ST JOSEPH REGIONAL HEALTH NETWORK: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ST JOSEPH REGIONAL HEALTH NETWORK (EIN 23-1352211)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-05-15
IRS object ID: 202031369349301538
Schema version: 2018v3.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-05-15T09:31:24-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	GRANT THORNTON LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET STREET SUITE 700	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	231352211	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Joseph Regional Health Network	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CFO	InCareOfNm
Business Name Control	STJO	BusinessNameControlTxt
Phone	6103782300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2500 Bernville Road	AddressLine1Txt
City	Reading	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19605	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAULA TINCH	PersonNm
Person Title	SVP & CFO	PersonTitleTxt
Phone	6103782300	PhoneNum
Signature	2020-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Russlee Armstrong	PreparerPersonNm
PTIN	P00288383	PTIN
Phone	2155614200	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	73.233.84.6	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	23695320201365000005	FederalOriginalSubmissionId
Federal Original Submission Id	2020-05-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	FD9EB17EE6CEBBFF0A7DD1FEEB690E33963E7E29	AtSubmissionCreationDeviceId
At Submission Filing Device Id	560A5221E85C69B18852755D46CE5F4776D286E5	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	PENN STATE HEALTH ST JOSEPH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	John Morahan	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2500 Bernville Road	AddressLine1Txt
City	Reading	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19605	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$268,784,417	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.thefutureofhealthcare.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1889	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	1663	TotalEmployeeCnt
Total Volunteers	205	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,905,237	PYContributionsGrantsAmt
CY Contributions Grants	$3,875,851	CYContributionsGrantsAmt
PY Program Service Revenue	$233,151,743	PYProgramServiceRevenueAmt
CY Program Service Revenue	$260,448,112	CYProgramServiceRevenueAmt
PY Investment Income	$14,889	PYInvestmentIncomeAmt
CY Investment Income	$14,030	CYInvestmentIncomeAmt
PY Other Revenue	$10,411,853	PYOtherRevenueAmt
CY Other Revenue	$4,410,207	CYOtherRevenueAmt
PY Total Revenue	$246,483,722	PYTotalRevenueAmt
CY Total Revenue	$268,748,200	CYTotalRevenueAmt
PY Grants And Similar Paid	$23,471,528	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$28,616,521	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$86,703,331	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$97,423,378	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$127,734,016	PYOtherExpensesAmt
CY Other Expenses	$132,355,121	CYOtherExpensesAmt
PY Total Expenses	$237,908,875	PYTotalExpensesAmt
CY Total Expenses	$258,395,020	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,574,847	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,353,180	CYRevenuesLessExpensesAmt
Total Assets BOY	$149,648,887	TotalAssetsBOYAmt
Total Assets EOY	$170,923,660	TotalAssetsEOYAmt
Total Liabilities BOY	$156,880,446	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$167,802,039	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$7,231,559	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,121,621	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF ST. JOSEPH REGIONAL HEALTH NETWORK IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE CREATE HEALTHIER COMMUNITIES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$195,651,782	ExpenseAmt
Grant	$28,616,521	GrantAmt
Revenue	$263,705,430	RevenueAmt
Desc	See Schedule H	Desc
Total Program Service Expenses	$195,651,782	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1663	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CFO	PersonNm
Phone	6103782300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2500 BERNVILLE ROAD	AddressLine1Txt
City	Reading	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19605	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
John Morahan
Director/President/CEO	36.0	4.0	Yes (X)	Yes (X)	$0	$657,800	$79,921
Bruce G Smith
Director	2.0	0.0	Yes (X)		$0	$0	$0
J Andrew Weidman
Director/Chair	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Louis Borgatta MD
Director/(Physician)	2.0	38.0	Yes (X)		$0	$176,809	$17,090
Carl N Botterbusch
Director	2.0	0.0	Yes (X)		$0	$0	$0
Robert P Flicker
Director	2.0	0.0	Yes (X)		$0	$0	$0
Randolf Peers
Director	2.0	0.0	Yes (X)		$0	$0	$0
Steve Massini
Corp Director/PSH: CFO & CAO	2.0	48.0	Yes (X)		$0	$967,710	$111,703
Heidi B Masano
Director/Vice Chair	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Sr Clare Christi Schiefer OSF
Director	2.0	2.0	Yes (X)		$0	$0	$0
Ivan Torres EdD
Director	2.0	0.0	Yes (X)		$0	$0	$0
Michael Duff
Director	2.0	0.0	Yes (X)		$0	$0	$0
Peter M Carlino
Director	2.0	2.0	Yes (X)		$0	$0	$0
Alan Brechbill
Corp Director/PSH: COO	2.0	48.0	Yes (X)		$0	$1,253,274	$76,630
Courtney Coffman
Secretary/Treasury/CFO	36.0	4.0		Yes (X)	$309,163	$0	$40,159
Sharon Strohecker
vp, nursing and cno	40.0	0.0			$336,946	$0	$46,331	Yes (X)
Scott Mengle
VP, Human Resources	40.0	0.0			$269,858	$0	$54,492	Yes (X)
Mary Hahn
VP Strategy & Bus. Dev.	40.0	0.0			$213,192	$0	$7,419	Yes (X)
Christopher Newman
VP, Medical Affairs and CMO	40.0	0.0			$432,519	$0	$32,491	Yes (X)
Michael Jupina
VP Communications	40.0	0.0			$213,684	$0	$7,431	Yes (X)
Michael Bradley
Medical Director	40.0	0.0			$236,944	$0	$41,039		Yes (X)
Trina Alba
Physician	40.0	0.0			$284,743	$0	$46,594		Yes (X)
Christina Scartozzi
Physician	40.0	0.0			$206,901	$0	$27,146		Yes (X)
Mary Brigandi
Physician	40.0	0.0			$204,162	$0	$1,566		Yes (X)
Joy Accamma
Physician	40.0	0.0			$195,273	$0	$17,479		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,903,385	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,055,593	TotReportableCompRltdOrgAmt
Total Other Compensation	$607,491	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	92	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Healthtrust Workforce Solutions
PO Box 742697	ATLANTA	GA	30374	Temp. Help	$1,921,717
Sodexo Inc
PO Box 350170	PITTSBURGH	PA	15251	Food & Dietary	$2,758,922
Emerg Phy Assoc of Pa
PO Box 634850	CINCINNATI	PA	45263	Physician services	$1,520,468
Quest Diagnostics Inc
PO Box 828669	PHILADELPHIA	PA	19182	Lab services	$1,328,727
On Top Medical LLC
100 Abby Road	THIBODAUX	IA	07030	Physician Services	$1,310,200

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	31	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,842,114	RelatedOrganizationsAmt
Government Grants	$33,737	GovernmentGrantsAmt
Total Contributions	$3,875,851	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICES	900099	$253,540,230	$253,540,230
OTHER HEALTHCARE RELATED REVENUE	900099	$6,907,882	$6,907,882

Field	Value	IRS element (for citing)
Total Program Service Revenue	$260,448,112	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,747	TotalRevenueColumnAmt
Exclusion	$3,747	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,152,889	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,152,889	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,152,889	TotalRevenueColumnAmt
Exclusion	$1,152,889	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$46,500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$36,217	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$10,283	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,283	TotalRevenueColumnAmt
Exclusion	$10,283	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INCENTIVE INCOME-HEALTHCARE RELATED	900099	$682,330	$682,330
VENDOR REBATES	900099	$64,000	$64,000
HOUSEKEEP/LAUNDRY/DIETARY/GIFTSHOP	900099	$23,053	$23,053

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,487,935	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,487,935	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,257,318	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$268,748,200	TotalRevenueColumnAmt
Related Or Exempt Func Income	$263,705,430	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,166,919	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$28,616,521	TotalAmt
Program Services	$28,616,521	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,963,685	TotalAmt
Program Services	$888,354	ProgramServicesAmt
