2014-11-11T18:25:58-06:00 2013-12-31 ERNST & YOUNG US LLP 178 SOUTH RIO GRANDE ST SUITE 400 SALT LAKE CITY UT 84101 990 2013-01-01 840417134 SAINT JOSEPH HOSPITAL % SHARON OWENS SAIN 3038376568 1835 FRANKLIN STREET Suite DENVER CO 80218 Forest Binder VP OF FINANCE 2014-11-06 2013 2015-11-30 17:44:51Z Bain Farris 1835 Franklin Street Denver CO 80218 497536222 false 0928 X WWW.EXEMPLA.ORG X 1873 CO The mission of St. Joseph Hospital is to foster healing and health for the greater Denver Colorado metropolitan service area. 22 6 2904 438 95034 87534 1225010 7985596 460733649 475221589 8092240 8972117 -1772124 -2152899 468278775 490026403 185482 1661719 0 0 174552345 182028930 0 0 0 240219507 254689020 414957334 438379669 53321441 51646734 527883841 721780114 83086990 225330292 444796851 496449822 X The mission of St. Joseph Hospital is to foster healing and health for the greater Denver Colorado metropolitan service area. false false 339321675 1661719 473770604 SEE DETAILED DESCRIPTION IN SCHEDULE O. 0 0 0 339321675 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 0 0 2904 true true true false false false false false false false false false X 22 6 false false false false true true true true true false false true true true true true true false false false X SHARON OWENS 3038135280 2480 W 26th Ave 200B Denver CO 80211 KOGER PROPST Vice Chair 2.0 0.0 X X 0 0 0 FELIX W COOK SR DIRECTOR 2.0 0.0 X 0 0 0 SISTER AMY WILLCOTT Vice Chair 2.0 0.0 X X 0 0 0 ROBERT LADENBURGER EVP Hosp Ops & Pres/CEO EHC 2.0 40.0 X X 0 1957445 156351 MICHAEL A SLUBOWSKI Chair; President and CEO - SCL 2.0 40.0 X X 0 1343585 49627 MARLA J WILLIAMS DIRECTOR 2.0 0.0 X 0 0 0 SALLY WOOLSEY DIRECTOR 2.0 0.0 X 0 0 0 STEVE COBB MD President EPN 2.0 40.0 X 0 396380 74333 LYDIA JUMONVILLE SVP Finance & CFO - SCLHS 2.0 40.0 X X 0 621924 100635 RICK LOPES MD SVP Health Networks 2.0 40.0 X 0 937731 76326 BRUCE WARING MD DIRECTOR 2.0 0.0 X 0 0 0 BAIN FARRIS President & CEO 2.0 40.0 X X 0 619630 337249 BRADLEY LUDFORD VP & CFO 2.0 40.0 X X 0 198058 22587 MARY E SHEPLER VP & CNO 2.0 40.0 X 0 252245 60783 BARBARA A JAHN COO 40.0 0.0 X 0 317662 59218 ALWIN F STEINMANN MD Chief Academic Medicine 2.0 40.0 X 0 373236 73313 SHAWN P DUFFORD MD VP Medical Affairs & CMO 2.0 40.0 X 0 494914 49850 ROBERT GIBBONS MD Associate Program Director 40.0 0.0 X 331401 0 30838 CHRISTINE RUTH GIESING MD Physician-GME Faculty 40.0 0.0 X 226064 0 27774 G EDWARD KIMM JR MD Physician-GME Faculty 40.0 0.0 X 248156 0 28816 JOHN M BREEN MD Program Director-MD GME 40.0 0.0 X 370937 0 38377 MARSHALL R GOTTESFELD MD Physician-GME Faculty 40.0 0.0 X 246037 0 17192 Forest Buzz Binder VP & CFO 2.0 40.0 X 0 395428 37180 Everett Davis VP Facilities Development 2.0 40.0 X 0 219477 57880 William Gould VP Human Resources 2.0 40.0 X 0 203266 44691 John Moore MD Program Director - Physician 40.0 0.0 X 331717 0 37148 Rachel Gaffney MD Physician-GME Faculty 40.0 0.0 X 250870 0 28813 Deborah Davis-Merritt MD Associate Program Director 40.0 0.0 X 231040 0 29312 Aaron Calderon MD Associate Program Director 40.0 0.0 X 230422 0 32351 Julie Barone MD Physician 40.0 0.0 X 226177 0 0 2692821 8330981 1470644 179 false true true 0 0 6187578 1798018 0 7985596 NET PATIENT REVENUE 621500 465036087 464941053 95034 0 Education & Other 611600 9579370 9579370 0 0 Admin Misc Income 900003 606132 606132 0 0 475221589 8965749 8965749 0 0 4021114 4723028 -701914 0 -701914 -701914 12950 6582 6368 6368 6368 0 0 0 1329224 2780209 -1450985 -1450985 0 490026403 473675570 95034 8270203 1661719 1661719 0 0 0 0 0 5382259 4736388 645871 0 0 0 0 0 144071413 126813002 17258411 0 6591030 5801577 789453 0 16483604 14508965 1974639 0 9500624 8362478 1138146 0 2183559 1677935 505624 0 336667 0 336667 0 0 0 0 0 13018 0 13018 0 