2016-03-30T09:43:06-05:00 2015-06-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 31708 990 2014-07-01 580568702 SAINT JOSEPH'S HOSPITAL INC SAIN 9128196162 11705 MERCY BOULEVARD SAVANNAH GA 314191711 GREGORY J SCHAACK CHIEF FINANCIAL OFFICER 9128196162 2016-03-29 true JACQUELINE G ATKINS P00861721 2298837878 2016-03-30 2014 2016-08-17 19:52:53Z PAUL P HINCHEY CEO 5353 REYNOLDS STREET SAVANNAH GA 314056015 203332058 false X WWW.SJCHS.ORG X 1946 GA ROOTED IN GOD'S LOVE, WE TREAT ILLNESS AND PROMOTE WELLNESS FOR ALL PEOPLE. SAINT JOSEPH'S HOSPITAL, INC. PROVIDES COMPRENSIVE HEALTHCARE SERVICES TO THE SURROUNDING COUNTIES THROUGH THE OPERATION OF A 256-BED ACUTE CARE HOSPITAL IN SAVANNAH, GEORGIA. 19 18 1316 97 1082155 492291 526947 182789976 194433700 2812817 3674285 5909475 4697126 192004559 203332058 0 0 79157980 83626221 0 0 103965391 112789342 183123371 196415563 8881188 6916495 184279387 190318814 39469076 39708606 144810311 150610208 X ROOTED IN GOD'S LOVE, WE TREAT ILLNESS AND PROMOTE WELLNESS FOR ALL PEOPLE. SAINT JOSEPH'S HOSPITAL, INC. PROVIDES COMPRENSIVE HEALTHCARE SERVICES TO THE SURROUNDING COUNTIES THROUGH THE OPERATION OF A 256-BED ACUTE CARE HOSPITAL IN SAVANNAH, GEORGIA. false false 163575699 196489500 SAINT JOSEPH'S HOSPITAL, INC. IS AN ACUTE CARE HOSPITAL LOCATED IN SAVANNAH, GEORGIA. IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSE, SAINT JOSEPH'S HOSPITAL, INC.: 1) MAINTAINS AND OPERATES PERMANENT FACILITIES THAT PROVIDE BOTH INPATIENT AND OUTPATIENT SERVICES FOR PROVIDING DIAGNOSES AND TREATMENT OF PATIENTS SUFFERING FROM ILLNESS OR INJURY; 2) PROMOTES AND PROVIDES HEALTH EDUCATION PROGRAMS, SUPPORT GROUPS, AND VARIOUS COMMUNITY SERVICES FOR ALL PEOPLE OF SAVANNAH AND THE SURROUNDING COUNTIES; 3) ENCOURAGES AND PARTICIPATES IN HEALTH SCIENCES RESEARCH FOR TREATMENT OF ILLNESS AND PROMOTION OF HEALTH; 4) PRESERVES AND INCORPORATES THE CATHOLIC CHRISTIAN PHILOSOPHY OF THE HOSPITAL IN ALL ITS ACTIVITIES AND CONTRACTS. DURING THE FISCAL YEAR ENDED JUNE 30, 2015, THE HOSPITAL SERVED THE FOLLOWING: 55,002 ACUTE CARE PATIENT DAYS AND 10,415 DISCHARGES; 5,530 REHAB DAYS WITH 447 DISCHARGES; AND 2,960 SKILLED NURSING DAYS WITH 278 DISCHARGES. EMERGENCY ROOM VISITS TOTALED 38,676. THE HOSPITAL ALSO PROVIDED SERVICES FOR 84,389 OUTPATIENT VISITS. 163575699 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true false false false true 0 0 1316 true true true false false false false false false false false false X 19 18 false false false false true true true true true false false true true true true true true true true true true GA NC X GREGORY J SCHAACK 9128196162 5353 REYNOLDS STREET SAVANNAH GA 314056015 PAUL P HINCHEY PRESIDENT & 20.00 25.00 X X 323638 446929 453274 WILLIAM E JOHNSTON CHAIRMAN 1.00 3.00 X X 0 0 0 JOHN C ALBERT VICE CHAIRMA 1.00 3.00 X X 0 0 0 SR HELEN AMOS RSM TRUSTEE 1.00 3.00 X 0 0 0 JAMES F BASS TRUSTEE 1.00 3.00 X 0 0 0 FRANK BROWN TRUSTEE 1.00 3.00 X 0 0 0 ROBERT E JAMES TRUSTEE 1.00 3.00 X 0 0 0 EMILY KEHOE TRUSTEE 1.00 3.00 X 0 0 0 WALTER N LEWIS TRUSTEE 1.00 3.00 X 0 0 0 SALLY D LUFBURROW TRUSTEE 1.00 3.00 X 0 0 0 RICHARD D MOORE TRUSTEE 1.00 3.00 X 0 0 0 SR MARY KAREN MCNALLY RSM TRUSTEE 1.00 3.00 X 0 0 0 HENRY H MINIS TRUSTEE 1.00 3.00 X 0 0 0 O GEORGE NEGREA MD TRUSTEE 1.00 3.00 X 0 0 0 JOHN W ODOM MD TRUSTEE 1.00 3.00 X 0 0 0 REGINALD J ROBINSON MD TRUSTEE 1.00 3.00 X 0 0 0 SR HELEN MARIE BUTTIMER RSM TRUSTEE 1.00 3.00 X 0 0 0 M DOUGLAS MULLINS MD TRUSTEE 1.00 3.00 X 0 0 0 DANIEL Y SUH MD TRUSTEE 1.00 3.00 X 0 0 0 GREGORY J SCHAACK HOSPITAL CFO 20.00 25.00 X 206237 284805 42408 KYLE L MCCANN COO 20.00 21.00 X 144679 199795 43802 SR MARGIE BEATTY RSM VICE PRESIDE 21.00 20.00 X 0 0 0 SHERRY A DANELLO VP 20.00 21.00 X 134561 185825 58583 JAMES I SCOTT MD VP 20.00 21.00 X 110989 153270 50829 THOMAS S POUND VP 20.00 21.00 X 99276 137096 40276 NOLAN D HENNESSEE VP 20.00 21.00 X 99261 137075 35133 PETER M SCHENK VP 20.00 22.00 X 98587 136145 50138 WILLIAM M CARR PAST VP 20.00 21.00 X 83872 115824 8402 ERASME COLY CARDIOLOGIST 40.00 X 541142 0 19708 SOUMYA NERAVETLA THORACIC SUR 40.00 X 385117 0 15405 WILLIAM B EPPS CARDIOLOGIST 40.00 0.00 X 239979 0 10412 JEFFEREY J ZEHEL DIR IMAGING 40.00 X 182539 0 17746 EVELYN F PALMARES RN 40.00 X 175810 0 30946 2825687 1796764 877062 76 false true true ANESTHESIA ASSOCIATES 6605 ABERCORN STREET SUITE 108 SAVANNAH GA 31405 ANESTHESIA 1348760 CHATHAM HOSPITALIST LLC 5354 REYNOLDS STREET STE 424 SAVANNAH GA 31405 CONSULTING 957163 FRESENIUS MEDICAL CARE 2015 VAUGHN ROAD SUITE 300 KENNESAW GA 30144 DIALYSIS 888696 SAVANNAH PERFUSION LLC 39 MYRTLEWOOD DRIVE SAVANNAH GA 31406 PERFUSION 643769 H&R ACCOUNTS INC 7017 JOHN DEERE PARKWAY MOLINE IL 61265 COLLECTION 355550 30 526947 526947 PROGRAM SERVICE REVENUE 624100 193156094 193156094 PARTNERSHIP INCOME-PROGRAM 621500 1177955 1177955 LAB REVENUE - RELATED 621500 99651 99651 194433700 3673996 3673996 242022 242022 242022 242022 289 289 289 289 OTHER OPERATING REVENUE 624100 1505153 1505153 CAFETERIA 722513 1317149 1317149 REFERENCE LAB 621500 870856 870856 761946 550647 211299 4455104 203332058 196489500 1082155 5233456 1410005 1410005 67681344 54292991 13388353 2400548 1928031 472517 8090896 6462233 1628663 4043428 3184927 858501 410603 410603 172557 172557 103577 103577 19332791 11526476 7806315 934951 934951 16346615 14585486 1761129 16166 16166 5770502 5226638 543864 70205 65403 4802 30737 29537 1200 8008438 7865233 143205 1822057 98377 1723680 MEDICAL SUPPLIES 53645203 53645203 REPAIRS & MAINTENANCE 6071671 3557682 2513989 DUES & SUBSCRIPTIONS 53269 52788 481 196415563 163575699 32839864 0 38998 15806 30533374 37905673 6049765 5727620 605483 579711 204890773 152023800 45688950 52866973 2966189 3123133 112428 180123 831914 667933 97452286 89251842 184279387 190318814 15011705 15996705 20187366 18377014 600000 350000 3670005 4984887 39469076 39708606 X 143484869 149196213 1225442 1313995 100000 100000 144810311 150610208 184279387 190318814 X 6916495 -1116598 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 74801 false true 28776 103577 false SCHEDULE C, PART II-B, LINE 1 DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, ETC. - COSTS INCURRED TO EDUCATE LEGISLATORS ON HEALTHCARE MATTERS AND ADVOCATE FOR HEALTHCARE ISSUES IMPORTANT TO GEORGIA CITIZENS AND THE ORGANIZATION. OTHER ACTIVITIES - THE HOSPITAL BELONGS TO NATIONAL AND STATE INDUSTRY ASSOCIATIONS AND AS PART OF THEIR ANNUAL DUES, PAYS A SMALL PERCENTAGE TO SUPPORT THE LOBBYING EFFORTS BY THESE ASSOCIATIONS. 