Management And General	$1,075,331	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$73,720,582	TotalAmt
Program Services	$61,784,285	ProgramServicesAmt
Management And General	$11,936,297	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,784,599	TotalAmt
Program Services	$3,165,552	ProgramServicesAmt
Management And General	$619,047	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,392,708	TotalAmt
Program Services	$10,318,799	ProgramServicesAmt
Management And General	$2,073,909	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,561,804	TotalAmt
Program Services	$4,610,962	ProgramServicesAmt
Management And General	$950,842	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,873	TotalAmt
Management And General	$6,873	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,095,572	TotalAmt
Program Services	$13,232,338	ProgramServicesAmt
Management And General	$8,863,234	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$842	TotalAmt
Program Services	$842	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,124,560	TotalAmt
Program Services	$1,384,621	ProgramServicesAmt
Management And General	$739,939	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,421,951	TotalAmt
Program Services	$3,118,137	ProgramServicesAmt
Management And General	$2,303,814	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$149,832	TotalAmt
Program Services	$120,354	ProgramServicesAmt
Management And General	$29,478	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$59,041	TotalAmt
Program Services	$29,031	ProgramServicesAmt
Management And General	$30,010	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,053,713	TotalAmt
Program Services	$384,237	ProgramServicesAmt
Management And General	$4,669,476	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,869,606	TotalAmt
Program Services	$5,044,715	ProgramServicesAmt
Management And General	$4,824,891	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,752,165	TotalAmt
Program Services	$29,005	ProgramServicesAmt
Management And General	$2,723,160	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
ALLOCATED CORPORATE SERVICES	$20,010,396	$20,010,396
MEDICAL SUPPLIES	$51,744,214		$51,744,214
BAD DEBTS	$10,277,937		$10,277,937
LICENSE FEES	$468,110	$161,165	$306,945

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,320,309	TotalAmt
Program Services	$594,933	ProgramServicesAmt
Management And General	$1,725,376	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$258,395,020	TotalAmt
Program Services	$195,651,782	ProgramServicesAmt
Management And General	$62,743,238	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$13,408,209	BOYAmt
EOY	$16,004,275	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,709,391	BOYAmt
EOY	$47,192,297	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,345,001	BOYAmt
EOY	$6,009,584	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$757,464	BOYAmt
EOY	$934,623	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$129,023,660	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$32,889,500	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$91,547,053	BOYAmt
EOY	$96,134,160	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,881,769	BOYAmt
EOY	$4,648,721	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$149,648,887	BOYAmt
EOY	$170,923,660	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,201,226	BOYAmt
EOY	$15,029,494	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$39,366	BOYAmt
EOY	$39,366	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$137,639,854	BOYAmt
EOY	$152,733,179	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$156,880,446	BOYAmt
EOY	$167,802,039	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$7,875,679	BOYAmt
EOY	$460,497	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$644,120	BOYAmt
EOY	$2,661,124	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$7,231,559	BOYAmt
EOY	$3,121,621	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$149,648,887	BOYAmt
EOY	$170,923,660	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$10,353,180	ReconcilationRevenueExpnssAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF THE ACTIVITIES REPORTED ON LINES 1A THROUGH 1I: LINE 1F: THE FILING ORGANIZATION PAYS DUES TO THE ASSOCIATIONS LISTED BELOW WHO CONDUCT LOBBYING. THE AMOUNT OF DUES ALLOCATED TO LOBBYING EFFORTS IS NEGLIGIBLE. HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA AMERICAN HOSPITAL ASSOCIATION CATHOLIC HEALTH ASSOCIATION LINE 1I: COMPENSATION, BENEFITS, AND TRAVEL EXPENSES INCURRED FOR EMPLOYEES IN CONDUCTING LOBBYING EFFORTS IS APPROXIMATELY LESS THAN $2,500.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,788,724	OtherCostOrOtherBasisAmt
Book Value	$3,788,724	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,682,739	OtherCostOrOtherBasisAmt
Depreciation	$14,616,962	DepreciationAmt
Book Value	$68,065,777	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,263,566	OtherCostOrOtherBasisAmt
Depreciation	$2,464,471	DepreciationAmt
Book Value	$3,799,095	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,165,599	OtherCostOrOtherBasisAmt
Depreciation	$15,808,067	DepreciationAmt
Book Value	$17,357,532	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,123,032	OtherCostOrOtherBasisAmt
Book Value	$3,123,032	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$96,134,160	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES	$135,288,545
CAPITAL LEASES	$9,144,172
WORKERS COMP ACCRUED PAYABLE	$734,046
SELF INSURANCE LIABILITIES	$523,537
MEDICAL MALPRACTICE	$3,908,745
RETIREMENT PLAN LIABILITY	$2,361,654
ASBESTOS RETIREMENT	$772,480

Field	Value	IRS element (for citing)
Total Liability	$152,733,179	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	false	FPGReferenceFreeCareInd
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$877,799	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$877,799	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,135,193	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,677,022	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,458,171	NetCommunityBenefitExpnsAmt
Total Expense	0.05400	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,012,992	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,677,022	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,335,970	NetCommunityBenefitExpnsAmt
Total Expense	0.05750	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$65,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$230,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$230,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$320,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$320,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,332,992	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,677,022	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,655,970	NetCommunityBenefitExpnsAmt
Total Expense	0.05880	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,277,937	BadDebtExpenseAmt
Reimbursed By Medicare	$47,201,935	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$49,513,684	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,311,749	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST JOSEPH MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2500 BERNVILLE ROAD	AddressLine1Txt
City	READING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19605	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.THEFUTUREOFHEALTHCARE.ORG	WebsiteAddressTxt
State License	710501	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST JOSEPH MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.THEFUTUREOFHEALTHCARE.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.THEFUTUREOFHEALTHCARE.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	see Part V narrative	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	see Part V narrative	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	see Part V narrative	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	INPUT FOR COMMUNITY HEALTH NEEDS ASSESSMENT: THIS NEEDS ASSESSMENT WAS OVERSEEN BY A STEERING COMMITTEE OF REPRESENTATIVES FROM ST. JOSEPH REGIONAL HEALTH NETWORK (SJRHN), BERKS COMMUNITY HEALTH CENTER, BERKS COUNTY COMMUNITY FOUNDATION, READING HEALTH SYSTEM, AND UNITED WAY OF BERKS COUNTY. AN ADVISORY COMMITTEE OF 17 REPRESENTATIVES FROM BERKS COUNTY COMMUNITY ORGANIZATIONS WAS SELECTED BY THE STEERING COMMITTEE TO PROVIDE INPUT FROM THE COMMUNITY. THE ADVISORY COMMITTEE SUPPLIED GUIDANCE AT ALL STAGES OF THE NEEDS ASSESSMENT PROCESS AND INDIVIDUALS REPRESENTING ORGANIZATIONS WITH FIRST-HAND KNOWLEDGE OF COMMUNITY HEALTH NEEDS INCLUDING: PRIMARY CARE, CITY HOUSING AUTHORITY, COUNTY MENTAL HEALTH, WELLNESS SERVICES FOR HIV/AIDS, HISPANIC CENTER, MIGRANT FARM WORKERS, AS WELL AS LOCAL COLLEGES.
