANGUAGES SPOKEN, INCLUDING THE SOUTHEAST ASIAN LANGUAGES AND NUMEROUS DIALECTICS OF HISPANIC AND ASIAN POPULATIONS. MANY RESIDENTS ARE ENGLISH LANGUAGE LEARNERS, WITH SPANISH AND INCREASINGLY ARABIC AS THE MOST COMMON PRIMARY LANGUAGES SPOKEN. IMMIGRANTS IN OUR COMMUNITY OFTEN DEPRIORITIZE HEALTHCARE NEEDS, DUE TO CONCERNS AROUND THEIR IMMIGRATION STATUS, AFFORDABILITY, AND ACCESS; IN MANY CASES, IMMIGRANTS DO NOT ACCESS PREVENTIVE CARE AND ONLY PRESENT TO SJUMC ONCE A MEDICAL EMERGENCY ARISES. DESPITE PATERSON'S SIZE AND DIVERSITY OF ITS RESIDENTS, IT HAS ONE OF THE LOWEST PER CAPITA INCOME LEVELS IN THE STATE, AND AN UNEMPLOYMENT RATE OF AT LEAST 8%. TWENTY-NINE PERCENT (29%) OF THE AREA'S POPULATION LIVES IN POVERTY (THREE TIMES THE STATE AVERAGE), INCLUDING 40% OF CHILDREN UNDER AGE 18. THE POVERTY RATE IS REFLECTED BY THE NEARLY 40% OF RESIDENTS WHO RECEIVE BENEFITS FROM THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). PATERSON RESIDENTS ALSO STRUGGLE TO SECURE HEALTH INSURANCE: ESTIMATES INDICATE UP TO 20% OF RESIDENTS UNDER THE AGE OF 65 ARE UNINSURED (U.S. CENSUS BUREAU).REFLECTING OUR COMMUNITY DEMOGRAPHICS, NEARLY 80% OF SJUMC/SJCH PATIENTS ARE COVERED BY MEDICAID OR CHARITY CARE (INDIGENT PATIENTS) OR MEDICARE (OLDER OR DISABLED PATIENTS). PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:THE DEPARTMENT OF URBAN & COMMUNITY HEALTH LEADS THE COMMUNITY ENGAGEMENT ACTIVITIES ON BEHALF OF THE SYSTEM. STAFF MEMBERS HOLD LEADERSHIP POSITIONS ON VARIOUS COMMUNITY BOARDS, INCLUDING THE TRI-COUNTY CHAMBER OF COMMERCE, PATERSON ROTARY, PATERSON ALLIANCE, UNITED WAY OF PASSAIC COUNTY, MINORITY CONCERNS COMMITTEE OF THE PASSAIC COUNTY VICINAGE, AND BOTH THE PATERSON AND WAYNE YMCAS. ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO:1. HEALTH FAIR-FOOD TOWN- NORTH HALEDON 1BLOOD PRESSURE SCREENING/CARDIOVASCULAR EDUCATIONAL/ INFORMATIONAL AND F&N TABLES2. MARTIN LUTHER KING SERVICE AWARD3. OPIOID CRISIS PRESENTATION- DR. ROSENBERG 4. FOUR SEASONS AT GREAT NOTCH - WOMEN'S HEART HEALTH5. MEN AND WOMEN'S HEALTH NIGHT TOPIC: PULMONARY TESTING WITH EDUCATION HANDOUTS6. SPECIAL NEEDS WORSHIP SERVICE 7. BP SCREENING-FAIR TOPIC: HEALTH SCREENING: BLOOD PRESSURE/EDUCATIONAL-INFORMATIONAL 8. FUTURE PEDIATRIC GROUP TOPIC: WIDE RANGE OF COMMUNITY RESOURCES CHARITY CARE AND COMMUNITY OUTREACH PROGRAMS. HEART/STROKE EDUCATION/INFORMATIONAL9. COMMUNITY RESOURCE COMMUNITY CHARTER SCHOOL PATERSON TOPIC: ASTHMA/ OBESITY, RESOURCES10. WILLIAM PATERSON UNIVERSITY ALL ABOUT KIDS SPRING 2019 WORKSHOPSSIGNS AND SYMPTOMS OF ANXIETY AMONG CHILDREN 11. HEALTH FAIR, WAFAA REQUIRED: RESOURCES, STROKE, HEART, DIABETES PREVENTION. EDUCATIONAL-INFORMATIONAL.12. HEALTHY KIDS DAY, WAYNE YMCA*INFORMATION REQUESTED: ALL ASPECTS OF CHILDREN'S AND ADULT HEALTH-STROKE-HEART INFORMATIONAL-EDUCATIONAL. BP SCREENING. 13. HEALTHY KIDS DAY, PATERSON YMCA14. CITY OF CLIFTON 6TH ANNUAL EMPLOYEE HEALTH FAIR15. HEALTH FAIR AT BAE16. SAX TOPIC: CANCER/WOMEN'S HEALTH, RESOURCESWILLIAM PATERSON UNIVERSITY ALL ABOUT KIDS SPRING 2019 WORKSHOPSSIGNS AND SYMPTOMS OF ANXIETY AMONG CHILDREN 17. WILLIAM PATERSON UNIVERSITY- CONTINUING EDUCATION SCHOOL NURSES EATING DISORDERS AMONG CHILDREN 18. FAITH CHAPEL REFORMED CHURCH ANNUAL COMMUNITY HEALTH FAIR19. WELLNESS FAMILY DAYS- THE JACKALS-DAY 120. IFTARTOPIC: GENERAL; CULTURAL AND RELIGIOUS HEALTH AFFECTS 21. WAYNE DAY 22. SISTERS ST. ELIZABETH-BAD PROM 5K RESOURCES: BP SCREENING- CARDIOVASCULAR INFORMATIONAL EDUCATION23. HEALTH FAIR PATERSON SCHOOLS/FULL