1325442 784837 8472 704756 1413995 1142523 425989 30409 272393 1086 1325442 1405607 244553 32412 539167 882 1142523 1395140 242836 -2391 227029 2949 1405607 1581532 348394 72841 607627 1395140 0.07070 0.92930 false true true 1697397 1697397 98324153 64479726 33844427 2500679 2254555 246124 100758410 85289519 15468891 1610134 1610134 52866973 DUE FROM AFFILIATES 86598716 BENEFICIAL INTEREST IN FOUNDATION 1954575 OTHER RECEIVABLES 798413 DERIVATIVE FINANCIAL INSTRUMENTS -99862 89251842 DEFERRED COMPENSATION PAYABLE 3123133 THIRD PARTY SETTLEMENTS 1861754 4984887 X 203000262 116835 116835 202883427 448631 448631 203332058 196415563 196415563 196415563 SCHEDULE D, PAGE 2, PART V, LINE 4 ENDOWMENT FUNDS ARE EARMARKED FOR NURSING SCHOLARSHIP ASSISTANCE, NURSING EDUCATION BY MEANS OF AN ANNUAL NURSING LECTURE SERIES, CAPITAL PURCHASES AND OTHER HEALTHCARE OPERATIONAL NEEDS. ST. JOSEPH'S FOUNDATION OF SAVANNAH, INC., A RELATED ORGANIZATION, HOLDS ALL ENDOWMENT FUNDS ON BEHALF OF THE HOSPITAL. SCHEDULE D, PAGE 3, PART X THE SYSTEM, CH, SJH, HOME HEALTH AND INFIRMARY ARE GENERALLY EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 50L(C)(3) OF THE INTERNAL REVENUE CODE. ONLY NET INCOME FROM ACTIVITIES DESIGNATED AS UNRELATED TO THE EXEMPT PURPOSES OF CH, SJH, HOME HEALTH, AND INFIRMARY ARE SUBJECT TO FEDERAL AND STATE UNRELATED BUSINESS INCOME TAX. GEECHEE IS ORGANIZED AS A SINGLE MEMBER LLC OWNED BY SYSTEM AND IS TREATED AS A DISREGARDED ENTITY FOR TAX PURPOSES. THE SYSTEM APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE SYSTEM ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING COMBINED BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2015 AND 2014 OR FOR THE YEARS THEN ENDED. THE SYSTEM'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. SJCV, SJCMG, PROPERTIES AND HEALTH SERVICES HAVE GENERALLY INCURRED OPERATING LOSSES FOR TAX PURPOSES AND HAVE NOT RECORDED A CURRENT OR DEFERRED TAX PROVISION DUE TO SIGNIFICANT NET OPERATING LOSS (NOL) CARRYFORWARDS WHICH WOULD BE UTILIZED TO OFFSET ANY POTENTIAL TAX LIABILITIES GENERATED FROM FUTURE TAXABLE INCOME. AT JUNE 30, 2015, NOL CARRYFORWARDS EXPIRING THROUGH 2035 AMOUNTED TO APPROXIMATELY 78,305,000 AND ARE AVAILABLE FOR THE OFFSET OF FUTURE TAXABLE INCOME. IN 2013, THE FINANCIAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) NO. 2013-11, PRESENTATION OF AN UNRECOGNIZED TAX BENEFIT WHEN A NET OPERATING LOSS CARRYFORWARD, A SIMILAR TAX LOSS, OR A TAX CREDIT CARRYFORWARD EXISTS. THE OBJECTIVE OF THIS STANDARD IS TO SPECIFY THE GUIDANCE FOR RECOGNIZING AN UNRECOGNIZED TAX BENEFIT WHEN A NET OPERATING LOSS CARRYFORWARD, A SIMILAR TAX LOSS, OR A TAX CREDIT CARRYFORWARD EXISTS. THE SYSTEM'S ADOPTION OF THE GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON THE FINANCIAL STATEMENTS. NAME ABBREVIATIONS ARE LISTED BELOW: SYSTEM - ST. JOSEPH'S/CANDLER HEALTH SYSTEM, INC. CH - CANDLER HOSPITAL, INC. SJH - SAINT JOSEPH'S HOSPITAL, INC. HOME HEALTH - SJC HOME HEALTH SERVICES, INC. INFIRMARY - GEORGIA INFIRMARY, INC. SJCF - SJC VENTURES, INC. SJCMG - SJC MEDICAL GROUP, INC. PROPERTIES - SJC PROPERTIES, INC. HEALTH SERVICES - SJC HEALTH SERVICES, INC. SCHEDULE D, PAGE 4, PART XI, LINE 2D UNREALIZED CHANGE IN DERIVATIVES 100,112 UNREALIZED GAIN (LOSS) ON RATE SWAP VALUATION 16,723 SCHEDULE D, PAGE 4, PART XI, LINE 4B CAPITAL CONTRIBUTIONS 448,631 SCHEDULE D, PAGE 4, PART XIII PARTS XI AND XII - RECONCILATIONS ARE COMPLETED USING THE COMBINING STATEMENTS OF EXCESS REVENUES (EXPENSES) LOCATED IN THE AUDITED FINANCIAL STATEMENTS OF ST. JOSEPH'S/CANDLER HEALTH SYSTEM, INC. true true X true X 2.500000000000 true X 5.000000000000 true true true false true true 7964768 7964768 0.04060 12663674 7791794 4871880 0.02480 278330 62513 215817 0.00110 20906772 7854307 13052465 0.06650 700090 700090 0.00360 29892 29892 0.00020 309980 309980 0.00160 410847 410847 0.00210 1450809 1450809 0.00740 22357581 7854307 14503274 0.07380 3009 3009 60000 60000 0.00030 5000 5000 6890 6890 41000 41000 0.00020 115899 115899 0.00060 true 18799956 102292561 117875131 -15582570 X true true SJCOIS MANAGEMENT O/P IMAGING SERVICES 0.25000 0.50000 1 1 SAINT JOSEPH'S HOSPITAL INC 11705 MERCY BOULEVARD SAVANNAH GA 314191711 WWW.SJCHS.ORG 025-009 X X X SNF SAINT JOSEPH'S HOSPITAL INC 1 false false true X X X X X X X X X X 13 true true true true X WWW.SJCHS.ORG X true 13 false true false true X 250.000000000000 500.000000000000 X X X X X true true X X true X WWWSJCHSORG X WWWSJCHSORG X WWWSJCHSORG X X X X X true X true X X X true X false false FACILITY 1, SAINT JOSEPH'S HOSPITAL, INC. - PART V, LINE 5 A VARIETY OF FEEDBACK WAS RECEIVED FROM COMMUNITY LEADERS AND STAKEHOLDERS IN THE CHATHAM COUNTY COMMUNITY. IN PARTICULAR, THE CHATHAM COUNTY HEALTH DEPARTMENT, SAVANNAH CHATHAM COMMUNITY INDICATORS COALITION AND THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL WERE ASKED TO HELP ST. JOSEPH'S/CANDLER AND MEMORIAL HEALTH IDENTIFY THE MOST IMPORTANT NEEDS IDENTIFIED THROUGH PRIMARY AND SECONDARY DATA COLLECTION. OTHER ORGANIZATIONS SUCH AS HEALTHY SAVANNAH AND STEP UP SAVANNAH ANNUAL REPORTS AND ASSESSMENTS WERE ALSO USED TO GAIN COMMUNITY AND STAKEHOLDER FEEDBACK. PRIMARY FEEDBACK - ELECTRONIC AND PAPER SURVEYS IN ENGLISH AND SPANISH SOLICITED FEEDBACK FROM THE COMMUNITY AND COMMUNITY LEADERS. OF THE 1,941 SURVEYS COMPLETED, 679 OF THOSE WERE PAPER SURVEYS USED IN THE LOCAL FQHC'S FREE MEDICAL CLINICS AND COMMUNITY CENTERS. FACILITY 1, SAINT JOSEPH'S HOSPITAL, INC. - PART V, LINE 6A CANDLER HOSPITAL, INC. 5353 REYNOLDS STREET SAVANNAH, GA 31405-6015 SAINT JOSEPH'S HOSPITAL AND CANDLER HOSPITAL'S JOINT COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN CAN BE FOUND ON ST. JOSEPH'S/CANDLER'S WEBSITE AT HTTP://WWW.SJCHS.ORG/MEDIA/FILE/SJC_NEEDS_ASSESSMENT.PDF AND HTTP://WWW.SJCHS.ORG/MEDIA/FILE/SJC%202013%20IMPLEMENTATION%20PLAN.PDF, RESPECTIVELY. FACILITY 1, SAINT JOSEPH'S HOSPITAL, INC. - PART V, LINE 6B MEMORIAL HEALTH UNIVERSITY PARTICIPATED IN THE 2013 CHNA IN PARTNERSHIP WITH THE FILING ORGANIZATION AND CANDLER HOSPITAL. FACILITY 1, SAINT JOSEPH'S HOSPITAL, INC. - PART V, LINE 11 ST. JOSEPH'S/CANDLER PROVIDES MANY COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THE HEALTH AND SOCIAL DETERMINANTS OF HEALTH THROUGHOUT CHATHAM COUNTY AND THE SURROUNDING COMMUNITIES. CHATHAM COUNTY IS FORTUNATE TO HAVE A LARGE NUMBER OF HEALTH AND SOCIAL SERVICE AGENCIES WHO WORK INDIVIDUALLY AND COLLECTIVELY TO PROVIDE SERVICES, PROGRAMS AND SUPPORT FOR THE COUNTY RESIDENTS. TO THAT END, ST. JOSEPH'S/CANDLER WILL NOT ADDRESS SOME OF THE NEEDS IDENTIFIED IN THE 2013 ASSESSMENT BECAUSE: (1) SJ/C ADDRESSES THE