SCHEDULE H, PART V, SECTION B, LINES 6A/6B	OTHER HOSPITAL FACILITIES INCLUDED IN NEEDS ASSESSMENT: ST. JOSEPH REGIONAL HEALTH NETWORK PARTNERED WITH THE OTHER NON-PROFIT HOSPITAL IN BERKS COUNTY (READING HEALTH SYSTEM) TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. IN ADDITION, BERKS COMMUNITY HEALTH CENTER (A FEDERALLY QUALIFIED HEALTH CENTER (FQHC)), THE BERKS COUNTY COMMUNITY FOUNDATION, AND UNITED WAY OF BERKS COUNTY WERE ALSO KEY PARTICIPANTS IN THE ASSESSMENT PROCESS.
SCHEDULE H, PART V, SECTION B, LINE 11	ADDRESSING OR NOT ADDRESSING SIGNIFICANT NEEDS: FROM THE FOUR PRIORITIES OF NEEDS IDENTIFIED IN THE CHNA PROCESS (ACCESS TO CARE, OBESITY, CHRONIC CONDITIONS, AND BEHAVIORAL/MENTAL HEALTH), ST. JOSEPH REGIONAL HEALTH NETWORK HAS DEVELOPED AN IMPLEMENTATION PLAN THAT INCLUDES PROGRAMS ASSOCIATED WITH OBJECTIVES TO ADDRESS THESE FOUR NEEDS. ALL OF THESE NEEDS ARE BEING ADDRESSED OR IN THE PROCESS OF BEING ADDRESSED.
SCHEDULE H, PART V, SECTION B, LINE 13b	income level other than FPG for eligibility: ST. JOSEPH REGIONAL HEALTH NETWORK BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 55%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
SCHEDULE H, PART V, SECTION B, LINE 16	The financial assistance policy, application and plain language summary are available at the following website: https://www.thefutureofhealthcare.org/patients-visitors/financial-assistan ce/

Field	Value	IRS element (for citing)
Facility	14	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
READING DOWNTOWN CAMPUS
145 NORTH 6TH STREET 640 WALNUT S	READING	PA	19601	CLINIC/X-RAY/CT-LAB WOUND CARE/HBO/DIABETES EDUC/PT
ST JOSEPH HEALTH NETWORK-STRAUSSTOWN
44 EAST AVENUE	STRAUSSTOWN	PA	19559	DIAG/URGENT CARE/LAB DRAW
ST JOSEPH HEALTH NETWORKMAIDENCREEK
108 PLAZA DRIVE SUITE 101	BLANDON	PA	19510	THERAPY, X-RAY, URGENT CARE, LAB DRAW
ST JOSEPH HEALTH NETWORK-SPRING RIDGE
2605 KEISER BOULEVARD SUITE 200	WYOMISSING	PA	19610	CARDIAC REHAB/LAB
ST JOSEPH HEALTH NETWORK-LEESPORT
SCHOOLSIDE PLAZA-RT 61 AND WALL ST	LEESPORT	PA	19533	LAB DRAW AND X-RAY
ST JOE QUALITY MED LAB-SINKING SPRING
4400 PENN AVENUE	SINKING SPRING	PA	19608	LAB DRAW
ST JOE QUALITY MED LAB-BIRDSBORO
RT 724 MAPLE SPRINGS	BIRDSBORO	PA	19508	DRAW STATION
ST JOE QUALITY MED LAB-HEALTHSOUTH
1623 MORGANTOWN ROAD	READING	PA	19607	DRAW STATION
ST JOE QUALITY MED LAB-BOYERTOWN
FIFTH AND MONTGOMERY AVENUES	BOYERTOWN	PA	19512	DRAW STATION
THE HERITAGE OF GREEN HILLS
10 TRANQUILITY LANE	READING	PA	19607	LAB DRAW
PSH ST JOSEPH EXETER RIDGE HLTH COMPLEX
3970 PERKIOMEN AVENUE	EXETER	PA	19606	PHYSICAL THERAPY, RADIOLOGY SERVICES, MEDICAL FITNESS, DIABETES EDUC.
PSH ST JOSEPH MUHLENBERG
3407 N 5TH ST HIGHWAY	MUHLENBERG	PA	19605	LAB DRAW, URGENT CARE, RADIOLOGY SERVICES, DIABETES EDUC.
PSH ST JOSEPH ROBESONIA
410 E PENN AVENUE	ROBESONIA	PA	19551	LAB DRAW, X-RAY, EKG
PSH ST JOSEPH SPRING RIDGE HLTH CORRID
2607 KEISER BOULEVARD	WYOMISSING	PA	19610	PHYSICAL THERAPY, WOUND CARE, DIAG. SERVICES, DIABETES EDUC.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART VI SUPPLEMENTAL INFORMATION	THROUGHOUT THESE NARRATIVES, ST. JOSEPH REGIONAL HEALTH NETWORK IS ALSO KNOWN AS: PENN STATE HEALTH ST. JOSEPH AND ST. JOSEPH MEDICAL CENTER SCHEDULE H, PART I, LINE 3C ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CARE: ST. JOSEPH REGIONAL HEALTH NETWORK BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 55%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES. SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
SCHEDULE H, PART I, LINE 6A	COMMUNITY BENEFIT REPORT: ST. JOSEPH REGIONAL HEALTH NETWORK PREPARES A COMMUNITY BENEFIT REPORT AND MAKES IT AVAILABLE TO THE PUBLIC. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE: A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. BASED ON THAT FORMULA, [$203,055,720/$795,397,309] RESULTS IN A 25.53% COST-TO-CHARGE RATIO.
