SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/form990 for instructions and the latest informtion.
OMB No. 1545-0047
2017
Open to Public Inspection
Name of the organization
SAINT JOSEPH HOSPITAL INC
 
Employer identification number

84-0417134
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    10,741,092 10,000,000 741,092 0.150 %
b Medicaid (from Worksheet 3, column a) . . . . .     98,545,269 70,050,443 28,494,826 5.690 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     268,114 185,897 82,217 0.020 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     109,554,475 80,236,340 29,318,135 5.860 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     1,267,990   1,267,990 0.250 %
f Health professions education (from Worksheet 5) . . .     31,249,767 13,397,419 17,852,348 3.570 %
g Subsidized health services (from Worksheet 6) . . . .     6,223,771 3,771,604 2,452,167 0.490 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     293,198 0 293,198 0.060 %
j Total. Other Benefits . .     39,034,726 17,169,023 21,865,703 4.370 %
k Total. Add lines 7d and 7j .     148,589,201 97,405,363 51,183,838 10.230 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2017
Schedule H (Form 990) 2017
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support     121,142 0 121,142 0.020 %
4 Environmental improvements     1,309,950 0 1,309,950 0.260 %
5 Leadership development and
training for community members
           
6 Coalition building     9,202 0 9,202 0 %
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total     1,440,294   1,440,294 0.280 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
8,744,514
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
160,330,456
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
180,816,110
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-20,485,654
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
11 ST JOSEPH EKG READER PANEL
 
EKG INTERPRETATION SERVICES 12.540 % 0 % 87.460 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2017
Schedule H (Form 990) 2017
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 SAINT JOSEPH HOSPITAL INC
1375 E 19TH AVENUE
DENVER,CO80218
WWW.SCLHEALTH.ORG/LOCATIONS/
LICENSE NUMBER 010430
X X   X     X      
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
SAINT JOSEPH HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SAINT JOSEPH HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
Page 6
Part VFacility Information (continued)

Billing and Collections
SAINT JOSEPH HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SAINT JOSEPH HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
SAINT JOSEPH HOSPITAL, INC. PART V, SECTION B, LINE 5: TWO SETS OF DATA WERE REVIEWED TO IDENTIFY TOP PRIORITIES FOR THE COMMUNITIES SERVED BY SAINT JOSEPH HOSPITAL. QUANTITATIVE DATA WAS OBTAINED FROM THE 2014 HEALTH OF DENVER REPORT AVAILABLE FROM THE CITY AND COUNTY OF DENVER. QUALITATIVE DATA WAS COLLECTED THROUGH AN ONLINE KEY INFORMANT SURVEY (OKIS) PERFORMED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). IN PREPARING THE FINAL ASSESSMENT, SAINT JOSEPH HOSPITAL COMMUNITY BENEFIT AND MISSION INTEGRATION STAFF MET ON SEVERAL OCCASIONS WITH PUBLIC HEALTH EXPERTS FROM DENVER PUBLIC HEALTH TO IDENTIFY EXISTING HEALTH NEEDS AMONG THOSE LIVING IN THE CITY AND COUNTY OF DENVER. AS A RESULT, SEVEN PRIORITY HEALTH NEEDS WERE IDENTIFIED BASED ON THE 2014 HEALTH OF DENVER REPORT. THESE INCLUDED ACCESS TO CARE, CHILDHOOD OBESITY, DIABETES, DENTAL HEALTH, MENTAL HEALTH, SUBSTANCE ABUSE, AND TOBACCO USE. AS PART OF THE OKIS PROCESS, EXPERTS FROM DENVER PUBLIC HEALTH CREATED A SERIES OF INFOGRAPHICS FOR EACH OF THESE PRIORITY AREAS. SURVEY RESPONDENTS WERE ASKED TO REVIEW THE INFOGRAPHICS PRIOR TO COMPLETION OF THE ELECTRONIC SURVEY. THIS WAS DESIGNED TO CAPTURE THE VOICES, THOUGHTS, AND HEALTHCARE EXPERIENCES OF COMMUNITY STAKEHOLDERS SERVING VULNERABLE POPULATIONS IN THE HOSPITAL'S PRIMARY SERVICE AREA. THESE INCLUDED DENVER PUBLIC HEALTH AND THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT. RESPONDENTS WERE ASKED TO RATE THE SCOPE AND SEVERITY OF EACH OF THE SEVEN PRIORITY AREAS. OPEN ENDED QUESTIONS ALLOWED RESPONDENTS TO PROVIDE DETAIL ON ANY OTHER HEALTH ISSUES OF IMPORTANCE BASED ON THEIR INDIVIDUAL AREAS OF EXPERTISE. UPON COMPLETION OF DATA COLLECTION, SAINT JOSEPH HOSPITAL (SJH) COMMISSIONED A TASK FORCE TO REVIEW THE DATA AND PARTICIPATE IN THE SELECTION OF TOP PRIORITIES TO BE ADDRESSED BY THE SJH AS PART OF THE 2016-2019 COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP). THE TASK FORCE WAS COMPRISED OF MEMBERS FROM DENVER PUBLIC HEALTH, COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, PRACTICING PROVIDERS FROM DENVER AREA SAFETY NET CLINICS, AND REPRESENTATIVES FROM ACROSS THE HOSPITAL INCLUDING SOCIAL WORK AND CASE MANAGEMENT, COMMUNITY BENEFIT, MISSION INTEGRATION, AND CLINICAL STAFF. AT THE CONCLUSION OF THE ASSESSMENT PROCESS, FOUR TOP PRIORITIES WERE SELECTED FOR INCLUSION IN THE 2016-2019 CHIP: ACCESS TO CARE, MENTAL HEALTH, TOBACCO USE, AND HEALTHY LIVING.