NEED, BUT CURRENTLY HAS NO PLANS TO EXPAND SERVICES, (2) OTHER PROVIDERS ARE ALREADY ADDRESSING THE NEEDS, AND (3) THE NEED IDENTIFIED IS BEYOND THE SCOPE OF SJ/C. A COPY OF THE 2013 CHNA IMPLEMENTATION PLAN CAN BE FOUND ON THE ORGANIZATION'S WEBSITE AT HTTP://WWW.SJCHS.ORG/MEDIA/FILE/SJC %202013%20IMPLEMENTATION%20PLAN.PDF. THE 2013 CHNA IS AVAILABLE AT HTTP://WWW.SJCHS.ORG/MEDIA/FILE/SJC_NEEDS_ASSESSMENT.PDF. ST. JOSEPH'S/CANDLER PROVIDES MANY COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THE HEALTH AND SOCIAL DETERMINANTS OF HEALTH THROUGHOUT CHATHAM COUNTY AND THE SURROUNDING COMMUNITIES. CHATHAM COUNTY IS FORTUNATE TO HAVE A LARGE NUMBER OF HEALTH AND SOCIAL SERVICE AGENCIES WHO WORK INDIVIDUALLY AND COLLECTIVELY TO PROVIDE SERVICES, PROGRAMS AND SUPPORT FOR THE COUNTY RESIDENTS. TO THAT END, ST. JOSEPH'S/CANDLER WILL NOT ADDRESS SOME OF THE NEEDS IDENTIFIED IN THE 2013 ASSESSMENT BECAUSE: (1) SJ/C ADDRESSES THE NEED, BUT CURRENTLY HAS NO PLANS TO EXPAND SERVICES, (2) OTHER PROVIDERS ARE ALREADY ADDRESSING THE NEEDS, AND (3) THE NEED IDENTIFIED IS BEYOND THE SCOPE OF SJ/C. ST. JOSEPH'S AND CANDLER HOSPITALS 2014 JOINT IMPLEMENTATION PLAN'S PROGRESS REPORT INTRODUCTION DURING APRIL AND MAY 2013, ST. JOSEPH'S HOSPITAL, INC. AND CANDLER HOSPITAL, INC. JOINTLY WORKED TOGETHER AS ST. JOSEPH'S/CANDLER TO IDENTIFY THE HEALTH AND SOCIAL DETERMINANTS OF HEALTH NEEDS IN CHATHAM COUNTY. THE FINDINGS WERE PUBLISHED IN THE JOINT REPORT FILED IN JUNE 2013. THE ENTIRE REPORT CAN BE FOUND ON THE ST. JOSEPH'S/CANDLER WEBSITE UNDER THE SECTION, "IN THE COMMUNITY- OR BY GOING TO: HTTP://WWW.SJCHS.ORG/DOCUMENTS/PUBLIC/SJC_NEEDS_ASSESSMENT.PDF METHODS OF DETERMINING NEEDS USING THE FINDINGS OF HEALTH AND SOCIAL NEEDS IDENTIFIED THROUGH THE HEALTHY COMMUNITIES INSTITUTE DATA BASE AND THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY, ST. JOSEPH'S/CANDLER AND COLLABORATING PARTNER, MEMORIAL HEALTH, MET WITH KEY COLLABORATORS TO EVALUATE FINDINGS AND PRIORITIZE THE NEEDS THAT WERE IDENTIFIED. THESE KEY COLLABORATORS HAVE MEMBERS WHO REPRESENT THE UNDERSERVED AND VULNERABLE POPULATIONS OF CHATHAM COUNTY. THEIR INPUT WAS INVALUABLE IN FINALIZING THE FINDINGS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. FISCAL YEAR 2014 PROGRESS REPORT ST. JOSEPH'S HOSPITAL, INC. AND CANDLER HOSPITAL, INC. COMPLETE AN ANNUAL REPORT TOGETHER EACH YEAR WHICH HIGHLIGHTS THE WORK THE HOSPITALS HAVE DONE SEPARATELY AND TOGETHER TO MEET IDENTIFIED COMMUNITY NEEDS WHICH THE TWO HOSPITALS HAVE PLEDGED TO ADDRESS. THIS REPORT, "THE 2014 JOINT IMPLEMENTATION PLAN PROGRESS REPORT" INCLUDES THE NEEDS IDENTIFIED, OBJECTIVE, INITIATIVE/PROGRAM/SERVICE, POPULATION TARGET, TIMELINE, ACTION STEPS/RESPONSIBLE PARTY AND TARGET DATE AND METRICS FROM THE ORIGINAL PLAN, AS WELL AS, THE CURRENT STATUS OF EACH OF THOSE INITIATIVES/PROGRAMS/SERVICES. NEEDS IDENTIFIED WHICH ST. JOSEPH'S/CANDLER WILL ADDRESS NEED IDENTIFIED:INCREASE ACCESS TO HEALTH INSURANCE FOR ADULTS AND CHILDREN OBJECTIVE:CONTRIBUTE TO THE DECREASE IN THE PERCENT OF UNINSURED IN CHATHAM COUNTY BY DECEMBER 2014 GOAL 1: FACILITATE ENROLLMENT IN HEALTH EXCHANGE THROUGH COUNSELING SERVICES AND ON-LINE ASSISTANCE AT FOUR SJ/C OUTREACH SITES. 1.)COMMIT STAFF TIME AND RESOURCES OF AT LEAST ONE CO-WORKER AT EACH OF THE FOUR SITES TO BE A CREDENTIALED COUNSELOR ON THE HEALTH EXCHANGE. SEPTEMBER 2013: 4 CO-WORKERS WERE TRAINED ON ACA EDUCATION AND ENROLLMENT SITES IN THE CHATHAM COUNTY AREA. IN FY 15 - 4 CO-WORKERS REMAIN COMMITTED TO THE REFERRAL PROCESS. 2.)OFFER COUNSELING AND WEB TUTORIALS TO COMMUNITY MEMBERS TO ENROLL IN HEALTH EXCHANGES AT EACH OF THE FOUR OUTREACH SITES IN FY 14: 24 INFORMATION SESSIONS PROVIDED - 138 PEOPLE ATTENDED. IN FY 15: 13 INFORMATION SESSIONS PROVIDED. 57 PEOPLE ATTENDED. 3.)PROVIDE MEDICAID APPLICATION ASSISTANCE TO ELIGIBLE CLIENTS THROUGH ST. MARY'S CENTER'S PUBLIC BENEFIT ENROLLMENT SERVICES. INCREASE AT LEAST 50 MEDICAID APPLICATIONS SUBMITTED OVER THE PREVIOUS FISCAL YEAR. BASELINE FY 13: NEW APPLICATIONS: 0 RENEWAL APPLICATIONS: 12 FY 14: NEW APPLICATIONS: 241 RENEWAL APPLICATIONS: 217 FY 15: NEW APPLICATIONS: 198 RENEWAL APPLICATIONS: 210 FY 15 CHILDREN'S ENROLLMENT: 229 GOAL 2: PROVIDE A PRIMARY MEDICAL HOME FOR INELIGIBLE PATIENTS OR FOR THOSE WHO MISS THE ENROLLMENT PERIODS, PROVIDE A PRIMARY MEDICAL HOME. 1.)INCREASE ACCESS TO HEALTH CARE SERVICES AT ST. MARY'S HEALTH CENTER AND THE GOOD SAMARITAN CLINIC FOR THOSE WHO DO NOT QUALIFY FOR CARE UNDER THE AFFORDABLE CARE ACT, FOR EXAMPLE THOSE PEOPLE WHO ARE UNDOCUMENTED OR THOSE WHO MISS THE ENROLLMENT PERIOD. SJ/C OPERATES TWO FREE HEALTH CENTERS AS PART OF THE SYSTEM'S EXTENSIVE OUTREACH PROGRAMS. BOTH HEALTH CENTERS WERE APPROVED FOR CONTINUED OPERATION IN FY 14. AN ADDITIONAL PROVIDER WAS HIRED FOR SMHC TO SEE ADDITIONAL PATIENTS. IN FY 15, BOTH FREE CLINICS WERE FULLY STAFFED - 3 NPS AT SMHC AND 2.5NPS AT GSC. THIS INCREASE IN PRACTITIONERS IS RESPONSIBLE FOR THE EXPLOSIVE GROWTH IN UNDUPLICATED PATIENTS. INCREASE NEW UNDUPLICATED PATIENTS BY 1% OVER PRIOR YEAR. FY 14: GSC: 316 OR 91% INCREASE SMHC: 522 OR 86% INCREASE FY 15: GSC: 1,095 OR 180% SMHC: 1,123 OR 115% NEED IDENTIFIED:ADULTS WITH DIABETES OBJECTIVE:CONTRIBUTE TO IMPROVED CHRONIC DISEASE MANAGEMENT FOR VULNERABLE POPULATIONS THROUGH CLINICAL DIABETES MANAGEMENT PROGRAMS AT SJ/C'S ST. MARY'S HEALTH CENTER(SMHC) AND THE GOOD SAMARITAN CLINIC (GHC) BY 2016. GOAL: OPERATE COMPREHENSIVE CULTURALLY AND LINGUISTICALLY APPROPRIATE DIABETIC MANAGEMENT PROGRAMS 1.)PROVIDE FREE DIABETES TESTING SUPPLIES FOR THOSE PATIENTS ENROLLED IN THE DIABETES MANAGEMENT PROGRAMS 2.)PROVIDE A1C TESTING FOR THOSE PATIENTS ENROLLED IN THE DIABETES MANAGEMENT PROGRAM AT LEAST ANNUALLY 3.)ENROLL DIABETIC PATIENTS IN DIABETES GROUP OR ONE-ON-ONE EDUCATION AT LEAST ANNUALLY ALL - IMPLEMENTED BY JUNE 2014 - 100% OF PROGRAM PARTICIPANTS NUMBER OF PROGRAM PARTICIPANTS SMHC: 12 GSC: N/A PRE/POST PROGRAM A1C LEVELS NUMBER OF EDUCATION CLASSES PROVIDED DURING FY 14, SMHC BEGAN MANAGING DIABETIC PATIENTS UTILIZING SMHC FOR THEIR MEDICAL HOME. GSC HAS DECIDED NOT TO IMPLEMENT A FORMAL PROGRAM DUE TO THE LOW NUMBER OF DIABETIC PATIENTS THEY SERVE. GSC WILL HAVE ABILITY TO REFER THEIR PATIENTS TO SMHC FOR THE DIABETES PROGRAM. IN FY15, A COMPREHENSIVE WELLNESS PROGRAM WAS INTRODUCED AT SMHC FOR CHRONIC DISEASE PATIENTS. THE DIABETES PROGRAM WAS ROLLED INTO THIS PROGRAM. STATISTICS SPECIFIC TO DIABETES WERE NOT KEPT SEPARATELY. IN FY 15, THE PROGRAM HAD 61 PATIENT VISITS. PATIENTS AT THE GSC CONTINUE TO BE REFERRED TO SMHC AS NECESSARY. NEED IDENTIFIED:AGE ADJUSTED DEATH RATE DUE TO PROSTATE CANCER OBJECTIVE:CONTRIBUTE TO INTERVENTIONS THAT SUPPORTING A DECREASE IN AGE ADJUSTED DEATH RATE DUE TO PROSTATE CANCER AT THE GOOD SAMARITAN CLINIC, ST. MARY'S HEALTH CENTER, SERVICE OPTIONS USING RESOURCES IN COMMUNITY ENVIRONMENTS (SOURCE) CLINIC, AND ONE MEDICAL GROUP MANAGEMENT (MGM) CLINIC BY DECEMBER 31, 2016. GOAL 1: SUPPORT EVIDENCE-BASED PROSTATE CANCER SCREENING AND EARLY DETECTION AT THE GOOD SAMARITAN CLINIC, ST. MARY'S HEALTH CENTER, THE ONE SOURCE CLINIC, AND ONE MGM CLINIC. GOAL 2: CONTINUE TO PROVIDE PROSTATE CANCER CARE INCLUDING NAVIGATION SERVICES, SOCIAL SERVICES SUPPORT, PALLIATIVE CARE, AND SURVIVORSHIP SUPPORT AT SJ/C LEWIS CANCER & RESEARCH PAVILION TO UNDERSERVED POPULATIONS. 