PART I, LINE 6A:
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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.
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PART I, LINE 7:
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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.
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PART I, LINE 7, COLUMN (F):
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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.
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PART II, COMMUNITY BUILDING ACTIVITIES:
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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.
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PART III, LINE 2:
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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.
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PART III, LINE 4:
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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.
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PART III, LINE 8:
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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.
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PART III, LINE 9B:
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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.
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PART VI, LINE 2:
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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.
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PART VI, LINE 3:
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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.
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PART VI, LINE 4:
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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
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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.
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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.
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