Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| PART III, LINE 4A-4D | SAINT JOSEPH HOSPITAL, INC.,(SJH) WAS FOUNDED IN 1873 BY THE SISTERS OF CHARITY OF LEAVENWORTH, MAKING IT THE FIRST PRIVATE HOSPITAL IN COLORADO. TODAY, SJH SERVES THE DENVER AREA THROUGH MORE THAN 93,000 PATIENT ENCOUNTERS EACH YEAR AND IS ONE OF COLORADO'S BUSIEST NONPROFIT HOSPITALS, THE LARGEST PRIVATE MULTI-DISCIPLINARY TEACHING HOSPITAL IN THE STATE AND BOASTS SOME OF THE HIGHEST RATINGS FOR SAFETY AND CLINICAL QUALITY IN THE ROCKY MOUNTAIN REGION. SJH WAS NAMED AMONG THE TOP 2% OF HOSPITALS IN THE NATION FOR OVERALL CLINICAL EXCELLENCE BY HEALTHGRADES IN 2015. BY WORKING CLOSELY WITH TOP PHYSICIANS AND MEDICAL SPECIALISTS, KAISER PERMANENTE, CHILDREN'S HOSPITAL COLORADO AND NATIONAL JEWISH HEALTH (THE LEADING RESPIRATORY HOSPITAL IN THE NATION), SJH IS ABLE TO PROVIDE THE BEST INPATIENT CARE IN COLORADO. SERVICES ADVANCED HEART & VASCULAR CARE SJH IS ONE OF THE OLDEST AND MOST RESPECTED HOSPITALS IN THE STATE WHEN IT COMES TO HEART AND CARDIOVASCULAR CARE AND WAS RANKED IN THE TOP 1% NATIONALLY BY THE SOCIETY OF THORACIC SURGEONS. IN FACT, FOR THE PAST 30 YEARS, SAINT JOSEPH HOSPITAL, INC. HAS TREATED MORE THAN 20,000 HEART PATIENTS AND HAS PERFORMED MORE HEART SURGERIES THAN ANY OTHER HOSPITAL IN COLORADO - MAKING SJH ONE OF THE MOST EXPERIENCED HEART AND VASCULAR PROGRAMS IN THE ENTIRE ROCKY MOUNTAIN REGION. CENTER FOR WOMEN & INFANTS AS COLORADO'S TOP BABY HOSPITAL FOR MORE THAN A CENTURY, SJH COMBINES EXPERIENCE AND EXPERTISE WITH MODERN AMENITIES TO ENSURE A SAFE AND COMFORTABLE CHILDBIRTH EXPERIENCE FOR BOTH MOM AND BABY. FEATURING THE NEWEST AND MOST STATE-OF-THE-ART LABOR AND DELIVERY SUITES IN COLORADO, SJH COMBINES CONTEMPORARY SERVICES WITH THE UNRIVALED SKILL AND EXPERIENCE OF DENVER'S LEADING LABOR AND DELIVERY PROVIDERS. SJH OFFERS A FULL RANGE OF BIRTHING OPTIONS FOR MOTHERS SEEKING PERSONALIZED, HIGH-QUALITY CARE. FROM LOW-TO HIGH-RISK PREGNANCY, SJH CAN ADDRESS ANY NEED WITH CARE OPTIONS THAT INCLUDE: * PERSONALIZED MIDWIFE CARE FROM CERTIFIED NURSE-MIDWIVES * LEADING OBSTETRICAL CARE FROM OB/GYN PHYSICIANS * HIGH-RISK PREGNANCY MANAGEMENT FROM MATERNAL-FETAL MEDICINE SPECIALISTS AND ONE OF THE LARGEST AND MOST FAMILY-CENTERED NEONATAL INTENSIVE CARE UNITS IN DENVER. BIRTHING AND BABY CLASSES AT ST. JOE'S ARE DESIGNED TO HELP PARENTS OF ALL BACKGROUNDS PREPARE FOR HEALTHY AND SUCCESSFUL CHILDBIRTH AND PARENTING. CLASSES : * ARE OFFERED IN A VARIETY OF FORMATS FOR BUSY, WORKING PARENTS-TO-BE * PROVIDE QUALITY, UP-TO-DATE INFORMATION ABOUT PREGNANCY, BIRTH AND BABY CARE * PROVIDE USEFUL INFORMATION ABOUT EPIDURALS AND OTHER FREQUENTLY USED MEDICATIONS * HELP EXPECTANT PARENTS TO CONNECT WITH OTHERS -OFTEN RESULTING IN LASTING FRIENDSHIPS CANCER CENTERS OF COLORADO AT SAINT JOSEPH HOSPITAL,INC., CANCER CENTERS OF COLORADO, WE OFFER COMPREHENSIVE CARE AND SUPPORT TO PATIENTS WHO HAVE BEEN DIAGNOSED WITH CANCER OR A BLOOD DISORDER. AS COLORADO'S ONLY ACCREDITED ACADEMIC COMPREHENSIVE CANCER PROGRAM, SJH, CANCER CENTERS OF COLORADO PROVIDES THE SAME HIGH QUALITY