1.)IMPLEMENT EVIDENCE-BASED PROSTATE CANCER SCREENINGS AND FOLLOW-UP GUIDELINES AT CLINICS. PSA IMPLEMENTED AND FOLLOW UP GUIDELINES IN AT LEAST 4 CLINICS AS OF JUNE 2014 PROSTATE CANCER SCREENING GUIDELINES AND FOLLOW-UP PROCEDURES WERE IMPLEMENTED AT THREE CLINICS. OTHER MGM CLINICS ARE ALSO AWARE OF SCREENING GUIDELINES. 2.)PROVIDE PSA SCREENING TO QUALIFIED GOOD SAMARITAN CLINIC AND ST. MARY'S HEALTH CENTER PATIENTS. NUMBER OF QUALIFIED PATIENTS AT ST. MARY'S AND THE GOOD SCREENED FY 2014, GOOD SAMARITAN CLINIC: 89 FY 2014, ST. MARY'S: 84 FY 2015, GOOD SAMARITAN CLINIC: 74 FY 2015, ST. MARY'S: 63 3.)PROVIDE CANCER SUPPORT SERVICES TO INDIVIDUALS WITH PROSTATE CANCER AT SJ/C LEWIS CANCER & RESEARCH PAVILION (LCRP.) NUMBER OF FOLLOW UP CARE PROVIDED AT SJ/C LCRP 2 UNDERSERVED PROSTATE CANCER PATIENTS FROM ST. MARY'S HEALTH CENTER ACCESSED CANCER CARE AT THE LCRP WITH NURSE NAVIGATION. NEED IDENTIFIED:AGE ADJUSTED DEATH RATE DUE TO COLORECTAL CANCER OBJECTIVE:CONTRIBUTE TO INTERVENTIONS THAT SUPPORT A DECREASE IN AGE ADJUSTED DEATH RATE DUE TO COLON AND RECTAL CANCER AT THE GOOD SAMARITAN CLINIC, ST. MARY'S HEALTH CENTER, SOURCE CLINIC, AND M FACILITY 1, SAINT JOSEPH'S HOSPITAL, INC. - PART V, LINE 13H ANOTHER FACTOR CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY IS STATE REGULATION. FACILITY 1, SAINT JOSEPH'S HOSPITAL, INC. - PART V, LINE 16I THE HOSPITAL ALSO PUBLICIZES FINANCIAL ASSISTANCE WITH A SIGN IN THE EMERGENCY DEPARTMENT REGISTRATION AREAS. THE SIGN DIRECTS THE PATIENT TO CONTACT A FINANCIAL COUNSELOR WHO WILL MEET WITH THE PATIENT ONE-ON-ONE TO OUTLINE THE FINANCIAL ASSISTANCE POLICY, PROVIDE THE APPLICATION, EXPLAIN WHAT DOCUMENTS ARE NEEDED TO COMPLETE THE ONE PAGE FRONT/BACK APPLICATION AND ANSWER ANY QUESTIONS THE PATIENT MAY HAVE. 1 ST JOSEPH'S HOSPITAL SNF 11705 MERCY BLVD SAVANNAH GA 31410 SNF PART I, LINE 6A - RELATED ORGANIZATION INFORMATION THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS REPORTED AS PART OF THE COMBINED ANNUAL REPORT PREPARED BY ST. JOSEPH'S/CANDLER HEALTH SYSTEM, INC. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION THIS SECTION INCLUDES MOBILE OUTREACH SERVICES WHICH PROVIDE FREE SCREENINGS IN THE COMMUNITY, AS WELL AS OTHER SUBSIDIZED CARE IN HOME CARE SERVICES, ASSISTED LIVING AND THE SUPPLY OF DURABLE MEDICAL EQUIPMENT AND SUPPLIES. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". PART II - COMMUNITY BUILDING ACTIVITIES ST. JOSEPH'S/CANDLER'S ST. MARY'S COMMUNITY CENTER BELIEVES THAT MANY ASPECTS OF LIFE CONTRIBUTE TO GOOD HEALTH. A PERSON'S PHYSICAL AND MENTAL HEALTH IS INFLUENCED BY THE ENVIRONMENT - WHETHER POSITIVE OR FILLED WITH DISEASE. SINCE WE ARE CONCERNED WITH "THE WHOLE PERSON," ST. JOSEPH'S/CANDLER PROVIDES ASSISTANCE IN SPIRITUAL CARE, HOUSING, EDUCATION, JOB TRAINING, FOOD, TRANSPORTATION, AND ADVOCACY. WITH TEN FULL-TIME CHAPLAINS - MORE THAN ANY OTHER HOSPITAL IN THE STATE OF GEORGIA - ST. JOSEPH'S/CANDLER PROVIDES PASTORAL CARE OUTREACH TO ANYONE SEEKING ASSISTANCE (AS REPORTED IN THE COMMUNITY HEALTH IMPROVEMENT SERVICES). SUCH UNREIMBURSED SERVICES PROVIDE NECESSARY SPIRITUAL SUPPORT FOR MANY UNDERSERVED CITIZENS WHO ARE WITHOUT A CHURCH HOME OR ACCESS TO A MINISTER. OUR IN-HOUSE PASTORAL CARE SERVICES ALSO REDUCE THE BURDEN OF MINISTERS AND CHURCHES THROUGHOUT THE COMMUNITY. ST. JOSEPH'S/CANDLER AFRICAN-AMERICAN HEALTH INFORMATION AND RESOURCE CENTER, NOW 15 YEARS OLD, PROVIDES FREE COMPUTER CLASSES, AN INTERNET CENTER, SUPPORT AND HEALTH INFORMATION AND EDUCATION IN AN ENVIRONMENT OF TRUST. SAFE, AFFORDABLE HOUSING IS ESSENTIAL TO GOOD HEALTH. FOR EIGHTEEN YEARS, ST. JOSEPH'S/CANDLER HAS BEEN A PARTNER WITH MERCY HOUSING, WHICH BUILDS AND RENOVATES AFFORDABLE HOUSING. ST. JOSEPH'S/CANDLER'S CO-WORKERS ALSO VOLUNTEER FOR HABITAT FOR HUMANITY. FIXING LEAKING ROOFS, MOLD, LEAD PAINT, AND DILAPIDATED FLOORING ALL CONTRIBUTE TO GOOD HEALTH. ST. JOSEPH'S/CANDLER SUPPORTS EDUCATION AS A MEANS TO A GOOD PAYING JOB. THE SYSTEM FULLY FUNDS THE ST. MARY'S GED PROGRAM, AND PROVIDES A PRESCHOOL PROGRAM, AFTER SCHOOL PROGRAM, AND SUMMER CAMP FOR YOUNG CHILDREN. THE THREE AND FOUR YEAR OLDS SERVED ARE TWO YEARS BEHIND THEIR COUNTERPARTS IN LANGUAGE DEVELOPMENT. SUCCESSFUL LANGUAGE DEVELOPMENT INFLUENCES SCHOOL SUCCESS AND ULTIMATELY, A GOOD JOB. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY AMOUNTS INCLUDED ON PART II LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS ACCOUNTS RECEIVABLE IS REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM UTILIZES A VARIETY OF INFORMATION FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA FROM THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE SYSTEM ANALYZES THE COMPONENTS OF KEY PATIENT ACCOUNT DATA INCLUDING SERVICE DATE(S), CHARGES, PAYMENTS, ADJUSTMENTS, BALANCE, FINANCIAL CLASS, PATIENT TYPE, SERVICE TYPE, RESOURCE UNIT CODE AND CLINICAL CODES. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD- PARTY COVERAGE, A VARIETY OF PAYMENT PLANS EXIST BASED ON DATES OF SERVICE, CHARGES, PATIENT TYPE, SERVICE TYPE, RESOURCE VALUE UNIT AND OUTLIER PAYMENT PROVISIONS. THE SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLES, DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO HAVE FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH NON-CONTRACT PAYORS AND SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF RECENT, RELEVANT COLLECTION HISTORY BY FINANCIAL CLASS AND/OR INSURANCE PLAN. THIS WILL INDICATE THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (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. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 73% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2014 TO 74% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2015. IN ADDITION, THE SYSTEM'S BAD DEBT PROVISION INCREASED 4,052,582 FROM 38,729,923 FOR FISCAL YEAR 2014 TO 42,782,505 FOR FISCAL YEAR 2015. THESE CHANGES WERE PRIMARILY THE RESULT OF INCREASES TO THE RATES CHARGED TO PATIENTS AS WELL AS INCREASED UTILIZATION FROM SELF-PAY PATIENTS. EFFECTIVE JULY 1, 2014, THE SYSTEM IMPLEMENTED A DISCOUNT FOR QUALIFYING UNINSURED PATIENTS WRITING OFF 70% OF ESTABLISHED CHARGES AT THE TIME OF BILLING. TO QUALIFY, PATIENTS MAY EITHER PAY THEIR BILL IN FULL OR ARRANGE AN APPROVED PAYMENT PLAN. PART III, LINE 8 - MEDICARE EXPLANATION MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION PATIENT FINANCIAL COUNSELORS VISIT PATIENTS WHO HAVE NO INSURANCE, LIMITED COVERAGE AND MEDICAID PATIENTS WITHOUT SUPPLEMENTAL INSURANCE TO DISCUSS ASSISTANCE AND REFER THOSE PATIENTS TO OUR MEDICAID ELIGIBILITY VENDOR WHO SCREENS THESE PATIENTS FOR MEDICAID AND OTHER FEDERAL, STATE OR LOCAL PROGRAMS FOR ASSISTANCE. CUSTOMER SERVICE AT THE HOSPITAL AND AT EXTENDED BUSINESS OFFICE, WHICH DOES SELF-PAY BILLING AND COLLECTION, INFORM PATIENTS ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND ASSIST THEM IN MAKING AN APPLICATION. BILLING STATEMENTS PROVIDE A MESSAGE AND TELEPHONE NUMBER TO CALL IF THE PATIENT HAS DIFFICULITY MAKING PAYMENT. FOR PATIENTS WHO QUALIFY FOR CHARITY CARE AND FULL FINANCIAL ASSISTANCE, THERE IS NO FINANCIAL OBLIGATION. FOR THOSE WHO QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE, COLLECTION PROCEDURES FOLLOW THE SAME PROCESS AS ALL OTHER PATIENTS WHO ARE RESPONSIBLE FOR UNPAID BALANCES. THOSE PATIENTS WHO HAVE NOT MADE PAYMENT ARRANGEMENTS FOR THEIR REMAINING BALANCES ARE SENT LETTERS WHEN THE ARE PAST DUE 30, 60, AND 90 DAYS. IF PAYMENT ARRANGEMENTS ARE STILL NOT MADE AFTER 90 DAYS, THEN THOSE ACCOUNTS ARE REFERRED TO COLLECTIONS. BEFORE REFERRAL TO A COLLECTION AGENCY, ANY ACCOUNT 2,500 OR LARGER IS SCORED FOR ABILITY TO PAY (USING PARO SOFTWARE), AND IF THE PATIENT QUALIFIES FOR CHARITY CARE OR FULL FINANCIAL ASSISTANCE, THE ACCOUNT IS WRITTEN OFF AS PRESUMPTIVE ELIGIBILITY AND NOT REFERRED TO THE AGENCY. PART VI, LINE 2 - NEEDS ASSESSMENT ST. JOSEPH'S/CANDLER HEALTH SYSTEM, INC. CONTINUALLY CONDUCTS VARIOUS TYPES OF ASSESSMENTS TO DETERMINE THE COMMUNITY'S NEEDS FOR HEALTH AND PERSONAL SUPPORT SERVICES. OUR SYSTEM COLLABORATES WITH NUMEROUS NOT-FOR-PROFIT AGENCIES AND PROGRAMS TO EXTEND AND STRENGTHEN OUR MISSION. OUR PROGRAMS ARE SUCCESSFUL DUE IN LARGE PART BECAUSE OF THESE COLLABORATIONS. SOME EXAMPLES INCLUDE: THE CHATHAM COUNTY SAFETY NET, CITY OF SAVANNAH'S STEP UP POVERTY REDUCTION INITIATIVE, ARMSTRONG ATLANTIC STATE UNIVERSITY, SAVANNAH TECHNICAL COLLEGE, SAVANNAH ECONOMIC DEVELOPMENT AUTHORITY, AND MANY MORE. MANY OF OUR SYSTEM CO-WORKERS ARE ALSO INVOLVED AT EVERY LEVEL OF THE COMMUNITY THROUGH THEIR WORK AS SYSTEM REPRESENTATIVES ON NOT-FOR- PROFIT BOARDS SUCH AS: AMERICAN HEART ASSOCIATION, THE UNITED WAY, MERCY HOUSING, SECOND HARVEST FOOD BANK, WESLEY COMMUNITY CENTER, AND SAFE SHELTER OF SAVANNAH. ST. JOSEPH'S/CANDLER ALSO SOLICITS INPUT ON COMMUNITY NEEDS FROM COMMUNITY LEADERS, PROFESSIONALS AND MEMBERS WHO PARTICIPATE ON OUTREACH ADVISORY BOARDS. SJ/C'S AFRICAN AMERICAN HEALTH INFORMATION & RESOURCE CENTER, GOOD SMARITAN CLINIC, SMART SENIOR, ST. MARY'S COMMUNITY CENTER AND ST. MARY'S HEALTH CENTER HAVE INDIVIDUAL ADVISORY BOARDS COMPRISED OF THOSE PERSONS WHO HAVE SPECIAL INTEREST, SKILLS, KNOWLEDGE AND ENTHUSIAM ABOUT THE PROGRAM'S UNIQUE SERVICES. PROGRAM FORUMS AT EACH OUTREACH SITE ALSO PROVIDE DIRECT FEEDBACK FROM THE CLIENTS WHO USE THEIR SERVICES. THIS ENSURES EACH SITE CONTINUES TO PROVIDE A SERVICE THE COMMUNITY NEEDS AND BENEFITS FROM. WITH OUR PARTNERS, WE LISTEN TO OUR PATIENTS AND CLIENTS, AS WELL AS ACCESS EXISTING NEEDS ASSESSMENTS AND STUDIES IN ORDER TO DETERMINE THE COMMUNITY'S MOST PRESSING NEEDS. ST. JOSEPH'S/CANDLER USES FEDERAL INFORMATION AND REPORTS FROM AGENCIES SUCH AS THE U.S. CENSUS BUREAU AND BUREAU OF LABOR STATISTICS, AS WELL AS RESOURCES SUCH AS CLARITAS AND "DEMOGRAPHICS NOW" THAT PROVIDE A WIDE ARRAY OF DEMOGRAPHICS, HOUSEHOLD INCOME AND SERVICES, RETAIL OUTLETS, ETC. IN DEFINED ZIP CODES. THIS INFORMATION, COMBINED WITH OUR EXTENSIVE COLLABORATIONS AND OUR ROLE AS A LEADER IN THE COMMUNITY, PROVIDES US THE MEANS TO UNDERSTAND AND ADDRESS THE COMMUNITY'S NEEDS AND ENSURES OUR OUTREACH PROGRAMS ARE FOCUSED ON THE POPULATIONS WHO NEED OUR SERVICES THE MOST. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CUSTOMER SERVICE PERSONNEL AT THE HOSPITALS AND ST. JOSEPH'S/CANDLER'S EXTENDED BUSINESS OFFICE INFORM PATIENTS ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND ASSIST THEM IN MAKING AN APPLICATION. FOR PATIENTS WHO HAVE NO INSURANCE, LIMITED COVERAGE, AND MEDICAID PATIENTS WITHOUT SUPPLEMENTAL INSURANCE, PATIENT FINANCIAL COUNSELORS DISCUSS THE FINANCIAL ASSISTANCE AND VARIOUS GOVERNMENT BENEFITS WHICH MAY BE AVAILABLE TO THEM. PATIENT FINANCIAL COUNSELORS ALSO REFER APPROPRIATE PATIENTS TO A MEDICAID ELIGIBILITY VENDOR WHO SCREENS THEM FOR MEDICAID AND OTHER FEDERAL, STATE, OR LOCAL PROGRAMS FOR ASSISTANCE. ST. JOSEPH'S/CANDLER POSTS FINANCIAL ASSISTANCE CONTACT INFORMATION ON ITS WEBSITE. UPON ADMISSION TO THE HOSPITAL, PATIENTS ARE PROVIDED THE "GUIDE TO YOUR HOSPITAL BILL", WHICH INFORMS THEM HOW TO UNDERSTAND THEIR BILL, AS WELL AS A SUMMARY OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. IN ADDITION, THE BILLING STATEMENTS SENT TO PATIENTS PROVIDE A MESSAGE AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN THE EVENT THE PATIENT HAS DIFFICULITY PAYING THE BALANCE DUE. PART VI, LINE 4 - COMMUNITY INFORMATION ST. JOSEPH'S/CANDLER IS LOCATED IN SAVANNAH, GA. SAVANNAH IS THE OLDEST CITY IN GA AND THE COUNTY SEAT OF CHATHAM COUNTY. ST. JOSEPH'S/CANDLER'S 2013 COMMUNITY HEALTH NEEDS ASSESSMENT DEFINED CHATHAM COUNTY AS THE PRIMARY SERVICE AREA FOR THE SYSTEM. THE SYSTEM ALSO SERVES ANOTHER 32 COUNTIES IN SECONDARY AND TERTIARY SERVICE AREAS COMPRISED OF APPROXIMATELY 1,318,277 PEOPLE. THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY, AN ON-GOING CENSUS SURVEY, ESTIMATED CHATHAM COUNTY'S POPULATION IN 2013 AT 279,103 PEOPLE. THERE ARE AN ESTIMATED 109,067 HOUSEHOLDS AND 68,496 FAMILIES IN CHATHAM COUNTY. THE MOST POPULOUS LOCATION IN THE COUNTY IS FOUND ON THE CITY OF SAVANNAH'S SOUTH SIDE IN ZIP CODE 31419. FEMALES MAKE UP THE MAJORITY OF THE POPULATION AT 51.8% OF THE TOTAL POPULATION. CAUCASIANS MAKE UP THE HIGHEST PERCENTAGE OF THE TOTAL POPULATION AT 52.35%, FOLLOWED BY AFRICAN AMERICANS AT 39.90% AND HISPANICS AT 6.19%. THE MEDIAN HOUSEHOLD INCOME IN CHATHAM COUNTY IS 42,679. THE