0 0 0 0 0 0 27766342 20616424 7149918 0 227032 0 227032 0 1163685 672384 491301 0 114831 4904 109927 0 0 0 0 0 7554299 5286325 2267974 0 332015 247973 84042 0 0 0 0 0 386351 288743 97608 0 0 0 0 0 0 0 0 0 40704053 28792500 11911553 0 4967188 0 4967188 0 MEDICAL SUPPLIES 85343522 85343522 0 0 SYSTEM OFFICE ALLOCATION 47538544 47538544 0 MEDICAID PROVIDER FEE 23504729 23504729 0 BAD DEBT EXPENSE 10418084 10418084 0 2135101 584023 1551078 438379669 339321675 99057994 0 0 3584937 6112927 1046041 457253 0 0 25052778 44907564 0 0 0 0 60000000 60000000 6232292 6331312 3387994 2106017 923002678 383536638 331823249 539466040 36700594 0 0 0 29345204 29345204 0 0 30710752 33053797 527883841 721780114 28440977 23238139 0 0 2873 0 0 0 0 0 0 0 0 0 0 0 54643140 202092153 83086990 225330292 X 444603517 496250253 193334 199569 0 0 444796851 496449822 527883841 721780114 X 51646734 6237 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 13018 13018 false SCHEDULE C, PART II-B, QUESTION 1I ST JOSEPH HOSPITAL INCURRED $13,018 IN LOBBYING EXPENDITURES. THIS INCLUDES PORTIONS OF VARIOUS MEMBERSHIP DUES THAT ARE DESIGNATED AS LOBBYING EXPENSE BY THOSE ORGANIZATIONS IN WHICH ST JOSEPH HOSPITAL IS A MEMBER. 23655571 23655571 180496721 97774549 82722172 51193317 20671302 30522015 305762034 265090787 40671247 361895035 361895035 539466040 0 Estimated Third Party Payer SE -2747807 Abestos Mitgation Liability 3266206 Notes Payable to SCLH 49079551 INTERCOMPANY RECEIVABLE 152424794 OTHER LIABILITIES 69409 202092153 true true X true X true X true true false true true 17211402 17211402 0.04020 53079116 47099162 5979954 0.01400 423582 516243 -92661 70714100 47615405 23098695 0.05420 1110383 1110383 0.00260 20680948 6793470 13887478 0.03240 12276141 4255680 8020461 0.01870 414096 414096 0.00100 409344 409344 0.00100 34890912 11049150 23841762 0.05570 105605012 58664555 46940457 0.10990 4080 4080 0.00000 42251 42251 0.00000 53948 53948 0.00000 10570 10570 0.00000 110849 110849 0.00000 true 2027276 0 131792349 134507330 -2714981 X true true 1 1 ST JOSEPH HOSPITAL 1835 FRANKLIN STREET DENVER CO 80218 WWW.EXEMPLA.ORG 010430 X X X X ST JOSEPH HOSPITAL 1 true X X X X X X X X 12 true true true X http://www.exemplasaintjoseph.org X X X X X X false false true true 200. true 400. true X X X true true X X true false X X X X true X false false FORM 990, SCHEDULE H, PART V, LINE 3 Facility Policies and Procedures THE CENTER FOR HEALTH ADMINISTRATION ("CHA") AT THE UNIVERSITY OF COLORADO DENVER WAS RETAINED TO CONDUCT DATA COLLECTION FOR THE 2012 COMMUNITY HEALTH NEEDS ASSESSMENTS ("CHNA") FOR THE EXEMPLA HEALTHCARE SYSTEM AND ITS MEMBER HOSPITAL FACILITIES PER INTERNAL REVENUE CODE REQUIREMENTS. CHA MET WITH REPRESENTATIVES OF THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ("CDPHE") TO GAIN AN UNDERSTANDING OF AVAILABLE VITAL EVENT AND HEALTH SURVEY DATA IN COLORADO. CDPHE PUBLISHES DATA ON SELECTED HEALTH INDICATORS THAT INCLUDES COUNTY, REGIONAL AND STATE LEVEL DATA ON A VARIETY OF HEALTH, ENVIRONMENTAL AND SOCIAL TOPICS. THESE DATA ARE USED IN COLORADO'S HEALTH ASSESSMENT AND PLANNING SYSTEM ("CHAPS"). CHAPS IS A STANDARD PROCESS CREATED TO HELP LOCAL PUBLIC HEALTH AGENCIES MEET ASSESSMENT AND PLANNING REQUIREMENTS. ACCORDING TO CDPHE, THESE INDICATORS ARE USEFUL FOR ANYONE WHO NEEDS COLORADO HEALTH DATA FOR A COMMUNITY HEALTH ASSESSMENT OR FOR OTHER RESEARCH PURPOSES. CHAPS FOCUSES ON THE INDICATORS SELECTED SPECIFICALLY TO FACILITATE STANDARDIZED HEALTH ASSESSMENT ACROSS ALL JURISDICTIONS IN COLORADO. THE INDICATORS ARE ORGANIZED ACCORDING TO A HEALTH EQUITY MODEL WHICH TAKES INTO ACCOUNT A WIDE RANGE OF FACTORS THAT INFLUENCE HEALTH. BASED ON THE DATA, REPORTS WERE CREATED FOR EACH INDIVIDUAL EXEMPLA HEALTHCARE HOSPITAL FACILITY. HOSPITAL