SCHEDULE H, PART I, LINE 7, COLUMN (F)	BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION: $10,277,937.
SCHEDULE H, PART I, LINE 7G	SUBSIDIZED HEALTH SERVICES: THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES. Part II Community Building Activities: St. Joseph Regional Health Network incurred expenses for community support and other various programming throughout the fiscal year.
SCHEDULE H, PART III, LINE 2	BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT: COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 25.53%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE.
SCHEDULE H, PART III, LINE 3	BAD DEBT EXPENSE METHODOLOGY: ST. JOSEPH REGIONAL HEALTH NETWORK DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.
SCHEDULE H, PART III, LINE 4	BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE: ST. JOSEPH REGIONAL HEALTH NETWORK DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF PENN STATE HEALTH. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, MANAGEMENT ANALYZES PAST HISTORY AND IDENTIFIES TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR 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, MANAGEMENT ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES FROM SELF-PAY PATIENTS THE SUBSIDIARIES OF PENN STATE HEALTH RECORD A 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. IN ESTIMATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS, ACCOUNT AGE IS TAKEN INTO CONSIDERATION. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
SCHEDULE H, PART III, LINE 8	COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS: USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND APPORTIONMENT METHODS, SJRHN CALCULATES A PAYER'S GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM GROSS ALLOWABLE COSTS MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. ST. JOSEPH REGIONAL HEALTH NETWORK'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE TRUE COST OF SERVICES (FOR SHORTFALL PURPOSES) SJRHN ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, SJRHN INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, SJRHN ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). True costs of Medicare computed using this methodology: Total Medicare revenue: $47,201,935 Total Medicare costs: $49,513,684 Surplus or (shortfall): $(2,311,749) St. Joseph Regional Health Network believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MEDPAC), an independent congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to congress accordingly. Though Medicare losses are not included by catholic hospitals as community benefit, the catholic health association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the cha framework in category c as subsidized health services. Medicare losses are different from Medicaid losses, which are counted in the cha community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays.
SCHEDULE H, PART III, LINE 9b	COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE: St. Joseph Regional Health Network's debt collection policy provides that SJRHN will perform a reasonable review of each inpatient account prior to turning an account for to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program (e.g. medicaid) and do not qualify for coverage through St. Joseph Medical Center's community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet SJRHN community assistance policy is required to be returned immediately by the third-party collection agent to SJRHN for appropriate follow-up. SJRHN requires its third-party collection agents to include a message on all statements indicating that if a patient or patient guarantor meets certain stipulated income requirements, the patient or patient guarantor may be eligible for financial assistance. SJRHN's contracts with third party collection agencies include the following standards: - Neither SJRHN nor their collection agencies will request bench or arrest warrants as a result of non-payment; - Neither SJRHN nor their collection agencies will seek liens that would require the sale or foreclosure of a primary residence; - No collection agency may seek court action without hospital approval. Finally, collection agencies are trained on SJRHN's mission, core values and standard of conduct to make sure all patients are treated with dignity and respect.
SCHEDULE H, PART VI, LINE 2	COMMUNITY HEALTH NEEDS ASSESSMENT: It is generally recognized that the health of the community was not the responsibility of any one entity, but rather required the coordinated efforts of many entities public and private to realize an improved health status of a community. St. Joseph Regional Health Network has a strong history of working together to advance community health. Even prior to the mandated Affordable Care Act (ACA), we partnered with others to conduct a Community Health Needs Assessment with a goal of implementing programs for meeting needs that are identified. The most recent health assessment provides a consensus on needs to establish interventions, solutions and collective action to reduce the prevalence of key health indicators. It also provides critical information upon which to make effective resource and program investments and offers a framework for updating data and measuring outcomes. The purpose of the needs assessment is to identify and prioritize community health needs so that organizations can develop strategies and implementation plans that benefit the public as well. Following the completion of the CHNA research in the fall of 2015 which included secondary data collection, behavioral risk factor survey, key informant interviews, and focus group discussions, Berks County Health Collaborative held Berks County Health Collaborative Summit on April 7, 2016 at the Reading Area Community College in Reading, Pennsylvania. The meeting highlighted key research findings and facilitated community discussion and prioritization of identified needs. The identified needs, in prioritized order of the community were: - Access to Care - Obesity - Chronic Illness - Behavioral/Mental Health On April 18, 2016, the Berks County Health Collaborative Advisory Committee met to discuss feedback secured during the Summit meeting and to make a final recommendation on the prioritized needs of the community. After reviewing and evaluating the information, the advisory group made a recommendation to prioritize the following health needs: - Obesity - Behavioral/Mental Health Access indicators appear to be generally favorable for Berks County residents, with most residents reporting having health care coverage and a primary care physician. However, findings from the key informant interviews and focus groups suggest that residents still struggle when accessing vital health care services. Specifically, challenges related to insufficient number of bi-lingual providers, mental health providers, providers accepting Medicaid/Medical Assistance and lack of transportation for medical appointments were some of the major barriers that were identified. Another notable finding was more than two out of five residents had some economic hardships, around one in eleven skipped medical treatment due to cost, and around one in nine did not fill a prescription due to cost in the past year. Key informant interviews also corroborate this finding in that nearly 80% of participants selected, inability to pay out of pocket expenses such as co-pays and prescriptions, as the most significant barrier to accessing care. Long wait times were also found to present key barriers, especially when one is trying to secure an appointment with a specialist. The research indicates health disparities exist within certain populations. Those groups include: Low income or poor residents, older residents and minorities, specifically, Latinos. Over the next three year period, interventions should be targeted at these groups. The full needs assessment can be accessed at this link: http://www.thefutureofhealthcare.org/assets/community-health-needs-assessm ent.pdf