CARE, TECHNOLOGY AND CANCER RESEARCH THAT CAN BE FOUND AT A NATIONAL CANCER INSTITUTE. YET, AS PART OF A FAITH-BASED, MISSION-DRIVEN HEALTHCARE ORGANIZATION, CANCER CENTERS OF COLORADO ALSO PUTS PATIENTS FIRST IN A WAY THAT ALLOWS OUR TEAM TO HELP CARE FOR THE BODY, MIND AND SPIRIT OF OUR PATIENTS. OUR RESEARCH DEPARTMENT OFFERS INNOVATIVE STUDIES THAT TARGET OUR PATIENT POPULATION. WE PROVIDE MEDICATIONS THAT HELP TO COPE WITH SIDE EFFECTS OF CHEMOTHERAPY. OUR TEAM USES SOPHISTICATED RADIATION TREATMENT INCLUDING STEREOTACTIC BODY RADIATION THERAPY (SBRT), INTENSITY MODULATED RADIATION THERAPY (IMRT), STEREOTACTIC RADIOSURGERY (SRS) AND IMAGE GUIDED RADIATION THERAPY. WHEN COMBINED, THESE THERAPIES PROVIDE A PRECISE AND EFFECTIVE DOSE OF RADIATION TREATMENT. OUR MULTI-DISCIPLINARY TEAM OF FELLOWSHIP TRAINED MEDICAL, SURGICAL AND RADIATION ONCOLOGISTS, RADIOLOGISTS, ALONG WITH CERTIFIED ONCOLOGY NURSES, CERTIFIED NURSE NAVIGATORS, MAMMOGRAPHERS, SONOGRAPHERS, RADIATION THERAPISTS, PSYCHOLOGISTS, NUTRITIONISTS AND OTHER SUPPORT STAFF OFFERS COHESIVE AND STREAMLINED SERVICES THAT PROVIDE THE HIGHEST QUALITY OF COMPREHENSIVE AND COMPASSIONATE CARE. NATIONAL JEWISH HEALTH | SAINT JOSEPH HOSPITAL SAINT JOSEPH HOSPITAL, INC. (SJH) AND NATIONAL JEWISH HEALTH AND HAVE FORMED A JOINT OPERATING AGREEMENT TO PROVIDE INPATIENT AND OUTPATIENT CARE TOGETHER IN COLORADO. THIS COLLABORATIVE CARE MODEL BRINGS TOGETHER TWO LEADING HEALTH CARE ORGANIZATIONS WITH COMPLEMENTARY CULTURES, MISSIONS AND DEDICATION TO EXCELLENCE TO FOCUS TOGETHER ON PROVIDING THE BEST CARE POSSIBLE. THE STRONG OUTPATIENT APPROACH AND SPECIALTY EXPERTISE OF NATIONAL JEWISH HEALTH COMPLEMENTS THE FOCUSED INPATIENT EXPERTISE OF SJH, INCREASING OUR ABILITY TO MANAGE PATIENTS ALONG THE FULL CONTINUUM OF CARE. PATIENT CARE WORKING TOGETHER, WE ARE CREATING A STRONGER AND MORE COORDINATED MODEL OF CARE THAT BENEFITS PATIENTS, CAREGIVERS AND THE COMMUNITY. WE ARE EXPANDING RESOURCES AVAILABLE TO OUR PATIENTS AND CAREGIVERS WHILE DELIVERING THE HIGHEST VALUE IN HEALTH CARE AND A GREAT PATIENT EXPERIENCE. RESEARCH BOTH NATIONAL JEWISH HEALTH AND SAINT JOSEPH HOSPITAL, INC., VALUE THE PROFOUND IMPACT RESEARCH HAS ON THE UNDERSTANDING AND TREATMENT OF HUMAN DISEASE. OUR CARE PARTNERSHIP PLACES A PRIORITY ON FUNDING THE RESEARCH CONDUCTED AT NATIONAL JEWISH HEALTH AND EXPANDING THE INVOLVEMENT OF BOTH ORGANIZATIONS IN CLINICAL RESEARCH. EDUCATION BOTH NATIONAL JEWISH HEALTH AND SAINT JOSEPH HOSPITAL, INC., HAVE OUTSTANDING AND COMPLEMENTARY TEACHING PROGRAMS. TOGETHER, WE WILL MAXIMIZE THE CAPABILITIES OF BOTH INSTITUTIONS TO FOSTER COLLABORATION AND EXCELLENCE IN THE TEACHING AREA. COMMUNITY CLINICS A PART OF OUR MISSION, SJH PROVIDES HIGH QUALITY, PERSON-CENTERED CARE TO EVERYONE IN OUR COMMUNITY REGARDLESS OF AGE, GENDER, CLINICAL NEED OR ABILITY TO PAY. FROM TREATING ACUTE ILLNESSES TO SUPPORTING EXPECTING MOMS THROUGH THEIR DELIVERY, THE COMMUNITY CLINICS AT SJH SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY AND HONOR THE VALUES THAT HAVE MADE SJH ONE OF DENVER'S FINEST HOSPITALS FOR MORE THAN 140 