SAINT JOSEPH HOSPITAL, INC. PART V, SECTION B, LINE 6A: ALTHOUGH SAINT JOSEPH HOSPITAL CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT AS AN INDIVIDUAL HEALTHCARE ENTERPRISE, THE ASSESSMENT REPORT WAS THE RESULT OF COLLABORATION WITH DENVER HEALTH HOSPITAL IN IDENTIFYING THE TOP NEEDS TO BE ADDRESSED BY THE CITY AND COUNTY OF DENVER.
SAINT JOSEPH HOSPITAL, INC. PART V, SECTION B, LINE 6B: ORGANIZATIONS THAT PARTICIPATED WITH SAINT JOSEPH HOSPITAL FOR COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED DENVER PUBLIC HEALTH, INNER CITY HEALTH CENTER, COVENANT CARE AT HOME, HOME INSTEAD SENIOR CARE, BRUNER FAMILY MEDICINE, AND COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT.SAINT JOSEPH HOSPITAL, INC.:PART V, SECTION B, LINE 7A, HOSPITAL WEBSITE.WWW.SCLHEALTH.ORG/LOCATIONS/SAINT-JOSEPH-HOSPITAL/ABOUT/COMMUNITY-BENEFIT/SAINT JOSEPH HOSPITAL, INC.:PART V, SECTION B, LINE 10A, HOSPITAL WEBSITE.WWW.SCLHEALTH.ORG/LOCATIONS/SAINT-JOSEPH-HOSPITAL/ABOUT/COMMUNITY-BENEFIT/
SAINT JOSEPH HOSPITAL, INC. PART V, SECTION B, LINE 11: THROUGH THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SAINT JOSEPH HOSPITAL (SJH) IDENTIFIED THE FOLLOWING TOP HEALTH PRIORITIES FOR INCLUSION IN THE 2016 COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP): ACCESS TO CARE, MENTAL HEALTH, TOBACCO USE, AND HEALTHY LIVING. ACCESS TO CARETHE MILE HIGH HEALTH ALLIANCE (MHHA) IS A NOT-FOR-PROFIT COMMUNITY ORGANIZATION CREATED AS PART OF THE CITY AND COUNTY OF DENVER COMMUNITY HEALTH IMPROVEMENT PLAN. THE PURPOSE OF THE MHHA WAS TO BRING TOGETHER KEY STAKEHOLDERS IN THE CITY AND COUNTY OF DENVER TO ADDRESS TOP HEALTH ISSUES INCLUDING ACCESS TO PRIMARY AND SPECIALTY HEALTHCARE SERVICES AS WELL AS HIGH UTILIZERS OF HEALTHCARE IN THE DENVER METRO AREA. SJH HAS CONTINUED TO PROVIDE FINANCIAL SUPPORT AND HAS PARTICIPATED AS AN ACTIVE PARTNER IN ALL AREAS OF THE MHHA WORK. AS PART OF THE 2016-2019 SJH COMMUNITY HEALTH IMPLEMENTATION PLAN, SJH WILL CONTINUE TO TAKE AN ACTIVE ROLE IN THE WORK OF MHHA. IN 2017 MHHA AND SJH HAVE ESTABLISHED A SPECIALITY CARE HUB CURRENTLY REFERRING PATIENTS WITH OPTHOMOGLY NEEDS TO CARE PROVIDERS. IN ADDITION, SJH OPERATES THREE SAFETY NET CLINICS THAT PROVIDE HEALTHCARE SERVICES FOR UNINSURED AND UNDERINSURED PATIENTS, REGARDLESS OF THE ABILITY TO PAY. BRUNER FAMILY MEDICINE PROVIDES A RANGE OF PRIMARY CARE SERVICES TO PATIENTS OF ALL AGES. SETON WOMEN'S CLINIC PROVIDES OBSTETRIC AND GYNECOLOGIC SPECIALTY CARE. THE CARITAS CLINIC PROVIDES SERVICES FOR A BROAD RANGE OF MEDICAL NEEDS INCLUDING CHRONIC DISEASE MANAGEMENT AND ACUTE ILLNESS, AS WELL AS PREVENTION AND SCREENING SERVICES. THROUGH CARITAS CLINIC, PATIENTS ALSO HAVE ACCESS TO GENERAL SURGERY. 2017 SAW THE EXPANSION OF OUR LONG-STANDING PRENATAL CARE INCENTIVE PROGRAM TO INNER CITY HEALTH CENTER, A COMMUNITY PROVIDER SERVING UNINSURED INDIVIDUALS IN THE DENVER AREA. 35 PATIENTS WERE INITALLY ENROLLED WITH THE INTENT OF INCENTIVIZING HEALTHY ACTIVITES DURING THE PRENATAL PERIOD TO DECREASE PRE-TERM BIRTHS. MENTAL HEALTHTHROUGH A SERIES OF GRANTS BEGINNING IN 2016, THE SJH SAFETY NET CLINICS PROVIDE MENTAL HEALTH SERVICES THROUGH A GRANT-FUNDED LICENSED CLINICAL SOCIAL WORKER (LCSW). IN AN EFFORT TO ADDRESS THE MENTAL HEALTH NEEDS OF PATIENTS SERVED BY THE CLINICS, SJH IS ALSO PROVIDING