HIGHEST NUMBER OF PEOPLE LIVING IN POVERTY RESIDES IN ZIP CODE 31401. THE HIGHEST NUMBERS OF PEOPLE, FAMILIES AND CHILDREN ARE CONCENTRATED IN CHATHAM COUNTY ZIP CODES 31401, 31404 AND 31415. CHATHAM COUNTY'S UNEMPLOYMENT RATE IS 8.3% COMPARED TO GEORGIA'S UNEMPLOYMENT RATE AT 8.2%. THE AMERICAN COMMUNITY SURVEY REPORTS THAT 18.1% OF THE RESIDENTS LIVING IN CHATHAM COUNTY ARE LIVING BELOW THE POVERTY LINE COMPARED TO 16.5% IN THE STATE OF GEORGIA. OF THE 18.1% LIVING BELOW POVERTY, THE HIGHEST POVERTY RATES ARE FOUND AMONG PEOPLE AGES 18-24 (33.0%), FEMALES (20.1%), AND THOSE IDENTIFIED AS "OTHERS" IN THE RACE/ETHNICITY CATEGORY, 45.9% (RESPONDENTS INDICATED THEY WERE OF "SOME OTHER RACE"). THESE PERCENTAGES ARE COMPARED TO ALL OTHER U.S. COUNTIES. IN THE CHATHAM COUNTY POPULATION OF PEOPLE AGED TWENTY-FIVE AND OLDER, 6,973 (3.84%) HAVE LESS THAN A 9TH GRADE EDUCATION AND 8.47% HAVE SOME HIGH SCHOOL, BUT HAVE NEVER GRADUATED. THE HIGHEST PERCENTAGES OF PEOPLE WITH LESS THAN A 9TH GRADE EDUCATION LIVE IN THE CITY OF SAVANNAH'S ZIP CODES 31421, 31415, AND 31401. THE HIGHEST PERCENTAGE OF PEOPLE WITH SOME HIGH SCHOOL, BUT DO NOT HAVE A DIPLOMA LIVE IN ZIP CODES 31415, 31401, AND 31404. ACCORDING TO THE COASTAL HEALTH DISTRICT, THERE WERE 2,109 DEATHS IN CHATHAM COUNTY DURING 2011. THE AGE ADJUSTED DEATH RATE WAS 776.7 PER 100,000. OF THOSE DEATHS, CAUCASIAN DEATHS WERE 1,301 (61.6%), AFRICAN AMERICAN 790 (37.4%), AND HISPANICS 17 (0.8%). THE FIVE LEADING CAUSES OF DEATH WERE HEART DISEASE, LUNG CANCER, STROKE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND MENTAL & BEHAVIORAL DISORDERS. ALL FIVE OF THE LEADING CAUSES OF DEATH IN CHATHAM COUNTY ARE RANKED THE SAME AS THE STATE'S FIVE HIGHEST CAUSES OF DEATH. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH ALL OF ST. JOSEPH'S/CANDLER'S HEALTHCARE FACILITIES, INCLUDING ITS HOSPITALS, FURTHER THEIR EXEMPT PURPOSES BY PROMOTING THE HEALTH IN OUR COMMUNITY IN A VARIETY OF WAYS AS WELL AS THOSE ALREADY DESCRIBED IN SCHEDULE H AND ST. JOSEPH'S/CANDLER'S COMMUNITY BENEFIT REPORT. THE GOVERNING BODIES OF ALL OF OUR ORGANIZATIONS ARE PRIMARILY COMPRISED OF PERSONS WHO ARE NOT EMPLOYEES, CONTRACTORS (NOR FAMILY MEMBERS THEREOF), AND WHO RESIDE IN ST. JOSEPH'S/CANDLER'S PRIMARY SERVICE AREA. THE HOSPITALS' MEDICAL STAFFS ARE OPEN TO ALL QUALIFIED PHYSICIANS IN THE REGION. FOR THOSE PHYSICIANS IN THE REGION WHO DO NOT HAVE PRIVILEGES, ST. JOSEPH'S/CANDLER PROVIDES A PROCESS FOR ADMITTING PATIENTS VIA THE HOSPITALISTS OR THROUGH OTHER PHYSICIANS. FUNDS RECEIVED FROM THE OPERATIONS OF ST. JOSEPH'S/CANDLER'S HOSPITALS AND FACILITIES (AFTER OPERATING EXPENSES) ARE USED TO SUPPORT VARIOUS OUTREACH EFFORTS DESCRIBED IN SCHEDULE H AND THE COMMUNITY BENEFIT REPORT; TO FURTHER IMPROVEMENT IN PATIENT CARE BY PROVIDING MEDICAL EDUCATION TO PATIENTS AND THE COMMUNITY, CONDUCTING RESEARCH, AND IMPLEMENTING TECHNOLOGY THAT NOT ONLY PROVIDES THE LATEST IN TREATMENT, BUT ALLOWS PATIENTS TO RECEIVE HIGH QUALITY CARE IN THEIR OWN COMMUNITY AND ALLOWS US TO CONTINUALLY IMPROVE PATIENT SAFETY BY IMPLEMENTING TECHNOLOGY THAT PREVENTS MEDICATION ERRORS, ETC. IN ORDER TO SPECIFICALLY ASSIST LOW INCOME ELDERLY AND DISABLED CITIZENS TO REMAIN IN THEIR OWN HOMES AND AVOID INSTITUTIONAL NURSING HOME CARE, THESE NEEDS HAVE BEEN MET BY THE GEORGIA INFIRMARY IN TWO WAYS: 1) PROVIDING DIRECT SERVICE, AND 2) ADVOCATING AT STATE AND NATIONAL LEVELS FOR PROGRAMS THAT WILL SERVE THE NEEDS OF THESE CITIZENS. GEORGIA INFIRMARY PROVIDES SERVICES TO SUCH PERSONS THROUGH AN ADULT DAY CARE CENTER SINCE 1974. GEORGIA INFIRMARY'S HOUSING MANAGEMENT SERVICES OPERATES SUBSIDIZED HOUSING FOR ELDERLY AND DISABLED PERSONS TO RECOGNIZE THAT COMMUNITY-BASED HEALTH ONLY WORKS IF BENEFICIARIES HAVE SAFE, AFFORDABLE HOMES. GEORGIA INFIRMARY'S NATIONALLY RECOGNIZED SOURCE PROGRAM FOR CASE MANAGEMENT AND PRIMARY CARE PHYSICIAN SERVICES FOR ELDERLY AND DISABLED PERSONS WAS A RESPONSE TO NEEDS DISCOVERED IN HOUSING AND DAY SERVICES CLIENTS FOR COORDINATED MEDICAL CARE AND ACCOUNTABLE PERSONAL SUPPORT SERVICES. IT IS A COLLABORATIVE EFFORT OF APPROXIMATELY 105 PHYSICIANS ACROSS 16 SOUTHEAST GEORGIA COUNTIES. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM ST. JOSEPH'S/CANDLER HEALTH SYSTEM, INC. (SYSTEM), A NOT-FOR-PROFIT MEMBERSHIP CORPORATION, WAS FOUNDED IN 1997 UNDER A JOINT OPERATING AGREEMENT ENTERED INTO BETWEEN CANDLER HOSPITAL, INC. (CH), SAINT JOSEPH'S HOSPITAL, INC. (SJH) AND THEIR VARIOUS RESPECTIVE AFFILIATES, SUCH THAT THE SYSTEM BECAME THE PARENT ORGANIZATION OF CH, SJH AND THE AFFILIATES. THE SISTERS OF MERCY OF THE AMERICAS, INC. (SMA) IS THE SOLE MEMBER OF THE SYSTEM. THE SYSTEM OPERATES A COMPREHENSIVE INTEGRATED HEALTHCARE NETWORK AND SERVES AS THE CONTROLLING BODY OF ITS AFFILIATED ENTITIES AS FOLLOWS: CH IS A NOT-FOR-PROFIT CORPORATION, OF WHICH THE SYSTEM IS THE SOLE MEMBER, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 331-BED ACUTE CARE HOSPITAL IN SAVANNAH, GEORGIA. CH IS THE SOLE MEMBER OF AND OPERATES SJC ONCOLOGY SERVICES- GEORGIA, LLC IN SAVANNAH, GEORGIA AND SJC ONCOLOGY SERVICES- SOUTH CAROLINA, LLC IN HILTON HEAD, SOUTH CAROLINA, BOTH OF WHICH ARE SINGLE MEMBER LLC'S THAT PROVIDE ADVANCED RADIATION ONCOLOGY SERVICES. SJH IS A NOT-FOR-PROFIT CORPORATION, OF WHICH THE SYSTEM IS THE SOLE MEMBER, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 305-BED ACUTE CARE HOSPITAL IN SAVANNAH, GEORGIA. SJH IS THE SOLE MEMBER OF AND OPERATES ST. JOSEPH'S MEDICAL GROUP, LLC, AND ST. JOSEPH'S CARDIOLOGY GROUP, LLC, BOTH OF WHICH ARE SINGLE MEMBER LLC'S THAT PROVIDE SPECIALIZED PHYSICIAN SERVICES. SJC HOME HEALTH, INC. (HOME HEALTH) IS A NOT-FOR-PROFIT CORPORATION, OF WHICH THE SYSTEM IS THE SOLE MEMBER, ESTABLISHED TO PROVIDE HOME HEALTH SERVICES IN A TWENTY-ONE COUNTY AREA IN SOUTHEAST GEORGIA. GEORGIA INFIRMARY, INC. (INFIRMARY) IS A NOT-FOR-PROFIT CORPORATION, OF WHICH THE SYSTEM IS THE SOLE CORPORATE MEMBER. THE SYSTEM SHALL HAVE, AND MAY EXERCISE WITH RESPECT TO THE INFIRMARY, ALL RIGHTS AND AUTHORITIES GRANTED BY LAW TO MEMBERS OF NONPROFIT CORPORATIONS IN GEORGIA OR THE BYLAWS OF THE INFIRMARY, EXCEPT THAT THE SYSTEM DOES NOT HAVE THE AUTHORITY TO CHANGE THE MISSION OF THE INFIRMARY AS OUTLINED IN THE INFIRMARY'S ORIGINAL ARTICLES OF INCORPORATION. IN THE EVENT OF ANY MERGER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE SYSTEM, ALL MEMBERSHIP INTEREST OF THE SYSTEM IN THE INFIRMARY SHALL BE DEEMED SURRENDERED BY THE SYSTEM AND REVERTED TO THE INFIRMARY. THE INFIRMARY IS AN ADULT DAY HEALTH PROVIDER AND ALSO PROVIDES A CASE MANAGEMENT