SERVICE COMMUNITY CENTER24. SCHOOL 2 DANGERS OF VAPING25. DIABETES PRESENTATION- DR. FESTA STRAIGHT AND NARROW, INC.FAMILY SUCCESS CENTER 26. WELLNESS FAMILY DAYS- THE JACKALS-DAY 227. PASSAIC FAIR DOING IT IN THE PARK28. MEDICATION SAFETY AND ADMINISTRATION WORKSHOP APPRENTICESHIP PROGRAM (SPANISH) LOVING CARE EARLY LEARNING CENTER29. STOP THE BLEED 30. NJDC - WORKSHOP SAFETY FOR PROVIDERS: MEDICATION SAFETY (SPANISH)31. HEALTH FAIR - FUTURE PEDIATRICS GROU 32. CITY OF PATERSON - NATIONAL NIGHT OUT33. HEALTHY SNACK WORKSHOP34. TRAUMA PREVENTION/ PEDESTRIAN SAFETY CHILD CARE CENTER 35. PASSAIC COUNTY FAIR 36. HEALTH NET SAFETY EVENT - BOYS AND GIRLS CLUB OF PASSAIC AND PATERSON (SUPER 6)37. WELLNESS FAMILY DAYS- THE JACKALS38. COMMUNITY HEALTH FAIR DOH PASSAIC39. COMMUNITY HEALTH FAIR PATERSON COMMUNITY ARAB AMERICAN40. HEALTH FAIR FIRST SEVENTH DAY ADVENTIST CHURCH OF PATERSON41. SHAVE A LIFE EVENT 42. ST. JOSEPH'S VOLUNTEER DAY 43. PROSPECT PARK DAY 2019 44. DOMINICAN PARADE 45. PEQUANNOCK GREENVIEW PARKREQUIRE: BP SCREENING, INFORMATION/RESOURCES TABLES. 46. WOMEN'S WALK AND HEALTH FAIR-PASSAIC 47. COMMUNITY HEALTH FAIR CLIFTON 48. BILL PASCRELL'S HEALTH FAIR 49. THE PROGRAM HEALTHY WOMEN BUILD HEALTHY COMMUNITIES 50. WOODLAND PARK DAY 51. PROSPECT PARK FAIR BOH 52. SHOP DOCS BLOOD PRESSURE SCREENING ( BARBER SHOP)53. HISPANIC AFFINITY GROUP 54. BINATIONAL WEEK HEALTH FAIR- VENTANILLA DE SALUD MOBIL55. SAX ANNUAL 4-MILLER TOPIC: CARDIOVASCULAR BP SCREENING, EDUCATION/INFORMATIONAL TABLES/RESOURCES56. CLUB SEQUOIA- WINDS CAFE TOPIC: STROKE PREVENTION 57. WANAQUE WELLNESS58. FAMILY FLU FEST 59. PATERSON PROUD TO BE STIGMA FREE 60. WAYNE HEALTH FAIR61. TEEN DISTRACTED DRIVIN62. BOROUGH OF TOTOWA COMMUNITY HEALTH FAIR 63. BREAST CANCER AWARENESS 100 WOMEN, CEED, SCHOOL SONORITY, NAHN, ETC. 64. STEPS AGAIN STIGMA WALKATHON WANAQUE65. NATIONAL LIVER AWARENESS MONTH 66. PASSAIC COUNTY JUDICIARY-CANCER FAIR 67. 2019 NON-PROFIT SUMMIT 68. ST. CATHERINE OF SIENA PARISH 5K SCS HERITAGE FUND 5K & FUN-FIT MILE69. IMMIGRATION INTEGRATION DAY- IACO 70. SHOP DOCS BLOOD PRESSURE SCREENING (2 BARBER SHOPS)71. BP HEALTH AND WELLNESS FAIR 72. YMCA WAYNE- CARDIOVASCULAR/DIABETES FAIR73. HEALTH SEMINAR- ST. GEORGE SYRO - MALABAR CATHOLIC CHURCH, PATERSON74. VETERANS DAY-WAYNE 75. COMMUNITY RESOURCE FAIR PASSAIC COUNTY COMMUNITY COLLEGE (PCCC).76. SCHOOL 12 FALL FESTIVAL- CLIFTON 77. IMMIGRATION Y SALUD 78. CAREER LAUNCH PROGRAM - BOYS & GIRLS CLUB OF PATERSON AND PASSAIC79. SHOP DOCS BLOOD PRESSURE SCREENING ( BARBER SHOP)80. HOLIDAY HEALTH FAIR PART VI, LINE 6: AFFILIATED HEALTH CARE:SAINT JOSEPH'S HEALTH INC., THE PARENT ORGANIZATION, IS SPONSORED BY THE SISTERS OF CHARITY OF SAINT ELIZABETH AND ITS AFFILIATES. AFFILIATED MEMBERS OF THE PARENT INCLUDE ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, INC. AND SUBSIDIARIES, ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. (THE MEDICAL CENTER FOUNDATION), 200 HOSPITAL PLAZA CORPORATION (200 HOSPITAL PLAZA), SJHS INSURANCE LIMITED (THE INSURANCE CAPTIVE), AND VHS MANAGEMENT, INC. AND SUBSIDIARY (VHS). SAINT JOSEPH'S UNIVERSITY MEDICAL CENTER (THE UNIVERSITY MEDICAL CENTER) WAS FOUNDED IN 1867 AND IS LOCATED IN PATERSON, NEW JERSEY. IT IS AN ACUTE-CARE HOSPITAL WITH 651 LICENSED BEDS AND 30 NEWBORN BASSINETS. THE UNIVERSITY MEDICAL CENTER IS A STATE-DESIGNATED TRAUMA CENTER AND PROVIDES A FULL RANGE OF HEALTH CARE SERVICES. EFFECTIVE JANUARY 1, 2010, ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, INC. D/B/A ST. JOSEPH'S