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: We believe that receiving healthcare is a basic human right. St. Joseph participates in the widest number of insurance programs of the hospitals in the region. We realize that many people either cannot afford health insurance or do not have enough insurance to cover their bills. Those are the reasons for our Payment Options and Financial Assistance Program, which is publicly posted on the hospital website: www.thefutureofhealthcare.org. A price estimator also was added in order to further create price and cost transparency. We understand that the need for health care and hospital services is often unplanned, and some patients may not have sufficient insurance, or may be unable to pay their entire bill right away. We assure patients that admission to Penn State Health St. Joseph is a medical, not a financial, decision. And, for those who need to take advantage of our financial assistance programs, we provide the necessary assistance in completing applications that help to determine eligibility for federal, state or county government health care assistance. We also offer Penn State Health St. Josephs own assistance plan that can pay all or a significant portion of hospital bills.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: Penn State Health St. Joseph was founded originally as St. Joseph Hospital by the Sisters of St. Francis in 1873 to provide healthcare services to the people of the City of Reading. As the only Catholic-sponsored hospital to serve the community, St. Joseph embraced the mission of the founding religious congregation. For 145 years, St. Joseph has served the entire Reading and Berks Community with a focus on providing care to all who need it without regard to ability to pay, a philosophy that has driven the mission of St. Joseph. It's a mission that is as important today as it was to the Sisters of St. Francis given that the City of Reading has been among the poorest cities in America. This distinction has proven the need for access to healthcare services that are provided with compassion and without discrimination. Penn State Health St. Joseph is a non-profit network consisting of St. Joseph Medical Center, St. Joseph Downtown Reading Campus, St. Joseph Medical Group and St. Joseph Physician Hospital Organization. Founded in 1873 by the Sisters of St. Francis, the network provides a full-range of outpatient and inpatient diagnostic, medical and surgical services. The 380,000 sq. ft., 212-bed state-of-the-art hospital and health campus opened in late 2006 on 40 acres in Bern Township. Routinely ranked among the Top 50 Heart Hospitals in the country in quality metrics, St. Joseph also is nationally certified as a Center of Excellence in Chest Pain, Stroke and Heart Failure. Nursing care at St. Joseph also has earned the distinction as a Pathways to Excellence accredited facility. St. Joseph has 16 Ambulatory Care Centers across Berks County, providing care to where the community lives and works. St. Josephs Downtown Reading Campus at 6th and Walnut Streets anchors the ambulatory network and is the largest primary care provider in the City of Reading, operating out of a thriving 266,000 square foot facility that provides family practice, womens and childrens services and diagnostic services. The downtown facility has been lauded as a model for inner city primary care as well as offers innovative patient center approaches to maternity and diabetes management. It also is pioneering the implementation of patient centered medical home practices. St. Joseph Medical Group is a network of 100 plus physicians and mid-level providers. The group includes: specialists in Internal Medicine, Family Medicine, Hospitalists, Orthopedics and Sports Medicine, Gynecology and Obstetrics, Neurology, Neurosurgery, General Surgery, Womens Services and Vascular Surgery and is committed to providing the Berks community with the best medical care available from board certified and fellowship-trained physicians. St. Josephs 380 member medical staff consists of board certified and fellowship trained physicians. St. Joseph also offers a family practice medical residency program, and provides clinical training for several nursing and allied health professionals. The network has nearly 1600 employees, $220 million in annual revenues and nearly 42,651 annual emergency room visits. St. Joseph reduces the burdens of the government to meet the communitys growing and diverse health needs by reaching out through its two campuses and multiple outpatient facilities. We have a responsibility to care for people who come to us for services and also to seek out the unmet needs of people who lack basic essentials every day. We also partner with local organizations to help improve health and quality of life for the poor, marginalized and vulnerable. We provide quality and compassionate care to all as we reach deeply into the community to participate in numerous activities with other non-profit, educational and social services agencies.Our Community Benefit activities are designed to: - Identify and increase awareness of health needs in Reading and Berks County. - Provide medical, spiritual and financial resources to meet those needs. - Create collaboration among community organizations that focus on health and well-being. St. Joseph is governed by a volunteer board of directors made up of a broad cross-section of local community and business leaders. The hospital participates in the widest range of private and government insurances of any hospital in the region and, according to the Pennsylvania Health Care Cost Containment Council, continues to provide care for a high percentage of Medicaid and non-paying patients compared to net patient revenue in a region that covers hospitals in Berks, Lehigh, Northampton, Schuylkill, Northumberland, and Carbon Counties (see www.phc4.org). Located in Reading, PA, Penn State Health St. Joseph serves primarily Berks County, PA. The City of Reading has a population of 87,833 and when combined with the remaining population of Berks County, the health network serves approximately 417,554 residents. The median age of the city of Reading is about 30 years old, nine years younger than that of the county and a reflection of the growing Latino population. The median signals the type of care most needed in the city and is reflected in the St. Joseph's efforts to provide patients with access to primary care physicians at its Downtown Reading Campus. Most notably, Reading the fifth largest city in the state of Pennsylvania - is a young, but ethnically diverse, with the Hispanic population accounting for nearly 60 percent of those who live in the City. The median household income is less than half of that of the total county. The city itself is financially challenged, and remains among the poorest cities in America.
SCHEDULE H, PART VI, LINE 5	Promotion of community health: The heart of our mission is to touch and improve the lives in body, mind and spirit of as many people as possible who live in our extended community. We are making a difference with our numerous outreach efforts for which our staff gives unselfishly of their time. Among our programs are: - An Award for Better Breast Health: Penn State Health St. Joseph was selected as a winner in the Community Benefit category for its project, Better Breast Health Initiative: Breast Screening for the Uninsured Population. This innovative project was specifically developed to provide breast health education and screenings to the uninsured female population. Through the program, Penn State Health St. Joseph was able to provide breast imaging services for over 300 uninsured women. This initiative exemplifies Penn State Health St. Josephs commitment to the well-being of its patients and community. The HAP Achievement Awards represent Pennsylvanias health care innovation and forward-thinking during a time when much is changing in the health care industry. Fifteen judges representing the public and private sectors, health care, and business organizations chose 15 award winners. - Family and Womens Care and Family Practice Clinic in Center City: St. Joseph Family and Womens Care provides comprehensive outpatient primary care that includes services in family practice, pediatrics, and OB/GYN. The Center serves as an entry point into the continuum of care offered by Penn State Health St. Joseph. Physicians, Physician Assistants, Certified Registered Nurse Practitioners, Certified Nurse Midwives, Social Workers, Nurse Navigators, Nurses and Medical Assistants collaborate to provide an interdisciplinary approach to meet the individual healthcare needs of our patients. We offer age-appropriate health, psychological care that is culturally sensitive. Health maintenance education and wellness programs are also offered. This clinic serves as an outreach health program for an underserved patient population in the City of Reading and participates in all of the local health insurance plans including all of the Medical Assistance Plans. Access to primary healthcare is a significant issue for residents of Berks County. While it is true that residents all across Pennsylvania have to face the consequences of having too few primary care physicians in their communities it remains a problem that many county residents report not having a personal health care provider at a rate that is higher than the state average and higher than the surrounding counties. Latinos are more than three times as likely to report not having a primary health care provider as the Whites. Further, many Latinos face the significant socioeconomic barriers of poverty, language, lack of health insurance and cultural issues, including social support and attitudes about healthcare. The Downtown Campus also is home to Haven