LCSW VISITS FREE OF CHARGE TO PATIENTS BEYOND THE CURRENT GRANT. FOR 2017, A PARTNERSHIP WITH ROCKY MOUNTAIN CRISIS PARTNERS HAS CONNECTED MORE THAN 120 PATIENTS AT RISK FOR SUICIDE TO ADDITIONAL SERVICES WITH THE AIM OF PREVENTING SUICIDE. IN 2017 MENTAL HEALTH FIRST AID TRAINING WAS OFFERED BY SJH AT THE HOSPITAL AND TWO IDENTIFIED COMMUNITY LOCATIONS. MORE THAN 100 STAFF AND COMMUNITY MEMBERS WERE EQUIPPED TO RESPOND TO AN INDIVIDUAL EXPEREINCING A MENTAL HEALTH CRISIS.TOBACCO USETHE 2014 HEALTH OF DENVER REPORT SUGGESTED THAT APPROXIMATELY 1 IN 5 ADULTS IN THE CITY OF COUNTY OF DENVER USE TOBACCO AND THERE HAS BEEN LITTLE SUSTAINED SUCCESS IN REDUCING THIS RATE. THAT REPORT ALSO SUGGESTED THAT SMOKING PREVENTION IN CHILDREN AND ADOLESCENTS UNDER THE AGE OF 21 IS A POWERFUL TOOL IN PREVENTING THE ONSET OF TOBACCO USE. IN RESPONSE TO THESE FINDINGS, SJH UTILIZES THE ASK, ADVISE, REFER PROGRAM IN SCREENING ALL PATIENTS IN ITS' SAFETY NET CLINICS FOR TOBACCO USE, AND THE COLORADO QUIT LINE IS UTILIZED AS A SMOKING CESSATION RESOURCE AS APPROPRIATE. IN 2014, SJH FORMED A LEGAL PARTNERSHIP WITH NATIONAL JEWISH HEALTH (NJH). NJH IS A WORLD-RENOWNED PULMONARY CENTER LOCATED IN THE SJH PRIMARY SERVICE AREA. NJH HOSTS THE COLORADO QUIT LINE AND HAS SEVERAL PATIENT PROGRAMS AND SERVICES THAT SUPPORT TOBACCO CESSATION. THE 2016-2019 SJH COMMUNITY HEALTH IMPLEMENTATION PLAN INCLUDES CONTINUED PARTNERSHIPS WITH NJH TO BUILD STRONGER TOBACCO USE PREVENTION AND CESSATION PROGRAMS AND OUTREACH. ASK, ADVISE, REFER HAS BECOME HARDWIRED INTO THE SAFTETY NET CLINICS AT SJH AND 2017 SAW AN ASK RATE OF 90% OF ALL PATIENTS. 44% OF THOSE RECEIVED ADVICE ABOUT QUITTING TOBACCO OR WERE REFERRED TO QUIT RESOURCES.HEALTHY LIVINGIN PARTNERSHIP WITH METRO CARING (A NEIGHBORHOOD FOOD BANK), SJH DEVELOPED AN INTERVENTION IN 2016 TO MEET THE HUNGER NEEDS OF PATIENTS THROUGH OUR SAFETY NET CLINICS. IN 2017 FOOD INSECURITY SCREENING BEGAN RESULTING IN 18,090 PATIENTS BEING SCREENED. 1,292 PEOPLE WERE FOUND TO BE FOOD INSECURE AND 1,031 OF THOSE ENROLLED IN THE HUNGER FREE COLORADO PROGRAM. 31 PATEINTS WERE FOUND TO BE IN CRITICAL NEED AND THEIR FOOD NEEDS WERE MET THE SAME DAY BY METRO CARING. NEW INTERVENTIONS AND PROGRAMS BEGAN IN 2017 INCLUDING A COMMUNITY PARK ON THE SJH CAMPUS WHICH INCLUDES EXERCISE EQUIPMENT; A BASKETBALL COURT; AND COMMUNITY GARDENING BEDS. A COLLABORATION WITH MARION PLAZA AND DENVER URBAN GARDEN RESULTED IN SENIOR RESIDENTS OF A LOW-INCOME APARTMENT BUILDING TENDING GARDENS BUILT ON THE ADJACENT SJH CAMPUS AND SHARING THE FOOD AMONG RESIDENTS. THE SJH CAFETERIA BEGAN DONATING ITS FOOD SURPLUS TO SENIOR SUPPORT SERVICES TO HELP FEED HUNDREDS OF HOMELESS AND VULNERABLE SENIORS. OVER 4,000 LBS OF PREPARED FOOD HAS BEEN DONATED IN 2017.HEALTH PRIORITIES NOT ADDRESSED BY THE CURRENT CHIPSAINT JOSEPH HOSPITAL (SJH) RECOGNIZES THAT THE OTHER HEALTH NEEDS AND INDICATORS IDENTIFIED IN THE 2015 SJH COMMUNITY HEALTH NEEDS ASSESSMENT ARE IMPORTANT FOR THE HOSPITAL AND THE COMMUNITIES IT SERVES. NUMEROUS OTHER ORGANIZATIONS ARE CONCURRENTLY ADDRESSING MANY OF THESE REMAINING NEEDS. THEREFORE, DUE TO LIMITED EXPERTISE AND RESOURCES AT THE INDIVIDUAL HOSPITAL LEVEL SJH HAS NARROWED ITS TOP PRIORITIES TO THE FOUR LISTED ABOVE. SJH WILL, HOWEVER, CONTINUE TO BUILD PARTNERSHIPS WITH OTHER COMMUNITY AGENCIES IN OUR PRIMARY SERVICE AREA TO ENSURE THAT ALL NEEDS AND HEALTH INDICATORS ARE BEING ADDRESSED AS THE NEXT COMMUNITY HEALTH IMPLEMENTATION PLANNING PROCESS MOVES FORWARD.SAINT JOSEPH HOSPITAL, INC.:PART V, SECTION, B, LINE 16A, 16B, 16C:WWW.SCLHEALTH.ORG/LOCATIONS/SAINT-JOSEPH-HOSPITAL/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2017
