2020-06-25T18:02:19-05:00 2019-06-30 ERNST & YOUNG US LLP 111 MONUMENT CIR STE 4000 INDIANAPOLIS IN 46204 990 2018-07-01 850106941 St Vincent Hospital % Kay Naranjo STVI 5059833361 PO Box 2107 Santa Fe NM 87504 REUBEN MURRAY CFO 5059133072 2020-06-25 true JANICE K MARTIN P00900299 3176817000 104.59.202.31 35057220201775000000 2020-06-25 P 19C3BDED129529977209E767DCE85089FD431ADB 4649FBF9538438D828890CF76278F3989A1FB147 2018 2021-01-29 14:40:06Z SEE SCHEDULE O LILLIAN MONTOYA PO Box 2107 Santa Fe NM 87504 555628470 false X www.stvin.org X 1967 NM TO PROVIDE A HEALING MINISTRY TO IMPROVE LIVES THROUGH EXCELLENT, COMPASSIONATE HEALTH CARE TO THE CORPORATION'S COMMUNITY AND SUPPORT MEDICAL INSTRUCTION AND RESEARCH. 13 11 2732 126 3970 2609 2651188 1000000 448987302 474470186 13937164 5213888 5778399 9301879 471354053 489985953 1902326 1872709 0 0 203680109 210389936 0 0 1279660 236400676 250291995 441983111 462554640 29370942 27431313 451599166 472561213 82651137 84339973 368948029 388221240 X ST. VINCENT HOSPITAL IS ORGANIZED TO PROVIDE COMPREHENSIVE HEALTH SERVICES; PROVIDE MEDICAL, NURSING AND HEALTH EDUCATION PROGRAMS; ENCOURAGE RESEARCH AND WAYS TO SAVE HUMAN LIFE, MINIMIZE HUMAN SUFFERING AND IMPROVE HEALTH SERVICES; AND MOBILIZE ALL COMMUNITY SUPPORT AND RESOURCES TO SERVE THE COMPREHENSIVE NEEDS OF THE CORPORATION'S COMMUNITY AND THE STATE OF NEW MEXICO. false false 168202879 0 277454969 COMMITMENT TO BENEFITING OUR COMMUNITIES - PATIENT CARE SERVICES ST. VINCENT HOSPITAL, LOCATED IN SANTA FE, NEW MEXICO, IS A COMMUNITY-BASED, PRIVATE, NONPROFIT HOSPITAL SERVING MORE THAN 300,000 PEOPLE IN SEVEN COUNTIES IN A 19,000-SQUARE-MILE AREA, ENCOMPASSING NORTH CENTRAL AND NORTHEASTERN NEW MEXICO AND SOUTHERN COLORADO. ST. VINCENT WAS FOUNDED IN 1865 BY THE SISTERS OF CHARITY OF CINCINATTI AND IS NEW MEXICO'S FIRST HOSPITAL AND THE LARGEST PRIVATE EMPLOYER IN THE CITY OF SANTA FE. ST. VINCENT'S MISSION IS AS FOLLOWS: OUR HEALING MINISTRY IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. WE CARE FOR ALL THE PEOPLE OF SANTA FE, NORTHERN NEW MEXICO AND SOUTHERN COLORADO, REGARDLESS OF THEIR ABILITY TO PAY. OUR VISION IS EXCEPTIONAL MEDICINE, EXTRAORDINARY CARE, EVERY PERSON, EVERY DAY. IN APRIL 2008, CHRISTUS HEALTH AND ST. VINCENT REGIONAL MEDICAL CENTER FINALIZED THE FORMATION OF A PARTNERSHIP THAT ALLOWED ST. VINCENT TO BENEFIT FROM THE RESOURCES OF CHRISTUS HEALTH'S INTERNATIONAL 60-HOSPITAL SYSTEM. ST. VINCENT IS DESIGNATED AS A "SOLE COMMUNITY PROVIDER" BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND IS ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). ST. VINCENT HOSPITAL IS THE ONLY TRAUMA CENTER (LEVEL III) IN NORTH CENTRAL/NORTHEASTERN NEW MEXICO. AS THE LARGEST HOSPITAL FACILITY NORTH OF ALBUQUERQUE, NEW MEXICO AND SOUTH OF PUEBLO, COLORADO, ST. VINCENT HAS 200 LICENSED BEDS, 32 PHYSICIAN AND OUTPATIENT LOCATIONS, AND 398 MEDICAL STAFF REPRESENTING 34 MEDICAL SPECIALTIES (116 EMPLOYED PHYSICIANS). IN FISCAL YEAR 2019, ST. VINCENT HOSPITAL SERVED NEARLY HALF A MILLION INDIVIDUALS, INCLUDING 44,904 VISITS TO OUR EMERGENCY DEPARTMENT; 243,499 OUTPATIENT VISITS; 9,525 Total SURGERIES; AND 11,353 ADMISSIONS. ST. VINCENT HOSPITAL PROVIDES DIRECT CARE SERVICES, INCLUDING THOSE PROVIDED BY EMPLOYED PHYSICIAN PRACTICES, TO INPATIENTS AND OUTPATIENTS, INCLUDING INDIGENT, MEDICAID, OTHER PAYOR CLASSES AND UNINSURED PATIENTS. ST. VINCENT'S COMMUNITY BENEFIT INCLUDES THE COST OF PROVIDING UNCOMPENSATED CARE AND SERVICES FOR PATIENTS WITH LIMITED OR NO MEANS TO PAY, GOVERNMENT PROGRAMS WHERE EXPENSES EXCEED PAYMENTS, AND NON-BILLED SERVICES DIRECTED TO IMPROVING THE HEALTH AND WELL-BEING OF ALL MEMBERS OF THE COMMUNITY WE SERVE. ST. VINCENT HOSPITAL PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE FROM THE COMMUNITIES IT SERVES. IT CONDUCTS ITS ACTIVITIES AND SERVES ALL PATIENTS WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, ORIENTATION, DISABILITY, AGE OR NATIONAL ORIGIN. BY COLLABORATING WITH COMMUNITIES, SCHOOLS, CHURCHES, BUSINESSES AND OTHER HEALTHCARE ORGANIZATIONS, ST. VINCENT HOSPITAL HAS STRENGTHENED ITS ROLE AS A MAJOR PROVIDER OF COMPREHENSIVE, ACCESSIBLE HEALTHCARE SERVICES. THESE PARTNERSHIPS WITHIN THE COMMUNITY HAVE BEEN A BLESSING BY HELPING ST. VINCENT BETTER SERVE THOSE IN NEED. THESE PARTNERSHIPS HELP TO INSURE THAT THE PEOPLE OF OUR COMMUNITY RECEIVE INTEGRATED HEALTH CARE AND HAVE ACCESS TO AN ARRAY OF SERVICES THAT ADDRESSES THE SOCIAL DETERMINANTS OF GOOD HEALTH. ADDITIONALLY, OUR DEDICATED ASSOCIATES AND VOLUNTEERS PLAY A SIGNIFICANT ROLE IN CONTRIBUTING TO IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY BY DEDICATING THEIR TIME TO SUPPORT COMMUNITY HEALTH ACTIVITY. THEY HELP TO BUILD STRONG RELATIONSHIPS BETWEEN ST. VINCENT AND OTHER HEALTHCARE ORGANIZATIONS AND THE COMMUNITY, NURTURING CHRISTUS' MISSION TO MEET HEALTHCARE NEEDS AND MAKE A DIFFERENCE IN THE LIVES OF OTHERS. OUR EMPLOYEES WORK BOTH INSIDE AND OUTSIDE THE WALLS OF OUR HEALTHCARE FACILITY AND ARE COMMITTED TO REACHING BEYOND THE TRADITIONAL HOSPITAL STRUCTURE TO HELP OUR COMMUNITIES MAINTAIN GOOD HEALTH. AMONG THE GENERAL MEDICAL/SURGERY SERVICES OFFERED AT ST. VINCENT HOSPITAL AND ITS EMPLOYED PHYSICIAN PRACTICES ARE: DAY SURGERY, ORTHOPAEDICS, NEUROSURGERY, INTERVENTIONAL CARDIOLOGY AND VASCULAR SURGERY, CANCER TREATMENT CENTER, CARDIOPULMONARY INPATIENT AND OUTPATIENT REHABILITATION, SPORTS MEDICINE, DIAGNOSTIC IMAGING SERVICES, WELLNESS PROGRAMS, OCCUPATIONAL AND SPEECH THERAPY, RESPIRATORY CARE, INPATIENT BEHAVIORAL HEALTH SERVICES, WOMEN'S SERVICES AND PEDIATRICS, INPATIENT AND OUTPATIENT LABORATORY SERVICES, DIABETES CARE, SLEEP CENTER, WOUND AND HYPERBARIC CARE, SPECIALIZED CARE TO VICTIMS OF DOMESTIC VIOLENCE, AND NUTRITION AND DIETARY SERVICES. ST. VINCENT HOSPITAL PROVIDES A 24-HOUR EMERGENCY ROOM THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT ORGANIZATION THE GOVERNING BOARD IS COMPRISED PRIMARILY OF COMMUNITY MEMBERS REPRESENTING THE AREA WE SERVE AND GUIDES ST. VINCENT HOSPITAL IN ACHIEVING ITS MISSION. ST. VINCENT HOSPITAL IS PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR FACILITY AND OUTPATIENT LOCATIONS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING PROCESS. 163507724 0 150023403 OTHER GOVERNMENT SPONSORED SERVICES IN ADDITION TO THE PROVISION OF CHARITY CARE AND OTHER COMMUNITY SERVICES, ST. VINCENT HOSPITAL PROVIDES SERVICES TO PERSONS COVERED UNDER GOVERNMENT-SPONSORED PROGRAMS, INCLUDING MEDICARE AND TRICARE. THE UNREIMBURSED COSTS OF THESE SERVICES ARE REPORTED TO THE STATE OF NEW MEXICO BUT ARE NOT INCLUDED IN REPORTS PREPARED FOLLOWING CATHOLIC HEALTH ASSOCIATION GUIDELINES. CHRISTUS HEALTH, A MEMBER ORGANIZATION, PROVIDES SERVICES TO PERSONS COVERED UNDER THE FEDERAL MEDICARE PROGRAM, AND IN FACT, THIS IS THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY THE HEALTH SYSTEM. THE PAYMENT RATE FOR INPATIENT SERVICES IS ON A PER-CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP (DRG) INTO WHICH THE PATIENT IS CATEGORIZED. MEDICARE REIMBURSES OUTPATIENT SERVICES BASED ON ITS FEE SCHEDULE. 47122819 0 46991814 COMMUNITY BENEFIT REPORTING - CHARITY CARE AND MEDICAID CHRISTUS HEALTH, A MEMBER ORGANIZATION, ADHERES TO THE CATHOLIC HEALTH ASSOCIATION'S A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT (2015). COMMUNITY BENEFIT, REPORTED AS UNPAID COSTS, INCLUDES BOTH CHARITY CARE AND COMMUNITY SERVICES. TO THE LIMITS OF ITS RESOURCES, CHRISTUS HEALTH IS AN INSTITUTION OF PURELY PUBLIC CHARITY; THUS, THE MOST TANGIBLE EXPRESSION OF CHRISTUS HEALTH'S CHARITABLE PURPOSE IS THE PROVISION OF HEALTH CARE SERVICES TO THOSE PERSONS WHO ARE UNABLE TO PAY. THIS FALLS INTO TWO CATEGORIES: CHARITY CARE AND UNPAID GOVERNMENT INDIGENT CARE. IN KEEPING WITH THE MISSION, VALUES, AND VISION OF CHRISTUS HEALTH, ST. VINCENT HOSPITAL PROVIDES CHARITY CARE SERVICES IN A MANNER THAT RESPECTS THE DIGNITY OF THE PATIENTS AND THEIR FAMILIES. CHARITY CARE IS PROVIDED WITHOUT CHARGE OR AT A CHARGE THAT IS LESS THAN THE USUAL CHARGE FOR SUCH SERVICES. THE DETERMINATION AS TO THE AMOUNT TO BE CHARGED, IF ANY, IS MADE ACCORDING TO A PATIENT'S ABILITY TO PAY AS DETERMINED BY ESTABLISHED ELIGIBILITY CRITERIA. FOR UNINSURED PATIENTS WHOSE ECONOMIC CIRCUMSTANCES PLACE THEM AT OR UNDER 200 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL), SERVICES ARE PROVIDED WITHOUT ANY EXPECTATION OF PAYMENT. NO PATIENT IS REFUSED NECESSARY MEDICAL CARE BASED ON HIS OR HER ABILITY TO PAY. ST. VINCENT HOSPITAL PROVIDES DIRECT CARE SERVICES, INCLUDING THOSE PROVIDED BY EMPLOYED PHYSICIAN PRACTICES, TO INPATIENTS AND OUTPATIENTS, INCLUDING INDIGENT, MEDICAID, OTHER PAYOR CLASSES AND UNINSURED PATIENTS, TOTALING APPROXIMATELY 243,499 ENCOUNTERS. ST. VINCENT HOSPITAL'S COMMUNITY BENEFIT INCLUDES THE COST OF PROVIDING UNCOMPENSATED CARE AND SERVICES FOR PATIENTS WITH LIMITED OR NO MEANS TO PAY, GOVERNMENT PROGRAMS WHERE EXPENSES EXCEED PAYMENTS, AND NON-BILLED SERVICES DIRECTED AT IMPROVING THE HEALTH AND WELL-BEING OF ALL MEMBERS OF THE COMMUNITY WE SERVE. ST. VINCENT HOSPITAL IS AN ACTIVE PARTICIPANT IN NEW MEXICO'S MEDICAID PROGRAMS. THOSE PROGRAMS SEEK TO PROVIDE PAYMENT FOR HEALTH CARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND OTHER REQUIREMENTS, WHICH INCLUDE EVALUATION OF BOTH ASSETS AND INCOME. NEW MEXICO HAS ACCEPTED THE OPPORTUNITY TO EXPAND MEDICAID ELIGIBILITY THROUGH THE HEALTH CARE REFORM ACT. THIS WILL HAVE A POSITIVE IMPACT IN PROMOTING THE ABILITY OF ST. VINCENT TO PROVIDE CARE TO THIS LARGER POPULATION. 