Behavioral Health, a full-service, inpatient psychiatric unit providing comprehensive and state of the art behavioral health services to wide range of patients and conditions. - About Centering Pregnancy: St. Joseph offers Centering Pregnancy a multifaceted group model of care that integrates the three major components of care health assessment, education, and support into a unified program within a group setting. Eight to twelve women with similar gestational ages meet together, learn care skills, participate in a facilitated discussion and develop a support network with other group members. Each group meets for at least 10 sessions throughout pregnancy and early postpartum and each session lasts approximately 90 minutes. Within the group space, the medical practitioner and care team complete standard physical health assessments for the women. Through this unique model of care, women are empowered to choose health-promoting behaviors. The effectiveness of this model and delivery of care has been measured by health outcomes for pregnancies, specifically increased birth weight and the gestational age of the mother at delivery. Additionally, scores show increased satisfaction by both the mother and the healthcare providers. Centering Pregnancy groups provide a dynamic atmosphere for learning and sharing that is impossible to create in a one-to-one encounter. Instead of short visits alone with a provider, Centering Pregnancy group participants receive approximately 20 hours of prenatal care across pregnancy, compared to about 2 total hours all at no additional cost. Centering Pregnancy is prenatal care that serves the general needs of all pregnant women and meets the special needs of racial and ethnic groups. This prenatal care model transcends barriers to bring women together to share what they have in common: the desire to have a healthy baby and a safe, satisfying labor and delivery experience. Hearing other women share concerns which mirror their own helps the woman to normalize the whole experience of pregnancy. St. Joseph has implemented Centering Pregnancy at our Downtown Reading Campus, and is reaching out to the community by hosting groups at other community based organization sites. - Centering Diabetes Promotes SelfManagement: Centering Diabetes classes are modeled on Centering pregnancy classes and are designed to help diabetics to access clinicians, therapists, dieticians and health educators and to participate in classes about nutrition, exercise, medications, and lifestyle and coping skills. The goal is to help patients to not be afraid of having diabetes to see that they can take care of themselves and that the disease is manageable. The program promotes self-management of the disease to achieve treatment goals that bring about healthy outcomes. -COMBATING YOUTH VIOLENCE: Violence prevention isnt often thought of as a traditional means of delivering healthcare. But it makes sense that Penn State Health St. Joseph should be at the forefront of this effort to reduce violence in our communities, we see the toll of violence every day in our emergency department. It is an epidemic and the toll of violent crimes in this country is as staggering and as persistent and pervasive as any infectious or chronic disease. St. Joseph provides the Reading Youth Violence project initiative with a five-year commitment totaling more than $840,000. Through a consensus process, three goals for preventing youth violence were developed: -Support positive relationships and home environments for youth people -Enhance student and school engagement to keep young people in school -Improve conditions in communities most impacted by violence -HERT Team: esponding to disasters: Penn State Health St. Josephs Hospital Emergency Response Team (HERT) truck carries a mobile, 10-bed emergency hospital, complete with: beds, supplies, medical equipment, cardiac monitors, suction units, splints, stretchers, evacuation chairs, six portable pop-up tents, water, food, generators, lights, tables, chairs, computers, communication equipment, triage tags, and various other emergency hospital equipment. It is a self-sufficient resource that can operate independently for several days. The team consists of physicians, nurses, Paramedics, EMT, decontamination specialists, and support personnel who are employees of the hospital and contribute their time to support the team. The HERT vehicle has become a staple at community health events such as the Reading Fair, WWII Weekend, Berks County Heritage Festival, Community Days, and many other venues. In addition, and perhaps more importantly, the HERT truck transports some of our essential emergency preparedness equipment, such as decontamination gear, portable hospital litters, and mass casualty medical supplies, that the hospital would use in times of disaster. Communities around the county have come to rely on the Penn State Health St. Joseph HERT to help ensure the safety of mass gathering events. - Free Flu shots: St. Josephs annual flu shot outreach once again served more than 1000 in our community with free flu vaccine and, as in past years, St. Joseph made special effort to provide the service to public servants, police, fire and ems in a drive up setting.-Giving kids a life, by giving kids a smile: The year 2017 is the 18th year that Penn State Health St. Joseph has collaborated with the Keystone Farmworker Program, the Berks-Schuylkill Dental Hygienists Association, the Berks County Dental Society, and individual private practice dental professionals to provide a Childrens Dental Clinic that operates one Saturday morning a month from January through May. The Childrens Dental Clinic cares for children with serious dental diseases who have fallen through the cracks. A majority of those clinic patients are low income, minority children, including farm-worker children. - Comenzando Bien: A Free Spanish Prenatal Class: Comenzando Bien (Good Beginning) was created by the national March of Dimes as a way to help educate Hispanic women about pre
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: St. Joseph Regional Health Network is a member of the Penn State Health System. Penn State Health system's management meets frequently to coordinate and plan community benefit operations such as health needs assessments and state health improvement plan objectives.
SCHEDULE H, PART VI, LINE 7	Community benefit report state filings: The community benefit report is not required to be filed with any state agency in the state of Pennsylvania.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
St Joseph Medical Group
2500 Bernville Rd	Reading	PA	19605	208544021	501(c)(3)	$28,109,054	Program Support
St Joseph Medical Center Foundation
2500 Bernville Rd	Reading	PA	19605	232649362	501(c)(3)	$507,467	Program Support

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2	FormAndLineReferenceDesc
Explanation	IN THE CURRENT YEAR, SJRHN MADE GRANTS ONLY TO ITS RELATED ORGANIZATIONS. THERE IS NO SPECIFIC MONITORING OF THE GRANT FUNDS; HOWEVER SJRHN HAS ADOPTED BEST PRACTICES FOR INTERNAL CONTROLS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John Morahan
Director/President/CEO	$0	$503,024	$0	$137,154	$0	$17,622	$0	$59,687	$0	$20,234	$0	$737,721	$0	$0
Louis Borgatta MD
Director/(Physician)	$0	$174,354	$0	$0	$0	$2,455	$0	$12,424	$0	$4,666	$0	$193,899	$0	$0
Steve Massini
Corp Director/PSH: CFO & CAO	$0	$708,439	$0	$254,356	$0	$4,915	$0	$91,001	$0	$20,702	$0	$1,079,413	$0	$0
Alan Brechbill
Corp Director/PSH: COO	$0	$862,806	$0	$305,506	$0	$84,962	$0	$54,628	$0	$22,002	$0	$1,329,904	$0	$0
Courtney Coffman
Secretary/Treasury/CFO	$248,452	$0	$59,179	$0	$1,532	$0	$7,430	$0	$32,729	$0	$349,322	$0	$0	$0
Sharon Strohecker
vp, nursing and cno	$273,502	$0	$60,890	$0	$2,554	$0	$24,500	$0	$21,831	$0	$383,277	$0	$0	$0
Scott Mengle
VP, Human Resources	$221,673	$0	$46,193	$0	$1,992	$0	$24,500	$0	$29,992	$0	$324,350	$0	$0	$0
Mary Hahn
VP Strategy & Bus. Dev.	$177,607	$0	$35,358	$0	$227	$0	$4,500	$0	$2,919	$0	$220,611	$0	$0	$0
Christopher Newman
VP, Medical Affairs and CMO	$348,628	$0	$81,534	$0	$2,357	$0	$20,929	$0	$11,562	$0	$465,010	$0	$0	$0
Michael Bradley
Medical Director	$226,985	$0	$8,750	$0	$1,209	$0	$11,315	$0	$29,724	$0	$277,983	$0	$0	$0
Michael Jupina
VP Communications	$174,930	$0	$37,186	$0	$1,568	$0	$6,155	$0	$1,276	$0	$221,115	$0	$0	$0
Trina Alba
Physician	$283,443	$0	$0	$0	$1,300	$0	$24,772	$0	$21,822	$0	$331,337	$0	$0	$0
Christina Scartozzi
Physician	$197,880	$0	$8,000	$0	$1,021	$0	$6,186	$0	$20,960	$0	$234,047	$0	$0	$0
Mary Brigandi
Physician	$177,376	$0	$25,476	$0	$1,310	$0	$0	$0	$1,566	$0	$205,728	$0	$0	$0
Joy Accamma
Physician	$186,167	$0	$8,000	$0	$1,106	$0	$5,080	$0	$12,399	$0	$212,752	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART VII	SISTER JANET HENRY IS LISTED AS A KEY EMPLOYEE WITH ZERO TAXABLE COMPENSATION BECAUSE HER COMPENSATION IS PROVIDED TO THE ORDER SHE REPRESENTS.