Page 9
Schedule H (Form 990) 2017
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?9
Name and address Type of Facility (describe)
1 1 - SISTER JOANNA BRUNER FAM MED CTR
1960 OGDEN ST STE 460
DENVER,CO802183670
OUTPATIENT PHYSICIAN CLINIC
2 2 - SETON WOMEN'S CLINIC
1960 OGDEN ST STE 340
DENVER,CO802183669
OUTPATIENT PHYSICIAN CLINIC
3 3 - SAINT JOSEPH NEONATAL AND PERINATAL MED
1960 OGDEN ST STE 330
DENVER,CO802183669
OUTPATIENT PHYSICIAN CLINIC
4 4 - CARITAS INTERNAL MEDICINE
1960 OGDEN ST STE 400
DENVER,CO802183670
OUTPATIENT PHYSICIAN CLINIC
5 5 - SAINT JOSEPH HOSP CERT NURSE MIDWIVES
1960 OGDEN ST STE 320
DENVER,CO802183669
OUTPATIENT PHYSICIAN CLINIC
6 6 - COMPREHENSIVE CANCER CENTER AT SJD
1825 MARION ST
DENVER,CO802181122
OUTPATIENT PHYSICIAN CLINIC
7 7 - CARITAS SURGERY CLINIC
1960 OGDEN ST STE 400
DENVER,CO802183670
OUTPATIENT PHYSICIAN CLINIC
8 8 - COMPR CANCER CENTER AT SJD - SURG
1825 MARION ST
DENVER,CO802181122
OUTPATIENT PHYSICIAN CLINIC
9 9 - COMPR CANCER CENTER AT SJD - NORTON
1825 MARION ST
DENVER,CO802181122
OUTPATIENT PHYSICIAN CLINIC
10
Schedule H (Form 990) 2017
Page 10
Schedule H (Form 990) 2017
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 6A: THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.
PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 8,744,514.
PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIES ARE THOSE THAT IMPROVE THE HEALTH AND SAFETY OF COMMUNITY MEMBERS BY ADDRESSING THE ROOT CAUSES OF PROBLEMS (E.G. POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS). IN 2017 SJH DEEPENED SEVERAL PARTNERSHIPS INTENDED TO DIRECTLY ADDRESS THE HEALTH AND SAFETY NEEDS OF RESIDENTS IN THE CITY AND COUNTY OF DENVER. ONE EXAMPLE IS A STRENGTHENED PARTNERSHIP WITH METRO CARING, INC. THIS DENVER-BASED HUNGER PREVENTION PROGRAM MEETS THE FOOD NEEDS OF DENVER RESIDENTS WHILE CONCURRENTLY ADDRESSING THE ROOT CAUSES OF POVERTY AND HUNGER INCLUDING JOBLESSNESS, FINANCIAL LITERACY, SELF-SUFFICIENCY, AND COMMUNITY NAVIGATION FOR OTHER ESSENTIAL NEEDS FOR LIVING. OUR PARTNERSHIP INCLUDES CASH AND IN-KIND DONATIONS, AND INCORPORATES PLANNED VOLUNTEERISM AND PROGRAM DEVELOPMENT. IN ADDITION, OUR CONTRIBUTION TO THE EASTSIDE UNIFIED PROJECT AS PART OF THE NATIONAL BUILD HEALTH CHALLENGE FACILITATES CONNECTIONS BETWEEN ST. JOSEPH HOSPITAL, COMMUNITY AGENCIES, AND CITY AND COUNTY OF DENVER RESIDENTS IN BUILDING PROGRAMS SUPPORTING CHILD HEALTH AND READINESS FOR LEARNING IN DENVER'S LOWEST INCOME DEMOGRAPHICS. FINALLY, SJH PROVIDED SIGNIFICANT INVESTMENTS TOWARD ENVIRONMENTAL IMPROVEMENTS OF THE IMMEDIATE SERVICE AREAS SURROUNDING OUR FACILITY, WITH THE DEVELOPMENT OF TWO PUBLIC PARKS. THESE PARKS PROVIDE NEEDED OPEN RECREATIONAL SPACES WITHIN A DENSE URBAN AREA AND INVITE A GREATER SENSE OF COMMUNITY THROUGH A COMMUNITY GARDEN PROGRAM.PART III, LINE 1: THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH 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.
PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, 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.
PART III, LINE 4: THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, 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 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. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES 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 MODIFICATIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCLUDES A RESERVE FOR BOTH UNINSURED PATIENTS AND BALANCES DUE FROM PATIENTS AFTER INSURANCE.
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.
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. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR 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.
PART VI, LINE 2: IN ADDITION TO THE CHNA PROCESS, SJH PARTICIPATES IN COLLABORATIVE MEETINGS WITH LOCAL NON-PROFIT ORGANIZATIONS, SERVICE PROVIDERS AND GOVERNMENTAL AGENCIES TO ASSESS ANECDOTAL EVIDENCE, AND PROGRAM RESULTS AS A WAY TO APPLY NEW STRATEGIES. THE MILE HIGH HEALTH ALLIANCE IS AN IMPORTANT COLLABORATIVE RELATIONSHIP WHICH REGULARLY INCORPORATES ISSUE SPECIFIC DATA FOR PROGRAM DESIGN AND GRANT PURSUIT. FINALLY, SJH REVIEWS VARIOUS ANNUAL REPORTS FROM COMMUNITY PARTNERS TO ENHANCE KNOWLEDGE OF COMMUNITY NEEDS AND AVAILABLE RESOURCES THUS GUIDING OUR NEED FOR ACTION.
PART VI, LINE 3: THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. 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, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.
PART VI, LINE 4: SAINT JOSEPH HOSPITAL (SJH) IS ONE OF NINE HOSPITALS WITHIN THE SISTERS OF CHARITY LEAVENWORTH HEALTH SYSTEM (SCLHS). SJH IS AN ACUTE CARE FACILITY LOCATED IN UPTOWN DENVER, LESS THAN THREE MILES FROM THE DOWNTOWN BUSINESS DISTRICT. THROUGHOUT ITS 144 YEAR HISTORY, THE HOSPITAL HAS REMAINED COMMITTED TO THE CITY AND ITS RESIDENTS. IN 2014, THAT COMMITMENT CONTINUED AS THE DECISION WAS MADE TO BUILD A NEW STATE-OF-THE-ART HOSPITAL ON A LOCATION IMMEDIATELY ADJACENT TO THE OLD BUILDING. THIS ALLOWS SJH TO CONTINUE SERVING THOSE WHO LIVE AND WORK IN THE CITY AND COUNTY OF DENVER. TODAY THE SJH IS A MODERN, 365-BED HOSPITAL SPECIALIZING IN HEART AND VASCULAR CARE, CANCER TREATMENT, LABOR AND DELIVERY, RESPIRATORY HEALTH, ORTHOPEDICS, AND EMERGENCY CARE, AND THE NEW FACILITY REMAINS A STEADFAST COMMUNITY MEMBER IN THE HEART OF THE CITY AND COUNTY OF DENVER. SJH SERVES A BROAD PRIMARY SERVICE AREA ENCOMPASSING MULTIPLE COMMUNITIES ACROSS THE DENVER METROPOLITAN AREA. THE HOSPITAL'S CLOSE ALIGNMENT WITH KAISER PERMANENTE CONTRIBUTES TO IT HAVING A LARGE CATCHMENT AREA. THE ADDITION OF THE NATIONAL JEWISH HEALTH PARTNERSHIP FURTHER EXPANDS THE FOOTPRINT. IN 2016, SJH BECAME THE LARGEST PROVIDER OF INPATIENT CYSTIC FIBROSIS SERVICES IN THE UNITED STATES. THE PRIMARY SERVICE AREA IS DEFINED AS THE GEOGRAPHIC AREA OF CONTIGUOUS ZIP CODES FROM WHICH THE HOSPITAL DRAWS APPROXIMATELY 75% OF ITS INPATIENT DISCHARGES. THIS PRIMARY SERVICE AREA IS REPRESENTED BY 54 STANDARD ZIP CODES IN THE COUNTIES OF DENVER (25 ZIP CODES), ARAPAHOE (14 ZIP CODES), JEFFERSON (11 ZIP CODES) AND ADAMS (4 ZIP CODES). THE SECONDARY SERVICE AREA IS REPRESENTED BY 27 ZIP CODES AND EXTENDS ACROSS ADAMS, ARAPAHOE, BROOMFIELD, DENVER, DOUGLAS, GILPIN AND JEFFERSON COUNTIES. THE COMBINED PRIMARY AND SECONDARY SERVICE AREA IS BASED ON THE GEOGRAPHIC AREA OF CONTIGUOUS ZIP CODES FROM WHICH THE HOSPITAL DRAWS APPROXIMATELY 90% OF ITS INPATIENT