FACILITIES INCLUDED: EXEMPLA GOOD SAMARITAN MEDICAL CENTER, LAFAYETTE, CO, EXEMPLA LUTHERAN MEDICAL CENTER, WHEATRIDGE, CO, AND EXEMPLA SAINT JOSEPH HOSPITAL, DENVER, CO. FORM 990, SCHEDULE H, PART V, LINE 4 THE THREE HOSPITALS THAT WORKED TOGETHER IN COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE EXEMPLA ST. JOSEPH HOSPITAL, DENVER, CO, EXEMPLA GOOD SAMARITAN MEDICAL CENTER, LAFAYETTE, CO AND EXEMPLA LUTHERAN MEDICAL CENTER, WHEATRIDGE, CO. FORM 990, SCHEDULE H, PART V, LINE 7 EXEMPLA SAINT JOSEPH HOSPITAL ("ESJH")VETTED THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") AND TOP HEALTH INDICATORS BY DETERMINING WHICH INDICATORS WERE BELOW THE COLORADO STATE AVERAGE FOR ITS SERVICE AREA. THE FOLLOWING INDICATORS WERE SELECTED: 1. ACCESS 2. OBESITY, NUTRITION AND PHYSICAL ACTIVITY 3. TOBACCO COMMUNITY PARTNERS BROUGHT TO THE TABLE FOR PLANNING INTERVENTIONS WERE DENVER HEALTH, KAISER PERMANENTE, HOSPITAL LEADERSHIP AND THE COMMUNITY RESOURCES FORUM. THE FORUM IS HOSTED BY ESJH AND MEETS QUARTERLY AND MEMBERS INCLUDE THOSE FROM ORGANIZATIONS REPRESENTING COMMUNITY AGENCIES, GOVERNMENTAL SERVICE PROGRAMS BUSINESS AND HEALTH CARE PARTNERS. THE REMAINDER OF THE NEEDS IDENTIFIED IN THE CHNA ARE IMPORTANT TO ESJH BUT DUE TO LIMITED EXPERTISE AT THE HOSPITAL AND THE AVAILABILITY OF COMMUNITY ORGANIZATIONS WHO ARE ALREADY ADDRESSING NEEDS, ESJH WILL COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ENSURE ALL NEEDS AND HEALTH INDICATORS ARE BEING ADDRESSED. FORM 990, SCHEDULE H, PART I, LINE 7G COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS THE ORGANIZATION DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. PART I, LINE 7G, COLUMN (F) BAD DEBT EXPENSE THE BAD DEBT EXPENSE INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $10,418,084. FORM 990, SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY THE COST TO CHARGE RATIO USED TO REPORT AMOUNTS IN FORM 990, SCHEDULE H, PART I, LINE 7 WERE DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES, THOSE THAT ENHANCE EXISTING EFFORTS OR FILL GAPS OF COMMUNITY NEED, INCLUDE PROGRAMS THAT SUPPORT THOSE IN THE COMMUNITY WHO ARE LIVING AT OR BELOW POVERTY. SAINT JOSEPH HOSPITAL ADMINISTRATIVE LEADERSHIP AND ITS EMPLOYEES PERFORMED CIVIC ACTIVITIES IN WHICH THE HEALTH OF THE COMMUNITY WAS ADVOCATED AS A PRIORITY BY THE HOSPITAL. IN 2013, ST. JOSEPH'S CEO PARTICIPATED IN THE DENVER CHAMBER OF COMMERCE TO INFLUENCE ISSUES IMPACTING THE COMMUNITY'S HEALTH AND SAFETY. COMMUNITY SUPPORT PROGRAMS INCLUDE AN ELEMENTARY SCHOOL READING PROGRAM, SUPPORT OF AN INNER-CITY HIGH SCHOOL, AND A DRIVE FOR LOCAL SCHOOLS TO PROVIDE CLOTHING, SCHOOL SUPPLIES AND FAMILY NECESSITIES. TO ASSURE COMMUNITY ACCESS TO FOOD, ST. JOSEPH'S PARTICIPATED IN A NORTHEAST DENVER FOOD ASSESSMENT AND HOSTED A FARMERS MARKET. ST. JOSEPH ALSO HOSTS AN ONGOING COMMUNITY RESOURCES FORUM FOR LOCAL COMMUNITY ORGANIZATIONS TO NETWORK AND LEVERAGE RESOURCES. FORM 990, SCHEUDLE H, PART III, LINE 1 THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE TO HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR THE REPORTING OF BAD DEBT. FORM 990, SCHEDULE H, PART III, LINE 2 THE ALLOWANCE FOR BAD DEBT IS BASED UPON THE ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT COST. THE COST TO CHARGE RATIO USED TO CALCULATE BAD DEBT AT COST WAS DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SHCEDULE H, PART III, LINE 4 THE ALLOWANCE FOR BAD DEBT IS BASED UPON THE ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE ORGANIZATIONS FINANCIAL STATEMENTS THAT DESCRIBE THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL COLLECTION EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCLUDES A RESERVE FOR BOTH UNINSURED PATIENTS AND BALANCE AFTER INSURANCE ACCOUNTS RECEIVABLE. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. FORM 990, SCHEDULE H, PART III, LINE 8 THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS. TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO. FORM 990, SCHEDULE H, PART III, LINE 9B AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WE MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST, AND TO ENSURE THAT WE MANAGE OUR RESOURCES SO THAT WE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION, DISCHARGE AND IN COMMUNICATION REGARDING PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. FORM 990, SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT AS PART OF OUR CORE VALUE OF RESPONSE TO NEED, SAINT JOSEPH HOSPITAL ("SJH") TAKES STEPS TO DETERMINE WHERE THERE IS THE MOST NEED IN ORDER TO PROVIDE THE GREATEST GOOD. SJH HAS REGULARLY PARTICIPATED IN NEEDS ASSESSMENTS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. FOR 2012, THE PROCESS INCLUDED TWO OTHER SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS) as HOSPITALS: EXEMPLA GOOD SAMARITAN MEDICAL CENTER, LAFAYETTE, CO AND EXEMPLA LUTHERAN MEDIAL CENTER, WHEATRIDGE. IN 2013, EACH HOSPITAL DEVELOPED A HOSPITAL IMPLEMENTATION PLAN TO ADDRESS TOP NEEDS, IDENTIFY PARTNERS, AND SET IN PLACE A PLAN OF ACTION TO IMPROVE THE HEALTH OF THEIR COMMUNITIES. THE MOST RECENT SURVEY WAS CONDUCTED IN 2012, AND OTHER SURVEYS WILL BE CONDUCTED ON A REGULAR BASIS. THE FINAL COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") FOR SJH WAS APPROVED BY THE SCL Health-FRONT RANGE, Inc. BOARD IN JUNE 2012. THE CHNA WAS MADE WIDELY AVAILABLE TO THE PUBLIC IN 2013 AFTER ALL COMMUNITY INPUT WAS OBTAINED. IT IS AVAILABLE ON THE SCLHS WEBSITE, MADE AVAILABLE TO THE PUBLIC UPON REQUEST, AND IS PROVIDED TO COMMUNITY ORGANIZATIONS WHO REQUEST FUNDING OR DONATIONS FROM THE HOSPITAL. THE SJH CHNA MIRRORS APPLICABLE PARTS OF THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT'S 2012 COLORADO'S 10 WINNABLE BATTLES WHICH IDENTIFIES KEY HEALTH ISSUES WHERE PROGRESS CAN BE MADE IN THE NEXT FIVE YEARS. THE HEALTH INDICATORS ARE AS FOLLOWS: OVERALL HEALTH STATUS; ACCESS; CANCER; DIABETES; HEART DISEASE AND CEREBROVASCULAR DISEASE; HIV/AIDS; COMMUNICABLE DISEASE; INJURY; MENTAL HEALTH; OBESITY, NUTRITION AND PHYSICAL ACTIVITY; ORAL HEALTH; SEXUAL HEALTH; SUBSTANCE ABUSE; AND TOBACCO. BY ALIGNING WITH THE CDPHE, THE SCL- HEALTH FRONT RANGE, INC. HOSPITALS JOIN FORCES WITH AN ALLY IN EFFORTS TO MAKE AN IMPACT ON IMPROVING THE HEALTH OF ITS HOSP true History Colorado 1200 Broadway DENVER CO 80218 846000482 501(C)(3) 100000 Donation - Philantrhopy Arrupe Corporate Work Study Program 4343 Utica St DENVER CO 80212 460508814 501(C)(3) 25500 Support for work study program HIGH SCHOOL St Joseph Foundation 1835 Franklin Street DENVER CO 80218 840735096 501(C)(3) 14000 Sponsorship - Inaugural Heritage Gala Denver Health Foundation 655 Broadway Suite 750 DENVER CO 80203 841085196 501(C)(3) 10000 Sponsorship - Night Shine Gala National Jewish Health 1400 Jackson Street S718 Denver CO 80206 742044547 501(C)(3) 10000 Sponsorship - Grand Court Ball Denver Metro Chamber Foundation 1445 Market Street Denver CO 80202 742489854 501(C)(3) 9000 Sponsorship - Lex Pittsburgh City and County of Denver 3815 Steele Street Denver CO 80205 453665680 501(C)(3) 5500 Community Neighborhood Grassroots Fund Denver Business Journal 1700 Broadway Suite 55 Denver CO 80218 431366184 501(C)(3) 7500 Sponsorship SAINT JOSEPH HOSPITAL FOUNDATION 1835 FRANKLIN STREET DENVER CO 80218 840735096 501(C)(3) 1417376 SUPPORT FOUNDATION 9 Procedures for monitoring the use of grants. The organization keeps records to support the amounts provided or reason for such support. Support is not considered grants, but rather