PART I, LINE 3	ARRANGEMENT USED TO ESTABLISH THE CEO'S COMPENSATION: COMPENSATION FOR THE CEO IS ESTABLISHED AND PAID BY A RELATED ORGANIZATION. THAT ORGANIZATION USED THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B PARTICIPATE IN, OR RECEIVE PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: During the calendar year ending within this fiscal year ended June 30, 2019, certain officers and key employees participated in a related organization's supplemental nonqualified retirement plan. The below listed individual's contributions have vested; such vested contributions are reported as taxable compensation on Schedule J, Part II, Column B(III), Other Reportable Compensation. Alan Brechbill During the calendar year ending within this fiscal year ended June 30, 2019, certain officers and key employees participated in a related organization's supplemental nonqualified retirement plan. The below listed individuals contributions have not yet vested; therefore, unvested contributions are reported on Schedule J, Part II, Column C, Retirement and Other Deferred Compensation. Alan Brechbill Stephen Massini
PART I, LINE 7	Bonuses, paid by the filing organization or by a related organization that employs the individuals, are based on a number of variables including but not limited to individual goal achievements as well as organization operation achievements. The final determination of the bonus amount is determined and approved by the applicable board as part of the overall compensation review of the officers, key employees and highest compensated.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 1A	FORM 1096 REPORTING: FORM 1096 FOR THE FILING ORGANIZATION IS PROCESSED AND REPORTED BY ITS RELATED ORGANIZATION PENN STATE HEALTH (EIN: 47-3769205). FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE FILING ORGANIZATION'S SOLE MEMBER IS PENN STATE HEALTH, A PENNSYLVANIA NONPROFIT CORPORATION.
FORM 990, PART VI, LINE 7A	ELECTING MEMBERS OF GOVERNING BODY: DIRECTORS SHALL BE ELECTED BY THE CORPORATE MEMBER, PENN STATE HEALTH. THE CORPORATE MEMBER MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 7B	DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS: PURSUANT TO THE FILING ORGANIZATION'S BYLAWS THE CORPORATE MEMBER HAS RESERVED POWERS AS FOLLOWS: - TO DETERMINE THE NUMBER OF AND TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE FILING ORGANIZATION; - TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON AND VICE CHAIRPERSON OF THE FILING ORGANIZATION; - TO INITIATE OR APPROVE ANY AND ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION; - TO INITIATE OR TO APPROVE ALL FUNDAMENTAL CHANGE TRANSACTIONS AND ALL OTHER TRANSACTIONS NOT IN THE ORDINARY COURSE OF BUSINESS, INCLUDING WITHOUT LIMITATION, ALL MERGERS, CONSOLIDATIONS, DIVISIONS, SALES OF SUBSTANTIALLY ALL ASSETS, AND LIQUIDATION OR DISSOLUTION OF THE FILING ORGANIZATION; - TO GIVE SUCH OTHER APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO MEMBERS OF PENNSYLVANIA NONPROFIT CORPORATIONS.
FORM 990, PART VI, LINE 11B	REVIEW OF FORM 990 BY GOVERNING BODY: THE FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM; IT IS REVIEWED BY ACCOUNTING/FINANCE DEPARTMENT PERSONNEL AND THE CHIEF FINANCIAL OFFICER, AND THEN DISTRIBUTED TO ALL MEMBERS OF THE BOARD FOR REVIEW AND COMMENT BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, LINE 12C	CONFLICT OF INTEREST POLICY: THE FILING ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST (COI) POLICIES FOR OFFICERS, DIRECTORS, AND KEY EMPLOYEES (COVERED PERSONS). PER THE POLICY, NO COVERED PERSONS MAY ENGAGE IN ANY TRANSACTION OR ARRANGEMENT OR UNDERTAKE POSITIONS WITH OTHER ORGANIZATIONS THAT INVOLVE A CONFLICT OF INTEREST, EXCEPT IN COMPLIANCE WITH THE POLICY. EVERY COVERED PERSON SHALL DISCLOSE ALL ACTUAL AND POTENTIAL CONFLICTS THROUGH AN ANNUAL WRITTEN DISCLOSURE STATEMENT AND AS MATTERS INVOLVING AN ACTUAL OR POTENTIAL CONFLICT ARISE. THE BOARD WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION OR ARRANGEMENT GIVING RISE TO THE POTENTIAL CONFLICT TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION OR ARRANGEMENT. A COVERED PERSON WHO HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH THE BOARD OF DIRECTORS OR A COMMITTEE IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE PRESENTATION TO THE BOARD OR COMMITTEE TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. THE FILING ORGANIZATION MAY ENTER INTO A TRANSACTION OR ARRANGEMENT IN WHICH A COVERED PERSON HAS AN ACTUAL CONFLICT OF INTEREST IF A MAJORITY OF DIRECTORS WHO HAVE NO INTEREST IN THE TRANSACTION OR ARRANGEMENT APPROVE THE TRANSACTION OR ARRANGEMENT AT A BOARD OR COMMITTEE MEETING AFTER DETERMINING THAT THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO THE CORPORATION, ANY COVERED PERSON WHO HAS A CONFLICT WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING SUCH TRANSACTION OR ARRANGEMENT (EXCEPT THAT THE COVERED PERSON MAY APPEAR AT A MEETING TO ANSWER QUESTIONS), AND IF THE TRANSACTION OR ARRANGEMENT INVOLVES COMPENSATION OR OTHER FINANCIAL BENEFIT TO THE COVERED PERSON, THE BOARD RELIES ON APPROPRIATE COMPARABILITY DATA TO DETERMINE REASONABLENESS. THE FILING ORGANIZATION WILL DOCUMENT THE FOREGOING IN THE MINUTES OF BOARD AND COMMITTEE MEETINGS, AS APPLICABLE. EACH COVERED PERSON MUST SIGN A STATEMENT THAT AFFIRMS THAT HE OR SHE HAS RECEIVED A COPY OF THE COI POLICY, HAS READ AND UNDERSTANDS IT, AND HAS AGREED TO COMPLY WITH IT. IF THE BOARD OF DIRECTORS HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THE POLICY, THE BOARD MAY COUNSEL THE COVERED PERSON REGARDING SUCH FAILURE AND, IF THE ISSUE IS NOT RESOLVED TO THE BOARD'S SATISFACTION, MAY CONSIDER ADDITIONAL CORRECTIVE ACTION, INCLUDING REMOVAL FROM THE BOARD OF DIRECTORS OR OTHER POSITION WITH THE FILING ORGANIZATION, AS APPROPRIATE.