WAYNE MEDICAL CENTER AND SUBSIDIARY (WAYNE MEDICAL CENTER) WAS MERGED WITH THE UNIVERSITY MEDICAL CENTER AND COLLECTIVELY THE ENTITIES ARE REFERRED TO HEREIN AS THE MEDICAL CENTER. WAYNE MEDICAL CENTER IS LOCATED IN WAYNE, NEW JERSEY, AND IS AN ACUTE-CARE HOSPITAL WITH 229 LICENSED BEDS. WAYNE MEDICAL CENTER PROVIDES COMPREHENSIVE MEDICAL AND SURGICAL CARE, AND EMERGENCY AND DIAGNOSTIC SERVICES FOR ITS COMMUNITY. THE MEDICAL CENTER ALSO OPERATES ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, INC. D/B/A ST. JOSEPH'S HEALTHCARE AND REHAB CENTER, A 151 BED SKILLED NURSING FACILITY LOCATED IN CEDAR GROVE, NEW JERSEY. IN ADDITION, THE MEDICAL CENTER INCLUDES THE FOLLOWING WHOLLY OWNED SUBSIDIARIES: -ST. JOSEPH'S HOSPITAL HOUSING CORP. (THE HOUSING CORP.) AND ITS SUBSIDIARIES, GENESIS PROPERTY DEVELOPMENT HOLDING, LLC AND GENESIS PROPERTY DEVELOPMENT, LLC (COLLECTIVELY, GENESIS), PROVIDE PROPERTY-MANAGEMENT SERVICES FOR NONHOSPITAL-RELATED REAL ESTATE HOLDINGS. -ST. JOSEPH'S HEALTHCARE PHYSICIAN HEALTHCARE GROUP, INC.; ST. JOSEPH'S EMERGENCY PHYSICIANS, INC.; ST. JOSEPH'S FACULTY PHYSICIANS, INC.; AND ST. JOSEPH'S PHYSICIAN'S, INC. MANAGE THE MEDICAL CENTER'S FACULTY STAFF BILLING SERVICES.-HARBOR HOUSE, INC. AND ITS SUBSIDIARIES, HARBORSIDE APARTMENTS, INC. AND HARBORVIEW THE MEDICAL CENTER IS ALSO THE MAJORITY MEMBER OF THE FOLLOWING CONSOLIDATED SUBSIDIARIES: ST. JOSEPH'S REGIONAL CARDIOLOGY, LLC (PATERSON CARDIOLOGY); ST. JOSEPH'S WAYNE CARDIOLOGY, LLC (WAYNE CARDIOLOGY); BLUE MOON PROPERTIES, LLC (BLUE MOON); AND ST. JOSEPH'S SURGERY MANAGEMENT, LLC (SURGERY MANAGEMENT). PATERSON CARDIOLOGY AND WAYNE CARDIOLOGY ARE LIMITED LIABILITY CORPORATIONS THAT EACH OPERATE A CARDIAC CATHETERIZATION LABORATORY. BLUE MOON IS A LIMITED LIABILITY CORPORATION THAT PROVIDES RADIOLOGY-MANAGEMENT SERVICES. SURGERY MANAGEMENT IS A LIMITED LIABILITY CORPORATION ESTABLISHED TO MANAGE THE SURGICAL SERVICES AT THE UNIVERSITY MEDICAL CENTER.THE PATERSON FOUNDATION AND THE WAYNE FOUNDATION ARE PUBLIC CHARITIES WHOSE PRIMARY PURPOSE IS TO RAISE FUNDS FOR THE MEDICAL CENTER AND WAYNE MEDICAL CENTER, RESPECTIVELY, AND THEIR AFFILIATED ORGANIZATIONS, AND OTHER AREA CHARITABLE ORGANIZATIONS.200 HOSPITAL PLAZA IS A NOT-FOR-PROFIT ORGANIZATION WHOSE PURPOSE IS TO FURTHER THE OPERATIONS OF THE MEDICAL CENTER BY OWNING, MANAGING, AND OPERATING PARKING FACILITIES AND ANY OTHER FACILITIES THAT MAY BE DEEMED USEFUL OR NECESSARY FOR EMPLOYEES, PATIENTS, VISITORS, DOCTORS, AND OTHER PERSONS AFFILIATED WITH THE MEDICAL CENTER.THE INSURANCE CAPTIVE, WHICH IS A WHOLLY OWNED CAPTIVE INSURANCE COMPANY DOMICILED IN BERMUDA, WAS ESTABLISHED IN 2007 TO PROVIDE THE SYSTEM WITH GENERAL LIABILITY AND PROFESSIONAL MEDICAL LIABILITY INSURANCE.VHSNJ AT HOME, LLC IS A JOINT VENTURE BETWEEN A SUBSIDIARY OF THE SYSTEM, ST. JOSEPH'S HOME HEALTH, LLC, AND HACKENSACK MERIDIAN HOME CARE SERVICES, INC. THE SYSTEM HOLDS 50% OWNERSHIP INTEREST IN THE VHSNJ AT HOME, LLC JOINT VENTURE. PART VI, LINE 7, REPORTS FILED WITH STATES NJ 1 ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC 503 MAIN STREET PATERSON NJ 07503 221487602 501(C)(3) 1777645 GENERAL SUPPORT ST JOSEPH'S HOSPITAL AND MEDICAL CTR FND 810 MAIN STREET PATERSON NJ 07470 222448138 501(C)(3) 3900000 GENERAL SUPPORT EIGER MARKETING GROUP 372 GREENWICH AVE 2ND FLOOR GREENWICH CT 06830 320349491 N/A 11000 SPONSORSHIP VALERIE FUND 2101 MILLBURN AVENUE MAPLEWOOD NJ 07040 222126867 501(C)(3) 20000 GENERAL SUPPORT 3 1 SCHOLARSHIPS 7 6000 PART I, LINE 2: GRANTS ARE