miscellaneous donations and sponsorships. Eligibility for funding is determined on an individual basis, considering the use of the funds and how the use relates to the organizations mission. X true true false true false false false false false true false ROBERT LADENBURGER EVP Hosp Ops & Pres/CEO EHC 0 698525 0 583719 0 675201 0 139611 0 16740 0 2113796 0 656519 MICHAEL A SLUBOWSKI Chair; President and CEO - SCL 0 1024269 0 194400 0 124916 0 31443 0 18184 0 1393212 0 106099 STEVE COBB MD President EPN 0 324798 0 66967 0 4615 0 51349 0 22984 0 470713 0 0 LYDIA JUMONVILLE SVP Finance & CFO - SCLHS 0 524798 0 83282 0 13844 0 79573 0 21062 0 722559 0 0 RICK LOPES MD SVP Health Networks 0 552017 0 85014 0 300700 0 57152 0 19174 0 1014057 0 272379 BAIN FARRIS President & CEO 0 477226 0 124491 0 17913 0 320295 0 16954 0 956879 0 0 BRADLEY LUDFORD VP & CFO 0 145882 0 51542 0 634 0 9773 0 12814 0 220645 0 0 MARY E SHEPLER VP & CNO 0 203517 0 46182 0 2546 0 36894 0 23889 0 313028 0 0 BARBARA A JAHN COO 0 259016 0 56859 0 1787 0 44220 0 14998 0 376880 0 0 ALWIN F STEINMANN MD Chief Academic Medicine 0 299456 0 70326 0 3454 0 49425 0 23888 0 446549 0 0 SHAWN P DUFFORD MD VP Medical Affairs & CMO 0 400196 0 92636 0 2082 0 29280 0 20570 0 544764 0 0 ROBERT GIBBONS MD Associate Program Director 305302 0 12219 0 13880 0 18210 0 12628 0 362239 0 0 0 CHRISTINE RUTH GIESING MD Physician-GME Faculty 225130 0 0 0 934 0 17017 0 10757 0 253838 0 0 0 G EDWARD KIMM JR MD Physician-GME Faculty 246461 0 0 0 1695 0 16893 0 11923 0 276972 0 0 0 JOHN M BREEN MD Program Director-MD GME 281606 0 0 0 89331 0 18210 0 20167 0 409314 0 0 0 MARSHALL R GOTTESFELD MD Physician-GME Faculty 243868 0 1000 0 1169 0 17192 0 0 0 263229 0 0 0 Forest Buzz Binder VP & CFO 0 266050 0 27545 0 101833 0 18360 0 18820 0 432608 0 27500 Everett Davis VP Facilities Development 0 188442 0 23550 0 7485 0 34173 0 23707 0 277357 0 0 William Gould VP Human Resources 0 186963 0 13576 0 2727 0 23922 0 20769 0 247957 0 0 John Moore MD Program Director - Physician 315084 0 13050 0 3583 0 18210 0 18938 0 368865 0 0 0 Rachel Gaffney MD Physician-GME Faculty 248860 0 1000 0 1010 0 16185 0 12628 0 279683 0 0 0 Deborah Davis-Merritt MD Associate Program Director 228529 0 0 0 2511 0 16392 0 12920 0 260352 0 0 0 Aaron Calderon MD Associate Program Director 221640 0 0 0 8782 0 15835 0 16516 0 262773 0 0 0 Julie Barone MD Physician 225288 0 0 0 889 0 0 0 0 0 226177 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS UP PAYMENTS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM ALLOWS FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION AND TEMPORARY HOUSING. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS LISTED THAT WERE TAXED FOR 2013 WERE: RICHARD LOPES. FORM 990, SCHEDULE J, PART I, QUESTION 4B PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OTHER REPORTABLE COMPENSATION SHOWN IN SCHUEDLE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. ON ADVICE OF THE COUNSEL, SCLHS HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOT CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WILTHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PAN FOR TAXES IN 2013 WERE: FOREST BINDER- $8,794, ROBERT LADENBURGER- $209,955, RICHARD LOPES- $87,107 AND MICHAEL SLUBOWSKI- $33,930. IN ADDITION, VESTED AMOUNTS ARE PAYABLE UPON END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENTS W-2. THE AMOUNTS WITHDRAWN FORM THE PLAN IN 2013 WERE: NONE. FORM 990, SCHEDULE J, PART I, QUESTION 7 OTHER NON-FIXED PAYMENTS SCLHS HAS MANAGEMENT INCENTIVE PLANS WHICH ARE BASED ON A COMBINATION OF MEASURES. MANAGEMENT AND SENIOR LEADERSHIP ARE ELIGIBLE FOR THE INCENTIVE COMPENSATION. PERFORMANCE CATEGORIES ARE MADE UP OF A COMBINATION OF CLINICAL QUALITY MEASURES AND OPERATING INCOME. THE OPERATING INCOME CATERGORY IS GENERALLY RELATED TO THE NET EARNINGS OF THE CARE SITE IN WHICH THE INDIVIDUAL WORKS, OR IN THE CASE OF SCLHS SENIOR MANAGEMENT, THE NET EARNINGS OF SCLHS. FORM 990, SCHEDULE J, PART II COMPENSATION OF BOARD MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND THREE CLINICS (AFFILIATES) IN FOUR STATES INCLUDING ST. JOSEPH HOSPITAL. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. Form 990, Part III, LINE 4A-4D EXEMPT PURPOSE ACHIEVEMENTS ST JOSEPH HOSPITAL (SJH) IS OWNED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS) PROGRAM SERVICES FOR SJH INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: MEDICAL SERVICES PROVIDED TO ALL WHO SEEK SERVICE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES IS CRITICAL FOR THE OPERATION AND STABILITY OF SJH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. IN KEEPING WITH SJH'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE WILL BE CONSIDERED AND PROVIDED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY EXIST. IN ADDITION, SJH RECOGNIZES THE ESSENTIAL NEED TO BE EXCEPTIONAL STEWARDS OF MEDICARE, MEDICAID AND COMMUNITY/PRIVATE FUNDING DOLLARS. FOR 2013, SJH PROVIDED BENEFIT TO THE COMMUNITY AT A COST OF $47 MILLION, INCLUDING CHARITY CARE, UNREIMBURSED MEDICAID, OTHER SUBSIDIZED HEALTH SERVICES AND EDUCATION. SJH ALSO RECOGNIZES THE ESSENTIAL NEED TO ENHANCE AND IMPROVE MEDICAL OUTCOMES, QUALITY, AND SERVICES. IN RESPONSE, A BEST IN THE NATION STRATEGY AND PROGRAM WAS IMPLEMENTED. THE OBJECTIVES OF THE PROGRAM ARE TO BE THE BEST IN THE NATION ON PREDEFINED QUALITIES, SERVICE AND COST INDICATORS. THE QUALITY INDICATORS ARE IN ALIGNMENT WITH MAJOR PUBLICLY COMPARABLE DATABASES INCLUDING THE COLORADO HEALTH AND HOSPITAL ASSOCIATION AND CENTERS FOR MEDICARE AND MEDICAID SERVICES. CURRENTLY, THE PROGRAM IS IN THE TENTH YEAR OF THIS INITIATIVE. WITH ITS 565 LICENSED BEDS, SJH SERVED THE COMMUNITY WITH 18,353 INPATIENT ADMISSIONS, 162,797 OUTPATIENT VISITS AND 50,939 EMERGENCY ROOM VISITS. SERVICES -COMPREHENSIVE MEDICAL SERVICES INCLUDE, BUT ARE NOT LIMITED TO, CARDIOLOGY, ONCOLOGY, ORTHOPEDIC, WOMEN AND FAMILY, EMERGENCY, NEONATAL INTENSIVE CARE, NEUROLOGY, OB/GYN AND GENERAL SURGICAL AND MEDICAL. -SJH IS A LEADING HEART HOSPITAL IN DENVER PERFORMING APPROXIMATELY 450 OPEN-HEART SURGERIES ANNUALLY -SJH HAD 3,944 BIRTHS IN 2013. ALONG WITH NORMAL DELIVERIES, THE HOSPITAL ALSO CARES FOR CRITICALLY ILL NEWBORNS AND HIGH-RISK MOTHERS. -SJH IS AMONG THE TOP COLORADO HOSPITALS FOR NEWLY DIAGNOSED CANCER CASES. IN ORDER TO MEET THE SPECIAL NEEDS OF THESE PATIENTS, THE COMPREHENSIVE CANCER CENTER BRINGS TOGETHER IN ONE PLACE THE SJH BREAST CARE CENTER, CANCER PSYCHOSOCIAL SERVICES, MEDICAL AND SURGICAL ONCOLOGY, LABORATORY, RESEARCH DEPARTMENT, CANCER PHARMACY AND INFUSION CENTER. THIS MEANS THE PROFESSIONALS FROM ONCOLOGISTS TO LAB TECHNICIANS TO PSYCHOTHERAPISTS TO INFUSION SPECIALISTS, PHARMACIST AND RADIOLOGISTS HAVE ACCESS TO LEADING EDGE TECHNOLOGY AND CAN BETTER INTERACT WITH ONE ANOTHER TO PROVIDE FULLY COORDINATED CARE TO EACH OF OUR PATIENTS. -THE HIGHLY TRAINED PHYSICIANS, NURSES AND SUPPORT STAFF IN THE EMERGENCY DEPARTMENT TREAT MORE THAN 140 PATIENTS PER DAY FOR A WIDE RANGE OF EMERGENCY MEDICAL CONDITIONS. SJH'S STRONG COMMITMENT TO THE HEALTH OF THE COMMUNITY IS FURTHER EXEMPLIFIED, BUT NOT LIMITED TO, THE FOLLOWING PROGRAMS: -THE GRADUATE MEDICAL EDUCATION PROGRAM TRAINS 109 MEDICAL RESIDENTS EACH YEAR IN THE FIELDS OF FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY AND GENERAL SURGERY. IN 2010, THE INTERNAL MEDICINE PROGRAM RECEIVED THE HIGHEST LEVEL OF ACCREDITATION FOR FIVE YEARS BY THE AMERICAN COLLEGE OF GRADUATE MEDICAL EDUCATION. ALL FOUR PROGRAMS CONTINUE TO ENHANCE