FORM 990, PART VI, LINES 13 & 14	WHISTLEBLOWER POLICY AND DOCUMENT RETENTION/DESTRUCTION POLICY: THE FILING ORGANIZATION FOLLOWS THE WHISTLEBELOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY OF A RELATED ORGANIZATION. FORM 990, PART VI, LINES 15A & 15B PROCESS USED TO ESTABLISH COMPENSATION OF CEO, OFFICERS, AND KEY EMPLOYEES: THE FILING ORGANIZATION DOES NOT HAVE ANY EMPLOYEES; HOWEVER, ITS RELATED ORGANIZATION HAS THE FOLLOWING PROCESS FOR ESTABLISHING COMPENSATION: ANNUALLY, THE COMPENSATION COMMITTEE OF THE BOARD OF THE RELATED ORGANIZATION ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A COMPENSATION ANALYSIS FOR THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, OFFICERS, AND KEY EMPLOYEES. AS PART OF THE ANALYSIS, THE INDEPENDENT COMPENSATION CONSULTANT IDENTIFIES, GATHERS, AND ANALYZES APPROPRIATE COMPARABILITY DATA UPON WHICH THE COMMITTEE AND THE FULL BOARD WILL RELY TO ASSESS THE REASONABLENESS OF THE TOTAL PROPOSED COMPENSATION (INCLUDING BENEFITS) OF THE CEO, OFFICERS, AND KEY EMPLOYEES. ONCE THE COMPENSATION ANALYSIS IS COMPLETE AND DOCUMENTED IN REPORTS, THE REPORTS ARE PROVIDED TO THE BOARD FOR REVIEW AND CONSIDERATION, TOGETHER WITH WRITTEN OPINIONS FROM THE COMPENSATION CONSULTANT THAT THE PROPOSED COMPENSATION ARRANGEMENTS FOR THE CEO, OFFICERS, AND KEY EMPLOYEES ARE REASONABLE WITHIN THE MEANING OF TREASURY REGULATION 53.4958-4(B)(1)(II)(A). WITH INPUT FROM THE COMPENSATION COMMITTEE, THE FULL BOARD MAKES ANNUAL DECISIONS WITH RESPECT TO COMPENSATION FOR THE CEO, OFFICERS, AND KEY EMPLOYEES BASED UPON THE DATA IN THE REPORT AND THE OPINION OF THE COMPENSATION CONSULTANT THAT THE PROPOSED COMPENSATION IS REASONABLE. THESE DECISIONS, THE BASIS FOR THESE DECISIONS, THE BOARD MEMBERS' NAMES WHO VOTE ON COMPENSATION, AND THAT NONE OF THE BOARD MEMBERS HAVE A CONFLICT OF INTEREST WITH RESPECT TO THESE COMPENSATION ARRANGEMENTS IS ALL CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES.
FORM 990, PART VI, LINE 19	REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF THE PENNSYLVANIA STATE UNIVERSITY AND ITS SUBSIDIARIES (WHICH INCLUDE THE FILING ORGANIZATION) ARE AVAILABLE AT WWW.PSU.EDU.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SJ HEALTH SERVICES LLC
2500 BERNVILLE RD	READING	PA	19605	473760925	HEALTHCARE	PA	$275,790	$2,148,700	NA
ST JOSEPH PROVIDER HOSPITAL ORG LLC
2500 BERNVILLE RD	READING	PA	19605	461482146	CI-NTWK	PA	$1,041	$0	NA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE RD PO BOX 316	READING	PA	19605	232649362	FUNDRAISING	PA	501(C)(3)	10	SJRHN	Yes (true)
ST JOSEPH MEDICAL GROUP
2501 BERNVILLE RD PO BOX 316	READING	PA	19605	208544021	HEALTHCARE	PA	501(C)(3)	10	PSH	false
PENN STATE HEALTH
500 UNIVERSITY DRIVE MC H162	HERSHEY	PA	17033	473769205	MGMT/SUPPORT	PA	501(C)(3)	12A	PSU	false
THE PENNSYLVANIA STATE UNIVERSITY
ONE OLD MAIN	UNIVERSITY PARK	PA	16802	246000376	EDUCATION	PA	115		NA	false
THE MILTON S HERSHEY MEDICAL CENTER
90 HOPE DRIVE	HERSHEY	PA	17033	251854772	HEALTHCARE	PA	115		PSH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HERSHEY OUTPATIENT SURGERY CEN
15305 DALLAS PKWY	ADDISON	TX	19605	HEALTHCARE	PA	NA
CGH REALTY ASSOCIATES LP
2500 BERNVILLE RD	READING	PA	19605	REAL ESTATE	PA	CGH REALTY CO

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	OwnershipOwnershipPct
NITTANY HEALTH INC
500 UNIVERSITY DRIVE MC H162	HERSHEY	PA	17033	251769611	HOMECARE INTE	PA	PSH	C Corp	false
CGH REALTY CO INC
2500 BERNVILLE RD	READING	PA	19605	232326801	REAL ESTATE	PA	SJRHN	C Corp	Yes (true)	1.00000
HAMPDEN MEDICAL CENTER
500 UNIVERSITY DRIVE MC H162	HERSHEY	PA	17033	823189759	REAL ESTATE	PA	PSH	C CORP	false
LPADC INC
500 UNIVERSITY DRIVE MC H162	HERSHEY	PA	17033	832746880	REAL ESTATE	PA	PSH	C CORP	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (true)	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH MEDICAL CENTER FOUNDATION
B	$507,467	FMV
ST JOSEPH MEDICAL CENTER FOUNDATION
C	$757,272	FMV