MADE TO RELATED TAX-EXEMPT ORGANIZATIONS AND MONITORING IS NOT REQUIRED AS FUNDS ARE USED TO FURTHER ITS TAX EXEMPT PURPOSE. IN ADDITION, DONATIONS ARE MADE TO OTHER ORGANIZATIONS. MONITORING IS NOT REQUIRED AS THE ULTIMATE RECIPIENT IS A EXEMPT ENTITY. SCHOLARSHIPS ARE AWARDED BY THE SCHOLARSHIP COMMITTEE THROUGH A FORMAL APPLICATION PROCESS. X X X X 1 0 0 0 0 1 0 1 1 1 MARK CONNOLLY CHAIRMAN, DEPT. OF SURGERY 1843044 0 317750 0 11649 0 3859 0 22192 0 2198494 0 0 0 KEVIN J SLAVIN PRESIDENT & CEO 1470477 0 410248 0 22673 0 3943 0 26134 0 1933475 0 0 0 ALDO KHOURY MD MEDICAL DOCTOR 1054915 0 0 0 16481 0 24257 0 14220 0 1109873 0 0 0 LISA SCHMITTGALL SENIOR VICE PRESIDENT/COO 826656 0 175662 0 2622 0 3238 0 10957 0 1019135 0 0 0 DENNIS ROEMER SVP OF FINANCE/CFO 753176 0 161721 0 14068 0 3899 0 20072 0 952936 0 0 0 DAVID PRINCIPE MD MEDICAL DOCTOR 867636 0 0 0 6477 0 3742 0 27553 0 905408 0 0 0 ALEXANDER RISS MEDICAL DOCTOR 811432 0 10000 0 1140 0 0 0 34846 0 857418 0 0 0 TODD C BROWER SENIOR VP, GENERAL COUNSEL 624399 0 126039 0 19524 0 7579 0 28774 0 806315 0 0 0 MATTHEW A GROSSMAN MEDICAL DOCTOR 677200 0 50000 0 1140 0 0 0 32329 0 760669 0 0 0 DAVID ADINARO MD VICE PRESIDENT, CMO 567928 0 98935 0 3813 0 3720 0 31113 0 705509 0 0 0 JENNIFER MENDYZCKI VP WAYNE SITE ADMINISTRATOR 488356 0 93403 0 1623 0 4212 0 33377 0 620971 0 0 0 LINDA REED VP, CHIEF INFORMATION OFFICER 458891 0 100419 0 6889 0 7579 0 25320 0 599098 0 0 0 JAMES LABAGNARA JR MD SVP AND SYSTEM CMO 475403 0 103712 0 6885 0 8748 0 2656 0 597404 0 0 0 ROBERT C HOOD SENIOR VP, POPULATION HEALTH 395139 0 97993 0 20213 0 3869 0 24279 0 541493 0 0 0 JOHN P BRUNO VP, HUMAN RESOURCES 442248 0 89806 0 4230 0 0 0 4528 0 540812 0 0 0 MICHAEL LAMMACHIA MD TRUSTEE/SECRETARY/TREASURER 453110 0 37750 0 5502 0 3857 0 31842 0 532061 0 0 0 MICHAEL DELISI MD TRUSTEE/CO-CHAIR 412083 0 37750 0 11069 0 5113 0 23085 0 489100 0 0 0 NILESH PATEL DO TRUSTEE 430570 0 10000 0 1612 0 2872 0 32412 0 477466 0 0 0 MARJORY LANGER MD FACEP TRUSTEE 448692 0 12217 0 665 0 0 0 8448 0 470022 0 0 0 MICHAEL ALWELL VP REVENUE CYCLE 331563 0 60385 0 1663 0 0 0 28415 0 422026 0 0 0 JUDITH PADULA TRUSTEE/VP PATIENT CARE SVCS CNO 306262 0 72573 0 15213 0 3826 0 14578 0 412452 0 0 0 JAMES HAYNES VP FACILITIES OPERATIONS 274969 0 62989 0 1556 0 4699 0 32109 0 376322 0 0 0 SR PATRICIA MENNOR VP MISSION 287211 0 63601 0 4153 0 3781 0 9933 0 368679 0 0 0 KENNETH M MORRIS JR VP EXTERNAL AFFAIRS 261460 0 58230 0 3775 0 3444 0 19647 0 346556 0 0 0 MOIRA GIBBONS VP CCO & DIR. LEGAL AFFAIRS 269383 0 58890 0 1472 0 2886 0 10463 0 343094 0 0 0 ROBERT BUDELMAN III VP, CHIEF DEVELOPMENT OFFICER 254011 0 56625 0 834 0 0 0 26788 0 338258 0 0 0 THOMAS CASEY VP, MARKETING & PR 246868 0 54179 0 2272 0 0 0 1674 0 304993 0 0 0 JOSEPH DUFFY MD VP, CMO WAYNE 253605 0 36982 0 2053 0 3124 0 841 0 296605 0 0 0 ROBERTO SOLIS MD TRUSTEE 281950 0 0 0 2944 0 402 0 970 0 286266 0 0 0 ANTOINETTE CECERE MD TRUSTEE 241764 0 0 0 7327 0 0 0 12900 0 261991 0 0 0 GENNARO RUBINO TRUSTEE 232417 0 0 0 2808 0 0 0 6948 0 242173 0 0 0 PAMELA UPADYA TRUSTEE 187905 0 0 0 576 0 0 0 609 0 189090 0 0 0 ANTHONY LOSARDO MD TRUSTEE 171369 0 0 0 0 0 0 0 0 0 171369 0 0 0 STEVE ALDERSON THRU 11819 VP PHYSICIAN SERVICES 27240 0 0 0 125222 0 5171 0 777 0 158410 0 0 0 PART I, LINE 4A STEVEN ALDERSON RECEIVED SEVERANCE PAYMENTS OF $158,410 IN 2019 FROM THE ORGANIZATION. PART I, LINE 6 DURING 2019, DRS. KHOURY AND PRINCIPE RECEIVED ADDITIONAL COMPENSATION EQUAL TO A PERCENTAGE OF NET PATIENT REVENUE GENERATED