13606900 1872709 0 392440322 true true false true false false false false false false true true false false true true false true false false true false false false false false true true true true true false false false false false false false false false false false false true true true true false false true 275 0 true 2732 true true true false false false false false false false false false false false X 13 11 false false false false true true true true true false false true true true true true true true true true true NM X Kay Naranjo 5059133072 455 St Michaels Dr Santa Fe NM 87505 X Wendy Trevisani Director 1.0 0.0 X 0 0 0 Debbi Vigil MD Director (THRU 12/2018) 1.0 0.0 X 0 0 0 Lillian Montoya DIR./PRES/CEO 40.0 0.0 X X 0 693458 116944 David Gonzales MD Director 1.0 0.0 X 0 0 0 MARY MACUKAS DIRECTOR 1.0 0.0 X 0 0 0 Charles Goodman Director 1.0 0.0 X 0 0 0 Tarek Dammad MD DIRECTOR (THRU 08/2019) 40.0 0.0 X 449905 0 55606 Earl Potter Director (THRU 12/2018) 1.0 0.0 X 0 0 0 JESUS GARZA DIRECTOR (AS OF 1/1/2019) 1.0 0.0 X 0 0 0 MARK PUCSYNSKI MD DIRECTOR (AS OF 1/1/2019) 1.0 0.0 X 0 0 0 PETER BASTONE DIRECTOR 1.0 0.0 X 0 0 0 KAREN WELLS RN DIRECTOR 1.0 0.0 X 0 0 0 MARK ANDERSON MD DIRECTOR 1.0 39.0 X 0 0 0 RANDY SAFADY DIRECTOR 1.0 39.0 X X 0 0 0 SISTER Jeanne Connell DIRECTOR 1.0 0.0 X 0 0 0 HOPE WADE CFO 39.0 1.0 X 0 408898 72730 JOHN BEESON MD CMO 40.0 0.0 X 0 713088 166673 KATHY ARMIJO-ETRE VP COMMUNITY HEALTH 40.0 0.0 X 0 235553 62386 MARGARET DITTRICH VP - AUDIT & COMPLIANCE 40.0 0.0 X 0 273731 49726 MERRI MURPHY COO-PHYS. MED GRP 40.0 0.0 X 0 317010 16260 EMELIA WANG ASSOCIATE CIO AND CMIO 40.0 0.0 X 0 417433 74835 MONICA LEYBA CHIEF NURSE EXECUTIVE 40.0 0.0 X 0 284172 26222 ARTHUR A CAIRE MD PHYSICIAN 40.0 0.0 X 885619 0 66390 MARSHALL T WATSON JR PHYSICIAN 40.0 0.0 X 834462 0 44334 PHILIP S SMUCKER PHYSICIAN 0.0 0.0 X 814659 0 67554 JOHN A GARCIA PHYSICIAN 40.0 0.0 X 896946 0 75334 Philip T Shields Physician 40.0 0.0 X 809796 0 64243 PATRICK CARRIER DIR./PRES./CEO (THRU 06/2018) 38.0 2.0 X 0 1502606 56259 JASON ADAMS FORMER COO (THRU 02/2017) 40.0 0.0 X 0 624187 112862 4691387 5470136 1128358 316 true true false AMERISOURCE BERGEN DRUG COR 1300 MORRIS DRIVE CHESTERBROOK PA 19087 DRUGS 23035705 VIZIENT INC PO BOX 742081 ATLANTA GA 30374 CONTRACT LABOR 9025612 OWENS MINOR PO BOX 841420 DALLAS TX 75284 DISTRIBUTOR 6684756 MCKESSON PLASMA BIOLOGICS 16578 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 DISTRIBUTOR 6131688 MCCARTHY BUILDING COMPANIES 1717 LOUISIANA BLVD NE SUITE 204 ALBUQUERQUE NM 87110 CONSTRUCTION 5847188 241 1000000 1000000 NET PATIENT SERVICE REVENUE 621990 468013293 468013293 0 0 RENT RELATED TO EXEMPT PURPOSE 531120 59160 59160 0 0 MANAGEMENT FEE 561110 566359 566359 0 0 SANTA FE MEDICAL PROPERTIES 900099 1395484 1395484 0 0 MONTE SOL TECH 900099 227154 227154 0 4208736 4208736 0 0 474470186 4403413 4403413 0 0 0 0 0 66452992 65642517 810475 810475 810475 0 0 0 0 0 0 0 0 0 FOOD SERVICE REVENUE 722513 1033829 0 1033829 MEDICAL RECORDS/MEANINGFUL USE REVENUE 900099 119327 0 119327 OTHER OPERATING REVENUE 900099 8146016 3970 8142046 2707 2707 9301879 489985953 474470186 3970 14511797 X 1649918 1649918 222791 222791 0 0 0 0 505511 448699 55210 1602 0 0 0 0 176010252 156229286 19223302 557664 5503348 4893113 588909 21326 17804767 15344596 2333289 126882 10566058 9093207 1437992 34859 6190810 5425999 764811 0 564196 33240 530956 0 34938 0 34938 0 13171 0 13171 0 0 0 0 0 0 82066325 53595867 28289872 180585 0 0 0 0 17594139 10029370 7388633 176136 0 0 0 0 0 4066661 3011955 1048995 5711 1012757 556055 441015 15687 0 0 0 0 364020 226022 108832 29166 537840 48310 489530 0 0 0 0 0 18553249 15174427 3350955 27867 7745862 7398407 347455 0 MEDICAL SUPPLIES 80247721 78230861 1914685 102175 PROV FOR UNCOLL ACCTS 30176667 30176667 0 0 RECRUITMNT & PLCMENT FEES 426316 342715 83601 0 UBTI TAX 215159 0 215159 0 482164 308817 173347 462554640 392440322 68834657 1279660 53581022 31398219 0 0 0 0 47079490 50727512 0 0 0 0 170 70128 6925707 7244687 2619571 2551153 396358814 210144102 173958845 186214712 4343027 4415449 135699608 163513701 3999019 3915725 10867249 12280868 12525458 10229059 451599166 472561213 41680962 42249496 0 0 37500 10025 0 0 0 0 0 0 543485 856961 0 0 40389190 41223491 82651137 84339973 X 350559056 368844284 18388973 19376956 0 0 368948029 388221240 451599166 472561213 X 27431313 -684367 0 0 -6342230 -1131505 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 true 13171 false 0 false 0 13171 false LOBBYING DESCRIPTION FORM 990, SCHEDULE C, PART II-B, LINE 1G ST. VINCENT HOSPITAl Had direct contact with members and staff of the New Mexico State Legislature, Department of Health, New Mexico Governor and US Congressional delegation through emails, phone calls and meetings on issues such as potential taxation of nonprofit hospitals and potential impact to overall budget, safety net care pool funding and workforce. Worked closely with New Mexico Hospital Association to meet with key legislators throughout the legislative session. EXECUTIVES: 55 HOURS ST. VINCENT HOSPITAL DID NOT SUBSTANTIALLY LOBBY DURING THE FISCAL YEAR ENDING 6-30-19. 0 3416442 3416442 0 172428257 63637682 108790575 0 17876886 10184607 7692279 0 183594712 136321813 47272899 0 19042517 19042517 186214712 EQUITY INVESTMENTS 166160628 F VALUATION ALLOWANCE -2646927 F 163513701 0 LONG TERM NOTES PAYABLE 30642701 DUE TO RELATED ORGANIZATIONS 4035465 LONG TERM CAPITAL LEASE 6150000 DEFERRED LEASE INCENTIVE 395325 41223491 X UNCERTAIN TAX POSITIONS UNDER ASC 740 SCHEDULE D, PART X, LINE 2 PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2019 AND 2018. Central America and the Caribbean Investments 16837516 16837516 16837516 true false false false true false SCHEDULE F, PART I, LINE 3, COLUMN (F) THE AMOUNTS LISTED IN THIS COLUMN ARE INVESTMENTS AT COST. true true X true X 300. true X true true true false true true 6530429 6530429 0.01510 47122819 46991814 131005 0.00030 53653248 46991814 6661434 0.01540 7 13269 2526404 1659445 866959 0.00200 1 1841390 530911 1310479 0.00300 15 6333 18411007 8713664 9697343 0.02240 27 174 1700257 0 1700257 0.00390 50 19776 24479058 10904020 13575038 0.03130 50 19776 78132306 57895834 20236472 0.04670 1 60862 60862 0.00010 1 60862 60862 0.00010 true 30176667 289696 94401928 102081232 -7679304 X true true SANTA FE IMAGING CTR IMAGING SERVICES 0.51 0.49 MONTE SOL TECHNOLOGY ONCOLOGY EQUIPMENT & OFICES 0.3333 0.3333 SANTA FE MEDICAL PRP BUILDING & PROPERTY 0.44 0.44 1 1 ST VINCENT HOSPITAL 455 ST MICHAELS DRIVE SANTA FE NM 87505 WWW.STVIN.ORG 01505918009 X X X ST VINCENT HOSPITAL 1 false false true X X X X X X X X X 16 true false false true X SEE PART V, SECTION C X X true 16 true SEE PART V, SECTION C false true X 300. 400. X X X X true true X X X X X true X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3E ST. VINCENT HAS CHOSEN 3 SUPER PRIORITIES BASED UPON COMMUNITY NEEDS AND WILL MAINTAIN A LEVEL OF EFFORT WITH PRIORITIES FROM THE FORMER 2013 CHNA. SUPER PRIORITIES: BEHAVIORAL HEALTH, SENIORS, SOCIAL DETERMINANTS OF HEALTH. THE SUPER PRIORITIES WERE CHOSEN BECAUSE OF THEY ARE THE AREAS OF GREATEST CHALLENGE FACING OUR COMMUNITY TODAY. FOLLOWING ARE THE DATA DOCUMENTING THE NEEDS: A BEHAVIORAL HEALTH CONDITION. BETWEEN 30 AND 50 PATIENTS INPATIENT A DAY HAVE AN UNDERLYING (SECONDARY TO THE MEDICAL CONDITION) BEHAVIORAL HEALTH CONDITION PRESENTING CHALLENGES TO INPATIENT CARE. MANY SERIOUS MEDICAL CONDITIONS ARE A RESULT OF LONG TERM ALCOHOL OR DRUG ABUSE. IN RESPONSE, ST. VINCENT HAS IMPLEMENTED: 1) AN 8 BED BEHAVIORAL OBSERVATION UNIT IN THE EMERGENCY DEPARTMENT, 2) PROCESSES TO IMPROVE BEHAVIORAL HEALTH PATIENT FLOW INPATIENT, 3) PROCESSES AND PHYSICAL BUILDING MODIFICATIONS TO BETTER RESPOND TO THE NEEDS OF PATIENTS WITH BH ISSUES, 4) PROVIDE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT)IN OUTPATIENT CLINICS, 5) HIGH UTILIZER GROUP SERVICES (HUGS) FOR HIGH HOSPITAL UTILIZERS, 6) PROFESSIONAL DEVELOPMENT FOR STAFF - OVERDOSE PREVENTION AND DISTRIBUTE NALOXONE TO PREVENT OPIOID OVERDOSE, 7) VIVITROL TREATMENT FOR ALCOHOL ADDICTION, 8) OPIOID STEWARDSHIP PILOT PROGRAM, 9) NEONATAL ABSTINENCE SYNDROME PILOT FOR BABIES BORN TO OPIOID ADDICTED MOTHERS. SENIOR CARE WAS CHOSEN AS A SUPER PRIORITY BECAUSE OF THE SIGNIFICANT GROWTH IN SANTA FE COUNTY'S AGING POPULATION. BASED UPON POPULATION PROJECTIONS, SANTA FE COUNTY WILL HAVE CLOSE TO 40,000 PEOPLE OVER THE AGE OF 65 BY THE YEAR 2020. A PROBLEM IN AGING POPULATIONS IS FALLS. IN SANTA FE COUNTY, THE FALL RATE IS 90.3, NEARLY DOUBLE THE U.S. RATE OF 57 (PER 100,000). FALLS ARE THE LEADING CAUSE OF DEATH IN UNINTENDED INJURIES FOR PEOPLE OVER THE AGE OF 65 IN SANTA FE COUNTY. PREVENTING FLU AND PNEUMONIA IS KEY TO HEALTHY AGING. IMMUNIZATION RATES FOR SENIORS IN SANTA FE COUNTY IS 56.1 COMPARED TO 66.7 (PER 100,000) IN THE U.S. STRATEGIES TO ADDRESS SENIOR CARE ISSUES INCLUDE: 1) DOCUMENT IMMUNIZATION REFUSALS, 2) FACILITATE FAMILY/CAREGIVER EDUCATION FOR PROPER CARE, 3) PROVIDE AND ADVERTISE ACCESSIBLE IMMUNIZATIONS, 4) PROVIDE PUBLIC EDUCATION ON IMMUNIZATIONS, 5) FUND MEMORY DAY CARE PROGRAM FOR SENIORS WITH DEMENTIA OR ALZHEIMER'S, 6) RECRUIT HOME HELP AND MODIFICATIONS SERVICES. VIOLENCE IS ANOTHER PRIORITY SELECTED BY ST. VINCENT IN RESPONSE TO THE KEY INDICATORS OF VIOLENCE ACROSS THE AGE SPAN IN SANTA FE COUNTY. FOR SENIORS, 1,686 SUBSTANTIATED REPORTS OF ABUSE OR NEGLECT WERE DOCUMENTED IN 2014. RATES OF CHILD ABUSE AND NEGLECT FOR CHILDREN BETWEEN THE AGE OF BIRTH TO FIVE ARE 36.6%, HIGHER THAN FOR ALL CHILDREN UNDER 18 AT 33.4%. VIOLENCE AGAINST WOMEN IS ANOTHER AREA OF GREAT CONCERN. RATES OF DOMESTIC VIOLENCE IN SANTA