YEARS. THE SAINT JOSEPH HOSPITAL, INC. COMMUNITY CLINICS PROVIDE A SLIDING FEE SCHEDULE FOR UNINSURED AND UNDERINSURED PATIENTS. PATIENTS ARE GIVEN THE OPPORTUNITY TO DISCUSS THEIR FINANCIAL SITUATION PRIVATELY WITH A FINANCIAL COUNSELOR WHO DETERMINES THEIR FEES ACCORDING TO FEDERAL POVERTY GUIDELINES. NO PATIENT IS EVER DENIED SERVICES DUE TO THE INABILITY TO PAY. THE CLINIC PARTICIPATES IN COLORADO ACCESS, THE STATE OF COLORADO MEDICAID PROGRAM, AS WELL AS MEDICARE, SECURE HORIZONS, AND OTHER MEDICARE ADVANTAGE INSURANCE PLANS. THE SAINT JOSEPH HOSPITAL, INC., COMMUNITY CLINICS ARE COMPRISED OF: * SR. JOANNA BRUNER FAMILY MEDICINE IS A FAMILY MEDICINE PRACTICE THAT HAS BEEN RECOGNIZED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE AS A LEVEL III PATIENT CENTERED MEDICAL HOME. BRUNER SERVES ABOUT 7,000 PATIENTS EACH YEAR WITH MORE THAN 22,000 VISITS. THE CLINIC IS STAFFED BY MORE THAN 25 RESIDENT PHYSICIANS, 12 FACULTY PHYSICIANS, AND VARIOUS MEDICAL ASSISTANTS AND STAFF. * CARITAS CLINIC PROVIDES INTERNAL MEDICINE AND GENERAL SURGERY SPECIALTY CARE, INCLUDING DISEASE PREVENTION AND MANAGEMENT, SURGICAL CONSULTATION, AND POST-OPERATIVE FOLLOW-UP. CARITAS SERVES MORE THAN 2,500 PATIENTS ANNUALLY AND 10,000 VISITS. THE CLINIC IS STAFFED BY 27 INTERNAL MEDICINE RESIDENT PHYSICIANS, 20 SURGICAL MEDICINE RESIDENTS, MORE THAN 10 FACULTY PHYSICIANS IN BOTH PROGRAMS AND VARIOUS MEDICAL ASSISTANTS AND STAFF. * THE SETON WOMEN'S CENTER PROVIDES A BROAD SPECTRUM OF OBSTETRICAL AND GYNECOLOGICAL CARE AND SETON RESIDENT AND FACULTY PHYSICIANS DELIVER APPROXIMATELY 650 BABIES EACH YEAR. THE CLINIC SEES ABOUT 2,200 PATIENTS AND 8,000 VISITS EACH YEAR. THE CLINIC IS STAFFED BY 20 RESIDENT PHYSICIANS, 7 FACULTY PHYSICIANS, MEDICAL ASSISTANTS AND OTHER STAFF. |
| PART III, LINE 4A-4D CONT'D | CERTIFIED NURSE-MIDWIVES IN DENVER SJH'S CERTIFIED NURSE-MIDWIVES OFFER PERSONALIZED CARE, OUTSTANDING OUTCOMES AND A WIDE RANGE OF PREGNANCY CARE AND BIRTH OPTIONS FOR EXPECTING FAMILIES. NURSE-MIDWIVES AT SJH SUPPORT AND CARE FOR MOTHERS, THEIR PARTNERS AND FAMILIES, FROM THE EARLY STAGES OF PREGNANCY THROUGH LABOR AND DELIVERY AND INTO THE FIRST PHASE OF POST-PARTUM CARE. THE CERTIFIED NURSE-MIDWIFE CLINIC PROVIDES A "CUSTOMIZED BIRTH PLAN AND SUPPORTS A MOTHER'S CHOICES WHEN IT COMES TO CHILDBIRTH. OUR PHILOSOPHY OF CARE FOCUSES ON EDUCATION AND SUPPORT THAT EMPOWERS WOMEN. NURSE-MIDWIVES DO NOT MAKE DECISIONS FOR WOMEN BUT ARE THERE TO PROVIDE THE RIGHT SUPPORT AND INFORMATION SO MOTHERS CAN MAKE THEIR OWN INFORMED CHOICES ABOUT THE CARE THEY RECEIVE BEFORE, DURING AND AFTER, PREGNANCY AND LABOR. EMERGENCY CARE IN DENVER WHEN A MEDICAL EMERGENCY OR UNEXPECTED ILLNESS OCCURS, THE EMERGENCY CARE PROVIDERS AT SJH ARE HERE TO HELP WITH ROUND-THE-CLOCK EMERGENCY CARE FOR INDIVIDUALS AND FAMILIES THROUGHOUT DENVER. AS A NATIONALLY ACCREDITED CHEST PAIN CENTER AND A CERTIFIED PRIMARY STROKE CENTER, EMERGENCY CARE AT SJH IN DENVER INCLUDES: * 24-HOUR EMERGENCY CARE AVAILABLE 365 DAYS A YEAR * BOARD CERTIFIED PHYSICIANS AND EMERGENCY TRAINED NURSES * DEDICATED MEDICAL IMAGING AND