THROUGH THEIR EXTRAORDINARY EFFORTS RELATED TO SPECIFIC ST JOSEPH'S SERVICE LOCATIONS. PART I, LINE 7 THE ST. JOSEPH'S HEALTH SYSTEM HAS A MANAGEMENT INCENTIVE PLAN IN PLACE THAT IS INTENDED TO ENCOURAGE AND REWARD ELIGIBLE PLAN PARTICIPANTS FOR ACHIEVING DEFINED OBJECTIVES THAT ARE SUPPORTIVE OF ST. JOSEPH'S HEALTHCARE SYSTEM'S MISSION AND STRATEGY. THE PROGRAM IS DESIGNED TO PROVIDE A MAXIMUM INCENTIVE OPPORTUNITY TO PARTICIPANTS WHOM ACHIEVE THE MAXIMUM PERFORMANCE AND EXPECTATIONS IN MEASUREABLE AREAS. ELIGIBLE PARTICIPANTS SHALL BE THOSE INCUMBENTS IN MANAGEMENT POSITIONS IN WHICH DECISION AND ACTIONS IMPACT THE OPERATIONS OF ST. JOSEPH'S HEALTHCARE SYSTEM AND/OR ITS BUSINESSES AND SUBSIDIARIES. ELIGIBILITY REQUIREMENTS MAY BE MODIFIED FROM YEAR TO YEAR. THE AWARD OPPORTUNITIES WILL BE BASED ON ATTAINMENT OF PRACTICAL PERFORMANCE MEASURES IN THE AREAS OF FINANCIAL, QUALITY PERFORMANCE, PATIENT SATISFACTION AND INDIVIDUAL GOALS. THE AWARD IS THE AMOUNT PAID TO PARTICIPANTS FOR THE ACTUAL PERFORMANCE THAT MEETS THE EXPECTATIONS OF THE CRITERIA ESTABLISHED. AT THE CLOSE OF EACH PLAN YEAR, PARTICIPANTS WILL BE EVALUATED TO DETERMINE IF PERFORMANCE IN SPECIFIC GOALS HAVE BEEN ACHIEVED. PART I, LINE 8 DURING 2019, THE HOSPITAL'S CEO AND CFO WERE COMPENSATED AND PROVIDED WITH BENEFITS PURSUANT TO AN EMPLOYMENT AGREEMENT SATISFYING THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGS. SECTION 53.4958-1(A)(3). A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 222845542 645790CB0 2016-08-24 274348264 SEE SCHDULE K, PART VI 0 0 0 B THE PASSAIC COUNTY IMPROVEMENT AUTHORITY 050569671 702754CY6 2017-12-29 26760514 SEE SCHDULE K, PART VI 0 0 0 A 12615000 274352050 2842983 50003786 221505281 2017 0 1 0 1 B 1470000 26760514 24932645 504287 1323582 2011 0 1 0 1 A 0 0 0 0 0 0 0 B 0 1 1 1 0 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 0 B 0 FORM 990, SCHEDULE K, PART I: BOND A, COLUMN (A): ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY BOND A, COLUMN (F): DESCRIPTION OF PURPOSE: EQUIPMENT, REFUNDING OF BONDS ISSUED 8/13/2008 BOND B, COLUMN (A): ISSUER NAME: THE PASSAIC COUNTY IMPROVEMENT AUTHORITY BOND B, COLUMN (F): DESCRIPTION OF PURPOSE: ADVANCED REFUNDING OF THE 10/22/2010 BOND ISSUE PART II, LINE 3: THE DIFFERENCE BETWEEN THE ISSUE PRICE PROVIDED IN PART I, COLUMN (E) AND THE TOTAL PROCEEDS IN PART II, LINE 3 FOR BOND A AND BOND B RESULTS FROM INVESTMENT EARNINGS. DR JAMES LABAGNARA VP, MEDICAL AFFAIRS PHYS. RECRUITMENT X 393932 374544 0 0 1 374544 FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION ST. JOSEPH'S HEALTH, INC. IS A NOT FOR PROFIT HOLDING CORPORATION WITH SETON MINISTRIES, INC., EFFECTIVE FEBRUARY 2019, AS ITS SOLE MEMBER. SETON MINISTRIES, INC. IS A SUBSIDIARY OF SISTERS OF CHARITY OF SAINT ELIZABETH FORMED IN FEBRUARY 2019; PRIOR TO FEBRUARY 2019, ST. JOSEPH'S HEALTH WAS SPONSORED BY THE SISTERS OF CHARITY OF SAINT ELIZABETH. WE ARE COMMITTED TO PROVIDING EXCEPTIONAL QUALITY CARE WHICH SUSTAINS AND IMPROVES BOTH INDIVIDUAL AND COMMUNITY HEALTH, WITH A SPECIAL CONCERN FOR THOSE WHO ARE POOR, VULNERABLE AND UNDERSERVED. FORM 990, PART III, LINE 4A ST. JOSEPH'S UNIVERSITY MEDICAL CENTER (SJUMC) PROVIDES COMPREHENSIVE ACUTE CARE SERVICES IN PATERSON, NEW JERSEY, SKILLED NURSING SERVICES THROUGH ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, INC. D/B/A ST. JOSEPH'S HEALTHCARE AND REHAB CENTER (A DIVISION OF SJUMC) IN CEDAR GROVE, NEW JERSEY AND AMBULATORY CARE SERVICES AT EIGHT FREE-STANDING AMBULATORY SITES. SJUMC IS A NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES DESIGNATED LEVEL II TRAUMA CENTER, A REGIONAL CARDIAC SURGERY CENTER, AND A REGIONAL PERINATAL CENTER WITH APPROXIMATELY 5,332 EMPLOYEES AND PHYSICIANS, THE MEDICAL CENTER IS BOTH THE LARGEST HEALTH CARE PROVIDER AND NON-GOVERNMENT EMPLOYER IN PASSAIC COUNTY. SJUMC OPERATES A 651-LICENSED-BED ACUTE CARE TERTIARY CARE HOSPITAL OF APPROXIMATELY 1.2 MILLION SQUARE FEET, SITUATED ON 25 ACRES. SJUMC OFFERS A FULL COMPLEMENT OF SPECIALTY AND SUBSPECIALTY SERVICES INCLUDING: 1 CANCER CENTER 2 COMMUNITY EDUCATION SERVICES 3 COMPREHENSIVE NEURO-STROKE CENTER 4 DIALYSIS CENTER 5 EMERGENCY SERVICES 6 LABOR & DELIVERY AND MOTHER/BABY UNITS 7 REGIONAL PERINATAL CENTER 8 SAME-DAY SURGERY 9 SPECIALIZED SURGERY 10 TELEMEDICINE 11 THE HEART CENTER AT ST. JOSEPH'S 12 THE ORTHOPEDIC INSTITUTE SJUMC IS ALSO A STATE DESIGNATED FULL-SERVICE CHILDREN'S HOSPITAL, OPERATED UNDER THE NAME "ST. JOSEPH'S CHILDREN'S HOSPITAL," WHICH PROVIDES TERTIARY CARE FOR CHILDREN FROM BIRTH TO 21 YEARS OF AGE. SJUMC OFFERS SPECIALIZED CHILDREN'S SERVICES SUCH AS A NEONATAL INTENSIVE CARE, PEDIATRIC INTENSIVE CARE, AND A DEDICATED PEDIATRIC EMERGENCY ROOM. ADDITIONALLY, SJUMC PROVIDES: 1 REGIONAL CRANIOFACIAL CENTER 2 PEDIATRIC CENTER FOR FEEDING AND SWALLOWING DISORDERS 3 CHILD DEVELOPMENT CENTER 4 REGIONAL CYSTIC FIBROSIS CENTER 5 FULL SPECTRUM OF PEDIATRIC SPECIALTY AND SUBSPECIALTY SERVICES SJUMC CURRENTLY OPERATES 559 BEDS WITHIN THE FOLLOWING 629-LICENSED BED COMPLEMENT: MEDICAL/SURGICAL - 383 INTENSIVE/CORONARY CARE - 64 OBSTETRICS/GYNECOLOGY - 54 PEDIATRICS - 54 PSYCHIATRY - 24 NEONATAL INTENSIVE CARE - 50 TOTAL (EXCLUDES 30 NEWBORN BASSINETS) 629 SJUMC ALSO OPERATES THE FOLLOWING AMBULATORY FACILITY SITES WITHIN CLOSE PROXIMITY TO THE MAIN SJUMC CAMPUS: 1. COMPREHENSIVE CARE CENTER, AN AMBULATORY PRIMARY CARE FACILITY FOR HIV PATIENTS IN PATERSON, NJ 2. CLIFTON FAMILY PRACTICE, AN AMBULATORY PRIMARY CARE FACILITY IN CLIFTON, NJ 3. ST. JOSEPH'S PEDIATRIC SUB SPECIALTIES AT FAIRFIELD, A PEDIATRIC SUBSPECIALTY FACULTY PRACTICE FACILITY IN FAIRFIELD, NJ 4. THE MEDICAL CENTER AT WILLOWBROOK ("WILLOWBROOK") IN WAYNE, NJ, A FACULTY PRACTICE FACILITY PROVIDING PEDIATRIC, OBSTETRIC AND MEDICAL SUBSPECIALTY SERVICES AND A 20 STATION DIALYSIS CENTER 5. ST. JOSEPH'S UNIVERSITY MEDICAL CENTER AMBULATORY IMAGING CENTER, A FULL SERVICE DIAGNOSTIC AND WOMEN'S IMAGING CENTER IN CLIFTON, NJ 6. ST. JOSEPH'S HEALTHCARE AND REHAB CENTER IS LOCATED IN ESSEX COUNTY, APPROXIMATELY FIVE MILES FROM SJUMC. THIS CENTER PROVIDES 24/7 NURSING CARE, MEDICAL, PSYCHO-SOCIAL, NUTRITIONAL, THERAPEUTIC RECREATION, AND SPIRITUAL CARE IN ITS 151-BED LONG-TERM CARE AND SUBACUTE SERVICES CENTER. CLINICAL SERVICES: AS PART OF ST. JOSEPH'S HEALTH INC., SJUMC COORDINATES COMPREHENSIVE BASIC AND TERTIARY SERVICES ACROSS CAMPUSES WITH ITS SISTER HOSPITAL ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, INC. D/B/A ST. JOSEPH'S WAYNE MEDICAL CENTER (SJWMC) LOCATED IN WAYNE, NJ THROUGH ITS CLINICAL SERVICE LINE "CENTERS OF EXCELLENCE" MANAGEMENT MATRIX. ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, INC. D/B/A ST. JOSEPH'S WAYNE MEDICAL CENTER (SJWMC) IS A 229-LICENSED BED ACUTE CARE COMMUNITY HOSPITAL FACILITY LOCATED IN WAYNE, NJ. THE HOSPITAL, A MEMBER OF ST. JOSEPH'S HEALTH INC., OFFERS INPATIENT AND ACUTE REHABILITATION SERVICES WITH SPECIALIZED SERVICES OFFERED IN ITS FULL SERVICE CARDIAC CATHETERIZATION LAB, DEDICATED COMPREHENSIVE ACUTE CARE REHABILITATION NURSING UNIT AND A GERIATRIC NURSING UNIT. OUTPATIENT SERVICES INCLUDE DIAGNOSTIC RADIOLOGY, PHYSICAL THERAPY SERVICES, SAME-DAY SURGERY, SLEEP CARE CENTER, AND THE JOHN VICTOR MACHUGA DIABETES EDUCATION CENTER. CERTAIN ADDITIONAL SPACE IS CURRENTLY LEASED TO A NON-PROFIT LONG TERM ACUTE CARE SERVICES PROVIDER. SJWMC CURRENTLY OPERATES 138 BEDS WITHIN THE FOLLOWING 229 LICENSED BED COMPLEMENT: MEDICAL/SURGICAL 193 INTENSIVE/CORONARY CARE 16 COMPREHENSIVE REHABILITATION 20 TOTAL 229 CLINICAL SERVICES: INTEGRAL TO ITS SERVICE DELIVERY, SJWMC COORDINATES COMPREHENSIVE BASIC AND TERTIARY SERVICES ACROSS CAMPUSES WITH ITS SISTER HOSPITAL, ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, LOCATED IN PATERSON, NJ THROUGH A CLINICAL SERVICE LINE "CENTERS OF EXCELLENCE" MANAGEMENT MATRIX. FORM 990, PART VI, SECTION A, LINE 4 THE ARTICLES OF INCORPORATION WERE UPDATED TO REFLECT THAT SETON MINISTRIES, INC., A SUBSIDIARY OF SISTERS OF CHARITY OF SAINT ELIZABETH FORMED IN FEBRUARY 2019, BECAME THE SOLE MEMBER OF ST JOSEPH'S HEALTH, EFFECTIVE FEBRUARY 2019. EFFECTIVE JANUARY 1, 2019, ST. JOSEPH'S WAYNE HOSPITAL FOUNDATION MERGED INTO ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER FOUNDATION. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE ORGANIZATION SETON MINISTRIES, INC. IS THE SOLE MEMBER OF ST. JOSEPH'S HEALTH, INC.. ST. JOSEPH'S HEALTH, INC. IS THE SOLE MEMBER OF ST. JOSEPH'S UNIVERSITY MEDICAL CENTER, ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER FOUNDATION, INC., AND 200 HOSPITAL PLAZA CORP. THE MEMBER OF ST. JOSEPH'S HEALTH, INC. IS SETON MINISTRIES, INC.. THE SOLE MEMBER OF HARBOR HOUSE, INC., ST. JOSEPH'S EMERGENCY PHYSICIANS, INC., ST. JOSEPH'S FACULTY PHYSICIANS, INC., ST. JOSEPH'S PHYSICIANS, INC., AND ST. JOSEPH'S SUBSPECIALTY PHYSICIANS, INC. IS ST. JOSEPH'S UNIVERSITY MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF THE GOVERNING BODY ST. JOSEPH'S UNIVERSITY MEDICAL CENTER SHARES A MIRROR BOARD WITH ITS MEMBER ORGANIZATION, ST. JOSEPH'S HEALTH, INC. (THE SYSTEM IS AN OBLIGATED GROUP). UNDER SECTION 2.2 OF THE SYSTEM'S BYLAWS, THE POWER TO ELECT AND REMOVE TRUSTEES FROM THE SYSTEM'S BOARD (AND BY EXTENSION, ST. JOSEPH'S UNIVERSITY MEDICAL CENTER'S BOARD) IS RESERVED TO THE MEMBER OF THE ORGANIZATION, SETON MINISTRIES, INC.. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY CERTAIN RIGHTS AND POWERS ARE RESERVED TO THE MEMBER PURSUANT TO THE BY-LAWS OF THE CORPORATIONS. THESE INCLUDE: APPROVAL OF THE STATEMENT OF THE MISSION OF THE INSTITUTION AND ANY SUBSEQUENT CHANGES; THE RIGHT TO ELECT AND REMOVE TRUSTEES OF THE BOARD OF THE CORPORATION AND ITS SUBSIDIARIES OTHER THAN THOSE PERSONS WHO ARE TRUSTEES BY REASON OF BEING APPOINTED BY THE SPONSOR; APPROVAL OF AMENDMENTS TO ST. JOSEPH'S CERTIFICATE OF INCORPORATION; AND THE RIGHT TO APPROVE SIGNIFICANT CORPORATE TRANSACTIONS (E.G. MERGERS, CONSOLIDATIONS, DISSOLUTION). FORM 990, PART VI, SECTION B, LINE 11B REVIEW PROCESS FOR FORM 990 A COPY OF THE FORM 990 WAS PRESENTED TO THE ST. JOSEPH'S HEALTH, INC.'S FINANCE COMMITTEE OF THE BOARD OF TRUSTEES IN NOVEMBER 2020 BY THE ORGANIZATION'S TAX RETURN PREPARERS, ERNST & YOUNG LLP. COMMENTS AND FEEDBACK WERE SOLICITED PRIOR TO FILING AND A FINAL COPY OF THE 990 WAS PROVIDED TO EACH OF THE BOARD MEMBERS VIA ELECTRONIC MEANS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY ST. JOSEPH'S HEALTH, INC. REQUIRES ALL BOARD OF TRUSTEES MEMBERS, MANAGER LEVEL AND HIGHER EMPLOYEES, OFFICERS AND MEDICAL STAFF COMMITTEE MEMBERS (REPORTING PARTIES) TO