DISCHARGES.SJH FULFILLS THE ROLE OF A TERTIARY REFERRAL CENTER FOR THE METROPOLITAN AREA. WITHIN ITS LARGE PRIMARY SERVICE AREA, SJH SERVES THE THIRD MOST PATIENT DISCHARGES AFTER UNIVERSITY HOSPITAL AND DENVER HEALTH HOSPITAL IN TREATING ABOUT 11% OF THE INPATIENTS ORIGINATING FROM THAT AREA. IN 2016, SJH ACHIEVED LEVEL 4 TRAUMA STATUS IN AN ATTEMPT TO BETTER SERVE THE ACUTE NEEDS OF OUR COMMUNITY. THE COMMUNITY FROM WHICH SJH TREATS THE HIGHEST CONCENTRATION OF PATIENTS INCLUDES CENTRAL DENVER, NORTHERN AURORA, COMMERCE CITY AND EASTERN LAKEWOOD. PATIENT ORIGIN FROM THESE COMMUNITIES COMPRISES 50% OF THE SJH INPATIENT DISCHARGES. SJH'S PRIMARY SERVICE AREA INCLUDES 13 ACUTE CARE HOSPITALS, INCLUDING SJH AND LUTHERAN MEDICAL CENTER. OF THE 13 HOSPITALS IN THE PRIMARY SERVICE AREA, 10 ARE MEMBERS OF ONE OF THE LOCAL HEALTH SYSTEMS, FOUR ARE AFFILIATES OF CENTURA HEALTH (NOT-FOR-PROFIT), FOUR ARE AFFILIATES OF HEALTHONE (FOR-PROFIT) AND TWO AREA AFFILIATES OF SCL HEALTH SYSTEM (NOT-FOR-PROFIT). ALSO INCLUDED IN THE SJH PRIMARY SERVICE AREA ARE NATIONAL JEWISH HEALTH (NOT-FOR-PROFIT) AND THE VETERAN'S ADMINISTRATION (VA) (GOVERNMENT-OWNED) HOSPITAL. DENVER HEALTH HOSPITAL (PUBLICLY-OWNED) ALSO SERVES AS THE AREA'S SAFETY NET HOSPITAL. IN THE SJH SECONDARY SERVICE AREA THERE ARE FIVE MORE HOSPITALS INCLUDING TWO CENTURA HEALTH FACILITIES (NOT-FOR-PROFIT), TWO HEALTHONE FACILITIES (FOR-PROFIT) AND ONE NOT-FOR-PROFIT INDEPENDENT HOSPITAL. ADDITIONALLY, THE UNIVERSITY OF COLORADO HOSPITAL (GOVERNMENT-OWNED) AND THE CHILDREN'S HOSPITAL COLORADO (NOT-FOR-PROFIT) BOTH HAVE A SIGNIFICANT PRESENCE IN THE SJH SERVICE AREA AND ARE LOCATED JUST OUTSIDE OF THE PRIMARY SERVICE AREA. FOR THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, SJH SELECTED THE CITY AND COUNTY OF DENVER AS THE DEFINED COMMUNITY IN ORDER TO FOCUS RESOURCES AND PLANNING ON THE MOST LOCAL GEOGRAPHIC AREA. THE CITY AND COUNTY OF DENVER IS THE SECOND SMALLEST COUNTY IN COLORADO WHEN CALCULATED BY TOTAL SQUARE MILES, BUT IS THE SECOND MOST POPULATED. THE CITY AND COUNTY OF DENVER ALSO HAS THE SECOND HIGHEST GROWTH RATE IN THE STATE. THE COMMUNITY SERVED BY SJH CONTAINS THE FOLLOWING DEMOGRAPHIC INFORMATION. THIS INFORMATION WAS UPDATED AS PART OF THE 2015 SJH COMMUNITY HEALTH NEEDS ASSESSMENT USING DATA FROM COUNTY HEALTH RANKINGS AND US CENSUS INFORMATION, AS WELL AS DATA FROM THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT AND DENVER PUBLIC HEALTH. DEMOGRAPHIC INFORMATIONPOPULATION AND GENDER ACCORDING TO THE 2014 US CENSUS DATA, THE ESTIMATED POPULATION OF THE CITY AND COUNTY OF DENVER IS 663,862, REPRESENTING A 10.6% CHANGE FROM 2010. THE RATIO OF MALES TO FEMALES IS EQUAL. PERSONS BETWEEN THE AGES OF 25 AND 34 COMPRISE THE LARGEST AGE GROUP FOLLOWED CLOSELY BY AGES 35 TO 44, AND CHILDREN BETWEEN THE AGES OF 0 AND 4 MAKE UP THE LARGEST POPULATION OF CHILDREN. RACE AND ETHNICITYTHE POPULATION IS PRIMARILY COMPRISED OF WHITES, HISPANIC/LATINOS, AND BLACKS/AFRICAN AMERICANS. ASIANS MAKE UP THE FOURTH LARGEST RACE/ETHNICITY GROUP. THE CITY AND COUNTY OF DENVER IS HOME TO 15.8% FOREIGN-BORN PERSONS AND NEARLY 30% OF HOUSEHOLDS REPORT A PRIMARY LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME. EDUCATIONNEARLY 86% OF PERSONS IN THE CITY AND COUNTY OF DENVER, HOLD A HIGH SCHOOL DIPLOMA/GED AND 44% OF PERSONS AGED 25 AND OVER HAVE EARNED A BACHELOR'S DEGREE. WHILE THE HIGH SCHOOL GRADUATE RATE IS SLIGHTLY LOWER THAN THE STATE AVERAGE, THE RATE OF COLLEGE GRADUATES IS NEARLY 