DIAGNOSTIC SERVICES * CUSTOMIZED CARE FOR PATIENTS AGES 65 AND OLDER DELIVERED THROUGH A DEVOTED SENIOR EMERGENCY DEPARTMENT MEDICAL IMAGING THE MEDICAL IMAGING DEPARTMENT AT SJH PROVIDES SOME OF THE HIGHEST QUALITY MEDICAL IMAGING AND RADIOLOGY SERVICES IN THE DENVER AREA. SJH'S EXPERIENCED RADIOLOGISTS, SKILLED NURSES, AND CARING STAFF ARE DEDICATED TO TREATING EACH PATIENT WITH COURTESY AND RESPECT IN A SAFE AND FRIENDLY ENVIRONMENT. SEVERAL RADIOLOGY SERVICES OFFERED AT SJH HAVE BEEN NATIONALLY ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR) BECAUSE THEY MEET OR EXCEED THE HIGHEST STANDARDS IN PATIENT CARE, SAFETY AND OUTCOMES. OUR PROGRAM IS ACCREDITED IN: * BREAST MRI * BREAST ULTRASOUND * MAMMOGRAPHY * NUCLEAR MEDICINE * ULTRASOUND SAINT JOSEPH HOSPITAL, INC., IS ALSO AN ACCREDITED BREAST IMAGING CENTER OF EXCELLENCE BY ACHIEVING ACR ACCREDITATION IN ALL BREAST IMAGING MODALITIES. DURING 2015, SAINT JOSEPH HOSPITAL, INC., HAD THE FOLLOWING RESULTS; 18,600 ADMISSIONS 203,618 OUTPATIENT VISITS - INCLUDING CLINICAL AND HOME HEALTH 53,545 EMERGENCY DEPARTMENT VISITS 4,450 BIRTHS 13,462 SURGERIES 876,142 LAB TESTS SAINT JOSEPH HOSPITAL, INC., CAN BE FOUND ONLINE AT WWW.SAINTJOSEPHDENVER.ORG |
| FORM 990, PART V, LINE 1A | EXPLANATION FOR NUMBER REPORTED IN BOX 3 OF FORM 1096. A RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. |
| FORM 990, PART V, LINE 2A | EXPLANATION FOR NUMBER REPORTED ON FORM W-3. A RELATED ORGANIZATION IS THE COMMON PAYMASTER FOR PAYROLL AND IS RESPONSIBLE FOR FILING THE REQUIRED FORM W-3 AND RELATED FORM W-2 FOR SAINT JOSEPH HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF THE SAINT JOSEPH HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | POWER TO ELECT OR APPOINT MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF THE SAINT JOSEPH HOSPITAL, INC., APPOINTS MEMBERS OF THE SAINT JOSEPH HOSPITAL, INC. BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SCLHS ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY: SAINT JOSEPH HOSPITAL, INC.,AND THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCLHS' PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS SUGGESTIVE OF A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: * BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; * SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); * EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); * MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; * DEPARTMENT DIRECTORS AND MANAGERS; AND * OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR EXECUTIVE INTEGRITY AND COMPLIANCE COMMITTEE, THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN. |
| FORM 990, PART VI, SECTION B, LINE 15 | FORM 990, PART VI, SECTION B (POLICIES) LINES 15(A) & 15(B) THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPROIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | PART VI, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. |
| PART VII, SECTION B, LINE 1: | INDEPENDENT CONTRACTORS. A RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. |
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