COMPLETE ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS (COIDS) THAT CONSIST OF QUESTIONS DESIGNED TO UNCOVER POTENTIAL CONFLICTS. THE ANNUAL SOLICITATION AND COMPLETION OF COIDS IS CONDUCTED ELECTRONICALLY. UPON COMPLETION AND SUBMISSION OF COIDS BY REPORTING PARTIES, AFFIRMATIVE RESPONSES TO THESE QUESTIONS ARE REVIEWED BY THE GENERAL COUNSEL AND THE CHIEF COMPLIANCE OFFICER. ANY POTENTIAL CONFLICT DISCLOSED IS IDENTIFIED AND RESOLVED IF NECESSARY. ALL DISCLOSURES AND RECOMMENDATIONS FOR RESOLUTION ARE THEN REVIEWED BY THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE PROVIDES A SUMMARY REPORT TO THE SYSTEM BOARD OF TRUSTESS. IN 2019, NO MATERIAL CONFLICTS WERE IDENTIFIED. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION POLICY ST. JOSEPH'S HEALTH, INC. UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIAL AND ALL OFFICERS OF THE ORGANIZATION IS REASONABLE. IN RELEVANT PART, THE BOARD OF TRUSTEES HAS ESTABLISHED A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN THE PROPOSED COMPENSATION ARRANGEMENT. THE BOARD OF TRUSTEES USES AN INDEPENDENT COMPENSATION CONSULTANT TO HELP ADVISE ON THE APPROPRIATE COMPENSATION LEVELS FOR THE AFOREMENTIONED INDIVIDUALS. THAT COMPENSATION CONSULTANT WILL USE COMPARABILITY OR BENCHMARKING DATA (BASED ON INDUSTRY SURVEYS) THAT DOCUMENTS THE COMPENSATION OF PERSONS HOLDING SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. ONCE THE COMPENSATION CONSULTANT HAS MADE ITS RECOMMENDATIONS, THE SYSTEM'S COMPENSATION COMMITTEE MUST APPROVE THE COMPENSATION, WITHOUT INPUT OR VOTING PARTICIPATION BY THE PERSON WHOSE COMPENSATION IS BEING APPROVED OR BY ANY OTHER INDIVIDUAL WITH A CONFLICT OF INTEREST. THE FINAL DETERMINATION IS THEN DOCUMENTED IN COMMITTEE MINUTES. THOSE MINUTES WILL CONTAIN THE TERMS OF THE PROPOSED COMPENSATION, THE DECISIONS OF THOSE INDIVIDUALS WHO VOTED ON THE COMPENSATION, AND THE COMPARABILITY DATA THAT WAS RELIED UPON. OF INTEREST. THE FINAL DETERMINATION IS THEN DOCUMENTED IN COMMITTEE MINUTES. THOSE MINUTES WILL CONTAIN THE TERMS OF THE PROPOSED COMPENSATION, THE DECISIONS OF THOSE INDIVIDUALS WHO VOTED ON THE COMPENSATION, AND THE COMPARABILITY DATA THAT WAS RELIED UPON. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION ST. JOSEPH'S HEALTH, INC. MAKES ITS FORM 990 AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY POSTING A COPY ON THE HOSPITAL'S WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND AT MANAGEMENT'S DISCRETION. FORM 990, PART VII, SECTION A THE HOURS REPORTED FOR NILESH PATEL, PAMELA UPADYA, ROBERTO SOLIS, ANTHONY LOSARDO, VIKRAM GUPTA, JOSEPH VITALE, MARJORY LANGER, MD FACEP, JAI G. PAREKH, MD, AND MANJU GUPTA, ARE RELATED TO TIME DEVOTED AS A TRUSTEE OF THE FILING ORGANIZATION. COMPENSATION IS RELATED TO THE INDIVIDUALS' ROLES AS INDEPENDENT CONTRACTORS AND DOES NOT REPRESENT COMPENSATION FOR BOARD DUTIES. SISTER JUNE MORRISSEY AND SISTER PATRICIA MENNOR, AS MEMBERS OF A RELIGIOUS ORDER, ARE EXEMPT FROM FEDERAL AND STATE INCOME TAX AND THEREFORE DO NOT RECEIVE A W-2. IN THE INTEREST OF FULL DISCLOSURE, AMOUNTS PAID TO THE SISTERS ARE REPORTED IN PART VII, SECTION A, COLUMN (F) AND SCHEDULE J, PART II, COLUMN (D). FORM 990, PART XI, LINE 9: PENSION RELATED ADJUSTMENTS -26,785,001. NET PERIODIC PENSION COST -748,847. CONTRIBUTIONS TO CAPTIVE -5,000,000. TRANSFERS TO AFFILIATES 550,383. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 666,667. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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