10% HIGHER THAN THE STATE AVERAGE. INCOMETHE MEDIAN HOUSEHOLD INCOME IN 2014 WAS $51,800 AS COMPARED TO THE STATE AVERAGE OF $59,448. THE PERCENTAGE OF PERSONS LIVING IN POVERTY IN THE CITY AND COUNTY OF DENVER IS 18.7% COMPARED TO A 12% STATE AVERAGE. THE PERCENTAGE OF CHILDREN LIVING IN POVERTY IS NEARLY 60% HIGHER IN THE CITY AND COUNTY OF DENVER THAN THE STATE AVERAGE. HEALTH STATUSACCORDING TO COUNTY HEALTH RANKINGS COMPILED BY THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE AND THE ROBERT WOODS JOHNSON FOUNDATION, THE PERCENT OF PERSONS WITH POOR OR FAIR HEALTH IS 16% AS COMPARED TO THE STATE AVERAGE OF 13%. ADULT SMOKING AND EXCESSIVE DRINKING RATES ARE HIGHER THAN STATE AVERAGES, WHILE THE LEVEL OF PHYSICAL INACTIVITY IS SLIGHTLY LOWER. TEEN BIRTH RATES ARE 55% HIGHER IN THE COUNTY AS COMPARED TO THE STATE RATE; SEXUALLY TRANSMITTED DISEASE RATES ARE 48% HIGHER AT THE COUNTY LEVEL. ACCESS TO CAREIN THE CITY AND COUNTY OF DENVER, THE UNINSURED RATE IS 19% COMPARED TO THE STATE RATE OF 17%. THE PER CAPITA RATIO OF PRIMARY CARE PHYSICIANS IS 853:1 AS COMPARED TO 1262:1 AT THE STATE LEVEL. THE RATIO OF DENTISTS IS 1532:1 AT THE COUNTY LEVEL AND 1370:1 AT THE STATE LEVEL. ACCESS TO DIABETES MONITORING AND BREAST CANCER SCREENINGS IS SLIGHTLY HIGHER THAN THE STATE AVERAGE
PART VI, LINE 5: WITH ITS 400 LICENSED BEDS IN A NEW STATE OF THE ART FACILITY, SAINT JOSEPH HOSPITAL (SJH) IS POSITIONED TO SERVE THE LOCAL COMMUNITY BY PROVIDING COMPREHENSIVE MEDICAL SERVICES INCLUDING CARDIOLOGY, PULMONARY, ONCOLOGY, ORTHOPEDIC, WOMEN AND FAMILY, EMERGENCY AND TRAUMA, NEONATAL INTENSIVE CARE, NEUROLOGY AND NEUROSURGERY, OBSTETRICS/GYNECOLOGY, GENERAL SURGICAL AND MEDICAL, PRIMARY CARE, INTERNAL MEDICINE, BEHAVIORAL HEALTH, SENIOR EMERGENCY DEPARTMENT CARE, PALLIATIVE & HOSPICE CARE AND INTEGRATIVE HEALTH SERVICES.SJH EXTENDS CARE BEYOND THE HOSPITAL WALLS IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITY AS DEMONSTRATED BY COMMUNITY ACTIVITIES. SJH IS A CERTIFIED "BABY FRIENDLY HOSPITAL" IN COLORADO AS PART OF ITS ADOPTION OF STANDARDS THAT PROMOTE BREAST FEEDING. HOSPITALS THAT ACHIEVE THIS STATUS ARE HELPING MOTHERS AND BABIES TO GET A HEALTHY START IN LIFE AND REVERSE THE CHILDHOOD OBESITY EPIDEMIC PLAGUING COLORADO. BECAUSE OF THE HIGH RATE OF TEEN BIRTHS IN OUR COMMUNITY, WE CONTINUED OUR EXISTING TEEN MOM AND PARENTING SERVICES TO ENSURE THIS VULNERABLE POPULATION IS PROVIDED NECESSARY RESOURCES FOR A HEALTHY CHILD AND FAMILY UNIT. A RANGE OF OTHER PROGRAMS AND SERVICES COMPRISE THE REMAINDER OF THE TOTAL COMMUNITY BENEFIT PACKAGE FOR SJH HOSPITAL AS WELL. IN BETTER SERVING THE PHYSICAL AND MENTAL HEALTH NEEDS OF OUR LOW-INCOME AND UNINSURED PREGNANT WOMEN AND NEWLY DELIVERED MOTHERS, WE EXPANDED OUR PERINATAL SUPPORT PROGRAM TO A NON-AFFILIATED SAFETY NET CLINIC IN OUR LOCAL COMMUNITY, INNER CITY HEALTH CENTER, AND WE HAVE EXPANDED TO A SECOND NON-AFFILIATED SAFETY NET CLINIC IN 2017. THIS PERINATAL SUPPORT PROGRAM PROVIDES INCENTIVES FOR WOMEN TO PARTICIPATE IN PRENATAL HEALTH SCREENINGS AND PROVIDER VISITS, PERINATAL EDUCATION CLASSES, AND POST-PARTUM SCREENINGS INCLUDING RISK FOR POST-PARTUM DEPRESSION. THROUGH THE SJH COMMUNITY RESOURCE FORUM, WE BRING TOGETHER OTHER NON-PROFIT AND HUMAN SERVICE COMMUNITY AGENCIES TO SHARE INFORMATION AND EDUCATE AS A MEANS TO MAXIMIZE RESOURCES, BUILD COMMUNITY CAPACITY AND SUPPORT NEEDS IDENTIFIED ON OUR COMMUNITY HEALTH NEEDS ASSESSMENT THAT THE HOSPITAL CANNOT INDEPENDENTLY OR DIRECTLY