PROGRAM TO IMPROVE HEALTH OUTCOMES FOR ELDERLY OR DISABLED MEDICAID RECIPIENTS WITH CHRONIC MEDICAL CONDITIONS. SJC VENTURES, INC. (SJCV) IS A FOR-PROFIT CORPORATION AND WHOLLY OWNED STOCK SUBSIDIARY OF THE SYSTEM ORGANIZED TO BE THE SOLE SHAREHOLDER OF SJC MEDICAL GROUP, INC., SJC PROPERTIES, INC. AND SJC HEALTH SERVICES, INC., THEREBY CREATING AN AFFILIATED GROUP OF CORPORATIONS ELIGIBLE TO REPORT ON A CONSOLIDATED BASIS FOR FEDERAL INCOME TAX PURPOSES WITHIN THE MEANING OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. IN THE ACCOMPANYING COMBINING INFORMATION, THE WHOLLY OWNED SUBSIDIARIES OF SJCV ARE PRESENTED SEPARATELY. SJC MEDICAL GROUP, INC. (SJCMG) IS A FOR-PROFIT CORPORATION WHICH OWNS, OPERATES, AND MANAGES PHYSICIAN PRACTICES, IN ADDITION TO PERFORMING BILLING SERVICES, OF WHICH SJCV IS THE SOLE SHAREHOLDER. SJC PROPERTIES, INC. (PROPERTIES) IS A FOR-PROFIT CORPORATION, WHOLLY OWNED BY SJCV, WHICH OWNS AND DEVELOPS CERTAIN REAL ESTATE AND MANAGES SEVERAL MEDICAL OFFICE BUILDINGS. SJC HEALTH SERVICES, INC. (HEALTH SERVICES) IS A FOR-PROFIT CORPORATION, WHOLLY OWNED BY SJCV, ORGANIZED TO FURTHER THE HEALTH CARE DELIVERY SYSTEM OF THE SYSTEM. GEECHEE REINSURANCE COMPANY, LLC ( GEECHEE) IS A CAPTIVE INSURANCE COMPANY FORMED UNDER THE LAWS OF THE STATE OF SOUTH CAROLINA TO INSURE THE GENERAL AND PROFESSIONAL LIABILITY RISKS OF THE SYSTEM. GEECHEE IS ORGANIZED AS A SINGLE MEMBER LLC WITH THE SYSTEM AS ITS SOLE MEMBER. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT GEORGIA X true true X X X X X false true false false false false false false false PAUL P HINCHEY PRESIDENT & CEO 318243 439478 5395 7451 420000 13975 19299 337613 886228 GREGORY J SCHAACK HOSPITAL CFO 178414 246382 27823 38423 7560 10440 10251 14157 224048 309402 KYLE L MCCANN COO 144679 199795 7560 10440 10837 14965 163076 225200 SR MARGIE BEATTY RSM VICE PRESIDENT SHERRY A DANELLO VP 125747 173651 8814 12174 7560 10440 17045 23538 159166 219803 JAMES I SCOTT MD VP 110989 153270 7560 10440 13788 19041 132337 182751 THOMAS S POUND VP 95841 132352 3435 4744 6350 8770 10566 14590 116192 160456 NOLAN D HENNESSEE VP 96547 133327 2714 3748 5368 7412 9388 12965 114017 157452 PETER M SCHENK VP 95584 131998 3003 4147 7560 10440 13498 18640 119645 165225 WILLIAM M CARR PAST VP 83872 115824 3529 4873 87401 120697 ERASME COLY CARDIOLOGIST 541142 19708 560850 SOUMYA NERAVETLA THORACIC SURGEON 310117 75000 15405 400522 WILLIAM B EPPS CARDIOLOGIST 224181 15798 10412 250391 JEFFEREY J ZEHEL DIR IMAGING SERVICES 179532 3007 17746 200285 EVELYN F PALMARES RN 160779 5563 9468 30946 206756 SCHEDULE J, PAGE 1, PART I, LINE 1A CEO RECEIVES THE BENEFIT AND THE AMOUNT IS INCLUDED IN THE CEO'S TAXABLE INCOME. SCHEDULE J, PAGE 1, PART I, LINE 4 PAUL P. HINCHEY 0 420,000 0 GREGORY J. SCHAACK 0 18,000 0 KYLE L. MCCANN 0 18,000 0 SHERRY A. DANELLO 0 18,000 0 JAMES I. SCOTT, M.D. 0 18,000 0 THOMAS S. POUND 0 15,120 0 NOLAN D. HENNESSEE 0 12,780 0 PETER M. SCHENK 0 18,000 0 SCHEDULE J, PART III PART I, LINE 4(B) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) THE SYSTEM MAINTAINS AN UNFUNDED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), WHICH PROVIDES RETIREMENT BENEFITS TO CERTAIN OFFICERS AND SELECT EMPLOYEES. THIS PLAN IS NON-QUALIFIED AND DOES NOT HAVE A MINIMUM FUNDING REQUIREMENT. THE LIABILITY FOR THIS SERP OBLIGATION IS INCLUDED AS DEFERRED COMPENSATION PAYABLE AND THE ASSETS SET ASIDE AS A RESERVE FOR THIS LIABILITY ARE INCLUDED IN BOARD DESIGNATED ASSETS LIMITED AS TO USE. PART II, BONUS AWARD BONUS COMPENSATION IS AWARDED BASED ON REACHING MULTIPLE ORGANIZATIONAL AND INDIVIDUAL GOALS, ALL OF WHICH ARE EXPRESSLY CONTINGENT UPON ACHIEVING A TARGETED OPERATING BUDGET. THE CEO MAKES A BONUS RECOMMENDATION TO THE BOARD'S COMPENSATION COMMITTEE WHILE THE COMMITTEE MAKES A BONUS RECOMMENDATION TO THE BOARD FOR THE CEO. ALL BONUSES ARE CAPPED AT A MAXIMUM PERCENTAGE OF THEIR SALARY. COMPENSATION FROM UNRELATED ORGANIZATION SISTER MARGIE BEATTY IS A KEY EMPLOYEE FOR THE FILING ORGANIZATION SPENDING APPROXIMATELY HALF HER TIME BETWEEN TWO RELATED HOSPITALS, CANDLER HOSPITAL AND ST. JOSEPH'S HOSPITAL. THE ORGANIZATIONS, HOWEVER, SUBMIT 100% OF HER COMPENSATION TO THE SISTERS OF MERCY (SOM) FOR HER SERVICES. TOTAL AMOUNT PAID TO SOM IN 2014 WAS 189,432. A HOSPITAL AUTHORITY OF SAVANNAH 581792535 NONENONEN 2010-12-01 9387500 REFUND PRIOR ISSUE false false false B HOSPITAL AUTHORITY OF SAVANNAH REGIONS REVENUE BOND - 2011-1 581792535 NONENONEN 2011-12-01 10803065 REFUND PRIOR ISSUE false false false C HOSPITAL AUTHORITY OF SAVANNAH TD BANK REVENUE BOND - 2011-2 581792535 NONENONEN 2011-12-01 5486400 REFUND PRIOR ISSUE false false false A 7334619 9387500 9387500 2010 true false true true B 10803065 10803065 2011 true false true true C 5486400 5486400 2011 true false true true A false false false false false false true B false false false false false false true C false false false false false false true A false false false false true false false false false B false false false false true false false false false C false false false false true false false false false A false B false C false FORM 990 - ORGANIZATION'S MISSION ROOTED IN GOD'S LOVE, WE TREAT ILLNESS AND PROMOTE WELLNESS FOR ALL PEOPLE. SAINT JOSEPH'S HOSPITAL, INC. PROVIDES COMPRENSIVE HEALTHCARE SERVICES TO THE SURROUNDING COUNTIES THROUGH THE OPERATION OF A 256-BED ACUTE CARE HOSPITAL IN SAVANNAH, GEORGIA. FORM 990, PAGE 1, PART I, LINE 6 VOLUNTEERS SIGN IN EACH TIME THEY VOLUNTEER AND THESE HOURS ARE TOTALED. SERVICES PROVIDED BY VOLUNTEERS: -INFORMATION DESKS: GREET & PROVIDE INFORMATION TO VISITORS AND GIVE PATIENT ROOM INFORMATION. -COURTESY CAR: PROVIDE RIDES TO AND FROM HOSPITAL BUILDINGS TO VISITORS' CARS. -PATIENT FAMILY ROOMS: CONTACT PERSONS IN WAITING ROOMS. -DELIVER PATIENT MAIL AND FLOWERS. -OPERATE GIFT SHOPS. -PATIENT VISITATION: PATIENTS ARE VISITED AND GIVEN A WELCOME PACKET WITH PAPER, PENCIL, AND INFORMATION SHEET COVERING HOSPITAL SERVICES. -SECURITY: MONITOR HOSPITAL CAMERAS AND TAKE CALLS FOR SECURITY (RELAYS TO HOSPITAL STAFF). -PATIENT FLOORS: ASSIST STAFF WITH NON-CLINICAL CHORES. -OFFICE VOLUNTEER: ASSIST VOLUNTEER OFFICE STAFF AS NEEDED. FORM 990, PAGE 2, PART III, LINE 4A 4) PRESERVES AND INCORPORATES THE CATHOLIC CHRISTIAN PHILOSOPHY OF THE HOSPITAL IN ALL ITS ACTIVITIES AND CONTRACTS. DURING THE FISCAL YEAR ENDED JUNE 30, 2015, THE HOSPITAL SERVED THE FOLLOWING: 55,002 ACUTE CARE PATIENT DAYS AND 10,415 DISCHARGES; 5,530 REHAB DAYS WITH 447 DISCHARGES; AND 2,960 SKILLED NURSING DAYS WITH 278 DISCHARGES. EMERGENCY