MEDICAL KNOWLEDGE THROUGH ADVANCED SCHOLARSHIPS INCLUDING OVER TWENTY PUBLISHED PAPERS AND SEVERAL NATIONAL PRESENTATIONS. -THE CARITAS CLINIC, SISTER JOANNA BRUNER FAMILY MEDICINE CENTER, AND SETON WOMEN'S CENTER PROVIDE A CONTINUUM OF CARE FROM PREVENTIVE THROUGH ACUTE CARE TO MEDICALLY UNDERSERVED INDIVIDUALS IN A PHYSICIAN OFFICE SETTING. THE THREE ON-CAMPUS CLINICS PROVIDE APPROXIMATELY 39,000 PATIENT VISITS EACH YEAR AND OFFER PAYMENT FOR SERVICES VIA A SLIDING FEE PROGRAM. NO PATIENT IS DENIED SERVICE DUE TO AN INABILITY TO PAY. -BOOT CAMP FOR NEW DADS IS AN INNOVATIVE PROGRAM DESIGNED TO BUILD CONFIDENCE AND PREPARE FIRST-TIME DADS FOR THE CHALLENGES OF PARENTHOOD. VETERAN DADS AND THEIR NEWBORNS ORIENT ROOKIE DADS AND SERVED 1,116 EXPECTANT FATHERS IN 2013. -THE BABY BOUTIQUE IS AN AWARD-WINNING INCENTIVE PROGRAM FOR EXPECTANT FAMILIES. BY FOLLOWING APPROPRIATE PRENATAL CARE AND REGULAR OFFICE VISIT SCHEDULES AND ATTENDING PRENATAL EDUCATIONAL CLASSES, EXPECTANT FAMILIES EARN COUPONS FOR NECESSARY BABY SUPPLIES, CLOTHES AND EQUIPMENT. IN 2013, 716 FAMILIES WERE SERVED, WITH MOST FAMILIES RETURNING REGULARLY TO THE BABY BOUTIQUE AS THE COURSE OF PREGNANCY PROCEEDED. INCIDENCE OF LOW BIRTH WEIGHT WAS LESS IN PARTICIPATING FAMILIES THAN IN NON-PARTICIPATING FAMILIES. -THE ST JOSEPH HOSPITAL FOUNDATION RAISES AND MANAGES FUNDS FOR THE BENEFIT OF THE HOSPITAL AND ITS COMMUNITY PROGRAMS. FUNDS RAISED BY THE FOUNDATION ENABLE THE HOSPITAL TO OFFER A VARIETY OF HEALTH CARE PROGRAMS TO THE COMMUNITY, PARTICULARLY THE MEDICALLY UNDERSERVED. -SJH MOBILE MAMMOGRAPHY, THROUGH SUPPORT FROM THE DENVER AFFILIATE OF THE KOMEN FOUNDATION, PROVIDES DIAGNOSTIC CARE FOR MEDICALLY UNDERSERVED, AT RISK WOMEN. INTRODUCED IN SEPTEMBER 2005, THE MOBILE MAMMOGRAPHY UNIT SERVES SOME 4,500 COLORADO WOMEN ANNUALLY. -THE WILLIAM V. GERVASINI MEMORIAL LIBRARY IS A HEALTH INFORMATION RESOURCE FOR PATIENTS, THEIR FAMILIES, AND THE COMMUNITY. THE LIBRARY COLLECTION FOCUSES ON UNDERSTANDABLE, OBJECTIVE INFORMATION ABOUT MEDICAL ISSUES AND CONDITIONS. MAILING SERVICES ARE AVAILABLE FOR THOSE WHO ARE UNABLE TO VISIT THE LIBRARY. -THE SCHOOL AT WORK PROGRAM, WHICH IS PART OF SJH'S WORKFORCE DEVELOPMENT INITIATIVE, OFFERS PROFESSIONAL DEVELOPMENT OPPORTUNITIES TO HIGH PERFORMING EMPLOYEES WHO WISH TO ENHANCE THEIR COMPUTER SKILLS AND HEALTH CARE KNOWLEDGE FOR ENTRY INTO HEALTH CARE CAREERS. THE STUDENTS TAKE CLASSES AT THE HOSPITAL FOR SEVERAL HOURS A WEEK FOR EIGHT MONTHS. THEY ARE PROVIDED WITH TEXT BOOKS AND MATERIALS AND ARE EXPECTED TO COMPLETE SEVERAL HOURS OF HOMEWORK ON-LINE. -THE WOMEN'S PAVILION OFFERS COMMUNITY HEALTH EDUCATION FOCUSED ON PRENATAL CARE, PARENTING AND WOMEN'S HEALTH. IN 2013, THE WOMEN'S PAVILION PROVIDED HEALTH EDUCATION TO OVER 5,249 WOMEN AND THEIR SPOUSES AND SUPPORT PERSONS. Form 990, Part V, Line 1a FORMs 1099 ALL FORMS 1099 ARE ISSUED BY SCL Health-Front Range, Inc., A RELATED TAX-EXEMPT ORGANIZATION. Form 990, Part VI, Line 6 Members or stockholders ST JOSEPH HOSPITAL HAS ONE MEMBER, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM. Form 990, Part VI, Line 7a Power to elect or appoint members SISTERS OF CHARITY LEAVENWORTH HEALTH SYSTEMS, THE SOLE MEMBER OF SAINT JOSEPH HOSPITAL APPOINTS MEMBERS OF THE SAINT JOSEPH HOSPITAL BOARD OF DIRECTORS. SAINT JOSEPH HOSPITAL IS MANAGED AND GOVERNED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM. Form 990, Part VI, Line 7b Decisions reserved to members or stockholders SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS) HAS CERTAIN POWERS TO APPROVE CHANGES TO THE BYLAWS REGARDING APPOINTMENT OF BOARD MEMBERS. SCLHS ALSO HAS EXTENSIVE RESERVE POWERS OVER ANY CHANGE IN MISSION, CHANGES TO THE ARTICLES OF INCORPORATION OR BYLAWS, ACQUISITION OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, AND APPOINTMENT OF AUDITORS. Form 990, Part VI, Line 12c Monitoring and enforcement of compliance with conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR EACH OF ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS, AS WELL AS HAVING EACH OF THESE INDIVIDUALS COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE LEGAL DEPARTMENT. WHEN A CONFLICT IS IDENTIFIED, THE LEGAL DEPARTMENT COMPILES ALL REPORTED CONFLICTS, AND EVALUATES THE DISCLOSURES FOR ACTUAL CONFLICTS. A REPORT IS PROVIDED TO ORGANIZATION'S PRESIDENT/CEO REGARDING EMPLOYEES AND OFFICERS, AND TO THE CHAIR OF THE BOARD AND CHAIR OF THE GOVERNANCE COMMITTEE REGARDING BOARD MEMBERS. THOSE WITH IDENTIFIED CONFLICTS OF INTEREST MUST RECUSE THEMSELVES FROM ANY MEETING DURING THE DISCUSSION AND VOTE THEREOF. Form 990, Part VI, Line 15 Process for determining compensation COMPENSATION FOR THE CEO IS PAID BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCHLS), A RELATED NON-PROFIT ORGANIZATION. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS PAID BY EITHER SCL Health-Front Range, Inc. OR SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, BOTH OF WHICH ARE RELATED NON-PROFIT ORGANIZATIONS. WHEN REVIEWING AND SETTING COMPENSATION FOR 'DISQUALIFIED PERSONS', SCL Health-Front Range, Inc.'S PROCESS INCLUDES: THE COMPENSATION COMMITTEE OF THE BOARD IS CHARGED WITH THE RESPONSIBILITY FOR SETTING THE OVERALL COMPENSATION PHILOSOPHY AND FOR EVALUATING THE TOTAL COMPENSATION PROGRAMS FOR DISQUALIFIED PERSONS. THE BOARD MEMBERS ARE INDEPENDENT MEMBERS AND IN THESE DISCUSSIONS THE CEO RECUSES HIMSELF FROM THE DISCUSSIONS AROUND HIS OWN COMPENSATION. THE COMMITTEE OBTAINS VALID, COMPARABLE MARKET DATA (FROM INDEPENDENTLY PUBLISHED SOURCES) FOR COMPARABLE POSITIONS AND FROM FORM 990 FILINGS. THIS COMMITTEE ENGAGES THE SERVICES OF AN INDEPENDENT EXPERT IN EXECUTIVE COMPENSATION TO REVIEW THE MARKET DATA AND PROVIDE AN OPINION AS TO THE REASONABLENESS OF THE TOTAL COMPENSATION PROGRAM. THE INPENDENT COMPENSATION CONSULTANT VALIDATES THE PROCESS USED BY MANAGEMENT FOR IDENTIFYING 'DISQUALIFIED PERSONS' AND THEN CONDUCTS A COMPARABILITY STUDY/ANALYSIS OF PAY AT SIMILAR TYPES AND SIZES OF ORGANIZATIONS AND REVIEWS BASE SALARY, INCENTIVE (OR OVER-BASE PROGRAMS), BENEFITS, RETIREMENT PLANS AND PERQUISITES. THE INDEPENDENT COMPENSATION CONSULTANT REVIEWS THE FINDINGS WITH THE BOARD COMMITTEE AND MINUTES ARE PREPARED AND SHARED WITH ALL THE VOTING BOARD MEMBERS EACH YEAR THAT DOCUMENTS THE DISCUSSION AND ANY ACTIONS THAT MAY HAVE BEEN TAKEN. A COPY OF A FORMAL OPINION LETTER PREPARED BY THE CONSULTANT FOLLOWING THE DISCUSSION WITH THE COMPENSATION COMMITTEE IS PROVIDED TO THE BOARD CHAIR AND SHARED WITH THE FULL BOARD. THIS PROCESS IS UNDERTAKEN EACH YEAR. SCLHS EMPLOYS THE EXECUTIVE TEAM AT EACH OF ITS HOSPITAL AFFILIATES, INCLUDING EXEMPLA. AS PART OF ITS ANNUAL REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF THOSE IN THESE POSITIONS: 1) COMPENSATION COMMITTEE, 2) INDEPENDENT COMPENSATION CONSULTANT, 3) WRITTEN EMPLOYMENT CONTRACTS, 4) COMPENSATION SURVEYS AND STUDIES, 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY AT THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS' EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED IN SIMILAR, NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS. Form 990, Part VI, Line 19 Process for making documents available to the public GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND RELATED DOCUMENTATION ARE PROVIDED UPON REQUEST AS DEEMED APPROPRIATE. Form 990, Part XI, Line 9 Other Change in Net Assets Change in contributions of temporarily restricted net assets - $6,237. 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