FE COUNTY ARE 10.7 VERSUS 9.5 FOR NEW MEXICO STATEWIDE. ST. VINCENT STRATEGIES INCLUDE: 1) ESTABLISH VIOLENCE INTERVENTION COORDINATOR FOR CONSULTS FOR SURVIVORS, COMMUNITY COORDINATION AND SAFETY PLANNING, 2) TRAIN STAFF IN TRAUMA INFORMED CARE. SCHEDULE H, PART V, SECTION B, LINE 5 THE 2017-2019 CHNA INVOLVED A THOROUGH PROCESS WITH SIGNIFICANT COMMUNITY INPUT TO IDENTIFY AND FOCUS ON THE MOST CRITICAL ISSUES FACING THE VARIOUS AGE GROUPS WITHIN OUR COMMUNITY. THE REPORT HAS ADDITIONAL POWER TO GUIDE POLICY MAKERS, FUNDERS, PROVIDERS, COMMUNITY LEADERS AND THE GENERAL PUBLIC TOWARD THE ISSUES THAT MATTER THE MOST IN THE COMMUNITY. WHILE THERE ARE OTHER ISSUES OUTSIDE OF THIS REPORT THAT DESERVE ATTENTION, THE HEALTH ISSUES INCLUDED IN THIS REPORT WERE IDENTIFIED AS MOST IMPORTANT BY A MULTITUDE OF COMMUNITY EXPERTS, FRONTLINE WORKERS, ADVOCATES, PUBLIC HEALTH DATA AND CONCERNED CITIZENS. QUANTITATIVE DATA ON THE PRIORITY INDICATORS WERE GATHERED FROM THE NEW MEXICO DEPARTMENT OF HEALTH, CENTERS FOR DISEASE CONTROL, CENSUS, SANTA FE PUBLIC SCHOOLS, HEALTHY PEOPLE 2020, KIDS COUNT, COUNTY COMPARISONS AND A RANGE OF STUDIES AND OTHER KEY DATA SOURCES. THE PUBLIC HEALTH EPIDEMIOLOGIST, WITH THE NEW MEXICO DEPARTMENT OF HEALTH, WAS INSTRUMENTAL IN WORKING WITH US TO OBTAIN AND REFINE DATA SPECIFIC TO SANTA FE COUNTY. IN ADDITION, HOSPITALIZATION, EMERGENCY ROOM AND OUTPATIENT UTILIZATION DATA WERE RETRIEVED INTERNALLY AND REVIEWED TO FURTHER UNDERSTAND THE PREVALENCE OF HEALTH CARE CONDITIONS ON UTILIZATION AT CSV AND THE LARGER HEALTHCARE DELIVERY SYSTEM. QUALITATIVE DATA, GATHERED FROM A NUMBER OF SOURCES MENTIONED BELOW, PROVIDED ADDITIONAL VERIFICATION OF WHY THE SELECTED HEALTH INDICATORS ARE PROBLEMATIC AND HOW THEY IMPACT REAL LIVES THUS ENRICHING AND BRINGING MEANING TO THE QUANTITATIVE DATA. THE "VOICE OF THE COMMUNITY" WAS GATHERED THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND COMMUNITY FORUMS. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH MEDICAL PRACTITIONERS AND INDIVIDUALS WHO HAVE DIRECT EXPERIENCE EITHER PROFESSIONALLY OR PERSONALLY AND A HIGH LEVEL OF EXPERTISE IN A GIVEN HEALTH CONCERN. THROUGH THE FOCUS GROUPS A BROAD RANGE AND LARGE NUMBER OF INDIVIDUALS PROVIDED INPUT AND GAVE FEEDBACK ON THE DATA PERTAINING TO EACH INDICATOR. THERE WAS WIDE AGREEMENT THAT THE INDICATORS CHOSEN WERE OF HIGH PRIORITY AND HAVE A SIGNIFICANT IMPACT ON THE LIVES OF PEOPLE IN OUR COMMUNITY. THE FOLLOWING FIVE FOCUS GROUPS WERE HELD: SAN ISIDRO CATHOLIC PARISH, SANTA FE COUNTY COURT, A SENIOR CITIZEN CENTER IN NORTHERN PART OF THE COUNTY, SANTA FE INDIAN CENTER, AND CHRISTUS ST VINCENT CARE COORDINATORS. THE CITY OF SANTA FE HEALTH STUDY GROUP WAS APPOINTED BY MAYOR JAVIER GONZALES AND ONE OF ITS KEY RESPONSIBILITIES IS TO EXAMINE THE HEALTH NEEDS OF THE COMMUNITY. THE PARTICIPANTS FROM THIS FOCUS GROUP WERE MEMBERS OF THE COMMUNITY FROM A VARIETY OF BACKGROUNDS. THE SANTA FE COUNTY HEALTH POLICY AND PLANNING COMMISSION (HPPC) HAS STATUTORY RESPONSIBILITY FOR CONDUCTING COUNTY-WIDE HEALTH PLANNING. MEMBERS OF THE HEALTH POLICY AND PLANNING COMMISSION ARE APPOINTEES OF THE SANTA FE COUNTY COMMISSION. THEY ARE KNOWLEDGEABLE OF THE HEALTH NEEDS OF THE COMMUNITY AND ARE ACTIVELY ENGAGED IN POLICY DEVELOPMENT, PROGRAM PLANNING AND IMPLEMENTATION. IN ADDITION TO THE MEMBERSHIP OF THE HPPC, THE FOCUS GROUP WAS WELL ATTENDED BY OTHER INTERESTED COMMUNITY MEMBERS WHO ADDED TO THE DISCUSSION. THE SANTA FE PREVENTION ALLIANCE IS A MULTI-DISCIPLINARY GROUP OF REPRESENTATIVES FROM LAW ENFORCEMENT, THE PUBLIC SCHOOLS, CITY, COUNTY AND STATE GOVERNMENT, HIGH SCHOOL STUDENTS, SERVICE PROVIDERS AND OTHER STAKEHOLDERS COMMITTED TO PREVENTING CHILDREN FROM USING ALCOHOL AND DRUGS. TO UNDERSTAND THE NEEDS OF OUR IMMIGRANT POPULATION, A FOCUS GROUP WAS HELD AT A CATHOLIC PARISH LOCATED ON THE SOUTHSIDE OF SANTA FE COUNTY. THIS FOCUS GROUP WAS FACILITATED IN SPANISH AND HELD IMMEDIATELY FOLLOWING SPANISH SPEAKING MASS. IT WAS RICH AND INFORMATIVE EXPERIENCE FOR ALL INVOLVED AND HELPED US LEARN FIRSTHAND, THE HEALTH CHALLENGES OF OUR IMMIGRANT POPULATION. ANOTHER FOCUS GROUP WAS HELD AT THE SANTA FE COMMUNITY COLLEGE WITH A GROUP OF SOCIOLOGY STUDENTS. THE STUDENTS WERE REPRESENTATIVE OF VETERANS, ADULTS RETURNING TO COLLEGE AND YOUNG ADULTS. SCHEDULE H, PART V, SECTION B, LINE 7A THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING WEBSITE URL: https://www.christushealth.org/-/media/files/homepage/giving-back/chna/201 7--2019-chna-christus-st-vincent-approved.ashx?la=en SCHEDULE H, PART V, SECTION B, LINE 7D THE CHNA HAS BEEN DISSEMINATED TO NUMEROUS GROUPS IN THE COMMUNITY WHEN CONDUCTING PRESENTATIONS. MANY REQUESTS HAVE BEEN MADE TO SHARE THE CHNA FINDINGS BY GROUPS THROUGHOUT THE COMMUNITY. FORMAL PRESENTATIONS HAVE BEEN CONDUCTED AND COPIES OF THE REPORT MADE AVAILABLE. GROUPS INCLUDE THE SANTA FE COUNTY HEALTH POLICY AND PLANNING COMMISSION (THIS IS A PUBLIC MEETING ATTENDED BY NUMEROUS PEOPLE IN THE COMMUNITY), AND OTHER COMMUNITY GROUPS HELD IN THE COMMUNITY. SCHEDULE H, PART V, SECTION B, LINE 10A THE HOSPITAL FACILITIES' MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING WEBSITE URL: https://www.christushealth.org/about/donate/community-health/community-hea lth-needs-assessment-and-implementation-plan SCHEDULE H, PART V, SECTION B, LINE 11 ST. VINCENT HAS CHOSEN 3 SUPER PRIORITIES BASED UPON COMMUNITY NEEDS AND WILL MAINTAIN A LEVEL OF EFFORT WITH PRIORITIES FROM THE FORMER 2013 CHNA. SUPER PRIORITIES: BEHAVIORAL HEALTH, SENIORS, SOCIAL DETERMINANTS OF HEALTH. THE SUPER PRIORITIES WERE CHOSEN BECAUSE OF THEY ARE THE AREAS OF GREATEST CHALLENGE FACING OUR COMMUNITY TODAY. FOLLOWING ARE THE DATA DOCUMENTING THE NEEDS: BEHAVIORAL HEALTH: LIKE THE REST OF THE COUNTRY, NEW MEXICO IS CHALLENGED BY THE OPIOID CRISIS. IN 2016, THE U.S. RATES OF DRUG OVERDOSE DEATHS WAS 19.8 (PER 100,000), YET SANTA FE COUNTY WAS 27.2 DEATHS PER 100,000. BEHAVIORAL HEALTH ALSO INCLUDES ALCOHOL ADDICTIONS. IN 2017, THE DEATH RATE FOR ALCOHOL RELATED DEATHS IN SANTA FE COUNTY WAS 57.8% VERSUS THE U.S. RATE OF 29.4%. ANOTHER KEY INDICATOR IS SUICIDE RATES. THE SANTA FE COUNTY RATE IN 2017 WAS 26.9 VERSUS THE U.S. RATE OF 13.5 (PER 100,000). IN ADDITION, WE HAVE UP TO 10 PEOPLE AT ANY GIVEN TIME IN THE EMERGENCY DEPARTMENT DUE TO A BEHAVIORAL HEALTH CONDITION. BETWEEN 30 AND 50 PATIENTS INPATIENT A DAY HAVE AN UNDERLYING (SECONDARY TO THE MEDICAL CONDITION) BEHAVIORAL HEALTH CONDITION PRESENTING CHALLENGES TO INPATIENT CARE. MANY SERIOUS MEDICAL CONDITIONS ARE A RESULT OF LONG TERM ALCOHOL OR DRUG ABUSE. IN RESPONSE, ST. VINCENT HAS IMPLEMENTED: 1) AN 8 BED BEHAVIORAL OBSERVATION UNIT IN THE EMERGENCY DEPARTMENT, 2) PROCESSES TO IMPROVE BEHAVIORAL HEALTH PATIENT FLOW INPATIENT, 3) PROCESSES AND PHYSICAL BUILDING MODIFICATIONS TO BETTER RESPOND TO THE NEEDS OF PATIENTS WITH BH ISSUES, 4) PROVIDE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT)IN OUTPATIENT CLINICS, 5) HIGH UTILIZER GROUP SERVICES (HUGS) FOR HIGH HOSPITAL UTILIZERS, 6) PROFESSIONAL DEVELOPMENT FOR STAFF - OVERDOSE PREVENTION AND DISTRIBUTE NALOXONE TO PREVENT OPIOID OVERDOSE, 7) VIVITROL TREATMENT FOR ALCOHOL ADDICTION, 8) OPIOID STEWARDSHIP PILOT PROGRAM, 9) NEONATAL ABSTINENCE SYNDROME PILOT FOR BABIES BORN TO OPIOID ADDICTED MOTHERS. SENIOR CARE WAS CHOSEN AS A SUPER PRIORITY BECAUSE OF THE SIGNIFICANT GROWTH IN SANTA FE COUNTY'S AGING POPULATION. BASED UPON POPULATION PROJECTIONS, SANTA FE COUNTY WILL HAVE CLOSE TO 40,000 PEOPLE OVER THE AGE OF 65 BY THE YEAR 2020. A PROBLEM IN AGING POPULATIONS IS FALLS. IN SANTA FE COUNTY, THE FALL RATE IS 78, COMPARED TO THE U.S. RATE OF 62 (PER 100,000). FALLS ARE THE LEADING CAUSE OF DEATH IN UNINTENDED INJURIES FOR PEOPLE OVER THE AGE OF 65 IN SANTA FE COUNTY. PREVENTING FLU AND PNEUMONIA IS KEY TO HEALTHY AGING. IMMUNIZATION RATES FOR SENIORS IN SANTA FE COUNTY IS 57.7 (PER 100,000). IN THE U.S. STRATEGIES TO ADDRESS SENIOR CARE ISSUES INCLUDE: 1) DOCUMENT IMMUNIZATION REFUSALS, 2) FACILITATE FAMILY/CAREGIVER EDUCATION FOR PROPER CARE, 3) PROVIDE AND ADVERTISE ACCESSIBLE IMMUNIZATIONS, 4) PROVIDE PUBLIC EDUCATION ON IMMUNIZATIONS, 5) FUND MEMORY DAY CARE PROGRAM FOR SENIORS WITH DEMENTIA OR ALZHEIMER'S, 6) RECRUIT HOME HELP AND MODIFICATIONS SERVICES. VIOLENCE IS ANOTHER PRIORITY SELECTED BY ST. VINCENT IN RESPONSE TO THE KEY INDICATORS OF VIOLENCE ACROSS THE AGE SPAN IN SANTA FE COUNTY. FOR SENIORS, 1,686 SUBSTANTIATED REPORTS OF ABUSE OR NEGLECT WERE DOCUMENTED IN 2014. RATES OF CHILD ABUSE AND NEGLECT FOR CHILDREN BETWEEN THE AGE OF BIRTH TO FIVE ARE 36.6%, HIGHER THAN FOR ALL CHILDREN UNDER 18 AT 33.4%. VIOLENCE AGAINST WOMEN IS ANOTHER AREA OF GREAT CONCERN. RATES OF DOMESTIC VIOLENCE IN SANTA FE COUNTY ARE 10.7 VERSUS 9.5 FOR NEW MEXICO STATEWIDE. ST. VINCENT STRATEGIES INCLUDE: 1) ESTABLISH VIOLENCE INTERVENTION COORDINATOR FOR CONSULTS FOR SURVIVORS, COMMUNITY COORDINATION AND SAFETY PLANNING, 2) TRAIN STAFF IN TRAUMA INFORMED CARE. HEALTH DISPARITIES ARE DEMONSTRATED IN A GEOGRAPHIC AREA OF THE COMMUNITIES WHERE A LARGE PERCENTAGE OF THE POPULATION ARE IMMIGRANTS. THE PERCENTAGE OF PEOPLE WITHOUT HEALTH INSURANCE IN THIS AREA IS 37% AND 29% OF THE POPULATION IN THE SAME AREA LIVES IN POVERTY. THE ST. VINCENT STRATEGY IS TO COLLABORATE WITH A LOCAL NON-PROFIT, CLINIC TO PROVIDE MEDICAL STAFFING TO CONDUCT FREE CLINICS IN GEOGRAPHIC AREAS OF THE COMMUNITY WHERE SERVICE ACCESS IS LIMITED. THE TARGET POPULATION IS ADULTS WITH HYPERTENSION IN GEOGRAPHICALLY UNDERSERVED AREAS AND CONNECTING THEM WITH PRIMARY CARE SERVICES. CONTINUED