ROOM VISITS TOTALED 38,676. THE HOSPITAL ALSO PROVIDED SERVICES FOR 84,389 OUTPATIENT VISITS. FORM 990, PAGE 6, PART VI, LINE 6 ST. JOSEPH'S/CANDLER HEALTH SYSTEM, INC. (SYSTEM) IS THE SOLE MEMBER OF THE FILING ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 7A THE SOUTH CENTRAL LEADERSHIP TEAM OF THE SISTERS OF MERCY OF THE AMERICAS, INC. (SMA) IS THE ORIGINAL SPONSOR OF ST. JOSEPH'S HOSPITAL (SJH) AND IS THE SOLE MEMBER OF THE SYSTEM. BOTH SJH AND SYSTEM SHARE A COMMON BOARD WITH THE FILING ORGANIZATION. THE SMA HAS CERTAIN LIMITED RIGHTS SUCH AS APPOINTMENT OF THREE TRUSTEES TO THE SYSTEM BOARD. FORM 990, PAGE 6, PART VI, LINE 7B SMA HAS CERTAIN LIMITED RIGHTS SUCH AS APPOINTMENT OF THREE TRUSTEES TO THE SYSTEM BOARD. THE SMA ALSO HAS SPECIFIC RESERVED POWERS WHICH REQUIRE THAT CERTAIN ACTIONS TAKEN BY THE SYSTEM BOARD OF TRUSTEES, OR BOARD OF DIRECTORS OF ANY OTHER SYSTEM ENTITY, ARE EFFECTIVE ONLY IF FIRST APPROVED BY SMA. THESE ACTIONS INCLUDE: 1. ADOPTION, AMENDMENT OR CHANGE OF THE PHILOSOPHY, PURPOSE, MISSION, VALUES STATEMENT OR NAME OF SYSTEM OR SAINT JOSEPH'S HOSPITAL (SJH). 2. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR ANY OF THE GOVERNANCE DOCUMENTS OF ANY SYSTEM ENTITIES THAT DIMINISHES OR ALTERS ANY SMA RESERVED POWER. 3. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF SJH. 4. APPOINTMENT OF THE SYSTEM CEO, BEGINNING WITH THE FIRST SUCCESSOR TO THE INITIAL SYSTEM CEO. 5. DISSOLUTION, MERGER, CONSOLIDATION OR SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SYSTEM OR SJH. 6. SALE OR OTHER DISPOSITION OF REAL PROPERTY OF SJH IF THE FMV OF THE PROPERTY AT THAT TIME EXCEEDS THE THRESHOLD ESTABLISHED BY ROMAN CATHOLIC CHURCH LAW FOR PROPERTY TRANSACTIONS. 7. INCURRENCE OF ANY DEBT (INCLUDING LEASES OF REAL PROPERTY) BY SJH IN AN AMOUNT IN EXCESS OF THE THEN EXISTING THRESHOLD REQUIRING APPROVAL BY THE APPLICABLE AGENCY OF THE ROMAN CATHOLIC CHURCH. 8. ADDITION OF ANY NEW SERVICE AT ANY SYSTEM ENTITY OR DELETION OF ANY EXISTING SERVICE AT ANY SYSTEM ENTITY IF SUCH ADDITION OR DELETION WOULD BE INCONSISTENT WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE SERVICES AS APPROVED BY THE NATIONAL CONFERENCE OF CATHOLIC BISHOPS. 9. TAKING ANY ACTION THAT RESULTS IN SJH FAILING TO CONTINUE TO OPERATE AS AN ACUTE CARE HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES AND MADE AVAILABLE TO THE FULL BOARD FOR REVIEW PRIOR TO FILING. THE ORGANIZATION'S MANAGEMENT TEAM PERFORMS A COMPLETE DETAILED REVIEW OF ALL FINANCIAL AND DISCLOSURE DATA PRIOR TO FILING THE RETURN WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C AT LEAST ANNUALLY, AND AS DEEMED NECESSARY, THE CONFLICTS OF INTEREST POLICY IS REVIEWED TO DETERMINE IF ANY CHANGES OR ENHANCEMENTS ARE NEEDED. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE PRESIDENT'S ASSISTANT AND ARE REVIEWED BY THE ORGANIZATION'S CORPORATE COMPLIANCE OFFICER. IF ANY CONFLICTING INTEREST IS IDENTIFIED, THE BOARD CHAIRMAN WILL DISCUSS WITH THE BOARD TO DETERMINE FURTHER ACTIONS NEEDED. THE BOARD CHAIRMAN MAY ASK THE INTERESTED PERSON TO LEAVE THE MEETING DURING DISCUSSION OF THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT. IF ASKED, THE INTERESTED PERSON SHALL LEAVE THE MEETING, BUT MAY MAKE A STATEMENT OR ANSWER ANY QUESTIONS ON THE MATTER BEFORE LEAVING. THE INTERESTED PERSON WILL NOT VOTE ON THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT AND THE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. FORM 990, PAGE 6, PART VI, LINE 15A AN INDEPENDENT CONSULTING FIRM ANNUALLY EVALUATES THE COMPENSATION OF THE CEO USING COMPARABILITY DATA OBTAINED THROUGH COMPENSATION SURVEYS/STUDIES. THEIR RECOMMENDATIONS ARE CONSIDERED BY A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT VOTING MEMBERS OF THE BOARD AND THE FINAL COMPENSATION PACKAGE REQUIRES FULL APPROVAL BY THE BOARD. THE ACTIONS, MOTIONS, CONSIDERATIONS, MEMBERS PRESENT AND DISSENTING OPINIONS ARE RECORDED IN THE BOARD MINUTES. FORM 990, PAGE 6, PART VI, LINE 15B AN INDEPENDENT CONSULTING FIRM ANNUALLY EVALUATES THE COMPENSATION OF THE CFO AND OTHER OFFICERS USING COMPARABILITY DATA OBTAINED THROUGH COMPENSATION SURVEYS/STUDIES. THEIR RECOMMENDATIONS ARE CONSIDERED BY A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT VOTING MEMBERS OF THE BOARD AND THE FINAL COMPENSATION PACKAGE REQUIRES FULL APPROVAL BY THE BOARD. THE ACTIONS, MOTIONS, CONSIDERATIONS, MEMBERS PRESENT AND DISSENTING OPINIONS ARE RECORDED IN THE BOARD MINUTES. FORM 990, PAGE 6, PART VI, LINE 19 CERTAIN ORGANIZATION POLICIES, INCLUDING THE CONFLICT OF INTEREST POLICY, ARE LOCATED ON THE ST. JOSEPH'S/CANDLER WEBSITE. COMBINED FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ANNUAL BOND DISCLOSURE REPORT POSTED TO A PUBLIC WEBSITE. GOVERNING DOCUMENTS ARE CURRENTLY NOT PUBLICLY AVAILABLE. FORM 990, PART XI, LINE 9 UNREALIZED CHANGE IN DERIVATIVES 100,112 UNREALIZED GAIN (LOSS) ON RATE SWAP VALUATION 16,723 CAPITAL CONTRIBUTIONS -448,631 FORM 990, PART XI, LINE 9 CAPITAL CONTRIBUTIONS 448,631 DECREASE IN BENEFICIAL INTEREST IN FOUNDATION 16,917 EQUITY TRANSFERS OUT -1,250,350 NET DECREASE IN NET ASSETS -1,116,598 ST JOSEPH'S FOUNDATION OF SAVANNAH 5353 REYNOLDS STREET SAVANNAH GA 314056015 581905195 FOUNDATION GA 501C3 11B SYSTEM ST JOSEPH'S/CANDLER HEALTH SYSTEM false CANDLER HOSPITAL INC 5353 REYNOLDS STREET SAVANNAH GA 314056015 580593388 ACUTE CARE GA 501C3 3 SYSTEM ST JOSEPH/CANDLER HEALTH SYSTEM false ST JOSEPH'SCANDLER HEALTH SYSTEM 5353 REYNOLDS STREET SAVANNAH GA 314056015 582288758 MNGMT GA 501C3 11C NA false GEORGIA INFIRMARY INC 5353 REYNOLDS STREET SAVANNAH GA 314056015 580668614 CLINIC GA 501C3 9 SYSTEM false SJC HOME HEALTH SERVICES INC 5353 REYNOLDS STREET SAVANNAH GA 314056015 581329042 HOME HLTH GA 501C3 9 SYSTEM ST JOSEPH/CANDLER HEALTH SYSTEM false CANDLER FOUNDATION INC 5353 REYNOLDS STREET SAVANNAH GA 314056015 581553254 FOUNDATION GA 501C3 11B SYSTEM ST JOSEPH'S/CANDLER HEALTH SYSTEM false SJCOIS MANAGEMENT LLC 5353 REYNOLDS STREET SAVANNAH GA 314056015 460748220 MANAGEMENT GA NA EXCLUDED -19965 608391 false false 0.25000 SJC MEDICAL GROUP INC 5353 REYNOLDS STREET SAVANNAH GA 314056015 582011805 PHYSICIANS GA N/A false SJC VENTURES INC 5353 REYNOLDS STREET SAVANNAH GA 314056015 582650129 HEALTHCARE GA N/A false SJC PROPERTIES INC 5353 REYNOLDS STREET SAVANNAH GA 314056015 581583360 PROPERTY GA N/A false SJC HEALTH SERVICES INC 5353 REYNOLDS STREET SAVANNAH GA 314056015 581701535 HEALTHCARE GA N/A false false false true true false false false false false false true false false true true false true true true