ADDRESS. SJH IS THE OLDEST PRIVATE TEACHING HOSPITAL IN COLORADO AND HAS CONTINUED TO INVEST IN MEDICAL PROFESSIONAL TRAINING SINCE INCEPTION OF THE MEDICAL RESIDENCY PROGRAM IN 1893. CURRENTLY, SJH HAS FOUR MEDICAL RESIDENCY PROGRAMS - INTERNAL MEDICINE, FAMILY MEDICINE, OBSTETRICS & GYNECOLOGY, AND GENERAL SURGERY. IN ADDITION TO MEDICAL RESIDENCY, SJH TAKES AN ACTIVE ROLE IN THE CLINICAL TRAINING OF NURSES, ADVANCED PRACTICE NURSES, PHARMACISTS, AND RADIOLOGY TECHNICIANS. SJH PROVIDES FOCUSED OPERATIONAL AND STRATEGIC SUPPORT FOR BRUNER FAMILY MEDICINE, THE CARITAS CLINIC, AND SETON WOMEN'S CLINIC, AS WELL AS A CERTIFIED NURSE MIDWIFE CLINIC HOUSED WITHIN THE SETON WOMEN'S CLINIC. THESE CLINICS SERVE THE HEALTH NEEDS FOR LOW-INCOME AND UNINSURED POPULATIONS REGARDLESS OF THE ABILITY TO PAY. CLINIC PROVIDERS AND STAFF WORK CLOSELY TOGETHER TO PROVIDE INTEGRATED CARE FOR THOSE WHO VISIT THE HOSPITAL FACILITY OR THE OUTPATIENT CLINICS FOR THEIR HEALTH NEEDS. THE CLINICS ARE COMMITTED TO PROVIDING ACCESS TO COMPASSIONATE AND TRUSTWORTHY CARE FOR THE UNINSURED POOR. IN ADDITION TO PRIMARY CARE, OBSTETRIC AND GYNECOLOGIC CARE, AND GENERAL SURGERY, THE PACKAGE OF SERVICES INCLUDES FINANCIAL SUPPORT FOR SPECIALIST AND SUBSPECIALIST CARE, AND MEDICATION PURCHASE ASSISTANCE. BRUNER FAMILY MEDICINE IS CURRENTLY ACCREDITED AS A LEVEL 3 PATIENT CENTERED MEDICAL HOME AND PROVIDES PATIENTS WITH ACCESS TO PROGRAMS FOR DIABETES, MENTAL HEALTH, CANCER SCREENING AND TOBACCO CESSATION. SJH IS AN IMPORTANT COMPONENT OF THE CITY AND COUNTY OF DENVER AND SERVES THE COMMUNITY IN NUMEROUS WAYS, FROM DELIVERING PREVENTATIVE CARE, DISEASE MANAGEMENT, AND ACUTE HEALTHCARE SERVICES TO SUPPORT OF OTHER CIVIC GROUPS. OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, ALL OF WHOM PROVIDE HOURS OF SERVICE IN SUPPORT OF THE WORK OF THE HOSPITAL. BOARD MEMBERS ARE ALSO INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT THOSE WHO LIVE AND WORK IN THE CITY AND COUNTY OF DENVER KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH SJH AND ITS SAFETY NET CLINICS. WHEN SJH HAS EXCESS REVENUE OVER OPERATING EXPENSES, THE FUNDS ARE USED TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE SJH WILL BE SUSTAINED AND AVAILABLE TO PROVIDE CARE TO THE COMMUNITY FOR FUTURE GENERATIONS. IN ADDITION, SJH SUPPORTS ASSOCIATES (EMPLOYEES) IN VOLUNTEERING FOR COMMUNITY ORGANIZATIONS, INCLUDING SERVING ON COMMUNITY BOARDS, AND PROVIDES OPPORTUNITIES FOR THEM TO SUPPORT CAUSES THROUGH HOSPITAL EVENTS SUCH AS FOOD DRIVES FOR LOCAL FOOD BANKS, SCHOOL SUPPLY DRIVES FOR LOCAL SCHOOLS, THE AMERICAN HEART WALK AND KOMEN RACE FOR THE CURE. SJH LEADERS AND ASSOCIATES (EMPLOYEES) STRIVE TO BE GOOD CITIZENS AND PARTNER WITH OTHER ORGANIZATIONS AND AGENCIES TO SUPPORT A THRIVING COMMUNITY THROUGH OUR MEMBERSHIPS WITH THE DENVER CHAMBER OF COMMERCE, THE MILE HIGH HEALTH ALLIANCE, CAPITOL HILL UNITED NEIGHBORHOODS, INC. AND CAPITOL UNITED MINISTRIES.
PART VI, LINE 6: THE ORGANIZATION IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITY, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES NINE HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 210 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 16,000 FULL-TIME ASSOCIATES AND MORE THAN 600 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION, REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, TAX SERVICES AND MISSION INTEGRATION.
Schedule H (Form 990) 2017
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