FOCUS AREAS: HEALTH SYSTEMS IMPROVEMENT, MATERNAL HEALTH AND EARLY CHILDHOOD, SCHOOL AGE CHILDREN AND ADOLESCENTS, ADULTS WITH CHRONIC DISEASES AND WOMENS HEALTH. FOR YOUNG CHILDREN, THE RATE OF LOW BIRTH BABIES IN SANTA FE COUNTY COMPARED TO THE U.S. RATE OF 8.1. DEPRESSION IS AN ISSUE AMONGST SCHOOL AGE CHILDREN. IN 2017, 32.5% OF SCHOOL AGE CHILDREN REPORT BEING SAD OR HOPELESS FOR 2 OR MORE WEEKS IN A ROW. IMPLEMENTATION STRATEGIES TO ADDRESS CONTINUING NEEDS INCLUDE: HEALTH CARE SYSTEM'S IMPROVEMENT - 1) PATIENT NAVIGATION, 2) HEALTH INSURANCE EXCHANGE ENROLLMENT, MATERNAL HEALTH & EARLY CHILDHOOD - 1) PRENATAL CARE, 2) HOME VISITATION, SCHOOL AGE CHILDREN & ADOLESCENTS - 1) ADOLESCENT HIGH UTILIZER GROUP SERVICES (HUGS), 2) ADULTS WITH CHRONIC DISEASES - 1) MANAGE YOUR CHRONIC DISEASE (MYCD). ACROSS THE BOARD, ST. VINCENT WILL FOCUS ON IMPROVING CARE TO THE SUPER PRIORITY PATIENTS, INPATIENT AND OUTPATIENT. THIS IS IN ADDITION TO COMMUNITY HEALTH PROGRAMS THAT TAKE PLACE OUTSIDE OF THE HOSPITAL. ACROSS THE BOARD STRATEGIES FOR EACH SUPER PRIORITY INCLUDE: 1) INTEGRATE SUPER PRIORITY WORK INTO CSV STRATEGIC PLAN, 2) SCREENING, CARE AND FOLLOW UP FOR PATIENTS, 3) LIST OF COMMUNITY RESOURCES, 4) TIGHTLY LINKED REFERRAL NETWORK BASED ON PATIENT NEEDS, 5) TRAINING FOR STAFF ON PATIENT ISSUES, 6) HARDWIRE CROSS-DEPARTMENT COORDINATION FOR PATIENTS WITH COMPLEX CARE ISSUES, 7) COMMUNITY BENEFIT COUNCIL, 8) DATA COLLECTION TO COLLECT BASELINE DATA AND TRACK PROGRESS, 9) IDENTIFY NECESSARY RESOURCES AND IDENTIFY LOW COST/NO COST STRATEGIES, 10) COMMUNITY BENEFIT FUNDING TO LOCAL NON-PROFITS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, 11) CONTINUE TO BUILD RESPONSIVE SYSTEM OF CARE, 12) IDENTIFY OTHER FUNDING SOURCES TO SUPPORT PRIORITIES. SCHEDULE H, PART V, SECTION B, LINE 13B INCOME LEVEL USED FOR FAP ELIBIBILITY UNINSURED PATIENTS WHO APPLY FOR THE FINANCIAL ASSISTANCE PROGRAM MAY ALSO QUALIFY FOR ASSISTANCE UNDER THE POLICY, REGARDLESS OF INCOME LEVEL, IF THEY HAVE MEDICAL OR HOSPITAL BILLS THAT EXCEED 10% OF THEIR GROSS TO ENSURE ALL NEEDED FORMS AND VERIFICATIONS NEEDED TO FILE AN APPLICATION FOR GOVERNMENTAL ASSISTANCE AND CHARITY CARE HAVE BEEN PROVIDED. SCHEDULE H, PART V, SECTION B, LINE 13H UNDER THE HOSPITAL'S POLICY, PATIENTS WERE GENERALLY ELIGIBLE FOR ASSISTANCE BASED ON INCOME LEVEL. PATIENTS WHO WERE BELOW 300% OF FEDERAL POVERTY GUIDELINES RECEIVED FREE CARE. PATIENTS BETWEEN 300% AND 400% OF FEDERAL POVERTY GUIDELINES RECEIVED A SLIDING SCALE DISCOUNT OFF GROSS CHARGES. UNINSURED UNDER 300% OF FPG = 100% DISCOUNT 301% - 400% OF FPG = 100% MEDICARE HARDSHIP UNDER 300% OF FPG = 100% DISCOUNT 301% - 400% OF FPG = CAP 10% INCOME THE POLICY ALSO ALLOWED FOR PRESUMPTIVE ELIGIBILITY. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. SCHEDULE H, PART V, SECTION B, LINE 15E FAP APPLICATION FORM'S METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE IN ADDITION TO REGULAR APPLICATIONS, THE HOSPITAL ALSO ASSESSED PATIENTS FOR PRESUMPTIVE ELIGIBILITY TO FACILITATE GIVING ASSISTANCE TO NEEDY PATIENTS. THE HOSPITAL IMPLEMENTED ELECTRONIC ELIGIBILITY TOOLS THAT USED PATIENT DEMOGRAPHIC DATA, CREDIT REPORTS, AND OTHER PUBLICLY AVAILABLE INFORMATION TO ESTIMATE A PATIENT'S INCOME, ASSETS, AND LIQUIDITY. PATIENTS WERE SCREENED AS PART OF THE COLLECTION ATTEMPT PROCESS. WHEN ELECTRONIC SCREENING WAS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT OF FULL FREE CARE WAS GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DID NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT COULD STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. SCHEDULE H, PART V, SECTION B, LINE 16A THE FAP WAS WIDELY AVAILABLE ON THE WEBSITE: https://www.christushealth.org/childrens/patient-resources/financial-assis tance SCHEDULE H, PART V, SECTION B, LINE 16B THE FAP APPLICATION WAS WIDELY AVAILABLE ON THE WEBSITE: https://www.christushealth.org/-/media/files/finance-files/application-st- vincent--english-pdf.ashx?la=en SCHEDULE H, PART V, SECTION B, LINE 16C THE PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE ON THE WEBSITE: https://www.christushealth.org/-/media/files/finance-files/plain-language- summary--st-vincent-english-pdf.ashx?la=en SCHEDULE H, PART V, SECTION B, LINE 16J ST. VINCENT TOOK A PROACTIVE, ONE-ON-ONE APPROACH TO MAKING CHARITY CARE AVAILABLE. BILINGUAL FINANCIAL COUNSELORS VISITED SELF-PAY PATIENTS DURING THEIR HOSPITAL VISIT TO DISCUSS THE AVAILABILITY OF FINANCIAL ASSISTANCE IN A CONFIDENTIAL AND CONVENIENT SETTING FOR THE PATIENT. MEDDATA, MEDICAL ELIGIBILITY VENDORS HELPED COMPLETE FINANCIAL ASSISTANCE APPLICATIONS AND EVALUATE PAYMENT PLANS FOR OUTSTANDING BALANCES. UNINSURED PATIENTS WERE SCREENED FOR MEDICAID ELIGIBILITY, AND COUNSELORS ALSO ASSISTED ELIGIBLE PATIENTS IN COMPLETING THOSE APPLICATIONS. EMERGENCY DEPARTMENT PATIENTS IDENTIFIED AS SELF-PAY WHO COULD NOT AFFORD SERVICES WERE GIVEN A FINANCIAL COUNSELORS BUSINESS CARD AND ENCOURAGED TO CALL THE COUNSELOR TO SCHEDULE TIME TO VISIT. HOSPITAL PATIENTS WERE ALSO NOTIFIED IN WRITING THROUGH THE PATIENT GUIDE THAT ST. VINCENT OFFERED PAYMENT PLANS, ASSISTANCE WITH MEDICAID APPLICATIONS, AND CHARITY CARE BASED ON INCOME. AFTER DISCHARGE, EACH BILLING STATEMENT INCLUDED INFORMATION THAT FINANCIAL ASSISTANCE WAS AVAILABLE: "YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON YOUR INCOME LEVEL. IF YOU DO NOT QUALIFY AND CANNOT MAKE PAYMENT IN FULL, YOU MUST CONTACT US IMMEDIATELY TO SET UP ARRANGEMENTS." THE SUMMARY OF CHARGES INCLUDED A SIMILAR STATEMENT: -IF YOU WOULD LIKE TO MAKE FINANCIAL ARRANGEMENTS, PRESENT ADDITIONAL INSURANCE INFORMATION, APPLY FOR FINANCIAL ASSISTANCE, OR SIMPLY INQUIRE ABOUT ANY PART OF THIS STATEMENT, PLEASE CALL OUR CUSTOMER SERVICE REPRESENTATIVES AT (505)820-5220..." IN ADDITION, A SUMMARY OF THE POLICY AND DOCUMENTS NEEDED TO APPLY FOR ASSISTANCE WAS WIDELY AVAILABLE AT WWW.CHRISTUSHEALTH.ORG/CHARITYCARE. (THIS WEBSITE WAS THE FIRST RESULT IN GOOGLE WHEN PATIENTS SEARCHED FOR THE HOSPITAL NAME AND CHARITY CARE OR FINANCIAL ASSISTANCE). EFFECTIVE JULY 1, 2016, THE INDIVIDUAL HOSPITALS HOMEPAGE HAD A FINANCIAL ASSISTANCE LINK INCLUDING THE FAP, APPLICATION, AND PLAIN LANGUAGE SUMMARY. SCHEDULE H, PART V, SECTION B, LINE 17 DID THE HOSPITAL FACILITY HAVE IN PLACE DURING THE TAX YEAR A SEPARATE BILLING AND COLLECTIONS POLICY, OR A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINED ACTION THE HOSPITAL FACILITY MAY TAKE UPON NON-PAYMENT? THE HOSPITAL DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. THE POLICY STRICTLY PROHIBITED TAKING LEGAL ACTION AGAINST PATIENTS AND ALSO FORBADE PLACING A LIEN ON THE PATIENT'S HOME. IN THE EVENT OF NONPAYMENT, THE HOSPITAL AND ITS COLLECTIONS GROUPS WOULD SEND STATEMENTS AND MAKE PHONE CALLS. SCHEDULE H, PART V, SECTION B, LINE 20E OTHER EFFORTS TO NOTIFY PATIENTS OF THE FAP BEFORE INITIATING ECA'S: AS STATED ABOVE IN SCHEDULE H, PART V, SECTION B, LINE 16(J), FINANCIAL COUNSELORS TRIED TO VISIT WITH EVERY SELF-PAY PATIENT DURING THE COLLECTIONS PROCESS. SCHEDULE H, PART V, SECTION B, LINE 22D THE HOSPITAL CALCULATED THE TOTAL SUM OF ALL CHARGES FOR FISCAL YEAR ENDING 2013 AND THE SUM OF THE EXPECTED PAYMENT UNDER COMMERCIAL CONTRACTS. ON AVERAGE, COMMERCIAL INSURERS PAID 61.2% OF CHARGES FOR SERVICES RENDERED. UNDER THE 501(R) STATUTE, THE HOSPITAL NEEDED TO LIMIT AMOUNTS CHARGED TO PATIENTS ELIGIBLE FOR ASSISTANCE UNDER THE FAP TO MORE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE." BASED ON THE AVERAGE COMMERCIAL INSURER PAYING APPROXIMATELY 60% OF GROSS CHARGES, ST. VINCENT DID NOT CHARGE FAP-ELIGIBLE PATIENTS MORE THAN 60% OF GROSS CHARGES. THE LOWEST DISCOUNT ST VINCENT PROVIDED TO FAP-ELIGIBLE PATIENTS WAS A 40% DISCOUNT, EQUIVALENT TO A BILL OF 60% OF CHARGES. FAP-ELIGIBLE PATIENTS WITH GREATER FINANCIAL NEED (AS DEMONSTRATED BY A LOWER ANNUAL INCOME) RECEIVED AN EVEN GREATER DISCOUNT (PAYING LESS THAN THE AVERAGE COMMERCIAL PAYER), INCLUDING MANY PATIENTS RECEIVING FREE CARE. 2 SANTA FE IMAGING LLC 1640 HOSPITAL DRIVE SANTA FE NM 87505 RADIOLOGY IMAGING SERVICE ENTER MONTE SOL TECHNOLOGY 490-A WEST ZIA ROAD SANTA FE NM 87505 ONCOLOGY OFFICE SPACE & Equipment SCHEDULE H, PART I, LINE 5 BUDGETED CHARITY CARE THE ORGANIZATION BUDGETS CHARITY CARE FOR INTERNAL FINANCIAL REVIEW PURPOSES ONLY. THE PROVISION OF CHARITY CARE IS NOT LIMITED TO AMOUNTS ESTABLISHED FOR BUDGETARY PURPOSES. SCHEDULE H, PART I, LINE 6A ANNUAL COMMUNITY BENEFIT REPORT A REPORT OF COMMUNITY BENEFIT IS INCLUDED IN A WRITTEN ANNUAL REPORT FOR CHRISTUS HEALTH, A MEMBER OF ST. VINCENT HOSPITAL. CHRISTUS HEALTH IS AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM FORMED IN 1999 WITH A MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST." THE ANNUAL COMMUNITY BENEFIT REPORT SUMMARIZES ACTIVITIES AND PROGRAMS CONDUCTED DURING THE PAST YEAR TO IMPROVE HEALTH INCLUDING PROACTIVE COMMUNITY HEALTH SERVICES. HOWEVER, THE ANNUAL REPORT IS ONLY A SNAPSHOT OF HOW THE ORGANIZATION DISTINGUISHES ITSELF IN ITS VISION TO BE A LEADER, A PARTNER, AND AN ADVOCATE IN CREATING INNOVATIVE HEALTH AND WELLNESS SOLUTIONS THAT IMPROVE THE LIVES OF INDIVIDUALS AND COMMUNITIES. SCHEDULE H, PART I, LINE 7, COLUMN (F) PERCENT OF TOTAL EXPENSE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) IS $462,554,640. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $30,176,667. THIS LEAVES A TOTAL EXPENSE OF $432,377,973 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). SCHEDULE H, PART I, LINE 7, COLUMN (F) FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AS PERCENTAGE OF TOTAL COST THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS REPORTED ON PART I, LINE 7K, COLUMN (C) AS A PERCENTAGE OF TOTAL EXPENSE IS 18.07% WHICH EXCEEDS THE AMOUNT REPORTED ON PART I, LINE 7K COLUMN (F) WHICH IS COMPUTED USING NET COMMUNITY BENEFIT EXPENSE. SCHEDULE H, PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS ST. VINCENT HOSPITAL MADE OVER $1,700,257 IN CASH AND IN KIND CONTRIBUTIONS DURING FISCAL YEAR 2019. THE AFOREMENTIONED AMOUNT IS DETERMINED IN ACCORDANCE WITH REPORTING RULES FOR SCHEDULE H, WORKSHEET 8. AS SUCH THIS AMOUNT DIFFERS FROM GRANTS REPORTED ON FORM 990, SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS AND PART IX, LINES 1 THROUGH 3 GRANTS AND OTHER ASSISTANCE. MEMBER ORGANIZATION, CHRISTUS HEALTH, ESTABLISHED THE CHRISTUS FUND, A GRANT FUND TO PROVIDE RESOURCES TO NONPROFIT AGENCIES AND GROUPS WHOSE VISION, MISSION, AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. CHRISTUS FUND GRANTS TOTALING $337,850 WERE DONATED BY CHRISTUS HEALTH TO NONPROFIT ORGANIZATIONS LOCATED IN THE COMMUNITY THAT ST. VINCENT HOSPITAL SERVES. THE GRANT DOLLARS ARE USED TO SUPPORT PROGRAMS THAT PROMOTE THE HEALTH OF THE COMMUNITIES THAT ST. VINCENT HOSPITAL SERVES, SUCH AS THE PROVISION OF PREVENTIVE ORAL HEALTH SERVICES, WELL-CHILD VISITS, AGE APPROPRIATE IMMUNIZATIONS, PROFESSIONAL PSYCHOTHERAPY AND EDUCATIONAL PROGRAMS FOR UNINSURED AND UNDERINSURED COMMUNITY MEMBERS. ST. VINCENT HOSPITAL USED CASH DONATIONS AS A VEHICLE TO IMPROVE THE HEALTH OF THE COMMUNITIES SERVED. CASH DONATIONS AND GRANTS ARE GIVEN TO SUPPORT OTHER NONPROFIT ORGANIZATIONS AND PROGRAMS INCLUDING THE FARMER'S MARKET HEALTHY NUTRITION, AMERICAN CANCER SOCIETY, BIG BROTHERS BIG SISTERS, AND UNITED WAY. ST. VINCENT HOSPITAL ALSO MADE CASH AND IN KIND DONATIONS TO FUND COMMUNITY INITIATIVES SUCH AS A HOLIDAY COAT DRIVE FOR CHILDREN AND PHYSICAL FITNESS PROGRAMS FOR CHILDREN AND ADULTS. ADDITIONALLY, COMMUNITY BASED PROGRAMS ADDRESSING THE NEEDS OF UNDERSERVED, VULNERABLE POPULATIONS WERE FUNDED. SERVICES ARE SPECIFICALLY TARGETED TO MEET HEALTH CARE NEEDS ALONG THE AGE SPAN RANGING FROM SERVICES TO CHILDREN BIRTH TO 3, ADOLESCENT BEHAVIORAL HEALTH, ADULT BEHAVIORAL HEALTH, DOMESTIC VIOLENCE AND SENIOR CARE. SCHEDULE H, PART I, LINE 7 LINE 7A: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7B: RATIO OF PATIENT CARE COST TO CHARGES BASED ON SCHEDULE H, WORKSHEET 2 LINE 7E: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7F: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7G: ACTUAL EXPENSES LESS ANY DIRECT OFFSETTING REVENUE LINE 7I: ACTUAL EXPENSE OF THE CONTRIBUTIONS SCHEDULE H, PART II COMMUNITY BENEFIT ACTIVITIES AMOUNTS REPORTED ON SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES INCLUDE PHYSICAL IMPROVEMENTS AND HOUSING, AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. THE CHRISTUS HEALTH BOARD OF DIRECTORS APPROVED FUNDING OF A COMMUNITY DIRECT INVESTMENT (CDI) LOAN PROGRAM TO ENSURE THAT THE WORK OF SOCIAL ACCOUNTABILITY AND MORAL AND ETHICAL STEWARDSHIP CONTINUES IN SPITE OF CHALLENGING FISCAL CONDITIONS FACED BY LOCAL OPERATING ENTITIES. THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY DRIVEN INITIATIVES, PRIMARILY AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT FOR PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THOUGH OUTSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2019 WAS $1,000,000. THE FOREGONE INTEREST FOR ST. VINCENT HOSPITAL IN FISCAL YEAR ENDING JUNE 30, 2019 WAS $25,764. IN ADDITION, ST. VINCENT HOSPITAL HAS PARTNERED WITH LOCAL FINANCING AGENCIES AND BANKS TO PARTICIPATE IN LOW INCOME HOUSING PROJECTS, SCHOOL AGE CHILDREN WHO ARE HOMELESS, AT-RISK TEENS AND OTHER COMMUNITY PROJECTS TO IMPROVE THE HEALTH OF THE COMMUNITIES SERVED. ST. VINCENT HOSPITAL ASSOCIATES SERVE ON LOCAL NONPROFIT BOARDS AND PARTICIPATE IN VARIOUS COMMUNITY INITIATIVES THAT PROMOTE THE HEALTH AND WELLBEING THE COMMUNITIES SERVED. THE CHRISTUS HEALTH ADVOCACY DEPARTMENT IS WORKING IN PARTNERSHIP WITH LOCAL, STATE AND FEDERAL POLICY MAKERS TO ENSURE ACTIVITIES AND PROGRAMS ARE IN PLACE THAT WILL ENHANCE PUBLIC HEALTH AND ADVANCE GENERAL KNOWLEDGE. THESE ARE SOME OF THE MAIN COMMUNITY BUILDING ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND ADVANCING KNOWLEDGE. SCHEDULE H, PART III, SECTION A, LINE 1 BAD DEBT REPORTING IN ACCORDANCE WITH HFMA STATEMENT 15 CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF. SCHEDULE H, PART III, SECTION A, LINE 3 ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER CHARITY CARE THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. IN ORDER TO ASSESS THE BAD DEBT ACCOUNTS THAT WOULD LIKELY QUALIFY FOR CHARITY CARE, THE FOLLOWING CRITERIA WERE ESTABLISHED BASED ON AN ANALYSIS OF HISTORICAL DATA OF CHRISTUS HEALTH AND ITS RELATED ORGANIZATIONS: 1. PARO SCORE OF LESS THAN OR EQUAL TO 586, WHICH IS A PREDICTOR DEFINING THE LIKELY SOCIOECONOMIC CONDITIONS FOR THE PATIENT; 2. ESTIMATED FEDERAL POVERTY LEVEL OF LESS THAN OR EQUAL TO 226%, WHICH IS BASED ON ESTIMATED HOUSEHOLD SIZE AND HOUSEHOLD ESTIMATED INCOME; AND 3. THIRD PARTY DATA AVAILABLE ON PATIENT ACCOUNTS WHICH INDICATE THAT THE PATIENT IS NOT A HOMEOWNER OR A PROBABLE HOMEOWNER. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30% OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING JUNE 30, 2019, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 42.9% OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THESE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2019. THUS, THE ORGANIZATION ESTIMATES THAT ONLY .96% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING JUNE 30, 2019 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, "THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES ("US GAAP") REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY. THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT SERVICE REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES; AND THE PROVISION FOR BAD DEBT; ESTIMATES FOR REIMBURSEMENT UNDER THE UPPER PAYMENT LIMIT, DISPROPORTIONATE SHARE AND MEDICAID 1115 WAIVER PROGRAMS; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; ACCRUALS FOR CLAIMS INCURRED BUT NOT YET REPORTED RELATED TO THE SYSTEM'S HEALTH PLANS; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND LONG-LIVED ASSETS, including assets acquired; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENT AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES." SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY THE AMOUNT ON SCHEDULE H, PART III, LINE 6 IS DETERMINED BY CALCULATING MEDICARE ALLOWABLE COSTS USING WORKSHEET A OF THE MEDICARE COST REPORT. WORKSHEET A OF THE MEDICARE COST REPORT REQUIRES THE ORGANIZATION TO REMOVE NON-ALLOWABLE EXPENSES FROM TOTAL EXPENSES VIA THE ADJUSTMENTS TO EXPENSES WORKSHEETS WITHIN THE MEDICARE COST REPORT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE FILING ORGANIZATION ASSOCIATED WITH THE FILING ORGANIZATION'S PROVISIONS OF SERVICES TO MEDICARE PATIENTS. SCHEDULE H, PART III, LINE 7 WOULD EQUAL A SHORTFALL OF $7,679,304 IF TOTAL EXPENSES ALLOCABLE TO MEDICARE SERVICES WERE SUBSTITUTED ON SCHEDULE H, PART III, LINE 6. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY IT IS THE POLICY OF THE ORGANIZATION TO PURSUE COLLECTIONS OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. CHRISTUS HEALTH APPLIES ITS COLLECTION EFFORTS CONSISTENTLY AND FAIRLY TO ALL PATIENTS REGARDLESS OF INSURANCE. IF A PATIENT DOES NOT HAVE THE FINANCIAL RESOURCES TO PAY THEIR OUTSTANDING BALANCES, THE GOAL OF THE ORGANIZATION IS TO QUALIFY THESE PATIENTS THROUGH THE ORGANIZATION'S CHARITY POLICY OR SCREEN THE PATIENTS THROUGH ORGANIZATION'S PRESUMPTIVE CHARITY TESTS. IF THE PATIENT QUALIFIES UNDER EITHER POLICY THE ACCOUNT WILL BE WRITTEN OFF BASED UPON LEVEL OF QUALIFICATION. THESE POLICIES SUPPORT THE MISSION AND VISION OF THE ORGANIZATION AND ARE APPROVED BY SENIOR LEADERSHIP. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT THE NEEDS ASSESSMENT MAY BE ACCESSED ON-LINE: https://www.christushealth.org/about/donate/community-health/community-hea lth-needs-assessment-and-implementation-plan THE 2016-2019 ST. VINCENT HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES: (1) A COMMUNITY HEALTH PROFILE WITH KEY POPULATION HEALTH INDICATORS, (2) FOCUS GROUPS WITH A BROAD RANGE OF REPRESENTATIVES FROM ACROSS THE COMMUNITY INCLUDING CONSUMERS, PROVIDERS, LOCAL GOVERNMENT (COUNTY & CITY), HEALTH CARE PRACTITIONERS, AND OTHER STAKEHOLDERS, (3) COMMUNITY RESOURCES INCLUDING IDENTIFICATION OF LOCAL INITIATIVES INVOLVING PARTNERSHIPS ACROSS THE COMMUNITY TO ADDRESS KEY PRIORITY NEEDS. THE NEEDS ASSESSMENT INCLUDES A SPECIAL SECTION EXAMINING POPULATIONS FACING HEALTH DISPARITIES. ON AN ON-GOING BASIS ST. VINCENT PARTICIPATES IN HEALTH, EDUCATION AND SOCIAL SERVICE PLANNING WITH MULTIPLE GROUPS THROUGHOUT THE COMMUNITY INCLUDING THE PUBLIC SCHOOLS, COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, CITY HEALTH AND HUMAN SERVICES, THE FAITH COMMUNITY, AND OTHER COMMUNITY GROUPS. THROUGH OUR PARTICIPATION IN THESE EFFORTS, ST. VINCENT IS INVOLVED IN IDENTIFYING NEEDS AND ADDRESSING ISSUES FACING THE POPULATION. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ST. VINCENT HOSPITAL MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY AND DISCOUNT POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE-REGISTRATION (FOR SCHEDULED TESTS AND SURGERIES), POST REGISTRATION (DURING THEIR HOSPITALIZATION) AND FOLLOWING DISCHARGE (TELEPHONE OR WRITTEN INQUIRY) IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. PATIENTS ARE GIVEN INFORMATION AND FORMS BY A FINANCIAL COUNSELOR WHO HELPS THEM COMPLETE THE FORMS DURING THEIR INPATIENT AND OUTPATIENT VISITS. PATIENTS ARE ASKED TO BRING OR MAIL SUPPORTING DOCUMENTATION TO DETERMINE INCOME, ASSETS AND HOUSEHOLD EXPENSES. THE BUSINESS OFFICE REVIEWS THE APPLICATION BASED ON THE INFORMATION PROVIDED BY THE PATIENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR A DISCOUNT, A NEW BILL IS GENERATED. PATIENTS WHO DO NOT PROVIDE THE REQUIRED DOCUMENTATION ARE CONSIDERED INELIGIBLE AND ARE BILLED ACCORDINGLY. IF THE DOCUMENTATION IS PROVIDED AT A LATER TIME, THE PATIENT MAY THEN BE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE OR A DISCOUNT. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION ST. VINCENT HOSPITAL IS LOCATED IN SANTA FE, NEW MEXICO AND SERVES MORE THAN 300,000 PEOPLE IN SEVEN COUNTIES COVERING A 19,000 SQUARE-MILE AREA ENCOMPASSING NORTH CENTRAL AND NORTHEASTERN NEW MEXICO AND SOUTHERN COLORADO. SANTA FE COUNTY'S POPULATION IS 50 PERCENT HISPANIC. THE FASTEST GROWING AGE GROUP IN THE ORGANIZATION'S SERVICE AREA IS 65 YEARS OF AGE AND OLDER WHICH IS PROJECTED TO GROW BY ALMOST THREEFOLD FROM 22,000 TO 61,000 BY 2040 AS COMPARED WITH 3 PERCENT GROWTH FOR THE POPULATION AS A WHOLE. TWENTY PERCENT OF SANTA FE COUNTY'S POPULATION IS UNINSURED. ST. VINCENT HOSPITAL IS THE ONLY LEVEL III TRAUMA CENTER IN NORTH CENTRAL/NORTHEASTERN NEW MEXICO. IT IS THE LARGEST HOSPITAL NORTH OF ALBUQUERQUE AND SOUTH OF PUEBLO, COLORADO. ST. VINCENT HOSPITAL IS CLASSIFIED AS A SOLE COMMUNITY PROVIDER BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). SCHEDULE H, PART VI, LINE 5 Promotion of Community Health TO RESPOND TO THE NEEDS OF THE COMMUNITY, ST. VINCENT PROVIDES THE FOLLOWING OUTPATIENT AND INPATIENT SERVICES AND SPECIALTIES: CANCER CENTER, HEART & VASCULAR CENTER - CARDIOVASCULAR SERVICES, BEHAVIORAL HEALTH SERVICES, DIABETES CENTER, GASTROENTEROLOGY, EAR, NOSE, & THROAT, HOSPITALIST, LABORATORY SERVICES, EMERGENCY SERVICES INCLUDING A FREE STANDING EMERGENCY DEPARTMENT, NEUROSURGERY, ORTHOPAEDICS, OUTPATIENT THERAPIES SPORTS MEDICINE, PEDIATRIC SERVICES, PHYSICAL REHAB INCLUDING INPATIENT, SPORTS MEDICINE, HOLISTIC HEALTH CENTER, IN-PATIENT REHAB, PULMONARY DISEASE, SLEEP CENTER, SPINE CENTER AND NEURO SCIENCE, SURGICAL SERVICES, UROLOGY, WOMEN'S SERVICES, AND WOUNDCARE & HYPERBARIC OXYGEN THERAPY. IN ADDITION TO PRIMARY AND SPECIALTY CARE, CHRISTUS ST. VINCENT OPERATES SEVERAL PROGRAMS THAT RESPOND DIRECTLY TO CRITICAL COMMUNITY NEEDS: A DIABETES CENTER, OUTPATIENT BEHAVIORAL HEALTH PROGRAM, AND A HOSPITAL-BASED DOMESTIC VIOLENCE PROGRAM. THE DIABETES CENTER HAS BEEN CO-LOCATED WITH THE ST. VINCENT WOUND CENTER TO IMPROVE INTEGRATION OF PATIENT CARE. ST. VINCENT HOSPITAL COLLABORATES WITH COMMUNITIES, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS TO FACILITATE AND STRENGTHEN ACCESSIBILITY OF QUALITY COMPREHENSIVE HEALTH CARE SERVICES FOR ALL, PARTICULARLY THE VULNERABLE AND UNDERSERVED POPULATIONS. ST. VINCENT HOSPITAL ALSO SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, OFFERING CONVENIENT LOCATIONS FOR PRIMARY CARE AND MOBILE OUTREACH PROGRAMS, IMMUNIZATIONS FOR CHILDREN AND SENIORS, MEALS ON WHEELS, AND TRANSPORTATION SERVICES FOR THE COMMUNITIES SERVED. IN ADDITION, ST. VINCENT HOSPITAL PROVIDES MEDICATION ASSISTANCE FOR COMMUNITY RESIDENTS WHO ARE UNABLE TO AFFORD MEDICATIONS. ST. VINCENT HOSPITAL IS DEDICATED TO IMPROVING THE HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE NEEDED SERVICES WHERE THEY ARE MOST NEEDED, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. ST. VINCENT HOSPITAL IS ONE THE AREA'S LARGEST PRIVATE EMPLOYERS, 2ND ONLY TO GOVERNMENT. "COMMUNITY SERVICES FOR A BROADER COMMUNITY" IS ALSO A PART OF ST. VINCENT HOSPITAL'S OVERALL COMMUNITY BENEFIT. THE GREATEST SHARE OF THESE EXPENSES IS FOR EDUCATING HEALTH PROFESSIONALS (GRADUATE MEDICAL EDUCATION, NURSING STUDENTS, ALLIED HEALTH PROFESSIONALS, PHARMACISTS, ETC). HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NONPROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. ST. VINCENT HOSPITAL FUNDS HEALTH PROFESSIONS EDUCATION WHICH INCLUDES CLINICAL EXPERIENCE AND OTHER EDUCATION FOR PHYSICIANS AND MEDICAL RESIDENTS. CHRISTUS HEALTH, MEMBER ORGANIZATION, ALSO USED CASH DONATIONS THROUGH COMMUNITY BENEFIT AS A VEHICLE TO HELP THE COMMUNITIES SERVED. IT MADE CASH DONATIONS AS WELL AS GRANTS TO SUPPORT NONPROFIT HEALTH CARE ORGANIZATIONS AND PROGRAMS INCLUDING LA FAMILA MEDICAL CENTER, SOLACE CRISIS TREATMENT CENTER, YOUTH SHELTERS & FAMILY SERVICES, PRESBYTERIAN MEDICAL SERVICES, SANTA FE RECOVERY CENTER, AND VARIOUS OTHER PROGRAMS AIMED AT IMPROVING THE HEALTH OF THE COMMUNITIES SERVED. AS A NONPROFIT ORGANIZATION AND AS A PART OF CHRISTUS HEALTH, A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKEUP OF THE AREA WE SERVE GUIDES ST. VINCENT HOSPITAL. WE ARE PRIVILEGED TO HAVE AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK WITH US TO PROVIDE CARE TO OUR COMMUNITIES. ALL QUALIFIED PHYSICIANS WHO ARE GRANTED PRIVILEGES TO SERVE WITH US IN OUR HOSPITALS MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM DESCRIPTION ST. VINCENT HOSPITAL IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, GEORGIA, IOWA, LOUISIANA, NEW MEXICO, TEXAS, AND INTERNATIONALLY IN THE COUNTRIES OF MEXICO AND CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING ST. VINCENT HOSPITAL, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. ST. VINCENT HOSPITAL, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT ALL CHRISTUS HEALTH ENTITIES INCLUDING FACILITIES LOCATED IN STATES THAT DO NOT REQUIRE ANNUAL COMMUNITY BENEFIT REPORTING (I.E., LOUISIANA, AND NEW MEXICO), FOLLOW THE SAME REPORTING RULES AS OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT, COPYRIGHT 2008. TOTAL COMMUNITY BENEFIT FOR CHRISTUS HEALTH IS ALSO REPORTED IN THE ANNUAL REPORT PREPARED AND DISTRIBUTED BY THE SYSTEM OFFICE. CHRISTUS HEALTH'S NONPROFIT HOSPITALS LOCATED IN TEXAS FILE A COMMUNITY BENEFIT REPORT IN THE STATE OF TEXAS. THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS) FORM AND ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN ARE FILED WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS) AS REQUIRED BY THE HEALTH AND SAFETY CODE, SECTIONS 311.045 AND 311.046. THE 2012 ASCBS FORM IS EXPANDED TO COLLECT THE INFORMATION ON CHARITY CARE POLICIES AND COMMUNITY BENEFITS IN A STANDARDIZED FORMAT. STATE FILINGS OF COMMUNITY BENEFIT REPORT: TX true Las Cumbres Community Services 102 N CORONADO AVE ESPANOLA NM 87532 237144268 501(c)(3) 29000 CBISA - Violence Prevention Presbyterian Medical Services 1422 PASEO DE PERALTA 3 SANTA FE NM 87501 850206810 501(c)(3) 125000 CBISA - Adolescent Health NM Suicide Intervention Project PO Box 6004 SANTA FE NM 87502 850427990 501(c)(3) 140540 Deliver vital suicide prevention training skills, life skills, awareness & resource information to adolescents in SF county; Sky Center Adolescent HUGS - Wraparound, therapeutic, & non-traditional services for children & adolescents < 22 who are at high risk & are frequent utilizers of the CSV ED & the Juvenile Detention Gerard's House PO Box 28693 SANTA FE NM 87592 742834283 501(c)(3) 33000 Donation to Local Charity on behalf of providers Youth Shelters PO BOX 28279 SANTA FE NM 87592 850324625 501(c)(3) 25000 CBISA - Violence Prevention Solace 6601 Valentine Way SANTA FE NM 87507 850242274 501(c)(3) 112000 CBISA - Violence Prevention Santa Fe Recovery 4100 Lucia Lane SANTA FE NM 87507 850216976 501(c)(3) 532552 CBISA - Adult Behavioral Health The Friendship Club 1414 Galisteo St SANTA FE NM 87505 850324089 501(c)(3) 10000 CBISA - Adult Behavioral Health Esperanza Shelter 3130 RUFINA ST SANTA FE NM 87502 850313174 501(c)(3) 48114 CBISA - Violence Prevention Kitchen Angels inc 1222 Siler Rd SANTA FE NM 87507 850423492 501(c)(3) 14000 CBISA - Senior Care Coming Home 418 Cerrillos RdSTE 28 SANTA FE NM 87501 742853467 501(c)(3) 30000 CBISA - Senior Care United Way of Santa Fe 440 CERRILLOS RD STE A SANTA FE NM 87501 850163601 501(c)(3) 183500 CBISA - Violence Prevention Interfaith Shelter PO Box 22653 SANTA FE NM 87503 270736366 501(c)(3) 31262 CBISA - Adult Behavioral Health La Familia Medical Center 1035 ALTO ST SANTA FE NM 87501 850220875 501(c)(3) 73366 CBISA - Adult Behavioral Health ST ELIZABETH MEDICAL RESPITE 804 ALARID ST SANTA FE NM 87505 850347650 501(c)(3) 78000 ADULT HEALTH CANCER FOUNDATION FOR NEW MEXICO 490-A W ZIA ROAD SANTA FE NM 87505 412079799 501(C)3 54000 Provide support services for cancer patients, their families and caregivers, and educational programs for the community. 16 Nursing Scholarship GRANTS 47 95130 COST IMMUNIZATIONS 6650 127661 FMV FREE IMMUNIZATIONS Description of Organization's Procedures for Monitoring the Use of Grants SCHEDULE I, PART I, LINE 2 THE ORGANIZATION FOLLOWS MEMBER ORGANIZATION CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST FULLY SUPPORT THE TAX EXEMPT PURPOSE OF ST. VINCENT HOSPITAL. TO SATISFY THE IRS TEST CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. X true true true true false false false false false false false Lillian Montoya DIR./PRES/CEO 416099 210455 66904 109528 7416 810402 Tarek Dammad MD DIRECTOR (THRU 08/2019) 384226 37500 28179 29187 26419 505511 HOPE WADE CFO 276801 123266 8831 71765 965 481628 JOHN BEESON MD CMO 399456 193751 119881 94030 72643 879761 KATHY ARMIJO-ETRE VP COMMUNITY HEALTH 144153 56562 34838 30944 31442 297939 MARGARET DITTRICH VP - AUDIT & COMPLIANCE 168367 97701 7663 37035 12691 323457 MERRI MURPHY COO-PHYS. MED GRP 214559 60709 41742 8250 8010 333270 EMELIA WANG ASSOCIATE CIO AND CMIO 281048 123656 12729 46985 27850 492268 ARTHUR A CAIRE MD PHYSICIAN 458847 387319 39453 48687 17703 952009 JASON ADAMS FORMER COO (THRU 02/2017) 368593 170346 85248 87531 25331 737049 PATRICK CARRIER DIR./PRES./CEO (THRU 06/2018) 507454 361063 634089 43149 13110 1558865 MARSHALL T WATSON JR PHYSICIAN 805205 8550 20707 30187 14147 878796 MONICA LEYBA CHIEF NURSE EXECUTIVE 222209 60237 1726 25602 620 310394 PHILIP S SMUCKER PHYSICIAN 800485 7500 6674 48687 18867 882213 JOHN A GARCIA PHYSICIAN 655363 168911 72672 54687 20647 972280 Philip T Shields Physician 788796 7500 13500 33687 30556 874039 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 1A, COMPANION TRAVEL TAXABLE COMPENSATION WAS REPORTED TO VARIOUS OFFICERS AND BOARD MEMBERS RELATED TO COMPANION TRAVEL TO CHRISTUS MEETINGS. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII, LINE 1A AND SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. CHRISTUS HEALTH, A MEMBER ORGANIZATION OF ST. VINCENT HOSPITAL, HAS A 50% OWNERSHIP AND THEREFORE DOES NOT MEET THE DEFINITION OF A RELATED ORGANIZATION SET FORTH BY THE FORM 990 INSTRUCTIONS. THE FOLLOWING PERSONS RECEIVED COMPENSATION FROM UNRELATED CHRISTUS HEALTH FOR SERVICES RENDERED TO ST. VINCENT DURING CALENDAR YEAR 2018. THE AMOUNTS BELOW ARE REFLECTED IN PART VII, SECTION A, COLUMN D AND SCHEDULE J, PART II, COLUMN (B)(II) ROW I AS FOLLOWS: LILLIAN MONTOYA BONUS AND INCENTIVE COMPENSATION = $210,455 HOPE WADE BONUS AND INCENTIVE COMPENSATION = $123,266 JOHN BEESON, MD BONUS AND INCENTIVE COMPENSATION = $193,751 KATHY ARMIJO-ETRE BONUS AND INCENTIVE COMPENSATION = $56,562 MARGARET DITTRICH BONUS AND INCENTIVE COMPENSATION = $97,701 MERRI MURPHY BONUS AND INCENTIVE COMPENSATION = $60,709 EMELIA WANG BONUS AND INCENTIVE COMPENSATION = $123,656 JASON ADAMS BONUS AND INCENTIVE COMPENSATION = $170,346 PATRICK CARRIER BONUS AND INCENTIVE COMPENSATION = $361,063 MONICA LEYBA BONUS AND INCENTIVE COMPENSATION = $60,237 EXPLANATION OF MEMBER ORG DETERMINING CEO/EXECUTIVE DIRECTOR'S COMP SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A MEMBER ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A PATRICK CARRIER - $89,854 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART II, COLUMN B(II) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2018. DEFERRED COMPENSATION SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION MAY INCLUDE EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL. DOING BUSINESS AS FORM 990, PAGE 1, ITEM C ST. VINCENT HOSPITAL IS DOING BUSINESS AS: CHRISTUS ST. VINCENT REGIONAL MEDICAL CENTER FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE BROADER COMMUNITY HELPING TO PREPARE FUTURE HEALTHCARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NONPROFIT HOSPITALS AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. ST. VINCENT HOSPITAL ASSISTS IN THE EDUCATION OF HEALTHCARE PROFESSIONALS BY PROVIDING CLINICAL SETTINGS, SCHOLARSHIPS, INTERNSHIPS AND RESIDENCIES FOR PHYSICIANS, NURSES AND OTHER HEALTH PROFESSIONALS. THE FOLLOWING ACTIVITIES WERE CONDUCTED IN THIS AREA: ST. VINCENT HOSPITAL FOUNDATION NURSE SCHOLARSHIPS (IN PARTNERSHIP WITH SANTA FE COMMUNITY COLLEGE AND NORTHERN NEW MEXICO COMMUNITY COLLEGE) AND THE ST. VINCENT HOSPITAL MEDICAL RESIDENCY PROGRAM (A THREE-YEAR PRIMARY CARE RESIDENCY PROGRAM FOR PHYSICIANS IN PARTNERSHIP WITH THE UNIVERSITY OF NEW MEXICO, ALBUQUERQUE). ADDITIONALLY, ST. VINCENT'S FUNDS THE "HEALTH CARE EXPLORERS" PROGRAM GEARED TO HIGH SCHOOL STUDENTS WITH AN INTEREST IN THE HEALTH CARE PROFESSION. ST. VINCENT HOSPITAL USED CASH DONATIONS AS A VEHICLE TO HELP OUR COMMUNITIES. WE MADE CASH DONATIONS, IN ADDITION TO GRANTS, TO SUPPORT NONPROFIT HEALTHCARE ORGANIZATIONS AND PROGRAMS, INCLUDING UNITED WAY. ST. VINCENT HOSPITAL ALSO MADE CASH AND IN-KIND DONATIONS TO FUND COMMUNITY INITIATIVES SUCH AS AN ANNUAL HOLIDAY COAT DRIVE FOR CHILDREN; PHYSICAL FITNESS PROGRAMS FOR CHILDREN AND ADULTS (NATIONAL DANCE INSTITUTE, ELEMENTARY SCHOOL FUN RUNS, SANTA FE CENTURY BIKE RIDE); SCHOOL HEALTH FAIRS AND WELLNESS PROGRAMS; ELDER/SENIOR SERVICES AND VETERANS' PROGRAMS; LOCAL AND NATIONAL SERVICE ORGANIZATION FUNDRAISERS (ROTARY, ELKS AND KIWANIS CLUBS); AND NATIVE AMERICAN PUEBLO HEALTH DAYS AND PHYSICAL FITNESS EVENTS. ST. VINCENT HOSPITAL ASSOCIATES SERVED ON LOCAL NONPROFIT BOARDS AND INITIATIVES. THE HOSPITAL ALSO PROVIDES NO-COST MEETING SPACE TO COMMUNITY NONPROFIT ORGANIZATIONS AND GROUPS. DURING FY 2019, ST. VINCENT HOSPITAL ADVOCATED FOR IMPROVING PUBLIC POLICIES, WORKING TO ESTABLISH, AND IN SOME INSTANCES AUGMENT, GRASSROOTS ADVOCACY FOR GREATER ACCESS TO HEALTH CARE SERVICES FOR THE CONSTITUENTS WE SERVE. FORM 990, PART III, LINE 4D COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED ST. VINCENT HOSPITAL HAS RECOGNIZED THE NEED FOR SIGNIFICANT COMMUNITY-WIDE HEALTH AND HUMAN SERVICES BEYOND THE DIRECT SERVICES OF THE HOSPITAL. AS SUCH, ST. VINCENT PROVIDES FUNDING TO THOSE WITH LIMITED OR NO MEANS TO PAY, UNDERSERVED POPULATIONS AND THE BROADER COMMUNITY. THESE PROGRAMS ARE FUNDED FROM THE HOSPITAL'S GENERAL FUNDS AND ARE PROVIDED EITHER DIRECTLY BY ST. VINCENT OR THROUGH OTHER NONPROFIT COMMUNITY HEALTHCARE ORGANIZATIONS. COLLABORATIVE EFFORTS WITH LA FAMILIA MEDICAL CENTER, PRESBYTERIAN MEDICAL SERVICES, WOMEN'S HEALTH SERVICES AND VILLA THERESE CATHOLIC CLINIC PROVIDE PRIMARY CARE TO MEET THE NEEDS OF THE POOR, UNDERSERVED AND HOMELESS. ONE EXAMPLE OF CHRISTUS HEALTH, MEMBER ORGANIZATION, COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE THE CHRISTUS COMMUNITY DIRECT INVESTMENT PROGRAM (CDI). THE PURPOSE OF THE CDI PROGRAM IS TO SUPPORT COMMUNITY-DRIVEN INITIATIVES PRIMARILY FOR AFFORDABLE HOUSING AND ECONOMIC DEVELOPMENT BY PROVIDING FINANCING AT BELOW-MARKET INTEREST RATES TO NOT-FOR-PROFIT ORGANIZATIONS AT TERMS NOT EXCEEDING MORE THAN FIVE YEARS. THE INCOME LOST FROM THE DIFFERENCE IN THE MARKET RATE LESS OUR LOAN RATE (FOREGONE INCOME) IS CONSIDERED A COMMUNITY BENEFIT FOR REPORTING PURPOSES. THE COST OF THESE INVESTMENTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSES OF ST. VINCENT HOSPITAL THOUGH OUSTANDING LOAN BALANCES VARY THROUGHOUT THE YEAR, THE OUTSTANDING LOAN BALANCE AT THE END OF FISCAL YEAR 2019 WAS $1,000,000. THE FOREGONE INTEREST FOR ST. VINCENT HOSPITAL IN FY 2019 WAS $25,764. CHRISTUS HEALTH, MEMBER ORGANIZATION, HAS ESTABLISHED THE CHRISTUS FUND TO PROVIDE RESOURCES TO NOT-FOR-PROFIT AGENCIES AND GROUPS WHOSE MISSION, VISION AND GOALS ARE CONSISTENT WITH CHRISTUS HEALTH'S MISSION, VALUES AND PHILOSOPHY OF A HEALTHY COMMUNITY. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN MAKE A PROFOUND DIFFERENCE IN THE QUALITY OF PEOPLES' LIVES AND CREATE SUSTAINABLE HEALTH IN OUR COMMUNITIES. DURING FY 2019, THE TOTAL GRANT MONEY DISTRIBUTED TO THE ST. VINCENT REGION WAS $337,850. THE COST OF THESE GRANTS IS NOT INCLUDED IN THE PROGRAM SERVICE EXPENSE FOR ST. VINCENT. ST. VINCENT HOSPITAL SUPPORTS THE NEEDS OF SPECIAL POPULATIONS IN THE COMMUNITY BY PROVIDING COMMUNITY HEALTH EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, AND HEALTHCARE SUPPORT SERVICES, INCLUDING: HEALTH AND SAFETY FAIRS, SCREENINGS AND EDUCATION FOR EARLY DETECTION OF DIABETES, CANCER AND HEART DISEASE, MATERNAL AND CHILD HEALTHCARE, VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT NURSE EXAMINERS, MEDICAL CARE FOR RESIDENTS IN CUSTODY, AND HEALTH EDUCATION PROGRAMS, SCREENINGS AND ADULT IMMUNIZATIONS TARGETED AT CERTAIN POPULATIONS SUCH AS PERSONS AGE 65 OR OLDER, INDIVIDUALS WITH DISABILITIES, THE UNDERINSURED AND UNINSURED, AND HISPANIC AND NATIVE AMERICAN POPULATIONS. SOME EXAMPLES OF ST. VINCENT HOSPITAL'S COMMUNITY BENEFITS ACCOUNTED FOR UNDER COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED INCLUDE DENTAL AND VISION SERVICES FOR UNINSURED CHILDREN AND TEENS. ST. VINCENT ALSO SUPPORTS COMMUNITY NONPROFIT AGENCIES AND PROGRAMS FOR THE POOR AND UNDERSERVED, INCLUDING LAS CUMBRES COMMUNITY SERVICES, THE ESPERANZA SHELTER FOR BATTERED FAMILIES, ST. ELIZABETH HOMELESS SHELTER, KITCHEN ANGELS FOOD DISTRIBUTION PROGRAMS, YOUTH SHELTERS AND FAMILY SERVICES, THE NEW MEXICO SUICIDE INTERVENTION PROJECT, CATHOLIC CHARITIES, AND PRESBYTERIAN MEDICAL SERVICES SCHOOL HEALTH CLINICS. ROOTED IN OUR MISSION AND TRADITION, THE FOUNDERS AND SPONSORS OF CHRISTUS HEALTH AND THOSE WHO CO-MINISTER WITH THEM SEEK NEW AND INNOVATIVE WAYS OF DELIVERING QUALITY HEATH CARE THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL. TODAY, MORE THAN EVER, WE MUST AIM TO IMPROVE THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT PLACE OUR SERVICES WHERE THEY ARE NEEDED MOST, WITH SPECIAL ATTENTION AND PREFERENCE GIVEN TO PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE POOR AND UNDERSERVED. COMMUNITY SERVICES FOR THE POOR AND UNDERSERVED REPRESENT THE UNPAID COST OF SERVICES PROVIDED FOR WHICH A PATIENT IS NOT BILLED, OR FOR WHICH A FEE HAS BEEN ASSESSED THAT RECOVERS ONLY A PORTION OF THE COST OF THE RENDERED SERVICE. THIS CATEGORY INCLUDES INITIATIVES THAT REACH OUT TO THOSE IN NEED THROUGH COMMUNITY HEALTH AND SOCIAL PROGRAMS. THESE PROGRAMS SEEK JUSTICE FOR THE VULNERABLE AND WORK TO BRING ABOUT CHANGES IN OUR POLITICAL AND ECONOMIC SYSTEMS. THE PROGRAMS COVER A BROAD SPECTRUM OF SERVICES FROM CHARITY CLINICS TO IMMUNIZATIONS FOR CHILDREN AND SENIORS, AND A VARIETY OF OTHER SOCIAL SERVICES. ST. VINCENT HOSPITAL PROVIDES MEDICATION ASSISTANCE FOR COMMUNITY RESIDENTS WHO ARE UNABLE TO AFFORD THE MEDICATIONS THEY NEED. THE HOSPITAL MEDICAL ACTION FUND PROVIDES MEDICATION FOR PATIENTS WITHOUT THE ABILITY TO PAY. THE HOSPITAL WORKS WITH PHARMACEUTICAL COMPANIES WHEN MEDICATIONS ARE AVAILABLE FOR THIS PURPOSE. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF ST. VINCENT HOSPITAL ARE SVH SUPPORT CO, A NEW MEXICO NONPROFIT CORPORATION, AND CHRISTUS HEALTH, A TEXAS NONPROFIT CORPORATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ARE GRANTED THE RIGHT TO APPOINT THE PRESIDENT OF THE CORPORATION. THE BOARD OF DIRECTORS IS DIVIDED EQUALLY INTO TWO CLASSES: THE SVH SUPPORT CO CLASS AND THE CHRISTUS HEALTH CLASS. THE SVH SUPPORT CO CLASS SHALL APPOINT ITS SUCCESSORS. THE CHRISTUS HEALTH CLASS SHALL BE APPOINTED BY CHRISTUS HEALTH. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS, SVH SUPPORT CO AND CHRISTUS HEALTH, HAVE THE FOLLOWING POWERS: APPOINT THE PRESIDENT OF THE CORPORATION; APPROVE AMENDMENTS TO, OR AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION; APPROVE AMENDMENTS TO, OR AMEND THE BYLAWS OF THE CORPORATION; APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; APPROVE THE SALE, CONTRIBUTION, DONATION OR OTHER TRANSFER OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; APPROVE THE TRANSFER IN ANY 12-MONTH PERIOD OF MORE THAN $5,000,000 TO ANY OTHER PERSON; APPROVE THE CREATION OF OR CREATE A NEW AFFILIATE; APPROVE THE AFFILIATION OF THE CORPORATION WITH ANY OTHER PERSON; ESTABLISH, TERMINATE OR TRANSFER ANY SIGNIFICANT PROGRAM OR SERVICE LINE OF THE CORPORATION; APPROVE THE INCURRENCE IN ANY 12-MONTH PERIOD OF ANY DEBT OF THE CORPORATION IN EXCESS OF $5,000,000; APPROVE ANY LOAN OF FUNDS BY A MEMBER TO THE CORPORATION; ACCEPT ON BEHALF OF THE CORPORATION ANY GIFT OR BEQUEST CONDITIONED ON A LONG-TERM OR OTHER SIGNIFICANT OBLIGATION; ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE MISSION, STRATEGIC PLAN OR CHARITY CARE POLICY OF THE CORPORATION; AND APPROVE ANY REQUEST BY THE CORPORATION FOR ONE OR BOTH MEMBERS TO MAKE A CONTRIBUTION TO THE CORPORATION OTHER THAN CONTRIBUTIONS APPROVED BY THE MEMBERS ON OR BEFORE APRIL 8, 2008. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING 2020 VIA A WEB PORTAL POLLING TOOL BY THE RESPECTIVE ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, SECTION B, LINE 12C AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION. AT THE BEGINNING OF EACH BOARD MEETING AN ANNOUNCEMENT IS MADE THAT IF ANY BOARD MEMBER DETERMINES THAT HE OR SHE HAS A CONFLICT OF INTEREST BASED ON ANY AGENDA ITEM, HE OR SHE MUST DECLARE SO AND EXCUSE HIM OR HERSELF FROM ANY DISCUSSIONS RELATED TO SUCH ITEM. COMPENSATION DETERMINATION PROCESS FORM 990, PART VI, SECTION B, LINES 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH, ITS RELATED ORGANIZATIONS AND ORGANIZATIONS FOR WHICH IT IS A MEMBER, INCLUDING ST. VINCENT HOSPITAL. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, SECTION C, LINE 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII AND FORM 990, SCHEDULE J FORMER DIRECTOR ERNIE SADAU IS THE PRESIDENT/CEO OF CHRISTUS HEALTH, A MEMBER ORGANIZATION OF ST. VINCENT HOSPITAL. CHRISTUS HEALTH HAS 50% OWNERSHIP OF ST. VINCENT HOSPITAL, AND THEREFORE DOES NOT MEET THE DEFINITION OF A RELATED ORGANIZATION SET FORTH BY THE FORM 990 INSTRUCTIONS. THEREFORE, ERNIE'S COMPENSATION IS NOT REPORTED AS RELATED COMPENSATION ON FORM 990, PART VII, OR FORM 990, SCHEDULE J, PART II. FOR INFORMATIONAL PURPOSES, ERNIE SADAU RECEIVED THE FOLLOWING COMPENSATION PAID BY CHRISTUS HEALTH DURING CALENDAR YEAR 2018: BASE COMPENSATION = $ 4,351,450 BONUS AND INCENTIVE COMPENSATION = $ 2,666,867 OTHER REPORTABLE COMPENSATION = $ 166,482 RETIREMENT AND OTHER DEFERRED COMPENSATION = $ 1,140,874 NON-TAXABLE BENEFITS = $ 18,799 COMPENSATION REPORTED IN PRIOR FORM 990 = $ 0 FORMER DIRECTOR PAUL GENERALE IS THE VICE PRESIDENT/SENIOR FINANCIAL OFFICER OF CHRISTUS HEALTH, A MEMBER ORGANIZATION OF ST. VINCENT HOSPITAL. CHRISTUS HEALTH HAS 50% OWNERSHIP OF ST. VINCENT HOSPITAL, AND THEREFORE DOES NOT MEET THE DEFINITION OF A RELATED ORGANIZATION SET FORTH BY THE FORM 990 INSTRUCTIONS. THEREFORE, PAUL'S COMPENSATION IS NOT REPORTED AS RELATED COMPENSATION ON FORM 990, PART VII, OR FORM 990, SCHEDULE J, PART II. FOR INFORMATIONAL PURPOSES, PAUL GENERALE RECEIVED THE FOLLOWING COMPENSATION PAID BY CHRISTUS HEALTH DURING CALENDAR YEAR 2018: BASE COMPENSATION = $ 1,864,660 BONUS AND INCENTIVE COMPENSATION = $ 1,090,468 OTHER REPORTABLE COMPENSATION = $ 52,288 RETIREMENT AND OTHER DEFERRED COMPENSATION = $ 484,517 NON-TAXABLE BENEFITS = $ 17,829 COMPENSATION REPORTED IN PRIOR FORM 990 = $ 0 DIRECTOR RANDY SAFADY IS THE VICE PRESIDENT/SENIOR FINANCIAL OFFICER OF CHRISTUS HEALTH, A MEMBER ORGANIZATION OF ST. VINCENT HOSPITAL. CHRISTUS HEALTH HAS 50% OWNERSHIP OF ST. VINCENT HOSPITAL, AND THEREFORE DOES NOT MEET THE DEFINITION OF A RELATED ORGANIZATION SET FORTH BY THE FORM 990 INSTRUCTIONS. THEREFORE, RANDY'S COMPENSATION IS NOT REPORTED AS RELATED COMPENSATION ON FORM 990, PART VII, OR FORM 990, SCHEDULE J, PART II. FOR INFORMATIONAL PURPOSES, RANDY SAFADY RECEIVED THE FOLLOWING COMPENSATION PAID BY CHRISTUS HEALTH DURING CALENDAR YEAR 2018: BASE COMPENSATION = $ 3,032,412 BONUS AND INCENTIVE COMPENSATION = $ 1,282,199 OTHER REPORTABLE COMPENSATION = $ 326,569 RETIREMENT AND OTHER DEFERRED COMPENSATION = $ 147,590 NON-TAXABLE BENEFITS = $ 29,335 COMPENSATION REPORTED IN PRIOR FORM 990 = $ 0 FORMER PRESIDENT/CEO ALEX VALDEZ IS THE CEO-CLINICA SAN CARLOS DE APOQ OF CHRISTUS HEALTH, A MEMBER ORGANIZATION OF ST. VINCENT HOSPITAL. CHRISTUS HEALTH HAS 50% OWNERSHIP OF ST. VINCENT HOSPITAL, AND THEREFORE DOES NOT MEET THE DEFINITION OF A RELATED ORGANIZATION SET FORTH BY THE FORM 990 INSTRUCTIONS. THEREFORE, ALEX'S COMPENSATION IS NOT REPORTED AS RELATED COMPENSATION ON FORM 990, PART VII, OR FORM 990, SCHEDULE J, PART II. FOR INFORMATIONAL PURPOSES, ALEX VALDEZ RECEIVED THE FOLLOWING COMPENSATION PAID BY CHRISTUS HEALTH DURING CALENDAR YEAR 2018: BASE COMPENSATION = $ 0 BONUS AND INCENTIVE COMPENSATION = $ 0 OTHER REPORTABLE COMPENSATION = $ 100,517 RETIREMENT AND OTHER DEFERRED COMPENSATION = $ 3,334 NON-TAXABLE BENEFITS = $ 0 COMPENSATION REPORTED IN PRIOR FORM 990 = $ 0 FORMER DIRECTOR J. LINDSEY BRADLEY, JR. IS THE SENIOR LEADERSHIP OFFICER OF CHRISTUS HEALTH, A MEMBER ORGANIZATION OF ST. VINCENT HOSPITAL. CHRISTUS HEALTH HAS 50% OWNERSHIP OF ST. VINCENT HOSPITAL, AND THEREFORE DOES NOT MEET THE DEFINITION OF A RELATED ORGANIZATION SET FORTH BY THE FORM 990 INSTRUCTIONS. THEREFORE, LINDSEY'S COMPENSATION IS NOT REPORTED AS RELATED COMPENSATION ON FORM 990, PART VII, OR FORM 990, SCHEDULE J,PART II. FOR INFORMATIONAL PURPOSES, J. LINDSEY BRADLEY, JR. RECEIVED THE FOLLOWING COMPENSATION PAID BY CHRISTUS HEALTH DURING CALENDAR YEAR 2018: BASE COMPENSATION = $ 0 BONUS AND INCENTIVE COMPENSATION = $ 0 OTHER REPORTABLE COMPENSATION = $ 843,286 RETIREMENT AND OTHER DEFERRED COMPENSATION = $ 0 NON-TAXABLE BENEFITS = $ 0 COMPENSATION REPORTED IN PRIOR FORM 990 = $ 0 DIRECTOR MARK ANDERSON IS THE VICE PRESIDENT/SENIOR FINANCIAL OFFICER OF CHRISTUS HEALTH, A MEMBER ORGANIZATION OF ST. VINCENT HOSPITAL. CHRISTUS HEALTH HAS 50% OWNERSHIP OF ST. VINCENT HOSPITAL, AND THEREFORE DOES NOT MEET THE DEFINITION OF A RELATED ORGANIZATION SET FORTH BY THE FORM 990 INSTRUCTIONS. THEREFORE, RANDY'S COMPENSATION IS NOT REPORTED AS RELATED COMPENSATION ON FORM 990, PART VII, OR FORM 990, SCHEDULE J, PART II. FOR INFORMATIONAL PURPOSES, MARK ANDERSON RECEIVED THE FOLLOWING COMPENSATION PAID BY CHRISTUS HEALTH DURING CALENDAR YEAR 2018: BASE COMPENSATION = $ 561,219 BONUS AND INCENTIVE COMPENSATION = $ 253,691 OTHER REPORTABLE COMPENSATION = $ 15,817 RETIREMENT AND OTHER DEFERRED COMPENSATION = $ 111,166 NON-TAXABLE BENEFITS = $ 19,213 COMPENSATION REPORTED IN PRIOR FORM 990 = $ 0 OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 9 TEMP RESTRICTED CONTRIBUTION TRANSFER $ 1,164,980 DISTRIBUTIONS $ (76,930) NET CHANGE IN BENEFICIAL INTEREST $ (2,176,996) OTHER CHANGES $ (42,559) ------------- TOTAL $ (1,131,505) FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE PURCHASED SERVICES TOTAL FEES:28019811 FORM 990 PART IX LINE 11G DESCRIPTION:REPAIRS & MAINTENANCE SERVICES TOTAL FEES:21500316 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:22985431 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING SERVICES TOTAL FEES:1510167 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION SERVICES TOTAL FEES:3564134 FORM 990 PART IX LINE 11G DESCRIPTION:STIPEND-RESIDENTS/STUDENTS TOTAL FEES:40000 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES TOTAL FEES:4446466 NORTHERN NEW MEXICO ACOLLC PO BOX 2107 SANTA FE NM 87504 812778178 ACO NM 0 290 SVH NEW MEXICO ANESTHESIA ASSOCIATESLLC PO BOX 2107 SANTA FE NM 87504 472454355 MEDICAL SVCS NM 75480 942062 SVH SANTA FE MEDICAL DENTAL BUILDINGLLC PO BOX 2107 SANTA FE NM 87504 473871349 LEASING BLDG NM 1664616 20200704 SVH ST VINCENT HOSPITAL FOUNDATION 455 ST MICHAELS DRIVE SANTA FE NM 87505 850282847 FUNDRSNG ACTV NM 501(C)(3) 12 Type I VH true ST VINCENT HOSPITAL AUXILIARY 455 ST MICHAELS DRIVE SANTA FE NM 87505 856010108 Volunteer Act NM 501(C)(3) 12 type I VH true Christus St Vincent Medical Group PO BOX 2107 SANTA FE NM 72205 814637279 INACTIVE NM 501(c)(3) 10 SVH true SANTA FE IMAGING LLC 1640 HSP DR SANTA FE NM 87505 850465936 IMAGING CENTER NM VH RELATED -776370 3425605 false 0 false 0.51000 ANESTHESIA SERVICES CORPORATION 440 ST MICHAELS DR SANTA FE NM 87505 472453719 ANESTHETIC SVCS NM C CORP 846 942062 1.00000 true false false true false false false false false false false false false false false false false false false false ST VINCENT HEALTH FOUNDATION C 1000000 ACCRUAL